I do not accept children into care that have the potential for a life threatening emergency because it is just me here with the kids. In an emergency I can not devote myself entirely to the ill child without not watching the other children. What do you do continue to treat the choking child or put them down to grab the toddler that took the opportunity to stand up on a kitchen chair. Children with emergency potential are safer in group care where there are enough adults so that one can be assigned to deal with the child while another adult cares for the other children.

Having said that I have had children with epipens for bee stings and right now have a child with an egg and peanut sensitivity in that the reaction has only been rash around the mouth. But she had been in care for over a year before the reaction. Mom tests her monthly with eggs and the reaction is the same although baked goods are fine - just eggs alone. She still serves peanut butter to the brother and things have been ok. Had they been coming to me for an interview and shared this information I would have been suggesting group care to them since with food allergies it is better when there is a cook trained to deal with this and saves me from reading every package at the store since formulas change often such as for a milk or egg allergy.