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25 | A case management visit is being conducted in response to the receipt of an unusual incident report (UIR) from the facility. LPAs met with Director, William Alvarez. The center was toured, and a census was taken. The UIR was received by the licensing agency, and it indicates a child’s fingers were stuck in a door in Classroom N.95. Facility records were reviewed, and interviews were conducted with Site Director and pertinent parties.
Per information obtain during this inspection, Staff N.1 and Staff N.2 were providing care and supervision to 6 children in the classroom. At the time of the incident, Staff N.2 was setting tables for lunchtime, and Staff N.1 was dancing and singing with children. Staff N.1 noticed that Child N.1 was by the door squatting, and it was assumed that the child was going to the restroom and did not want to disturb the child. Few seconds later, Child N.1 cried and scream “ow.” Staff N.1 immediately stopped and check on the child.
As Staff N.1 approached Child N.1 it was observed that child’s finger was stuck under the front classroom door (opening was approximately 1/2 inch gap). Staff N.1 pushed the door open and released the child’s finger. Child’s middle finger (left hand) was swollen, red, bleeding and some skin peeled off. Staff comforted child, cleaned the cut and applied ice. Child’s Authorized Representative (AR) was called immediately and arrived at the facility within 30 minutes. Staff advised AR to take child to the doctor to rule out any concerns. Child N.1 in non-verbal due to age. Therefore, LPA Ruiz called the AR of the child and information provided by child’s AR confirm that child returned to the facility the following day and child is doing well. Child was taken to Urgent Care on the day of the incident but parent decided not to seek medical attention. It was stated the child had a scrap and the facility informed her of the incident and spoke with her to make sure the child was doing well.
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