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[quote=Anonymous]Based on staff interviews, observations and record review, the staff supervising children in the Toddler classroom did not ensure their care, protection and guidance. Evidence: 1. Staff #2 stated on 11/1/2018 that she knew what allergies child #1 had (peanuts and pistachios). Staff #2 acknowledged on 11/1/2018 that she had "chocolate with peanuts and chocolate with peanuts and almond candy in her bag" which was located in a cabinet in the classroom. She handed out candy to multiple staff at approximately 11:15 when she needed "some energy". Staff #2 gave 4 of the 5 teachers (1, 3, 4, 5) several pieces of bite size candy with chocolate and peanuts. In addition, Staff #2 was seen by 2 teachers in the Toddler classroom with a bag of pistachios in her pocket. Staff #2 confirmed that she did have a bag of pistachios in her pocket. Staff #4 reminded Staff #2 that they were not to have them in the classroom and Staff #2 responded that "it was too late as she had already eaten some? 2. Child #1 has allergies to cashews, peanuts, pistachio nuts, eggs and sesame according to the center "Allergy and Dietary Preference" list. The additional allergy action form also states that Child #1 is allergic to egg, peanuts, cashews and pistachio (signed 12/8/2017 by the parent). 3. During staff interviews, staff #1, Staff #3, Staff #4, Staff #5 and Staff #6 stated that they did not remind Staff #2 that Child #1 has the documented allergy. Staff stated that they put the candy in their pockets. Staff #1 and Staff #6 stated they saw Staff #5 eat the candy in the classroom. 4. At 11:10, Staff #3 stated she changed Child #1's diaper and did not observe hives. However, at approximately 11:30, children were sitting at the classroom table eating lunch and Staff # 3 noticed Child #1 had splotches around his eye area. During this time, the staff was trying to reach the parent and spoke to Child #1's father. He stated that Child #1's Mom was on the way. She arrived within 2-4 minutes. As she came into the classroom, Child #1 started vomiting. The parent called the allergist but was on hold. Child #1 then started coughing and Staff #8 determined based the allergy action plan description, that the Epi-pen should be administered as the child had multiple symptoms of a major allergic reaction and was possible going into an anaphylaxis reaction. 5. Later in the day, Staff #3 found 2 open candy wrappers buried in the puzzle bin. 6. Staff #8 stated that the parent called the following day. The parent stated that the clothes she was getting ready to wash for her son from the day before had a candy wrapper mixed into the vomit. Mom took a picture and sent it to the center showing a piece of wrapper from a candy wrapper that has peanuts. 7. When Staff #8 questioned the teachers in the classroom on 10/26/2018, they admitted to seeing the candy being handed out by staff #2 which contained the peanut allergen.

Plan of Correction:  Staff #1 and Staff#2 were terminated due to failure to follow the center's rules and policies. All the other teachers involved in the situation received a verbal warning for not complying with Center regulations and not notifying management about the situation.  
NOVEMBER 2018[/quote]

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