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During today's visit LPA observed two list in the classroom, a "Classroom Allergy" list and a "Classroom Dietary Restrictions" list. D1 stated that allergies that would require an epi-pen or medication are on the allergy list and all other food allergies are on the dietary restriction list.
Staff interviewed stated that although they were aware that C1 required lactose free milk, they were unaware that C1 could not have other dairy products, but didn't recall giving C1 cheese, but may have given C1 yogurt and did give C1 cheez-it crackers. Both D1 and S1 corroborated that the kitchen staff has the list of allergies and dietary restrictions in the kitchen and brings alternative foods to the classroom labelled with the name of the child on it. They stated that both regular milk and lactose free milk are brought into the classroom by the kitchen staff, but are not labelled with names. D1 stated that some children that are lactose intolerant can have dairy that has been cooked, and others can't.
LPA’s review of C1's Sprout About feed for dates 06/24/24 - 07/23/24 documented that on more than one occasion C1, “Ate all of their breakfast, snack or lunch”, which included the following items: Cheez-it crackers, milk, American cheese slices, cheese, vanilla yogurt, cheese pizza, plan yogurt and cheese English muffin. A review of C1's information card on file documents that C1 is lactose intolerance.
Based on records reviewed and interviews conducted, the preponderance of evidence standard has been met; therefore, the above allegation was found to be SUBSTANTIATED. California Code of Regulations, Title 22 is cited on the attached LIC9099-D.
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. Appeal Rights were provided and this report reviewed with facility representative, Alicia Wright. |