591-1-1-.15(9) · Rule 591-1-1-.15(9) requires that when a child requires a modified diet for medical reasons, a written statement from a medical authority shall be on file. When a child requires a modified diet for religious reasons, a written statement to that effect from the child's Parent(s) shall be on file. All caregiver Personnel shall be informed of the diet restriction for the child and only food that complies with the prescribed dietary regimen but still meets the food and nutrition requirements shall be served to the child.

During an investigation, it was determined that on September 23, 2025, at approximately 10:30 a.m., staff members did not follow a 1-year-old child's modified diet when the child was served a food item which caused the child to wheeze and develop hives. During morning snack time, the child was served a cream cheese quesadilla as a substitute to accommodate the child's allergies. Shortly after eating the cream cheese, the child began to show signs of distress. The child's face turned red, and welts appeared near their mouth. Center management reviewed the ingredients and found that cashews were listed, which are a known allergen for the child. The child received professional medical attention for an allergic reaction.

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