other — Incident Response1 citation

April 25, 2025

MONTESSORI EDUCATION CENTER

What Happened

Follow-up case management inspection for serious allergic reaction incident: child with known nut allergy given cashews by staff member, experienced severe allergic reaction, and staff failed to immediately administer EpiPen. Non-staff family member administered EpiPen. Type A citation issued.

Observations

  • Staff member #1 gave child with documented nut allergy cashews during naptime and forgot about allergy
  • Child experienced allergic reaction: scratching neck, eyes turned blue, vomiting occurred
  • Staff did not immediately administer EpiPen despite authorization and training
  • Parent's friend (non-staff member) administered EpiPen instead of facility staff
  • Staff failed to seek immediate outside medical treatment
  • Facility will post allergy list inside all classroom cabinet doors
  • Facility will prohibit staff from bringing nuts or nut products into facility
  • Facility will request additional staff training on EpiPen administration

Inspector Focus

Medication ManagementSupervision/Ratios

Data sourced from California Department of Social Services (CDSS) public records. Updated weekly. If you believe any information is inaccurate, report it here.