On 03/22/24 at approximately 11:20 a.m. Child #1 (C1) was in the triangle area about to start cleaning up when C1 fell from the triangle area hitting the chin. According to Staff 1 (S1), they were nearby supervising children cleaning up when they observed C1 fall and hit the chin on the concrete of the triangle area. Immediately S1 and S2 assisted and assessed C1. Blood was seen coming from the chin area and the Director was called for further assistance. Director immediately called/faced time the parents of C1. C1 received 9 stitches and returned to the facility on 03/25/24. Per staff, C1 did not have any restrictions. Per S1 and S2, the dirt triangle area is designated for children to play. LPA did not observe any hazards in the dirt triangle area or on the outside. The incident happened so fast that it couldn't have been prevented. C1 was not running or playing in the triangle area. C1 was standing and it is unknown if the incident was caused by the child wearing crocs or long flowy pants. LPA observed that the triangle area is barricaded to avoid any children from running around in that area. Per Director, the triangle area concrete will be removed, and the area will be leveled so that it can flow with the rest of the yard. The area will look more like a downhill slop that children can still utilize and to prevent future incidents.

During this inspection, LPA interviewed Staff 1 (S1 thru 2). Director provided LPA with a copy of C1s ouch report. LPA was not able to interview C1 due to being on vacation.