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The department received a complaint on 06/06/23 alleging staff did not prevent an outbreak of hand, foot, mouth disease and classroom operating out of ratio. Reporting Party (RP) stated on 4/5/23 in the morning in the opening classroom there was 17 children with 1 staff, staff attempted to call for assistance, but Director did not send help. RP disclosed that 4-5 months ago there was an outbreak of hand, foot and mouth disease in the childcare facility and Director did not do anything to prevent it from spreading.
During the investigation LPA Odom interviewed reporting party, director, 5 staff members, 3 parents, conducted a facility inspection and reviewed the children’s roster, personnel report, staff timecards, and sign in/out sheets.
During the investigation, Staff #1 (S1) was interviewed on 06/14/23. S1 denied the facility being out of ratio. S1 stated they are constantly making sure all the classrooms are in ratio. S1 and Staff #2 (S2) have rotating schedules to make sure a staff from the management team will open and close the facility. S1 and S2 will assist with short staff, breaks, and additional assistance staff may have in the classrooms. S1 stated staff are trained on ratio.
S1 stated there hasn’t been an outbreak for hand, foot, and mouth disease in any of the preschool classroom, there was only one incident when there were a couple children that had a rash. S1 stated if they have an outbreak of 3 or more children, they will notify all the families in the classroom of the outbreak through the childcare app and they will post a notification of the outbreak on the front of the classroom door for families to monitor their children.
During the investigation, 5 staff members were interviewed on 06/23/23. All the staff disclosed they have not been out of ratio in their classroom or during opening or closing hours. All the staff were familiar with ratio, and they have never been alone with more than 12 children at one time. S2 disclosed the first opening hour there are 10 or less children present. None of the staff recall an outbreak of hand, food, mouth disease occurring in the preschool classrooms. Staff make sure they disinfect the tables, chairs, and toys daily. If there is an outbreak the families are notified by S1, and a notification is placed on the door. The children cannot return until they have a doctor’s note.
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