Each child with a food allergy should have a written care plan that includes:
a) Instructions regarding the food(s) to which the child is allergic and steps to be taken to avoid that food;
b) A detailed treatment plan to be implemented in the event of an allergic reaction, including the names, doses, and methods of prompt administration of any medications. The plan should include specific symptoms that would indicate the need to administer one or more medications.
Based on the child's care plan and prior to caring for the child, caregivers/teachers should receive training for, demonstrate competence in, and implement measures for:
a) Preventing exposure to the specific food(s) to which the child is allergic;
b) Recognizing the symptoms of an allergic reaction;
c) Treating allergic reactions.
The written child care plan, a mobile phone, and the proper medications for appropriate treatment if the child develops an acute allergic reaction should be routinely carried on field trips or transport out of the early care and education setting.
The program should notify the parents/guardians immediately of any suspected allergic reactions, as well as the ingestion of or contact with the problem food even if a reaction did not occur. The program should contact the emergency medical services system immediately whenever epinephrine has been administered.
Each child’s food allergies should be posted prominently in the classroom and/or wherever food is served with permission of the parent/guardian.