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The incident was initially handled as a possible hit-and-run accident, but as the traffic investigators began reviewing video footage, it became clear the incident was an intentional act, Dobbs alleged. 202
The health department said this week the facility had been "instructed not to admit any new patients until the outbreak ends and they are in full compliance."The timing of the deaths is not clear. The health department was notified of respiratory illness at the center on October 9. Wanaque sent parents of children at the facility letters about the infection on October 19, according to the health department.On Tuesday the New Jersey Department of Health announced the death of six pediatric residents at the center and the infection of 12 additional residents. Wednesday the department announced an additional child death.The department said it is an active outbreak investigation and lab tests could confirm additional cases.A team at the facility on Sunday found minor hand-washing deficiencies."The Department continues to work very closely with the facility to ensure that all infection control measures are being followed," the Wanaque facility said in a statement Wednesday.The children's ages are not being released to protect patient privacy, said Nicole Kirgan, a health department spokeswoman. They ranged in age "from a toddler through young adults, but most are under 18."The outbreak, caused by adenovirus type 7, "is affecting medically fragile children with severely compromised immune systems. The strain has been particularly associated with disease in communal living arrangements and can be more severe," according to the health department.In a statement, the facility said it "promptly notified all appropriate government agencies when the virus was initially identified.""The Wanaque Center continues to fully cooperate with these agencies and has sought out their medical guidance with respect to the virus," the facility said. "As a result, facility staff have diligently implemented all available infection control and prevention measures in order to protect the health and safety of the Wanaque Center's residents."Nurses at the facility previously had reported a shortage of nursing staff and supplies, according to a statement from the union that represents the nursing staff. The Health Professionals and Allied Employees (HPAE) said the shortages may have led to "poor infection control practices."The union said it represents the 70 nurses that work at Wanaque.In a review by the government's Centers for Medicare and Medicaid Services, Wanaque was awarded an above-average ranking in overall quality but was given a below-average health inspection rating. Based on an inspection conducted in August, CMS reported that "it was determined that the facility failed to provide a clean and homelike physical environment for their residents. " 2671

The President’s Fiscal Year 2019 Budget Proposal, released on Feb. 12, proposes to limit waivers of the time limit for able-bodied adult without dependents to counties with 10 percent unemployment over 12 months. 212
The netting will be installed to the end of Section 116 in left field and Section 115 in right field and have a maximum height of 24 feet before tapering down along the foul lines. 180
The holidays hit La Jolla during the city's Christmas parade and holiday festival on Girard Ave., featuring family-friendly activities, entertainment, and photos with Santa Claus. 179
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