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32 | RP has concerns regarding the 12–18 months classroom (Room B118). Reporting Party stated that the child #1 (C1) who is under medical care for low weight by a pediatric gastroenterology specialist routinely did not receive expected bottle feedings. There were multiple days where C1 received zero bottles, despite previously taking two bottles daily. RP reported that written documentation from the pediatric specialist was provided to the office and classroom staff requesting continued bottle feeding due to medical need. The facility failed to consistently follow this directive. RP reported the classroom was transitioning the children into a sippy-cup-only environment. The change in feeding for C1 was abrupt rather than gradual, despite known medical needs. RP also reported that on at least one occasion, a bottle logged at approximately 4:45 PM appeared to have been previously warmed earlier in the day, suggesting a violation of safe milk handling.
During the investigation, LPA toured the facility, interviewed 5 staff, 5 parents, reviewed the Individual Infant’s Needs and Services Plan, Brightwheel Application’s Feeding Log, the pediatrician’s note, and pertinent documents. LPA couldn’t interview the children because they are non-verbal.
Regarding the allegation of “Staff did not ensure the infants individual feeding plan was followed”
During the course of investigation, LPA reviewed the pediatrician’s notes for 07/18/2025 and 12/09/2025. The pediatrician had recommended that the facility continues to offer C1 2 to 3 bottles per day during the following approximately times windows: mid-morning (9:00am – 10:00am), early afternoon (12:30pm to 1:30pm), and late afternoon (3:30pm – 4:30pm) due to C1’s specific medial circumstances. The pediatrician asked for the facility’s help in strengthening this communication, as consistent and clearly documented feeding information is essential to the pediatrician’s ability to monitor C1’s progress. While LPA was reviewing the Brightwheel Application’s Feeding Log for C1, LPA did not see any bottle was log in at all on 11/05/2025, 12/12/2025, 12/18,2025 and 01/30/2026. The absence of bottle-feeding documentation on these dates does not demonstrate that the pediatrician’s recommendation was followed.
During the staff interview, 5 out of 5 staff denied the allegation of “Staff did not ensure the infants individual feeding plan was followed.” All 5 staff stated that they always follow the Individual Infant’s Needs and Service plan and the parents’ request because all children are different. If infants refuse to drink the milk, they will offer the milk again to them in 5 minutes. However, they never force and cannot force the children to drink or eat. They also notify both the parents and the director whenever an infant refuses to drink or eat immediately. They document everything on the Brightwheel Application, such as the date, the time, what the infant eats, what the infant drinks, and whether the infant finishes his/or her meal.
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