USVI Public Records

Document text (beginning — full text at the TXT link above)

DOCUMENT RESUME ED 237. 222 PS 013 974 TITLE Comparative Licensing Study: Profiles of State Day Care Licensing. Requirements, Family Day Care Homes. Volume 5 Alabama - Wyoming. Revised'Edition'1981. LNSTITUTION Johnson (Lawrence): and Assoc=iates, Inca, Washington, D.C. SPONS AGENCY Administration for Children, Youth, and FaMilies- (DHHS), Washington, D.C. PUB DATE Nov 82 . NOTE -.982p.; For _related documents,see-PS PUB TYPE Legal/Legislative/Regulatory Materials (090) EDRS PRICE .MF07/PC40 Plus Postage. DESCRIPTORS Activities; *Certification; Child Caregivers; Comparative Analysis; *Day Care Centers; Disabilities;,arly Childhood Education; Fatility_ Requirements; *Federal Regulation; Food Service;,H Health; *Local Legislation; National Surveys Nutrition; Parent Participation; Professional Personnel; Safety; *State Legislation;, Student Teacher Ratio IDENTIFIERS District of Columbia; Guam; Puerto Rico; United States': Virgin Islands ABSTRACT Updating the Administration for Children, Youth' and 'Families' 1978 "CoMparative Licensing Study," a study was conducted-, .to provide a common framework for assessing state activities in critical child care licensing areas and to record the-status of child care licensing as of March 1981 in'the.50 states,the District of Columbia, Guam; Puerto Rico, and the Virgin'Asiands.'The updated, sic - volume comparative* licensing study improves the format ofthe original .(e.g., .gives-..greater prominence to group size and infant care) and contains detailed information on state laws and regulations dealing with family childcare homes, group child care homes", and day :care-centers. ,TIle format consists of the `following -categories: (1) state licensing of child day care facilities; (2) licensing process and enforcement procedures; (3) administration; (4) group compositions of children; (5) -staff qualifications and training raquirementsC.46) program of activities, including education; (7) health and safety; (8) nutrition and food services; '04 social services; (10) parent participation; (11)-infants and toddlers; (12) children with handicapping conditions; (13) school age children; (14) facility requirementa; .and(15) otheratate requirements - compliance with other local, state, and regional laws and regulations. ions; Volume 5 profiles requirements of family day care hone in nearly all 50 states, the territories, and the District. In some prbfiles, some categories are not detailed. (RH) * * * * * * * * * * * * * * * * * * * * * * * * * * ******* Reproductions supplied by EDRS are the best that can be made * from the original document ****** ***** DipArapAgprr OF EDUCATION NATIONAL INSTITUTE OF EDUCATION EDUCATIONAL RESOURCES ItookmomoN CENTER IERIC) . This document has been reproduced as received from the !Jerson or organization Originating it, in-- changes have been, made to improve reproduction Quality, Points of view or opi.nions stated in this docu- ment do not neces%atily represent official NI Pg.l.n uf Policy. CQMPARATI LICENSING 'STUDY Profiles. of State Day Care Licensing Requirements FAMILY DAY CARE HOMES ReVised Edition 1981 Volume 5 Alabama - Wyoming produced for Dr. Raymond C. Collins Government Project Officer The Office of Program Development Office of Developmental Services Administration far Children, Youth and Families Office of Human Doh lament Services U.. Department of Health altd Human Services by Lawrence Johnson & Associates, Inc. 4545 42nd Street, N.W. Washington, D.C. 20016 November, 1982 FAMILY DAY CARE HOMES ALABAMA Except where otherwise noted, all citations are from the Alabama Department of Pensions and Security, Minimum Standards for Day Care Homes and Night -Time Homes, September, 1978. 100. STATE LICENSING OF.CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND /OR LOCAL ORDINANCES AND REGULATIONS 111. Definitions See DAY CARE CENTERS 112. Exclusions and Exemptions See DAYCARE CENTERS ( 113. HITS Day_ Care Compliance Not specified 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 4 121. Organization of the Administrative Unit Family day care home licensure is a county administered function. The state central office has no jurisdiction over the colmty welfare departments in this function but provides technical assistance t© county staff. See also DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTER` FAMILY DAY CARE HOMES 200. LICENSING PROCESS AND ENFORCEMENT PROCE URES 210. LICEN IN G PROC. 211. Promulgation of Regulations See DAY CARE CENTERS qz, .212. Advisory Body xtd Other Community Par Not specified 220. LICENSING PROCEDURE 221. Application and Issuance III Regulations for Day Care Homes d Night -time Homes. A Day Care Home which is opera onal for more than four consecutive hours during a 24 -hour period shall be subject to licensure. Refer -nces shall be contacted by the Department's representative to verify the character and suitability of th,eoperator and the family members who care for children. IV Licensing Procedure Application for a License. An application fOrm for a license to give Day Care Night-time Care- to children will be provided to the applicant by the Department. Upon the r .,pt of all licensing material, including a medical statement, a decision to approve or to deny the application will be made by the Department based on the findings of th/j examination and -investigation. If the -decision is to license the hoine, a License will be issued to the applicant. The License becomes effective on the date it is issued by the Department and it must be appropriately displayed in the dwelling used for child care. VII Provisions of the License. Licenses issued by the Department for Day Care Homes Homes are valid for two (2) years from the date of -uance, unless revoked by the Department. FAMILY -DAB' CARE HOMr ALABAMA A Licensee may volt. The number of r the number spec Where child requirements r rr, icense. Day Care TIOrne shall not exceed _or any part of the day. (Itiihomes umded by the Department, further ig to the number and agps'of children.) A Day Care :ating maunder. advertisements Jes offered. The license is non -trans another dwelling. 222. Fee Charged Not specified 223. Areas of Investigation may publish able and is ineffecti ve' if the family moves IV Licensing Procedure Examination and Investigation of the Application. Upon receipt of the completed application, an examination of the home and an investigation of the family members shall be made by a representative of the Department. The examination and investigation will include, but not limit t6, visits to the home and interviews with family members, with reference, and with such other persans so as to give the Department's representative a clear understanding of the home and the applicant. 224. License Renewal Licensing Procedure - Renewal of a License. Application for renewal_of a license to continue operating a pay Care Home Home shall be made to the Department thirty days prior to the expiration date on the current license, and on forms prescribed by the Department. FAMILY DAY CARE HO_ ES ALABAMA A renewal of license shall be issued, if, upon re-examination,.the Department is satisfied that the .Day Care Home or the Night-time Home continues to meet and to maintain the preicribed standards. 226.., Conditional /provisional Licenses IV Licensing Procedure 6 -Month Permit. If specific areas of the minimum standards are identified as lacking in the basic services to children, and if the applicant for a license indicates her intentions to attain minimum standards, the Department may issue a 6-month permit to'persons making initial application for a license to allow such persons ,reasonable time to become eligible for a full_ license. Issuance of a permit is evidence that the Department approves the parson's temporary' operation. One renewal of a 6-month permit may be issued at the discretion of the Department. 226. Substantial Co pliance Not specified 230. ENFORCEMENT PROCEDURES 231. Facility Inspections VII Provisions of the License. The Department shall have the right, and its authorized re6resentatives shall be afforded reasonable opportunity to inspect (a) any child care facility seeking a license, (3) any child care facility seeking a renewal of a license, and (c) any child care facility which is operating under a license Or a 6-month permit. Such inspections -shall be made at any reasonable time, without prior notice. FAMILY DAY CARE HOMES 2. Denial, Suspension, Revocation of a License ALABAMA IV Licensing Procedure - Application fora License. If denial of the application is indicated, the Department will notify the applicant, verbally and in writing, of the decision, pointing out and discussing those areas of the minimum standards which have,not been met. The applicant may withdraw the application either verbally or in writin V llevocation of a icehse. The Department may revoke or refuse to renew the license of the child care facility or refuse to issue a fur license to the holder of a 6-month permit should the operator(s): = consistently fail to maintain standards prescribed and publis',ed by the Department; violate the provisions of the license isued; furnish or make any misleading or any false statements or reports to the Department; refuse to submit to the Department any reports or refuse to make available to the Department any records required by the Department in making investigation of the child care facility for licensing purposes; provided, however, that the Department shall not revoke or refuse to renew a lidense in such case unless it has made written demand on the person, firm or corporation operating the facility requesting such r15-0-rt and such person, firm or corporation fails Or refuses to submit such records for a period of ten days; fail to refuse to submit to an investigation by the Department; 5 i'AMILY DAY CARE HOMES ALABAMA 116, fail or refuse totadmit authorized representatives of the Department'at any reasdnable time for the purpose of investigation; fail tb provide, maintain, equip and. keep in e and sanitary condition the gfreirses established or used for child care as required under standards prescribed by the Department, or as otherwise required by any law, regulation or ordinance applicable to such facility; refuse to display its license or permit; fail to maintain financial resources. adequate for the satisfactory care of children served in regard to upkeep of premises and proVisions for personal care, medical services, clothing, learning experiences and other essentials in the proper care, rearing and training of children; or fail to adhere to all terms of the Day Care Home Agreement (found on the application). If 'an inspection of a licensed or approved child care facility by the Department discloses any condition, deficiency, dereliction or abuse which is, or could be, hazardous to the health, the safety, or the physical, moral, or- mental well-being, of the children in the care' of the child care facility being inspected the same shall at once be brought to the attention of the Department, and the Department shall hgve the power to revoke without notice the liceroe or approval or...six-month permit of such child-care fa6ilitv. 233. - Refripdies atidSanc ions 233.1 Hearings See DAY CARE CENTERS FAMMY DAY,CARE HOMES 233.2 Decisions Spe DAY CARE CENTERS 233.3- Judicial Review VI Appeal for Fair - fearing and Review. ALABAMA If-the Department finds that a Day Care Home is operating without a license, the Department shall, report the result§ of its investigation to the Attorney General for prosecution. The Department may delay making said report for a peridd of time, not to exceed sixty days, to alloir the operator of the Day Care Home an opportunity to apply for a license or a /6-month permit to meet the -standards for Day Care Homes. VII Provisions of the License. Any operator who violates any terms or provisions or any reasonable standard' or regulation prescribed and published by the Department is guilty of a misdemeanor and shall be fined not less than $100 nor more than $1000 or be imprisoned in the county jail not longer than one year, or both such .fine and impris''Onment, as specified by the court. 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Admir,i Lrative Re uirements B The Operator and Members of the Household. ,The operator shall have substitute help ta.pproved, by the Dep in the event the operator has to be away from the home. ent, on call FAMILY DAY CARE HOMES ALABAMA The operator shall supply information . to the Department regarding the substitute help. The information, shall be on file with the operator and -shall include: name, address, telephone ntimber, age, reference data and medical data. In' the event the substitute_ help- is not available in an emergency situation, an alternate helper may 'be used, but -for no longer than- eight consecutive hours. Information required on substitute help is not necessary on the alternate helper. The operatc shall not work outside the home during the hours of child care, and no other - work, except household duties, .shall be carried on in the home during the hotn. s of child care. C, The Care of Children. The operator shall not release a child to anyone not _duly authorized by the .f parent , or guardian in writing; and such person shall present proper identification. 'IX Statement Of Responsibilities Of the Day Care Home and Night-time Hotne. To maintain the presc i be minimum standards and'regulatio To Meet the daily needs of children in care. To call upon, and consult with the Department's(---reptesenta ve needed to-benefit child caring duties. To submit reports required by the Department. To keep confidential all information concerning the children and their families. t To provide parents or guardians with a statement of rules, regulations, and policies of the home. This should include: FAMILY DAY CARE HOMES ALABAMA All -agreements to be made 'with the operator pertaining. to chid- care - practices, schedules, fee.% etc. Pertinent information needed about the child's general health, his -customary 'routines, etc., and the needed' cloth ng 'and .qther such items to be provided 'by the. parent or guardian.. Transportation arrangeme the child to iincV\from the hoMe. Information concerning whom to call in case of illness or an f emergency. Child's complet--_d Medical form being provided prior to enrollment. 312. Telephone B- The Operator and Members of the Household. The operator shall have a telephone, if service is available. The operator shall maintain a listing of names- and telephone numbers posted by the telephone for ready reference in emergency situations/-The listing shall b include 'the name and nuNqr of each :child's parent, each child's responsible relative and doctor; the police sdepartments the fire, department, hospital, social agency, a substitute helper. 313. Proof of Operator Pihancia apabilities B The operator and Members of the Household. There shall be financial resources adequate for thq satisfactory care of children, served in regard to upkeep of the home, and the provisions for nutritious meals, adequate and safe .recreational equipment, educational materials and required artangements for-comfortable rest andi:o r sleep. J FAMILY DAY CARL HOMES 'ALABAMA 314.- Insurance Not specified 320. PERSONNEL - 321. Publication of Personnel folic _- Not specified 322. Constraints Against Employment Not specified 330. NON-DISCRIMINATION 331. RequirementS Prohibiting Discrimination Not specified 340. RECORDS REQUIREMENTS 341. Children C The Care of Children. The operator shall keep and maintain individual records-on each child in care.;; The Department shall prescribe such records pertaining to each childs name, date of birth, parent's name, whom to call in case of emergency or illness,- physician's nam,p and telephone number, child's admission date, progress, health, habits and discharge date. The operator will be provided with specified forms for monthly reporting purposes. 342. Staff See 311. General Administrative Requirements 343. Child Eligibility andrEnroll en_ Requirem Onts, Not specified FAMILY DAYCARE HOMES ALABAMA 344 Child Abuse Reporting C The Care of Children. Each child shall be obserVed for illness and/or injuries upon his arrival to the Day Care Borne and if'possible, shall be dbserved in the presence of the parent. or gusrdian, The day care home operator shall report to the County Department of Pensions and Security any knowledge or suspicion of harm or threatened herrn to a child's health or welfare through non-accidental physical or mental injur, sexual abuse, or attempted sexual abuse; negligent treatment or maltreat a child, including failure to provide adequate food, medical treatment, clothing or shelter. Such report shall be made immediately by telephone ordirect oral communication followed by a written report. 345. Confidentiality of Re Requirements C The. Care of Children. The operator shall not discuss or disclose personal information regarding children and facts learned about children and their relatives except (a) with the parents or the person or persons authorized by the parents to receive such information °HO with the agency assisting the parents with planning for the child, or (c) with the Department. 410. 400. GRO UP -CO posmoNs OF CHILDREN STAR/CHILD RATIO RE = UIREMENT S 411. Staff /Child Ratio as of arch, 19 C The Care of Children. The ma3dmum number for whom a home is to be licensed shall not for any part of the day. 11 steed six FAMILY DAY CARE HOMES AL _BA 412: Meth _ Not specified Corn in S Ratios )420. GROUP SIZE 21. 'Group Size as of March, 19 See 411. taff/Child Ratio as of -h 1981 _ utin Group Sipe 422. Methods om 2 Not specified 500. STAFF ,QUALIFICATIONS AND TRAINING RE UIREMENTS 510. -CHILD CAREGWER STAFF QUALIFICATIONS 511. Age Not specified 512. Health Not specified 513. Education Not specified 514. _Emoerience Not specified 520. PROGRAM DIRE OR QUALIFICATIONS 521. Age B The Operator and Members of the Household. The operator shall be of the age of majority and shall be ab=e to read an 12 FA ILY DAY CARE HOMES 522. Health ALABAMA B The Operator and Members of the Household. The health of the operator and of. members of the household shall not detrimental toithe physical and mental Well-being of-the children in care. The applicant/operator shall provide a statement from a licensed practicing medical doctor or a physician's' -assistant initially and every two years thereafter. The initial statement must-be dated within 12 months prior to the home's being licensed and shall document the date and results of a VDRI, test_ and a tuberculin skin test or chest x-ray. The statement shall attest to the physical suitability of the applicant/operator to ewe for children and the person's freedom from infectious and Contagious diseases. The statement shall be signed by the licensed practicing medical doctor or the physician's assistant and shall be on file with the Department. Subsequent to the initial statement and at least annually therafter, each operator shall have a VDRL test and a tuberculin skin test or chest x-ray. Follow -up testing and/or treatment for persons with reading of 5mm or more shall be made at the discretion of the attending physician or area tuberculosis coordinator. Certification of results, from a licensed practicing medical doctor, health department or military clinic personnel, shall be provided to the Department. A statement from a licensed practicing medical doctor kor a physician's assistant shall be submitted initially and at least every two years thereafter on all members of the household who have contact with the children in care. Each statement shall indicate the person's physical condition and freedom from infectious and contagious diseases. 13 FAMILY riAY CARE DOMES ALABAMA An operator who, upon examination or a result of tests, shows indication of , a physical, emotional, ormental_conditifc=in which could be detrimental to the ildrenrin -care 'br valeh Would prevent satisfactory performance 'of duties shall not continue giving care to childre> until the condition is cleared to the satisfaction of:the examining licensed practicing medical doctor.' B The Operator and Members Of the Houehold. The operator shall 'haveor shall obtain,,aining in child development through workshops, professionsireading, consulttion, etc., to increase her knowledge of child deVelopment. 524. Experience Not specified 530. SUPPORT TAP IQUAI,IFICATI Not specified 540. POST EMF'LO NT N-ARVIC = ORMNTATION AND TRAIJ:ripr 541. Program ector See 523. Education 542. Child Caregiver Ste Not specified 54a. Support Staff Not specified 14 16 FAMILY DAY CARE _HOMES ALABAMA 600. PROGRAM OF ACTIVITIES. CLUDING EDUCATION ,610. PROGRAM REQUIRE MI Peograin of Actil.d 01-The Operatorand Members of_ the Housealol&,.. The operator shall devise- a ;planned, ,Vet flexible,jprogra mpf diet proldde for the positive development of i=1-.;Rdren in care. Children allowed to participate,in the normal family routine. o C The Care cif. Children. Alder children shall be given the opportti=mity to associate with peers in the neighborhood upon wlitten consent from the children's parent' r guardian. Eik 612. Program Equipment Sind Materials A The Home. Play mater --and equipment shall, av-milable for both indoor and outdoor activity. Th# materials and equipm t sh-m.11 be safe, kept in good condition, and shall be uitable to the ages and dexter ity of the children using them. 613. Nap Provision A The Home. The home shall have space for resting, studying or oche providing poses) to a child as needed, whether The home shall have beds and cots avail -zable. for those children who requnre rest and/or sleep during the hours while in are. * Children shall not sleep with adults. 7. FAMILY DAY CARE HOMES ALABAMA All babies under 18 months of age shall sleep alorie ih a crib or play pen. ct It is permissible for two Children of the same sex to share a double bed. The beds or cots shall be clean'and sanitary at all times and shall, be of such quality as to insure goOdsleeping posture.' Bedding ha.li be adequate and .appropriate to the season. Beds used by family members may be used for children in care provided that they are completely covered with clean linens before being used by the children. 614. Discipline and Guidance C The Care of Children. The operator shall not punish children by shaming th4m, putting them to bed, _ . depriving them of food or using harsh toilet training methods on them. The operator shall not be permitted to inflict corporal punishment or verbal abuse on children.. The operator shall not permit children to be punished by their peers. 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Requirements The Home. The home shall be in a clean condition. FAMILY DAY CARE HOMES ALABAMA 4 712. Health Assessments C The Care of Each child shall have, within 12 months prior to admission and annually thereafter, a physical examination or medical screening or assessment (such as EPSDT). The physical examination shall be performed by a licensed, practicing medical doctor or physician's assistant. A medical smeening.or assessment shall be performed by a licensed, practicing medical doctot, other medical personnel- who are administratively responsible to a licensed, practicing medical doct8i, or a licensed Registered Nurp--e who has access to consultation On a regular, planned basis from a licensed-; practicing medical doctor. Documentation of the availability and frequency of consultation must, be in written form. The- medical record of examinations, dated and signed by the appro fate medical staff, shall be in the operator's flle. In situations where medical services not available, written verification of appointment to receive needed' examination shall be subs tuted temporarily, and shall be on file. 1mm unizations C The Care of Children. Immunizations recommended by the health department shall be cgtnpleted --before-admission or within one month following admission, depending on the childs age and the recommendations of the physician. 714. Sanitation A The Hornt. All windows and doors shall air - conditioned. s eened as 17 insects 1 s the home is FAMILY DAY CARE HOMES? 715. Daily Illness Screening See 344. Child Abuse Report Care of Sick Child A Th Home. SpEice and` facilities shall be available for the' temporary care of sick children -or of members of the operatorts family. 717. Medication arid Special Diet revisions C The Care of Children. The operator shall require parents or guardians to provide-special diets, where prescribed or recommended by a physician, for children. Special:fiotid for the ,ehildrerishall be clearly marked. Medication and/or special medic precedares shell be administered to a child by the operator Only when there is a written, signed, and dated request from the parent(s) or guardian(s), including time of last previous dosage. Medicines belonging to the children shall be properly label the child's name, dosage schedule and date medicine was dispensed. Medicines and dr shall be kept in locked cabinets, inaccessible to the children. 718. Waiver of Health Requirements Not specified 72 O. SAFET Y 721. General Safety Re irements A The Home. The home and grbunds shall be free from anything which constitutes a clan or hazard, such as abandoned automob -s nd household appliances, 18 FAMILY DA CA MES r ALABAMA uncovered' wells and cisterns; stacked lumber with exposed nails; explosives. Safeguards shall be provided against potential hazards, such as carpentry machinery; guns, poisons and drugs; open fires, heaters, cooking ranges, fl furnaces and thermosotatic controls. A fence enclosing a play area shall be provided when there are h immediate neighborhood. All exposed- wall receptacles protective covers installed. . .,Fft.e Safety Re airements See 1510. ZONING 723. TratisPOrtation Not specified, ds in the g used fp he care of children shall have 724. Safety Requirements for &Acme See 612._ Equipment and Materials 726. Water Activities (Inc --- Not specified imming) 726. Emergency Procedures B The Operator and Members of the Household. In the event of power failure or other emergency situations, the r-ato have a flashlight in working condition in a convenient location. C The Care of Children. A statement, signed by the child's parent, authorizing emergency medical care during the hours of care, shall be in the operator's file. (This is to be used ,if the parent or other responsible person cannot be located.) FAMILY DAY CARE 727. First Aid Supplies ALABAMA C The Care of Childers. First Aid supplies shall be available fpr the treatment of minor 'cuts and abrasion.s and other minor injuries. Such supplies shall be stored out of the reach of, children. 810. NUTRITION 1' 800. NUTRITION ANp FOOD EI VICE 81L Nutritional Recurements C The Care of Children. The operator shalt provide a wholesome; hot meal each day for the children in care. Meals shall include such foods as meat or meat substitute, cooked end raw vegetables, milk, fruits, desserts, cereals and bread. Mid-morning, ad-a temopn and bedtime "snacks i.tpropriate, shall be made available and shall include stAh foods as: fruit, fruit juice, milk .and cookies or crackers. 812. - 2. Waiver of Requirements Not specified 820. FOOD PREPARATION ( 821. Food Preparation and Service Requirements A 'The Home. The home shall have clean and appropriate facilities for the protection, storage and preparation of food. 20 FA DAY CARE H4 141E ALABAMA Not specified -9 0C-A. SOCIAL SERVICES I WOO, PARENT PARTICIPATIO B The Operator and Members =if the HoUsehold. Thp operator shall work _cloly with the childrenrs parents br guar , assure continuity and eorisisteip_cy in the management and .care of dren. C 'The Care of Children. is to The operator shall require the parent or guardian. to provide sufficient clothing to permit a the when necesary. The operator small require t1ie parent or guardian to provide the child with sleepwearand toiletries for nicht-time hours: 1100. Es=FANTS AND TODDLERS 1110. OGR OF ACTIVIii---IES Not specified 1120. IHEALTI AND SAFETY REQUIREMENTS Not specified 1130. INFAld NUTRITION Not specified' 120 O.. CHILDREN 6-17i,VITH HANDICAPPING CONDITIONS 1210. PROGRAM OF ACTIVITAJES Not specified 21 FAMUY DAY CARE HOMES ALABAMA 1220. HEALTH AND SAFETY UIREME Not specified 1230. STAFFING Not specifi 1300: -SO-IMAGE CHILDREN 4310. .PROG Not specified 1320. HEALTH AND SAFETY RE UIREMEN' I& Not specified 1400. FACILITY REQUIREMENTS 1410. SPACE Not specified 1420. LIGHTING VENTILATIO AND TEMPERATURE A The Home. All rooms used for the care of children shall be well , adequately ventilated, and comfortably heated, All heaters shall be vented. 1430. EXITS Not specified 1440. TOILETS AND LAVATOR Not specified 22 FA 1500. ILY DAY CARE HOMES; ER STATE REQUIR STATE- AND REGIONAL LA 1510. ZONING A The Home. The home shall be located in a\ neighborhood which rrets local zoning (-- ordinances. AL.A.1=A MA WIT! OTHER LOCAL, T Impections by the state' or local- fire 'depart ent and by the, local health department shall be reques ed as detervined necessary by t1ie Department- or -by the operator. 1520. FIRE See 1510. ZONING 1530. BUILDING See 1510. ZONING 1540. HEALTH See 1610.- ZONING 1550. SANITATION See 1510. ZONING 1560. NEW CONSTRUCTION See 1510. ZONING F AMY DAY CARE-HOMES , Alaska ates family day care llamas With the_ 4---.5arne -set of recillations as day care cen s. See' DAY CARE CEN7ERS,. FAMILY DAY CARE HOMES ARKANSAS Except where otherwise noted, all citations are from the Arkansas Department of Human Services, Minimum Licensing Requirements for Day Care Family Homes, September, 1979. 100. STATE LICENSING OF -CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUS AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS Definitions I Licensing Authority and Definition. A Day. Care Family Home offers family-like care in the caregiver's own family residence for up to sixteen (16) children, as specified by the Adult/Child Ratio by Age. 112. Exclusions and Exemptions See DAY CARE CENTERS 113. HHS Da Care lia221ce See DAY CARE CENTERS 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS FAMILY DAY CAKE HOMES ARKANSAS 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promulgation of Regulations See DAY CARE CENTERS 212. Advisory Body and Other Community Participation See DAY CARE CENTERS- 220. LICENSING PROCEDURE 221. Application and Issuance II/ Application, and Administration. The primary caregiver in the Day Care Family Home 11 submit a completed and signed application to the Division on a form provided by the Division. All caregiver(s), within the Day Care Family Home shall be named on the application form. 'The caregi r(s) shall give the Division the names, addresses, and telephone numbers of three adult references who are not related to the caregiver(s). The references shall be able to provide reliable information concerning the caregiver's character, health, an billy to provide for the well-being of children. IX Licensing Procedure. An individual or group wishing to establish or to have a licensed child care facility may...obtain an application for a license and related' from the local Arkansas Social Services office. 2 FAMILY DAY CARE MIES-, ARKANSAS .47 The applicant must submit to Arkansas Social Services of staff and their qualifications, and a description of the services which will be provided to Children. See also DAY-CARE CENTERS 222. Fee Charged Not specified 223. Are of Investi on IX Licensing Procedure. The facility shall be inspected, approved, and a license issued by Arkansas Social Services. A licensee shall, not accept more children than the maximum specified on the license. Arkansas Social Services shall have authority to visit and impect the facility. Ordinarily, this shall be made after appropriate notice has been given to the Day Care Family Home provider. also DAY CARE CENTE 224. License Renewal IX Licensing Procedure. The license shall be renewed one year from the date of issuance and each year thereafter. Licenses shall apply only to the facility's location at the time of licensing. The licensee shall notify Arkansas Social Services of a change of location or ownership at which time a new study will be made. See also DAY CARE CENTERS 225. Conditional/Provisional Licenses See DAY CARE CENTERS 2 FAMILY -DAY CARE HOMES ARKANSAS 226. Substantial Compliance Not specified 230, ANFORCEMENT PROCEDURES 231. Kacility Inspectors See DAY CARE CENTERS 232. Denial, Suspension, Revocation of a License DAY CARE CENTERS 233. Remedies and Sanctions 233.1 Hearings See DAY CARE CENTERS 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS 310. GENERAL ADMIT 300. ADMINISTRATION STRATION 311. General Administrative Requirements I A II Personnel- Back-up Assistance. The caregiver shall make a plan with a capable person or persons who would be able to care for the children in the event the 6-) caregiver(s) found it necessary to be absent from the home due to an emergency involving a child cared for, or due to a family emergency. FAMILY DAY CARE HOMES ARKANSAS The name, of the back-up person or persons and a description of an shall be provided to the licensing worker. The caregiver(s) is responsible for- the s me'. day-to-day operation and for meeting licething requirements. Health. Any adult(s) in addition to the caregiver( :) present in the Day Care Family. Home on a regular basis shall have a current physician's statement to the effect that the adult is free from communicable disease, including a tulierculin test (either a skin test or an x-ray). This shilll be renewed each year. 4Persons over 65 years of age shall renew the statement every six months. A Day Care Family Home shall not have invalids or persons requiring speeiel care because of age or disability unless there is another adult present who shall be responsible for that particular person's needs. The caregivers) shall provide a clear statement regarding the preseypee (IT' any other adults who remain in the home during any hours in which care racing given. Such persons-shall not present a threat to the safety or welfare of the day care children. Ill Application-and Administration. The caregiver shall be responsible for compliance with licensing requirements for operation of the Day Care Family Home. The caregiver shall children in care. ible for the health, welfare and safety of the The license shall be displayed at the Day Care Family Home. The caregiver shall offer rudent supervision of all staff and others in the Day Care Family Home. FAMILY DAY CARE HOMES ARKANSAS A copy of "Minimum Licensing l equirements for Day CarPanily Horn shall be available in the Day Care Family Home to parents,1 aregivers, others upon request fot review. Telephone IV Building, Grounds, and Equipment. The D Care Family Home, shall have a working telephone if service' available. VI Children's Health. Emergency telephone numbers shall be near a telephone that is quickly available to the caregiver. The following numbers shall be posted by the telephone: Ambulance service or emergency medical service. Police or sheriff's department. Fire- department. Licensed physician available in an emergency. , The physicians named by the parents. Home and business numbers of the parents. Enrollment forms kept near the phone meet the requirements above. 313. Proof of 0 erator Financial CapabiHtle s Not specified 314. Insurance Not specified 320. PERSONNEL 321. Publication of ersonnel Policies Not, specified 6 FAMILY DAY CARE HOMES 322. constraints Aga-i, -17 PlOyMPrit II PersoneL The caregiver shall not be o ARKANSAS e employed during the time she is responsible for children in the home Additional employment, at other times, is allowable as long as it does not a feat the quality of care given the children. 330. NON-DISCRIMINATION 331, Requirements Prohibiting Discrimination Not specified 340. RECORDS REQUIREAUNTS 341. Children let III Application and Administration. A child care information form signed by the parents and caregiver(s shall have the following information: Child's name, birthdate, home address, and telephone number. Name and address of the parents and telephone numbers where the parents can be reached while a child i in care. Statement that the child will be left with a staff member and released only too the parents or person named by the patents. Hours the child will be in care. The name, address, and telephone number of the child's physician. Consent for emergency medical care. Transportation permission, if any. 7 FAMILYIDAY CARE HOMES Permission to participate in water activities, i ARKANSAS Child's food needs such special formulas, diabetic diet, or food allergies.- Notes of special problems (such as allergies to m_ or sunburn sensitivity) or needs as indicated by the parents. Pertinent past medical history on the child; and any change in health, including -accidents or injuries which occur in the Day care Family Home. Pertinent social information. Statement that the parents, may ask %for a conference with the , caregiyer(s). An authorized record of imrnimizat Department of 4 342. Staff Not specified required by the Arkansas 343. Child Eligibility and Enrolment Requirements Ll Application and - Administration. Enrollment information shall be obtaiked for each child be filed in the records of the Day Care Family Home 344. Child Abuse Reporting litlApplication and Administration. he caregiver(s) shall notify the Child Care Specialist (Division Licensing Worker) or the Social Services Office or local policecor sheriff's offibe when it gars that a child has been abused or neglected. r4 admission and 8 FAMILY DAY, CARE.HOME k . ARKANSAS 345. Confiden Not specified _ Requirements 400. GROUP COMPOSITIONS OF CHILDREN 410. STAFF /CHILD. RATIO REQUIREMENTS 411. Staff/Child Ratio, a of March, 1981 H Personnel. A Day Care Family Home may accept a maximum of sixteen children pro ded all other licensing requirements are met. -The caregi ratio by age. sown pre-school children shall be counted in the adult/child All Day Care Family Homes licensed or to ie the following Adult/Child Ratio: Adults Number of Children 5 -6 7 ed after July 1, 1979 shall meet Ace of Children 0-Up (From 5 or more families and no amore than 3 children under 2 1/2 years.) 0-Up (No more than 2 childr under 2 1/2 years.) 8 0-Up (No more than 1 child under/2 1/2 years.) 9 FAMILY DAY CARE HOMES 2 or more 2 or more 'ARKANSAS 9-14 0-Up (No more tha'n 4 children under 2 1/2 Years.) Health and Fire irspection mandatory for homes caring for eleven (11) or 'ore children. 15- 0-Up (No more than 2 children under 2 1/2 years.) Health and Fire inspection mandatory for homes caring for eleven (11) or more children. 412. Methods of pomputirg Staff/Child Ratios Not -specified= 420. GROUP'SI2 E 421. Group Size as of March 1 Not specified 422. Methods of Com u in Not specified uo Size 500. STAFF QUALIFICATX3NS AND TRAINING REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. Age Not specified 512. Health Not specified l0 FAMILY DAY CARE HOMES ARKANSAS 513. Education Not specified 514. Experience Not specified 520. PROGRAM DIRECTOR IJALIFICATIONS 521. Age )1 Personnel. The Family Home caregiver(s) shall be between the ages of 18-65 years. Persons between 16 and 21 or over 65 shall be considered on an individual basis by the. Child Care Facility Review Board. _ 522. Health 11 Personnel. The caregiver shall have a current physician's statement to the effect that the caregiver is free from communicable disease and physically able to care for children, including a tuberculin test (either a skin test or an x-ray). This shall_ be renewed each year. Caregivers over 65 years of age shall renew their statement every six months. 523. Education See 524. Experience 524. Experience 7 11 Personnel. The caregiver(s) shall demonstrate the ability to provide for the well-being of children in the following ways: Shall not accept more child care responsibilities han emotional and ysical stability allows. 11 FAMILY DAY CARE HOMES ARKANSAS Shall demonstrate the willingness to learn the needs of the individual children, and to respond to those needs in a nurturing manner. Shall be able to read and write well enough to keep necessary records. 530. SUPPORT STAFF QUALIFICATIONS Not specified 540. POST EMPLOYMENT/IN- SERVICE: ORIENTATION AND TRAINING 541. Program Director El Personnel. The caregiver(s) should attend a session/course, etc., per year. 542. Child Caregiver Staff Not specified 543. Support -Staff Not specified one child care workshop /training 600. PROGRAM OF ACTIVITIES, INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities VIII Activities. A planned daily routine shall be established in written form. Activities shall be suited to the ages, interests, and abilities of the children. Activities shall be flexible and promote the physical, emotional, and mental growth of each child. They shall include: 12 FAMILY DAY CARE HOMES AR_ AN Children shall spend at least one hour per day outside, unless prevented . by weather or special medi reasons. Indoor periods for active and quiet activities and individual and group activities. When trips_ are taken away from the home, the safety of the children shall be ensured. Written permission shall be secured from parents. VIA Activities. Activities shall meet the special needs of children in eveni or night e 612. Progimm Equipment and Materials W Building, Grounds, and Equipment. There" shall be sufficient equipment for the number and ages of children in the Day Care Family Home to meet their physical and developmental needs. Children 18 months of age or older shall have a variety of toys, books, and creative materials which will be fun and stimulating for the children. This would include equipment for: Large muscle activities (climbing, running, jumping), Manipulative activities (things done with= the hands). There shall be sufficient outdoor equipment for the number and ages of children in care to meet their physical and developmental needs. 613. Nap Provision VIII Activities. Children in evening care shall be given a bed or cot- with mattress or pad and a pillow. Children in all night care shall be given a bed with a mattress and pillow. Sleeping equipment shall suit the age and size of the child. 13 FAMILY DAY CARE HOMES nens become shall be used, ARKANSAS ey shall be chariged. Protective mattress covers Each child's bed or cot shall have a cover avail Beds or cots shall be arranged at o feet apart. IV Building, Grounds, and Equipment. Each child shall have his/her own cleap place to sleep or rest. Each child under eighteen (18) months' of age shall have a separate well-constructed baby bed or play pen. The mattress or pad shall be kept clean, dry, and in good condition. It shall. be .waterproof. The baby bed mattress shall be large enough to prevent the child from getting caught between the mattress and the side of the bed. Sheets and covers shall be kept clean and dry. Play pens shall have foam pads at least 2" thick and covers that are removable and washable. Each child eighteen (18) months of age or older mats. Mats shall be at least one inch thick washable material. If mats or pallts are used warm, cty, and draft free. VIA Activities. shill have cots, beds, pallets or and covered with waterproof, on floors, floors shall be clean, Activities shall be flexible and promote the physical, emotional, and mental growth of each child. They shall include a supervised nap or rest period on individual rots, rallets, mats, or beds for preschool and kindergarten children after the noon meal. The rest period should not be.longer than two hours. FA ILYDAY CARE HOMES ARKANSAS 614. Discipline and Guidance VIII Activities. Use of positive discipline' and guidance shall show that the caregiver understands each child's needs and shall promote selfdiscipline and good behavior. Brief, supervised separation from the group may be used. Children shall not be placed in a locked room. Children shall not be shamed or spoken to abusively or with profanity. Children shall not be denied food, put t6 bed as discipline, or punished for poor toilet habits. There shall be no harsh, cruel, or unusual discipline. Corporal punishment shall not be used without the written permission of the parents. 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Requirements V Fire, Health, and Safety. Garbage shall be kept out of areas used by children and shall be properly contained. Trash shall be removed at least once a week. The home shall be free of ec rodents. 712. Health Assessments Not specified 4 15 FAMILY DAY CARE HOMES 713. Immunizatio _S DI Application and Administration- All children shall have to .have completed or be in the process of completing their immunizations as currently recommended by the Arkansas Department of Health in order to be admitted to the home. An immunization record shall be kept, on each child sh,iiwing the exact date and type of immunization administered. It is important that authorized physician's statements or Health Department record cards be obtained by the parent(s) and recorded by the caregiver to determine the exec date and type of immunizationf Sample record forms, available from Arkansas Social Services, may also be used. Those children who, due to age, are not completely immunized on admission to the Day Care Family Home should receive their immunizations as scheduled. The caregiver shall maintain a roster of children who have not corn eted the minimum imthunization requirements. The roster should indicate by individual name, the number of additional doses of each vaccine a child requires, and should be referred to periodically to ensure compliance. 714. Sanitation IV Building, Grounds, and Equipment. Diapers - Diapers shall be changed as. necessary. Ss be practiced. y care of diapers shall V Fire, Sanitation, and Safety. Waste supply, sewage disposal., and toilet facilities shall be safe and sanitary. The Health Department may be consulted for its recommendation. 16 FAMILY -DAY CARE HOMES 'ARKANSSAS VI Children's Health. All pets who are in the Day Care Family Home or on the grounds shall receive vaccination as required by law. Proof of such vaccination shall be available to the Child dare Specialist (licensing worker). The number of animals in the Day Care Family Home shat. not exceed a lumber which might be hazardous to the children. Any pet that constitutes a threat to the welfare and safety of P the children shall be kept in a confined area -to prevent any' contact with the "children. (Animals of vicious nature shall be chained or caged to prevent harming the children at the Day Care Family Home.) Bathing facilities shall be availabla. Hot water shall be available. When bathtubs or showers are used, preschool children shall be closely watched. Fresh water shall be given,each child, and tubs or showers cleaned after each use. Children shall be given fresh washcloths and towels. Privacy shall be ensured for school age children. The Day Care Family Home shall equire that each child in night care has night clothing and toothbrush mark with his or her name, or other means of identification. 715. Daily illness Screening Not specified 716. Care of Children VI Children's Health. The child who is obviously ill shall not enter the Day Care Family Home without medical approval. Illness in the Day Care Family Home shall be handled to protect all children in care. 17 \FAMILY DAY CARE HOMES ARKANSAS When a child is ill, the following procedp'es shall be observed: The child shall rest on a bed, cot, or mat, and be separated from the other children. The child's parents mu immediately. The child shall be given first -aid if nee The child must be closely watched until he or she leaves. In case of critical illness or injury, and if the parents cannot be reached, the physician named by the parent shall be called. If necessary, the child shall be taken to the nearest emergency room. 717. Medication and vial Diet Provisions VI Children's Health. Medicines shall be given a child only with the written permission of the child's parent(s) or guardian. Prescription medicine shall be in the original container and labd1 child's name, a recent date, instructions, and the physician's mime. h the All non-piescription medicine (except aspirin or aspirin substitute) shall be labeled with the child's name and dated. All non-prescription _medicine (including aspirin or aspirin substitute) can be given to the child only with written permission of the child's parent(s) or guardian. VII Food Service and Nutrition. Any unusual eating habits shallibe discvssed with the parents. 718. Waiver of Health Requirements Not specified 18 tit FAMILY DAY CARE HOMES ARKANSAS 720. SAFETY 721. General Safety Requirements V. Fire, Sanitation, and Safety. Building, grounds, equipment, and supplies shall be of safe construction and in good repair for the children. Electrical outlets in rooms used by children sh Dangerous equipment and/or objects shall be properly stored away from areas used by the children. e play area shall be dry and free from sharp objects. Tanks, ponds, open wells, drainage ditches, sewage drain pipes, and dangerous machinery shall be fenced to keep children from getting to them. Toys that use anything that explodes (such as caps) or that shoot things (such as darts or B =B's) are not allowed. Toys shall contain no poisonous .materi (such as lead paints or poisonous 722. Fire Safety Requirements V Fire, Sanitation, and Safety. Mobile homes may not be used as Day Care Family Homes unless tied down and underpinned as recommended by the Defense Department Civil Preparedness Agency. In case of fire, no matter how small, the first responsibility of the caregiver shall be to get the children to a safe ace. The caregivers) shall provide written fire escape plans. 19 FAMILY DAY CARE HO ES ARRANSAS Fire drills shall be held at least once every three months at different times of the day. A Written report of this shall be supplied to the licensing worker as Avidence of compliance. I The caregiver(s) shall protect children from fire hazards at all times. The local fire department shall be consulted when such hazards exist. Heating devices and their nearby areas shall not fire hazards. Woodburning stoves, woodburning or gas logs, fireplaces, open flame space heaters, floor furnaces or other sources of heat must be guarded and/or vented when necessary for the protection of the children. 723. Trar tion Ian Activities. When a Day Care Family Home provides trans protected. er ion, children shall be Vehicles used for transporling children shall be in safe operating condition and in compliance with applicable State and local laws. Drivers shall obey State and local iving laws. Children shall be seated safely when the vehicle is in motion. Children shall enter and leave a vehicle at the curb side in a protected parking area or driveway. Caregivers shall have the parents sign and date a statement giving permission to transport their child. 20 FAMILY DAY CARE HOMES ARKANSAS 724. Safety Retirements for Equipment V Fire, Sanitation, and Safety. The Day" Care Family Home's building, grounds, and equipment shall be cleall, kept in good repair, and maintained as needed to protect the health and safety ,of the .children.. Dangerous equipment and/or objects shall be properly store away from areas used by the children. See also 721. General Safetequirements -725. Water Activities (Including Swimming) V. Fire, Sanitation, and Safety. AU 1 aj health and safety requirements shall be met before a swimming pool is given consideration for approval. For any Day Care Family Home seeking approval for a swimming pool, a request for such shall be presented to and approved by the Child Care Facility Review Board. 726. EmarTena Procedures vin When a Day tare Family Home offers evening or night care the aregiver(s) shall stay awake witil all children are asleep and there shall be a plan for transporting the sleeping children to safety in case of fire or emergency. See also 716. Care of Sick Children 21 FAMILY DAY CARE HOMES An. 727. First Aid Supplies ARKANSAS VI Children's Health. First-aid materials are reqUired and shall be kept out of reach of children or in a locked container. The minimum firstid materials' required are: adbesiye band-aids (various sdies), scissors, sterile gauze squares, roll, of gauze bandages (2" wide), adhesive tape, antiseptic for cuts and scratches, and a thermometer. 800. NUTRIA- ON AND FOOD SERVICE 810. NUTRITION 811. Nutritional Re uirements VII Food Service and Nutrition. A ch An Day Care shall be provided a well -balanced meal consisting of 1/3 of the minirhum daily requirements from the four basic food groups. Children shall be offerede,additional servings of food. Nutritious midmorning and midafternoon snacks shall be provided to all children present. Children of any age shall be encouraged, but not forced, to eat. Good'eating habits should be recognized and praised. Nutritious midmorning and midafternoon snacks shall be served in a pleasant and enjoyable manner. VIII Activities. Children in evening and night care shall have a routine wi the nece equipment provided. Evening meals shall be served; and for children spending the night, breakfast shall be served. Drinking water shall be available to children during the night. 