Childcare Network #160

591-1-1-.15(9) · Rule 591-1-1-.15(9) requires that a written statement be on file from a medical authority when a child requires a modified diet for medical reasons and from the child's Parent(s) when a child requires a modified diet for religious reasons. 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 February 28, 2024, a three-year-old child with a need for a modified diet on file in the 3A Classroom (Third Right) due to an allergy, was given a food that the child was allergic to for lunch on this date. The center was made aware of the child’s allergy during the child’s enrollment tour on February 26, 2024, however the center failed to obtain written documentation from a medical authority as required after the parent notified the center of the need for a modified diet. Additionally, the center did not notify all personnel when the staff members serving the child were not made aware that the child required a modified diet. As a result, the child experienced an allergic reaction and professional medical attention was obtained.

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591-1-1-.29(3) · Rule 591-1-1-.29(3) requires the Director or designated person-in-charge to report or cause to be reported to the Department within twenty-four (24) hours or the next work day: any death of a child while in the care of the Center; any serious illness or injury requiring hospitalization or professional medical attention other than first aid of a child while in the care of the Center; any situation when a child in care becomes missing, such as, but not limited to, a child who is left on a vehicle, a child who leaves the building, playground, or property, or a child who is left behind on any trip; any fire; any structural disaster; any emergency situation that requires temporarily relocating children; and any time the program’s operating status changes (i.e., open to closed or temporarily closed and temporarily closed to open).

During an investigation, it was determined that on February 28, 2024, a three-year-old child with a milk allergy on file in the 3A Classroom (Third Right), was given cheese pizza for lunch. The child experienced an allergic reaction that was brought to the center’s attention by the child’s parent during pick up. The center became aware on March 1, 2024, that professional medical attention was obtained for the child. The center failed to report the incident to the Department within the required 24 hours or the next workday.

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