During the course of investigation, LPA interviewed 6 staff members, 2 parents and 0 children. Children were not interviewed due to being nonverbal.

During the staff interviews, Staff 1 (S1), stated that the procedures for when a child gets hurt are the child gets taken care of, the injury is treated. Staff do a 360-body check, since the children are so young, so their language is limited. Most of the time the staff will call the Director over to maintain ratio while the injury is treated. Staff then take pictures and send them to the parent. The staff create the ouch report. Parents must sign the ouch report and if Director is available, the Director talks to the parents or they can talk to the staff. S1 disclosed a child had gotten recently hurt, Child #1 (C1) fell and lost C1’s balance. Staff created the ouch report and C1’s relative signed off on the report. C1’s parent never mentioned the elbow injury. It was C1’s relative that came yelling to the staff about it. C1 was wearing a short sleeve shirt that day so there is now way S1 wouldn’t have seen an injury on C1’s elbow. S1 said when children come in staff do a 360 check and if there is anything on their body staff will put it on the group chat, so everyone was aware. Nothing was noted on that morning for C1. The knee scrape did happen at the center, staff saw C1 fall, C1’s development was delayed so C1 started walking later, C1’s sense of balance was not good.

Staff 2 (S2), Staff 3 (S3), Staff 4 (S4) and Staff 5 (S5) all stated the procedures when a child gets hurts, is that staff tend to the child’s injuries, take pictures of the injury, create the ouch report, and report it to the Director. Typically, the Director talks to the parents about the incident. All staff confirmed that they do a 360 check on every child when they arrive and if they see anything out of ordinary, they put it on their group chat and they also talk to the parent if they see anything. Staff denied that children fall often around the cracks on the cement and said the children are all so young and tend to fall often as they are learning to walk. Staff said C1 started walking later than the other children and seems to have a harder time keeping balance. Staff stated if the cement cracks were really dangerous the Director would definitely try to fix it. Staff 4 (S4) stated S4 checked C1’s whole body when C1 fell and only observed and treated the knee injury and denied seeing an injury anywhere else on C1’s body including C1’s elbow.

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Based on LPA’s interviews and record review, there is insufficient evidence to corroborate the allegation of Facility did not report to parents about child's elbow injury. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegation is UNSUBSTANTIATED.

Exit interview was conducted, and report was reviewed and discussed. Notice of Site Visit was posted during the visit. The facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100 per day. The facility was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.

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