22 FAMILY DAY CARE HOMES ARKANSAS 812. Waiver + f_Ree irements Not specified 820. FOOD PREPARATION 821. Food Prrration and Service Requirements VII Food Service and Nutrition. All food and drink shall be safe and stored, prepared, distributed, and served under sanitary conditions. It is recommended that food be from sources approved by Federal, State or local authorities. All ood and drink shgll be stewed to prevent spoiling. "dual drinking glasses or disposable cups shall be provided. The caregiver must: Provide a quiet time before Meals so that the 'atmosphere can be relaxed at mealtime. Meals shall be served in relaxed surroundings help the children- eat, well. The c e should eat at he table with the children. 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION ra Application and Administration. Parents shall be notified of significant events that affect the children. 23 FAMILY DAY CARE HOMES rI ARKANSAS Cases of serious, contagious disease shall be reported to the parents of he children in care. Any'special problems shall _ brought to the attention of the parents. 1100. NFANTS-AND TODDLERS 1110. PROGRAM OF ACTWITIES VIII Activities. Children under 18 months of age shall be cared for in an atmosphere that promotes their physical, mental, emotional, and social growt Infant shall have supervision at all times. Infants shall not be left ono indoors or out. Each infant shall have his or her own sleeping- arrangement. Stimulation shall be given an infant in a variety of way Infants shall be talked to, held, and played with by the caregiver. Each infant shall be given some opportunity during the day, both morning and afternoon, to explore the are outside the crib or baby bed and to learn on his or her own. Infants shall be taken outside for a time every day weather permitting. An infant, when awake, may remain in the crib ar long as he or she is content but never for periods longer than one hour. Children shall be encouraged, not forced, when learning the use of the toilet. 24 FAMILY LTAY CARE HOMES ARKANSAS' 1120. HEALTH AND SAFETY REQUIREMENTS IV building, Grounds, and Equipment. Each child under eighteen (18) months of age shall he a separate well-constructed baby bed or play pen. The mattress or pad shall be kept clean, dry, and in good condition. It shall be waterproof. The baby bed mattress shall be large enough to prevent the ctlfid from getting caught between the mattress and the side of the bed. Sheets and covers shall be kept clean and dry. Play pens shall have foam pads at least 2" thick and coverts (that are rernotPable and washable. Each child eighteen (18) months of agetir older shalljhave cots, beds, pallets or mats. Mats shall be at least one inch thick and covered with waterproof, washable material. If mats or pallets are used on floors, floors shall be clean, warm, dry, and draft free. Infants up to 18 meths of age shall have safe, soft, washable toys. Toys or materials used by younger children shall not be small enough to be swallowed. VIII Activities. An infant's soiled diapers shall be changed promptly and in a sanitary manner. Persons caring for infants shall practice good health habits. 1130. INFANT NU'T'RITION z VII Food Service and Nutrition. Most parents will bring the baby's formula for the day; however, some may dive the caregiver instructions for preparing the formula. Children shall not share the same bottle. A sanitary method a cleansing baby bottles shall be practiced. Bottles containing formula or milk shall be properly refrigerated. 25 FAMILY DAY CARE HOMES ARKANSAS The solid foods fed to an infant will be dptermined by his parent(s). Feeding schedules infants should be flexible and adapted o each infant's needs. When an infant wants o feed himself or herself, the infant shall be encouraged to do so. VIII Activitim. -= e Infants under six months of age shall beheld while being fed. potties shall not be propped. Infants six months of age or older shall be held if needed. Infants no longer held for feeding shall either sit in low chairs at low tables or in infant seats with trays, or in high chairs with wide h.ises and safety straps. 1200. CHILDREN WITH HANDICAPPING CONDITIONS 1210. PROGRAM OF ACTIVITIES VIII Activities. Children who need special care due to disabling or limiting conditions shall be even care recommended by qualified psychologists, physicians, parents, or other experts. 5 1220. HEALTH AND SAFETY REQUIREMENT Not specified \ 1230. STAFFING Not specified 26 FAMILY DAY CARE HOMES ARKANSAS 1300. SCHOOL AGE CHILDREN x.310. PROGRAM t rF ACTIVITIES VII Food Service and Nutrition. School age children who are in the Day Card Family Home at the re or snack time shall be served meals and snacks. VIII Activities. The school age child shall have a choice of indoor and outdoor activities. A quiet time and a private place with appropriate equipment shall be provided for one-person activities, including resting or homework. Permission of parents shall be on file for school age children to leave the Day Care Family Home. School age children. who leave the Day Care Family Home to participate in classes, cls, or other activities shall have _written permission from the parents naming the activity, time of leaving and returning and method of transportation to the activity. Perniission for regular activities such as scouting may be given for the entire school term. -1320. HEALTH AND SAFETY REQUIREMENTS Not specified 1400. FACILITY RE UIREMEN 1410. SPACE IV Building, Grotuds, and Equipment. There shall be at least 35 square feet of usable indoor space for each child in the horn e. 27 FAMILY DAY CARE HOMES ARKANSAS rca shall not include kitchen , bathirooms,.hallways or closets. Floor space is measured 1- to -wall. from the inside w activity. used for Floor space covered by furniture may be counted if children use the firmiture. There shall be an outdoor play area of at least 75 square feet per child fdr each child on the playground.- The play area shall be fenced when needed for' protection to the children. The play area shall be Maintained in good order! and -free of potentially hazardous items at all times. All playground equipment* shall be properly anchored. Children shall be supervised at all times when they: are in the play area. 1420. LATIN TING, VENTILATION, AND TEMPERAT URE V Fire, Sanitation, and Safety. Light, heating, cooling, and ven lation of the home shad adequate safety and comfort. A safe and accurate thermometer shall be hung in the Day Care Family Home at the child's level and room temperature shall be maintained at 6542 degrees during winter months. Stairways shall be well lighted, When the DEIy Care Family Home has more than one level, children shall be Protected where needed from falis downstairs by the use of a gate with safety latch. Also, an adequate second exit shall be provided. A gate shall also be used where there is a possibility of a child going into any dangerous area. All windows shall be safe for children., 28 FAMILY DAY CARE HOMES ARKANSAS 1430 ELI V Fire, Sanitation, and Safety. The structure and use of the home shall let the children in and out quickly and safely in case of emergencieS. A Day Care Family Home with more than one level shall have second exits on all levels used by the children. A Day Care Family Home shall have, at least two exits to the outside located on different sides of the home. Doors opening into a fenced yard shall be fixed so the children can open them easily from the inside Dqors between rooms in the exit route shall not be locked while chil n are in the home. Doors and pathways shall be clear of equipment that blocks the movement of children and caregiver(s). 1440. TOILETS AND LAVATORIES IV Building, Grounds and Equipment. Bathroom and toilet equipment shad be adequate to handle children's needs quickly and safetly. At least one commode and one wash basin shall be made available for the children's use Potty seats may be used by the younger children (those under age 2 1/2), if kept sanitary. A clean towel or paper towels shall be available to each child daily. 29 FAMILY DAY CARE HOMES ARKANSAS 1500. OTHER STAT REQUIRE in N Ts - COMPLIANCE WITH OTHER LOCAL STATE 1510. ZONING III Application and Administration. All applicable local health, fire and zoning reguations shall be met. AND REGIONAL LAWS AND REGULATIONS 1520. FIRE V Fire, Sanitation, and Safety. A Fire Department inspection shall be mandatory for any Day Care Family Home caring for eleven (11) or more children. 1530. BUILDING Not specified 1540. HEALTH V Fire, Sanitation, and Safety. The Day Care Family Home shall have an adequate supply of water that meets the standards for drinking water of the Arkansas Health Department. Whenever possible, the water supply shall be from a public drinking water system. Water shall always be available to the children. 1550. SANITATION Not specified 1560. NE6W CO TRUCTION Not specified 30 FAMILY DAY CARE HOMES CALIFORNIA Except where otherwise noted, all citations are to the California Administrative Code, Title 22, Division 8, Chapter 7, June, 1981. 100. STATE REGISTRATION OF CHILD DAY CARE FACILLHES 110. TYPES OF FACILITIES SUBJECT TO REGISTRATION AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCFA AND REGULATIONS Definitions 586002 Definitions. "Family Day Care" means regularly provided care, protection and supervision of children, in the caregiver's own home, for periods of less than 24 hours per day, while the parents or guardians are away. Exclusions a emptions 586004 License Exemptions. -Licensure or registration is required before Family Day Care is provided unless one of the following applies: The children being cared for are related by blood or marriage to the caregiver. The children being cared for are from only two families. If the caregiver's own children are being cared for, day care services can be provided to only one other family. The rne is accredited by a school dis 5 FAMILY DAY CARE HOMES CALIFORNIA The care provided to children is part of a cooperative arrangement between parents for the care of their chileken by one or more of the parents, when no payment for the care iis involved. 113. HHS Day Care Com Not specified 120. AGENCY RESPONSIBLE FOR REGISTRATION OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS 200. REGISTRATION PROCESS AND ENFORCEMENT PROCEDURES 210. REGISTRATION PROCESS 211. Promulgation of Regulations See DAY CARE CENTERS 212. Advisory Body and Other Community Participation See DAY CARE CENTERS 220. REGISTRATION PROCEDURE 221. Application and Issuance 586006 License or Registration. Any person 18 years of age or over may apply for a license or registration regardless of age, sex, race, religion, color, political affiliation, national origin, handicaps, or marital status. 2 FAMILY DAY CARE HOMES CALIFORNIA 114 586008 Application for Initial License. To apply for a license to operate # family day care home an applicant shall file a written application with the departMent or licensing agency, on forms provided or approved by the department. The applicant shall provide all of the following information at the time of submission of the aplication: Name, address, telephone number and confirmation that the applicant is over 18 years of age. Age and number of children to whom care will be provided. Name and age of every person residing in the home where care is to be provided.. A statement that the.-atfiplicant will comply with all regulations and laws governing family day care homes. 586010 Registration. Any person desiring to register to operate a Family Day Cale Herne for children shall file a written application with the department or licensing- agency on forms provided or approved by the department. The applicant shall provide all of the information required below at the time of submission of the application. Name. Age and sex. Address. Telephone number. Age and number of children e registrant expects to care for. Size of home. Outdoor space available. Records maintained on children in care. FAMILY DAY CARE HOMES CALIFORNIA Provisions for meals and Fingerprint application. A statemen signed under penalty of perjury from the,,registrant and every other adult living at the same location, that he or she has never been convicted of a crime other than a minor traffic violation involving a fine of fifty dollars ($50) or less. A statement, signed wider penalty of perjury from the registrant that fire safety, poison control, first ai'a"precedures, disaster and emergency plans, and swimming pool safety are appropriate and in substantial conformity with the regulations in this regulation section. Submission of all of the required information shall be considered completed registration, which shall be sufficient to permit continued operation of a Family Day Care Home. 222. Fee Charred See DAY CARE CENTERS -.223. Areas of Investigation See 231. Facility Inspections 224. Certificate Renewal S86018 Term of art Initial or Renewal License. The initial or renewal of a Family Day Care license shall expire three years from the date of issuance. A renewal application shall be filed, with the Department or Licensing Agency, thirty (30) days prior to the expiration date. Failure to make an application for renewal within the prescribed time limit shall result in expiration of the license. 4 FAMIl Y DAY CARE HOMES CALIFORNIA The license shall be automatically renewed if the renewal application has been filed thirty (30) days prior to the expiration date. 586020 Expiration of Registration. The registration shall expire on December 31, 1982. The Department or licensing agency shall notify the registrant, in writing, of the approaching expiration date at least 60 days prior to the expiration. 225. Conditional/Provisional Licenses Not specified 226. Substantial -Compliance Not specified 230. E FORCEMENT PROCEDURES 231. Paciliq Ins _ctions 586030 Site Visits. No site visitatips, or unannounced visits or spot checks shall be made except as provided in this sec A site visit shall be required prior to the initial licensing of the applicant. I The Department or licensing agency shall make a site visitation on the basis of a complaint and a follow-up visit as provided in Health and Safety Code Section 1597.56. In addition to any site visitation or spot check authorized under this section, the Department shall annually make unannounced visit° s n 10 1.sercent of all family day care homes for children licensed under this chapter. The -unannounced visits may be made at any time, including the time of a request" f a renewal of a license. 5 FAMILY DAY CARE HOMES The Department shall institute a system of random visits to registered homes during the pilot registratiM program, CALIFORNIA ercent of the appropriate reporting on the extent to which the system is working satisfactorily, and shall develop procedures to be followed in the event of complaints about the home, including visits and fgllow-up visits. D uspertsion, Revocation of a Certificate 232. S86016 Denial of an Initial License. When the requirements for licensure are not met, the Department shall deny the application within 30 days after receipt of a completed application. Immediately upon the denial of any application for a license, the department shall notify the applicant in writing. Within 15 days after the department mails the notice, the applicant may present his written petition for a hearing to the department. Upon receipt by the department of the petition in proper form, the petition shall be set for hearing. S86022 Revocation or Suspension of a License or Registration. The following are grounds for suspension or revocation: Violation by the licensee of any of the provisions of Chapter 3.6 of the Health and Safety Code or of the rules and regulation promulgated under the act. Aiding, abetting, or permitting the violation of any provision of hapter 3.6 of the Health and Safety Code of the rules and regulations promulgated under the Act. Conduct in the operation or maintenance of a community care facility which is inimical to the health, morals, welfare, or safety of either an individUal in or receiving services from the facility or the people of the State of California. 6 FAMILY DAY CARE HO ES CALIFORNIA The direcc3:trlay temporarily nd any license or registration pripr to any hearing when, in his opinion, such action is necessary to protect residents or clients of the facility from physical or mental abuse, abandonment, or any other substantial threat to health or safety. The director shall notify the licensee or registrant of the temporary suspension and thb effective date thereof and at the same time shall serve such provider with an accusation. Upon receipt of a notice of defense to the accusation by the licensee or registrant, the director shall within 15 days set the matter for hearing, and the hearing shall be held as soon as possible; it shall be requested that it be held within 30 days after receipt of such notice. The temporary suspension shall remain in effect until such time as the hearing is completed and the director has made a final determination on the merits. However, the temporary suspension shall be deemed vacated if the director fails to make a final determination of the merits within 30 days after the original hearing has been completed. 586012 Criminal Record Clearance. If the applicant or registrant is unable to provide the statements required by Health and Safety Code for registration or if such statements and/or the official criminal record reports disclose that the applic or any other person residing at or regularly in the home during the ho of care, has been convicted of any crime other than a minor traffic vio ation involving a fine of $50 or less, the license may be denied, suspended or rev eked. The facility may be ordered to cease and desist operation and the department may initiate other legal proceedings, or take other action' as necessary including referral for criminal prosecution and/or civil proceedings. S86014 Exceptions to Criminal Reeord 'Clearance Requirements. If it is found that the applicant or registrant or any other person residing at or regularly in the home curing the hours of care, has ever been convicted of a crime other than a minor traffic violation involving a fine of $50 or less, the application for,liceraure shall be denied or the license shall be revoked, unless: li FAMILY DAY CARE HOMES CALIFORNIA Such person has been granted a full and unconditional pardon for the offense, by the governor, or After a review of the record, the Director determines that such a person is of such good chiaracter as to justify issuance of a license. Factprs the Directdr may consider in notifying issuance of a license shall include, but are not limited to The nature of he offense committed. and the number of nine elapsed since the offense w offenses. Circumstances surrounding the commission of the crime that would demonstrate the unlikelihood of repetition. Activities since convietion, such as employment, education, or participation in therapy, that would indicate rehabilitation. Charter references,, A Certificate of Rehabilitation from a Superior Court. 233. Remedies and San 233.1 Hearings See 232. Denial, Suspension, Revocation of a Certificate See also DAY CARE CENTERS 233.2 Decisions See, DAY CARE CENTERS FAMILY DAY CARE HOMES 233.3 Judicial Review CALIFORNIA S86032 Operation Without a License or Registration. If the licensing agency has reason to believe that family day care is being prov'ded without a license or registration, the licensing agency shall: Conduct a site visit and: Determine whethL the home is operating without a license or = remstration. Determine whether continued operation of the facility will be dangerous to the health and safety of the children in care. ,Notify the unlicensed provider in writing of the requirements for such licensure or registration. Issue a notice of operation in violation of law only if it is found and documented that continued operation of the facility will be dangerous to the health and safety of the children. Situations endangering the health and safety of the children shall include, but not be limited to: Evidence of physical or mental abuse. Children left unattended or left with a minor. Clear evidence of unsanitary conditions. Fire safety/fire hazards. Unfenced or accessible pools or other bodies of water. Hazardous physical plant. FAMILY DAY CARE HOME . CALIFORNIA In all other cases, a notice of operation in violation of law may be issued only if the unlicensed provider does not apply for a license or registration within (15) working days from date of notification. o DAY CARE PNTP 300. AD STRAT1ON 310. ENE R ADMINISTRATION 311. General Administrative Requirements §86006 License or Registration. The license or registration shall be available in the facility upon rewest. The license or registration shall not be locations. o other othertndividu is or §86028 Operation of a Family Day Care Home. The licensee or registrant shall be present in the home at all times while children are in care, except when circumstances require his/her temporary absence. The licensee or registrant shall arrange for a substitute adult to care for the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care. 312. Telephone §86028 Operation of a Family Day Care Home. The home shall maintain telephone service. 313. Proof of Operator Financial Capabilities Not specified 10 #AIWILY DAY CARE HOES 314. Instrapce Not specified 320. PERSONNEL 321. Publication of Personnel Policies Not specified 322. Constraints Against Employment See 232. Denial, Suspension, Revocation of a Certificate 330. NON - DISCRIMINATION Requirements Prohibiting L scriminat_on 586034 Personal Rights. Each child receiving services from CALIFORNIA amily day care home shall have the right to be treated with dignity/in his/her personal relationship with staff and other persons. 340. RECORDS REQUIREMENTS 34L Children 586028 Operation of a Family Day Care Home. An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or- other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care. 342. Staff See 221. Application and ssuance II FAMILY DAY CARE HOMES CALIFORNIA- 343. Child Elilility and Enrollment Requirements / Not specified 344. Child Abuse Report Not specified 345. Confidentiali o_ yteeords ReAuiremen s Not specified 400. GROUP COMPOSMONS OF CHILDREN 410. STAFF /CHILD RATIO REQUIREMENTS 411. Staff/Child Ratio'as of March,_19 586024 Staffing Ratio and Capacity. There shall be not less than one adult to each six children including the provider's own children and not more than two of the six children shall be infants. Provider's children over capacity. of 12 years shall not be counted determining A family day care home shall have a ma)dmum capacity of twelve (12) provided that staffing ratios are maintained. 412. Methods of Computing Child Ra. See 411. Staff/Child Ratio as of March, 1981 420. GROUP SIZE 421. Group Size of h, 1981 Not specified 12 FAMILY DAY CARE HOMES 422. Methods of Ootnputing Group Size Not specified CALIFORNIA 500. STAFF QUA FI AEONS AND TRAIT G REQUIREMENT 510. CHILD CAREGIVER STAFF QUALIFICATIOITS 511. See 221. Application and Issuance 512. H ealth Not specified 513. Education Not specified 514. Experience Not specified 520. PROGRAM DIRECTOR QUALIFICATIONS 521. Age See 221. Application a_ Issuance 522. Not s 523. Education Not specified 524. Experience Not specified 13 FAMILY DAY CARE HOMES CALIFORNIA 530. SUPPORT STAFF QUALIFICATIONS Not specified 540. POST EM LOYMENT N-FtviVICE: ORI1ENTATION AND TRAINING 541. Pro -am am Director Not specified 542. Child Caregiver Stuff Not specified 543. Support Staff Not specified 600. PROGRAM OF ACTIVITIES, INCLUDING EDUCATION 610. PROGRAM REQUMEMENTS 611.. Pro am of Activities Not specified 612. Program Equipment and ate §86028 Operation of a Family Day Care Home. The home shall provide safe toys, play equipment and materials. 613. Nap provision Not specified 14 FAMILY DAY CARE H ES CALIFORNIA 614. DiscVline and Guidance 586034 Personal Rightw-.. Each child receiving sem-vices from a family day care home shall have the right to not be subjected tcw physical or unusual punishment, humiliation, mental abuse, or punitive interference with daily functions of living, such as eating, sleeping or toileting. 700. HEALTH AND SAFETY 710. HEALTH 711. GeneralHealth Fequirements Not specified 712. Health Assessments Not specified 713., Not specified 0 714. Sanitation §86028 Operation of a f am fly Day Care Home. The home shall be kap. -t clean and orderly, with heating and ventilation for safety and comfort. §86034 Personal Rights Each child receiving services from a family day care home shall have the right to receive safe; health"ul, and comfortable accommodations, furnishing, and equipment. 715. Daily Illness Scre .enin Not specified 15 FAMILY DAY CARE HOMES CALIFi RNIA 716. Care of Sick Children 588028 Operation of a Family Day Care Home. When a child shows, signs of illness he/she shall be sepearated from other children, and the nature of the illness determined.. If it a cornroanicable disease he/she shall be separated from other chilctenuhtil infectious stage is over. 717. Medication and Special Diet Provisions Not specified 718. Waiver of Health Requirements Not specified 720. SAFETY 721. General Safety Requirements 586028 Operation of a Family Day Care Home. The home shall be free from defects or conditions which r-nigit erdsrger a child. Where children 1 barricaded. an five years old are in c Per shall eri Poisons, detergents, cleaning compounds, medicines and other liarardous substances shall be stored where they are inaccessible to era dren. i 0tdoor play areas shall be either fenced, or outdoor play hall be supervised the licensee or caregiver. Firearms, and other dangerous weapons shall be kept in loei ed cabintsduring the hours care is provided. 16 FAMILY DAY CARE HOMES CALIF° NIA 722. Fire SLifstyleEfirne=rits 586028 Operation Fame Day Care Home. Fireplaces and open-face haters shall be screened to prevent access by children. The borne shall eon Lain a fire extinguisher or smoke detector device, or both, which meets standar=is established by the State Fire Marshal. Gas heaters sh properly 723. Trarisirtatton Not specified vented and permanently instal 724. Safety Re tilreruipment Not specified 725. Water Activltl 586028 Operation of a Fa rrii1=7 Day Care Home. All in-ground swimming po01s shall have at least a five foot fence or covering inspected and approved by the licensing agency. Fencing shall be so constructed that it does nolle1 obscure the pool from view, cannot be easily climbed by children and is sew'- latching at the top of the gate. If a pool cover is used, it shall be strong enoisgh to completely support the weight of an adult. Bodies of water including by not limited to above ground pools which cannot be emptied after each use, f_sh ponds, sunken wading pools, spas, and hot tubs shall be made inaccessible vilen not in use, by fencing or covering. If a cover is used, it shall be strong enoi- igh to completely support the weight of an adult. 726. Emergency Procedures 586028 Operation of a Farn Day Care Home. Each family day care horny shall have a written disaster plan of action prepared on a form approved by the licensing agency. All children, age and 17 FAMILY DAYCARE Hanes k CALIFORNIA ability permitting, caregivem- and assistant caregiver, and other members of the householcIssiall be insPuructed in their duties under the disaster plan. As new children are enrolled, littge and ability permitting, they shall be informed promptly of tpeirdutles as re .mquired in the plan. 727. FirstAappI lies Not specified 800. N 7-7R1T ON AND FOOD SERVICE 810. NUTRrTION 811. Nuttine tents Not specified 812. Not specified 820. FOOD PREPARATIONlif 821. 1~'ood_Preparationrnd ervice Requirements §86028 Operation of a Farnil'P--y Day Care Home. If food is brought from the children's homes, the container shall be labeled with the chillsnerne and prop-Derly stored or refrigerated. Not specified 90 i00. SOCIAL SERVICES 18 FAMILY DAY CARE HOMES Not specified a 1000: fARENT 1 2fet RTICIPATION 1100. FA A_ D TODDLERS 1110. PROGRAM OF AC Not specified 1120. HEALTH AND SAFE' 1RQTIFt EWIS Not specified 1130. INFANT NUTRITION Not specified 1200. CH1I.,DR.E14 YE' 1210. PROGRAM OF AcTivro Not specified CALIFORNIA IIIDICAPPING CONDITIONS 1220. HEALTH AN ti SAF /TENTS Not specified 1230. STAFFING Not specified 1300. CNOO CHILDREN 1310. PROGRAM OF ACTIV Not specified I tj FAIV1ILY DAY CARE HOMES CALEFORMaA 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 1400. FACILITY REQUIREMENTS 1410. SPACE Not specified 1420. LIGHTING, VENTILATION, AND TEMPERATURE 586028 Operation of a Family Day Care Home. The home shall be kept clean and orderly, with heath safety and comfort. 1430., EXITS Not specified 1440. TOILETS AND LAVATORIES Not specified d ventilatio for 1500. OTHER STATE REQUIREMENTS - COMPLIANCE WITH OTHER Lot ,AL STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 1520. FIRE 586026 Fire Safety Clearance. A fire safety clearance by the state fire marshal shall be required fa-- any family day care home in which more than six children are to receive ca-e at any one time including the providers' own children, and when nonamblittory children are in care. 20 FAMILY DAY CARE HOMES CALIFORNIA Nonambulatory persons are defined as persons unable to leave a building unassisted under emergency conditions. It includes, but is not limited to, persons who depend upon mechanical aids such as crutches; walkers, and wheelchairs, and profoundly or severely mentally retarded persons. It further defines a profoundly or severely retarded person as one who is mettle or likely to be unable, to physically or mentally respond to an oral instruction relating to fire danger and unassisted take appropriate action relating to such danger. When there is doubt regarding the ambulatory status of a retarded child, the deterrr''ln shall be made by the Director of Social Services, or his or her or dr design Ar _aresentative, in consultation with the Director of Developmental Service:- r- his or her designated representative. 1530. BUIL nrNG Not specified 1540. HEALTH Not specified 1550. SANITATION Not specified 1560. NEW CONSTRUCTION Not specified 21 0 FAMILY DAY CARE HOMES COLORADO Except where othemiise noted, all citations are to the Colorado Department of Social Services, Minimum Rules and Regulations for Day Care Homes, February, 1977. 100. STATE LICENSING OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS III. De A-7450.I Definition. Day -care homes Eir'e defined by law as a type of family care home in which children are received for less than 24-hour care. Day Care homes are also defined in the Department of Social Services staff manual at A-7402.1 As follows: A Day Care Home is a facility providing care and training for a 'had or children not related to the caretaker, for more than two full consecutive days on a relay weekly basis. A full day is seven or more hours. A-7452 Rules and Regulations for Infant/Toddler Day Care Home. An Infant/Toddler Day Care Home is a type of family care home in which only chic en who are between birth and two and one -half years old are received for less than 24-hour care. 112. P celusions and Exemptions A-7452 Rules and Regulations for Infant/Toddler Day Care Home. If caretaker has children aged 2 1/2 years old to first grade, that fa is not eligible for a license p operate an Infant/Toddler Day Care Home. The caretaker's own children or foster children shall be attending full-day school, excluding school vacations, and/or shall be less than 2 1/2 years old. FAMILY DAY CARE I _O ES COLORADO HHS Day_Care Com Not specified 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promulgation of R ulati See DAY CARE CENTERS 212. Advisory Body and Other Community Participation See DAY CARE CENTERS 220. LICENSING PROCEDURE 221. Aiplication and Issuance See DAY CARE CENTEIIS 222. Fee Charged See DAY CARE CENTERS 223. Areas of Investigation FAMILY DAY CARE HOMES COLORADO The applicant shall demonstrate the ability to conduct simple business affairs so that the licensing authority may determine that the applicant is able to acquire the materials and equipment required for day care and to maintain records pertaining to the children served including records required by statute or atioas. 314. borer Not specified 320. PERSONNEL 321. Publication of Pe nnel Policies Not specified 322. Constraints Against Employment A-7451-1 The Character, Suitability, and Qualifications of Day Care Parent. There shall be no conviction of, admission to or substantial evidence of an act of child battering, child abuse, child molesting or child neglect- by the applicant, licensee or any resident of the day care home. The applicant's or licensee's own children shall not have been placed in foster care or a residential treatment facility under circumstances tending to show that the applicant or licensee is unable or unwilling to care for their children unless the primary reason for-placement was the physical illness of the parent, mental retardation or physical handicap of the child or the relinquishment of an infant child for adoption. 330. NON-D_ CRIMINATION 331. Requirements Prohibiting Discrimination Not specified FAMILY DAY CARE HOMES 340. RECORDS REQUIREMENTS 341. Chil en COLORADO A-7451.3 Admission of Children. When a child is first admitted to day =care, a statement shall be obtained from a licensed physician describing that child's health, any chronic medical conditions' that the day care home parent needs to be aware of, any special care that the child needs, and immunizations, if available. This statement shall be obtained not more than 90 days prior to or within 30 days after admission to day care and shall be renewed annually or more frequently if required by the physician. Medical statements shall be maintained on file at the day care home. The day care parent shall obtain written authority to arrange for medical care in the event of an emergency. A-7451.7 Required Records. An admission record shall be completed for each child prior to or time of admission of the child. The admission record shall include: the date of enrollment; child's name, address and telephone number; name of -Wee] parent or guardian andoplace of employment if applicable; telephone number for parent or guardian and person to call in case of emergency in the absence of parent or guardian; person(s) who may call for the child; name of doctor and dentist of child; general social information about child; medical information about child. These = completed forms shall be maintained in an accessible manner. Each child's file shall also include an authorization form for medical care, sleeping arrangements and/or physical punishment if applicable, current medical statements, and records of all accidents or illness occurring during care. 6 FAMILY DAY CARE HOMES COLORADO The complete file for each child cared for -shall be-retained by the day care parent for at least three years after the child leaves the day care home, shall available without restriction to licensing agency and to the. child's parents, shall otherwise be treated as confidential. Retention of records for a toner period Tay be desirable where they reflect an accident, injury or other unusual circumstances. 342. Staff A-7451-1 The Character, Suitability, and Qualifications of Day Care Parent. The applidant or licensee and all_ members of __thefamily_ thereof and othera. residing in the home where children will be cared for shall obtain a medical statement from -a physician licensed to 'practice medicine in the State of Colorado verifying that each such person suffers, from no illness or communicable disease which would adversely affect children inc care. This examination shall have been performed during the six months preceding the - Original license granted to a .home; subsequent statements shall be submitted annually or as requAd in a written plan signed by a physician. An original licenSe shall not be granted prior to receipt of a satisfactory medical certification. If, in the, opinion of the examining physician, an emotional or a psychological condition exists which would impair the ability of an applicant or licensee to care for children, issuance of a license _ be conditioned on receipt of a satisfactory report of a mental health pra-t FAMILY DAY CARE HOMES COLORADO in the opinion of a physician or mental health practitioner, a medical, emotional, or psychological condition exists at.any time which may jeopardize the health of children or adversely affect the ability of a licensee to care for children, a qualified substitute day care parent _shall be employed, or child care services shall be suspended until the physician or mental health practitioner certifies that the health risk has been eliminated. Failure to secure a substitute or to suspend child care services on such a recommendation shall be grounds for the denial, revocation or making probationary a license. 343. Child Eligibility and Enrollment Requirements A- 7451.3 Admission of Children. Arrangements for admission shall be made prior to the time the child is placed in cargaishall include an opportunity for the child to become familiar with the day care home and its operation, and the day care parent in the company of the child's parent or guardian. At the time of admission the day care parent shall obtain telephone numbers of the child'S physician and numbers where the parent or guardian and at-least one other responsible adult can normally be reached in the event of accident, illness or other emergency. 344. Child Abuse Reportin A-7451.7 Required Records. Licensees are required by statute to report cases of suspected child abuse. A licensee shall report to the -local country department of social services or the police or'sheriffs department any circumstances indicating that a child in care has beet subjected to abuse. FAMILY DAY CARE HOMES 345. Confidentiality of Records Requirements COLORADO A-7451.7 Required Records. Children's reports and records shall be confidential and facts learned about children and their families shall be kept confidential. The license rnay be denied, revoked, or made probational if confidentiality of records or information is not maintained. 400. GROUP COMPOSITIONS OF CHILDREN 410. STAFF /CHI D RATIO REQUIREMENTS 411. Staff /Child Ratio as of March, 1981 A-7450J Definition. The number and age of children for which a license may be issued is determined by the following factors: Caretaker's children not attending full day school. Maximum number of day care children permitted at any one time. 6 5 1 ,4 3 4 1 5 6 FAMILY DAY CARE HOME COLORADO Day care also may be provided to no more than two additional children of school age either before or after school hours, and on days during the regular school year when school is not in session, such as conference days and holidays, but not including summer vacations or off-track periods, in year-rotmd schools when the child does not attend classes. The number of such school aged children permitted to be cared for is as follows: Caretaker's school age Additional school age day children under age 12 care children permitted during non-school times 0 2 1 2 or more 0 A-7452 Rules and Regulations for Infant/Toddler Day Care Home. If there is one caretaker, the number and age of children, including the caretaker's own children between birth to 2 1/2 years old, shall conform to the following: If two (2) children in care are between birth to one year old, two (2) additional children between one year and two and one-half years old may be cared for. Licensed capacity= ne caretaker including caretaker's children from birth to 2)14/2 years old Birth to l year old 2 children 1 child 0 4 children One year to 2 1/2 veers old 2 children 3 children fi 10 FAMILY DAY CARE HOMES COLORADO If there are two caretakers caring for children at all times when children are present, there maybe a maximum of six (6) children between birth an and one-half years ;old 'and no more than three of those children sh between birth arid ione7STeir An exception can be inside in the case of the care of siblings such as twins, triplets, or close-aged siblings so that siblings need not be separated, but the total number of "children Atoll not exceed four(4) children in an infant/toddler day care home with one caretaker and six children in an infant/toddler day care home with two caretakers. The licensing caseworker at the county department of social services or the Denver Department of Health and Hospitals must be notified when the infant and toddler home wishes to accept for care siblings for which the home_ will need an exception to the rule. The licensing caseworker mat approve before the siblings may be accepted. 412. Methods of Computing Staff/Child Ratios See 411. Staff/Child Ratio as of March, 1981 420, GROUP SIZE 421. Group Size as of March, 1981 Not specified 422. Methods of Computing Group Size % Not specified FAMILY DAY CARE HOMES COLORADO 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. Aye A-7451-1 The Character, Suitability, and Qualifications of Day Care Parent. Licenses shall not be granted to applicants who are less than 18 years of age on the date of application for such license, or Who lack adequate physical stamina to care for children. A-7452.2 , The Character, Suitability and Qualifications of the Day Care Parent in an Infant/Toddler Home. A license to operate an Infant/Toddler Day Care Home with one caretaker shall be granted to applicants who are 21 years of age on the date of application for such a license, and have adequate physical stamina to care for children. 512. Health See 342. Staff 513. Education A-7452.2 The Character, Suitability and Qualifications of the Day Care Parent in an Infant/Toddler Home. Each caretaker/applicant shall have completed a minimum of forty clock hours of training, which includes the following subject matter: growth and development of children from birth to two years, infant stimulation, nutrition, child management, first aid and home safety, child abuse reporting and child care practices for chli&en birth to two years. This training need not have been taken for college credit. No more than one provisional license may be issued to meet this requirement. 12 FAMILY DAY CARE HOMES COLORADO 514. Experience A-7452.2 The. Character, Suitability and Qualifications of he Day Care Parent in an Infant/Toddler Home. k Each caretaker shall have parented a child(ren) through at least the first year of life or completed one year of supervised experience caring for children who are less than five years old. Such experience may have been obtained as a licensed day care home parent, in a college laboratory preschool, children's nursing experience, family foster home, day care center or preschool. Each applicant shall satisfy the Department that he/she has had the experience required. 520. PROGRAM DIRECTOR QUALIFICATIONS 521. Age Not specified 522. Health See 512. Health 523. Education Not specified 524. Experience Not specified 530. SUPPORT STAFF QUALIFICATIONS A-7451-4 Care of Children. Arrangements shall be made for a substitute of at least 16 years of age to provide care and supervision of children in the absence of' the day care parent for no more than four hours in one day. If a substitute is necessary for more than our hours, she/he must be no younger than 18 years old. 13 FAMILY DAY CARE HOMES COLORADO Prior to serving in that capacity, the substitute shall be given an opportunity to examine these rules and regulations and to become familiar lath children in care and with the normal routines and practices of the day care home. 540. POST EMPLOYMENT/IN-SERVICE: ORLENTATION AND TRAINING- 541. -Program Director Not specified 542. Child Care iver Staff Not specified 543. Support Staff Not specified 600. PROGRAM OF ACTIVITIES, INCLUDING EDUCATION 610. PROGRA-M REQUIREMENTS 611. Program of Activities A-7451-4 Care of Children. Daily activity shall be provided which fosters normal physical, mental, social and emotional development of children. This requirement shall be met in the following manner: Each child in care shall be provided h an opportunity or both group and individual ply Children shall be encouraged to relate or to communicate with each other and with adults. Outdoor act permitting. shall be available to each child daily, weather 14 FAMILY DAY CARE HOMES COLORADO Television viewing shall not be permitted without the approval of a child's parent who shall be advised of the specific, yrograms which children will be permitted to see. Normally, television viewing should not exceed one hour for each four hours for which children are in care, 'and should be limited to programs specifically designed for the interest and benefit of children. 612. Program Equipment and Ma.teria A-7451-4 Care of children. Daily activity shall be provided which fosters normal physical, mental, social and emotional development of children. Materials and equipment appropriate for the age of children in care and in good repair shall be available for both active and quiet play. 613. Nap Provision A-7451-4 Care of Children. A daily rest pe iod taken on a bed, sofa, cot or suitable floor pad not less than two inches thickness with clean, washable cover shall be provided to preschool chil en and older children as required on. an individual basis. A-7451-5 Care Provided During Nighttime Hourg. Each child in the home, including natural or adoptive children as well as children in care, shall be provided with a comfortable cot, or crib, or bed suitable for his age with two sheets and _suitable warm covering. At least 40 square feet of floor space shall be available for each bed. Beds arranged in parallel shall be at least two- feet apart. Sheets shall be changed weekly or more frequently if needed, and no child shall be-allowed to remain sleeping in a wet bed. FAMILY DAY CARE HOMES COLORADO Each .child shall be provided with adequate sleepwear and a complete set of clean sleepwear shall be available in the event that a change is necessary. Sleeping rooms for children under eight years of age shall be on the same floor as the room the day care parent or other responsible person. If children in care over the age of four share sleeping rooms with persons of the opposite sex who are over age four, the parents or guardians of each child involved must give written approval. 614. Eltine and Guidance A-7451.6 Discipline. Discipline shall be constructive or educational in nature, including such methods as diversion, separation of child from problem situations, talking with the child about the situation, praise for appropriate behavior or gentle physical restraint, such as holding. Children shall not be subjected to physical harm,. fear or humiliation. The techniques and standards of parents shall be considered in the disciplining of individual children. No child shall be punched, shaken, pinched, roughly handled, or struck with any inanimate object by the day care parent or any person in the home. No physical punishment of any t approval of the child's parents, 1,4 authorized without ten Authority to punish shall not be delegated to older children. FAMILY DAY CARE HOMES COLORADO Separation, when used as discipline, shall be brief and appropriate for the child's age and circumstances; and the child shall be within hearing of an adult in a safe, lighted, well-ventilated room. No child shall be isolated in a locked room or closet. No child shall be sent to bed as punishment. No child shall be punished for lapses in toilet training. No child shall be force fed. Verbal abuse or derogatory remarks about the child his family, or his race, religion, or cultural background shall not be used or .permitte Meals or snacks, may be postponed or provided individually, but deprivation of meals-and snacks shall not be used as punishment. Disregard of any of the foregoing disciplinary rules or any disciplinary measure resulting in physical injury or abuse to any child shall be grounds for the denial, revocation, or making probationary of the child care license. 700. HEALTH AND SAFETY 710. HEAL 711. General Health Requirements A-7451-2 Requirem for a Safe and Adeqiiiite Day Care Home. The day care home nd outdoor play area shall be maintained safe and free from hazards to health and safety. I 17 FAMILY DAY CARE HOMES 712. Health Assessments See 341. Children 713. Immunizations See 341. Children 714. Sanitation COLORADO A- 7451 -2 Requirements for a Safe and Adequate Day Care Home. Water from any source other than a regular municipal water supply shall be tested annually for compliance with water quality requirements. All garbage, refuse and other wastes shall be kept in a suitable covered receptacle and disposed of in such a manner as not to constitute a :health hazard or nuisance. All floors shall have carpets, tile or smooth finish which may be easily cleaned. Interior walls shall be constructed of solid material and be free from holes. All rooms shall be kept in a clean and sanitary condition and shall be free of any evidence of vermin or rodent infestation. A- 7451 -4 Care of Children. Where pets or other animals are present, additional precautions shall be taken as required to ensure both safety and good .hygiene. Dogs and cats shall be vaccinated against rabies. Children shall not be permitted to mistreat animals. A- 7451 -5 Care Provided During Nighttime Hours. Regular overnight care of children shall be permitted only when specifically noted on the license. The number of children authorized for such care maybe fewer than the authorized number for day time care. 41" 18 FAMILY DAY CARE HOMES COLORADO When a child is bathed, bath water shall be at a safe and comfortable temperature. Children under five iears of age shall not be left unattended while being bathed. 715., _ I?ai Illness_ S cr eenix* Not specified 716. Care of Sick Children A- 7451 -4 Care of Children. In the event of ,accident or illness the affected child shall be separated in the room or area provided for such purpose and ma, as comfortable as possible. First aid care shall be provided a re rc. If additional care, medical attention, or removal from the home is ina 2ated, the child's parent or guardian shall be contacted by telephone, if possible, and medic assistance shall be obtained without delay. A written record of any illness or injury occuring during care shall be retained in each child's record with a copy provided to the parent or guardian. 717. Medication and Special Diet Provisions A- 7451 -4 Care of ,Children. Medicatior begiven by the day care parent only with a current prescriptio. 1- by a thority of a physician; day care parents shall accept such medicines only in, th original container bearing the original pharmacy label which shows the prescription number, name of medication, date filled, physician's name, child's name and directions for dosage. When no longer needed, medications shall be returned to parents or guardians or destroyed. 718. Waiver of Health Requirements Not specified 19 Microfilmed From Best Available Cop FAMILY DAY CARE HOMES 720. SAFETY 721. General Safety Requirements COLORADO A-7451-2 Requirements for a Safe and AdeqUate Day Care Home. The day care borne and outdoor play area shall be maintained safe and free from hazards to health and safety. Heating devices such as radiators, registers, fireplaces, furnaces, hot water heaters, and steam and hot water pipes w screened or otherwise protected. n the reach of children shall be All hazardous items and materials including matches, plastic bags, medicines, cleaning and laundry materials shall be stored out of the reach of children. Paints, fuels, insecticides or other hazardous chemicals and product's shall be in a locked area remote from kitchens. The presence of firearms and ammunition is strongly discouraged in any home in- which children are cared for. Any weapons such as firearms, airrifles, bows, hunting knives or hunting sling shots shall be unstrung and unloaded at all times when children are in the home and shall be stored in locked containers out of the reach of children. An unstrung bow need not be stored in a locked container. Ammunition and arrows shall be stored in separate locked containers. Weapons shall not be transported in any vehicle in which children are riding unless the weapons are made inoperable and inaccessible. All stairways shall be free from, hazards, and those with more than four steps shall be equipped with bannisters or handrails within reach of children. 20 FAMILY DAY CARE HOMES COLORADO A "businets of a nature which might be hazardous to the health,-safety, morals or welfare of children shall not be operated on the premises of the ezlay.care home. A license shall be denied, suspended, revoked or made probationary for failure of an applicant or licensee to repair or otherwise comply with any of the 1r . foregoing requirements when a defect or non-compliance with such requirement has been noted by the licensing representative and brought to the attention of the licensee or applicant in writing. 