BROADOAKS SCHOOL OF WHITTIER COLLEGE, THE

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Lilli Babcock conducted an unannounced Case Management inspection due to an incident that occurred at the facility on 9/19/24. LPA met with Associate Director, Jennifer Brown to whom the reason for the visit was explained. Ms. Brown guided LPA on a tour of the facility. Census was taken. There were six staff present caring for 43 children. The facility was observed to be operating within the license capacity limitations. Interim Executive Director, Kay Sanders arrived at the facility at approximately 9:50 am, and greeted LPA. On September 27, 2024, an unusual incident report was made to the Department regarding an incident that involved a child who sustained an injury at the facility that required medical attention. During the visit, LPA Babcock conducted interviews with five staff, and Child #1. Based on information obtained during interviews conducted with staff, LPA Babcock determined that on September 19, 2024 during outdoor play, Child #1 was running on the wood chips with friends, and fell hitting his forehead on the edge of the concrete which separates the wood chips and concrete. Child #1 sustained a cut to the forehead. Staff administered first aid and applied an ice pack to the forehead of Child #1. Campus Safety was called and arrived within minutes to provide wound care to Child #1. Based on interviews with staff, there was adequate supervision at the time of the incident. Parent of Child #1 was promptly notified of the incident. Child #1 was taken by parent for medical treatment and Child #1 sustained 3 stitches to the forehead. Per Ms. Brown, Child #1 returned to the facility the following day. Page 1 of 2 SUPERVISORS NAME: Brandi VanOosten LICENSING EVALUATOR NAME: Lilli Babcock LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2024 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 2 FACILITY NAME: BROADOAKS SCHOOL OF WHITTIER COLLEGE, THEFACILITY NUMBER: 191500460 VISIT DATE: 10/15/2024 NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32At 10:00 a.m. during this inspection, LPA inspected the outdoor area and did not observe any hazards near the area where incident took place. LPA observed on this day, the outdoor space contains an area with wood chips, and the wood chips completely cover the area, and the wood chips are filled to the same height as the concrete around the wood chips. During the visit, LPA obtained a copy of the injury report given to parent of Child #1, and a copy of the sign in/out sheet for the day of the incident. No deficiencies are being cited at this time. 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 Interim Executive Director, Kay Sanders. Page 2 of 2 SUPERVISORS NAME: Brandi VanOosten LICENSING EVALUATOR NAME: Lilli Babcock LICENSING EVALUATOR SIGNATURE: DATE: 10/15/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/15/2024

Type B citation - potential risk if not corrected

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Lilli Babcock conducted an unannounced Case Management inspection due to an incident that occurred at the facility on 9/19/24. LPA met with Associate Director, Jennifer Brown to whom the reason for the visit was explained. Ms. Brown guided LPA on a tour of the facility. Census was taken. There were six staff present caring for 43 children. The facility was observed to be operating within the license capacity limitations. Interim Executive Director, Kay Sanders arrived at the facility at approximately 9:50 am, and greeted LPA. On September 27, 2024, an unusual incident report was made to the Department regarding an incident that involved a child who sustained an injury at the facility that required medical attention. During the visit, LPA Babcock conducted interviews with five staff, and Child #1. Based on information obtained during interviews conducted with staff, LPA Babcock determined that on September 19, 2024 during outdoor play, Child #1 was running on the wood chips with friends, and fell hitting his forehead on the edge of the concrete which separates the wood chips and concrete. Child #1 sustained a cut to the forehead. Staff administered first aid and applied an ice pack to the forehead of Child #1. Campus Safety was called and arrived within minutes to provide wound care to Child #1. Based on interviews with staff, there was adequate supervision at the time of the incident. Parent of Child #1 was promptly notified of the incident. Child #1 was taken by parent for medical treatment and Child #1 sustained 3 stitches to the forehead. Per Ms. Brown, Child #1 returned to the facility the following day. Page 1 of 2 SUPERVISORS NAME: Brandi VanOosten LICENSING EVALUATOR NAME: Lilli Babcock LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2024 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 2 FACILITY NAME: BROADOAKS SCHOOL OF WHITTIER COLLEGE, THEFACILITY NUMBER: 191500460 VISIT DATE: 10/15/2024 NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32At 10:00 a.m. during this inspection, LPA inspected the outdoor area and did not observe any hazards near the area where incident took place. LPA observed on this day, the outdoor space contains an area with wood chips, and the wood chips completely cover the area, and the wood chips are filled to the same height as the concrete around the wood chips. During the visit, LPA obtained a copy of the injury report given to parent of Child #1, and a copy of the sign in/out sheet for the day of the incident. No deficiencies are being cited at this time. 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 Interim Executive Director, Kay Sanders. Page 2 of 2 SUPERVISORS NAME: Brandi VanOosten LICENSING EVALUATOR NAME: Lilli Babcock LICENSING EVALUATOR SIGNATURE: DATE: 10/15/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/15/2024