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32 | Per S1, after the incident and during pick up, the child remained with an ice pack and there was no swelling or bruising observed on the child’s elbow/forearm.
Interviews conducted with S2 revealed that they were near the play structure trying to separate 2 children when C2 told the staff that C1 had sustained an injury. Per S2, C1 approached them while holding their droopy arm and seemed to be in shock. S2 asked C1 what happened and the child replied that they jumped from the tunnel but then stated I don’t know.
Staff interviewed corroborated that C1 was asked to move/lift their arm but observed that the child flinched and was uncomfortable. Staff also revealed that children are allowed to sit on top of the tunnel; however, they cannot stand or jump from the tunnel. According to the staff, there were 15 children with 03 staff present in the playground. The parent left the premises with C1 and stated that they would take the child to urgent care. S1 stated that they requested updates from the parent of C1 and at 04:47 p.m., parent stated that the child’s Xray revealed there was a small broken bone on their elbow, a temporary cast would be placed, and later on a hard cast. Per S1, C1 returned to the facility on 05/04 with a sling and a temporary cast but without a doctor’s note;however, parent provided verbal instructions to the facility that were given to her by the doctor. Per staff, the only restriction mentioned by the parent was for the child not be “as active," lay on it, or put pressure. According to S1, C1 arrived to the facility today with a hard cast and verbal instructions provided by the doctor were to not wet the cast and to keep it for 8 weeks.
LPA toured the playground and observed all play structure in good condition. The entire playground has a cushioning material that absorbs a fall and was observed to be in good condition as well. Upon research of the play structure, LPA observed that it is age appropriate since the age range for the structure is from 6 to 23 months and 2 to 5 years old. The structure is identified as an Infant Maze that has an attached straight crawl tunnel, and the crawl tunnel’s material is made of Polyethylene primarily used in commercial/playground equipment for children. Currently, preschool children will not be using the playground where the incident occurred to prevent further incidents or injuries and will be utilizing the side playground for outdoor play.
At this time, the facility is in compliance with California Title 22 Regulations. Therefore, there are no deficiencies being issued today.
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the facility representative Kenia Villegas
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