On January 13, 2025, Licensee reported an incident involving a day care child, child #1 (C1), where C1 became ill and required medical attention by emergency medical services. Per the Licensee, the alleged incident occurred on January 13, 2025, at approximately 9:56 AM, in the day care patio room.

Interviews were conducted with the Licensee and staff (S1). None of the day care children present that day became or were made aware of the incident. LPA obtained a copy of the facility roster and C1's sign in/ sign out sheet. LPA inspected the day care patio room and determined there were no contributing factors and that it is safe and age appropriate.

Licensee reported that she, her assistant and 11 day care children were in the day care patio room during the time of the incident. Licensee stated that from the time C1 arrived, C1 seemed groggy, was fussy and not "herself". She stated that at arrival, C1's mother had mentioned that something seemed "off" about her child (C1). As a precaution, Licensee took C1's temperature which came back within normal range. Based on the reading, licensee accepted C1 into her care for the day but asked C1's mother to keep her phone near by just in case her child's condition changed. Licensee stated that she, her assistant and the children were conducting an activity in the patio room when the incident occurred.

• Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

S1 states she was in the day care patio room during the incident. She states that C1 seemed uncharacteristically unusual when the child came to join the group after arriving that day. S1 states C1 is always rather happy, playful and excited to play and engage in activities but seemed tired or like she might be coming down with something. However, C1 still attempted to participate in the activity the were doing. S1 states that although she seemed tired, C1 was started working on an activity. S1 estimates that C1 had probably been there about a half hour or so when she noticed C1 looking faint, started coughing followed by vomiting and then started to slump to the right. S1 states she hurried to C1 and was able to catch C1 prior to falling out of the chair. S1 states she picked C1 then immediately handed C1 to the licensee who then took C1 inside the house and called emergency services.

Based on the staff interviews it was determined that neither staff, day care children or the day care environment contributed to C1 becoming ill and needing emergency services. It is further determined that staff took appropriate measures and actions to get C1 the care and emergency medical assistance the situation required. LPA found no regulation was violated or deficiencies to cite. The incident is determined a non-facility incident.