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During the investigation, LPA Lucero interviewed four (4) staff members and two (2) parents.
During staff interviews, staff acknowledged that there was a recent Hand, Foot, and Mouth (HFM) outbreak at the facility. Staff reported that once the first case was confirmed, daily health checks were conducted on all children. If any symptoms were observed, parents were contacted to pick up their child, and the child was excluded from care until a physician’s clearance note was provided. Staff indicated that parents were consistently requested to submit doctor’s notes confirming that their child was cleared to return to the facility. To reduce the risk of transmission, staff minimized the movement of teachers between the preschool and infant classrooms. Staff also reported washing their hands immediately upon entering classrooms, regularly cleaning and disinfecting high-touch surfaces, toys, and cots, laundering bedding, and removing cloth toys due to the increased likelihood of germs adhering to fabric materials.
Staff further stated that parents were informed of the outbreak beginning with the first confirmed case, and outbreak notices were posted at facility entrances. Staff reported ongoing challenges related to conflicting medical clearances, noting that some children were cleared by physicians despite staff continuing to observe symptoms. In several instances, when children were sent back home due to persistent symptoms, physicians later confirmed HFM, which caused confusion and may have contributed to the continued spread of the illness
LPA interview 2 parents. Parents interviewed did not express concerns.
Additionally, a review of facility records confirmed that the facility reported the outbreak to the Department, in compliance with the Department’s epidemic reporting requirements. The facility also contacted the Public Health Department for guidance.
Based on LPA's interviews, it has been determined there was no preponderance of evidence supporting staff are not disinfecting properly to prevent the spread of hand, foot and mouth (HFM) disease. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is found to be Unsubstantiated. Exit interview was conducted with Director Magali Mesina. The Notice of Site Visit was posted.
End of Report. |