722. Fire Safety Requirements A- 7451 -2 Requirement Thr,a Safe and Adequate Day Care Home., Fire hazards, such defective electrical appliance g" =-.or, electric cords, dangerous or defective heating equipment or flammetble material stored in such a manner as to create a risk of fire, shall be corrected or eliminated. The home shall -contain at least one U.L. approved fire extinguisher, easily accessible and in working condition, for Class B and C fires, weighing not less than 2 1/2 pounds. This requirement may be waived- where other rn re extensive fire control mengures are aVel'ilable. 73. _Transportation Not specified 724. Safety Requirements for Equipment Not specified 725. Water A Not specified Including Swimming) 21 FAMILY DAY CARE HOMES 726. Emergency Procedures Not specified 727. First Aid Supplies Not specified 810. NUTRITION 800. NUTRITION AN1D FOOD SERVICE 811. Nutritional Retirements COLORADO 4.-7451-4 Care of Children. A snack shall be available during the mid morning and-mid afternoon hours. A noon meal shall also be provided. Children in care at these times shall be provided with the appropriate snack or meal. Special, arrangements shall be made for feeding children who are in care before 6:00 a.m. or after 6:00 p.m. Food shall be wholesome and nutritious, well-prepared and served, and shall be designed to satisfy the individual child's taste and appetite. Each day, meals and snacks shall be balanced and shall include food from the four basic food groups in adequate quantity. Children shall not be given foods which are contrary to the religious beliefs of their parents or which are known to cause an allfrgic reaction or a health hazard, Pasteurized milk shall be used when m it l is served. A-7451-5 Care Provided DuringNighttime Hours. Nutritional needs of the child shall be considered, and -\)wholesorne food, including foods from the four baSic food groups in, adequate quantity, shall be used when meals or snacks are prOvided. 812. Waiver of Requirements NOt specified 22 FAMILY DAY CARE HOMES 820.- FOOD PREPARATION 82L FoOd Preparation and Service Requirements COLORADO A-74512- Requirements for a Safe and Adequate Day Care Home. The home shall be equipped with refrigeration and provisions shall be made for the washing, rirding, and storing of dishes in a safe and se Aitary mariner. Not specified Not specified 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION 1100. INFANTS AND TODDLERS -1110. PROGRAM OF ACTIVITIES A-745I-4 Care of Children. Infants in care shall be held during bottle feedings and at other times during the day. Infants shall not be confined but shall be allowed freedom of movement insofar as practical and shall be provided with an environment designed to stimulate their senses. When "toilet training is conducted in the home it shall be carried out in a non-disciplinary manner after consultation with the child's parents. 23 FAMILY DAY CARE HOMES COLORADO 1120. REALM AND SAFETY REQUIREMENT 4-7451-4 Care of Children. Diapers should be changed-as required and used diapers cleaned or disposed of consistent with practices of good hygiene. A-7452.3 Facilities and Care in an Infant and Toddler Home. Outdoor play space, free from hazards, of not less than 75 square feet per child, shall be available for each child, and the area shall be fenced. One room or area in the home, containing a crib or a ypen containing a 2 inch pad, shall be designated a sick room where a child may be separated from other children and eared for in the event of accident or illness. At least 35 square feet of indoor space where children may play and be cared for, including the sleeping area but exclusive of halls, baths and kitchens, shall be provided each child. There shall be no pets except those in a child-safe confinement, present in the area of care. When a child is bathed, bath water shall be at a safe and comfortable temperature. Children shall not be left unattended while being bathed. A daily rest period in a crib or a playpen with a 2 inch pad shall-be provided. The caretaker shall be on the same floor as children who are napping/sleeping in the Infant/Toddler home. 24 FAMILY DAY CARE HOMES COLORADO f No physical punishment of any type`of the infant or toddler shall be permitted. 1130. INFANT NUTRITION Not specified 1200. CHILDREN WITH HANDICAPPING Cr TIONS 1210. PROGRAM OF ACTIVITIES Not specified 1220. HEALTH AND SAFETY REQUIREMENTS Not specified 1230. STAFFING Not specified 13 0 0. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACTIVITIES Not specified 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 140 FACILITY REQUIP.EMENTS 1410. 'SPACE A- 7451 -2 Requirements for a Safe and Adequate Day bare Home. Outdoor play space free from hazards of not less than 75 square feet per child_ shall be available for each child. This area Shall be fenced if care is given for children between 12 months and five years old. 25 FA _Y DAY CAPr COLORADO One roe -tar design ed a and c rod for Ikt/ least 35 for, 'exclusi eon ain=-Ing a bed, cot or sofa, shall be aild may be separated from other children' _lent or ilkless. loor space wl-r ere children' may-play and be cared Is grad slOping areas, 1)411 be provided for each 1420. MGM s.I'ILATI AND TEr PERATURE Al-7451-2 Requirements for and Ader=uate Day Care Home. The home shall be equipped witb, adeqt_aate h ventilation, and plumbing for safe and confortable aeeupanc,-- A-7451-2 Requirements for a Safe and Adec---aate Da=y Cate Home. Exterior doors shall be maintained in such a manner as to permit easy _exit; interior doors shall be designed to pievent cThildren frojn becoming trapped. A baseMent which will be used in the care of children shall be equipped with more than one exit; such exit may be an ace bible window. . _ a Mobile homes used . day care homes shall -have at least two exi s, be skirted and properly installee and stabilized. 1440. TOILETS AND LAVATORM Not specified FAMILY DAY CARE HOMES 1500. CTIIER STATE REQUIREMEN COLORADO PLIANCE WITH OTHER LOCAL, STATE, AND REGIONA _L LAWS AND REGULATIONS 1510. ZONING Not specified 152Q. FIRE A-7451-2 Requirements.for a Safe and Adequate. Day Care Home. Licensing representatives are authorized, but not required, to consult the State or County Department of Heal =-th regarding the sanitary standards, and to consult local fire departments regarding questions of fire safety. A license may be denied or revoked in the ( -went an applicant or licensee refuges to permit an investigation by these authorities if' requested by a licensing representative orif such aulhority aCTvises that a license not be issued. 1530. BUILDING See 1520. FIRE 1540. HEALTH _ See 1520. FIRE 1550. SANITATION See 1520. FIRE 1560. NE W CONSTRUCTION See 1520. P1RE 27 FAMILY DAY CARE HO ES Except where otherwise noteel, all citations are Department of Children and Youth SerVices, Regulations Agencies,- Section 17-48, Octob6r, 1980. CONNECTICUT :o the Connecticut of Connecticut State 100. STATE LICENSING OF rLDDAY CARE FAC T'R'IES 1 -0 110. TYPE ACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS Definitions 17-48-102 "Earn lly-day-c eans care of an unrelated child in a home other than his own licensed by the department Or approVed by a licensed child-placing agency to provide such services 'on a regular recurring basi§. Family day-care supplements parental care for three or more but less than twelve hour during a .0 24-hour period` -while the parent retains primary responsibility for the child. 112. Exclusions and Exemptions Not specified HITS Day.Care Compliance Not specified FAMILY DAY CAF HOMES 120. AGENCY RESPONSIB CONNECT CUT E FOR LICENSING OF DAY CARE PROGRAMS 121 Organization of the Administrative Unit fi Cipm missioner DEPARTMENT OF, HUMAN RESOURCES Director BUREAU OF FIELD OPERATIONS ,,istant Director Human Resources Manager DISTRICT FFIeES Day Care P gram Specialists Chief DAY CARE DIVISION :Field Coordinator FAMILY DAY CARE UNIT The day to day monitoring f Tctions are carried out by district office staff under the direct supervision of _he state central office. Licenses are issued and revoked by the state cenl'eal------affice. East Hartford's local health department licenses family day care homes and day care centers using their own regulations. 2 MILY DAY CARE HOMES 2.Rib1e Official 1 inquiries should be addressed to Family Day Care Unit, Day Care °Division z Bureau of Field Operations Department of Human Resources 1179 Main Street Hartford, Connee ticut 06101 (206) 566-4303 CONNECTICUT 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 21=0. LICENSING PROCESS 21=1. Promtilgation of Regulations See DAY CARE CENTERS 2l=2. Advisory Body and Other Community Partici DAY CARE CENTERS LICENSING PROCEDURE Application and Issuance 17-7-48-49 A license to care 'for or board a child shall be issued on_ he child-care fi.cility for which application is made and only for the ea, shown on the tiplication and shall not be transferable or assignable. See also DAY CARE CENTERS 2 Fee Charged Se- ee DAY-CARE CENTERS FAMILY DAY CARE HOMES ?23. Areas of Investigation Not specified 224. License Renewal Not specified 225. Conditional /Provisional Licenses Not specified 226. Subs -al Compliance CONNECTICUT 17-48°58 A child-care facility shall comply with all relevant regulations unless a waiver for specific requirement(s) has been rant through a prior written agreement with the department. This agreeme=nt shall specify the particular requirement(s) to be waived, the duration of the waiver, and the terms under which waiver is granted. Waiver oispeciff c requirements shall be granted onty f) when the facility has documented t7--lat- the intent of the specific requirerpent(s) to be waived will be satisf aetorily achieved in a manner other than that prescribed by the requirements r?_ When the facility fails to comply with the waiver agreement in any particul r, the agreement shall be subject to _ immediate cancellation. 230. ENFORCEMENT PROCEDURES 231. Facility Inspection 17°48-51 Each license shall be conditioned on the granting to -the Commissioner or his designee, access at any reasonable time a_s deemed .necessary by him, to the premises described on the license, In ca.s..s of suspected child abuse/neglect, unrestricted access shall be at any time. FAMILY DAY CARE HOMES - 232. enlal,. Sus 17-48-541 A licerthe may be suspended, revoked, or its renewal refused for ; any anv of the following' causes -whenever in the judgement of the Coca missioner or his /. 1 designee the child -care facility; . tealls to comply with the regulations pres ion, Revocation of License CONNECTICUT' id by t,.heComin S Fails to comply with applicable state and local 1aWs, ordinances, rules and regulations relating to building, health, fire protection, safety, sanitation and zoning; Vi any of the provisions under which the license has been issued; Furnishes or makes any false or misleading statements to the Corn inissioner in order to obtain or retain the license; Refuses or fails to submit reports or make records available when requested by the Commissioner or his designee; Fails :o e uses to admit the Commissioner or his designee at any re e time as deemed necessary by him, or in cases of suspected buse at any time, for the purpose of investigation. \ 17-48-56 If the department finds that public health, safety or welfare imperatively requiiles en-brgency action and incorporates a finding to that effect in its ordery summai-y suspension of a liceme may be ordered pending proceedings for revocation or other action. These proceedings shall be promptly instituted and determined. FAMILY DAY CAFE HOMES 17-1-48-57- CONNECTICUT Upon discontinuance of the licensed program or revocation of the license, the license shall be returned by the child-care facility to the Commissioner within 14 days-after receipt of such request. 233. Remedies and 23,3.1 Hearings 17-48-84 -.4 Any child-facility may, .fi 15 days after receipt by led mail of notice . , of refusal to renew or intended revoation of- a __ ,.! administrative hearing thereon in accordance with the Uniform Administrative" erti -Onse, request an Procedures Act, Chapter 54, COnnecticut General Statutes. 'Revoc'atfpn qr denial of renewal of license shall be stayed until such hearing isheld except as provided. licthe absende of such request for a hearing during this time period, the license shall either be revoked or not renewed. :Applicants for initial licen.stire who are aggrieved by the refusal of the department to issue a license may request 4, hearing thereon by putting- ,such request in writing to the Commissioner. 233.2 Decialons. Not specified 233.3 Judicial Review SO DAY CARE CENTERS FAMILY DAY CARE HOMES 300. ADMINISTRATION 310. GENERAL ADMINISTRATION General Administrative Re irements 17-48-100 CONNECTICUT The provider's relationships with other members of the househOld shall be emotional security and a wholesorrie sufficiently harmonious to promote atmosphera4 for the child in care. 17-48-117 The provider- shall use his or her license number in any advertisement for services and shall also provide the number', in = writing, to the parent of a child accepted for care. 17-48-120 The provider shall report in writing to the department on the next working day any circumstances which alter the service as originally licensed or statement of fact in the application for licensing. 312. Telephone 17-48-116 The provider shall have a working telephone with emergency numbers posted in an easily visible location. The department shall be immediately notified of, any change in the provider's telephone number. 313. Proof of Operator Financial Capabilities Not specified FAMTLY DAY CARE HOMES CONNEurrcur 320.- -PERSONNEL 321. Publi a ion of Personnel Policies Hot specified 122. Cor trSints Against Employment 17-48-110 No license shall be granted if, within five years of date of application for license, the provider or anyone regularly residing in the home or any substitute care-giver has been convicted of a felony against persons, is awaiting or is on trial for such charges, or has had a child removed from his care or custody for i'eason of child abuse or neglect. 330. NON- DISCRIMINATION 331. Requirements Prohibitin Discrimination . Not specified 340; RECORDS REQUIREMENTS 341. Child en 17-48-119 Written permission for emergency health care of the child must be obtained from the parent, including the names, addresses and telephone numbers of the child's physician, the hospital-of-choiCe to be called in case of emergency and two responsible adults the provider can contact in case the parent is not available. 17-48-121 The provider and the parent shall discuss in detail the child's developmental history, how they will mutually meet the needs of the child, and indicate on a form provided by the department agreement on the following: 8 FAMILY DAY CARE HOMES CONNECTICUT Hours and days of service, fees, arrival an- departure arrangements; Daily routine, toilet training, napping and feeding; Metho __ of discipline; Safe transportation arrangements for children leaving, the family-day-care home with the provider, including mode of transportation and purpose; Emergency health procedures, including arrangements for substitute care; Awareness of responsibility of the provider for reporting suspected child abuse and neglect mandated by Connecticut General Statutes. / 17-48-124 The day-care provider shall also have on record for each enrolled child, within 30 days of enrollment, and kept current, a statement signed by a licensed physician, or his authorized physician assistant or nurse practitioner. 17-48-127 Prior written authorization from the parent shall be obtained by the provider t before permitting another person family-day-care home. 342. Staff Not speCified remove the child from the 343. Child Eligibility and Enrollment Requirements See 341. Children 9 FAMILY DAY CARE HOMES CO NECTACUT 344. Child Rorting A forting See 341. Children 345. Confidentiality Requirements 17-48-128 The provider shall-not disclose information pertaining to a child or family to other persons unless the parent has given written permission except in an emergency or in a case of suspected child abuse or neglect. 40-0. GROUP COMPOSITIONS OF CHILDREN 410. STAFF/CHILD RATIO REQ REMENTS 411. Staff/Child Ratio as of March, 1981 Not specified 412. Not Co- puting_S a/Child Ratios 420. GROUP 5 -E 4 421. Group Size as of March, 1981 17-48-107 The group shall not contain more than two children under the age of two. When the group includes one of two children under the age of two, the group size shall not exceed five. When the group includes no child under the age of two, the group shall not exceed six. 10 FA-M1LY DAY CARE HOMES 422. Methods of Coin =0t Gra Size See 421. Group Size as of M 1981 500. STAFF QUA CONNECTICUT AND TRAINING REQUIREMENTS 510; 'CHILD 511. 17-48-108 The provider shall be 18 years of`age or older. 512. Health 17-48-112 Famflday-care providers armed ether members of the household shall-be free of communicable disease, physical .or mental infirmities which would interfere with their ability to care fon children, and shall submit proof thereof from a licensed physician or deli wee at the time of original licensure and at any subsequent time the Cornmsioner or his designee suspects there is a serious I illness with any member of th e farnily-.- 513. Education Not specified 514. Experience 17-48-108 The provider shall: - o Be not otherwise e pi, during ing those hours when care is provided for children; 11 ) FAMILY DAY CARE HOMES -CONNECTICUT chile n_ Have the persona qualities to work with young c (Ie and the ability to relate to the parents and others in.the community; Have a personal schedule which allows the provider to remain sufficiently rested and refreshed so .as to avoid undue frustration and fatigue which would result in poor or harmful interaction with children and so as to be.capable a alert and competent supervision. 520. PROGRAM DIRECTOR I UALIFI QUALIFICATIONS 521. Age See 511. Am 522. Health See 512: Health 523. Education Not fpecified 524. erience See 514 Experience ,530. SUPPORT STAFF QUALIFICATIONS 17-48-111 Only a person who meets the requirements set forth in Section 17-48-108, Section 17-48-110 and Section 17-48-112 shall serve as a substitute for the family-day-cue provider and care shall be given in the family-day-care home. 540. POST EMPLOYMENT/IN- SERVICE: ORIENTATION AND TRAINING 541. Program Director Not specified 12 FAMILY DAY CARE HOMES 542. Child Carever Staff Not specified 543. ,Support Staff Not specifi NECTICUT . 600. PROGRAM OF Ai TIVITIE!t INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities 17-48?122 The provider is responsible for seeing that the child's physical ne t adequately met while in the family-day-care home. These include adequate and hutritional meals and snacks prepared in a:safe and sanitary rnanher; readily available drinking water;rand a. balanced schedule of rest, aative play, indoor and outdoor activity appropriate to the ages 5of the children in chre. The provider shall establish a planned program of deelopmentally appropriate activities, especially for children who re multilingual or handicapped, which promotes the social, intellectual, emotional and physical developm'ent of each child. The provider. shall make available for eh child p_risvaey related to his/her growth and development. t 17-48-125 The provider shall provide opportunities for recreation within the family group, and far the school-age child in care should encourage participation in X community activities of a cultural, educational or recreational nature.. 612. Program Equipment and Materials Not specified .13 FAMILY DAY, CARE HOMES AM' Nap Provision 17-48-122 CONNE CTICUT The provider shall make available for each= child a bed, :cot, mat or other provision for napping orating which Is comfortable _and' allows for ,minimal disturbance. 17-48-129 No cars that extends into the evening hours may = be provid following additional conditions'are met: A separate bed appropriate to the child's, age, with individual glean bedding, shall be provided and located in'a quiet part or.the 'home; unless- the A child six years of age or older shall child of the opposite sex, nor_with any share a rdoni with- another A child under three years of age shall sleep in a bed on the as the care-giver or a responsible adult; .preparation for sleep, the child shall be dressed in appropriate, , comfortable sleepWare as agreed to by the parent and,shall be involved _ in quiet activities such as bedtime stories. 614. Discipline and Guidance 17-48-111 . The provider' shall give children humane and affectionate care. The provider shall establish-limits and assist children to develop self-control. Discipline shall be appropriate to the child's age and level of development. roster and adoptiv parents shall not use abusive, 'neglectful, corporal, humiliating or , frighte punishment, and restraints not appropriate to the circumstances, particularly in the area of toileting, feeding or sleeping practice. 14 HEALTH 711. General H Not specified . t 700 HEALTH AND SAFETY h Reqik 712. Hes h'Assessmen See 341. Children 4-5 713. mmuni Not specified '714. Sanitation CONNECTICUT 17-48-114 The 'water supply shall be adequate and safe. If the home is not served by a public water supply, the water shall be analyzed and approved by the state or local department of health' or by a private water testing-laboratory approved by the State Department of Health Services at the time of initial licensure and at any subsequent time the department deems such testing is necessary. Adequate sewage and garbage facilities shall be maintained. 17-48-122 The provider than make available for each child an individua and toilet articles appropriate to the needs of the child. 715. Daily Illness Sereenin Not specified 15 blanket, FAMILVDNY CARE HOMES 716. Care of Sick en 17-48-118 CONNECTICUT Any child .shovrine swpicious signs of illness shall be isolated from other - childreffas much as possible and the parent called immediately. 717. Medication and 17-48-119 'Written instructions must be obtained from the child's parent or from the child's physician medications are to be administered by the provider. Medications must be kept in labeled-containers out of reach of children. 718. Waiver o Not specified 720. SAFETY H eal th Requirenents 721. General Safety equirements 17-48-113 Dwelling and furnishings shall be clean, comfortable and in good repair. The home and grounds shall be reasonably free from anything that would constitute' a hazard to children. F.eling indoor and outdoor house paint accessible to the children must be determined to e. non - toxic. Equipment used by the children shall not be painted or cod Bred by any material t at is poisonous. 722. Fire Safety Requirements 17-48-113 Each room used for sleeping purposes located in a basement or on the first or second floor shall have two approved means of egress in case of fire or other disaster. 16 I FAMILY- DAY CARE HOMES -All floors above the second floor, if used for chidren.in care, shall have two exits which are remotely located; safe, imobstructed and well lighted. A determination of/ reasonable fire safety shall be established for all CONNECTICUT famarday-cue h EMergency evacuation plans shall be established and practiced at latterly with the children. 723. TiTtrapor 'on Not specified : 724. Ige2y4Ieguirerbents-for Equipment See 721. General Safe Requirements 725. WateActivit Including Swimmin Not specified 725. Emergency edur es 17-48-111 The provider shall be capable of andling emergencies. First Aid Supplies 17-48-118 Appropriate first 'su-pplies shall available in the home, out of reach of children. 800. NUTRITION AND FOOD SERVICE 810 NUTRITION 811. r Nutritional Requir=ements See 6U. 'Program of Activities 812. Waiver of Re reran nts Not specified 17 FAMILY DAY CARE HOMES 820. 'FOOD PREPARATION rm. -Food Pre ration and Service tequirements, Not specified 900.. SOCIAL. SERVICES Not specified OilNECTI C UT 1000. PARENT PARTICIPATION WV 17-48-111 The provider shall: 1 Be able to communicate effectively with the child and the pirent; Advise parents, as needed, concerning child health and social services available in the community; Provide parents with the opportunity to observe the home and to discuss their children's needs before enrollment, and regularly after enrollment; Regularly exchange information with the parents about the child's progress in the home; 18 FAMILY CARE HctiVIE*' 1190J' IN ANT AND TODDLERS 1110. PRO F AcTry 17s-481426 ants _sh lowed to crawl or toddle for a ti They shall be held for 1 , all-bottle- and at other. times duririg the child care period and liven individual ntion and 1\verbal cornimuoication. 1120.1 HgAL SAFETY REQUIREMEKTS r Not specifi 1.1 INFANT' (1 Not specified 1200. ILD EN-WITH HANDICAPPING CONDITIONS 1210. PROGRAM_: 'ACTIVITIES Not specified 1220. HEALTH AND SAFET Y REQUIREMENTS Not specified 1230. STAFFING Not specified 1310. FROG Not specified S TOOL AGE- 11,DREN 1320. HEALTH AND AFEkIY REQUIREMENTS Not specified 19 PAMth DAY CARE HOMES 9NNECTICUT 400.," iCILI Y RE0UfitE Mig NTS ,-s s fi cient Reit and heat to e household. entilation, of fn em ben 420. LIGHTING VE e 1410. Space 143Q. EXITS ee 722. Fire. Safety Requirements IPERAT 1440: TOILETS AND LAVAXORIES cified HER STATE REQUIREMENTS - COMPLIANCE WITH OTHER LO AL, -STATE, AND REGIONAL LAWS AND REGULA ONS ZONING ed EIRE Not specified i , auxRigfr'y heating systems shall com ply with state and local building codes. aft 1540; HEALTH Net specified 20 FAMILY DAY CARE HOMES 1550. SANITATION Not specified _1560. NEW CONSTRUCTION Not specifies 21 1 t) 4 CONNECTICUT FAMILY DAY CARE HOMES DELAWARE Except where otherwise noted, all citations are to the Delaware Department of Health and Social Services, Requirements for Licensing and Approving Family Day Care Homes for Children, October, 1975. 100. STATE LICENSING OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND /OR LOCAL ORDINANCES AND REGULATIONS' ill. Definitions ° Introduction - Definition of a Day Care Center. Day Care includes facilities commonly called child care centers, day nurseries, and day care centers. After-school care and infant care are special feirmsof day care. Such care may be provided in a private home, in a rented or owned property converted to the purpose of day care. 341 Definition of "boarding home." For the purpose of interpreting the meaning of the words "boarding home," a person, association, agency or organization is the keeper of a boarding home for children if, for hire, he or it: Advertises or,holds himself or itself as conducting such a boarding home; Has in custody or control 1 child or more under the age of 18 unattended' by parents or guardian, for the purpose of providing such child or chile:ten with care, food or clothing for compensation. 112. Exclusions and Exemptions See DAY CARE CENTERS ' FAMILY DAY CARE HOMES 113. HHS Day Care Compliance See DAY CARE CENTERS DELAWARE 120. 1 AGENCY RESPONSIBLE FOR LICENSING OF .DAYCARE PROGRAMS 121. Organization of the Administrative Unit See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS 200. LICENSING PROCESS AND ENFORCEMENT P 0 ED RES 210 LICENSING PROCESS 211. Promul tion of Regulations See DAY CARE CENTERS 212. Advisory Body and Other Community P See DAY CARE CENTERS 220. LICENSING PROCEDURE 221. Application and Issuance See DAY CARE CENTERS 222. Fee Charged See DAY CARE CENTERS 223. Areas of Investigation See DAY CARE CENTERS 224. License Renewal See DAY CARE CENTERS 2 ion 12% FAMILY DAY CA E -HOMES 225. Conditiorial /Provisional Licenses See DAY CARE CENTERS J 226. Substantial Compliance See DAY CARE CENTERS 230.- ENFORCEMENT PROCURES 23L Facility Inspections See DAY CARE CENTERS 232. DeniAVSuspension, Revocation of a License See DAY CARE CENTERS 233. Remedies d Sanctions 233.1 Henri See DAY CARE CENTERS 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 31L General Administrative Requirements *ry Requirements - Licensed Parents. DELAWARE There shall be a harmonious family life and all members of the home-shall be willing to accept the child. This may lead to individual inter-vie vs with members of the family:; . FAMILY_ Ai' CARE HOMES -0DELAWARE . The licensed mother shall not be ,emplOyed outside of the home except by special permission of the Division. The licensed parents shall not accept into their home or allow to remain in their hoMe any person who may be considered by the Division to be detrimental to the welfare of the children in its care. This includes roomers, boarders, relatives, etc. If the home is already licensed, another person' shall not become-a regular pert of the home until permission is obtained from the licensing department. Requirements Records and Reports. The licensed parent shall report to the Division if a child remains in the home more than three months without board being paid or if the parents cannot be located or if the child rung away. q The licensed parent shall report to the Division any chard,- in the location of the home or in the composition of the family group. 312. Telephone Not specified 313. Proof of 0_perator Financial Capabilities Requirements - Licensed Parents. sir The family income shall be reasonably steady and sufficient to maintain an adequate standard of Hiring exclusive of the income derived from the child. 314. Not specified 320. PERSONNEL 321. Publication of Personnel Policies Not specified FAMILY DAY CARE HOMES 322. Constraints Against Employment DELAWARE Requirements. When any member of the family group is mentally incompetent or has been in a mental institution or prison, the Division shall verify through written statement with the physician or institution that his presence will not be injurious to the child.) 330. NON-DISCRIMINATION RecNirements Prohibiting Discrimination Civil R Title VI of the Civil Rights Act of 1964 requires that services in programs licensed by the Division of Social Services are used and available without discrimination on the basis of race, color or national origin. 340. RECORDS REQUIREMENTS 341. Children Requirements - Records and Reports. The licensed home shall obtain on admission the following written information on each child: Name of child. Birthdate, sex, race, religion, school, grade. Date admitted to the licensed home. z Names and addresses of parents, closest relative or guardian. Name and telephone number of child's physician Marital status of parents. Employment of parents. Amount of board and by whom paid. 342. Staff Not specified 5 ,:17) FAMILY DAY CA HOMES 343. Child Eligibility and Enrollment Requirements DELAWARE Requiretnents - Physical C e of Children. Each child shall have I co j fete physical examination before being accepted for care. 344. Child Abuse Reporting Not specified 345. Confidentially of Records Requirements See DAY CARE CENTERS 400. GROUP COMPOSITIONS OF CHUJDREN 410. STAFF/CHILD RATIO REQUIREMENTS 411. Staff/Child Ratio as of March, 1981 Not specified 412. Method of Computing Staff/Child RatIos Not specified 420. GROUP SIDE 421. Group Size as of March, 1981 Number of Children. The number of children given day care shall not exceed six. This number shall include the licensed parents' own preschool children. No more than three infants shall be cared for by one person. The age and requirements of the children shall be a determining factor in the number of children for which the home may be licensed. FAMILY DAY CARE HOMES DELAWARE 422. Methods of _Corn put ftgG row) Size See 421. Group Size as of March,1981 sm. 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. A Requirements - Licensed Parents. Licensed parent shall not be too old to care for the child adequately. A Health Requirements. The family shall be in general physical and mental health.i There cannot be any contagious or infectious disease in the home. The licensed mother shall be in such a condition of physical, mental and emotional well-being that she can accept the extra responsibility of boarding children without jeopardizing their development, her own health or the care she gives to her family. All members of the family day care household who come in regular contact with the children shall submit evidence of A physician's certificate based on examination stating they are free from illness or disease which might be detrimental to the welfare of children. This examination must preedde initial licensing and reoccur annually. A tuberculin skin test and/or chest x-ray showing, freedom from active tuberculosis prior to initial licensing. Future tests are required only if there is exposur to tuberculosis or for an individual with symptoms of tuberculosis. 7 FAMILY DAY CARE HOMES DELAWARE 513. Education Not specified 514. Experience t specified 520. PROGRAM RECTOR QUALIFICATIONS 54. Age Requirements - Licensed Parents. Licensed parents shall be responsible, wholesome people with sufficient emotional stability to give the right kind of care to the child. :They shall be of good character and reputation. Licensed parents shall have understanding of the problems of children and sympathy for them. They shall be able to give the child the affection and security he needs. They shall have wholesome attitudes 'toward -it intelligent understanding of habit trairdhm, disciplipe, health, sex education and the various experience that may have touched the child and on which he may need help. See also 511. Age- 522. Health Segt342 7 Staff and 512. Health 523.. Education Not specified 524. Experience See 521. Age 530. SUPPORT STAFF QUALIFICATIONS Not specified 8 FAMILY DAY CA' E HOMES DELAWARE 540. POST EMPLOYMENT/IN- SERVICE- ORIENTATION AND TRAINING 541. Program Director Not specified 542. Child CaTegiver a_ Not specified 543. Support S Not specified 600. PROGRAM OF ACTIVITIES, rNcLpDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of A+vities Not specified 612. Program Equipment and daterials Not specified 613. vision Requirements - Number of Children. Sleeping facilities shall be such that no child over three years of age sleeps in a room with adults. No child sleeps in the same bed with more than one child. No two children of opposite sex sleep in the same bed. No child over five years of age sleeps in the same room with a child of the opposite sex, except when necessary for napping in day care of children. 9 14% FAMILY DAY CARE HOMES DELAWARE B shad. be of ample size. Boarding children shall not cause the sleeping quarters of of the licensed parents to be inadequate. 614. Discipline and Guidance Not specified 700. HEALTH AND SAFETY HEALTH 711. General Health Requirements Not specified 712. Health Assessments Requirements - Physical Care of Children. The licensed parent shall get and keep a written report on this examination from the physician. Treatment for correction of e edial defects shall be arrad for with the parents of the child. Periodic health examinations shall be given each child over two at t once a year. Children and recommended. o sha seen regularly at the clinic or by their physician as Whether own parents or licensed parents take responsiblity for having the child checked, the licensed parent shall keep a written record of the child's weight, height and diet changes. 133 AMILY DAY CARE HOMES DELAWARE The child shall not be even medical treatment except on the written advice of the phySician. Dental examination and necessary treatment shall be arranged for at least yearly by the parents or by licensed parents. The own parents are expected to assume finan edicai or dental care. 713. Imm Not specified ibility for the child's 714. Sanitation Requirements - Licensed Home. There shall be adequate bathing, toilet and heating facilities, proper lighting and ventilation, protection against flies and insects, and sanitary means of garbage disposal. The water supply shall be of a safe sanitary quality and shall be obtained from a water supply.approved by the Division of Public Health. The home and premises shall be kept reasonably 'clean and sanitary at all times. The housekeeping shall be reasonably good, though the emphasis is on homemaking rather than on housekeeping. 715. Day Illness Screening Not specified 716. Care of Sick Children. Not specified 717. Medication and S Not specified cial Diet Prbvisions 11 134 FAMILY DAY CA'RE HOMES , 718: Waiver of ,H Not specified 720. SAFETY I h Re emen 721. General Safrements Not specified 722. Fire SaiOy Requirements . Not specified- 723. Trarspo_ I- tion Not specified 724. SafetyFI.equirementS forEquipment Not specified , 725. Water Aetilfiti {Including Swimming) .__ Not specified 726. Emergency Procedures DELAWARE Requirements - PhysiCian Care of Children. A 'physician's service shall be available for sudden illness or accident. 727. First Aid Supplies Not specified 12 1R FAMILY DAY CARE HOMES 800. NUTRITION AND FOOD SERVICE 810, NUTRITION 811. Nutritional Re e ents Requirements - Number of Childr An adequate and'. well-balanced ,diet shall be provide accordance with proper nutrition for the age of the child. DELAWARE the child in Pasteurized milk shall be used wheie it is available. When it is not available, milk shall come from cows tested for disease. 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 821. Food Preparation and Service Require en s, Not specified Not specified Not specifi 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION 1100. INFANTS AND TODDLERS 1110. PROGRAM OF AcTrvITIES Not specified FAMILY DAY CARE-HOMES DELAWARE 1120. HEALTH AND SAFETY REQ IREMENTS Not specified 1130. INFANT NUTRITION Not specified 1200. CHILDREN WITH HANDICAPPING CONDITIONS 1210. PROD AM OF ACTIVITIES Not specified 1220. HEALTH AND SAFETY REQUIREMENTS Not specified 1230. STAFFING Not specified 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF AcravnIES Not specified 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 14 13 FAMILY DAY CARE HOMES DELAWARE 1400. FACILITY REQUIREMENTS 1410. SPACE Requirements - Licensed Home. The home shall have adequate space to meet the needs of the family and the number of children eared for. There shall be suitable provision for both indoor and outdoor play, sleeping, eating and living. 1420. LIGHTING, VENTILATION, AND TEMPERATURE See 714. Sanitation 1430. EXITS Not specified 1440. TOILETS AND LAVATORIES See 714. Sanitation 1500. OTHER STATE REQUIREMENTS = COMPLIANCE WITH OTHER LOCAL, STATE, AND REGIONAL L WS AND REGULATIONS 1510. 'ZONING Not specified 1520. FIRE Requirements - Licensed Home. The home shall conform in building, safety, sanitary and fire precautions to the legal regulations of the local community and state. These conditions will be verified by the Fire Department, Building Inspector and/or the Division of Public Health at the request of the Division. 15 FAMILY DAY CARE HOMES DELAWARE When inspection of the home by a fire safety inspector, such as a representative of the local volunteer fire company or the State Fire Marshal cannot be procured, the worker shall determine whether: There is a central heating system or a space heater properly connected with a flue with the floor protected with asbestos. There is an emergency cutoff witch outside the heater room if central heat is employed. There are approved fire extinguishers for the kitchen and the heater (each location). The fire extinguishers can be either a 5 lb. CO? or 10 lb. dry extinguisher. 1530. BUILDING See 1520. FIRE 1540-* HEALTH See 1520. FIRE 1550. SANITATION See 1520. FIRE 1560. NEW CONSTRUCTION See 1520. FIRE 16 139 FAMILY DAY CARE HOMES DISTRICT OF COLUMi IA. The District of Columbia regulates Family Day/Care Homes under the same set of regulations as Day Care Centers. See DAY CARE CENTERS. FAMILY DAY CARE HOMES FLORIDA Except where otherwise noted, all citations are from the Florida Department of Health and Rehabilitative Services, Chapter 10C-19.01, Family Day Care Standards, July, 1975. 100. STATE LICENSING OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGUWIONS 111. Definitions 10C-19.01 Definitions. Family Day Care Home - an occupied residence in which day care is regularly provided for no more than five (5) pre-school children apd elementary school children from more than one unrelated family including pre-school children living, in the home and pre-school children received for day care who are related to the resident caregiver. Elementary school siblings of the pre-school children received for day care may also he cared for outside of school hours provided the total number of children including the caregiver's own and those related to her does not exceed ten (10). Hereinafter Family Day Care Home is referred to as home. 112. Exclusions and Exemptions 10C-19.07 Licensing Procedures - Programs Subject to Licensing. Section 13 of Chapter 74-113, Laws of Florida, provided that homes may be licensed if they.are presently being licensed under an existing county licensing ordinance or if the Board of County Commissioners passes a resolution that family day care homes be licensed. If not subject to license,- family day care homes may report annually to the department the following information; the name and address of the home, the name of the operator, the number of children served, and the availability of emergency care. 141 FAMILY DAY CARE HOMES 113. HHS Day Care Compliance Not specified FLORIDA 120. AGENCY RESPONSIBLE FOR LICENSING OF D CARE PROGRAMS 121. Organization of the= Administrative Unit See DAY CARE CENTERS 122. Roonsible Official See DAY CARE CENTERS 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSIN-G-PROCESS 211. Promulgation of Regulations 10C-19.07 Licensing Procedures - Designation of Licensing Agency. That agency designated as the licensing agency for child care facilities in accordance with the licensing procedures detailed in Section 10C-19.07 shall be the licensing agency for family day care homes that are subject to licensing in accordance with Section 10c-19.07a). Any county whose licensing standards meet or exceed state minimum standards may: 1' designate a local licensing agency o license family day care homes in the county; or contract with the department to delegate the administration of state minimum standards in the county to the department. 14 c' 2 FAMILY DAY CARE HOMES FLORIDA Family day care homes in any county whose standards do not meet or exceed state minimum standards shall be subject to licensurg by the department under state minimum standards. Approval of Licensing Agency: Within thirty (30) days after the promulgation of state m mum standards, each county shall provide the department with a copy of i s standards if they differ from the state minimum standards. At the same time each county shall provide the department with the administrative procedures it intends to use . i for the licensing of family day care homes. The department shall have the authority to determine if local standards meet or exceed state ,minimum standards. Within sixty (60) days after the county' has submitted its standards and procedures, the department shall, upon being satisfied that standards required by Chapter 747113, Laws of Florida have been met, approve the local licensing agency. Approval to issue licenses for the department shall be renewed annually. For renewal, the local licensing agency shall submit to the department a copy of the licensing standards and procedures applied and an on-site review may be made if deemed necessary by the department. lf, following an on-site review, the department finds the local licensing agency is not applying the approved standards, the department shall report the specific violations to the county commission of the involved county who shall investigate the violations and take whatever action is necessary to correct them. Licensing of family day care homes, either by a local licensing agency.yor the department under the provisions of Chapter 74-113, Laws of Florida, shall become effective as, of July 1, 1975. Those licensing procedures in operation shall continue until that date. FAMILY DAY CARE HOMES FLORIDA To insure that accurate statistical data are available, each local licensing agency shall report annually to the department the number of family day care homes under its jurisdiction, the number of children served, the ages of children served, and the number of revocations or denials of licenses. Advisory Body and Other Community participation Not specified 220. LICENSING PROCEDURE 22L Application and Issuance 10C-19.07 Licensing Procedures - Issuance of License. Annual Licensing: - After July 1, 1975, family.day care homes may be licensed under-this act if = they_are -presently-being_licensed_:_under_an e istin colinty licensing ordinance or if the Board of County Commissioners passes a resolution that family day care homes be licensed. State Administration of Licensing - In any county in which the department has the uthority to issue licenses, the following procedures shall be applied: Application for a license or for a renewal of license to operate a home shall be made on the forms prescribed by the department.' The license certificate for a family day care home is issued for a specific address and for operation' by specific individuals or a designated organization. It shall specify the age and maximum num of children who can be enrolled. A license is not transferable. A 144 FAMILY DAY CARE HOMES FLORIDA The license shall be displayed in a conspicuous place in ttr main part of the building. Local Administration of Licensing - In any county in which there is a local licensing agency approved by the department, the following procedures shall apply: Application for a license or for renewal of license to operate a home shall be made on the forms prescribed by the local licensing agency. The license certificate for a home is issued by the local licensing agency for a specific address and for operation by specific individuals or a designated -organization. It shall specify the age and maximum number of children who can be enrolled. A license is not transferable. When there is a change in the operator of a home, a new license will be required. Prior to the renewal of a license, the agency shall reexamine the home, including in that process the examination of the premises and records of the home as required by Chapter 74-113, Laws of Floida, to determine that minimum standards for licensing cpntinue to be met. The local licensing agency shall issue or renew a license upon being satisfied that all standards required by this act have been met. The license shall be displayed in a conspicuous place in the main part of the building. 5 1 FAMILY DAY CARE HOMES 222. Fee cpail Not specified 223. Areas of Investigation Not specified 224. License Renewal FLORIDA 10C-19.07 Licensing Procedures - Issuance of Liceita. Prior to the renewal of a license, the department shall re-examine the home including in that process the examination of the premises and those records of the home as required under Section 5 of Chapter 74-il3, Laws of Florida to determine that minimum standards for licensing continue to b met. The department shall issue or renew a license upon being Satisfied_that" all standards required by the act and regulations have been met. 225. Conditional/Provisional Licenses See DAY CARE CENTERS 226. Substanti Notopecified o pliance 230. ENFORCEMENT PROCEDURES 231. Facility Inspections. 10C-19.07 Licensing Procedures Inspection. A licensed home shall accord to the department or- the local licensing agency, whichever is applicable, the privilege of inspection, including access to the home, staff, and those records required in Section 5, Chapter 74-113, Laws of Florida, at reasonable times during regular business hours, to insure compliance with the provisions of this act. 146 FAMILY DAY CARE HOMES FLORIDA the time selected for inspection by the inspector proves to interfere with the normal operation of the home, the inspection may take place, but the --operator-may have the option of requesting an appointment at-ariother time for discussion of possible deficiency and inspection of records required in Section 5, Chapter 74-113, Laws of Florida. 232. Denial, Suspension, Revocation of a License See DAY CARE CENTERS 23 Remedies and San 233.1 Hearing/ See DAY CARE CENTERS Decisions See DAY CARE CENTERS 233.3 JUdicia Review 10C-19.07 Licensing Procedires - License Required. In those counties ,which are subject to licensing, after July 1, 1975, the operation of a family day care home without a license is prohibited. The department or the local licensing agency is empowered to seek an injunction in the circuit court where the family day care home is located against the continuing operation of a family day care home for the following reasons: When there is any violation of the standards applied under this act which threatens harm to any child in the family day care home. When a licensee has repeatedly violated the standards provided for under this act. 7 FAMILY DAY CARE HOMES FLORIDA If a family day care home continues to have children in attendance _after the closing date established by the department or the local licensing agency. 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Adminis ative Requirements Not specified 312. Telephone Not specified 313. Proof of Operator l= inanciai Capabilities Not specified 314. Not specified Ins trance 320. PERSONNEL'' 321. Publication of Personnel Polieies Not specified 322. Constraints Against Employment 10C-19.01 Personnel - General Requirements. No person shall be an operator of nor be employed in a home who has been convicted of a crime involving child neglect, child abuse, or who is an habitually excessive user of alcohol or who illegally uses narcotic or other impairing drugs, or who is mentally retarded or mentally ill to an extent that may be injurious to children. .14 FAMILY DAY CARE HOMES FLORIDA 330. NON-DISCRIMINATION 331. Requirements Prohibiting Discrimination Not specified 340. RECORDS REQUIREMENTS 34L Children 10C- 19.05. Admissions and Record Keeping - Health Requirement. Within thirty (30) days after enrollment, each child shall have a written statement on file at the home from a licensed physician or authorized agent of a Florida County Health Department attesting that: The child is in good health, or, that any known irregular condition is under treatment. The child is free from tuberculosis as indicated by an approve) skin test. This examination must have taken place within the preceding six (6) months. Written proof of re-examination shall be filed with the home every two (2) years. Immunizations: Upon the ohild's admission, the parent shall. present evidence that immunizations appropriate to the child's age are up to date or are in the process of being brought up to date. Evidence that immunizations are up to date for each child enrolled shall be kept current and on file. q 9 FAMILY DAY CARS HOMES = FLORIDA 342. Staff See 512. Health z 343. Child Eli_iy and Enrollment Requirements 10C-19.05 Admissions and Record Keeping - Enrollment Information. The operator shall obtain from the parent and keep current the following enrollment information: The child's full legal name, birth date, current.hddress, and preferred name(s). The name and address of the parent. Telephone.numbers-or-instructions- as- to-- during the hours the, child is in the home. w the parent may be- reached Names, addresses, and telephone numbers of person(s) who can assume responsibility for the child if for some reason the parents cannot be reached in an emergency. Nantes and addresses of persons authorized to take the child from the home. The name, address, and telephone number of a physician or, health resource that can be called in case of emergency and the parent's written permission to consult that physician or health resource if the parent cannot be reached. 344. Child Abuse Repo bn Not specified 345. Confideritia Not 'specified y of Records Requirements 10 FAMILY, DAY CARE HOMES FLORIDA 400. GROUP COMPOSITIONS OF CHILDREN 410. STAFF CHILD RATIO REQUIREMENTS 411. Staff /Child -Ratio as of March, 1981 Not specified 412. Methods of Computing_ Sta C ld.Ratios Not applicable 420. GROUP SIZE 421. Group Size as of a ch, 19 81 See III. Definitions 422. Method of Computing Group Size See Ill. Definitiors 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 5 10C-19.01 Personnel -. Minimum Age Requirement. The operator of a home must be at least eighteen (18) years of age. 512. Health 10C-19.01 Personnel - Hehlth Examinations. Family Day Care Home Operator: A statement must be on file at the time of licensure from a licensed physician or authorized agent of a Florida County Hea=lth Department attesting that the operator is in good health and is free of tuberculosis as indicated by an approved skin test or X-Ray adininisterecl within the preceding six (6) months. 15 11 FAMILY DAY CARE HOMES FLORIDA Evidence of freedom from tuberculosis shall be provided annually for all family members. Substitutes: In the absence of the family day care operator, a substitute adult may serve as a temporary replacement for not more than three (3) days on a non-recurring basis without meeting the requirements of periodic health examinations. 