Pilgrim Day Care Center

101226(a)(2) · Health-Related Services... assessment and/or administration of first aid by staff, the licensee shall document the injury in the child's record and notify the child's authorized representative of the nature of the injury when the child is picked up from the center. This was not met as evidenced by; Co-Director stated that ever since the incident occurred, there have been multiple staff training's conducted, with the last one being (12/12/22) discussing reporting requirements for licensing and internal procedures, and daily child assessments. Based on information obtained via interviews and reviewed documentation, it was confirmed that facility did not document the possible injury/incident that occurred when C1 reported that their hand hurt after sliding down the slide. C1's hands were assessed by multiple staff throughout the day, however the child's authorized representative was not notified. This poses a Potential Health and Safety risk to the clients in care. Co-Director has already submittedto LPA proof of staff training and agenda. Co-Director also provided LPA during inspection a list of everyone who attended the training. Deficiency is cleared today.

101226(b) · Health-Related Services. The licensee shall make prompt arrangements for obtaining medical treatment for any child if necessary. This was not met as evidenced by Director stated that S1 resigned on 08/12/2022 and no longer works at the facility. In addition, Director stated she held a staff meeting on 08/15/2022 and 10/10/2022 to discuss and refresh their internal reporting procedures and what to information obtained via interviews confirmed that the facility did not seek immediate medical treatment when C1 complained of arm pain after being picked up by S1. This injury C1 sustained was nursemaid elbow. This poses an Immediate Health and Safety risk to the clients in care. do when a child sustains an injury. LPA provided Director additional topics to discuss with staff such as Title 22 regulation sections 101226, 101212 and 101226.3. Director stated she will schedule another staff meeting to review the additional topics and provide LPA the date of the scheduled staff meeting and its agenda by COB 11/21/22.

101226(a) · Health-Related Services. The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken. This was not met as evidenced by, Director stated that S1 resigned on 08/12/2022 and no longer works at the facility. In addition, Director stated she held a staff meeting on 08/15/2022 and 10/10/2022 to discuss and refresh their internal reporting procedures and what to do when a child sustains an injury. information obtained via interviews confirmed that the facility did not notify C1’s parent of C1’s injury sustained child in care until pick up time which was around 12pm. Incident occurred around 10:20am. C1 complained of his arm being in pain soon after the injury occurred. This poses a potential Health and Safety risk to the clients in care. LPA provided Director additional topics to discuss with staff such as Title 22 regulation sections 101226, 101212 and 101226.3. Director stated she will schedule another staff meeting to review the additional topics and provide LPA a copy of the agenda and everyone who attended by COB on 12/23/2022.