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32 | Licensee stated she was by the fridge reaching for snacks, then turned around and saw C1 going down. Licensee states it is unknown if C1 jumped off or tripped over. Licensee states she checked C1 immediately and did not see anything noticeably wrong. The Licensee recalls C1 holding on to a bracelet in one hand and a pair of glasses in the other which prevented C1 from using hands to catch the fall. LPA asked if there was another adult present at the time that the incident occurred, Licensee states her Assistant (S2) was present and was located on the rug besides C1.
Licensee said that after the incident everyone went outside at around 10:15 AM during which C1 complained about the tummy and ear. Licensee checked for temperature and didn't feel anything. Licensee recalls C1's parent mentioning earlier that week that the C1 was probably coming down with something. Licensee states she called C1's parent at around 11 AM to advise that C1 was not feeling well. When C1's parent came to pick up, Licensee let C1's parent know that the child was also complaining about the arm. Licensee denies observing C1's arm to be swollen or visibly fractured at the time that C1 was picked up.
Licensee states that later that evening she found out that C1 was taken to the doctor and was diagnosed with a fractured arm. Licensee reported the incident to Licensing as soon as possible. Licensee states C1 returned to care on 09/13/23 wearing a cast. LPA observed the chair that C1 fell off of. The chair is suited for small children and is approximately 12 inches in height off of the floor.
Based on LPA's observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found SUBSTANTIATED.
A Technical Assistance was issued during today's inspection and can be found on the attached LIC9102. LPA reminded Licensee to carefully supervise children when playing with age-appropriate structures.
No deficiencies were cited during today's inspection.
A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Exit interview conducted and report was reviewed with Licensee Sandra Beas.
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