513. Education Not specified 514. Experience Not specified 520. PROGRAM DIRECTOR QUALIFICAlIONS 521. See 511. Age 522. Health See 512. Health 523. Education Not specified 524. Experience Not specified 530. SUPT T STAFF UALIFICATIONS Not specified 1 5 12 FAMILY DAY CARE HOMES FL IDA 540. POST EMPLOYMENT/IN-SERVICE: ORIENTATION AND TRAINING 541. Program Director Not specified 542. Child C egiver Staff Not specified 543. Support Staff Not specified 600. PROGRAM OF ACTIVITIES. INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities Not specified 612. Program Equipment and Materials 10p-19.03 Physical Facility - Equipment. Indoor Equipment: The home shall have equipment and toys which e safe and can be maintained in a sanitary condition. Outdoor Equipment: There shall be play equipment to provide suitable activities for the children. All equipment shall be safely installed and maintained in a safe condition. 613. Nap Provision 10019.03 Physical Facility - Sleeping and Napping Space. Each home must include a designated area where a child can sit quietly or lie down to rest or nap. FAMILY DAY CARE HOMES FLORIDA Infants up to the age of welve (12) months must in cribs with side Children may sleep on beds used by the family provided that a sheep solely for the use of the child covers the bedding. Each child shall have a separate bed, cot, crib, playpen, or floor mat, except that two (2) pre-school children may share a double bed. A minimum distance of eighteen (18) inches shall be maintained between individual napping spaces. 10C-19.06 Care for Children During Night-Time Hours. Each child shall have a separate bed with his own linens covering the bedding, except that two (2) pre-school children may share a double bed. 614. Discipline and Guidance Not specified 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Requirements Not specified 712. Health Assessments See 341. Children 713. Immunizations See 341. Children 14 FAMILY DAY CARE HOMES FLORIDA 714. Sanitation 10019.03 Physical Facility - -Genetal. Household petS must be properly immunized against disease. Cleanliness and Orderliness: An parts of the home, ftrnishings, equipment, plumbing, and the premises shall be kept in a clean, sanitary, and orderly condition at all times, and rodents and vermin shall be controlled. All hazardous products such as medicines, cleaning agents, insecticides shall be stored out of reach of children. Soiled items shall be placed in covered containers which shall be emptied, cleaned, and disinfected daily. Children's wet or soiled clothing and crib sheets shall be-changed Promptly. 715. Daily Illness Sm. Not specified 716. Care of Sick Chit. 10C-19.03 Physical Facility - Isolation Area. The home shall have an area for a child who becomes ill, where he is subject to close observation. Linens and disposables shall be changed after each use. First-Aid Treatment and Emergency Procedures: Any child showing symptoms of illness during the day shall be removed from the group to the isolation area where he shall receive necessary attention until such time as the operator and his parents can make plans for his care elsewhere or until he is ready to return to his group. Any child suspected o having a communicable disease shall be isolated immediately and the condition reported to the parent. 15 FAMILY DAY CARE HOMES FLORIDA 717. Medication and Special Die o- 10C-19.04 Nutrition. Arrangements shall be made between the operator and parent for a child's special diet when prescribed by a physician. The physician's order and a copy of the diet and sample meal plan for the special diets shall be in the child's record. 1QC-19.05 Admissions and Record Keeping Medication. When prescription medication is to be dispensed, the name of the doctor, child, and medication directions for administration shall be written on the label. A written request signed by the parent(s) shall accompany the medication stating the time and amount of dosage and the name of the medication to be given the child. The operator shall record the name of the child, medication, date, time, and amount of dosage dispersed. 718. Waiver of Health Requirements 10C-19.05 Admissions and Record Keeping = - Immunizations. Exemptions: Any child shall be exempt from medical or physical examination upon written request of the parent of such child who objects to the examination and treatment; provided, however, that the laws, rules, and regulations relating to contagious or communicable diseases and sanitary matters shall not be violated. 720. SAFETY 721. General Safety Requirements 10C-19.03 Physical Facility. All surfaces or items accessible to children shall be free of toxic material. Lead base paint is prohibited. This includes outer surfaces of buildings, fences, or play equipment. 156 FAMILY DAY CARE HOMES FLORIDA 722. Fire Safety Requirements Not specified 723. Transportation Not specified 724. Safety Requirements for Equipment t See 612. Program Equipment and Materials and 721. General Safety Requirements 725. Water Activities (Including Swimming) Not specified 726. Emergency Procedures 10C-19.01 Personnel - Emergency Arrangements. There shall be a written plan to provide at least one (1) other competent adult to be available to substitute for the operator in an emergency. This plan shall include the name, address, and telephone number of the designated substitute. 10C-19.03 Physical Facility - First-Aid Treatment and Emergency Procedur Parents shall be notified immediately of any illness or injury to the child in the home and their specific instructions regarding the action to be taken shall be obtained. In cases of emergency, if the parents or persons designated to be called cannot be reached, the operator w contact those sources designated on the record of child accepted for care. The operator shall have written instructions from parents to follow in arranging for immediate treatment in emergencies. 17 FAMILY DAY CARE HOMES FLORIDA 727. First Aid Supplies 10C-19.03 Physical Facility 9 First-Aid Treatment and Emergency Procedures. There shall be first-aid supplies - soap, bandaids, sterile gauze squares, adhesive tape, thermometer, and tweezers. These supplies shall be kept in covered container which is labeled "First Aid" and kept in a designated location. 800. NUTRITION AND FOOD SERVICE 810. NUTRITION 811. Nutritional Requirements 10C-19.64 Nutrition. The operator shall provide meals and snacks of a quantity and quality to supplement food served at home so that the daily nutritional needs of the children are met according to recognized nutritional standards. (The standards most widely accepted are the National Research Council's Recommended Dietary Allowances). Recommended meal patterns to meet these standards are to be provided by the licensing agency. If meals and snacks are furnished by the child's parents, there shall be a written agreement signed by the parent and kept on file at the home with a copy given to the parent. This agreement shall define the responsibilities of_ the parent and the operator in meeting the 's nutritional needs. Drinking water shall be freely available to children of all ages. 812. Waiver of Requirements Not specified 18 A FAMILY DAY CARE HOMES 820. FOOD PREPARATION 821. Food Preparation and Service Rewirements Not specified Not specified Not specified 900. SOCIAL SERVICES FLORIDA 1000. PARENT PARTICIPATION 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES Not specified 1120. HEALTH AND SAFETY REQUIREMENTS IOC -19.03 Physical Facility - - Toilet and Bath Facilities. For infants and toddlers, there shall be at least one (1) portable infant toilet seat or potty chair. These shall be kept in sanitary condition. 1130. INFANT NUTRITION 10C-19.04 Nutrition. Where infants are in care, they shall be individually fed or supervised at feedings and offered foods appropriate for their age. Formula furnished by parents shall be re' frigerated and handled in a sanitary manner. 19 1 5 FAMILY DAY CARE HOMES FLORIDA 1200. "CHILDREN' WITH HANDICAPPING CONDITIONS 1210. PROGRAM. OF ACTIVITIES to, 10C-19.01 'Personnel - Handicapped Children. If handicapped children are served, provision shall be made for their specific needs. 1220. HEALTH AND SAFETY REQUIREMENTS Not specified 1230. STAFF' Not specified 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACTIVITIES Not specified 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 1400. FACI Y REQUIREMENTS 1410 SPACE 10C-19.03 Physical Facility - = Indoor Space. There shall be adequate indoor play space per child in some part of the home specifically dcsigated for this purpose apart from kitchens, bathrooms, pantries, and passageways leading to outdoor exits. FAMILY DAY CARE HOMES Outdoor Space: There shall be adequate outdoor play space on the premises. The play space shall be enclosed if it is near well traveled streets, lakes, ditches, brooks, or other hazards. Any unfenced yards shall have adult supervision when children are playing outdoors. The outdoor play area shall be clean, free of litter, nails, glass, and other obvious hazards. All equipment shall be free of sharp and jagged edgm. FLORIDA All water hazards such as pools, swimming pools, wading pools, ditches, fish ponds, etc., shall be enclosed to keep them outpf reach of children. 1420. LIGHTING, VENTMATION, AND TEMPERATURE 10C-19.03 Physical Facility = - General. The house shall be safe and in good repair. It shall have adequate lighting, ventilation, and a safe source of heat. 1430. EM'S Not specified 1440. TOILETS AND LAVATORIES 10C-19.03 Physical Facility - Toilet and Bath Facilities. The home shall have at least one (1) toilet, and one (1) portable or permanent bathing facility and one (1) lavatory for handwashing purposes. 1500. OTHER STATE REQUIREMENTS COMPLIANCE WITH OTHER LOCAL, STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 21 li; FAMILY DAY CARE HOMES FLORIDA 1520. FIRE Not specified 1530. BUILDING Not specified 1540. HEALTH Not specified 1550. SANITATION Not specified 1560. NEW CONSTRUCTION Not specified FAMILY DAY CARE HOMES GEORGIA Except where otherwise noted, all citations are to the Georgia Department of Human Resources, Office of Regulatory Services, Minimum Standards for Family Day Care Homes, April, 1969. 100.. STATE LICENSING OF CID DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND /OR LOCAL ORDINANCES AND REGULATIONS Definitions --- GA. CODE ANN. CHAPTeR 99-1 CHILDREN AND YOUTH ACT. "Family day-care home" shall 'mean a home operated by any person who receivt-s therein for pay three or more children wider 17 years of age, who are not related to such person and whose parents or guardians are not residents in the same house, for daytime supervision and care, without transfer of cus 112. Exclusions and Exemptions See DAY CARE CENTERS 113. HHS Day Care Compliance See DAY CARE CENTERS 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS I2L Organization of the Administrative Unit 1See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS FAMILY DAY CARE -HOMES GEORGIA 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promulgation-of Regulations See DAY CARE CENTERS ( 212. Advisory Body and Other Community Par cip t on See DAY CARE CENTERS 220. LICENSING PROCEDURE 22L Application and Issuance See DAY CARE CENTERS 222. Fee Charged Not specified 223. Areas of Inmstgation See DAY CARE CENTERS 224. License Renewal See DAY CARE CENTERS 225. Conditional/Provisional Licenses See DAY CARE CENTERS 226. Substantial Com lance Not specified 230. ENFORCEMENT PROCEDURES 231. Facility InspectionS Not spec' ed 2 16,4 FAMILY DAY CARE HOMES GEORGIA 232. Denial, Suspension Revocation of a License See DAY CARE CENTERS 233. Remedies and Sanction 2331 Hearings See DAY CARE CENTERS 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS 300. ADMINISTRATION 310. GENERAL ADMINISTRATION General Administrative Requirements THE DAY CARE FAMILY. The family day care parent shall care of the children. egally responsible for the home and the All family day care- homes shall sport to the Child Care Licensing Section, Office of Regulatory services, Department of Human Resources, within twenty-four hours, the following: Change of ownership or address, or closing of home. Serious injury or death of any child while in the home. Any fire. FAMILY DAY CARE HOMES GEORGIA III STAFF. The staff in a family day care home shall consist of the day care parent and the helping persons necessary to meet the needs of the children enrolled. If the day care parent is the sole person providing care, she must be able to secure the services of responsiblr arsons who have agreed in writing to be available to assume responsibility in Lime of emergency. 312. Telephone VIII EQUIPMENT. There shall be a telephone accessible to the family day care home. 313. Proof of Operator Financial Capabilities Not specified 314. rance Not specified 320. PERSONNEL 321. Publication of Personnel Poli Not specified 322. Constraints loyment Not specified 330. NON- DISCRIMINATION 331. Requirements Prohibiting Discrimination Not specified 16G FAMILY DAY CARE HOMES 340. RECORDS REQUIREMENTS 34L Children GEORGIA IV RECORDS. The family day care home shall keep the following records of individual children: Record of individual children including: Identifying information (child's name, birthdate, parents or guardian's name, home and business address, telephone numbers). Name, address and telephone number of persons to contact in emerges es Current immunization records for each child enrolled. These shall include smallpox, measles, tetanus, whooping cough, diphtheria, polio. A record of he result of a skin test or x-ray for tuberculosis. A signed statement from a physician indicating that the child is free of communicable or contagious disease. This shall be renewed at least annually (preferably every six months for the child under two years of age) and at any time the child's 'general condition indicates the need while the child is in care. Description of accidents or illnesses occuring while child is in the day care homeincluding date, time and conditions under which it occurred and action taken. FAMILY DAY CARE HOMES GEORGIA 342. Staff I THE DAY CARE FAMILY. There shall be on file medical reports certifying that members of the family day care home are free from cornmimicable and contagious disease. These reports shall be renewed annually. IV RECORDS. The family day care home shall keep the allowing personal records any employee: Identifying information. References. Evidence of annual physical examination. Result of skin test or x-ray for tuberculosis. 343. Child Elisibility and Enrollment Requirements II ADMISSION OF CHELDREN. The family day care home shall develop and follow a plan for enrollment of children. This plan shall include an interview with the parent or guardian of the child for the purpose of securing from the parent the following information and signed agreements: Age, physical condition of child. Name, address and telephone number at home and at work for parent or guardian. Signed agreement between parent and family day care home w jich includes name, address and telephone number of person or persons to whom the child may be released; name, address and telephone number of persons to be called in emergency when parent cannot be reached; permission for the family day care home to secure medical help in time of emergency. Responsibility for escorting child to and from transportation vehicle if transportation is provided. 168 FAMILY DAY CARE HOMES 344. Child Abuse Reportin Not specified 345. Confidentiality of Records Requirem Not specified 400. GROUP COMPOSITIONS OF CmLUREN 410. STAFF/CHILD RATIO REQUIREMENTS Staff /Child Ratio_as of March 1981 GEORGIA HI STAFF. ADULT-CHILD RATIO: When there are three children under 2 1/2 years of age in the family day care home, plus older children, there shall be a helping person in addition to the day care parent available in the home. 412. Methods of Computing Staff /Child Ratios See IL Staff/Child Ratio as of March, 1981 420. GROUP SIZE 421. Croup Size as of March 1981 II ADMISSION OF CHILDREN. The maximum number of children cared for in the day care home shall not exceed six, including the day care family's own children and relatives. 422. Methods of Computing Croce_Size See 42L Croup Size as of March 1981 7 FAMILY DAY CARE HOMES GEORGIA 500. STAFF UA FICA'nONS AND TRAINING REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. I THE DAY CARE FAMMY. Children shall at no time be left in the age. 512. Health See 342. Staff 513. Education Not specified 514. Experience e of anyone under sixteen years of I THE DAY CARE FAMILY. The director and/or owner of the family day care home shall be a person of good character who has evidence of knowledge through successful experience with young children and/or recent training, of the growth and developmental needs of children and who understands the role of day care in meeting the needs of children and families. III STAFF. The day care parent or staff employed by the day care parent shall be persons who have a knowledge of child growth and development sufficient to plan good experiences for children, and to understand and interpret behavior. They shall have evidence of recent participation in workshops, courses, seminars, etc., which relate to the care of young children. If such training is not available,, this requirement may be waived until training is available. 8 FAMILY DAY CARE HOMES GEORGIA 520. PROGRAM DIRECTOR QUALIFICATIONS I 521. Age See 511. A 522. Health See 342. Staff 523. Education Not specified 524. Experience See 514. E Hence 530. SUPPORT STAFF QUALIFICATIONS Not specified 540. POST EMPLOYMENT/1N ERVICE: ORIENTATION AND TRAINING 54L Program Director See 514. Experience 542. Child Caregiver Staff See 514. Experience 543. Support Staff See 514. Experience FAMILY DAY CARE HOMES GEORGIA 600. PROGRAM OF ACTIVITIES IN LUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Acti VII PROGRAM. When planning the child's day, the family day care parent shall consider the age and developmental level of children, the needs of individual children, the xperience offered children in their home, and the goals which children's families have for them. The family day care parent shall make provision for alternate periods of active and quiet play. There shall be quiet periods before lunch, before and after unusually stimulating experiences, after vigorous play. The family day care parent shall; encourage children to help themselves in washing, dressing, toile ing, etc. Permit children to go to the toilet and get water as they feel he need. Make provision for active and vigorous play such as water play, pounding, molding clay, digging, etc., and provide suitable space and equipm ent. Make provision for the children to spend a portion of each day outside when weather permits. The family day care parent shall avoid formal instruction in academic subjects beyond the developmental level of the children. With parents' approval, children should have opportunity to participate in activities away,from the home such as trips to the store, to a park, etc. 10 1 FAMILY DAY CARE HOMES GEORGIA 612. Program Equipment and Materials VIII EQUIPMENT. There shall be in the family day care home furnishings and equipment sufficient in quantity to insure that each child shall have opportunity to participate in many kinds of activities appropriate for his developmental level. Equipment shall be kept clean and in usable condition, stored in such a way that it is accessible to the children. There sufficient outdoor equipment to provide a varied outdoor program children. 613. Nap Plx)vision VII PROGRAM. There shall be a children. rvised nap period during the day for pre-school age VIII EQUIPMENT". Provision shall be made for each child to have a comfortable place to nap. Equipment shall be kept clean and sanitary. 614. Discipline and Guidance VII PROGRAM. _ The family day care parent shall avoid using any disciplinary techniques which are hurtful, frightening, mentally or physically injurious, or humiliating to the child, associating punishment with food, rest, isolation because of illness, or toilet training. 11 FAMILY DAY CARE HOMES GEORGIA 700. HEALTH AND SAFETY 710. HEALTH 711. -General Health Requirements V HEALTH AND SAFETY. The family day, care home shall work toward protecting, maintaining and improving the health of children while they are in the home. The family day care parent shall help children acquire habits of good hygiene, techniqUes of accident prevention and skill in care of simple injuries. No person who is suffering from a contagious disease or illness shall be in contact with children while in the family day care home. 712. Health Assessments See 341. Children 713. Immunizations See 341. Children 714. Sanitation VIII EQUIPMENT. Individual wash cloths and towels shall be provided for all children. Each child shall have an individual drinking cup. -- X OUTDOOR PLAY SPACE. The grounds shall be kept clean and free from litter. 715. Daily Illness Screening Not specified 74 FAMILY DAY CARE HOMES GEORGIA 716. Care of Sick Children V HEALTH AND SAFETY. The family day care home shall have an arrangement with a nearby physician, clinic, or hospital so that immediate treatment can be obtained in emergencies. Any child showing symptoms of illness during the day shall be removed from the group to a quiet area where he shall receive necessary attention until such time as the home and his parents can make plars for his care elsewhere. A child suffering from a communicable or contagious disease shall not be admitted to a home where there are other children unless plans are based on competent medical advice. Parents or guardians of all children enrolled shall be_ notified when a communicable disease has been introduced into the home. Parents shall be notified immediately 9f any illness or injury to the child in the family day care home and their specific instructions regarding action to be taken obtained. 717. Medication and Special Diet Provisions V HEALTH AND SAFETY. No medication shall be given at the family day care home except by authorization of a physician or the parent. This should be in writing. 718. Waiver o Not specified e uirements 13 I 7'5 FAMILY DAY CARE HOMES GEORGIA 720. SAFETY 721. General Safety Requirements IX BUILDING AND GROUNDS. The building shall be clean and free from obvious hazards to the chiles health and safety. The use of multiple electric exterion cords from one outlet shall be avoided and electrical outlets within reach of children shall be plugged or covered. X OUTDOOR PLAY SPACE. The playground area shall be fenced or otherwise protected from traffic or 'other outside hazards. Fencing material shall present na-hazard to children. 722. Fire Safety Requirerner IX BUILDING AND GROUNDS. The heating system in the family day cale home shall present/no hazard to children. Unvented heaters shall not be used. Floor furnaces, to be approved, shall have adequate protective coverings or guards to insure that children coming into cor -Act with them cannot be burned. the family day care home shall have a written plan for evacuation in case of fire. 723. Tray portation Not specified 724. Safety Requirements for Equipment Not specified 14 FAMILY DAY CARE HOMES GEORGIA 725. Water Activities ncludin 'mming) Not specified 726. Eme_r ney Procedures See 722. Fire Safety Requirements 727. First Aid Supplies V HEALTH AND'SAFETY. A first aid _kit equipped with soap, bandaids, sterile gauze squares, adhesive tape and tweezers shall be maintained. The family day care parent shall be knowledgeable about first aid procedures. 800. NUTRITION AND FOOD SERVICE 810. NUTRITION 811. Nutritional Requirements VI NUTRITION AND FOOD SERVICE. Meals served in the family day care home -shall be planned with the child's- daily food needs in mind and hould complement the meals served in the child's own home. Children who are in care five or more hours shall have one-third of their daily food needs supplied by the family day care home. This shall include a nutritious mid-morning snack or breakfast, a noon-day meal (preferably hot) and a mid - afternoon snack. Children in care for ten hours shall have an additional meal, either breakfast or supper, depending upon hours of care. Children shall be served a minimum of 8 oz. of whole milk per day. (Soft &inks, candy, potato chips, etc., are not considered to be nutritious snacks.) Menus shall be available to parents. 15 FAMILY DAY CARE HOMES 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 82L i Preparation and Service.Requirements GEORGIA VI NUTRITION AND FOOD SERVICE. Meals shall be attractively served in an atmosphere which is comfortable and relaxed. Not specified Not specified 900. SOCIAL SERVICES 1000. PARENT PARTIC PAnON 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITrES VII PROGRAM. Provision shall be made for each infant to spend a portion of each day outside the crib or playpen. 1120. HEALTH AND SAFETY REQUIREMENT Not specified' 16 FAMILY DAY CARE HOMES GEORGIA 1130. INFANT _NUTRITION VI NUTRITION AND FOOD SERVICE. For children under one year of age, the family day care home shall secure from the parents a- formula and feeding plan; this plan shall be on file in the home and followed in detail. Formulas shall be clearly marked. In planning diet, the introduction of solid foods, etc., the _family day care home shall follow the recommendations of the child's parents. Infants shall be fed individually and preferably shall be held while fed. 1200. CHILDREN WITH HANDICAPPING CONDITIONS 1210. PROGRA Not specified CTIVITIES 1220. HEALTH AND SAFETY REQUIREMENTS Not specified 1230. STAFFING Not specified 1300. SCHOOL AGE CHMDREN 1310. PROGRAM OF ACTIVITIES Not specified 13 20. HEALTH AND SAFETY REQUIREMENTS Not specified FAMILY DAY CARE HOMES 1400. FACILITY REQUIREMENTS 1410. SPACE GEORGIA IX BUILDING AND GROUNDS. The family day care home shall provide at. le one room in which children may play energetically with freedom. The rooms in which children are served- shall provide 35 square feet of usable play space per child. Special approval shall be obtained for use of rooms lower than three feet below ground level to be used to house children. To be considered for approval, the rooms shall be warm, dry, well ventilated and well lighted. There shall be a suitable place provided for children's outer garments and private possessions. 1420. LIGHTING, VENTILATION, AND TEMPERA TURE Not specified 1430. EXITS Not specified 1440. TOILETS AND LAVATORIES IX purLDINt AND GROUNDS. There shall be at least one toilet and one handwashing facility available for children's use. 18 FAMILY DAY CARE HOMES GEORGIA 1500. OTHER STATE REQUIREMENT - COMPLIANCE WITH OTHER LOCAL, STATE, AND REGIONAL LAWS AND REGULATIONS 1510. I THE DAY CARE FAMILY. The family day care home shall meet all laws, regulations, rules and ordinances of State, local and federal governments which apply to its operation. 1520. FIRE See 1510. Zoning 1530. BUiLDING See 1510. Zoning 1540. HEALTH See 1510. Zoning 1550, SANITATION See 1510. Zoning 1560. NEW CONSTRUCTION See 1510. Zoning 19 FAMILY DAY CARE HOMES GUAM Except where otherwise noted, all citations are from the Guam Department of Public Health and Social Services, Standards for Child Care, 1972. 100. STATE ING OF mini]) DAY CARE FACILITIES 110. TYPES OF FACIIITIES SUBJECT TO LICENSURE DEFINED BY AND IttGULATIONS AND/OR LOCAL ORDINANCES AND STATE STATUT REGULATIONS ILL Definitions See DAY CARE CENTERS 112. Exclusions and Exemptions See DAY CARE CENTER 113. HITS Day Care Compliance Not specified 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY RE PROGRAMS 121. Osranization of the Administrative Unit See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS FAMILY DAY CARE HOMES GUAM 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promulgation of Regulations See DAY CARE CENTERS 212. Advisory Body and Other Co mina :ci 'on Not specified 220. LICENSING PROCEDURE 221. Application and Issuance See DAY CARE CENTERS 222. Fee Charged Not specified 223. Areas of Investigation See DAY CARE CENTERS 224. License Renewal See DAY CARE CENTERS 225. Conditional/Provisional Licenses See DAY CARE CENTERS 226. Substantial Corn Hance Not specified 230. kNFORCEMENT PROCEDURES 23L Facility Inspections See DAY CARE CENTERS FAMILY DAY CARE HOMES GUAM 232. Denial, Suspension, Revocation of a License See DAY CARE CENTERS 233. Remedies Ind Sane 233 H 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Administrative Requirements Section RI Family Day Care and Group Day Care Homes - Records. Family Day Care and Group Day Care homes should maintain the following records: Completed application form for each child Daily attendance record Emergency information Address and telepi number of parents and wo other adults responsible for the child's care. Name of family physician, his telephone and address. Written consent to call another physician when the family physician cannot be contacted. A health record on each child shall include the following information: FAMILY DAY CARE HOMES GUAM Physical examination report current within 90 days prior to admission. Immunization. Any medical health problems including II Chest x-ray and tuberculin test. 312. Telephone Not specified 3 Proof of Operator Financial Capabilities ons and a Section HI Family Day Care and Group Day Care Homes - Requirements for Family Day Care and Group Day Care Program. In general, the family should have sufficient inedme to cover Its basic needs. Families who have low income or who are receiving public assistance but who have the other qualifications, may be used. 1 314. Insurance Not specified 320. PERSONNEL 321. Publication of Personnel Poll Not specified 22. Constraints A ployrnent Not specified 330. NON- DICRI1vIINATION 331. Requirements Prohibiting Discrimination Not specified FAMILY DAY CARE HOMES 340. RECORDS REQUIREMENTS 341. Children See 311. General Administrative Requirements Staff specified 343. Child Eligibility and Enrollment Requirements See 311. General Administrative Requirements 344. Child Abuse Reporting Not specified 345. Confidentiality of Records Requirements GUAM Section lli Family Day Care and Group Day Care Homes - Records. All records shall be held confidential and shall be available on demand to a duly authorized official of the department. 400. GROUP COMPOSITIONS OF CHILDREN 410. STAFF /CHUD RATIO REQUIREMENTS- 411. Staff/Child Ratio as of March, 1981 Section III Family Day Care and Group Day Care Homes - Group of Children - Family Day Care Home. Infancy through six years. No more than two chil&en_under two and no more than `five in total, including family day 'care mothers' own children under fourteen years of age. Three through fourteen years. No more than six children, including the family day carp mother's own children under fourteen years old. FA IL DAY CetA.RV HOMES GUAM Group tiny Care Home may range up to twelve children, but the child-stair f ratio %/Vibe the same as those established for Day Care Centers (see pa_y cate Cent 412 htleihods oaf' Com u Not specified 420. 0110UP SI=ZE 421- rSiz as -of March, 19 81 Not specified Child Ratios 422. lWelhods 0 Computiri Group Size Not specified S0O, STA F QUALIFICATIONS AND TRAINING RE IIt1 ME 1T 510- QIIID CA_ REGIVER STAFF QUALIFICATIONS 511. Section IliFarnii_y Day Care and Group Day Care Homes - Requirerllents fo Family Oayeare and Group Day Care Program. The day ore motzher should not be so young as to lack maturity, nor so o10. to lack to energy...7 and flexibility necessary to care for young children, th Section rn Famiity Day Care and Group Day Care Ho Family ljnyCare and Group Day Care Program. Require ents fo_..._ ALI rnercuvers oft e family should have good health. A physical examination each rnarliber of t family should be required to certify that he is free from physical ormentP- 1 illness detrimental to a child, including evidence trig tileP= is no tuberculosis infection or other communicable disease. 6 FAMILY DAY CARE HOME- GUAM 513. Education Not specified 514. Experience Section III Family Day Care and Group Day Care Homes - Requirements for Family Day Care and Group Day Care Program. The day care mother should like and understand children and be capable of giving them affection and keeurity and of deriving satisfaction from caring for them. At the same time, She has to appreciate that her relationship with the child must 1tt be,so intense as to involve the child too closely or to threaten the child's mother. The relationships in the day care family should create a favorable atmosphere for children. Generally, a family with two parents is desirable, particularly for children who have no father in their homes. In certain situations, however, widows, unmarried mothers, and single v./omen are able to offer n ded service. The family should have the personal characteristics that will ensure continuity of care throughout a child's need in the home. The Day Care mother must also be flexible enough to meet the needs of individual children w they may change during the time she is caring for them. The day care mother should be capable of handling an emergency promptly and intelligently. 520. PROGRAM DIRECQUALM ATIONS 5 21.. Age See 511. Age 522. Health See 512. Health 7 FAMILY DAY CARE HOMES GUAM 523. Education Not specified 524. Experience See 514. Experience 530. SUPPORT STAFF QUALIFICATIONS Not specified 540. POST EMPLOYMENT/IN-SERVICE: ORIENTATION AND TRAINING 541. Program Director Not specified 542. Child Caregiver S Not specified 543. Support Staff Not specified 600. PROGRAM OF ACTIVITIES INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities Section Ill Family Day Care and Group Day Care Homes - Play Space and Materials. In addition to play space indoors and outdoors, there should be sufficient play materials and equipthent for indoor and outdoor activities to stimulate the activity and imaginative play suitable to the age of the children. 612. Program Equipment_and Materials See 611. Program of Activities 8 S FAMILY DAY CARE HOMES GUAM 613. Nap Provision Section Ili Family Day Care a Arrangements. up Day Care Homes - Sleeping Each child should have an individual bed or cot, kept in Mean and sanitary condition at all times. .614. Discipline and Guidance - Section III Family Day Care and Group Day Care Homes - There shall be no punishment or discipline which may in any way injure or harm a child - physically or emotionally. 7011 HEALTH AND SAFETY 710. HEALTH 711. General Health Re irements Not specified 712. Health Assessments Section III ily ay dare and Group Day Care Homes - Care of Children. The family cage and oup care parents shall require that a child in a day care have a physical exam tion at least annually. 713. Intro unizations Not specified FAMILY DAY CARE HOMES 714. Sanitation GUAM Section Ili Family Day Care and Group Day Care Homes - Clothing and Personal Supplies. A change of clothing shall be kept for emergencies. Each child in day care shall be provided with indiyidual towels, combs, toothbrushes, and other necessary toilet articles. 715. Daily Illness Screening Section Ili Family Day Care and Group Day Care Homes - Care of Children. There shall be a daily health inspection of each child upon arrival at the home. 716. Care of Sick Children Section III Family Daycare and Group Day Care Homes - Care of Children. child who becomes ill after he has arrived at the home shall be separated froni the rest of the group but within call of an adult, until the parents call for him. 717. Medication and Special Diet Prov Section III Family Day Care and Group Day Care Homes - Care of Children. Specific instructions obtained from a physician for the feeding and care of children with special problems shall be written on their records and followed. Under no circumstances should a day care mother give medication of any kind unless prescribed by a physician. Should' she accept this responsibility, the medication shall be kept in the original container bearing the prescription label which shows the date filled, physician's directions for use and the child's name. A_ 10 FAMILY DAY DARE HOMES GUAM edication shall be kept out of reach of the children and returned to parents en no longer needed. .718. WalVer c 1 lealth Requirements Not specified 72 O. SAFETY 721. General Safety Requirements Section IN Farr fly Day Care and Group Day Care Homes Safety and Hygiene. Every day care facility should be responsible for seeing that children are cared for. in a buil ding that is structurally sound,- free from Tire hazards and maintained in at sanitary condition. 722. Fire Safety Requirements See 721. Gene.. al Safety Requirements 723. Trans station Not specified 724. Safety Not specified 725. Water .Lecti Not specified rem ents for E ui -m ncluding Swimming) 725. Emer ney-Prbeedures ro Not specified '727. First A -d uppliE Not specified FAMILY DAY CARE HOMES GUAM 800. NUTRITION AND FOOD SERVICE 810. NUTRITION 811. Nutritional Requirements Section III Family Day Care and Group Day.Care Homes. Day ire Homes caring for children through mealtime shall provide: Aritious food appropriate to the age of the child futritious snacks between meals 812. Over of Requirements Not specifi 820. FOOD REPARATION 821. Food Prep __tion and Service Requirements Not specified Not specifi&J Not specified 000. SOCIAL SERVICES 1000. PARENT PARTICIPATION 1100. INFANTS AND -TODDLERS 1110. PROGRAM OF ACTIVITIES Not specified 1 12 FAMILY:DAY CARE HOMES 1120. HEATH AND SAFETY REQUIREMENTS Not specified 1130. INFANT NUTRITION Not specified 1200. CHILDREN WITH HANDICAPPING CONDITI ONS 1210. PROGRAM OF ACTIVITIES Not specified 1220. HEALTH AND SAFETY REQU REME Not specified 1230. STAFFING Not specified 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACTIVITIES Not Specified 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 1400. FACILITY REQUIREMENTS 1410. SPACE Section III Family Day Care and Group Day Care Homes. GUAM The physical facilities of homes used for day care should be compatible with the standards of the neighborhood in which the children live; provide adequate 13 1 FAMILY DAY CARE HOMES GUAM space for daily activities of -young children and present no hazards to their health or safety. There shall be easy acc'essibility to adequate outdo or space., It shall be fenced or otherwise protected, safe and well - drained- With sunnyand shady areas. There shall be a minimum of 35 square feet per child of indoor areas, excluding bathroom, kitchen, cupboard space and hallways. There shall be a minimum of 75 square feet per child of outdoor areET. 1420. LIGHTING, VENTILATION, AND TEMPERATURE Not specified 1430. 'EXITS Not specified 1440. TOILETS AND LAVATORIES Not specified 1500. OTHER STATE REQUIREMENTS COMFL A ICE WITH OTHER LOOM. STATE, AND REGIONAL LAWS AND ULATIONS 1510. ZONING Section lE Family Day Care and Group Day Care Housing The dwelling should conform to local sanitary, building and zoning regulations. 1520. FIRE Not specified 14 FAMILY DAY CARE HOMES GUAM 1530. BUILDING See 1510. Zoning 1540. HEALTH Not specified 15641. SANITATION See 1510. Zoning 156 0. NEW CONSTRUCTION Not specified FAMILY DAY CARE HOMES, HAWAII Except where otherwise noted. or i the Hawaii Department of Social Services, Rules and August, 1966. 100. STATE APPR 110. 'TYPES OF FACILITrE Family Day Care Homes, DAY CARE FACILITIES TO APPROVAL. AS DEFINED BY STATE STATUTES AND AEC AND/OR LOCAL ORDINANCES AND REGULATIONS 11'1. Definitions Section I - Definitions. Family day care home: A home in:which two but not more than five children are provided regular care, apart from their parents or guardians. with or without charging a fee during any part of a twen yLfour hour day. where the relationship of child and family day carre parents is not by blood or marriage. 112. Exclusions and Exemptions See DAY CARE CENTERS 113. HHS Day Care Oompliance Not 120. AGENCY RESPONSIBLE FOR APPROVAL OF DAYCARE PROBRA. =- 121. Organization of the Adminis ratve Unit See DAY CARE CENTERS FAMILY DAY-CARE HOMES HA-WAII 122: Responsible Official- See DAY CARE CENTERS 200. APPROVAL PROCESS AND ENFORCEMENT PROCEDURES 210. APPROVAL PROCESS 211. Promu_igation of egulations See DAY CARE CENTE S 212. Advisory Body and Other Com muni .y,Participation Not specified 220. APPROVAL PR EDURE 221. Applicatiog and Issuance Section I Definitions - Application. A person desiring to provide day care for children shall submit an application to the Department for a certificate of approval. An application from a married person living by husband and wife. .--- h a spouse shall be,rnade Jointly Issuance of Cerlificatv of Approval When the Study indicates that the home is in compliance with these regulations, a certificate of approval shall be issued by the Department for a period of one year. The certificate of approval shall specify the : 1) name and address of the person(s) to whom it is issued, 2) the number of the certificate, 3) the maximum number and ages of children for whom it is =licensed, and 4) the period for which the certificate is effective: 112 1 9 TAIVIILY DAY CARE FIGIVIES -HAW AI 9. The certificate of approval is non-transferable when the person(s to whom it is issued ceases to operate a family day care home. The certificate of approval is subject to review when: There is,a change in residence. The home accepts more than the maicimum number of children for which it is approved. There:is a change inja 7 ily composition. The certificate of approval shall be conspicuously posted in the home. 222. Fee Char Not specified 223. Areas ofnvestiaton Section I --Definitions Study of Home. The Department shall conduct a. study of the applicants and their home to determine whether the establishethregulations are met. A record of the study shall be kept on file by the Department. 224. Certificate enewal Section I Definitions ;Renewal of Certificate of Approval. At least 60 days prior to the expiration of the current certificate, the family day care home shall apply for renewal of its certificate. A study shall be conducted folio- ng the receipt of _he renewal application. FAMILY DAY CARE HOMES HAWAII 225, Conditional /Provisional Aroval Certificate Section I - Definitions - Temporary Permit. The Department mad issue a temporary permit-for a period up to six months to any applicant who is temporarily unable to conform to all of the regulations, Renewal of Such a permit shall be left to the Department's discretion. 226. Substantial Compliance Section X - Exceptions. Exceptions to the regulations may be made at the discretion pf the Department. 23 1. ENFORCEMENT PROCEDURES 231. Faiit Inspections Section IX - Contacts with the Home. The= family day care hcime shall be subject to visits by the Department as is deemed necessary to protect the welfare of children in day care. 232. Denial Sus e on Revocation of an A oval Section I - Definitions - Denial of Certificate of Approval. A certificate of approval shall not be, issued when the study indicates to the Department that the home does of meet these regulations. The Department shall send a writte statement to the family day care parent, giving reason for denial of a certificat of approval. 4 FAMILY DAY CARE HOMES II WAII Any person denied a certificate of approval may request, and shall beg granted, an 'Opportunity to discuss with the Department the reason(s) for the denial or shall have the right to a hearing with the Director of the Department. Suspension & Revocation. Whenever a home no longer meets the conditions under which the certificate of approval was granted, the Department shall notify the day care parnt in writing, stating specific violation(s) and a time limit to effect necessary corrections. If a family day care home fails to make the necessart corrections within the stated time limit after such notice is given, the certificate of approval shall be suspended or revoked by the Department. 233. Remedies and Sanctions 233.1 Hearings Section I Definitions - Rearing. Any family day care home whose certificate of approval is to.be suspended or revoked, or denied, shall have the Tight of hearing with the Director of the Department, provided such appeal is made in writing not later than ten days after receipt of the notice of suspension, denial or revocation. Upon receipt of an appeal. :e Director of the Department shall arrange for the hearing. The final suspension or evoca on may at -the discretion of the DireL, Department be stayed. 23,3.2 Decisions Not specified 5 of the FAMILY DAY CARE HOMES 233.3 Judicial Review HAWAII Section XI - Penalty. Any person willfully making any false statement or violating these regulations shall be guilty of a misdemeanor and be plinishable by a- fine not exceeding two hundred dollars. 306. ADMINISTRATION 310. GENERAL- AD MINI S RATION 311. General Administrative Requirements Section IV - Care'of Children Religion. The religious faith of each child shall be respected. Section V'- Family Day Care Parents & Households Requirements. Family day care parents shall not conduct a lodging or boarding house, or other business on the premises which would adversely affect the welfare of the children under their care. 312. Telephone Not specified Proof of Operator Financial Capabiliti Section V Family Day Care Parents & Household Requirements._ Income of the day care family shall be reasonably steady and sufficient maintain an adequate standard of living for the family. 314. Insurance Not specified FAMILY DAY ARE.HD1VlES PERSONNEL 321. Publication of Personnel Policies Not specified 322. Cortraints Against EmplOymeht Not specified 330. NON-DISCRIMINATION HAWAII 33L Requirements Prohibiting Discrimination Not specified 340. CORDS.RE UIREMENTS 341. Chi0ten Sec` on Ill - Administratiqn - Records. Each family day care home shall keep the following records: Completed ap lication form for each child. Daily attenda ce record. Emergency in ormation Address and telephone number of parents and 2 other adults responsi le for the child's care. Name o family physician, tiis telephone and address. Written consent to call another physician when the family physician cannot be contacted. A health record on etch child shall include the following information: nformation: Physical exa mation report. Irnmtmization records. Any medical ealth problems including restrictions` and aller Chest x-ray; or tuberculin test. FAMILY Y DAY CARE,H 'WES HAWAII Section IV - Care of Children - Health The family day care parents shall require the following written medical reports and 'health information' on each clild accepted for admittance to their hcirne: A physical examination by a- licensed, physician given within 90 days immediately preceding placement. mmunization records. Pertinent infofmation on' the health of the child and medical health problems. 342. Staff Not spedified V 343:. Child Eligibility and enrollment Requirements Not specified 341./ Child Abuse Re ortin Not specified 345. Confiden of Records Requirements Y par icular Section III - Administration - Records. All records shall be held confidential and shall be available only to duly authorized persons. 400. GROUP COMPOSITIONS OF CHILDREN 410. STAFF/CHMDRATIO REQUIREMENTS 411 Staff/Child Ratio as of March, 1981 Not specified FAMILY DAY CARE HO 412. Methods of Com Staff /Child Ra Not specified 20. GROUP SIZE 42k Grouc Size as of March 1981 HAWAII Section In - Administration - Number of Children to be Cared. A family day eat! home shall provide care for no more than 5 children, exclusive of family day care parents' own children, however. In-no instance shall care be provided to more than 5 children under 8 years of age, including family day care parents' own children, in no instance shall care be provided to more than 2 children tinder the age 2 years by one adult, including family day care parents' own children. Should there be additional adult help in the home, at no tin shall care be provided to more than 4 children under the age of two, including family day care parents' own children. 422. Methods of Computing Group Size See 421. Group Size as. of March 1982 500. STAFF QUALIF CATIONS AND TRAINING REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICAT7ONS 511. Age Not specified FAMILY PAY CARE HOMES HAWAII 512. Health Sect n y - Family Day Care Parents & Household - Requirements. Fam y day care parents and all members of the household shall be free from dis e which may be transmissible to others and from physicial--ednditions which, would adversely affect the care of children. Prior to the initial . approval of a family day care home, the following written medical reports shall be submitted by the family day care parents to the agency: Physical examination reports on the family day care parents from a licensed physician, including a chest x-ray or tuberculin test in accordance with the Department of Health's current recommendations. A chest x-ray or a tuberculin test on every member of the household in accordance with the Department of Health's current recommendations. Upon request, additional- reports with. reference to the health of other a members of the household. AnnuallY, chest x-ray .or tuberculin test shall be required of the family day care parents and all members of the household, in accordance with the Department of. Health's current recommendations. A physical examination report of any member of the household shall be furnished upon request to the Department. 513. Education Not specified 514. EJSWier. Section V - Family Day Care Parents ec Household - Requirements. Family day care parents shall show evidence of being well adjusted persons,capable of understanding and caring for children. 206 10 FAMILY DAY CARE HOMES HAWAII They shall provide two references who have adequate knowledge of the family background in terms of character and ability to care for children. Additional references shall be furnished the Department upon request. 520. PROGRAK DIRECTOR UALIFICATIONS 521. Not specified 522. Health See 512. Health 523. Education Na specified 524. Experience See 514. Experience 530. SUPPORT STAFF QUALIFICATIONS Zee 510. Child Caregiver Staff Qualifications 540. POST EMPLOYMENT N ERVICE: ORIENTATION AND TRAINING 541. Program Director Not specified 542. Child Caregiver Staff Not specified 543. o Support Staff Not specified It FAMILY DAY CARE HOMES HAWAII 600. PROGRAM OF ACTIVrTIES INC UDING EDUCATION '610; PROGRAM REQUIREMENTS 611. Prouam of .Atti Section W - Care of Children - Daily Program. =- There shall be a well-balanced daily program including rest period appropriate to each child's age, regular meal hours, and' recreation inclUding supervised outdoor activity. 612. Program Equipment and ateri Not specified 613. Nap Provision Section VI - Sanitation and Housing Sleeping Arrangement. No child in day care over 1 year of age-shall sleep regularly in the same rooin with a married couple. No child in day care over 6 years of age shall sleep in the same room with children over 6 years old of the opposite sex. The rest period shall be adequately supervised. No child shat eep in a building detach am the main household. Beds, cots or bags shall be no less than three feet apart. Section VII - Equipment and Furnishing. Each child shall be provided a 'space for his own clot' and belongings. The following equipment shall be provided: A bed, cot, or insulated bag for each ch 12 FAMILY DAY CARE HOM HAWAII Indilfidual cribs for children under 2 years of age. Clean and sanitary bedding and 4nen and necessary fu 614. Discipline and Guidance Section IV - Care of Children =Discipline There shall be no punishment or discipline which may in any way injure harm a child physically or emotionally. 710. EARTH 700. HEALTH AND SAFETY 711. General Health Requirements Not specified or 712. Health Assessments Section 111 - Care of Children - Health. The family day ch.re parents shall require that a child in day care have a physical examination n-at least anritally and have appropriate immunization in accordance with the Public Health Regulations of the Department of Health. 713. Immunizations See 712. Health Assesstnents 7 4. Sanitation Section IV-- Care of Children - Clothing and Personal Supplies. A change of clothing shall be kept for emergency. Each child in day care shall be provided with individual towels, combs, toothbrushes, and other necessary toilet articles.' 13 FAMILY DAY CARE HOMES HAWAII Section VI - Sanitation and Houging - Sanitation. The home shall comply with. State Laws and Public Health regulations 1 santitationoand housing: The premises shall be kept in a safe and sanitary condition. Running potablg"water should be available fo'r bathifig facilities a -waste shall be connected to a cesspool or sewer system. The home,shaLl have adequate facilifles for the proper disposal of, sewage with all plumbing connected to a cesspool or sewer system. The home shall have proper facilities for the disposal of garbage and refuse. There shall be proper acili i for washing 715. Daily Illness Screening Section IV Care of Children - Health. There slitilly:be a health inspection each day by the family day care mother of each child uport his arrival at the home for any indication of illness. There shall be continued observation of all children throughout their stay in the family day care home so that any 'illnesses will be detected and appropriately handled. 