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25 | On June 28, 2024 Licensing Program Analysts (LPAs) Kari McWilliams and Lady Cabrera conducted an unannounced case management inspection and met with Licensee Wendy Aldana and toured the facility inside and out and a census was taken. LPAs informed Licensee the purpose of todays inspection.
On June 24, 2024 it was reported to the Fresno South Regional office that child #1 was climbing on the rock wall structure and their foot slipped causing child #1(C1) to fall to the ground landing on their left arm.
Licensee reported that there was seven children in care and two staff. Licensee reported that she was close to the child and witnessed the fall. Licensee stated that when C1 fell Licensee assessed C1 by asking to lift arms, move wrists and observed that C1 was only moving the right side. Licensee stated that she brought C1 into the house and applied ice and called parent/guardian.
Licensee stated that parent/guardian was not in town and there was no other individual that could come and pick up C1. Parent/guardian told Licensee to take C1 to urgent care. Ex-rays were taken at urgent care and confirmed C1 had a fracture to the left wrist. C1 received a splint on their arm. Licensee was informed to go to the Hospital after and Licensee took C1 to Memorial Hospital. Memorial Hospital informed Licensee that there was nothing further they could do, Licensee had medical staff speak to parent/guardian with information. Parent/guardian had Licensee transport C1 to their home.
During the inspection, LPAs observed the rock wall and the observed that the structure has rubber padding under the structure. Licensee stated that she had ordered hand rails to put on the side to assist in the climbing. LPAs interviewed Licensee and obtained text messages of the conversations between parent/guardian during the incident. Based on the observation of the play structure and interview with the Licensee, LPAs did not see any concerns with supervision or ability to meet the needs or the health and safety or personal rights of children in care.
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