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32 | Per the reporting party, the child has an infection and on 2-3 occasions has had a history of going home with diaper rash, specific dates were not given. The lack of a consistent logging system for diaper changes for that child raises concerns about staff adherence to the changing schedule. The reporting party is concerned when diapers run out the child is not getting changed. Per staff, backup diapers are maintained in case a child runs out, and parents have generally been cooperative in supplying additional diapers when requested. Staff members report changing diapers every two hours or more frequently as needed, consistently checking for wetness and odor. They utilize the ProCare App to log diaper changes and communicate with parents, regarding any issues. When concerns about diaper rash arise, staff apply cream as appropriate and notify parents if the child shows signs of severe irritation, urging them to consult a doctor if necessary. Staff responses indicate a reactive rather than proactive approach to diaper care, with a focus on applying cream only when a rash is present, rather than preventing it. However, the documented diaper changes and the communication through the ProCare App indicate a commitment to addressing toileting needs. Per the child’s doctor report, the infection could have been caused by improper cleaning of the child’s genitals. The instance of reported infection was not proven that it was caused from lack of care taken from the staff.
Based upon the allegation that “staff are not meeting children's toileting needs” have been determined to be unsubstantiated. A finding that a complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred.
Notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director September Ewing. |