Based on interviews, the licensee did not comply with the section cited above as a child sustained a fracture to femur without any staff visually supervising which poses/posed an immediate health, safety or personal rights risk to persons in care.
A correction plan is recorded. No state verification date is shown.
Recorded plan of correction
Director states she will develop and submit a new written plan to ensure children will be constantly visually supervised while on the playground. Brandi VanOosten Lilli Babcock DATE: 12/18/2025 DATE: 12/18/2025 Page: 3 of 8 CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754 FACILITY NUMBER: 198019814 VISIT DATE: 12/18/2025 During the interview with the parent of Child #1 (C1), the parent stated that C1 sustained a fracture to the right femur requiring the application of a Spica cast, which cast the ankle to under the armpits of C1, for a duration of 6-8 weeks, where C1 was unable to sit up or walk. During the interview the Parent of C1 stated they were informed by Director that no staff observed the incident occur.
Staff interviews disclosed that no staff observed the incident where C1 was injured.
Staff interviewed stated that Staff #1 (S1) was supervising the yellow slide on Playground 4 where C1 was injured at the time of the incident. Per Director, "S1 was in charge of that section and was walking around it and was attending to the kids at the back of the slide, when S1 heard C1 crying." Director stated she was told this information by S1.
LPA interviewed Staff #1 on 11/17/25 at approximately 10:30 am. During the interview with S1, LPA asked S1 who was supervising the yellow slide area at Play Structure 4 when the incident occurred, and S1 replied, "Just me". When LPA asked S1 if they observed how C1 was injured, S1 replied "No", "I had to walk to the back of the slide because someone was screaming, I can’t remember who, so I was talking to them, and that is when it happened". On 11/17/25, LPA asked S1 what children were present on the slide at the time of the incident, and S1 stated “I can’t remember”. On 12/11/25, at approximately 10:00 am, during the interview with S1, S1 wrote in a declaration they were “nearby the structure. I walked a little bit further to attend another incident. Then I heard somebody crying. When I look back, I saw C1 was sitting and crying on the ground”. During the interview with S1 on 12/11/25, S1 confirmed they were at the back of the yellow slide when S1 heard C1 crying. LPA asked staff during interviews to note with a dot on the Preschool Playground Layout where they were located at the time of the incident and to sign their name next to their location dot on the Preschool Playground Layout. On 12/11/25, S1 put a dot in the bike path on the left side of the front of Play Structure 4; which is inconsistent with the statement of S1 during the interview on 11`/17/25 and confirmed again on 12/11/25, in which S1 states they were at the back of the slide at the time of the incident.
Page 2 of 6 DATE: 12/18/2025 DATE: 12/18/2025 Page: 4 of 8 CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754 FACILITY NUMBER: 198019814 VISIT DATE: 12/18/2025 During interviews, Staff #5 (S5) stated that after C1 was injured, S5 asked C1 how they got hurt and C1 stated "fall"..."bottom of the slide". S5 stated C1 had been playing with Child #2 (C2) before the incident. S5 stated they asked C2 what happened to C1, and C2 said, "fall at the bottom of the slide".
LPA interviewed C2. LPA asked C2 to show LPA how C1 hurt their leg. C2 took LPA to the playground. The playground was empty of children at the time of the interview. LPA asked what C1 was doing when they hurt their leg, and C2 took LPA to the yellow slide on Play Structure 4 and stated, "On the slide." C2 walked to the slide and pointed to the bottom of the slide and stated, "C1, sit here".
Then LPA asked C2, "How did C1 get hurt?" C2 replied, "I went down and then" - while demonstrating, by pointing to the top of the slide and then motioning their hand to the ground at the end of the slide. LPA then clarified, "Oh, so you came down the slide, and C1 was sitting at the end of the slide and then fell off?" C2 confirmed, "Ya."
Although the facility has video cameras present, Director stated during an interview on 11/17/25 that she checked the footage and didn't see any camera footage of the incident, or she would have saved it. Director stated during an interview on 12/18/25 at 2:00 pm, “Our cameras are sometimes working and sometimes not. I wish I was able to have gotten some footage”. LPA asked Director if Camera 1, which shows Playground 4 and the yellow slide, was working at the time of the incident. Director stated, “No, sometimes they go off-line, and it will show no video signal. Camera 1 was offline at that time. The cameras go offline sometimes because they are outdoors and not protected from the elements like moisture”. Per Director, camera footage is automatically saved for only a twenty-four-hour period. On 12/18/25 LPA measured the yellow slide on Play Structure 4 and determined the slide is 49 inches tall.
