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25 | Licensing Program Analyst (LPA) Anomeh Eivazian conducted an unannounced case management inspection on 09/09/2022, due to an incident that occurred on Monday May 2, 2022 and Thursday May 5, 2022. LPA arrived at the facility at 10:20 a.m. and met with Particia Chambers, Director who guided analyst on a tour of the facility.
Alleged Incidents took place on 05/02/2022 and 05/05/22. Incident was reported via FAX on 05/27/22. Original LIC 624 Unusual Incident/Injury Report form was received by the Department on 05/27/22 at 3:22 p.m. via FAX. The facility did not report the incident within the required 24 hour time frame.
LPA observed the area where alleged incidents took place on 05/02/22 and 05/05/22. Classroom floor is covered with carpet. During this inspection LPA conducted interviews with staff#2, staff#3 and staff#4.
Per staff#3, on 05/02/22 staff#3 was in classroom with staff#1. Per staff#3, staff#3 was in mat area and tapping on two infants to fall asleep, at the same time staff#1 was on the chair with child#1. Per staff #3, child#1 drank milk and staff #1 was tapping on child#1's back to help child#1 burp. At that time staff#3 heard child#1 was crying, turned around and noticed child#1 slipped off the staff#1's lap and reached the floor. Per staff#3, child#1 was checked by staff#1 and staff #3 and did not observe any marks or injury on child#1. This incident was not reported to child#1's parent until facility director was informed on 05/26/22 that on 05/02/22 while staff#1 fell asleep, child#1 slipped off the staff#1's lap while sitting.
Per staff#4, on 05/05/22 while staff#4 was inside the classroom with staff#1 and folding laundry, in a way seeing staff#1. Staff#4 observed staff#1 was feeding child#1 while sitting on a chair, turned the child#1 face down to the ground and tapped on child#1's back for burp, at that time staff#1 had fallen asleep and child#1 was dropped down on the floor on face. Per staff#4, this incident was reported to the facility next day.REPORT CONTINUES ON NEXT PAGE 1 of 2 |