Incident investigation·April 5, 2024

Licensing Program Analyst (LPA) Jeremey McClain met with facility representative Marci Pilgrim for an unannounced Case Management Inspection regarding an Unusual Incident Report. LPA observed 28 infants and toddlers supervised by 9 staff in separate rooms. It was reported that on March 28, 2024, a child in care suffered an allergic reaction. Staff believed the child was suffering a mild reaction at the time, and administered medication based on the medication plan and the parent\342\200\231s instruction. Once the parent arrived, they determined the reaction was more severe, and administered an epinephrine pen and took the child to the emergency room. The child has since returned to care. The facility took steps to remove play dough and bird seed, which is believed to have caused the reaction. During today\342\200\231s inspection, LPA interviewed staff that were supervising and attending to the child. LPA reviewed doctor\342\200\231s instructions and the Incidental Medical Services plan. LPA discussed a plan with staff to help determine a mild reaction versus severe reaction for all children with allergies. LPA determined that the incident was not due to lack of care or neglect on the facilities part. An exit interview was conducted with facility representative Marci Pilgrim. A Notice of Site Visit was provided which shall remain posted for 30 days.