Incident investigation·April 10, 2026

On 4/10/26 @ 8:15am Licensing Program Analyst (LPA) Erica Laird conducted an unannounced case management inspection and met with owner Shelly Caperello, in response to an Unusual Incident Report received by the Department on 3/25/26. Based on incident report, a child (C1) who had a known allergy ingested food which caused an allergic reaction. Owner Shelly Caparello was interviewed on 3/25/26 @ 3:49pm and stated C1 was given a special snack due to their known food allergy. Shelly stated at some point C1 got a hold of food they are allergic too and ate it. Shelly stated she does not know how C1 got a hold of the food. Shelly stated staff immediately called C1's parent who told them to give C1 over-the-counter medication. Shelly stated the facility does have prescribed medication at the facility for C1’s allergy. Shelly stated staff did not administer the prescription medication for C1 at the direction of C1’s parent. Shelly stated staff did not call emergency services. Shelly stated C1's parent arrived and took C1 to the ER where they were given prescription medication to treat their allergic reaction. report continued on 809-C On 3/25/26 and 4/10/26 LPA Laird conducted 3 staff interviews (S1-S3). Staff interviewed stated they had knowledge of C1's allergy. All staff interviewed stated they were present when C1 ate food they have an allergy to. Two staff stated they observed C1 with a bowl containing food they were allergic to. All staff interviewed stated they did not see how C1 obtained the bowl. All staff interviewed stated C1 was given over-the-counter medication as directed by C1's parent. Two staff interviewed stated they felt unsure of how to handle the emergency situation. Two staff interviewed stated C1 had also been given food in the same week which contained ingredients C1 was allergic to. Two staff interviewed stated C1 was given over-the-counter medication for that incident at the direction of C1's parent. Two staff stated C1 did not have a severe allergic reaction during that particular incident. On 3/25/26 the facility was toured and 1 child file was reviewed. LPA Laird observed medications for C1. LPA Laird observed C1 had a prescription medication and two over-the-counter medications. LPA Laird observed the two over-the-counter medications indicated they were for children older than C1. LPA Laird observed the facility did not have an Incidental Medical Services (IMS) plan on file for C1. LPA Laird observed written instructions on how to administer the prescription medication which was signed by all staff. report continued on 809-C Based on observations, interviews, and evidence obtained, the following deficiency is being cited on the LIC809-D: 101226(3)(A) administration of prescription medications, 101226(3)(B) IMS plan, 101226(4)(A) nonprescription medication administration guidelines, 101226(4)(B)(2) nonprescription product label guidelines, 101223(a)(2) personal rights. An immediate civil penalty of $500 is being assessed. Based on the immediate health and safety risk to children in care, all infant staff shall be trained in Preventative Health and Safety and pediatric CPR. Proof of completion for all infant staff shall be submitted to CCL within 30 days of this report. An all staff meeting discussing emergency response shall be conducted within 30 days of this report. Licensee shall submit the meeting agenda and attendance roster to CCL within 30 days of this report. LPA Laird informed licensee that this report dated 4/10/26 documents 5 Type A citation(s) which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. LPA Laird informed the licensee, Shelly Caperello, to provide a copy of this licensing report dated 4/10/26 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Exit interview conducted and report was reviewed with the licensee, Shelly Caperello. Appeal Rights were provided. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.