CDC Food Allergy Guidelines for Schools, Day Care, and Preschool

Enrolling a child with allergies in school, daycare, or preschool can be a source of concern for many parents. Ensuring that your child’s environment is safe and that staff are properly informed and trained is critical. Below are key considerations for managing food allergies in these settings.

1. Developing an Emergency Care Plan  
Create an emergency care plan that includes detailed information about the child’s specific food allergies and clear instructions on what to do if an allergic reaction occurs. This plan should be provided for all caregivers and teachers responsible for the child. 

2. Identify and Train Designated Staff
Ensure that specific staff members are identified and trained to administer epinephrine in the event of a severe allergic reaction. It is essential that they are familiar with the appropriate use of an epinephrine auto-injector.


3. Review Cleaning Methods
Discuss the facility's cleaning procedures to ensure they are adequate to reduce the risk of allergen exposure. In early childhood settings, many objects, including toys, are frequently shared and may go into children’s mouths. Proper cleaning of these items is vital to creating a safer environment for children with food allergies.


4. Hand-washing Procedures
Proper hand hygiene is critical in minimizing the risk of allergen exposure. Ensure that staff and children wash their hands with soap and water, as this is more effective at removing food allergens than plain water or hand sanitizers. 
Discuss the facility's handwashing protocols and emphasize the importance of using soap and water after handling food.

5. Allergy-Safe Learning Materials
Work with staff to ensure that materials used in lesson plans, sensory table activities, and art projects are free of allergens. Some materials, such as dough and clay, may contain allergens that could pose a risk.


6. Educational Posters
Provide posters about proper handwashing techniques and how to respond to anaphylaxis. Displaying these in visible locations can help educate both staff and children and serve as reminders of important safety protocols.

Title III of the Americans with Disabilities Act (ADA)
Under Title III of the ADA, child care centers must make "reasonable modifications" to accommodate children with food allergies. This ensures that children with allergies are integrated into programs and facilities. Parents should inquire about what specific modifications the center is willing to make to support their child, such as adjusting cleaning protocols, meal plans, and staff training.

Common ADA Question Regarding Food Allergies

Q19: What about children who have severe, sometimes life-threatening allergies to bee stings or certain foods? Are we required to accept them?

A: Generally, yes. Children cannot be excluded on the sole basis that they have been identified as having severe allergies to bee stings or certain foods. A center needs to be prepared to take appropriate steps in the event of an allergic reaction, such as administering a medicine called “epinephrine” that will be provided in advance by the child’s parents or guardians.

For further information, the Department of Justice’s settlement agreements The Department of Justice’s settlement agreements can be found at archive.ADA.gov (see question 26)

See the list of common questions about Title III.  

References:

1. Food Allergies in Early Childhood. Available at: https://www.foodallergy.org/resources/food-allergies-early-childhood. Accessed 19 September 2024.
2. Commonly Asked Questions about Child Care Centers and the Americans with Disabilities Act. Available at: https://www.ada.gov/resources/child-care-centers/. Accessed 19 September 2024.

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