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Mouth Disease. When it was reported to school, R/P was told several children have hand-foot-mouth disease.
During the course of investigation, LPA interviewed 6 staff working in that particular group of children. Ten parents were contacted of whom 2 parents responded. staff # 1 (S1) stated Child # 1 (C1) was fine when present at school on 7/15/2024. C1 did not attend on 7/16 and 7/17. S1 stated that they were notified on 7/17/2024 that C1 has been diagnosed with Hand, Foot, and Mouth Disease (HFM). On 7/17/2024 they notified all the families to let them know that a case of Hand, Foot, and Mouth Disease has been confirmed. No other families disclosed of any other cases on their children. S1 stated they did not confirm with any children’s representatives that there are more cases confirmed. C1 did not attend school for 5 days after facility was being notified. S1 stated meanwhile there were 4 other children with fever sent home on different dates but there was no confirmation of Hand, Foot, and Mouth Disease. C2 was sent home for tommy hurting and temperature of 100.8 on 7/12/2024. C2 did not attend for 3 days. It was confirmed later C2 had eczema. (C3) was out 7/10, 7/11, and 7/12, 2024. C3’s case was not confirmed for H, F, and M Disease except for having eczema. (C4) was out 7/17, 7/18, 7/19, and the weekend. C4 is back with no fever. No case of H, F, and M Disease was confirmed for C4. S2, S3, S4, S5, and S6 did not confirm that they had an outbreak of Hand, Foot, and Mouth Disease. They stated only one case was confirmed and reported to the facility on 7/15/2024.
Staff stated they watch children closely to make sure children are healthy. As soon as they find a child is not feeling well or has temperature, the child’s representative is called for early pick up and the child is isolated. They also sanitize the area the sick child has been in contact with. They said children with fever cannot attend the school until they are fever free for 24 hours. In severe cases, doctor’s note is required if the child is back sooner than the expected time. Staff stated they are not doctors to diagnose a child’s illness. They would not know the sickness of the child if the parents disclose to them. Some children get over a simple fever in a day or two without seeing a doctor.
LPA reviewed the Internal Kindercare Child Supervision Record (CSR) for those children mentioned above. LPA found out children were sent home and did not come back the next day to the facility. LPA also reviewed the communication between facility staff and parents for early pick up for the above children.
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