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
32 | During the course of investigation, LPA interviewed 12 staff members, and 4 parents, and reviewed records. Children were not interviewed due to their age and being nonverbal.
LPA interviewed 12 staff members, 12 out of 12 staff stated parents/authorized representatives are informed if there child has been bitten by another child. S3 stated “We let our supervisor know, and inform the parents. We implement a behavior plan. There’s more supervision provided and we keep an eye on the child that bites. To keep them busy with activities and toys.” S5 stated " While we are supervising we have always been trained to always keep our eyes on the children at all times, we never have our backs towards them. We always provide plenty of activities for active children.” S10 stated “When a behavioral issue such as attempted or actual biting occurs more than once, staff call one of our coordinators to the classroom to assist. Coordinators are frequently in these classrooms to observe, they offer input, advice and modeling. We employ shadowing as well. Both families are informed about the biting incident, and we offer strategies to parents to prevent biting incidents from occurring again. We have an Applied Behavior Analyst (ABA) that contacts parents, and sets up meetings to discuss biting issues and to provide assistance and support. ABA visits classrooms and observes the children and the staff. Analyst works to educate and guide staff in dealing with biting and other behavioral issues. Our ABA provides parents training on biting as well as other issues.”
S13 stated “staff were aware of biting situation, and facility provided extra supervision to prevent biting incidents. The biting incidents would occur within one second to the next, staff would be right next to the child during a biting incident but were unable to stop due to the child biting was impulsive and quick.” S13 stated “staff always provided first aid to C1 and made sure child was ok and injury was clean. Parents are always informed of any incident and given an injury report.” S13 stated we always work with parents and provide strategies to use at home, even through some children are nonverbal or only know a few words, staff will remind infants to use their words for example “stop” or “help” if they need something from another child. We encourage them to use their words and encourage parents to encourage their child to use their words at home as well.”
LPA reviewed C1’s file and observed injury notification “ouch” reports for C1 dated on 12/19/23, 12/14/23, 11/7/23, and 8/9/23 with injuries caused by another child biting C1.
LPA Duron interviewed 4 parents. All interviewed parents stated they did not have any concern with facility.
Page 2 of 3.
|