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January 24, 2025 Magan Paulson, Authorized Agent CCM Health Child Care Center 1020 N 13th Street #1020 Montevideo, MN 56265 License Number: 1101525 (Child Care Center) Program Location: 1020 N. 13th Street, Montevideo, MN 56265-1668
Dear Magan Paulson: On November 26, 2024, the Minnesota Department of Human Services (DHS), Division of Licensing, received your request for reconsideration of citation 5 in the Correction Order issued to you by the Department of Human Services on November 18, 2024. You did not challenge the remaining citations, and those citations are therefore final and not within the scope of this review. SUMMARY OF CITATION AND RECONSIDERATION DETERMINATION:
Citation 5: Violation: The program did not comply with allergy prevention requirements. Specifically, the program did not obtain documentation from a child’s parent or medical source before admitting a child with a known allergy. Request for Reconsideration. You indicated in your reconsideration request that the child’s allergy plan, which was signed by the parent and physician, was available in the child’s file and in the classroom. You provided supporting documentation. Applicable Law. Under Minnesota Statutes, section 245A.41, subdivision 1, paragraph (a), before admitting a child for care, the license holder must obtain documentation of any known allergy from the child’s parent or legal guardian or the child’s source of medical care. If a child has a known allergy, the license holder must maintain current information about the allergy in the child’s record and develop an individual child care program plan as specified in Minnesota Rules, part 9503.0065, subpart 3. The individual child care program plan must include but not be limited to a description of the allergy, specific triggers, avoidance techniques, symptoms of an allergic reaction, and procedures for responding to an allergic reaction, including medication, dosages, and a doctor’s contact information. Under paragraph (d), a child’s allergy information must be available at all times, including on site, when on field trips, or during transportation. Reconsideration Determination. During the licensing visit, the program was given the opportunity to locate the documentation, and the program was not able to provide it. The statute requires that a child’s allergy information must be available at all times, including on site. During the exit interview, you indicated signatures regarding the allergy information had not yet been obtained. As a result, there is sufficient evidence to support the citation, and it is affirmed. Disposition: The Commissioner has reviewed the request for reconsideration and all the information submitted in response to the correction order. The Commissioner finds there is sufficient evidence to support the citation and it is affirmed. This is a final agency decision. Previously Ordered Corrective Action: In the Correction Order issued on November 18, 2024, you were ordered to correct the violations cited and submit documentation of such action to your licensor. A request for reconsideration does not stay any provisions or requirements of the correction order. Minnesota Statutes, 245A.06, subdivision 2(a). If you have not done so already, please immediately comply with the previously ordered corrective actions for all uncontested and affirmed violations. The Commissioner appreciates your response and encourages you to continue to work cooperatively with your licensor to ensure the safety and well-being of the children you serve. Sincerely,
Frances Simon Standing, Attorney Legal Counsel’s Office Office of Inspector General
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