Bayview Manor (Bayview Intergenerational Children's Center)

Observation

During interviews with staff, the toddler identified in the intake was intermittently being audibly loud and kicking on his nap mat during nap time. No actions or situations described by any staff member present included details of the identified child's saftey or the saftey of others to be at risk prior to the restraint. During interviews with staff, it was determined that no one notified the parents/guardians of their child's restraint on the date of the incident, or prior to the child being released from care. During interviews with staff, it was reported that there had not been any assessment or meeting completed to determine if the decision to restrain the identified child was appropriate for the situation. During the onsite inspection, this licensor requested to see the incident report in the child's file that included the date, time, early learning program staff involved, duration, and what happened before, during, and after the child was restrained. The director stated that there was no incident report created or documented. During interviews with staff, all staff stated that the child identified in the intake did not have an individualized care plan or a behavioral plan. One staff member stated that this child had been restrained multiple times and they had not been previously reported. There was no documetation available for review of a written plan with intake from the parents or child's providers to address underlying issues and reduce the need for further physical restraint. At the time of this report, this licensor has not received notification of a written plan that has been developed for the child identified in the intake report.