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Other conditions such as bulimia, binge eating disorder and pica were gradually added.

A girl shared that she would eat random objects — a condition called pica that often accompanies the disease.

In another report, the inspector pointed to years of concerns about the care provided to patients who have pica, a disorder in which people feel compelled to swallow inedible objects such as coins and zippers.

Though other Woodhaven residents struggled with pica, Pepper said, he doesn’t believe Yewdall inserted a large disinfectant wipe in her own windpipe.

The agreement requires the school system to implement a pica safety protocol that includes staff training and requires students with pica have individual supervision.