During interviews the Director verified that the facility is currently using the Pre-Primary Playground Supervision Guidelines for Teachers dated 3/24/25 and Preschool Playground Layout. LPA obtained a copy
Page 3 of 6 DATE: 12/18/2025 DATE: 12/18/2025 Page: 5 of 8 CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754 FACILITY NUMBER: 198019814 VISIT DATE: 12/18/2025 of the documents. The Guidelines for Teachers document shows staff duties and area assignments on the playground for AM, Noon, and PM recess. The Preschool Playground Layout is a map of the playground with stars and arrows placed on the map with teacher’s names listed next to each star.
During the interview with Director on 12/18/25, LPA asked Director to explain the Preschool Playground Layout. LPA asked Director what the star signifies on the Preschool Playground Layout map, and Director stated it signifies “Where each teacher should be”. LPA asked the Director what the arrows signify, and the Director stated, “Where teachers should be looking”. For Play Structure 4, Staff #1 is listed with a star to the right of Structure 4 with an arrow toward Play Structure 4 and along the fence to the right of Structure 4.
During the interview with Director on 12/18/25, LPA asked Director to explain the Pre-Primary Playground Supervision Guidelines for Teachers. Director stated, “It is current however depending on the time of day the names may be different, but the area of assignment stays the same…There are two teachers listed but there is a slash between the teachers names, so it might be one of the two teachers supervising that area. It varies because the teachers are there at different hours of the day, so it depends on their hours which teacher is there.” LPA asked Director to explain the items listed under the teachers’ names. Director stated, “This is what teachers have to keep in mind that they should be doing, and watching the children are doing. Children's activities that could result in them getting hurt”. LPA asked if one teacher is supposed to make sure the children are following the rules listed underneath the teachers’ names on the Guidelines document, and Director replied “Yes. The guidelines were attached to a signature page that acknowledges teachers are aware of this”. For Play Structure 4, the document notes staff are to "make sure the children are properly using the slide...waiting to slide down when no one is on the bottom of the slide”; however at the time of the incident no staff “made sure” C1 and C2 was using the slide per the guidelines, and C2 slid down the slide into the right femur of Child #1 who was at the bottom of the slide.
According to interviews conducted, there were between four and five staff members present on the playground on the day of the incident. Per Director there were 5 staff present; however, Staff #6 stated they were not on the playground at the time of the incident. The Director submitted a "Playground Supervision
Page 4 of 6 DATE: 12/18/2025 DATE: 12/18/2025 Page: 6 of 8 CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754 FACILITY NUMBER: 198019814 VISIT DATE: 12/18/2025 Checklist" to LPA Babcock via email on 3/24/25. This checklist includes the dates from Monday to Friday, as well as the times for AM, NN, and PM recess. One item on the checklist states that "Staff is positioned at the designated playground area."
During an interview with the Director on 12/11/25, LPA asked Director, "Are you completing the Playground Supervision Checklist daily?" The Director replied, "No, we are not." When asked why the checklist was not completed daily, the Director explained, "I am supposed to be the one doing it, but I can't do it every day. I am doing it, but not consistently—at least one or two days a week."
LPA then asked the Director, "Do you have a completed checklist for 10/8/25?" The Director responded, "I do not have it for that particular day."
The facility has a supervision plan in place; however, during the investigation, it was found that this plan was not followed. As a result, the yellow slide of Play Structure 4 was left unsupervised, which led to an incident in which C1 was injured and sustained a fracture of the right femur. At the time of the incident, C1 was sitting horizontally at the bottom of the slide when C2 came down the slide. Because C1 was positioned there, C2's legs struck C1’s right femur, causing the fracture. No staff members witnessed the incident but learned of it when they heard C1 crying.
Per Director, there were 54 children on the playground on 10/8/25 at 4:30 pm per the facility weekly headcount sheet competed by either Director or Office Administrator. LPA reviewed and confirmed there were 60 children and seven staff present at the facility on 10/8/25 at 4:30 pm, based on timecards and sign-in/out sheets. Copies of timecards, sign-in/out sheets, and weekly headcount sheet for 10/8/25 were obtained during the visit on 12/18/25.
Based on LPA interviews, the following deficiency listed on the attached LIC 809D (deficiency page) is being cited in accordance with California Code of Regulations Title 22. Deficiencies that are cited need to be cleared to protect the children’s health and safety.
Page 5 of 6 DATE: 12/18/2025 DATE: 12/18/2025 Page: 7 of 8 CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754 FACILITY NUMBER: 198019814 VISIT DATE: 12/18/2025 LPA Lilli Babcock informed facility representative Maribeth Peralta that this report dated 12/18/25 documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.
Also, LPA Lilli Babcock informed the facility representative to provide a copy of this licensing report dated 12/18/25 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with facility representative Maribeth Peralta.
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