716. Care of Sick Children Section IV - Care of Children - Health. A child who becomes ill after he is admitted to the home shall be separated from the rest of the group, but within call of an adult, until -the parent can call for him. 14 0 FAMILY DAY CARE HOME HAWAII The regulations of the Dertment of Health on communicable dise followed where chilslren show symptoms of communicable disease. Specific instructions obtained from a physician' for the feeding and care of citildren with special problems shall be written on their re rds and followed. 717. Medication _ cial _Diet Provisions Section IV °- Care'of 'Children- Health. Under no circumstances should a family day care mother give medication of any kind unless prescribed by a physician: Should she accept this responsibility, the medication shall be kept in the original container beari,7 the prescription label which shows the date filled, physician's narrn- physician's directions for use, and the child's name. Medications shall be kept-out of reach of the children and returned- to parents when no longer needed. 718. Waiver of Health Reguirements Not specified specified 720. SAFETY 721. General Safety Requirements Section IV - Care of Children - Safety. Poisons, drugs, harmful chemicals and othe dangerous articles such as cleaning fluids, matches, firearms and tools shall be kept in a safe location and out of reach of children. 722. Fire Safety Requirements A Not specified 15 FAMILY DAY CARE HOMES 723. Trans on Not specified HAWAII 724. safety Requiremeits Not specified 726. Ernerpncy Procedures Not specified 727. First Aid Stjpplies Section IV - Care of Children - health. First aid supplies shall be kept on hand. 810. NL RITION 800. NUTRITION AND FOOD SERVICE Nutritional Reouirements Section IV - Care of Children - Feeding. Family day care homes caring for children through mealtime shall provides Nutritious food appropriate to the age of the child. Nutritious snacks between meals. 812. Wa Waiver of Requirements Not s cified 16 FAMrLY DAY CARE HAWAII 820. FOOD PA RATION 821. Food Preparation and Service Requirements Section VI - Sardtation and Housing - Sanitation. Food stored in the4orne shall be protected from rat and insect infestation and perishable food shall be stored under refrigeration. PreparVion of food shall be in a properly screened kitchen with adequate sink facilities. There shal be proper facilities for -hing and sanitizing eating and drinking utensiN. Not specified Not specified 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION 1100. INFANTS AND TODDLERS MO. 'PROGRAM OF ACT_ TIES Not specified 1120. HEALTH AND SAFETY REQUIREMENTS Not speeified 1130. INFANT NUTRITION Not specified 17 FAMILY DAY CARE HOMES HAWAII 1200. CHILDREN -WITH HANDICAPPING CONDITIONS- , 1210. FROG OF ACTIVITIES Not specified t .1220. HEALTH AND SAFETY REQUIR _ Not specifted 1230. STAFFING Not specified 1300. SIGOL AGE CHM 1310. PROGRAM OF AGTIVIT ms Not specified 1320. HEALTH AND SAFETY RE Not specified 141.0. SPACE 1400. FACILITY REQUIREMENTS Section VI Sanitation and Housing - Housing. For day time care, there shall be a minimum of 35 square feet per child of indoor areas, excluding bathroom, kitchen, cupboard space and hallways. For night time care, every room used for sleeping purposes shall have minimum of 50 square feet per child of indoor area, excluding bathroom kitchen, cupboard space and hallways. 21 18 FAMILY DAY CARE HOMES HAWAII Section yin =- Outdoor Space. There shall be easy accessibility to adequate outdoor space. It shall be fenced or otherwise protected, safe and well drained with sunny and shady areas. 1420. LILTING, VENTILATION, AND TEMPERATURE. S6eti on VI Sanitation and Housing - Housing. There shall be good, artificial and natural light and ventilation iyailable for bathing and toilet facilities. Ventilation means a window that opens to the outside atmosphere or a mechanical ventilating system-. 1430. EXITS Not-specified 1440. TOILETS AND LAVATORIES Section VI - Sanitation and Housing - Sanitation. Where there is an adequate water supply, the home shall have sanitary water-flush toilets. In areas where an adequate water supply is not available, toilet facilities shall be in accordance with Public Health Regulations. 1500. OTHER STATE REQUIREMENTS - COMPLIANCE WITH OTHER LOCAL, STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 1520. FIRE Not specified 1530. BUILDING. Ndt specified 2 1 FAMILY DAY CARE HOMES HAWAII 1540. HEALTH Section VI - Sanitation and Housing - Sanitation. The home shall cornp y with State Laws and Public Health regulations_ on sanitation and housing. 1560. SANITATION' See 1540 HEALTH 1660. NEW CONSTRUCTION Not specified 20 FAMILY DAY CAREI HOMES IDAHO ,Except where otherwise noted, all citations are o the Idaho Department Health and Itelfare, Rules and _Regulations for' Implementation amO Enforcement of Standards under the Child-Care Licensing Act, Octo er,,1972. 100. SVTE LIFENSING ILD DAY CARE FACILITIES- U0. TYPES OF FAC rr IES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AN EGULA'ITONS AND/OR LOCAL ORDINANCES AND REGULATIONS Definitions ;- IDAHO CODE §391209. Definitions. . . "Day care home" m_ eans a home or place in which any child or children ,related by blood or marriage to the` person or persons operating such home are e arly ' eceived aid icared for during any part of the twenty-four (24) hour day. 112. E elusions and Exerliptions See DAX CARE CENTERS HS Day CEd;g Compliance See DAY CARE CENTERS 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 121. Orgation of the Administrative Unit See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS FAMILY DAY C 4 = 210; LICENSING PRO 200. LICENSING HOME ,'IDAHO 7I FORGE TENT PROCEDURES 211. Promulgation of See CARE- CEN' 212. Advisor, and Other oTlin'mtmityPartici See-DAY-CARA ENTERS 2201 LICENs G PROCEDURE 221. Applic tis n and Issuance See DAY cAn ENTERS- 222. Fee Fe See DAY CARE -CENTERS 223. A nvesti gat on See DAY E CENTERS 224. Li ise Renewal = See DAY E CENTERS 225. onal/Provisional Licenses See DA F. CENTERS 226. SO:istantial Compliance See DAY CARE CENTERS ..230. ENFORCEMENT-PROCEDURES 231. Faellt yInspections See DAB CARE CENTERS 0 2 -FAMILY DAY CARE HOMES IDAHO. 232. Denial, Suspension, Revocation of a License See DAY CARE CENTERS 233. Remedies and Sanctions 233.1 Hearings See.DAY CARE CENTERS 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Administrative Requirements Standard 3 - Assure the Safety and Adequate Physical Care of Children Under Care - Physical Care of Child. Homes licensed for day care of children may not accept convalescent or maternity patients. Homes used for the care of aged persons are not to be used for the care of children, except where4he aged persons, by virtue of their relationship or long-standing friendship, are considered a part of the family group. The'day-care mother may not be employed outside her home. 312.. Telephone Not specified 3 FAMILY DAY CAR_NHOMES IDAHO' 313. Proof of tqperator Financial-Ca abilities Standard 1 - Require Evidence of Income and Resources Sufficient to Maintain ome and the Services Offered. The day care family shall have sufficient regular income to maintain the family- home so far as essential needs are concerned without the payment made for the care of the child. 314. Insurance Not specified 320. PERSONNEL 321. Publication of Personnel Pol Not specified 322. Constraints Against Employment Not specified -t 330. NON-DISCRINT1NATION 331. Requirements Prohibi'ng Discriminal on Not specified, 340. RECORDS REQUIREMENTS 341. Children Standard 2 - Require Such Record Keeping and Reporting as May Be Deemed Necessary. A permanent record shall be kept for each child to identify him, to enable the day care parent to communicate witti the parents_ either in their home or at their place of employment, and, in an emergency, with the physician designated by them. j 4 2 FAMILY DAY CARE HOMES IDAHO The record shall include the child's full name; month, day and year of birth; full names and address of parents, guardian or agency wlh placed him; the date accepted for care; and the date the child left the day care home. 4 These records shall be complete and current at all times and shall be made available at any time for inspection by a representative of the Department. The licensee shall provide to the Department at the end of each six months a complete record of the children given care during that period of time. A register for this purpose is available from the Department. Standard 3 - Assure the Safety and Adequate Rlysical Care,of Children Under Care - Physical Care of Child. The day care mother must have current information as to where and how the parent or guardian may be reached in the event of illness or accident requiring immediate attention. There shall be provision for medical attention in the event of emergency. The day care mother shall have the name and address of the physician to be called in an emergency. Materials shall be in the hoMe for rendering emergency first aid. 342. Staff Not specified 343. Child Eligibility and Enrollment Re iremen s Not specified 344. Child Abuse Reporting Not specified 345. Confidentiality of Records Requirements Not specified 5 2...9 I FAMILY DAY CARE HOMES IDAHO 400. OUP CCMPOS1TICNS OF CHILDREN 0. STAFF /CHILI) RATIO REQUIREMENTS 411. Staff/Child Ratio as of March, Ii Not specified 412. Methods of Computing Not specified 420. GROUP SIZE Child Ratios 421. Croup Size as of March, 1981 Standard 3 - Assure the Safety and Adequate Physical Care of Children Under Care - The Number of Children. In order that the child may receive, in a family setting, the individual care necessary to his growth, development and adjustment, the number of children under care at one time shall be limited to not more than six children, including those of the day care mother. Of the total of six, not more than four shall be day care chilcten. Not more than two children under two years of age, including those of the day care mother, shall- be under the supervision of one adult. (In the event that there are two competent adults giving care to the children, two additional infants may be given care, but no more than four infants may be given care, including those of the day care mother, at the same time.) 422. Methods of Computing Group Size Standard 3 - Assure the Safety'and Adequate Physical Care of Children Under Care - The Number of Children. The maximum number and the age group cared for shall be determined by the accommodations of the home, by the tiicprience and skill of the day care mother in providing care for children, and by the time devoted to such work by her and other adults in the household. 2 FANNY bAY CARE HOMES IDAHO Teen-age children of the day care' mother need not be included in the six, provided that adequate care and individual attention can be give_ the children without overburdening the mother. 'h of Age and sex of the children for whom the home is equipped to cee wlll be determined by consideration of the environmental, factors affecting the safety and welfare of the children. ti 500. STAFF QUALIFICATIONS AND TRA NG RFOUIHFII 1E 4 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. Standard 4 Require That Day -Care Parents Be Physically and Emo onally Suited to Care for Unrelated Children and to Deal with Problems Presentrdby Children Away from Their Homes and Own Parents. The day care mother shall be of suitable age and temperament to CLIe for chiten. She must be capable of handling an emergency situation promptly and intelligently. 512. Health Standard 4 = Require That Day Care Parents Be Physically and grnolionally Suited to Care for Unrelated Children and to Deal with Problems Presented by Children Away from Theft. Homes and Own Parents. All members of the household must be in such physical and mental health as will not affect adversely either the health of the child or the quality and manner of his care. The household shall not include persons whose presence is inimical to the welfare of the children. A report of good health from a regularly-licensed physician may be required if this seems necessary or advisable. 513. Educe Not specified on FAMILY DAY CAR tME IDAHO 514. Experience Standard 4 - R quire That Day Care Parents Be Physically and Emotionally Suited to Cue or Unrelated Children and to Deal with Problems Presented by Children Awa from Their Homes and Own Parents. Day care ents must have understanding of the problems of childhood and sympathy f r them. Relations 'ps among members of the family shall be such as to ensure a good atmosphere for the child. The day care mother must be willing to cooperate fully with the child's own parents, because the success of this type of care depends largely on the cooperation between the parent and the day care mother. It is important that they exchange information about the child and plan together so that all of his needs may be met so fare as possible and that there may be continuity and consistency in the care of the child. Day care parents shall be persons of good character and habits. Tivee satisfactory references shall be required, including that of the family physician. 520. PROGRAM DIRE TOR QUALIFICATIONS 521. See 511. Le 522. Health See 512. Health 523. Education Not specifi6d 524. Experience See 514. Experience P-Ak 1' DAY CARE HOMES S STAFF QUALIFICATIONS s U. POSE` EMIP OYMENT/IN-SERVICE: ORIENTATION AND G 5-dn. Prqgrar Director Mr sot specified 5-42. Child Cetre fiver Staff N ot specified 5.43. Su of specified PROGRAM OF A rTIE INCLUDING FDUCAT1 N 61_0. PR M RE UINFIVIFN 6r 1. hems of Activities S=Esnd&rd 3 - A=sure the Safety and Adequate Physical Care of Chime dren Under C -Physical_ Care of Child. Ti -sere shall be planned daily routine to ensure the development of _good health adequatome indoor an doutdoor play, rest, and sleep. 61 2. Pro_gram Equipment and Materials S.a.ndard 3 - Asure the Safety and Adequate Physical Care of Ch dren Under Care -The Flon-7.1e and Its Environs. Awl adequate supply of safe and constructive play material and equipment sti-table to the ages of the children shall be available for both indoor and outdoor activity es. (Since play is one of the most important parts= of a young eta ild's day, an /R-ssortment of play materials and equipment should ly-e provided. 225 ntrimy DAY CARE Hpm AHO Emphasis should :,e placed on materials which will s--timulate activity on the part of the child rather than on mechanical toys w -hick will suggest purely routine use. For preschool children, sandboxes, boaramsls and blocks which they can use for building purposes will N four? useful loom' out-of-doom. Crayons, pencils, spools, bitzit scissors, scratch papers, scrapb-rooks, and building-blocks are useful for indoor play.) 613. Nap Provision Standard 3 - Assure the Safety and Adequate Physica Care of Children Under Care - The Home and Its Environs. Each room used for rest periods shall, provide an op-uportunity for undisturbed rest. Individual beds or cots shall be provided for in yfants and young children who rewire rest periods. Beds for infants shall have sidewalls or other protection. Disci and Guidance Standard 3 - Assure the Safety and Adequate Physicaml care of Children Under Care - Physical Care of Child. Discipline shall meet the needs of each child and shall be humane. Authority to punish shall not be dole to older o er dren. No child shall be placed alone in a room, put to bed four punishment or deprived of meals for punishment. No child shall be subject to cruel, severe, unusual o: r unnecessary punishment inflicted, upon the body or to verbal abuse, threat, or derogatory remarks about the child or his family. 10 FAMILY DAY CARE HOMES IDAHO 700. HEALTH AND SAFETY 710, I EALTEM-I 711, General-1 Huth Requirements Standard 3 - .5km&ssture the Safety and Adequate Physical Care of Children Under Care- The Hone and Its Environs. The home OM be in a residential or rural district (not m rnercal or factory) to avoid hazards to the safety of children. 712 Health assessments Not specified 713, Irntnunitions Not specified 714, Senitatin 3 - A__ssttre the Safety and Adequate Physical Care of Children Under Care The H or-7-11e and Its Environs. The water suppDly in homes where water is obtained from a source other than a city water systMem shall be approved by the District Health sanitarian if this seems advisableme. The house and premises shall be kept clean and sanitary. Standard 3 - Asure the Safety and Adequate Physical Care of Children Under Care- Physical Care of Child. Individual towls and toilet articles shall be provided and provision made for keeping them separate. 11 4.2,, FAMILY DAY CARE HOMES 715. Daily Illness Screenini IDA\HO Standard 3 - Assure the Safety and idequate Physical Care of Children Under Care - Physical Care of Child. There shall be daily inspection of each child by the day care mother as the child enters the home and before, he has mingled with the other chilaren. If there are indications of illness, cold symptoms, or skin disease, the child shall not be accepted for care. 716. Care of Sick Children Standard 3 - Assure the Safety and Adequate Physical Care of Children Under. Care - Physical Care of Child. Any child later showing signs of illness mast be isolated promptly from the other children until arrangements can be made for his care. 717. Medication and Special Diet Provisions Not specified 718. Waiver of Health R irements Not specified 720. SAFETY 721. General Safety Requirements Not specified 722. Fire Safety Requirements Not specified 723. Trans -ion Not, specified 724. Safety Requirements or Equipment Not specified 22 12 FAMMY DAY CARE HOMES IDAHO 725. Water Activities (Includin Swimming) Not specified 726. Emergency Procedures Not specified 727. First Aid Supplies Not specified 800. NUTRITION AND FOOD SERVICE 810. NUTRITION 811. Nutritional Requirements Standard 3 - Assure the Safety and Adequate Physical Care of Children Under Care - Physical Care of Child. The diet shall be well. balanced and adequEtte to meet the nutritional needs of children and shall be served at regular hours. 812. Waiver of Rquirements' Not specified 820. FOOD PREPARATION 821. Food Preparation and Service Requirements Standard 3 - Assure the Safety and Adequate Physical Care of Children Under Care - The Home and Its Environs. There must be adequate provision for the proper care and protection of food. FAMILY DAY CARE HOMES IDAHO the mak used is from the foster parents' cows, there must be continued assurance that the milk is handled in a sanitary Way and that the cows are free from tuberculosis and Bangs disease. If mak is purchased, it shall be uerized or shall come from a licensed raw mak dairy. Not s ied Not specified 900. SOCIAL ERVICE 1000. PARENT PARTICIPATION 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACT ITIES Standard 3 - Assure the Safety and Adequate Physical Care of Children Under, Care - PhySical Care of Child. . In providing care for infants, it is important that time be allowed for the individual attention to each infant and that they be held during feeding time, and that a period of time each day be directed toward talking to the infant. Infants must be allowed a tirrie for crawling in an area protected from drafts and free from dangers such as splinters, floor furnances, stairs, etc. No infant shall be left alone in the crib when awake unless there is adult supervision withinyisual range, and there are adequate toys and materials. provided for his learning experience. At no time shall the infant be left in the crib while awake longer than one-half hour. FAMIL.Y"DAY CARE HOMES 1120. HEALTH. AND SAFETY REQUIREMENTS See 1110. PROGRAM OF ACTIVITIES IN.FAN RITION Not specifi eg IDAHO 1200. CHILDREN WITH HANDICAPPING CONDITIONS 1210. PROGRAM OF ACTIVITIE S Not specified _1220. HEALTH AND SAFETY REQUIREMENTS Not specified 1230. -STAFFING Not specified 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACTNITIES Not specified 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 1400. FACILITY REQUIREMEN 1410. SPACE Standard 3 - Assure the Safety and Adequate Physical Care of Children Under Care- The Home and Its Enviror. The home must have sufficient room to accommodate children in a comfortable, safe and sanitary way and have sufficient space and suitable 2 FA IL* DAY CARE HOMES IDAHO facilities for indoor and outdoor play. For toddlers, an enclosed yard is preferabre; if not enclosed, supervision to provide- adequate protection at all times Must be given. Adequate fencing of a yard adjacent to an irrigation ditch Of sufficient width and depth to constitute a hazard will be required if v any child under the /age of four is to receive care. Adequate fencing of play space will be required if there is any other hazard to safety from which a child must be protected. (A home shall be cons red overcrowed when there is less than thirty-five square feet of floor space available for play space for each child. Halls, bathrooms, isolation room and kitchen shall be excluded in determining the amount of floor space. Outdoors, a minimum of seventy-five square feet for each child under the age of six and a minimum of one hundred square feet for each child six and a minimum of, one hundred square feet for each child six years of age or over shall be available for play space.) Basement rooms shall not be used for the care of children or as play rooms _ unless they are dry, adequately heated, lighted, ventilated, have adequate floor covering, are free from fire hazards, and have adequate exits.. Provision shall be made for isolation o child in the event of illness. 1420. LIGHTING, VENTILATION, AND TEMPERATURE Standard 3 - Assure the Safety and Adequate - Physieal Care of Children Under Care The Home and Itk Environs. Windows shall be properly screened and the house adequately ventilated and lighted. ------ The home must be adequately heated. Fireplaces and openfaced heaters must _ be protected by screens, and there must be no other fire hazards. Where space heaters are .used, proper protection shall be offered to avoid hazards to the children in care. 16 FAMILY DAY CARE HOMES IDAHO 1430. Exrrs Not specified 1440. TOILETS AND LAVATOIS Standard 3 = Assure the Safety and Adequate Physical Care of Children Under Care - The Home and Its EnVirons. There must be adeqUate toilet facilities. Toilets shall be kept in proper repair and in good sanitary condition. The Department will request inspection of outdoor toilet facilities by a District Health sanitarian if this seems advisable. 1500. OTHER STATE. REQUIREMENTS - COMPLIANCE WITH OTHER LOCAL, STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 1520. FIRE Not specified 1530. BUILDING Not specified 1540. HEALTH Not specified 1550. SANITATION Not specified 1560. NEW CONSTI/UCTION. Not specified 17 fi FAMILY DAY CARE HOMES ILLINOIS Except its otherwise noted, all citations are from the Illinois Department of Childrefi and Family Services, Regulation 5.09, Licensing Standards for Day and Night Care Homes, September, 1976. 100. STATE LICENSING OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS Definitions ILL. REV. STAT. Ch. 23 §2.18. "Day care homes" means family homes which receive not more than 8 children for care during the day. The maximum of 8 children includes the family's natural or adopted children under age 16 and those children who are in the home under full-time care. "Night-time home" means a family home which receives no more than 8 children, including the family's own children under age 18, for night-time care \ 112. Exclusions and Exemptions Not specified 113. ARS Day Care Compliance. Not specified 120. RESPONSIBLE FOR LICENSING,OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS FAMILY DAY CARE HOMES ILLINOIS 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 40. 210. LICENSING PROCESS 211. Promulgation of Regulations See DAY CARE CENTERS 212. Adv sort' cdy .nnd Other C crnmun ty Participation Not specified 220. LICENSING PROCEDURE 22L Application and Issuance 1. Application For A License Shall Be Filed With The Department. Compliance Requirements: Application shall be made on forms provided by the Deparrtment. Applicants must be at least 18 years of age. Separate applications shall be fled for 'a daycare license and/or a night-time license. The application shall be signed by the persons proposing to provide the service. 4. -A License Shall Be Issued When All Rules And Regulations Pertaining To The Standards Herein Have Been Met. Compliance Requirements: The license shall be valid for two years. The license shall be on display in the home. FAMILY DAY CARE HOMES ILLINOIS The license shall not be transferred to another person, nor shall it be valid for an address other than the one on the license issued. The number of children specified on the license shall be the maximum number of unrelated children under care in the home at any one time. The age limits specified on the license shall be observed. Child care may be provided only in area or areas specified on license. 12. Authorized Representatives Shall Be Admitted To The Facility At Any Reasonable Time For The Purpose Of Investigation. 222. Fee Charged Not specified 223. Areas of Investigation Not specified 224. License Renewal A New Application Shall Be Filed When There Is A Change In The Information On A Valid License. Compliance Requ'rements: Reapplication is the process by which a license- is obtained when there is a change of the specifications on the existing license. Reapplication shall re made when it effects any one of the follotiing items on the license document. Name Address FAMILY DAY CARE HOMES Ages of Children License Capacity Area Used For Children Responsible person(s) ILLINO Application For The Renewal Of A License Shall Be Made To/The Department. Compliance Requirement: Application for renewal shall be made at least three months -prior to license expiration, on forms provided by the Department. When Reinstatement Is Sought, A Wew Application Shall Be Filed. Compliance Requirenients: Reinstatement is the process by which a license is issued to a person if a license or a permit has been revoked or denied by the Department or is voluntarily surrendered or withdrawn by a person. No person whose license or permit has been revoked or denied issuance by the Department shall seek reinstatement within six months. Reinstatement may be sought at any time if a license or permit or application has been voluntarily surrendered or withdrawn by the applicant. 225. Conditiona Prciv siona es 2.. A Newly Est6Olished Home May Be Issued A Permit. 4 FAMILY DAY -ARE HOMES ILLINOIS Compliance Requiremen A permit is a legal authority to operate for a period not to exceed two months during which time specified minimum standards must be met. The following shall be met prior to issuance of a permit: Application for license must be filed. Home must reasonably meet standards. Names of character references provided. Written plan for compliance with all standards within a period not to exceed 2 months. All required medical exams. Water test, results, if private supply is used. All other standards not met at time of initial investigation. After A Permit Has Been Issued, The Home Shall Operate Within The Conditions of Issuance. Compliance Requirements: The permit shall be for a probationary period of two months and shall not be renewable. The permit shall be on display in the home. No permit a ferable. The number of children specified on the permit shall be the rnamum 'allowed in the home at any one time. The age limits of the children specified on the permit shall 'le observed. 226. Substantial Not specified ance 5 FAMILY. DAY CARE HOMES ILLINOI 230. ENFORCEMENT PROCEDURES 231. Facility Inspections 12. Authorized Representatives Shall Be Admitted To The FacRity At Any Reasonable Time For The Purposepf Investigation. 232. Dnial,_SusnsionE_Revocation of a License 8. The Department May Revoke Or Refuse To Renew The License Of Any Child-Care Facility Or Refuse To Issue Full License To The Flol e f- A Permit. Compliance Requirements: Revocation or refusal- to renew may occur if the holder of a License or Permit: Consistently fails to maintain standards prescribed and published by the Department. Substantially violates any of the provisions of the license issued. Furnishes or makes any misleading or any false statements or reports to the Depar tment. Refuses to submit to the Department any reports or refuses to make available to the Department any records required by the Department in making investigation of the facility for licensing purposes. Fails or refuses to submit to an investigation by the Department. Fails or refuses to admit authorized _representatives of the Department _at any reasonable time for the purpose of investigation. 6 FAMILY DAY CARE HOMES ILLINOIS Fails to provide, maintain, equip, and keep in safe and sanitary conditions premises established or used for child care as requi under standards prescribed by the Department. Refuses to display its licente'or permit. Fails to maintain financial resources 'adequate for the satisfactory care of children served in regard to upkeep of premises, provisions for personal care, education, and other essentials in the proper care, rearing, and training of children. When The Department Revokes Or Does Not Renew A License, The Facility Shall Close Within Ten Calendar Days. 233. Remedies and Sanctions 233.1 Hearings See DAY CARE CENTERS 233.2 Decisions SpeDAY CARE CENTERS' 233.3' Judicial Review See DAY CARE CENTERS 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. Genera Not specified dive Re cements 2.4 7 FAMILY DAY CARE HOMES ILLINOIS Telephone 17. The Physical Facilities Of The Home, Both Indoors And Outdoors, Shall Meet Requirements For Safety To Children. Compliance Requirements: There shall be a telephone on the premises. 313. Proof of Operator Financial Capabilities Not specified 314. Insurance Not specified 320. PERSONNEL 321. Publication of Personnel Policies Not specified 322. Constraints Against_Ernplgyment Not specified 330. NON-DISCRI A ON 331. Re uirements Prohibiting Discrim Not specified 340. CO DS° REQUIREMENTS 341. Children nation 14. Records As Required On Forms Supplied By The Department Shall Be On File With The Care-Giver. FAMILY DAY CARE HOMES ILLINOIS Comp lignce Requirements: There shall be a record of identifying information on each child received. There shall be a signed medical report on file for each child. The report awry be based on ,0 examination held within thd past 12 months. The report shall indicate that he child was found free of communicable diseases. The report shall indicate that the child has been immunized as required by current State Department of Public Health regulations. The required immunizations are poliomyelitis, measles, rubella, diphtheria, pertussis, tetanus. Munips ...immunizations art required at the earliest medically indicated time. The _report shall include a statement on any phyica1 limitations. There shall be signed consent forms from the parent or .guardian including: Permitsion for emergency care if the parent is not readilr- available. Permission to administer medicine. Indemnification agreements. Permission for someone other than parent or guardian to pick up child if necessary. Transportation provided by car giver. FAMILY DAY CARE HOMES ILLimor If immunization waiver is requested, a written statement si ed,,by the parent or guardian shall be in the child's file. Waiver may be on constitutional grounds. Waiver may be made for children wh6 for clinical reasons should not be subjected to immunizations. A home admitting_ such a child shall assume full ponsibility for doing so. Parents of other children-in the home must be notified and agree to this. All information about the child and family shall be confiden At The Time Of Acceptance, The Care-Giver Shall Have A Copy Of An Records As Defined Under Day Care Home Records And Reports, Regulation 14. 342. Staff 15. Members Of The Household In Contact With The Children Under Care Shall Have A Complete Physical Examination. Co __pliance.Requirements: The medical report shall be submitted on the forms provided by the Department. The report may be based on an examination within 12 months prior to application.- A tuberculin skin test shall be included in the initial examination, not to be required in subsequent examinations unless indicated by the Department. If the skin test is positive, a chest X-ray is required. 10 FAMILY DAY CARE HOMES A tuberculin test for an infant shall be given at the discretion o the physician. ILLINOIS The care-giver shall be found free of communicable diseases and shall be physically and emotionally fit in caring for young children. Medical reexamination of care-givers and assistants will be required at the time of licensing renewal. At other times, examination may be required at the discretion of the physician or the Department. 343. Child. Eligibility and Enrollment Requirements 33. Prior To Acceptance Of A Child For Care, The Care-Giver Shall Require That the Parent Or Guardian Accompany The Child To The Home To Become Acquainted With The Care -Giver And With The Services To Be Provided, 35. The Care-Giver Shall Have Sufficient Information About The Child So That The Parent And Care-Giver Can Make Suitable Plans For The Child's Stay In The Day-Care Home. 344. Child Abuse Reportin 16. Suspected Child Abuse, And/Or Neglect, Shall Reported To The Department Immediately. 345. Confidentialit Records Requirements Not specified FAMILY DAY CARE HOMES 400. GROUP COMPOSMOSS OF CHILDREN 410. STAFF/CHILD RATIO REQUIREMENTS 411. Staff /Child Ratio arch 1981 ILLINOI 29. Assistants and Substitutes Must Be Of Suitable Ages. A related child acting as an' assistant shall not be counted fop licensing purposes when determining the number of children -..khat the home can be licensed for. 36. The Maximum Number Of Children Permitted In A Day-Care Home Shall Be 8 Under The Age Of 16, Including Own And Unrelated Children. Compliance Requirements: A care-giver alone may care for up- to 4 children under 5 years of age, and 4 over 5 ,years of age. No more an 2 children shall be under 2 years of age. Examples of accepta age distribution patterns are given in the following chart. Under 2 Years 0 0 0 2-5 Years 4 3 2 1 Over 5 Years 4 5 6 7 Total 8 8 I 5 8 8 2 5 An assistant is required for more than 4 children under 5 years of age. With re assistant employed, no more than 3 children shall be under 2 years of age. 12 - FAMILY DAY CARE HOMES Under 2 Years 0 0 2-5 Years 5 6 7 8 Over 5 Years ILLINOIS- Tertal 8 a 8 8 8 4 8 8 6 8 1 7 8 2 3 8 2 2 8 2 5 8 2 6 8 -,- The following exception is permitted: 6 children; 3 through 5 years of age may be cared for with no assistant required. No more than 3 of the 6 shall be under 4 years of age. In this situation, the additional 2 children to reach maximum capacity shall be 9 years of age or older. Under 3 Years Under 4 Years Over 4-5 Years 9 Years- Total 8 0 3 N 3 '2 8 0 2 4 2 8 0 1 5 2 8 0 0 6 2 8 412. lethods of Computing Staff/Child Ratios See 411. Staff/Child Ratios as of March 1981 420. GROUP SIZE 421. Group Size as of March, 1981 'Not specified 2.16 13 FAMILY DAY CARE HOMES ILLINOIS 422. Methods of Computing Group Size Not specified 500.- STAFF QUALIFICATIONS AND TRAINI TC RE REMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. A 29. Assistants and Substitutes Must Be Of Suitable Ages. The person assisting the care-giver shall be at least 16 ye -sirs of age, except that the person may be 14 years of age when school is not in session. When the assistant is under 16 years of age, the substi shall be at least 18 years of age, 512. Heald _e primary care-giver 32. Members Of The Household And Assistants In =ants& With The Children Under Care Shall Have A Physical Exam_Ination. (See -'Day Care Home Records And Reports, Regulation 15.) 513. Education Not specified 514. Experience 26. Relationships Within The Family Shall Insure A WhoL eso one Atmosphere For Children. 14 FAMILY DAY CARE HOMES ILLINOIS Compliance Requirements: Adult family members residing at the home and in contact with the children under care shall approve of the service being provided. These adult family members shall be stable, responsible, mature individuals of reputable characters, who can exercise good judgement in caring for children. 30. The Child-Care Assistant Shall. Be Compatable With The Care-Giver, Capable Of Following Directions, And Responsive To Supervision. 31. The Child-Care Assistant Shall Be Able To Relate Well. With Children. Compliance Requirements: The assistant shall be warm and friendly. The assistant must genuinely enjoy physical and verbal interaction with young children. The assistant shall be willing to help and maintain a safe, clean, and orderly environment while providing ample opportunity for children to explore, manipulate, and play. The assistant shall exhibit maturity, emotional stability, patience, and humor. The assistant shall _respect the children and families served. 24 FAMILY DAY CARE HOMES ILLINOI 520. PROGRAM DIRECTOR QUALIFICATIONS 521. See 5U. Age 522. Health See 512. Health 523. Education Not specified 524. Experience 27. The Care-Giver Must Be An Individual Who Demonstrates An Ability To Effectively Insure The Total Welfare Of A Child. Compliance Requirements: The care-giver shall exhibit warmth, maturity, emotional balance, patience, humor, and personal rsponsibility. The care-giver shall respect the children and families served. Specific areas of competence shall include: Knowledge of basic hygiene, safety, and nutrition. The ability to relate comfortably with parents and to communicate with them differences in caregiving methods, values, and goals. The ability to communicate with children. This includes the ability not only to talk comfortably with children, but also to hold and touch them comfortably. The ability to set realistic controls for children and to enforce these without harshness or ph al abuse. FAMILY DAY CARE HOMES ILMNOIS Knowledge of the child's need to explore and manipulate and the willingness to provide and maintain a home where children can enjoy living and learning. 530. SUPPORT STAFF QUALIFICATIONS Not specified 540. POST EMPLOYMENT/IN-SERVICE: ORIENTATION AND TRAINING 541. Program Director Not specified 542. Child Caregiver Staff NOt specified 543. Support Staff Not specified 600. PROGRAM OF ACTIVITIES, INCLUDING EDUCATION 610. PROGRAM REQUIREMEI 611 Program of Activities 43. The Care-Giver Shall. Discuss With Parents The Characteristics Of The Child. Compliance Requirements The care-giver and parent shall discuss the child's habits activities, an schedules to insure consistency in planning for the child. The parent and care-giver shall share concerns about the child's health, development, and behavior. 17 FAMILY DAY CARE :0 ES y ILLINOIS 44.' The Basic Program Shall Be Well-Balanced And Provide Develop ers-ital Activities Geared To The Needs Of The Children Served. Compliance Requirements: Program shall be ,informal, providing a family atmosphere that promotes the physical and emotional well-being of the individual. Children shall be encouraged to participate in the householdroutinF of preparing food, setting tables, and cleaning up, if of appropriate age. The program shall provide regularity in routines such as, but not liraf-Ated to, eating, napping7and toileting, with sufficient flexibility to relic and to the needs of the individual. A good balance of active and quiet play must be provided. There shall be activities, both indoors and outdoors, in which chilen make use of both large and small muscles. There shall be a variety of chores and developmental level. the oh_ild's Each child's individuality shall be respected and a sense of self and development of self-esteem shall be encouraged. 47. Mealtimes Shall Be Pleasurable Experiences For The Child. 18 FAMILY DAY CARE HOMES ILLINOIS Compliance Requirements There shall be enough time mowed for mesas so the children can eat in an unhurried atmosphere. Children shall be encouraged but not forced to y new foods. To the extent possible, inforrna on provided by parents concerning the y child's eating habits, food p eferences, c r special needs should be considered in planning menus. A child's emotional response to food shall be respected, and his food preferences and eating habits shall not be permitted to become a source of friction at mealtimes. Mealtimes should occur in a social atmosph ire and afford children the close presence of en attentive adult. 56. No Child Shall Be Cared For Longer Than 12 Hours On Any Regular= Basis. 64. A Schedule Shall Be Worked Out With > .ach Child's Parents That Complements And Supplem ent His Or Her 11 .bm e Activities. Compliance Requirement: When possible, children shall be left for 'car and picked up before and after their normal sleeping period so tIlat there is a minimum disturbance of the child during sleep. 65. Time Shall Be Allowed For Both Indoor =nd Outdoor Play, Meals, Bathing, And Sleep. 66. Evening Activities arily Self-Selected By The Child. 3AMILY CARE HOMES ILLINOI Complisnee Requirement: Selee =tion shall be from activities such but not tinnited to o tc oor play, reading,lounging, study, table games, group games c riveration, listeraming to music, watchiia elvisionfanorart. 612. Ipso am E jet' 4t_ls 40. Perc=tnal Hygiene Standards Sbn 1 Be Observed In Each lime. Cornpliertce Requirements: Eaeh child shall be provided with an individual o el and washcloti---1. The care-giver shall require parents to supply clotting suitsWiple weeitEher conditions, as well as ..Et. complete change at clothing in tease of need- 45. 'The lvlaterish And- Equipment And Their' Arrangements And 't.Ts- Must Be Ar ppropriate To The Developmental Needs Of The Complian a Requirements: Sim r7le play equipment, suitabL to the age and developmental Beds of the shall be available for use indoors and outdoors, IVIafrials and Toys shall b kept clean, orderly, attroctiv, and eccesible to the children. There shall be stimulating pla7s., materials, these may include hou_isehold itern used creatively. 20 PAM Y CAItE DOMES ILLINOIS Materials and equipment must be of sufficient quantity to provide for a variety of experiences and to appea[ to the individual interest of the child under care. 613. Nap Provision 40. Personal Hygie andards Shall Be Dbserved In Each Home. Compliance Requirern A separate slee frig arrangement, simch as a bed, cot, crib, or playpen with individual bedding shall be pro'rided for each child. A twin-size bed may be Used, for 2 children_ provided each child shall have individual sheets. The bed shall be kept in a ci_ean and sanitary condition at all times, and bedding shall be suitble to the season. Family beds may be used for children in care if separate linens are used. Rubber sheetsshall be used wh n necesa Bed, Crib, Or .Cat And Individual Lirraen And Bedding Shall Be Provided For Each Child Except As Iiereit Prowided: Compliance Requireniehts: A double bed shathe the minimum sire for two sleeping children. Rubber sheets or suitable substitu hall be suppl .when necessary. If a crib is used there shall be no rare than one and one-half inches of space between themattress and bed frame when the mattre is pushed flush at one eorflerof the crib. 21 FAMILY DAY CARE HOMES ILLINOI 614. Discipline and - 41.. The Care-Giver Shall Use Disciplinary Measures Designed And Carried Out In Such A Way As To Help Individual Children Develop Self - Control. And Assume Responsibility For Their Own Acts. Compliance Requirements: The care-giver shall establish simple, understandable rules so that expectations and limitations.are clear to the child. Discipline shall not be out of proportion to the particular inappropriate behavior, as for example, scolding children for honest mistakes such as spills, and accidents caused by lack of coordination. Discipline shall relate to the child's act, and be handled without prolonged delay on the part of the adult involved so the child is aware of the relationship between acts and consequences. Removal from the other children as a means of helping a child gain control shall be for short periods of time only. 42. Under No Circumstances Shall Any Child Be Subjected To Extreme Punishment. Compliance Requirements: No child can be subjected to physical punishment, nor can shaming, frightening, or humiliating methods be used. There can be no verbal abuse, threats, or derogatory child or the child's family. 22 about the FAMILY DAY CAl Depriving a ,enildo punishment . any part of m No child shall be piished fuilr toilet accidents. is shall never be us fi 700. H A LTH AND SAFETY 710. HEALTH 711. General! Not specified e 712. Health Ass __en See 341. Children 713. Immuniz.ation.s 713. See 341. Children 714. Sanitation 19. A Safe And Sanitary Water Supply Shall Be Maintained. ILLINOIS Compliance Requirements: If a priVate water supply is used ihstead of an approved public water supply the applicant shall supply written records of current test results. New test results t---nust be provided prior to relicensing. If nitrate content ishigh, bottl=d or city water must be used for infants. 20. Insect And noclealContPol Be Maintained. 23 FAMILY DAY CARE HOMES ILLINOIS Compliance Requirements: All outside doors, operable windows, and other openings snail be adequately screened during seasons requiring insect control. Hours with operable self - closing devices do not have to be screened; 22. Indoor Space Shall Consist Of A Clean, Comfortable Environrn For Children. Compliance Requirements: The dwelling shall be kept clean, sanitary, and in good repair. W nd s if opened, shall be screened. 40. Personal Hygiene Standirds Shall Be Observed In Each Home. Compliance Requ rements: ds shall be washed and dried before meals. Hands shall be washed and dried after toileting. Sheets shall be changed when soiled and at least weekly. 57. The Child Shall Be Bathed, Ne No Child Under 5 Years Of Age Is To. Be Left Alone While In The Bathtub. 59. Each Child Must Have Individual Sleeping Garments That Are Clan and Comfortable. 61. A Child Who Goes To School From A Night-Care Facility Shall B Clean And Properly Dressed gccording To The Weather. 62. Each Child Shall Have Individual Toilet Articles Such As Comb, Toothbrush, Towel, and Washcloth. 24 FAMILY DAY CARE HOMES 63. Health-Care Routines Shall Be Obs ved And Shell Include. Brushing teeth at bedtime and/or upon rising. Brushing the hair upon risii Establishing1a routine for,toileting at bedtime sand upon nisi 715. Daily Illness Screening 37. Each Child Shall Be Inspected Daily, Upon Arrival, For Symptoms Of Illness. Compliance Requirement: - If such are present, the care-giver shall use discretion as to whether or not care can be provided a sick child, depending upon the degree of illness, other children present, and facilities available for care. 716. Care of Sick Children 22. Indoor Space Shall Consist Of A Clean, Comfortable Environment For Children. Compliance Requirements: There shall be provision for isolating a child who become suspected of having a contagious disease. 717. Medication and Special Diet Provisions or who is 38. Special Necessary Medications Shall Administered _According To Specific Instructions. Compliance Requirements Prescription medicine labels must bear the child's name, the physician's name, the name of the drug store or pharmacy, prescription number, date of the prescription, and directions for administering. LINOIS QFAMILY DAY CARE HOMES ILLINOI Patent medicines mdy be administered by care-giver if specific written instructions for administration by the parent are on file. There shall be a signed statement by the child's parent or guardian giving permission to the care -giver to administer medicine to the child. The care-giver shall maintain a record of the dates and hours in which dosages were given. Medical services, such as direct medical care to the child, shall be administered as required ,by a plv:is-ician, subject to the receipt of appropriate releases Emd indemnification agreements from parents. 718. Waiver of Health Requirements Not specified 720. SAFETY 721. General Safetyr Requirements 17. The Physical Facilities Of Thei,Fome, Both Indoors And Outdoors, Shall Meet Requirements For Safety To Children. Compliance Requirements: The kitchen shall be equipped with a fire extinguisher. Electric outlets that are within reach of children shall have protective coverings. There shall be no exposed or uninsulated wiring. Space heaters in areas occupied by children shall be separated by partitions or barriers to prevent -contact. 25 FAMILY DAY CA_ .HOMES ILLINOIS All walls and sUrfaces shall be free from chipped and peeling paint. Walls of ms that children use shall be maintained free of lead paint. Furniture and equipment sha be kept in safe repair. First-aid supplies, medication, cleaning materials, poisons, and other hazardous materials shall be stored in places accessible to children. Dangerous tools and gardening equipment shall, be stored in locked cabinets, if possible, or in places inaccessible to children. Ammunition must be kept in a locked container, and guns and other weapons shall be inaccessible to children. EsOt doors shall be kept clear of equipment and debris at all t 20. Insect And Rodent Control Shall Be Maintained. Compliance Requirements: Chemicals for insect and rodent control shall riot be applied in accessible to children when children are present. 21. Small, Healthy, A_ mills May Be Permitted. Compliance Requirements: A licensed veterinarian shall certify that the animals have been inoculated, when required, or are otherwise free of diseases that could endanger the children's health. 7 FAMILY DAY CARE HOMES ILLINOIS If certification is not available, animals shall be confined in an area not accessible to children. There shall be careful supervision of children who e permitted to handle and care for the animals. Immediate treatment for any child who sustains a bite or swatch or other injury from such source shall be available. Turtles e prohibited. 23. There Shall e Safe Outdoor Space For Active Play. Compliance Requirements: Space shall use protected by physical means or by adult supervision against such hazards as pools, traffic, and construction. Play areas shall be well drained, and safely maintained. If public parks or playgrounds are used for play, the children shall be closely supervised during play and while traveling to and from the area. 722. Fire Safety Requirements 17. The Physical Facilities 0 The Home, Both Indoors And Outdoors, Shall Meet Requirements F Safety To Children. Compliance Requirements: The kitchen shall be equipped with a fire extinguisher. Electric outlets that are within reach of children shall have protective coverings. There shall be no exposed or uninsulated wiring. 2 28 FAMILY DAY CARE HOMES ILLINOIS Space heaters in areas occupied by children shall be separated by partitions or barriers to prevent contact. There shall e plans for evacuation, in case of emergency, such as fire, etc. 723. Transportation 48. When Transporting Children, The Same Child/Adult Ratio Shall Apply, As Is Required In The Home, For The Ages And Numbers Of Children Being Served. Compliance Requirements: A suitable infant restraint or seat shall be available for each child and shall be used whenever the vehicle is in motion. Children shall be instructed in safe transportation conduct appropriate for their age and stage of development. co While transporting the children, the driver shall be responsible for seeing that Each child shall board or leave the vehicle from the curb side of the street, and shall be safely conducted to the home or facility. A responsible person shall receive the child when delivered to the home or the facility. No child shall be left unattended in a vehicle. All seats shall be forward-facing. Unattached children's seats are not allowed. Rear seats in automobiles, station wagons and carryalls shall have an unobstructed passageway for entrance and exit at all times. 29 FAMILY DAY CARE HOMES ILLINOIS 49. The Care-Giver Shall Comply With State And Local Laws Pertaining To Vehicles. Compliance Requirements: The vehicle shall be in compliance with all relevant state statutes and local vehicle safety ordinances. Evidence of compliance regarding vehicle liability and ical insurance shall be on file with the home records. The vehicle shall be equipped with: Safety-locking devices on doors. A spare tire, ready for service, and usable jack. Individual seat belts for each passenger and driver. 724. Safety Requirements for Equipment See 721. General Safety Requirements 725. Water Activities (Includin Swimming) Not specified 726. Eme ency Procedures 17. The Physical Facilities Of The Home, Both Indoors And Outdoors, Shall Meet Requirements For Safety To Children. Compliance Requirements: There shall be plans for evacuation, in case of emergency, such as fire, etc. 39. There Shall Be An Emergency Plan For Each Child In Case Of Accident Or Stfdden Illness. 