• Violation

  R 400.1911 · R 400.1911 Care; supervision; children. (1) A licensee shall ensure appropriate care and supervision of children at all times.

  On 7128120231 completed an onsite inspection and interview with child care staff member 1 (CCSM I' and said he spoke to Child A's mother on the phone and earne that a an allergic reaction to eating peanut butter crackers despite all child care staff members knowing Child A is allergic to peanut butter. CCSM I reported that licensee Katherine Robinson was currently not home due to taking a family member to a doctor's appointment. CCSM 1 reported that last week she (CCSM 1) was providing the children with crackers for snack time. The snack was a variety of flavors of crackers wrapped in individual packages. She did not realize one of the flavors was peanut butter. She put the packages of crackers on the table for the children to choose which package they wanted, and Child A (who can not read) happened to pick the crackers that had peanut butter in them and Child A is allergic to peanut butter. She said that shortly after eating a few bites of the crackers Child A threw up a small amount and said "I don't like peanut butter at this point, CCSM 1 realized what had happened and informed Katherine Robinson that Child A had crackers with peanut butter in them, Katherine Robinson then called Child A's mother and they were told to monitor him for signs before administering the EpiPen. Child A's mother said the Epipen should only be administered if Child A has breathing issues. CCSM 1 reported that a little while later Child A's mother came and picked him up. He was not exhibiting signs of reaction at the time Child A's mother arrived. They sat and talked monitoring Child A for a while and then she took Child A home. I checked Child A's child information card, and the card indicated that Child A had a peanut allergy. On 7/28/2023 1 completed an interview with Child A's mother with Child A'.s mother reported that Child A has had some allergy issues over t e last several months and they are working through allergy doctors and having Child A tested to keep the information as accurate as possible for all who care for Child A. She reported that she feels Katherine Robinson had not taken Child A's allergy's seriously because of how frequently the allergies have changed as some have been taken away and others have been added. She reported that on 7/24/2023 she received a phone call from Katherine Robinson saying that Child A was fine but had ate crackers with peanut butter on accident. She went right to the child care home to pick Child A up. Katherine Robinson told her that Child A had thrown up a little bit but other than that Child A was fine and playing with blocks. She said they left the child care home and Child A was really thirsty so she stopped at a gas station to buy Child A something to drink. When they were done in the gas station, she noticed that Child A was starting to develop a rash around his mouth and cheeks/forehead areas. She called Child A's doctor who told her not to give the EpiPen unless Child A starts to struggle to breath. She said that she monitored him the remainder of the day and evening and Child A broke out into hives on his face, stomach and arms that were itchy and raised on his skin, and he slept for four hours which is typical of an allergic reaction. Child A's mother had concerns for how this could happen when she had been updating the child information card to include all allergies, they had identified through allergy tests thus far. Child A's mother reported that she has enrolled Child A in a local preschool which was planned before this incident and will not be returning Child A to the child care home. On 7/31/2023 I completed another onsite inspection and interview with licensee Katherine Robinson with Katherine Robinson reported that Child A came into her child care home earlier this year and has had a lot of allergy changes but she recognizes that this is not an excuse for what happened. Katherine Robinson reported that she has had a staff meeting with CCSM 1 and a new staff member that just started to

Appropriate care was not provided when Child A was given a food that contained a food allergen. Appropriate supervision was not provided when Child B choked on Child A's hair beads.

Disposition: Substantiated