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25 | On 11/10/2021 at 12:35pm, Licensing Program Analyst (LPA) Destinee Hogue conducted an unannounced case management inspection to follow-up on an Unusual Incident Report (UIR) submitted by the facility to the Riverside Child Care Regional Office on 10/22/2021. At the time of inspection, LPA toured the facility (specifically were the reported incident took place), took census, and met with Director Kim Smith to discuss the self-reported incident.
On October 21, 2021, a child(ren) was crying after an earthquake drill was conducted at the facility. Staff members in the classroom began gathering children to duck and cover under the table, however a child(ren) was having a difficult time with transitioning to earthquake drill. After the drill was completed, staff members noticed the child(ren) was crying and staff members contacted the Director. Director met with the child(ren) and staff members and thought the child(ren) hurt their left hand during the drill or during outside play time. The child(ren) was taken to the nurse's office and the nurse did not visually observe anything to be wrong with the child(ren). Director returned the child(ren) to class and sat with the child(ren) during snack time and attempted to give the child(ren) a snack to their left hand, however the child(ren) began crying. Director contacted the child's authorized representative and suggested the child(ren) be picked up from the facility. At this time, it was unknown why the child(ren) was crying and holding onto their left hand. Child's authorized representative picked up the child(ren) and took him/her to the doctors. It was learned later in the day that the child(ren) has "nursemaid elbow" which has occurred to the child(ren) more than one time, outside the facility. Director stated she met with all staff members and informed staff on the proper ways to handle a child(ren) when picking up or assisting children. Director provided a handout to all staff members detailing information about nursemaid elbow.
Based on interviews and information obtained during the inspection, as well as an inspection of the area where the reported incident occurred, there appears to be no violations of Title 22 Regulations, at this time. An exit interview was conducted with Director Kim Smith and a Notice of Site visit was issued, along with a copy of this report. No deficiencies were cited during this inspection. |