30 FAMILY DAY CARE HOMES ILLINOIS Compliance Requirements: The care-giver shall have available at all times the name, address, and telephone number where the child's parents or guardian, relative, friend, or physician, and the Department can be reached. There shall be a planned source of readily available emergency medical care; a hospital emergency medial room, clinic, or the child's physician. When the caregiver accompanies a child to the source of emergency care, there must be a qualified adult to assume supervision of other children in the home. In case of illness or accident, the parent, guardian, or supervising agency responsible for the child shall be notified immediately, and the child shall be removed from the home as soon as possible. 727. First Aid Supplies 17. The Physical Facilities Of The Home, Both Indoors And Outdoors, Shall Meet Requirements For Safety To Children. Compliance Requirements: The home shall be equipped with first-aid supplies. 800. NUTRITION AND FOOD SERVICE 810. NUTRITION 811. Nutritional Requir=ements 46. Meals And Snacks Shall Be Provided n A Quantity To Meet The Daily Nutritional Needs of the Child. FAMILY DAY CARE HOMES ILLINOI Compliance Requirements: A child of 1 to 6 years requires 1300-1800 calories daily. Food requirements for children between birth and the age of eating table food shall be geared to the individual needs of the child and determined by consultation of parents with a physician. The facility shall provide one-third to two-thirds of the daily calories depending on the length of time of the child's stay. This shall be divided as follows: Milk: 6 ounces of Grade A pasteurized fortified milk. Protein: Source (main dish) - two ounces of edible portion of meat, fish, or chicken). Other protein sources such as eggs, cheese, or dried peas or beans may be used twice a week. Peanut butter may not be used as the only source of protein. A casserole or mixed dish may be served, but it must contain 2 ounces of protein food per child or additional protein sources are to be added to the meal to meet above requirements. Vegetables: 2 servings per child (2-4 tbsps.). These may be cooked or raw. Vegetables rich in Vitamin A shall be served three times a week. Potatoes should be used at least twice a week. Enriched rice, macaroni, or noodles may be substituted for potatoes occasionally. Bread: A serving of one or more slices of enriched or whole grain bread. An equivalent serving of cornbread, biscuits,''rolls, or muffins made of enriched or whole-grain meal or flour may be substituted. er and/or For ed margarine: One-half tsp. of butter or fortified margarine daily. This may be used as spread for bread or in food preparation. 32 FAMILY DAY CARE HOMES ILLINOIS Fruit: A serving (one-fourth to one-half cup) of cooked or raw fruit or fruit juice (citrus-fortified juice containing 30 mg. of Vitamin C per serving). Daily food requirements shall be determined according to the length of stay in the home. Children in attendance for more than two but less han five hours per day shall be served a mid- session snack consisting of one-half cup of a pure fruit juice or properly processed canned or frozen fruit juice with high citric content, or one to one-half cup of pasteurized milk, or one serving of fruit with high citric content. Enriched soda or graham crackers, raw vegetable sticks, toast sticks, or cheese cubes with juice or milk are optional. Children in attendance five to ten hours shall be served at least one-third of their daily food requirements, which shall include a well-balanced, nutritive meal. Occasional nicnic-tvpe meals may be substituted for a main meal. Mid- morning and mid-afternoon snacks consisting of fruit, fruit juie4p or pasteurized milk (as prescribed under Regulation 46 B-i above) shall be included. Children in attendance over ten hours shall be served food to provide at least two-thirds of their daily food requirements. Two meals and the supplemental snacks will meet this requirement. One of the meals may be breakfast or supper, depending on the time the child arrives or departs. Children shall be served small bite-size pieces with second helpings always available. Variations in size of serving allow for adaptation to the age and needs of each child, small and big appetites, etc. FAMILY DAY CARE HOMES , ILLINOIS All meals shall be suitable for children and prepared by methods designed to conserve nutritive value, flavor, and appearance. Drinking water shall be readily available to the child at all 'rnes. 67. The Home Shall Serve Meals And Snacks That Supplement Food Served At Home. 4 Compliance Requirements: This is to be determined by consulting with the parents. An evening meal that meets nutritional requirements shall be served at a regular time each evening and shall be available to children who may arrive without having first eaten. (See Regulation 46'.) A bedtime snack shall be served, unless counter indicated by parents or physician. (See Regulation 46.) Children who remain overnight and go to school from the night-care home shall have breakfast, including juice ruit, -(see Regulation 46) unless they are regularly receiving breakfast at school. 812. Waiver o Not specified ent 820. FOOD PREPARATION 821. Food Preparation and Service Requireme 17. -'The Physical Facilities Of The Home, Both Indoors And Outdoors, Shall Meet Requirements- For Safety To Children. 26 34 FAMILY DAY CARE HOMES ILLINOIS Compliance Requirements: 18. The Kitchen Shall Be Clean And Equipped For FreserVation, Storage, Preparation, And Serving Of Food. Not specified Not specified 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION 1100. INFANTS AND TODDLERS MO. PROGRAM OF ACTWIT ES 68. Infants And Toddlers Shall Be Provided A Daily Program That Is Designed To Meet Their Developmental.Needs. Compliance Requirements: The care - ;giver shall demonstrate warm, positive feelings toward each infant through actions such as hugging, netting, smiling, and cuddling. Routines such as naps and feedings shall be discussed with the parents and shall be consistent with the routine at their home. Infants who are awake shall be moved to different positions and shall be held, rocked, and carried about. The care-giver shall frequently change the place, position, and toys available for infants who cannot move about the room. 2 I- FAMILY DAY CARE HOMES I ILLI, 0 Consistent toilet training shall be undertaken at a time mutually agreed upon by parent and care-giver in accordance with the child's age and/or stage of development. Infants shall be talked to: Cooing and babbling games can be played as beginning conversation. Children shall be taken outdoors for a portion of every day, when weather permits. Exception to this is provided if child is ill or indicated otherwise by parent or physician. AMP Thb Aateria18 Must Be Appropriate To The Developmental Needs Of The Child In Care., mpliance Requirements: Provision shall be made for an adequate supply of individual diapers, clothing, powder, oil, etc. Any baby shall be able to watch the movement and color of a bright toy hung across the crib, or a mobile. There shall be a variety of toys, art material, and finger foods for infants and toddlers to grasp, pick up, and manipulate. Pull toys, pounding toys, large hollow blocks, or large balls shall be available for development of large muscles. 1120. HEALTH AND SAFETY REQUIREMENTS 70. Proper Standards Of Hygiene Shall Be Observed In Each Home. Compliance Requirements: .Hands shall be washed and dried before the feeding of each child. 2i' 36 FAMILY DAY CARE HOMES ILLIN 015 f the child's formula is brought in by the parent at the beginning of each day, it shall a !placed in the refrigerator and identified. All opened food shall be used within 24 hours, If food is fed to infants from jars, the leftovers_ shall. be labeled With the infant's name and refrigerated immediately. A toilet shall be easily accessible so that the contents of diapers may be disposed of before placifig diapers in the diaper pail. Persons changihg diapers shall wash hands under running water with soap after each change of diaper. The child whose diapers are being changed is to be washed on his hands and anal area if there has been defecation or if irritation is present. A toilet seat or potty shall be cleaned routinely after every use. Sheets shall be changed when soiled, and all sheets shall be changed routinely two times per week. All beds shall be wiped clean as often as necessary.' All ute s shall be washed after each use. Toys and equipment shall be kept clean. 71. The Equipment Must Appropriate To The Developmental Needs Of The Child In Care. FAMILY DAY CARE HOMES ILLINOIE Compliance Requirements: Safe, sturdy, well-constructed individtial cots, cribs, playpens, or port-a-cribs for infants shoe equipped with good firm, fitting mattresses made of waterproof materials that can be washed. Sleeping equipment for infants must have protection, to prevent falls. There shall be no more than one and one-half inches of space between the mattress and bed frame when the mattress is Pushed flush at one corner of the crib. Bed linens used on the cots, cribs, or playpens shall be safe, tightly fitting, and washable. Conveniently located, washable, plastic-lined-covered receptac be provided for soiled diapers and linens. A toilet seat or potty shall be provided. 1130. INFANT NUTRUION 69. Feeding-Schedules And Procedures Shall Meet The Development' evelopmen Needs Of The Children. Compliance Requirements: Flexible feeding schedules of infants shall be established to coordinate with parents' schedules at home and to allow for nursing infants. Infants who cannot yet turn over alone shall be placed on their abdomens after feeding unless counter indicated by a physician. FAMILY DAY CARE HOMES ILLINOIS Infants shall be held or placed in a chair for feeding. Bottles shall not be propped. When infants are old enough to hold their own bottles, they may feed themselves without being held. Infants should be allowed and encouraged to feed themselves when they indicate a readiness to do so. Safe finger foods shall be provided: Foods that dissolve or become pulpy in the mouth are appropriate finger foods. 1200. CHILDREN WITH HANDICAPPING CONDITIONS 1210. PROGRAM OF ACTIVITIES Not specified 1220. HEALTH AND SAFETY REQU RE EN 5L- There Shall Be Suitable Space And Equipment So That The Child Can Be As Safe And Independent As Possible. Compliance Requirements: Areas of the home sha_ 5e adapted as necessary if special device required to function independently. Space needs shall be determined by considering such factors as age and size of the child, activity recommendation, and ambulation problems. 1230. STAFFING 50. The Care-Giver Must Evidence Interest In And Be Competent To Serve The Child With Special Needs. FAMILY DAY CARE HOMES ILLINOIS Compliance Requirements: There shall be written evidence on file that resource persons with appropriate expertise have been consulted and their recommendations f ollo4'ed Children identified as having special needs shall have activities relating to those needs that are planned with parents and/or consultants. 52. Children Who Have Special Needs Due To Physical, Mental, And/Or Emotioanal Disabilities Shall Be Considered In The Licensed Capacity At The Age Level At Which They Function. Compliance Requirement: The age level at which the child functions for purposes of determining child/staff ratios shall be determined by the Department in consultation with appropriate resource personnel. 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACTIVIT E Program And Activities Shall Be Provided That Meet- The Developmental Teeds Of School -Age Children. Compliance Requirements: Outdoor and indoor activities shall be provided. Children who have been in school all day shall have time set aside for relaxation and recreation. There shall be opportunity for study in a quiet ea. 40 FAMILY DAY CARE HOMES ILLINOIS Children shall be able to participate in afte school activities Sponsored by the school. Age-appropriate materials shall be provided. These include, but are not -sited to: puzzles, games, books, art supplies. 54. NutritiOnal Nieds Shall Be Fulfilled. Compliance Requirements: A snack shall be served when children arrive at the borne after school (See 'Regulation 45.) Children who come home from school for a lunch program shall be served a nutritionally balanced meal. (See Regulation 46.) 1320. HEALTH AND SAFETY REQUIREMENTS 55. Areas' Of Responsibility Shall Be Clearly Established Between Parent, School, And Care-Giver And Agreed To In Writing For: Children leaving the day care home to go to school. Children leaving school to go home. Children leaving the day care home for any reason. Children participating in after-school activities or visiting friends. 1400. FACILITY REQUIREMENTS 1410. SPACE 23. There Shall Be Safe Outdoor Space For Active Play. Compliance Requirements: Space shall be provided in backyard or nearby p 41 or playgrounds. FAMILY DAY CARE HOMES ILLINO 24. Operation Of Other Business On TlePremise Thc Care Of Children. Interfere With 25. A Day-Care Family Home May Notilouse Bedridden, Or Chronically Ill Persons Except By Permission Of TbPDepartmeht. 1420. LIGHTING, VENTILATION AND .-1MPERATURE 22. Indoor Space Shall Consist Of A Clean, omfontat=1.1e Environment For Children. Compliance Requirements: -Natural or mechanical ventilation shall be provided. 1430. EXIT 17. The Physical Facilities Of The florie, Both Indoors And Outdoors, Shall Meet Requirements For Safety To Children. Compliance Requirements: Whert the basement area may be utilized for eh c= care, at least one exit shall be provided directly to the outside a t grade level. An operable window may be considered one means of exit, if large enough and accessible enough to accommodate an adult. 1440. TOILETS AND LAVATORIES Not specified 1500. OTHER STATE REQUIREMENTS COMPLIANCE TH OTHER LOCAL, STATE, AND REGIONAL LA-11S AND REGIJITIONS 1510. Z NG Not specified 42 FAMILY DAY CARE HOMES ILLINOIS 1520 -FIRE Not specified 1530 BUILDING Not specified 1540. HEALTH Not specified 1550; SANITATION Not specified 1560. NEW CONSTRUCTION Not specified FAMtLY DAY CARE HOMES INDIANA Indiana Department of Public Welfare, Rules and Regulations, Title 3, Chapter 1 - Day Care Foster Homes, October 1979. 100. STATE LICENSING OF CHILD DAY CARE FAC IT ES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS Definitions Regulation 3-115 Boarding Homes Giving Day-Time Care to Children, Definition. A boarding home for day-time care of children in a place of residence in which children are cared for only during the day time. 112. Exclusions and Exemptions See DAY CARE CENTERS 113. HHS Day Care Compliance Not Specified 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 121. Organizative of the Administrative Unit See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS FAMILY DAY CARE HOMES INDIANA 2 0 PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promi4ation of Replations See DAY CA RS 212. Advisory y and Other Connmunity Participation See DAY CARE CENTERS 220. LICENSING PROCEDURE 221. A lication and Issuance See DAY CARE CENTERS 222. Fee Charzeif See DAY CARE CENTERS 223. Areas of Investigation See DAY CARE CENTERS 224. License Renewal See.DAY CARE CENTERS 225. Conditional/Provisional Liceri See DAY CARE NTERS 226. Substantial Compliance See DAY CARE CENTERS es 230. ENFORCEMENT PROCEDURES 231. Facility Inspections See DAY CARE pENTITS 2 FAMILY DAY CARE HOMES INDIANA 232. Denial, Suspension, Revocation of a License See DAY CARE CENTERS 233. Remedies and Sanctions 233.1 Hearing! See DAY CARE CENTERS 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial Review and Sanctions See DAY CARE CENTERS. 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Administrative Requirements Regulation S3 -116 Foster Family Day-Time Care. No adult boarder or roomer shall be permitted to live in the boarding home for day-time care except with he consent of the State Department of Public Welfare. The licensee shall report to the county department of public welfare or licensed child-placing agency or any other designated representative of the State Department of Public Welfare any change in the home condition affecting the welfare of the children, such as the number of persons living in the home, change in residence or in the use of rooms, reduction of income or employment of foster mother. FAMILY DAY CARE HOMES INDIANA Regulation S3-121 Personal Care of the Child - Day-Time Care. The religion of each child shall be given preference in planning attendance at Sunday School or Church. 312. Telephone Not Specified 313. Proof of Operator Financial Capabilities for his Regulation §3-116 Foster Family - Day-Time Care. There shall be sufficient income and resources in the borne to insure a reasonable living standard within the boarding h6me and proper mare for children. 314. Not Specified -ance 320. PERSONNEL 321. Publication of Personnel Policies Not Specified 322. Constraints Against Emaloyment Not Specified 330. NON- DISCRIMINATION- 331. Requirements Prohib_ -=rig Discrimination Not Specified 4 FAMILY DAY CARE HOMES 340. RECORDS REQUIREMENTS 341. Children I4-DIANA Regulation 53-116 Faster Family - -flay -Time Care. Each foster mother shall be responsible for keeping a record of the names of children admitted, the time of admission, the time of release, and any other specific information required by the agency authoriz zed by law to supervise the home. 342. Staff Not specified 343. Child Eligibility and Enrolment Re ufrerrits Not specified 344. Child Abuse Reportm Not specified 345. Confidentiality of Records eguirements Not specified 400. GROUP CO 410. STAFF/CHILD RATIO REQUIREMENTS 411. Ratio as o 17-f HILDREN .44 Regulation S3-122 Staff for Day-Time Ctd of More 'LI'han Six Children. When more than six children are cared for, the board ring mother shall maintain an adequate staff for the care of the number of chilcir-7en stated in the license FAMILY DAY CARE HOMES INDIANA Methods of Com utin Stet f/Child Ratio's See 411. Staff/Child Ratio as_of 1V.4areh, 1981 420. GROUP SIZE 421, Group. Size as of Marc Regulation §3-123 Housing - AcI7ditional Requirements for Day-Time Care of More Than Six Children and Not INN/lore Than Ten Children. rot more than ten children, inch_Ading own children under the age of 14, maybe cared for at any One time in a bowerding home giving day-time care to'cliildren; provided, however, that a home which haS' been licensed to care for ruorethan ten during the period July 1971 though June 1972, may be licensed for thesarne number of children as it was used during that year so long as it meet sother licensing requirements. 422. Methods of Computin up Size Not specified. 500. STAFF QUAEIFICA 1 IONS AND TRAINING RE UIREME 510. CHID CAREGIVER ST 511. Abe Not specified 512. Health QUALIFICATIONS Regulation §3-116 Foster Family Day-Time Care. The health of all member's of foster family or other individuals living in the home shall be such that i= will not be detrimental to the health and welfare of the foster children. A_ statement from a duly licensed physieion and such other evidence of good heath as may be required of the foster farl4hv the State Department of Publielelfare shall be furnished. FAMILY i Al' CARE HOMES INDIANA 513. Ed4cati,011 Not specified 514. Exrtn2 Foster par,entgsliall be inatar,-e individuals who are capable of exercising and do exercise goiAludgment in ttLhe handling of a child. 520. pR MIDIRECTOA QUALIFICATIONS 521. 22iigp_; Not specified 522. H ealth See 512 Health, 523. Edutcatia Not specified 524. See 514 Ex-Derionce 530. AFF QIJ See 510. Child nregiver Staff Qualifications 540. PO T PLOY ENT -SERVICE: ORMNTATION AND TRAINING 541. Piropra Not peciff_ed Director 542. Childrcgiyer Staff X' of speci ed 543. Sup_Dort :Blatt Not specifi ed 7 FAMILY DAY CARE HOMES: INDIANA 600. PROGRAM OF ACTIVITIES- INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities Regulation §3-121 Personal Care of the Child - Day-Time Care Foster parents shall cooperate with the parents or person in loco parentis in carrying out -plans for education of each child in accordance with the ability of each ehll RegulatiOn S3-125 Personal Care of the Child - Additional Requirements for Day-Time Care of More Than Six Children. A program of activities which have educational values and which give children constructive group experience shall be planned for part of the day. 612. Program Equipment and Materials Regulation §3-117 Housing - Day-Time Care. Recreation facilities, including a sufficient supply of toys and other play equipmfflnt, shall be made available for indoor and outdoor play. 613. Nap Provision Regulation §3 -117 Housing - Day-Time Care. There shall be accommodations for day-time naps which shatil. have adequate ventilation and space necessary for the health, safety and welfare of the children. Individual covering shall be provided for naps, and this shall be marked in such a way that each child uses his own covering. Fresh bed linen shall be provided weekly. FAMILY DAY CARE HOMES INDIANA irrks 614. Discipline and Guidance Regulation g3-121 Personal Care of the Child - Day-Time Care. Each child shall receive the same treatment as members of the foster family No child shall be subjected to cruelty, neglect or exploitation. 710. HEALTH 711. General 700. HEALTH AND SAFETY reouirements Regulation g3-119 Health - Day Time Care. If a person in the boarding home for day -time care should contract a communicable disease, the foster child shall not be permitted to remain there unless suitable health precautions are taken for protection of the child. The foster parents shall cooperate with the parents or person in loco parentis in providing proper medical treatment for the foster child. 712. Health Assessments Not specified 713. Immunizations Not specified 714. Sanitation Regulation §3-117 Housing - Day-Time Care. Facilities for proper bathing shall be provides FAMILY DAY CARE HO IES INDIANA Regulation 33-118 Sanitation - Day-Time Care. The boarding home for day-time care of children shall conform to the sanitary laws and ordinances of the State and the city or town in which it is located. It I shall be kept clean and in a fit sanitary condition. Windows and doprs shall be screened as required by the climatic conditions. The milk supply, the water supply and sewage disposal shall conform to the standards set by the State Board of Health under its rules and regulations and all laws pertaining thereto. 715. Daily Illness Screening Regulation 33-124 Health - Ad tional Requirements for Day-Time Care of More Than Six Children. Each child shall be examined when h arrives in the morning to see whether he has a cold, temperature, rash or any condition which would indicate illness. If there are such indications of illness, the child shall be isolated from the group. 716. Care of Sick Children Regulation 33-119 Health - Day Time Care. A child suffering from a communicable or contagious disease shall not be admitted to a home where there are other children unless plans are based on competent m dical advice. If a child should ecome ili during the day, the child shall he isolated from the others. Regulation 33-124 Health Additional Requirements for Day-Time Care' of More Than Six Children. A separate room shall always be available for the isolation of a sick child. 10 Ar DAY CARE HOMES INDIANA 717. Medication and Special Diet Provisions Not specified 718. Waiver of Health Requirements Not specified 720. SAFETY 721. General Safety Requirements Regulation 53-117 Housing - Day-Time Care. The boarding home for day-time care of -children shall not be located where unusual conditions exist that would be hazardous to the physical = or moral welfare of the child. 722. ar.__SOpLtRequirements, Regulation 53-117 Housing - Day-Time Care. The home shill be kept free from all unnecessary fire hazards. 723. Transportation- Not specified 724. Safety Requirements for Equipment Not specified 725. Water Activities (Including Swimming) Not specified 726. Emergency Procedures Not specified 727. First Aid Supplies Not specified FAMILY DAY CARE HOMES INDIANA 80 NUTRITION AND FOOD SERVICE 810. NUTRITION 811. Nutritional Requirements Regulation S3 -120 Food - Day-Time. Care. Foster parents shall show a reasonable knowledge of the principles governing the feeding of children. Food- supplied to children shall be of good quality, properly prepared, and sufficint in quantity to meet their individual needs. 812. Waiver of equirements Not specified 820. FOOD PREPARATION 821. Food Preparation and Service Requirements Regulation §3-117 Housing Day-Time Care. t, Facilities for eating shall be adequate and-suitable to the _age and number children under care Not specified Not spec' ed 800. SOCIAL SERVICES 1000. PARENT PARTICIPATION 1100. INFANTS AND TDDD-LERS 1110. PROGRAM OF ACTIVITIES Not specified FAMILY DAY CARE HOMES INDIANA 1120. HEALTH AND SAFETY REQUIREMENTS Not specified 1130. INFANT NUTRTTION _- Not specified 1200. CHILDREN WITH HANDICAPPING CONDITIO 1210. PROGRAM OF ACTIVITIES Not specified 1220. HEALTH AND SAFETY REQUIREMENTS Not specified 1230. STAFFING Not specified 1300. SCHOOL AGE CHILDREN 1510. PROGRAM OF ACTIVITIES Regulation S3-).17 Housing Day-Time Care. Proper facilities and opportunity shall be provided for school children to study if hours of care make it advisable. 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 1410. SPACE 1400. FACILITY REQUIREMENTS Regulation §3-117 Housing - Day-Time Care. There shall be adequate facilities provided for each child's wraps which shall be accessible for use by the child. 13 I AY CARE HOMES INDIANA Regulation c3-123 Housing - Additional Requirements for Day-Time Care of More Than Six Children and Not More Than Ten Children. There shall be at least thirty-five square feet of indoor play space per child exclusive of halls, bath rooms and kitchen. There shall be an enclosed yard for outdoor play with a minimum of fifty square feet of space for each child. Child.en under two shall be cared for in a different play and sleeping room from the older children 1420. LIGHTING, VENTILATION, AND TEMPERATURE Regulation §3-117 Housing Dav-Time Care. The home shall be heated to provide for comfort, and the heat of all rooms used for infants shall provide at all times a temperature of at least seventy degrees Fahrenheit. When natural light i insufficient, it shall be supplementer) by artificial light properly diffused and distributed so that adequate light will be available at all times. 1430. EXITS Not specified 1440. TOILETS AND LAVATORIES Regulation 13-123 T-Iousing - A 'lore Than Six Children and Not tonal Requirement?. for flay -Time care of re Than Ten Children. There shall be at least one stool and wash bo 14 or each ten children. FA11TT,Y 1) 1Y 1 li r 11.11i FC r 1500. OTRER STATE REQUIREMENTS - COMPLIANCE WITII OTIIER LOCAL, STATE, AND R.EcilomIL LAWS 1ND 1E11_11,ATIONS 1510. ZONING Not specified 1520. FIRE Regulation 53-117 Housing - Day-Time (7-are. 3oardilg her ne.s for day-time care of children conform to all rules and regidatio-is of th,2 local police, fire and safety authorities and of the state Fire Marshal as a fire and safety potection and to all laws pertaini.lg thc-.eto. 1530. BUIL DIN( Not specified 1540. HEALTH Regulation 53-119 Health - Day Time Care. Boarding homes for day-time care of children shall conform to all rules and regulations of the local health authorities and the State Board of Health as to diet, medical care and sanitation and to all laws pertaining thereto. 1550. SANITATION See 1540. HEALTH 1500. NE W CONSTRUCTION Not specified 15 FAMILY DAY CARE HOMES 10 WA Except where otherwise noted, all citations are to the Iowa Department of Social Service Handbook, Chapter 109 - Child Care Centers, July, 1975. 1001. STATE LICENSING OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO REGISTRATION AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL or nTNANCES AND REGULATIONS 111. D IOWA CODE §237A.1 Definitions. "Child day care" means the care, supervision, or guidance of a child by a person other than the parent, guardian, relative e)r custodian for periods of two hours or more and less than twenty-four hour, per day per child on a regular basis in a place other than the child's home. "Family day care home" means a facility which provides child day care to less than seven child en. "Child day care facility" or "facility" means a child care center or registered family day care home. 1i2. Exclusions and Exemptions See DAY CARE CENTERS 113. NHS Day Care Compliance Not specified 120. AGENCY RESPONSIBLE FOR REGISTRATION OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit See DAY CARE CENTERS FAMILY CA 11, IOWA 122. Responsible See DAY CARE C 200- REGI:- 210, RELIT' 211. Promulg See DAY CARE ations AND ENFORCEMENT PROCEDURES 212- Advisory Body and Other Community Participation Not specified 220. REGISTRATION PROCEDURE 221. Application and Issuer. e IOWA CODE §237A.3 Registration of family day cart homes. A person who operates or establishes t family day care home may apply to the department for registration under the provisions of this chapter, The department shall issue a certificate of registration upon receipt of a statement from the family day care home that the home complies with rules promulgated by the department. The registration certificate shall be posted in a conspicuous place in the family day care home, shall state the name of the registrant, the number of individuals who may be received for care at any one time and the address of the home, and shall include a check list of registration compliances. No greater number of children than is frithorized by the certificate shall he kept in the family day care home et any on time. The registration process may be repeated on an annual basis. A facility which is not a family day care home by reason of the definition of child day care above, but which provides care, supervision or guidance to a c'ii1=1 may be issued Fi certificate of registration under the provisions of this chapter. FAMILY DAY CARE HOMES IOWA 770-110.1(66 GA, Ch 144) Defiritions. ftgistration certificate. "Registration certificate" means the written document issued by the department of social services to publicly state that the provider has certified in writing compliance with the minimum requirements of a "'amity day care home. 770-110.2(66 GA, Ch 144) Application. The application for registration shall be made to the department of social services on Application for Family Day Care Home Registration, SS-1105-3 provided by the department. Such forms shall be available in each local office of the department. The family day care home shall inform the department of social services of any changes in circumstances that would affect their registration on the same form. 770-110.4(66 GA, Ch 144) Issuance of Certificate. The department shall issue a registration certificate upon receipt from the provider of a signed statement of compliance with the requirements for registration of a family day care home. 222. Fee Char Not specified 223. Areas of Investigation Not specified 224.. Registration Renewal 770-110.3(66 GA, Ch 144) Renewal. 1 Renewal of registration Shell be completed yearly. FAMILY DAY CARE HOMES IOWA 225. Condition visional Registration Certifi a Not specified 226. Substantial Compliance Not specified 230. ENFORCEMENT PROCEDURES i Faclity Inspections IOWA CODE §237A.4 Inspection and Evaluation. The director or a designee may periodical!, visit registered family day care homes for the purpose of evaluation of an inquiry into matters concerning compliance with rules promulgated under section 237A.12. Evaluation of family day care homes under this section may include consultative services provided pursuant to section 237A.6. 232. Denial, Su Revocation of a License 770-110.7(66 GA, Ch 144) Denials and Revocations. Registration shall he denied or revoked if a hazard to the safety and well-being of a child is found by the department of social services, and the provider cannot or refuses to .correct the hazards, even though such hazard may not have been specificall- listed under the health and safety rules. Record shall be kept in en open file of all denials or revocations of registration and the documentation of reasons for denying or revoking the registration. 233, Remedies and Sanctions 233.1 Hearings Not specified 4 FAMILY DAY CARE HOMES IOWA 233.2 Decisions Not specified 233.3 Judicial Review Not specified 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311, General Administrative Reguirements 770-110.5(65 GA, Ch 144) Standards. The provider shall meet the following requirements: Gives careful supervision at all times. Gives consistent, dependable care, and is capable of handling emergencies. Is present at all times except if P rn erge nc i es occur, at which time good substitute care is provided. When an absence is planned, the parents are given prior notice. 312. Telephone 770-110.5(66 GA, Ch 144) Standards. The provider shall certify that the family day care home has a telephone with emergency numbers posted. 5 FAMILY DAY CARE HOMES IOWA 313. Proof of 0 Not specified 314. Insurance Not specified 320. PERSONNEL r Financial Capabilities 321. Publication of Personnel Policies Not specified 322. Constraints Against Employment IOWA CODE 5237A.5 Personnel. No staff members of a registered home with direct responsibility for child care shall have a conviction by any law of any state involving lascivious acts with a child, child neglect or child abuse. 330. NON-DISCRl1VlINATION 331. Requirements Prohibiting Disc Not specified 340. RECORDS RE4l:TTREIVIE1 341. Children ination 770-110.5( GA, Ch 144) Standards. As a minimum the following records shall be kept on f; Identifying information on each child including ;. ;,1 minimum the child's name, birthdate, parent's name, names of brothers and sisters, address, telephone numbers, special needs of the child, and the father's or mother's work address and telephone number. FAMILY DAY CARE HOMES IOWA Emergency information on each child including as a minimum where the parent or parents can be reached, the doctor's name and telephone number, and the name and telephone number of another adult available in case of emergency. A signed medical consent from the parent or parents authorizing emergency treatment. A physician's signed annual report on each child received for care in the home, including immunization information. 342. Sty 770-110.5(66 GA, Ch 144) Standards. As a minimum the following records shall be kept on file: The physician's signed statement, obtained at the time of the first registration, on all members of the provider's family that may be present when children are in the home that the provider and family are free of diseases or disabilities which would prevent good child care. The physical report obtained by the provider at least every three years after the first report. 343. Child Eligibility Enrollment Requirements Not specified 344. Child Abuse Reporting Not specified 345. Confidentiality of Records Requirements . See DAY CARE CENTERS 7 FAMILY DAY CARE HOMES IOWA 400. GROUP COMPOSI;'IONS OF CHILDREN 410. STAFF /CHILD RATIO REQUIREMENT'S 411. Staff/Child R Not specified of Mar eh, 1981 412. Methods of Cornputing Staff/Chit Not specified 420. GROUP SIZE 421. Grou. Size as of 981 Ratios 770-110.5(66 GA, Ch 14d) Standards. The number of children present shall conform to the following standards: No greater number of children shall be received for care at any one time than the number authorized on the registration certificate. The total number of children in the home at any one time shall not exceed six. The provider's children not regularly in school full days shall be included in the total. During times when school is not in session, the provider's school-age children shall not be included in the total. There shell never be more than four children under two years of age present at any one time. 422. ethods-uf Computing Group Size See 421. Group Size as of March , 1981 8 FAMILY DAY CARE HOMES IOWA 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. Awe 770-110.5(66 GA, Ch 144) Standards. The provider shall be eighteen years of age or older and likes and understands children. 512. Health See 342. Staff 513 Education Not specified 514. Experience Not specified 520. PROGRAr DIRECTOR QUALIFICATIOONS 521. Age See 511. Abe 522. Health See 342. Staff 523. Education Not specified 524. Experience Not specified 530. SUPPORT STAFF QUALIFICATIONS Not specified 9 DAY -RE HOMES IOWA 540. POST EMPLOYMENT/IN- SERVICE: ORIENTATION AND TRAINING 541. Program Director Not specified 542. Child Caregiver Staff Not specified 543. Support Staff Not specified 600. PROGRAM OF ACTIVITIES. INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. of Activities 770-110.5(66 GA, Ch 144) Standards. There shall be an activity program which includ Active play Quiet play Activities for large muscle development Activities for small muscle development 612. Prot =am Equipment Materials 770-110.5(66 GA, Ch 144) Standards. There shall be an activity program which includes: Play eouiprnent and materials in a safe condition, for both indoor and outdoor activities appropriate for the ages and number of children present. 613. Nap Provision Not specified 10 LILY DAY CA10, HOME S IOWA 614. Discipline and Guidance 770-110.5(66 GA, Ch 144) Standards. No discipline shall be used which is physic child. 710. HEALTH r emotionally ai.mful to a 700. HEALTH AND SAFETY 71L General Health Requirements See 341. Children and 342. Staff 712. Health Assessments Not specified 713. Immunizations See DAY CARE CENTERS 714. Sanitation 770-110.5(66 GA, Ch 144) Standards. The provider shall certify that the family day care home meets the following conditions: Annual laboratory analysis of a private water supply to show satisfactory bacteriological quality. When children under the age of two are to be cared for, such analysis shall include a nitrate analysis. 715. Daily Illness Screening Not specified 716. Care of Sick Children Not specified 11 111.Y DAY CARE H0\TES Medication and Special_ Diet isions IOW 770-110.5(66 GA, Ch 144) Standards. The provider shall certify that the family day care home Zives medications only with parent's or doctor's direct authority. 718. Waiver of Health Requiremen Not specified 720. SAFETY General Safety Requirements 770-110.5(66 GA. CH 144) Standards. The provider shall certify that the family day care home meets the followinz conditions: All medicines and cleaners secured from access by a child. Electrical wiring- maintained with all accessible electrical outlets safely capped and electrical cords properly used. Improper use would include running cords under rugs, over hooks, through door openings, or other such use that has been known to be hazardous. 722. Fire Safety Requirements 770-110.5(66 GA, Ch 144) Standards. The provider shall ce"tify that the family day care home meets the following conditions: Comoustible materials are kept away from furnaces, stoves, or water heaters. Regularly planned and executed fire 12 FAA1IL1` Y If 723. Trarobor tion Not spec 724. Safety Requirements for Eauipment See 612. Program Equipment and Materials 725. Water Activ Not specified ne1uding Surimm 726. Emergency Procedures 770-110.5(66 CA, Ch 1441 tandards. The provider shall certify that the family be used in case of fire, tornado or blizzard. 727. First Aid Supplies care home has a safety r Ian to 770-110.5(66 GA, Ch 144) Standards. The provider shall certify that the family day care home has first-aid supplies on hand. 800. NUTRITION AND FOOD SERVICE 810. NUTRITION 811. Nutritional equirements 770-110.5(66 GA, Ch 144) Standards. Regular meals shall be provided which are well-balanced, nourishing, and in appropriate amounts. Mi&morning and mid-afternoon snacks shall be served which are nutritious and appealing. FAMILY DAY CAP_E _ HOMES C)` AA 812. ai Rec _ pm Not specified 820. FOOD ON 821. Food Prep. n anc Service Requirements Not specified Not specified 90 0: SOCIAL SERVICES 1000. PARENT PA PARTICIPATION 770-110.5(66 GA, (h 144) Standards. The provider shall r7requentiv exchange information with the parent or parents of each child. 1100. INFANTS AND TODDLERS 1110. P ROG RA 1=1)F ACTIVITIES Not specified 1120. HEAL`Ii r P t SAFETY REQUIREMENTS Not specified 1130. INFANT T4IYHTRUION Not spEOilied 14 1111.1.7.71IS TO \VA P. C71-4 IT.PHTTN TT= =I A NPICA PPIN -7, r, ON_DITIONS i2U. PROORAT ,i OF ACTIVITIES Not sgz.cified 12-20. TTELTH, AND SAFETY REOLIREMENT-7S Not specified 1230. STAFFING Not :;peci fled 1300. SrHOOT, AGE (--11-L.DREN 1310. PROGRAM OF ACTIVITIES Not specified i320. HEALTH AND SAFETY Not specified 1400. FACILITY REOITREMENTS 1410. SPACE Not specified 1420. LIGHTING, VENTILATION. AND TEMPRATURE Not specified 1430. EXITS Nct specified 1440. TOILETS AND LAVATORIES Not specified 15 y -1107.7,Es 1(1-NCA 100. OTHER STATE REQUIRE71EN1 S COVPLIF% NCR WITH OTHER LOCAL, STATE. AND REGIONAL LAWS AND =REGULATIONS 15'10. ZONING Not specified 1520. FIRE Not s 15:30. BUILDING Not sr,ecified 1540. HEAUTT-I Not specified 1550. SANITATION Not specified 1560. NEW CONSTRUCTION Not specified 16 FAVILY DAV cARE11011ES KAN Except e otherwise noted, 2itations are to the Kcnsas T_)epartmen Health and Environment, Reg,i:19-, ns for Licens:ng,r Fern Ov Day Care Home: for Children, October. 19;'9 lamenc zied 74 ay, 19811. Inc. STATE LICENSINC OF clirLD DAB CARE FACILITIES 110. TYPES OF FACILITIESE JECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULTIONS AND/OR LOCAL ORDINANCES AND REGULATIONS 111. Definitions KAN. STAT. ANN,, Art. 5, §6 Clir 3 Boarding home defined. "Family day care home" means a dace maintained for the purpose of providing children with food or lodging, car both, away from such children's home or homes, for less than twenty-four hours a day, if (I) Not more than six of the children cared for at such place ire less than sixteen years of age; and (2) not more than three of the children _tared for at such place are less than eighteen months of age. (b) Any children of a person maintaining a place referred to in subsection (a) shall count towel d the limitations of subsection (a) if such children are cared for at such plae. 28-4-113 Definitions. "Lice-rsed day care home" mear1 a home in which c (1) Care is provided for less than twenty-four (24) hOlr= a day to children unrelated to the care providers; Care L. provided fora maximum fteof ten (!()) children under sixteen years of age, not more than six (6) of whom i are under kindergarter! The maximum of ten (10) ch" tn includes the care provider's own children under fourteen (141years of age. FAV DAY CARE H0711 ES 112. Exclusions and Exemptions KAN. STAT. ANN., Art. 5. §655113 Boardi_n7 home defined. A person shall not be considered to be maintaining a family day care home as defined in Section ill if only chi&en who are related by blood, marriage or legal adoption to such person are cared for. 113. BITS L Not specified e C P e 120. AGENCY RESPONSIBLE FOR LICENS_. DAY CARE PROGRAMS 121. Organization of the Administrative Unit See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promul ion of Re ulations KAN. STAT. ANN. , Art. 5, §65-503 Boarding home defined. The secretary shall adopt ruts and regulations to implement the provisions of sections 2 to 8, inclusive. 212. Advisory Body and Other Community Participation and See DAY CARE CENTERS 2 FAYIILY DAY CARE FICr\TES 2?0. LICENSING PROCEDURE 291. and Issuance 28-4-114 The day care home license. Any person desiring to conduct a day care home s;-iail apply for lice e on forms provided by the Kansas department of health and envirohrnent. At the time of obtaining the license application fort-re, the aplieent shall receive a self-evaluation checklist which he or she shall complete -and forward to the local health department or to the district office of the Kansas department of health and environment. A full license shall be issued if the secretary finds that the aplicant is in compliance with the requirements of K.S.A. 65-501 et seq, and ,n-iendments thereof and the rules and regulations promulgated pursuant thee Aeto and has made full payment of 'he license fee. The license and any writter exceptions granted by the secretary shall be posted as required. The care provider shall notify the county health department or the Kansas department of health and environment when day care service is cM iscontinued. Resumption of child care shall require a new application for lieense KAN. STAT. ANN., Art. 5, §65-503 Boarding home defined. Any person maintaining a family day care home shall register sucli home with the secretary of health and environment on forms furnished by th secretary. In lieu of registration, a person maintaining a family daycare norr, e may seek licensure for such home as a boarding home for children under article 5 of chapter 65 of Kansas Statutes Annotated and amendments to th provisions thereof and supplemental thereto. FAM DAY CARE HC': ANs-4,s The secretary shall issue a certificate f registration to person who applies for registration on forms furnished by the secretary any Tho certifies that no person residing in the family day care horrpe has beer convicted of child abuse or a sexual offense, has no infectious or contagious disease, and further attests to the safety of the family day care borne fir the care of children. The secretary shall furnish each applicant for registration a family day care home safety evaluation form to be completed by the applicant and submitted with the N..:istration application. Fee Charged_ KAN. STAT. ANN., Art. 5, §65505 License fees. The fee for licerse to c-9(71.1ct a maternity hospa _ or home for children shall be two dollars ($2), except that for a hospital r home which contains provision for five or more residents the fee shall be fiNre dollars (SM. which shall be paid to the secretary of health and environm ,int before the license is issued, and the secretary of health and environment shall on or before the tenth day of each month pay into the state treasir all such collected for Licensure during the preceding month. 223. Areas of Investigation Not specified 224. License Rene a KAN. STAT. ANN., Art. 5, 565-503 Boarding home defined. The certificate of registration shall be renewed annually in th- providec, for in this section. 225. Conditionallgrovisional Licenses Not specified 4 same manner FA:\.111_.1- DAY CARE iI07,7ES KANSAS 226. Substantial Compliance 28-4-L19 Compliance with regulations. An exception to a regulation may be allowed by the Kansas department health and environment if: The applicant requests an exception he Kansas department of health and environment; and The secretary determines the exception to be in the best interests of the day care child or children and their families. Written notice from the Kansas department of health and environment stating the nature of the exception and its duration shall he pc,F- 230. ENFORCEMENT PROCEDURES cility Inspections Pied 232. Denial, Suspension, Revocation of a License 1.A.Y1Zh the license_ KAN. STAT. ANN., Art. 5, S65-503 Boarding home defined. The secretary may revoke or refuse to renew a certificate of registration upon determination by the secretary that the registrant falsified information on the application or willfully and substantially has violated sections 2 to 8, inclusive. 233. Remedies and Sane Tons 233.1 Hearings See DAY CARE CENTERS 233.2 Decisions See DAY CARE CENTERS 5 'ii Y (-ARE 1-11-T NANSAS 233.3 Judicial Review See DAY CARE CENTERS ADMINISTRATION 310. GENERAL A DAIIN1STR AT1ON 311. General Administrative Recui T. 28-4-114 The family day care license. The applicant or licensee shall arrange for a substitute provider to care hildren in the event of illness. emerencv or a neco planned absence. Care may be provided on a temporary basis (not more tii,u two (2) consecutive weeks) for more children than the license permits in order to meet the emergency needs of a family. The loctil health department shE..11 he notified of ,e additional children in care. A copy of the "regulations for licensing day care homes far children" shall he kept on the premises at all times. 28-4-116 The children in care. Children shall be offered the opportunity to participate daily in activit which promote their healthy growth and development. 312. Telephone 28 -4 -118 Policies relating to illness, rec dent, and emergency. The home shall have a telephone service, and the telephone numbers of community emergency services shall be posted on or near it. 313. Proof of ator Financial Ca Not specified Ti.' 314. Insizance Not specified 320. PERSONNEL 321. Publication Not specified f Personnel Policies 322. Constraints > tnst Employment Not speci;i ed 330. NON-DISCRIMINATION 331. Requirements Prohibiting Discrimination Not specified 340. RECORDS REQUIREMENTS 341. Children K ANSAS 28-4-116 The children in care. A file shall be maintained for each child which includes: (1) The full name, home and business addresses, and home and business phone numbers of the child's parent or parents or guardian and the name of the person to notify in case of emergency. 342. Staff 26-4 -114 The day care home license. The applicant or licensee shall have on file a record of tuberculin test or x-rav for the substitute provider. Said test shall have been obtained within two (2) years prior to serving es a substitute. Further tuberculin testing shall not be routinely required. 7 FAMILY DAY CARE HOMES 343. Child Eligibility a_ Enrollment Requirements Not specified 344. Child Abuse eporti n KAN._ 28-4-118 Policies relating to illness, accident and emerger,v. The child care provider is required by law to report to the Kansas state department of social and rehabilitation services or the district court any evidence of suspected child abuse observed in children enrolled for care, 345. Confidentiality of Records Requirements Not specified 400. GROUP composmoNs OF CHMDREN 410. STARE /CHILD RATIO REQUIREMENTS 411. Staff /Child Ratio as of ch Not specified 412. Methods of Computing Staff /Child Ratios Not specified 420. GROUP SIZE 421. Group Size as of March, 1981 28-4-114 The day care home license. The ma)dmum number of children for which a home shall be licensed is six children under school age. The maximum number shall be reduced by one for each infant in care in excess of one (1) as follows: FAMILY DAY CARE HOMES KANSAS Number of infants Total number of children under 18 months 1 under school age A 5 4 In addition, a maximum of four (4) schol-age children may be enrolled for care efore and after school and during the summer upon request of the applicant. The maximum number of children permitted under school age shall include the family's own children under school age. The total number of children in care shall not exceed ten (10) including the day care children and the family's own children under fourteen (14) years of age. 422. Methods of Computing Group Size Not specified 500. STAFF QUALIFICATION AND TRAINING REQUIRE :-N 510. CHILD CAREGIVER STAFF QUALIFICATIONS 51L t4'e 28 -4114 The day care home license. The applicant shall be at least eighteen years of age. 512. Health 28 -4 -117 Heath care policies. All persons living or working in the day care home shall have a health assessment conducted by a licensed physician or by a nurse approved to perform health assessments obtained within two (2) years prior to application. FAMILY DAY CARE HOMES KANSAS Family health assessments shall be renewed every three (3) years, Children under sixteen (1s) living in the home shall have current immunizations. All persons over sixteen (16) years of age living in the home shall have a record of tuberculin test or x -ray obtained within two (2) years prior to application. Further tuberculin testing shall not be routinely required. 513. Education Not specified 514. Experience Not specified 520. OGRAM DIRECTOR QUALIFICATIONS 521. Age See 511. Awe 522. Health See 512. Health 523. Education Not specified 524. Experience Not specified 530. SUPPORT STAFF DI ALIFICATINS Not specified 540. POST EMPLOYMENT N-SERVICES 0 ENTATION AND TRAINING 541. Program Director Not specified 10 FAMILY DAY \ RE HOMES 542. Child Caregiver Staff Not specified 543. Support Staff Not specified KA, 600. PROGRAM OF ACTIVITIES, INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities 28-4-U6 The children in care. Children shall be offered the opportunity to participate daily in activiti es which promote their healthy growth and development. Child-en shall have at least one (1) hour of outdoor play daily unless extreme weather conditions prevail. Children playing outdoors shall be under the supervision of an adult who is within hearing distance at all times. 612. Prcyram Equipment and Materials 28-4-116 The children in care. Age-appropriate toys and play equipment of safe construction and in good repair shall be available. 