A metro Atlanta firm is closing its five Georgia day care facilities for medically fragile children.
Pediatria HealthCare, headquartered in Norcross, notified state officials this month that the closings are coming.
He said the closures are a reaction to state Medicaid officials’ becoming much more restrictive on allowing coverage for children to get medical day care services.
Three of the facilities are in metro Atlanta — Tucker, Smyrna and Stockbridge — while the others are in Columbus and Savannah.
Most of the children served, Harrelson said, “were born very premature. Many have digestive and respiratory problems.”
Many are dependent on supplemental oxygen, feeding tubes and tracheostomy tubes, he added.
The majority of the 40 remaining children in Pediatria’s day care facilities are covered by Medicaid, he said.
The Department of Community Health, the Georgia agency in charge of Medicaid, said in a statement that it is working alongside Pediatria “to transition the children to in-home skilled nursing support services.”
Yet Harrelson said many parents prefer medical day care because it can be more dependable than in-home nursing, and it also offers developmental therapies. “They know their kids can get services 10 hours a day, Monday through Friday,” he said.
Day care is much less expensive than in-home nursing, Harrelson added.
A big problem for parents
One Pediatria parent complained Thursday that the pending day care closure “isn’t fair.”
Kimberly Oliver said her 4-year-old daughter, Kiley, has been going to Pediatria’s day care in Tucker since 2011. Kiley has multiple health problems, which include hydrocephalus (buildup of excess fluid within the brain), seizures, cerebral palsy and feeding difficulties.
“What are parents supposed to do?” Oliver said. “No one will take her at a regular day care.”
The closures will mean fewer options for parents, said Karl Lehman of Childkind, an Atlanta nonprofit that delivers services for children who are disabled or have medically complex conditions.
“If you’re a parent with a medically fragile child, you don’t have day care any more in the state,” he said. That can make it harder for such a parent to hold a full-time job, Lehman added.
Polly McKinney of Voices for Georgia’s Children said, “When the systems serving children — especially those children with complex medical needs — make it so hard for service providers to work in a sustainable way, those children and families, who are already functioning under challenging circumstances, are left in even more precarious conditions with little to no help.
“Through no fault of the family, these stresses can result in DFCS involvement or even harm or death to the child,” McKinney said. “We must do better as a state and as a society to find solutions to these sorts of sustainability problems.”
Oliver said that in-home care won’t provide the speech, physical and occupational therapies that Kiley needs. “I don’t see why she can’t be in the day care. It’s just really sad.”