5.8.1 · The program director shall develop and implement written procedures to be followed in case of accidents or injuries and plans for accessing emergency services. The plan shall include: Procedures to be followed in case of an accident, injury, or medical emergency, including the method of transportation and notification of parents; and Procedures to be followed in case of accident, injury, or medical emergency when parents cannot be reached.

Staff interviewed stated that they did not know the procedures to be followed in case of emergencies, nor did they know if such written procedures exist or where to find them.

Open Not marked corrected in the state record

Open / not marked corrected.

5.8.2 · Staff shall ensure that if an accident or injury occurs to a child, while in attendance, immediate action is taken to protect the child from further harm and notification of the child's parents as quickly as possible.

A child was found unconscious in the bathroom while staff were standing outside the door verbally checking on the child. The child responded when the staff spoke to them but did not once which prompted the staff to visually check on the child. The staff person found the child on the floor; their lips were blue, they were limp, pale and not moving. Staff discussed their presentation but failed to call emergency services for some time after being discovered. It is unknown how long from the time the child was found until the call was made to emergency services. Ultimately the child was transported, and care was received at the local hospital. This is a serious violation.

Open Not marked corrected in the state record

Open / not marked corrected.