613. Nap Provision 28-4416 The children in care. Each child shall have a daily supervised rest period as needed. Napping facilities or sleeping facilities for evening and overnight care shall be provided as follows! A gib or playpen for each child under eighteen (18) m FAMILY ')A1 CARE HOMES KANS Far ay bed. cot, sofa, lower bunk or pad over carpet for each child over eighteen months. (T (2) children may sleep on a double bed)_ 614. Discipline and Guidance 28-4-116 The children in care. Methods of discipline shall be appropriate to the age and developmental level of the child. Funisl-ment shall not be humiliating, frightening. or physically or mentally harmful to the child. 700. HEALTI AND SAF 710. HEALTH 711. tier ral Health Requirements Not specified 712. Health Assessments 28-4-117 Health care policies. An annual health assessment conducted by a nurse approved to perform health assessments or by a licensed physician shall be on file for each child under school age. 713. Immunizations 28-4-117 Health care policies. Immunizations shall he current or i: process for children to age sixteen (16) at time license is issued. 12 FAMILY DAY CARE HOLES 714. Sanitation KA ! 28-4-115 The day care home. The care provider's home shall have a safe water supply and a sewage disposal system which complies with the requirements of K.A.R. 98-4-50 and K.A.R. 28-4-55 and amendements thereto if a public sewerage system is not available. infants under year are enrolled in homes using private well wate commercially bot 715. Daily Inn et- shall be purchased and used. a Screening Not specified 716. Care of Sick Children Not specified 717. Medication and Spcci Diet Previsions 28-4-118 Policies relat=ing to illness, accident and emergency. Non-prescription medications shall be administered to children only with permission of the parent or guardian. A record shall be kept of medications given. Prescription medications shall be administered only from a contEiner labeled with the child's name, name of medication, dosage, dosage intervals, name of physician and date prescription was filled. The label shall be considered the order from the physician. A record shall be kept of medications given. 718. Waiver of Health Requirements 28-4-117 Health care policies. Exemptions permitted: (A) Certification from a licensed physician stating the physical condition of the child is such that the test and irnmuni.rmtion would seriously endanger the child's life or health; or FAMILY DAY CARE HOMES KANSAS A wr itten statement sigied by one parent or guardian that he or she is an adhe -ent of a religious denomination whose religious teachings are opposed to health assessments or such tests and immunizations. SAFETY 721. General Safety Requirements 28-4-L15 The day care home. The home shall be so constructed, arranged and maintained as to provide adequately for the health and safety of children in care. An outdoor play area shall be available and free from hazards which might be dangerous to the life and health of the child. The outdoor play area shall be fenced if the area surrounding, or the conditions existing outside, the play area present hazards which might be dangerous to the safety of the children. All guns shall n locked storage or equipped with trigger locks. 722. Fire Safety Requirements Not specified 723. Transportation Not specified 724. Safety Requirements for Equipment 28-4-115 The day care home. Age-appropriate toys and play equipment of safe nstruction and in good repair shall be available. 725. Water Activities (Including Swimming) Not specified 14 FANIILY DAY - Emergency Proc u KANSAS 28-4-118 Policies relating to illness. Fccident and emergency. The care provider shall make arrangements for emergency medical care at a nearby hospital or clinic and shall have written permission from the child's parent or guardian to obtain such emergency care for the child. The registrant or ensee shall develop disaster plans to provide for the safety of children in emergencies such as fire, tornado or other emergency situations. Fire and tornado drills shall be practiced with the children. Persons responsible for first-aid procedures. ring for children shall know how to carry out simple The child care provider shall notify the Kansas dev.rtment of health and environment of any accident to children which requires hospitalization while in the provider's care, or of the death of any member of the provider's household or of a child in care. 727. First Suooli Not specif 810. NUTRITION 811. Nutritiona 800. NUTRITION AND FOOD SERVICE Require rents 28-4-116 The children in care. Children in the day care home shall receive a nutritious mid-morning and mid-afternoon snack, and if they remain in the home for longer than four (4) hours (exclusive of overnight care) they shall be served a balanced meal which provides one-third (1/3) of their daily nutritional requirements. 15 FAMILY D CARE HOMES 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 821. Food Preparation and Service Requirements RANS 28-4-115 The day care home. A refrigerator shall be available for the storage of perishable foods. Not specified Not specified 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION 1100. INFANTS AND TODDLERS 1110. FROGRAIVI OF ACTIVITIES Not specified 1120. HEALTH AND SAFETY REt U R Not specified 1130. INFANT NUTRITION Not specified FAMILY DAY nA RH HOMES 1200. .HILDRFNITI HANDIC_ KANSAS PP__ 'G CONDITIONS 1210. PROGRAM OF ACTI IES Not specified 1220. HEALTH AND SAFETY REQUIREMENTS Not specified . 1230. STAFFING Not specified 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACTIVITIES Not specified 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 140 FAc ILITY REQUIREMENTS 1410. SPACE 28-4 416 The children in care. Children shall have indoor play space designated for their use. 1420. LIGHTING, VENTILATION FE RATUR Not speci 17 FA1l1LY 1 RE HOMES KANS 1430- EXITS 28-4-115 The day care home. Basements used for play space shall have two exits, one (1) of which may be a window which can be opened without use of tools and is at least twenty (20) inches in width and twenty-four (24) inches in height. 1440. TOILETS AND LAVATORIES Not specified 1500. OTHER STATE REQUIREMENTS COMPLIANCE WITH OTHER LOCAL, STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZOING Not specified 1520. FIRE Not specified 1530. BUILDING Not specified 1540. HEALTH Not specified 1550. SANITATION Not specified 1560. NEW CONSTRUCTION Not specified 18 LAM A RF EIO 1ES KENTUC'K Except where otherwise noted, all c itations are from the Kentucky Department of Human Resources, (905 -AR 2:025 ) Tvpe II Facility Standards, July, 1975, 100. STATE LICENSING OF Chu,D DAY CARE F. ITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND /OR LOCAL ORDINANCES AND REGULATIONS Definitions 905 KAR 2:10 Standards For All Facilities Section 1 Definitions. 'Type I day care facility' means (1) any facility other than a dwelling unit which regularly receives four or more chil:t-en for day care; (2) any facility, including a dwelling unit, which regularly provides day care for thirteen or more children. If pre-school children of any day care staff receive care in the facility, they shall be included in the number for which the facility is licensed. "Type II day care facility" means any tome or dwelling unit which regularly provides care apart from parents for four, but not more than twelve children. The director's own pre-school children shall be included in the number for which the home is licensed. 112. Exclusions and Exemptions See DAY CARE CENTERS 113. HHS Day Care Compliance See DAY CARE CENTERS 120, AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 121. Organization oftheAdministrative Unit See DAY CARE CENTERS RE HOMES KENTUCKY Ir. Responsible Official See DAY CARE CENTERS 200. LICENSING PROCE, t ACID ENFOR ENT PROCEDURES_ 210. LICENSING PROCESS 211. Promulgation of Regulations See DAY CARE CENTERS 212. Advisory Body and 0 unity Participation See DAY CARE CENTERS 220. LICENSING PROCEDURE 221. Application and Issuance See DAY CARE CENTERS 222. Fee Charged See DAY CARE CENTERS 223. Areas of Investigation1 See DAY CARE CENTERS 224. License Renewal See DAY CARE CENTERS 225. Conditional/ProvisionalLicenses See DAY CARE CENTERS 226. Substantial Compliance See DAY CARE CENTERS FAMILY DAY ARE HOMES KENTUCKY 230. ENFORCEMENT PROCEDURES 231. Facility Inspections See DAY CARE CENTERS 232. Denial, Suspension, Revocation of a License See DAY CARE CENTERS 233. Remedies and Sanctions 233.1 Hearings See DAY CARE CENTERS 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS 300. ADMIN STRATION 310. GENERAL ADMINISTRATION 311. General Administrative Re uirements See-DAY CARE CENTERS 312. Telephone Section 1 Physical Facilities - Type II Day Care Facility. The facility shall be equipped with a telephone accessible to the rooms used by the children. 313. Proof of Operator Financial Capabilities See DAY CARE CENTERS FAMILY DAY CARE HOMES KENTUCKY 314. Insurance See DAY CARE CENTERS 320. PERSONNEL 321. Publication of Personnel Policies See DAY CARE CENTERS 322. Constraints A Employment See DAY CARE CENTERS 330. NON-DISCRIMINATION 331. Requirements Prohibit2ng Discrimination See DAY CARE CENTERS 340. RECORDS REQUIREMENTS 341. Chil&en See DAY CARE CENTERS 342. Staff See DAY CARE CENTERS 343. Child Eligibility and Enrollment Reauirements See DAY CARE CENTERS 344. Child Abuse Reporting See DAY CARE CENTERS 345. Confidentiality of Records Requirements See DAY CARE CENTERS FAMILY DAY CARE HOMES KENTUCKY 400. GROUP COMPOSITIONS OF CHILDREN 410. STAFF/CHILD RATIO REQUIREMENTS 411. Staff/Child Ratio as of March, 1981 See DAY CARE CENTERS 412. Methods of Computing Staff /Child Ratios See DAY CARE CENTERS 420. GROUP SIZE 421. Croup Size as of March, 1981 See DAY CARE CENTERS 422. Methods of Computing Group Size See DAY CARE CENTERS 500. STAFF QUALIFICATIONS AND TRAINING REUIREI 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. Age Not specified 512. Health Section 2 Staff - Type II Day Care Facility Director and Assistant. A favorable physical examination including a VDRL and Tuberculin test shall be obtained by each person before working with the children and shall be kept on file in the home. Additional health examinations may be required when appropriate. 5 FA\1ILY DAY ARE HOMES KENTUCKY 513. Education Not specified 514. Ezperience Section 2 Staff - Type II Day Care Facility Director and Assistant. The director and assistant shall be capable of implementing a program for children which exhibits an understanding of children's needs and stimulates normal development. The director and assistant shall hive practical knowledge of first aid. At least two qualified substitutes with current health certificates shall be available in case of need. 520. PROGRAM DIRECTOR Q 521. An Not specified 522. Heth See 512. Health 523. Education Not specified 524. Experience ALIFI ATIIO NS Section 2 Staff - Type II Day Care Facility Director. The director shall be a mature, literate adult who is responsible and who has know-ledge and understanding of the needs of children. The director shall be capable of handling an emergency situation promptly and intelligently, and shall have an emergency p Fl FANTILY DAY CARE HOMES KENTUCKY During the hours of operation, the director shall not be gainfully employed in another capacity. 530. SUPPORT STAFF QUALIFICATIONS Not specified 540. POST EMPLOY ENT N-SERVICE: ORIENTATION AND TRAINING 541. Program Director Section 2 Staff - Type II Day Care Facility Director. The director shall cooperate with the licensing and other appropriate agencies to improve the quality of care and competency of staff. This includes attendance by the director and staff at workshops and training sessions. Department-sponsored training is appropriate where accessible; courses or workshops sponsored by other groups may be substituted where appropriate. 542. Child Caregiver Staff See 541. Program Director 543. Support Staff See 541. Program Director 600. PROGRAM OF ACTIVITIES, INCLUDING EDUCATION 610. PRO _711AM REQUIREMENTS 611. Program of Activities Section 3 Care of the Children. Child-en under care shall never be left without competent t supervision. 7 FAMILY DAY CARE HOMES KENTUCKY The day care facility shall provide a well-balanced daily program of indoor and outdoor activities appropriate for the age levels and interests of the children. These activities shall provide experiences which promote the individual child's physical, emotional, social and intellectual growth and well-being. There shall be regularity of routines to provide the children the security of knowing what is coming next, especially with regard to the physical routines of meals, snacks, naps, and toileting. The program shall include outdoor play each acv unless the weather is extremely bad. G12. Program Equipment and Materials Section 1 Physical Facilities Type II Day Care Facility. Suitable toys and materials for creative activities shall be within reach of the children. All equipment shall be safe and in good repair. There shall be a variety of equipment for play, both indoors and outdoors, to meet the developmental needs and interests of children of different age groups. Tables and chairs shall be of suitable size and easily cleanable. They may be used for table activities and/or mealtime. There shall be low open shelves to afford the child the opportunity of selecting a variety of toys, books, and play equipment. Additional storage space out of the children's reach shall he provided for special materials. Individual storage space for children's clothing and other belongings shall be provided. FAMILY DAY ARE KENTLITCNI= An individual cot, crib, or bed shall be provided for each child with a sheet and cover which shall be laundered as needed and always upon change of occupancy. 613. Nap Provision Section 3 Care of the Children - Health. The children shall have sufficient superviset spent each day at the home. 614. Disci e and Guidance the nL Iber of hours Section 3 Care of the Children - Discipline. Disciplinary methods shall be designed and implemented a way as to help the individual child develop his own self con. .1s and assume responsibility for his own acts. Simple and consistent rules that set limits of behavior for children and staff shall be established. Childen shall not be subjected to harsh or physical discipline, nor shall any method of discipline be used that is humiliating, threatening, shaming or frightening. Discipline shall not be associated with rest, toileting, or food. 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Requirements Section 2 Staff - Household. All adult household members shall obtain an annual Tuberculin test which must be kept on file in the facility. 9 FAMILY DA RE HOMES KENTUCKY Activiti of anyone living in the facility shall not interfere with the day care progTam. Section 3 Care of the Children - Health. Coot rsonal hygiene shall be practiced by all persons in the home and children shall be helped with their personal care and cleanliness. The water supply shall be from an approved source. Drinking water shall be freely available and individual drinking cups provided. Toilet articles such as combs, brushes, toothbrushes, towels and washcloths used by children shall be individual and plainly marked. 712. Health Assessments See DAY CARE CENTERS 713. Immunizations See DAY CARE CENTERS 714. Sanitation Section 3 Care of the Children Health. Good personal hygiene shall be practiced by all persons in the home and children shall be helped with their personal care and cleanliness. The water supply shall be from an approved source. Drinking water shall be freely available and individual drinking cups provided. Toilet articles such as combs, brushes, toothbrushes, towels and washcloths used by children shall be individual and plainly marked. FAMILY DAY CARE HOMES 715. Daily Illness Screenin KEITTLICKY Section 3 Care of the Children - Health. A child with symptoms of illness shall not be admitted to the Type II day care facility. If a child becomes ill while in the facility, he shall be placed in a supervised area isolated from the rest of the children while arrangements are made to take him home. 716. Care of Sick Children See 715. Daily Illness Screening 717. Medication and Special Diet Provisions Section 3 Care of the Children Ht th. No medication shall be given to a child except on writte1 orders from a duly licensed physician or on the daily written request of the parent or guardian. 718. Waiver of Health Requirements Not specified 720. SAFETY 721. Ge-b=ljRequirements Not specified 722. Fire Safety Requirements Not specified 723. Trans- rtation See DAY CARE CENTERS 724. Safety Requirements for Equipment See 612. Program Equipment and Materials et 11 FAMILY I? ' CA E o m Es 725. ivgtr Acti Nots ncluding Swimming) 726. Ern genev Pro edures Section 3 are of the Children - Health. Arrangerrm- Tits shall 'medical ca=re. 727, Eifa Aici Suppl es Section Suffiejen KENTUC_ Y made with the parent or guardian for emergency are of the Children - Health. rstaid sup>plies shall be available for minor emergencies 800. NUTRITION AND FOOD SERVICE sit N tl "1"-RIT 811, l vt r itional R cmjuirements Section 3 Care of Children Health. All ehildrn present .t meal time shall he served a nutritious meal which includes a rood from Etch of the four basic food groups. Adequate amounts of food shall be evailat)de. A nourishing mid - morning and mid-afternoon snack shall be prac)vided. ICeekhr rnnus shell bi-le prepared, dated and posted in advance in a conspicuous place. qi irements Notspecif-i ed 12 FAMILY DAY CARE HOMES KENTU 820. FOOD PREPARATION 821. Food Prel e vice vents Section 1 Physical Faci The kitchen shall be clean, equipped for proper preservation, store preparation, and serving of food and shall not be rised for any other activities of the children. Not specified Not specified 900- SOCIAL V 5 1000. PARENT PARTICIP TION 1100. Il+I `ANTS AND TOD LERS 1110. PROrIFLAM OF ACTIVITIES See DAY CARE CENTERS 1120. HEALTH AND SAFET REQUIREMENTS See DAY CARE CENTERS 1130. INFANT NTTRITI0N See DAY CARE CENTERS 1200. CHLDRE HANDICAPPII G CONDITIONS 1210. PROGRAM OF A CTIVI rIES Not specified 13 FAMILY DAY CARE HOMES 1220. HEALTH Not specified 1230. STAFF_ TG Not specified 1300. SCHOOL A0 1 l CI ILDIEN 1310. PROGRAM OF ACTIV See DAY CARE CENTERS 1321, HEALTH AND SAFETY See DAY CARE CENTERS 1410. SPACE S 1400. PACI1 t1Y R t7IREM E NTS Section 1 Physical Facilities Type II Day Care Facility. There shall be a minimum of 3S square f et of spae per enildus fo-r play, exclusive of kitchen, batftroorn, andsterpow-e areas. There shall be enough space to provide room finer all program aetvities. Furnishings must be properly spaced to allow frame and safe mover ent by children and adults. Outdoor Play area: There shall be an outdoor play ...yea. with ac=lequatepr-4nteotion from hazaxtAds. All facilities shall be fenced unlasthe dpartment cieterrninesthat fern ng is not necessary for the protection at the ehi _Tdren. 14 FAMILY DA 1420. LIGHTIt ARE HOMES KENT LTC §TILATION. AND TEMPERATURE Section 1 Physical Facilities - Type II Day Care Facility. The facility shall be so constructed that it is dry, properly heated, ventilated, lighted and cooled; that windows, doors, stoves, heaters, furnaces, pipes, and stairs are protected; that screening is provided; and that the floor is free from splinters and easily cleaned. 1430. EXITS Not specified 1440. TOILETS AND LAVATORIES Section 1 Physical Facilities - Type II Day Care Facility. There shall be a sanitary toilet and washroom facility accessible to playrooms and playgrounds. 1500. OTHER STATE REQUIREMENTS COMPLIANCE WITH OTHER LOCAL, STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 1520. FIRE Not specified 1530. BUILDING Not specified 1540. HEALTH Not specified 15 FAMILY DAY CARE HO ES KENTUCKY 1550. SANITATION Not specified 1560. NEW CONSTRUCTION Not specified FAMILY DAY CARE HOMES MARYLAND Except where otherwise noted, all citations are from the Maryland Department of Human Resources, Social Services Administration, Standards for Family Day Care Licensing, (Title 7, Maryland Agency Rules and Regulations, 7.02.13 Licensing for Care of Children), June, 1(177. 100. STATE LICENSING OF CHID DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS 111. Definitions S.03 Definitions. "Family Day Care" means care provided for a fee to, from 1 to not more than 4 children younger than 16 years old, in a facility located outside of the home of the child's parents or legal guardian for a part of a 24-hour day. 112. Exclusions and Exemptions §.04 When Is a License Required. A license is not required if family day care is provided: By a person related to the child by blood or marriage; In the counties, by a person who is a close friend of the child's parents or legal guardian and is providing this care on an occasional basis for not more than four children regardless of any agreement between the parties as to payments; or FAMILY DAY CARE HOMES MAR _AND By a person who has received the care of the child from a child placement agency licensed by the Social Services Administration or from a local department of social services 113. HISS Day e Compliance Not specified 120. AGENCY RESPONSIBLE LICENSING OF DAY CARE FROG_ A MS 121. Organization of the Administrative Unit Director DEPARTMENT OF HUMAN RESOURCES Director of Day Care Program Manager COUNTY WELFARE DEPTS. CITY OF BALTIMORE HEALTH DEPARTMENT In Maryland, the State Department of Human Resources is responsible for licensing and regulating family day care homes. Family day care home regulation is state administered and county run. Licenses are issued and revoked from the state central office. Each county welfare director has the day to day supervision of the State Department of Human Resources. The state central office provides consultation, interpretation, and initiates legal actions. 2 FAMILY DAY CARE HOMES MARYLAND 122. Res_ or ble Official inquiries should be addressed to: Director of Day Care Department of Human Resources Social Services Administration 11 South Street Baltimore, Maryland 21202 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promuln of Regulations MD. ANN. CODE. Art. 88A, S32A(c). The necessary qualifications and the minimum standards established as prerequisites for the issuance of licenses shall be set forth in rules and regulations promulgated by the Social Services Administration and shall be such as to protect the health, safety, welfare and morals of the children placed in family day care. The procedures for the issuance of licenses shall be set forth in rules and regulations of the Social Services Administration. The rules and regulations shall provide for the issuance of licenses by local social services departments in the name of the Social Services Administration. An appeal shall be allowed to the Social Services Administration in the event of a local department's refusal to issue a license. The issuance, duration, revocation and suspension of all licenses shall be subject to the provisions of Sections 22, 23, 24, and 25 of this Article. The Social S,-rvices Administration may adopt and promulgate rules and regulations, not i Insistent with the provisions of this section, to implement the provisions hereof. FAMILY CARE HOMES MARYLAND 212. Advisory Body and Other Community- Participation Not specified 220. LICENSING PROCEDURE 221. Application and Issuance §.17 Licensing of Family Day Care Homes Application and Issuance. Licenses for individuals seeking to provide family day care shall be issued by the local department of social services where the day care is to be provided. The application is made on a uniform application form provided by the Social Services Administration. The application shall be accompanied by a statement of agreement by the applicant to comply with provisions of these regulations and to Der t local department supervisory visits. Licenses shall be issued in the name of the Social Services Administration on a form provided by it and shall be displayed conspicuously by the licensee in the family day care home. Limitation of Licenses. Every license issued by the local department shall state clearly on its face the total number and ages of children the licensee may have in day care at any given time. This shall be determined by the issuing agency upon the following f actors: The age and health of the licensee; The size and nature of the facility to be used as the day care home; The number and age of the children residents in the day care home. The license also shall clearly state the address of the facility for which the license is issued. 4 FAMILY DAY CARE HOMES MARYLAND 222. Fee Charged Not specified 223. Areas of Investigation 5.17 Licensing of Family Day Care Homes - Application and Issuance. A license may not be issued unless all information required by the application form is provided and the local department has conducted a study, which has included an interview with the applicant and the day time adult resident members of the day care home and a visit to the day care home, and has found that all of the requirements of the law and these regulations have been complied with. 224. License Renewal 5.17 Licensing of Family Day Care Homes Annual Reevaluation. A licensee who wishes to continue caring for children shall submit documentation annually that all members of the household are in good physical and mental health. In addition, documentation of an examination, made within 3 years or according to local health department policy, stating that household members are free from tuberculosis, shall be submitted. The local department shall make a study or reeva to determine the licensee's continuing eligibility for license and, when _essary, shall make a redetermination as to the number of children for which a licensee is qualified. 225. Conditional(Provisional Licenses 5.17 Licensing of Family Day Care Homes - Provisional Licenses. A provisional license for a period of not more than 120 days may be is, ed,bv the local department in a temporary situation where health and safety of children are not endangered and the person providing the care is working to meet the requirements. FAMILY DAY ARE HOMES MARYLAND Substantial Compliance Not specified 230. i NFt RCE LENT PRt _E 'RES 231. Facility Inspections i.17 Licensing of Family Day Care Homes Continuing Review. The local department shall continually review the quality of the program and services in the family day care hom and whether the family day care home currently meets the licensing standards. This review may include interviews with the users of the facility. If necessary, the local department shall offer to assist the family day care home to upgrade and enrich the qutility of the service. 232. Denial, u_Pe 'o- Revocation of a License 5.18 Revocation and Suspension of a License. The Social Services Administration at any time may revoke permanently suspend for any period not exceeding 1 year, any license issued by it or by any local department it delegates to issue licenses under this subtitle. A license may be revoked or suspended only for violations of the licensing law or these regulations. A license may be neither suspended no revoked without giving the licensee notice at least 20 days in advance of the contemplated action, together with a statement of the grounds for the revocation or suspension, and an opportunity for the licensee to be heard on the question of revocation or suspension, in accord with the following procedure: When the Administration determines that an agency or institution is not meeting Administration standards for service to children and its planning does not indicate that it can assure this, the Administration shall move to deny or suspend the license. The administration shall confirm in writing this action and the reasons for it. FAMII Y DAY GAF.E HOMES ARYLANt if children are under care, the Administration shall consider with the licensee his responsibility for terminating care of the children and his plans for accomplishing this. if the licensee does not terminate care of children, the Department revokes the license and files with the State's Attorney a report of this and of the Department's action with reasons. The State's Attorney office is responsible for enforcement of the laws. If needed, the Social Services Administration presents the facts to the Attorney General who may prepare a brief for the Administration Director to petition the circuit court to enjoin the activities of the agency or institution that is caring for children without the necessary rise. 233. Remedies and Sanctions 233.1 Hearings L19 Appeals. Appeal from Local Department Decision. The applicant or licensee aggrieved by the local department decision on issuing a license has the right to appeal and this appeal shall be directed in writing to the Social Services Administration. Appeal from State Department Decision. The applicant or licensee aggrieved by the decision of the Social Services Administration in any matter relating to the issue, revocation, or suspension of a license, or failure of the Social Services Administration to act in the matter has the right to appeal to the court. 7 DAY CARE HOMES MARYLAND FA IL The appeal shall be made to the Circuit Court of the County in which the institution, agency, or person has its principal office or residence, or to any court of Baltimore City having equity jurisdiction, if the office or residence is in Baltimore City. The Social Services Administration may be a party in these appeals. 233.2 Decisions See 233.1. Hearings Judicial Review i.20 Injunctions. _ The Director of the Social Serviecz; Administration, by petition, may seek to enjoin the activities and operations of any institution, agency, society, individual, or set of individuals seeking to carry on the functions requiring- a license without having secured the required license. The petition for an injunction shall be brought before the circuit court, sitting in equity, in any count in which the alleged violator is located or has an established place of business or before one of the circuit courts of the Supreme Bench of Baltimore City, if the alleged violator is located or has an established place of business in Baltimore city. 300. ADMINISTRATION 310. GENERAL ADMINISTRATION General dministrativeRL quirements i.07 General Requirements for An Child Care Facilities - Organization and. Responsibilities. The person, firm, corporation or agency operating a child care facility shall provide a written statement of the function, reporting responsibilities, and the person hi charge of the major units in the organization structure. FAMILY DAY _RE HOMES MARYLAND 3.13 Requirements for Individuals to Provide Family Day Care - Applicant. The applicant shall have knowledge of the requirements of the family day care law and of the contents of these regulations, and shall express the intention and demonstrate an ability to abide by them. Telephone 5.13 Requirements for Individuals to Provide Family_ Day Care The Phys Facilities of the Family Day Care Home. There shall be a telephone in the home. Pr f of Opera tor Financial Capabilities J.13 Requirements for Individuals to Provide Family Day Care - Financial Status. The income of the applicant shall be such as to enable the applicant to provide for the standards required below without jeopardizing the welfare of the household or the children for whom day care is to be provided. 314. Insurance Not specified 320. PERSONNEL 321. Publication of Personnel Policies Not specified 322. Constraints Against_E _ _oyment 5.13 Requirements for Individuals to Provide Fa iniiy Day Care Applicant. The applicant and the resident members of the applicant's family shall have the personal characteristics, attitudes, and abilities that are conducive tc providing a healthful, safe and wholesome atmosphere for children. Fain 9 F IILY DAY CARE HO 1ES IARYLAND relationships the day care home and the personal problems of its members may rf.:1 present a situation harmful to the health, safety, welfare and morals of the children. The applicant may not have been convicted of any crime involving moral turpitude. The application shall be accompanied by names of references who shall be satisfactory to the local department relating to the suitability of the applicant and the family for day care. 330. NON-DISCRIMIN_ TION 331. Requirements Prohibiting Di crimination Not specified 340. RECORDS RIQL11IlElII 341. Children .13 Requirements for Individuals to Provide Family Day Care - Records. Each licensee shall maintain a record pertaining to each child for whom day care is being provided, which shall contain a summary of the terms under which the licensee has agreed to provide care to the child, the address and the home and business telephone numbers of the child's parents or legal guardians, the date that day care began, the dates of absences, and the termination date. The licensees shall attach to each record the medical certificates for the child covered and shall have the records and the plan for emergency available at all times for review and inspection by the local department or the Social Services Administration. In addition to the foregoing, the licensee shall maintain any further records that the local department or the Administration may request for the purpose of evidencing the licensee's compliance with the requirements of law or these regulations. 342. Staff See 522. Health 10 FAMILY DA CARE HOMES 343. Child Eligibility Enrollment Requirements Not specified 344. Child Abuse Reporting Not specified 345. Confidentiality of Records Requiremen Not specified 400. GROUP 0 POS IONS OF CHILDREN 410. STAFF /CHILD RATIO REQUIREMENTS 411. Staff /Child Ratio as of March, 19 Not specified 412. Methods of Computing Staff /Child Ratio Not specified 420. GROUP SIZE 421. Group Size as of March, 1981 See 111. Definitions 422. Methods of Computing Group Size Not specified MARYLAND 500. STAFF QUALIFICATIONS AND TRAINING RE UI E E 510. CH D CAREGIVER STAFF QUALIFICATIONS 511. Age Not specified 11 FAMILY DAY CARE HOMES MARYLAND 512. Health Not specified 513. Education Not specified 514. Experience Not specified 520. PROGRAM DIRECTOR UALIF 521. A__e §.13 Requirements for Individuals to Provide Family Day Care - Applicant. Applicants shall exhibit maturity and be at least 18 years old. 522. Health ICATICN S 5.07 General Requirements for all Child Care Facilities - Medical Certification. The health of the provider shall be such that it does not endanger the health of the children in the facility. The approved or licensed facility shall have the written statement of a doctor of medicine (licensed to practice in the State, or employed by or acting as an agent of the State a political subdivision of it) certifying that the physician has examined the individual and found nothing in his general physical and emotional condition which would endanger the health of children, and that the examination included an analysis of the results of a tuberculin test or chest x-ray administered by the certifying physician or any other person at his request according to local health department policy. 12 FAMILY ARE HOMES MARYLAND If the tuberculin test or chest x-ray results in no evidence of tuberculosis, the local health department policy is followed as to the frequency for repetition of the tests. If the tuberculin test or chest x-ray results in anvthinz other than no evidence of tuberculosis, local health department's advice about the next steps n medical management is followed. If the individual has "close contact" with an active case of tuberculosis, he shall have the usual tests which are given to the contacts. If there are questions about "close contacts," the person is to consult the local health department about procedures to be followed or any action to be taken. Any known health problems are reevaluated at whatever intervals are suggested by the physician (either the individual's personal physician or the one designated by the institution). Annual reexamination of individuals is desirable, but biennial reexamination is required. S.I3 Requirements 'or Individuals to Provide Family Day Care - Applicant. The applicant shall be in good physical and mental health and shall provide a written certificate of a physician, on a form provided by the Social Se-vices Administration, that the applicant is physically and mentally capable of providing day care to children, in addition to documentation that the applicant is free from tuberculosis. 523. Education Not specified 524. Experience Not specified FAMILY DAY CARE HOMES 530. SUPPORT STAFF Ql,'LIFIC_ATIONS Not specified MARYLAND 540. POST EMPLOY ENT -SERV' E: ORIENTATION AND TRAINING 541. Program Director Not specified 542. Child Caregiver S -aft- Not specified 543. Support Staff Not specified 600. PROGRAM OF A 610 PROGRAM REQUIREMENTS 611. Program of Activities IFS, INC DING EDUCATION 5.13 Requirements for Individuals to Provide Family Day Care - The Conduct of a Day Care Home. A person providing family day care shall observe the following standards in the conduct of a day care home: Children in a day care home shall be supervised by the licensee or some other resident adult member of the day care home at all times, both inside the home and at play out of doors. 14 FAMILY DAY CARE HOMES MARYLAND 612. Program Equipment and Materials Not specified 613. Nap Provision 5.13 Requirements for Individuals to Provide Family Day Care - The Physical Facilities of the Family Day Care Home. The facility shall contain furniture and equipment, including adequate facilities for napping, which are comfortable, durable, safe, and adapted to the ages of the children for whom the care is to be provided. Adequate supplies of fresh bed linen, individual utensils for eating, and toilet articles for washing hrtcl grooming shall be on hand. 614. Discipline and Guidance Not specified 700, HEALTH AND SAFETY 710;- HEALTH 711. General Health Requirements S.13 Requirements for Individuals to Provide Family Day Care Illness of the Licensee. In the event of illness incapacitating the licensee from providing day care, the licensee shall notify the children's parents or legal guardians immediately so that adequate interim plan for the children can be ELrranged. 15 , FAMILY DAY CARE HOMES 712. Health Ass en MARYLAND §.13 Requirements for Individuals to Provide Family Day Care - Health of Child. A child may not be admitted without a written certificate of medical examination completed within not more than 3 months before admission to the family day care home, unless such certificate has been submitted on a previous admission within 1 year. If the health of the child is such that he may be in day care only if special circumstances or conditions are observed, the certificate shall so state. The certificate shall be renewed annually and kept by the licensee with the child's records. 713. Immunize Tons §.13 Requirements for Individuals to Provide Family Day Care - Health of Child. Before admission to a family day care home, there shall be submitted for each child a physician's written statement of completion, or acceptable plan for completion, of vaccinations against diphtheria, whooping cough, tetanus, poliomyelitis, and measles, or specific contraindication as determined by the local health department. A booster dose may be rewired before admission when, in the opinion of the physician, it is indicated. 714. Sanitation Not specified 715. Daily Illness Screenin Not specified 16 .Y DAY CARE HOMES l R1 LAND 716. Care of Sick Children S.13 Requirements of Individuals to Provide Child Care - Health of Child. If a child has a rash, fever, or other symptoms of acute illness when he arrives at the day care home, the licensee shall fuse to permit the child to enter. If these symptoms occur during the time (Zfi e is being provided, the parents or legal guardians should be notified immed_ately and the child should be isolated in a comfortable place until such time as his parents or legal guardians or other authorized person can call for him to return him home. Readmission of the child to the day care home after illness shall conform to local health department requirements. 717. Medication and Special Diet Provisions 5.13 Requirements of Individpals to Provide Child Care Health of Child. Medication may not be administered to a child in family day care unless under the written directions of a physician which shall be submitted to the licensee by the child's parents or legal guardians. 718. Waiver of Health Requirements Not specified 72 0, SAFETY 721. General Saffe Requirements 5.06 License or Approval of Child Care Facility - Child Care Facility - Hazards to Health and Safety. The child care facility may not present hazards to the health and safety of children. 17 DAY CARE HOMES MARYLAND The child care facility shall be in a state of rep of children, including but not limited to: The absence of lead paint hazards; r which will assure the sa et The absence of uninsulated wires or open electrical switches car sockets; Adequate screening securely fastened on windows and doors; Protected. well-lighted stairways with handrails and gates at landings where needed to insure safety of children; Fireplaces, heating units and electrical appliances safe-guarded to protect children from shocks, burns, and fumes; Outside doors with adequate locks to prevent them from being opened by small children; Facilities for the storage of drugs, cleaning agents, pesticides, and other poisonous products so that these are not accessible to children. 722. Fire Safety Requirements Not specified 723. Transportation Not specified 724. Safety Require en or Equipment Not specified 725. Water Activities (Including Swimming) Not specified is FAMILY DAY CARE HOMES ND 726. Ernemency Procedures Not specified 777. First Aid Su Not specified 800. NUTRITION AND FOOD SERVICE 810. NUTRITION 811. Nutritional Requirements S.I3 Requirements for ndividua to Provide Fa Day Care - Food - Daily Diet. An adequate well-balanced diet shall be provided for each child in day care. If the child is in day care 10 hours or more a day, the diet shall consist of the total daily nutritional requirements of the child, and shall include: An adequate breakfast; A mid-morning feeding; An adequate midday meal; A mid - afternoon feeding; and An adequate supper. If the child is in day care for less than 10 hours a day, the diet shall consist of a suitable proportion of the total daily food needs in relation to the hours the child is in day care. If care is provided for an infant, the licensee shall follow the schedule and employ the formula or foods set forth in the written recommendation of a physician, which shall 'le submitted to the licensee by the parents or legal guardians. 812. Waiver of Requirements Not specified 19 FAIIL _Y C RE HOMES 320. FOOD PREPARATION Food Preparation and Service Requirements 71AR YLAND i.13 Requirements for Individuals to Provide Family Day Care - Food - Food Handling and Storage. All food shall be stored in a place which will protect it against invasion of rodents, insects, dust, water leakage, and other sources of contamination. All perishables such as milk and meat shall Ile refrigerated below 45°F. Cracked or chipped china may not be used and single service items (plastic spoons, paper plates, and cups) shall e used only once. All utensils used for food preparation and service shall be washed and stored in a clean Dian. 900. SOCIAL CFS 1000. PARENT PARTICIPATION 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES Not specified 112n. HEALTH AND _FETY Not specified 1130. INFANT NUTRITION Not specified Not specified Not specified 20 :OILY DAY CAREH0A1ES LAND 1200. CHILDREN 'IT": HANDICAPPING CONDIT MS 1210. PROG Not specified OF ACTIVITIES 1220. HEALTH TDSAFETY RE- UIREMENTS Not specified 1230. STAFFING Not specified 1310. PROGII Not specified . SCH OOL AGE CHILDREN OF ACTIVITIES 1320. HEALTH AND SAFETY RE UIRE ENTS Not specified 1400. FACti,ITY REQUIREMENTS 1410. SPACE 3.13 Requirements for Individuals to Provide Family Day Care - The Physical Facilities of the Family Day Care --Home. The physical facilities of the horn in which family day. care is to be provided shall have adequate space for the daily activities of children and present no hazard to their health and safety__ The home shall conform to state and Iral health and sanitary requirements. There shall be ample accessibMe space for outdoor activity free from conditions which maybe dangerous to the life or health of clit1,-1en. 21 FA %MY D 1420. LIG1°ITING. VENTILATION. TEMPERATURE RVL §.07 General Requirements for all Child Care _ies -Hazards to I-1 ealth and Safety. The child care facility may not present hazards to the health and sa ty of children. The home shall meet the following minimum standards: Natural or artificial lighting in all rooms to he occupied by cl-r_ildren shall be sufficient to prevent eyestrain. There shall be sufficient ventilation at all times and adequate heating facilities to provide for the needs of the children during; cold weather. 1430. EXITS Not specified TOILETS 7s,:ot specified 'AT RIES 1500. OTIIE1 STATE REQUIREMENTS - C.t 11 PLIAl10E Ic-HOTHE STATE- AND REGIONAL LAWS AND REGULATIONS 1510. ZONING 3.07 General Requirements for all Child Care Facilities - Child Care - Zoning Approval. The facility shall comply with any applicable zoning regulations approval when this is required by the local zoning authority, 1520. FIRE Not specified 1530. BUILD Not specified 22 cility obtain FA1.1ILY DAY CARE S MARYLAND 1540. FIEALn See 1410. Soae 15 . SANFLATION See 1410. S 1560. N Not specified 7.17ONSTRI) T ON EANIII Y DAY CA _E MASSACHUSETTS Except where otherwise no eittions are to the Regulations of the Office for Children, Chapter v JII,Stanards for the Lieensure or Approval of Family Day Care Homes, OctobA197 6. 100. STATE REGISTRA 111 CHMD DAY CARE FACILITIES 110. TYPES OE FACILITIES 1J13JECT TO REGISTRATION AS DEFINED BY STATE STATUTES AND REC AND /OR LOCAL ORDINANCES AND REGULATIONS f nitions MA`' n7N. LAWS ANN. ch A,S100.__ 1 Definitions. "Family cay care home," any private residence which on a regular basis, receives for tern oorary custodVind car' ie during part or all of the day children under seven years of age or children undmer sixteen years of age if such children have special needs; provided, Weyer, n either case, that the total number of children under sixteen in a Oily d, v care home shall not exceed six, including participating children living in the residence. "Family day care system," any person Irmvho, through contractual arrangement, provides to family day care hens wh = ch it has approved as members of said system, central administrative fueeti.ort including, but not limited to, training of operators of family day ear.eornes;-5 technical assistance and consultation to operators of family day care homes; nspection, supervision, monitoring, and evaluation of family day care homes; zferral of children to available family day care homes; and referral of children to available health and social services.... 112. Exclusions and Exern See DAY CARE CENTERS FAMILY DAY CARE HOMES MASSACHUSETTS 113. 1-1-15 Day Care Complian See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS 200. REGISTRAnON PROC 210. REGISTRATION PROCESS 211. Promulgation of R enS See DAY CARE CENTERS AND ENrRCEMNT PROCEDURES 212. Advisory Body and 0 he- ornratioity Par See DAY CARE CENTERS 220. RE GISTRATIO 221. Application and Issuance 'pat' S101.01 Application. Any person who wishes to operate a family day care h7)rne shall file a written application with the Office on forms provided by the Of21111ce. S101.03 Requirements for Applicant, The applicant shall be the person who provides fern y day care services in a private residence and who is responsible for meeting the requirements of these regulations. S101.04 Action by the Office. The Office shall review the applic n and other irzfor-- these regulations. The Office shall issue an apprczcnyal registration if the application and other infornikAt ion anon required or certificate by of indicate to the satisfaction of the Office that the applicant meets to --s. requirements of these relations. 2 FAMILY DAY CARE HOMES .1 AS SETTS §101.06 Terms of Certificate of Registration. An approval or certificate of registration shall be valid for two years from the date of issuance, unless revoked, suspended, or made probationary. 222. Fee Charged _ Not specified 223. Areas of Investin See DAY CARE CENTERS 224. Registration Renewal 101.02 Renewal. Any person seeking to renew an approval or certificate of registration s roll file a written application for renewal with the Office on forms provided by the Office not less than thirty days prior to the date of expiration of his current approval or certificate of registration. 225. Conditional /Provisional Registration Cer_ Ica Not specified 226. Substantial Comlianee Not specified 230. ENFORCEMENT PROCEDURES 231. Facility Inspections See DAY CARE CENTERS 232. Denial, Sus ion Revocation of a Certificate See PAY CARE CENTERS 233. Remedies and Sanctions See DAY CARE CENTERS FAM11,Y DAY CAR-TE HOMES MASSACHUSETTS 233.1 Hearing See DAY CARE CE NTERS 233.2 Decisions See DAY CARE CE NTERS 233.3 Judicial iew See DAY CARE CFI_ NTERS 31C. 311. 300. ADMINISTRATION L D INISTRATION uirements TL-1 inistrati ve Re §101.05 Posting of certificate of Registration. The provider 0E0-11 post conspicuously any approval or certificate of registration issued by the Office. §700.06 Prohibition of Other Employment During Hours Family Day Care is Provided. The provider shall not combine provision of family day care with any other business or vment in the home during the hours in which care is provided. Such Dit siness or employment shall include the operation of a day care center. §700.07 Employffint During Hours in Which Family Day Care is Not Provided. f the provider i engaged in other employment during the hours other than those in which fannily day care is provided, the duration and physical demands of such employre nt shall not interfere with the ability of the provider to provide family dal_y care. The provider shall not provide family day care directly following all night employment. There shall be a period of it lc= st eight hours betweF----ri the termination of all night employment and the provision of family day care services. FAMILY D, RE HOMES I SS= CH UsETTS 51000.02 Change in Location. Prior to any change in location, the provider shall fy the Office in writing. §1000.03 License Not Transferable. A certificate of registration c= approval shall not be transferable from one provider to another, from one family day care home to another, or from one location to another. §1001.02 Availability of Information. The provider or operator of a family day care home shall make available any information requested by the Office to determine compliance with these regulations, by providing access to his facilities, records, staff and references. §1003.03 Return of Certificate. In the event of revocation or suspension, the provider shall promptly return the certificate of registration or approval to the Office. §1004.02 Report of Legal Proceedings. The provider shall report, in writing to the Office within ten days of the initiation of such proceedings, any legal proceedings brought against him or against any person regularly on the premises, if such proceedings arise out of circumstances related to the care of children in a family day care home. 51004.02 Death or hospitalization, The provider shall i r. mecl lately report to the Office the death or hospitalization of any child which occurs during the hours the child is in care in the family day care home and shall send a written report within forty-eight hours of such death or hospitalization. 5 FAMILY DAY CARE HOMES MASSACHUSETTS 312. Telephone 5400.01 Home Safety. The provider shall have a telephone other than a pay phone in the home. Emergency phone numbers, including the local fire department, police department, health agency or hospital, a physician, and the most accessible poison control center shall be posted conspicuously, immediately adjacent to the telephone. 313. Proof of 0 Not specified 314. 17- uran e Not specified rator Financial apabiliti O. PERSONNEL 321. Publication of Personnel Polici Not specified 322. Constraints Against Employment S500.06 Alcohol or Narcotic Use; Neglect. A person shall not be eligible for a certificate of registration if He or she has within five years of the date of application for a certificate been adjudicated to be the parent of a child who is in need of care and protection or has been convicted of an offense involving child abuse or neglect or sexual abuse; or He or she is found by the Office to use alcoholic beverages or narcotics to an extent or in a manner that impairs his or her ability to care for children properly; Any other person meeting one of the descriptions set forth in paragraphs (a) or (b) above is regularly at the family day care home during the hours in which care is provided,. 6 I FAMILY DAY CARE I MIES MASSACHUSETTS 330. NON-DISCRIMINATION Requirements Prohibiting Discrimination §1004.03 Discrimination. A provider shall not discriminate in providing family day care services to children and their families on the basis of race, religion, cultural heritage, or marital status of the parent. 340. RECORDS REQUIREMENT'S 341. Children §902.02 Child, ms's Records. The provider shall keeo the written information, permissions, and health records required in this subchapter readily available and in one place for each child in care. 342. Staff See 512. Health 343. Child Eligibility and Enrollment Requirements 5901.01 Parental Permissions. The provider shall obtain, in writing, from the parents of children in care the following types of permission: Prior to the child's enrollment, the provider shall secure written permission from parents of children in care to take the child off the premises of the family day care home, on a form which lists the types of excursions (going to the store, tiding in a car, swimming, etc.) in which the provider will normally engage. The provider shall secure special written permission from parents for any activity which does not appear on the general permission slip, prior to that activity. FA 11I FAY (-ARE HOMES :\,IASSA CH US ETTS The provider shall secure written Parental authorization prior to the administratior of any medic atidn to a child, whether prescription or non-prescription. The provides- shall obtain from the parent, on a form provided 5v the Office, wt ittc n per.nission ,.ct take the child to a hospital, when the parent cannot be reached and when delay would be dangerous to the health of the child. §902.01 Information Dr. Children. The provider shall obtain, pror to admiss on of a child, in writing= The child's 'IA le,Fal ,:arie; preferred name, if different; address; and date of birth; The name. address. and telephone number of the parent; The business !tame, adcrf!s3, and te,ephone number of the parent, and instruction:, a:: to how ..112 parent may be reached during the hours the child is in family day care home; Names and add! asses of persons authorized to take the child from the family day care home; The child's eating and slee)ing habits, food preferences or dislikes, aller0 es, and ar y spee!ial n edical or emotional problems. 344. Child Abuse Reporting §1004.04 Report of Suspected Child Abuse or Neglect. The provider shall make a report to the Department of Public Welfare whenever the provider has reasonable cause to believe that a child reLeiving care in the family day care home is suffering from serious physical or emotional injury resulting from abuse inflicted upon him, excluding sexual abuse, or from neglect, including malnutrition. x (-ARE IIMIES 345. Co- f eouirements USETTS 5962.03 Confidentiality and Distribution of Records. Information conlainad in a child'F record shall N.! privileged and confidential. The provider shell not distribute or release information in a child's record to any unauthorized person without ti-e Arritten consent of the child's parent. The child's parent stall- upon request, have beeess to everything in his child's record at reasonable 5902.04 A vailablity of Information to Office. Notwithstanding Section 902.0:, upol reaueq of an employee authorized by the Director, the provider shal; availaole to the Office any infoi.mation required to be kep_ and maintained undEr these regulations. oup mp,DFITiorTs OF C mnREN 410 STAFF/CH:1,D RATIO REQUIF E vIENTS 411 Staff/Child Ratio as of IV ar2h Not specified 412. Methods of Computing Staff /Child Ratios Not specified 420. GrtOUP SIZE 9 I D ARE 1107\IES )1 ASSA CH USETTS 421. Group Size as of March, 1981_ 5200.01 Number of Children in Care A provider shall not provide family day care at 9. nv one time for more children than the number which appears on the certificate of registration. In no case shell provider care for more than six children at any one time, including participating children living in the residence. A participating child living in the residence is any child under twelve years of age who is present for more than three how's during the-period in which family day care is provided. A provider shall care for no more than two children under two years of age, including children under two years of age living in the residence, unless aided by an approved assistant. 422. Methods of ornouting Group Size See 421. Group Size as of March, 1981 500. STAFF QUALIFICATIONS AND TRAINING REUIREIIE 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. Age §500.01 Age The provider shall t least eighteen years of age. 10 FAMILY DAY CARL linvEs :\TASSACHUSETTS 51?. Health §500.05 Physical and Mental Health. The provider, other persons providing care, and all members of the household shall be in good physical and mental health and free from communicable disease. The Office may request the provider, at any time prior to or subsequent to the issuance of a certificate, to submit current statements, signed by a physician certifying that the provider, others providing care, and other members of the household are in good physical and mental health, free from communicable disease, and indicating any limiter :ons the person may have in working with young children. 513. Education §500.02 Qua lifina ions. The provider shall meet at least one of the following requirements as part of his/her qualifications in caring for young children; Have six months full-time experience, or the equivalent in caring for children under age seven. Parenthood shall be considered as experience; OR Completed training from a family day care system, approved by the Office; OR Completed a course in early childhood growth and development, approved by the Office. 514. Experience §500.03 Care of Children. The provider shall demonstrate an ability to care for the number of children for which he/she has applied under these regulations in a way which meets the generally accepted physical, social, emotional, and intellectual nee 3 of children. T:le provider shall demonstrate an ability to exercise good judgment in emergencies. Ability to care shall include the following; 11 DA E FIMIES 11 SS_ USETTS Provision of. and arrangement of. sufficient space to allow for the free movement children who are cared for in the family day care home; Consistent and timel,, attention to the physical and nutritional needs of children, including diapering, washing, provision of nutritional foods, and the use of weather appropriate clothing; Daily provision of varied activities and play opportunities, including regular outdoor play, as appropriate to the age and needs of each child: onstration of a willingness to spend a substantial portion of each directly involved in ehild-orien ed netiviti 5500.04 References. The provider shall submit, on a form provided b:, ie Office, at least two references satisfactory to the Office, from persons. unrelated to the provider who can attest to the provider's abii tv to care for child-en, and such other references as required by the Office. 520. PROGRAM DIRECTOR QUALIFICATIONS 521. Age See 511. 522. Health See 512, Health 523. Education See 513, Education 524. Experience See 514. Experience 12 I) \ 1 \ iloV.;:s; UsETFS 5:10. SUPPORT S LAF Not srpecified 540. POST E '7,1ENT ()RIF:NM n AND TRAINING 541. ProFfram Director Not specified 542. Child (Threciver St Not specified 543. Suppor Not specified 6110, PROGRAM OF rTivrriEs, INCLUDING EDUCATION 610. PRO R -1 REQUIRE, 611. pro -ram of §6 0 0.01 Daily Routine. ThL provider shall plan the time that children are in care to include a balance of active and quiet play, group and individual activities, eating., sleeping. resting, toileting, and outdoor play and shall submit to the Office, in writing, a plan outlining the types of activities and routines provided in the family day care home. 5600.03 Care of Children. The provider shall offer care i-hich p:ornotes self-reliance, and env: :wages the development of self-esteem and social competence. Such care shall include: Opportunities during the day when the child can help, such as getting ready for snacks or meals, getting out or putting away materials, etc., as appropriate.to the age of the child; 13 FA:'111,1" F)A CARE HOMES E couravement of act w MASSA CH USETTS Play and participation as well as listening or .initie f 3r conversations, handling different types of eduiprnent, and for a variety of experiences during the day; Space for each child's personal belongings, and respect for the child's personal privacy. §700.01 Supervision of Children. The provider or an approved assistant shall he on the premises, direet.y supervising the children, at -.- times when children are in care. The name of an approved assistant shall -ar on the certificate of registration along with the provide- name. 5700_03 identification of '.ers Providing Care. The provider shall inform the parents of children in care of ttie names of any approved assistants and their responsibilities, the names of the persons who would be called upon in a medical emergency, and the names of other persons who will be assisting the provider under the provider's supervision. §700.04 Supervision of Very Young Children. At no time shall a child under eighteen months he left awake and unattended in a crib, infant seat, or playpen for a period of time exceeding one hall. hour. 612. Program uipment and Materials 5600.02 Play IlateriaLs. The provider shall have available a variety of materials for indoor/outdoor play appropriate to the age, growth and developmental needs of the children in care. All such materials shall he free from hazards such as lead paint, protruding nails or rust which may be dangerous to children. Infants and toddlers shall be protected from materials which could be swallowed. The quantity of materials and equipment shall be sufficient to avoid excessive competition and long waits by children. 14 FAMILY I HOMES Nap Provision MASS, USETTS §301.01 Napping Space and Bedding. The provider shall furnish each child under seven years of age with an individual bed, sofa, cot. crib, pad, mat, or playpen, with clean coverings, for napping or resting purposes. Family beds may be used if clean covering is provided. The provider shall use a rib, portacrib, or playpen for napping each child in care under fifteen months. A crib, portacrib or playpen shall be made available for those children over fifteen months who need it. If slats on cribs are more than two and three quarters inches apart, a crib bumper pad must be used for added protection. Pillows shall be used for children under six months. 614. Diu AplineandGuidance §501.91 Discipline. The provider shall use discipline in a consistent way, based on an understanding of the individual needs and development of the child. A child shall not be punished by spanking or other corporal punishment, or be subjected to cruel or severe punishment, humiliation, or verbal abuse. A child shall not be deprived meals or snacks as a form of punishment. A child shall not be punished for soiling, we ing, or not using the toile E-\\111.Y DAY (-ARE HOMES MASSA USETTS 700. HEALTH AND SAFETY 710. HEALTH 711. leneral Health h Requirements §400.01 Home Safety. The provider shall maintain the family day care home in good repair and in a clean, ---anitary and hazard-free condition and shall meet the following requirements: §90.02 Source of Health Care. ThE --wider shall obtain the name, address, and telephone number of the in or source of health care of each child 712. e- sments p or to admission of each 5900.01 Health of Children. The provider shall obtain from the parent of each child in care, within two weeks of enrollment, a statement signed by a physician or health agency that the child is in good health, that any known special conditions are under treatment and indicating all allergies or other conditions which would require special care. 713. Immunizations §900.01 Health of Children. The provider shall obtain from the parent of each child in care, within two weeks of enrollment, evidence that the child has been successfully immunized in accordance with the current Department of Public Health's recommended schedulr against diptheria, tetanus, pertussis (whooping cough), poliomyelitis, measles cruch other communicable diseases as may be specified from time to time by the Office. 16 H UsETTS 714. Sanitation 5400.01 Home Safety. The provider shall maintain the family day care home in good repair and in a clean, sanitary and hazard free condition and shall meet the following requirements: If the water supply is not from a municipal supply, the provider shall present evidence of it having been tested and approved by the Department of Public Health or the appropriate local health official. The home shall be clean, free of clutter, and maintained in a sanitary condition. Food shall be promptly refrigerated, and rubbish shall be regularly removed. 715. Daily Illness Screening Not specified 716. Care of Sick Children 5903.04 Special Care for Ill Child. The provider shall notify parents and shall furnish special care for a child whc becomes ill during the day, including comfortable bed space in a quiet area, within easy calling distance of the provider, until tre parent arrives. 717. Medication and Special Diet Provisions §900.05 Administration of Medication. The provider shall administer medication to children in accordance with the following reauir'ements: The provider shall not administer prescription or non-prescription medication to a child without written parental alith,rization. 17 RE HOMES MASSA CH USETTS The provider shall not administer prescription meclicition to a child without the written order of a physician (which may include the label on the medication) which indicates that the medicine is for the specific The provider shall keep a written record of the administration of all medication children which includes the time and date of each administration and the name of the child. 718. Waiver of ealth Require ents §900.04 Exemptions to Child Health Regulations. The provider shall not require the parent to show evidence by a physician's statement of the child's health, or immunization record if the parent objects th,-rc,to in writing "h the. grritinrIQ thot if trnilir.te with their hpuprq or if the child's physician submits documentation that such a procedure is contra-indicated. 720. SAFETY 721. General -afety Re rements §400.01 Home Safety. The provider shall maintain the family day care home in good repair and in a clean, sanitary and hazard-free condition and shall meet the following r,,quirements: In homes caring for any child under three years of age, there shall be a barrier at the entry to any stairway accessible to the children. Stairways used by children shall be well - lighted and free of all hazards. Furniture shall be safe, with sharp edges protected, and arranged in such a way as to not present hazards to young children. 18 FA, IILY l)AY (-ARE HOMES :\1ASSACHUSETTS The provider shall have at least one operable flashlight on the premises. The provider shall cover all eletrical outlets not in use and shall tape or fasten electric cords so that they are not a hazard to child-en. Electric cords shall not be frayed or damaged. The provider shall store all potentially dangerous materials such as pressurized cans, cleaning, fluids and supplies such as bleaches or detergent, polishes, snatch, insecticides. firearms, tools, sharp-pointed and sharp-edged instruments, plastic bags, and medical supplies, in designated cabinets or storage facilities accessible only to adults. All firearms shall be unloaded. The provider shall not provide family day care when the home, or any portion thereof is being deleaded. 722. Fire Safety Re uirements §400.01 Home Safety. The provider shall maintain the family day care home in good repair and in a clean, sanitary and hazard-free condition and shall have a fire extinguisher suitable for use in the kitchen. 723. Transportation Not specified 724. Safety Requirements for Equiprr ant See 721. General Safety Requirements FAMILY RE H011ES ter Includin_g Swimming MASSA CH USETTS 5400.01 Home Safety The provider shall treat, clean, and maintain all swimming pools in accordance with sound health and safety practices and regulations. The provider shall fence in- ground swimming pools and shall prevent access to above-ground swimming pools. The provider shall permit the use of pools, including wading pools, only when an adult is in attendance. 5700.05 Supervision During Bathing or Play With Water. The provider shall assure that there is constant adult supervision when a child is in a bathtub or shower or is playing with standing water. 726. Emergency Procedures 5400.02 Emergency Plan. The provider shall have a plan approved by the Office for the evacuation of young children from the home in ease of fire or natural disaster, and shall conduct practice evacuations with all children in care. 5903.01 Notification to Parents of Medical Emergency. The provider shall notify parents as soon as possible of any emergency which requires the child to have medical attention. §903.03 Notification of Communicable Disease. The provider shall notify all parents as soon as possible whenever a reportable communicable disease has been introduced into the home. 727. First Aid Supplies 5400.01 Home Safety. The provider shall have first aid materials ,hioh include antiseptic, bandages, and a thermometer. 20 FAMILY DAY CARE HOMES MASSACHUSETTS 800. NUTIMION AND FOOD SERVICE 810. NuTRrnoN 811. Nutritional Requirements 5800.01 Nutrition. The provider shall provide regular nutritional mid-morning and mid-afternoon snacks for children in care for less than four hours and shall regularly schedule meals in addition to snacks for chil&en who are in care four hours or Ion The provider shall not force children to eat. The provider shall have &inking water freely available or shall offer it at frequent intervals. The provider may supply the food directly, or may require parents of children- in care to provide fo9d for the child during the day. 812. -Waiver of Requirements Not specified 820. FOOD PREPARATION 821. Food Preparation and Service Requirements Not specified Not specified 900. SQL SERVICES 21 FAMILY DAY CARE FlOtIZ§: 14SgACHUSETTS 1000. PARENT'PARTIC1PATION 1903.02 Notification of Excursions. The provider shall inform the parents of children in care of ariy occasions When the children will be taken off the premises of the family day care home, prior, to such occasions, regardless of the general permission for excursions received prior 'to a child's enrollment. 903.05 Explanatory Materials. The provider shall keep explanatory materials provided by the Office regarding- these regulatiOns at the family day care ,home at all times and 'shall make available a copy to each parent of a child receiving care. -903.06 Availability of Information About Care. The provider shall' make available to parents any information requested con erning the operation of the family day care home or the care of their particular child. 903.07 Information Regarding Lead Paint Poisoning_ The provider shall inform parents of children in care of the dangers of lead paint poisoning and shall recommend that parents have their children tested for lead paint poisoning by a physician or Department of Public Health. 1100. INFANTS AND TODDLERS ILO. PROGRAM OF ACTIVITIES 'Not specified' 1120. , HEALTH AND SAFETY REQUIREMENTS Not Specified 22 FAIV1ILY DAY Al C_n HOMES MASSACHUSETTS 1130. INFANT RrrioN Not specified 1200. L-1-I ILDREN WITH HANDIGA PPING CONDITIONS 1210. .PRoGRArvi F NCTIVITIES §90 0.03 Children w =th Special Needs. The provider shall require the pareht to provide written recommendations 'frorn the child's phyician or any other person who has evaluated or treated the child as to the specialized care a child with a handicap or speal need may require. The prov:- der may, with the parent's permission, cay out such recommendations; when appropriate. The provider shE: keep such recommendations it the child's record. 1220. HEAL,TI Not specified 1230. - STAFFING Not specified AFETY REQUIREIVIEN1b 1300. SCHOOL AGE TLDREN 1310. PROGRAM F ACTIVITIES Not specified 1320. HEALTH AN SAFETY REQUIREMENTS Not specified 23 FAMILY DA AR; HOMES .MASSACHTJSETTS 1400. EAC 111TY itEM.IIREMENTS 1410. SPACE 5300.01 lndo rPlay- Space. - The providet;shall arrange play space in and furnitur in the family day care home in suchn way- as to allow room for active and ietplay, group activitics. The provider shall have a minimum of one hundred fifty square (feet of usable floor space, in hori as caring for one or two children, including participating children livingin th residence. zr, The provider shall (nave a minimum of two hundred twenty-five square feet of including usable floor space, in homes caring for three through six children, participating ehildr(--ri living in the r sidence. Bathrooms, corridoi=s, outdoor porches, areas of the home that the children are rest zed from or tenable to use, and portions of rooriTs or areas which contain furniture or equipn-Ient suitable only for adult usage, shall not be counted in meeting the square footage requirements. The provider shall Izzave available a protected area in the family day care home whece children and er eighteen months can be on the floor to explore at least part of the day. 5302.01 Outdoor Ely Space. The provider shall have access to at least seventy-five square feet of safe, hazard-free autdco= play space for every child in care. Where such play space is not available on the premises of the family dhy care home, parks, or other outdoor facilities hich are easily accessible may be utilized with the prior approval of the Of ff_ ce. 24 FAMILY DAY CARE HOMEE MASSACHUSETTS Outdoor play space shr Access to stree Debris, broker Tools and con: Open drainag Any such hazard sha The provider shall n including but riot limited to the dles, water. ote-e_ted; or removed, as appropriate. Joor porches above the irst floor as play areas unless they are fatly eriL1 ed and structurally sound. 1420. LIGHTING, VENTILATION, AN TEMPERATURE .400.01 Home Safety. The provider shall maintain the family day care home in goad repair and in- a clean, sanitary and hazard-free condition and shall ineet the following requirements: Each room occupied by eh* en in care shall have sufficient ventilation and lighting. There shall be a heating system that is capable of .maintaining a temperature of sixty-five degrees inside at zero degrees outside the occupied rooms. Any space heaters or wood-burning stoves in spaces occupied by children shall be separated from the occupied space by partitions, screens, wards, or other similar barricades. The use of portable space heaters is prohibited. 1430. EXITS §400.01 Home Safety. Each floor level which is occupied by children in care shall have at leas separate exits to the outside which can be used by children. 25 FAMILY DAY CARE HOMES 1440. TOILETS AND LAVATORIES cr' MASSACHUSETTS §400.01 Home Safety. There shall be a bathroom accessible to children not more than one floor evel away from the play area. Doors to closets and bathrooms which have locks shall have the locks that are easily opened from both the inside and outside. 1500. OTHER STATE REQUIREMENTS - COMPLLANCE1WITH OTHER LOCAL STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 1520. FIRE Not specified 1530. BUILDING Not specified J 1540. HEALTH Not specified 1550. SANITATION Not specified 1560. NEW CONSTRUC- Not specified 26 FAMILY DAY CARE HOMES MICHIGAN Except where otherwise noted,' all citations are to the Michigan Department of Social Services, Licensing Rules or Fam- v.Day Care Homes, March, 1975. 100. STATE CERTIFICATION OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO CERTIFICATION AS DEFINED BY. STATE STA UTES AND REGULATIONS AND/OR LOCAL ORDrNANCES AND REGULA 111. b lnitions MICI J. COMP. LAWS -104N. §722.111 Definitions. "Private Home" means a private residence in which the licensee or registrant permanently resides as's-u member of the household! which residency shall not be contingent upon caring for childrep or employment by a licensed or approved child placing agency. Private home includes a-full-time foster home, a full-time family group home, a group day care home, or a family day care home, as. follows: "Family day care home" means a private hOme in which more than 6 but not more than. 12 minor children are gi-ven care and supervision for periods of less than 24 hours a day unattended by a parent or legal guardian, except children related to an adult member of the family by bloodrmarriage, or adoption. 112. Exclusions and Exem ti ons Not specified 113. HHS Day Care Corn liance Not specified 1201. AGENCY RESPONSIBLE FOR _ERTIFICATION OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit See DAY CARE CENTERS' FAMILY DAY CARE HOMES 122. Responsible Official See DAY CARE CENTERS MI 200. CERTIFICATION PROCESS AND ENFORCE ENT PROCEDURES 210. CERTIFICATION PROCESS 211. Promulgation of- Regulations See DAY CARE CENTERS 212 Advisory_Body and Other. Community Par See DAY CARE CENTERS -p0. CERTIFICATION p RodE DIME Appliction and Issuance MICH. COMP. LAWS ANN. §722.115 License required; application; investigation; issuance of license; , "good moral character" defined; certification of . private home; approving placement of children in private home; placement of 16 or 17 year old child in unlicensed residence. eetion. 5(1) A, person, partnership, firm, corporation, association, or nongovernmental organization shall, not establish cir maintain a- child care organization, unless licensed or registered by the department. ApplicatiOn for a license or certificate of registration shall be made on forms provided, and in the manner prescribed, b he department. The department shall issue certificate of registration to a person who has successfUlly completed an o tation session offered by the department, and who certifies to the department--t family day care home has complied with and will continue to comply wt-h'' the rules promulgated under this act. 2 FAMILY DAY CARE HOMES MICHIGAN The department shall make available an orientation session to 'appli ants for registration regarding this act, the rules promulgated under this act,and the needs of children i in family day care prior to issuing a certificate of registration. A certificate of registration shall be issued to a specific- person at a specific location, shall be nontransferable, and shall remain the property of the department. Within 90 days after initial registration, the department shall make an on-site visit of the fainy day care home. 222. Fee Charged Not specified . 223. Areas of Investigation MICH. COMP. LAWS ANN. §722.115 License requirec application; investigation; of of license; "good moral character" defined; certification of private oine; approving placement of children in private home; placement of 16 or 17 year old child in unlicensed residence. Before issuing or renewing a license, the department shall investigate the activities and proposed standards of care of the applicant and shall make an on-site visit of the, propos,ed or established organization. If satisfied as to the need for a child care organization, its financial stability, the good moral character of the applicant, and that the services and facilities are conducive to the welfare of the children, the license-shall be issued or renew 224. Certificate Renewal . MICH. COMP. LAWS ANN. §772.119 Registration of famil- J ?are homes. A certificate of registration shall be in force for 3 yea as revoked. A renewal certificate of registration shall be issued in theZaime manner as provided for the initial issuance of the certificate, except that an on-site visit of the family day care home and the orientation session shall not be required. The certificate shall state that the registrant may operate a femily day care home and the number and the ages of the children that may be received and maintained. 3 FAMILY DA ARE HOMES C7onditional/Provisional Certificate See DAY CARE CENTERS 226. Substantial Compliance Not specified 230. ENFORCEMENT PROCEDURES 231. . Facility I- pections 'MICHIGAN, MICH. COMP. LAWS ANN. §772,119 Registration of, family-day care homes. This section shall not limit the right or the duty of the department to assess periodically, randomly, or At the time of renewal, the continued compliance wiht this act and rules promulgated under this act. The department shall make on-site visits as provided in this act to a 10% sample of the family day care homes in each comity each year, or When a complaint about a family day care home or registrant is received by the department. 232. Denial, Suspension, ReVocation of a Certificate See DAY CARE CENTERS 233. Remedies and Sanctions 233.1 Hearings See DAY CARE CENTERS 233.2 __Decisions See DAY CARE CENTERS 233.3 Judicial Review Not Specified FAMILY DAY GARS HOMES 300. ADMINISTRATION GENERAL, ADMINISTRATION 311. General Administrative Tte uirethents R 400.1302 Caregiver and day care bo A caregiver shall: Be) of responsible character children. MICHIGAN provide for. the care, and wel=fare of Be suitable to meet the physical, ernoti nal, social and .intellectual needs of each child. Be capable of appropriately handling emergency situations. Be responsible for-supervision at all times. All persons living in the home shall be of responsible character to assure the welfare of children. R 400.1320 General records. A licensee shall give each parent placing a child iii a family day care home a copy of the family day care home rules as furnished in booklet form by the department. A licensee shall have verification that-each parent have received a copy of the rules. 312. Telephone R 400.1306 Equipment. A telephone shall be accessible on the premises or within close walking distance. When a telephone is not accessible; a vehicle, shall be available for use in emergency situations. 313; Proof of Operator Finan Capabilities Not specified FAMILY DAY CARE HOMES 314. Insurance Not -specified 320. PERSONNEL_ 321. Publication of Personnel Policies Not spedified 322. Constraints AffainstEmployment MICHIGAN R 400.1302 Caregiver and day care horde family.' A licensee shall provide the department with the name, of any person living in . the home'or caring for children who has been convicted, of a, .clime, frivolving. intentional bodily harm or a sexual offense. A licensee shall provide the department with a written statement verifying- a person's personal fitness to care for or to be associated with children', for any person living in a home or caring for children who has been on release status from a mental hospital or a mental institution for less than 1 year'. A . statement shall be obtained from the medical or administrative director' of the mental hospital or mental institution. 330. NON - DISCRIMINATION 331. Re uirements Prohibiting Discrimination Not specified 340. RECORDS REM LIIREIvIENTS 341. Children' R 400.1318 Health record of the child.. At the time of initial attendance, a licensee shall obtain from the parent the following: A written. .permission to seek -emergency ,_:niedidar cane signed by parent and notarized. g FAMILY DAY CARE HOME MICHIGAN A statement signed by a, parent that the child is normal and good health. been, in Information as to immunizations and boosters, if any, completed or in progress against diphtheria, .pertussis, tetanus polio, measles, rubella and others as recommended by the department of public health. Immunization records shall be updated annually. Within s10days of initial attendance for a child with' handicap or health problem, a licensee shall -obtain from the parent a statement signed by a licensed physician indicating the limits of participation in the daily activities that would be a risk to the child's health and any special needs or treatment. R 400. 320 General records. A licensee shall give each parent placing a child in a family'day care home a copy of the -family day care home Mlles as furnished in booklet form . by the department. A licensee shall have verification that each parent has received a copy of the rul A licensee shall maintain the following info ation or each child received care: Child's full name, birthdate, date of admission and discharge. Name or parent. Home address and telephone number- of parent. Parent's business telephone number. Name, address and telephone number of family physician and hospital desired in- an emergency. Written authorization for emergency medical treatmen the child. FAMILY DAY CARE HOMES- Health insurance identification information. Name, address and telephone num case of emergency. MICHIGAN of another person to be notified in Names of persons other than parent to whom a child may re led. Health re Written permission by a parent for administering medication. Statement for provision of foc 342. Sta R 400.1419 Health record of caregiver and day care home family. A licensee shall give the department the following information For a caregiver, a statement signed by a licensed physician within 12 months prior 'to caregiving and every 2 years thereafter, indicating that to the best of his knowledge, the caregiver is mentally and physically capable of handling the additional responsibility of child care. For a caregiver over the age of 65 years, the statement shall be obtained annually. -For a caregiver and all other persons 14 years of age or older living in the home, written evidence of freedom from communicable tuberculosis verified within 1 year prior to caregiving and annually thereafter. A licensee shall maintain current information as to immunizations and boosters completed or in progress against diphtheria, pertussis, tetanus, polio, measles, rubella and others as recommended by the department of public health for all minor children living in the'home. If immunizations have not been given or completed, a licensee shall so inform the-parent of any child in care. 3 `3 -FAMILY DAY. CARE HOMES' 343. Child Eligibility and Enrollment Retirements Not specified 344. Child Abuse Re op rting. Not specified 345. Confidentiality of Record ements Not specified MICHIGAN 400. GROUP COMPOSITIONS OF CHILDREN STAFF/CHILD RATIO REQUIRE N 411. Staff /Child Ratio as of March, 1981 Ft 400.1303 Ratio of caregivers to'children. The raitio of caregivers to children, present in the home at any one time, shall be not less than 1 caregiver to 6 children, including children under the age of 7 wars who are related to an adult member of the family by, blood,-marriage or adoption. No more than 2 of such children in the care of a caregiver shall be under the age of 12 months. 412. Method! of Computing Staff/Child Rati Not specified 420. GROUP srzE 421. Group Size as of March, pm Not specified 422. Methods of Computing Group Size Not specified FAMILY.DAY,CARE HOMES MICHIGAN 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMEN'] 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. R 400.1302 Caregiver and day care borne family. A caregiver shall be at least 18 years of age. 512. Health See 342. Staff. ti 513. Education Not specified 514. Experience Not specified 520:' PROGRAM DIRECTOR QUALIFICATIONS 521. Age See 511. Awe. , 522.* Health See 342. Staff. 523. Education Not specified 524. Experience Not specified 530; SUPPORT STAFF QUALIFICATI 10 41 FAMILY DAY CARE HOMES R 400.1302 Caregiver and day care home fam -- A- licensee shall have ,an irrapgement with a person at least who is available to assist in an emergency sithation." MICHIGAN years of ag 540.; POST EMI LOY TAN-SERVICE: ORIENTATION AND TRAININ 541. Program Director,: Not specified , 542. Child Caregiver5taff Not specified 543. Support Staff Not specified 600. PROGRAM OF AcrwrnEs, 1r7CLUDING EDUCATION 610. PRqtRAM REQUIRE MEN' 611. Pram of Activities R 400.1304 Program. A licensee shall talk with a parent about the child's daily activities to insure that a 'child's daily routine, in the family day care home and his own home fit together in a balanced waV The daily routine plumed by the _licensee shall be in accord with the age and- heeds of the individual Child and shall include: Active arid quiet play. Indoor and outdoor play as weather permits. Rest or sleep or both. Meals and snacks. 11 FAMILY DAY CARE HO Toilet training shall" be planned parent so that' the toilet routine established is dayeare home and the chips own home. MICHIGAN ly (between . the licensee and a consistent between the family R 400.1306 Equipment. A variety and number of toys-; games and other play eq ipment shall be -available to the child and shall be appropriate and of interest to a child at his stage of development. Nap Provi9a R 400.1306 Equipment. Each child shall have _a comfortable and clean place to sleep or rest. The floor shall be used only when padded, warm and Tree from drafts. A child who is in care between the hours, of 8:00 p.m. and 6:00 a.m. shall hiive an individual sleeping place. Children under 12 Months of age and any child unable to walk unassisted shall sleep in a crib or bed with side rails and a firm mattress. and Guidance Rt400.1305 DisOipline. A licensee shall talk with 1a parent about the methods of child handling and discipline to insure that the methods used encourage cooperation, self-direction and independence. = A Care-giver shall tot use the following methods of handling children: - Any form of corporal :punishment or physiaal force. Non-severe disCiPline or- restraint which is reasonably necessary; based on a child's development, to prevent a child from harming-himself or other persons or property may be used only when a licensee has obtained prior written consent from a parent. 12 FAMILY DAY CARE HOMES 4 Restricting a child's movement by binding o Confining -a child in similar cubicle.. Withholding necessary food, rest or toilet use. entai or emotional Cruelty such as humiliating, a a child. 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Requirements R 400.1308 Health supervision. frightening A caregiver shall report promptly to a parent any accidents, suspected illneas or other c angel observed in the health of a child. When a communicable disease occurs, a licensee shall notify a parent- of an exposed child immediately so that the child may be observed for symptoms of disease. Bedding used by an ill child shall be laundered and toys, utensils, toilet and lavatory used by an ill child shall be cleaned and sanitized before being used by another child. R 400.1309 Health supervision of the caregiver and day care home family. A person living in the home or caring for children who has a suspected or confirmed case of communicable disease shall be excluded from contact with children. 13 4(J EA MrLY DAY CARE.HOMEg R 400.1321° Reports. c . A licensee sport any aceident or illness ()miring while a child is in care which res hospitalization or in death to the department within 5 days on MICHIGAN a form pt. _d by-the department 712. -Health Assessments ' Not specified 713. Immunizations See 341. Children. 714. Sani a R 40 0.1311 General environment. A famRy day care home and its hinishings shall be maintained in a clean and safe condition so as to provide a healthful environment for the general welfare of children. pram shall be kept m standing-water. A home shall be maintained so as to event and eliminate' rodent and insect, - infestation. Plumbing fixtures and water and waste pipes shall be properly installed and maintained in good sanitary working condition. During, fly season, any door, window and other opening to the outside-used for' -ventilation shall be supplied with screening of not less than 16 mesh which shall be kept in good repair. R 400.1311- Sanitation. Each sink and lavatory used by children shall be supplied, with safe water. Water shall be supplied from a public water system, if available, otherwise from a private source which shall me- '11 9 requirements of the dee,artment of public health. FAMILY, DAY CARE HOMES- MICHIGAN _./ Sewage and other water carried waste shall be disposed of through a m icipal sewer syAem, if available, otherwise into a plivate system which meets the requirements of the department of public Garbage and trash shall handled and removed at intervals -so as not to create a nuisance orla menace to-hdalth. Garbage shall stored in flyprdof and watertight containers With tight fitting covers. J15. Daily Illness Screening Not specified . 716. Care of Sick Children Not specified- 71/7. Medication and peeiai 'et Provisions R 40 0.1310 Medication,. If-medication is to be administered by a caregiver, the following procedures shall be follow Medication shall,be given or applied only with prior written permission from a _parent. Medicatibn shall be in the original container, stored according to instructions and clearly labeled for a named child. A caregiver shall keep the medication out ofj:each of children and shall return the medication to a parent or destroy it when no longer needed. A caregiver shall give or apply the medication according to the instructions provided. A caregiver shall maintain a record as to the time and the amount of medication given dr applied. Prescription medication shall have the pharmacy label indicating physician's name, name, instructions and name and strength of the medication. 15 AMILY DAY CARE HOMES 718. _ Waiver of Health Requirements MICHIGAN MICH. COMP. LAWS ANN. 5 722.127--/ Objection on religio grounds to medical exantnation, immunization or treatment of child. _ - Nothing in the rules adopted pursuant to this .act Shall auih6rize or require medical examination, immunization, or treatment for any child whose parent objects thereto on religious grounds. 720. SAF Y 721. Generaliafety.Requirements R 400.1311 General environment. A furnace, water heater, heating appliances, pipes and other similar devices shall a maintained in a safe c ndition and shall be made inaccessible to children. R 40 0.1317 .Hazardous materials. A caregiver shall store all flammable materials, medical supplies, bleaches, detergents, insecticides, plastic bags, firearms and other similar hazardous materials securely and out of ;the reach of children. t 722. Fire Safety Requirements R 40 0.1316. Fireplaces. A fireplace which is used while children are in the EiFea by a protective device. 723. Trans rtation Not specified 724. Safet Not specified ents for E uipm en 16 -e shall be. separated from FAMILY DAY CARE HOMES 725. Water Activities luding_Swim ing) Not specified 726. Emergency Procedures MICHIGAN MICH. COMP. LAWS ANN._ 722.124a LConsent to m and surgical treatment of minor child. 1 If the minor child is placed in "a hhild care organization, then the probate r court, the child placing agericy, or the-department making -the Jilacemerit-shall ekecute a written instrument investing that organization with authority to consent to emergency medical and surgical treatment of the child. _ A parent, or 'guardian of a Minor child who voluntarily places the child in a child care organization shall execute a written Instrument investing that orgardiation with authority to consent to emergency medical and suf. medical .care. 727. First Fst Aid Supplies Not specified 800. NUTRITION AND FOOD SERVICE 810. NUTRM Nutritional Requirements R 400.1307 Food and nutrition. A licensee shall Work out a written statement for the provision of food with a parent at time of initial attendance. The statement shall include who provides the food, the amounts of food to bie served and the approximate times the child is to be fed. There shall be enough- of the_proper kinds of foods to' enable the child to meet his nutritional needs for growth and development. 17 4 FAMILY DAY CARE HOMES A Food shall be provided so-that there are no excessively long periods between - MICHIGAN meals and snacks. 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 821. Foqd Preparation and Sax rvice Requirements R 400.1313 Food and food handling. All milk and milk products used shall be p urized. Retr eration equipment shall be used for the storage of perishable foods shall be capable of maintaining temperatures of 45 degrees Fahrenheit or below. Not specified Not specified 900. SOCIAL SERVICES I 1000. PARENT PARTICIPATION 1100 1NFAN 1110. PROGRAM OF ACTIVITIES /Not specified' AND TODDLERS 1120. HEALTH AND SAFETY REQUIREMENTS Notspecifi ed 18 FAMILY DAY CARE HOMES 1130. INFANT NUTRITION Not specified MICHIGAN- 1200. CHILDREN WITH I4ANDICAPPINC CONDITIONS 1210. PROGRAM OF ACTNITIES tiot specified 1220. HEALTH AND SAFETY IREMENT Not specified 1230. STAFFING Not specified 1300. SHOOL AGE CHILDREN 1310. PROGRAM OF ACTIVITIES Not specified 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 1400. FACILITY REQUIREMENTS 1410. SPACE R 40 0.1312 Space. A family day care home shall provide per child present in the horrfe at lea,st square feet of indoor floor space used by and accessible to the child, exclusive of bathrooms and storage areas. 19 FAMILY DAY CARE HOMES ANCHIGAN An outdoor play area of not less than 400 -square feet,. protected from hazards; , _, -- . - shall'be ave.-Diable on the premises or Within walking distance of" the home. 1420. LIGHTING VENTILATION AND TEMPERATURE 7 400.1311 General' environment. cility shall be --kept heated to at Jeast .458 degrees Fahrenheit-at a-point 2 feet at the floor. 1-16t '_water, pipes steam permanently_ tors, and . permanently_ `space heaters shall be shielded to 'protect; trainst blwird-; POitable heating devices shall not be used. k 1430. EXITS H 400.1315 Exits. A'famlly day care horn*. shall have at 1ea t 2, exits, 1 of which may be a window, from each floor level used by children. A east 1 exit from each floor level shall provide a direct means of unobstrue ed travel tto the outside at street or ground level. A- Window provided as a second exit shall be of -a type. which may be readily opened and of proper size and design to alloW for evacuation. A room or space inch ding attics which is accessible only by a ladder, folding stairway.or through a trap door shall not be used by children. 1440. TQILETS AND LArATORIES Not specified 1500. OTHER STATE REQUIREMENTS'- COMPLIANCE WITH OTHER LOCAL, STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 20 Y DAY CARE HOMES MICHIGAN 1520. FIRE See btriAY CARE CENTERS 1530. BUILDING Not Siimmeitieti 1540. HEALTH SeeUWA.Y CARE CENTERS 550. SANITATION ' Not spffie-ified 1560. Not sp.leeifiez1 NEW CONSTRUCT 21 4 FAMILY DAY CARE HOMES M N A Except where otherwise noted, all citations are tc The mules of the rmneso a Department of Public Welfare Standards are Homes in Minnesota, DPW Rule 2 Oct° ber,1973. 100. STATE LICENSINNG OF CHMD DAY CAR FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICE STATE STATUTES AND REGULATIONS-AND/OR L REGULATIONS Definitions I Definitions. Family Day Care Home (FDC) - A program providing day care for ncn than' five children at one time, including the family dmty-care providerTs own children under school age. D-RE AS DE L ORD NA BY AND ore 112. Exclusions and Exemptions II Licensing Laws,and Procedures A FAD/DIY-DAY-CARE HOME (FDC), IN ORDER TO PROVIDE CARE DURING ANY PART OF THE 24-HOUR DAY, MUST IM E LICENSED El's' THE DEPARTMENT,. WITH THE FOLLOWING EXCLUSIONS: AN FDC PROVIDING CARE ONLY f' CHEL,D11:11 RELATED TOE THE FDC OPERATOR BY BLOOD OR MARRIAGE. AN FDC PROVIDING CARE TO CHID FROM ONE OTHER FAMILY ONLY. AN FDC PROVIDING CARE TO CHILDREN FC R LESS THAN 341 DAYS IN ANY TWELVE-MONTH PERIOD. 113. HIM Day Care Compliance Not specified FAMILY DAY CARE HOMES 120. AGENCY RESPONSIBLE FOR LIC G OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit See DAY CARE CENTERS 122. s sible Official See DAY CARE CENTERS 200. LICENSTNG PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promulgation of Re ations See DAY CARE CENTERS 212. Advisory Bogy and Other Commun v Participation See DAY CARE CENTERS -220. LICENSING PROCEDURE 22L Application and Issuance II Licensing Laws and Procedures. APPLICATION FOR A LICENSE SHALL THE DEPARTMENT. THIS FORM CAN WELFARE DEPARTMENT (AGENCY) APPLICANT RESIDES. BE MADE ON THE FORM ISSUEDRY BE OBTAINED FROM THE COUNTY IN THE -COUNTY WHERE THE THE APPLICANT FOR AN FDC LICENSE SHALL APPLY THROUGH A DULY DELEGATED REPRESENTATIVE OF THE COMMISSIONER. 2 FAMILY DAY dARE'HoMES MINNESOTA THE APPLICANT FOR AN FDC LICENSE SHALL BE FURNISHED WITH A COPY OF THE APPROPRIATE RULES AND REGULATIONS. UPON RECEIPT OF A SIGNED AND COMPLETED APPLICATION FORM, THE AGENCY SHALL EVALUATE THE PROSPECTIVE FDC BASED UPON THESE RULES AND REGULATIONS. A PROSPECTIVE FDC THAT MEETS MINIMUM STANDARDS SHALL BE RECOMMENDED TO' THE COMMISSIONER FOR ISSUANCE OF A FDC LICENSE. THIS LICENSE MAY BE EITHER PROVISIONAL OR REGULAR. A REGULAR LICENSE SHALL BE ISSUED FOR A PERIOD OF UP TO TWO YEARS WHEN, IN THE OPINION OF THE AGENCY AND THE DEPARTMENT, THE FDC FULLY COMPLIES WITH LICENSING STANDARDS. 222. Fee Charged Not specified 223. Areas of nv ttion H Licensing Laws and Procedures. UPON RECEIPT OF A SIGNED AND COMPLETED APPLICATION FORM, THE AGENCY SHALL EVALUATE THE PROSPECTIVE FDC BASED UPON THESE RULES AND REGULATIONS. Z24- License Renewal Not specified 225. Condi ional/Provisiona Licenses II Licensing Laws and Procedures.' A NON-RENEWABLE PROVISIONAL LICENSE SHALL BE ISSUED FOR A PERIOD OF UP TO ONE YEAR WHEN, IN THE OPINION OF THE AGENCY OR THE DEPARTMENT, THE FDC DOS NOT FULLY COMPLY WITH LICENSING STANDARDS. FAMILY. DAY CARE HOMES MINNESOTA 226. Substantial Compliance II Licensing Laws and Procedures. REGULATIONS MAY BE WAIVED FOR NOT MORE THAN ONE YEAR WITH THE APPROVAL OF THE DEPARTMENT ACCORDING TO THE PROCEDURE ESTABLISHED FOR SUCH WAIVER, PROVIDED THAT THE HEALTH AND SAFETY OF CHILDREN IS ASSURED. THE GRANTING OF A WAIVER SHALL NOT CONSTITUTE A PRECEDENT. 230. ENFORCEMENT PROCEDURES 231. Facility Inspections II Licensing Laws and Procedures. AN EVALUATION VISIT SHALL BE MADE BY THE AGENCY AT LEAST ONCE EVERY TWELVE MONTHS FOR AS LONG AS THE FDC PROVIDER MAINTAINS AN FDC LICENSE.- THE COMMISSIONER OR HIS DULY DESIGNATED REPRESENTATIVE SHALL RAVE ACCESS TO THE FDC FOR INSPECTION AT ANY TIME DURING /1`11E HOURS IN WHICH DAY CARE IS BEING PROVIDED.. See also DAY CARE CENTERS 232. Denial, Susr ion, Revocation of a License See DAY CARE CENTERS 4 FAMILY DAY CARE HOMES 233. S 2331 Hearin MINNESOTA rt Licensing Laws and Procedures. ANY FDC APPLICANT OR LICENSURE WHOSE APPLICATION. FOR A LICENSE IS DENIED AND ANY FDC PROVIDER WHOSE LICENSE IS REVOKED OR NOT RENEWED MAY APPEAL TO THE COMMISSIONER. THE AGENCY SHALL NOTIFY BY CERTIFIED MAIL ANY FACILITY WHOSE LICENSE IS DENIED, REVOKED, OR NOT RENEWED. THIS NOTIFICAT4ON SHALL STATE THE GROUNDS FOR SUCH ACTION AND SHALL INFORM THE APPLICANT OR OPERATOR OF HIS RIGHT TO APPEAL THE ACTION. ee also DAY CARE CENTERS 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial Review 'See DAY CARE CENTERS 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Admkaistrative Requirements IV Staff Qualifications and Training. THE FDC PROVIDER SHALL BE ABLE AND WILLING TO WORK COOPERATIVELY wrai THE AGENCY AND WITH THE PARENTS OF CHILDREN IN CARE. 4 1 FAMILY DAY CARE HOMES Satisfactory Compliance: MIN SOTA. All required reports and information shall be submitted to the agency on time. V Health. THE FDC PROVIDER SHALL SUBMIT TO THE AGENCY A SPECIAL REPORT WITHIN (48 HOURS AFTER THE OCCURRENCE OF AN UNUSUAL ACCIDENT SUCH AS TEE DEATH OR SERIOUS INJURY OF A CHILD. A SERIOUS 1XJURY SHALL BE= DEFINED AS ONE THAT REQUIRES THE HOSPITALIZATION OF THE CHILD. A REPORT SHALL ALSO BE MADE WITHIN 48 HOURS AFTER THE OCCURRENCE 'OF A FIRE THAT REQUIRES THE SERVICES OF A FIRE DEPARTMENT. VI Physical Environment. THE FDC PROVIDER SHALL BE PREPARED TO COPE WITH EMERGENCIES. Satisfactory Compliance: The FDC provider shall have information on file that will permit contact with the parents of each child in care.' 312. TeleWone Not specified 313. Proof of Operator Financial Capabilities Not specified VIII Daily Activities. DAILY ACTIVITIES SHALL BE DEFINED AS THE PROGRAM OF THE FDC FOR MEETING THE NEEDS OF CHILDREN RECEIVING SERVICE. DAILY ACTIVITIES SHALL FOSTER NORMAL PHYSICAL, SOCIAL, MENTAL, AND EMOTIONAL DEVELOPMENT OF CHILDREN. FAMILY DAY CARE HOMES MINNESOTA ft WHEN TRANSPORTATION IS GIVEN TO FDC CHILDREN BY PERSONS OTHER THAN THEIR PARENTS, ADEQUATE PRECAUTIONS FOR THEIR SAFETY MUST BE. MADE. Satisfactory Compliance: Durance coverage shall be provided. 320. PERSONNEL 321. Publication of Personnel Polici Not specified 322, Constraints Against Employment IV Staff Qualifications and Training. FDC APPLICANTS AN6 OTHERS LIVING IN THE HOUSEHOLD SHALL BE FUND' AND RESPONSIBLE PEOPLE WITH A GENUINE LIKING FOR CHILDREN. THEY SHALL POSSESS CONSISTENT AND HEALTHY METHODS FO. HANDLING THE LIFE STYLE UNIQUE TO THEIR OWN FAMILIES. Satisfactory Compliance:- An FDC license shall not be issued where any person living in the hodsehold has any of the following eharactertistica: A conviction for, or admission of, or substantial evidence of an act of child battering or child abuse or child molesting. Use of alcohol or drugs such that its effects e apparent during the hours that children are in care. A placement of the family's own children in foster care or residential treatment for emotional disturbance within the previous twelve months unless the primary reason for such placement was: 7 FAIVIILY DAY CARE HOMES MINNESOTA The physical illness of the parent. or The mental retardation or physically handicapping of the child. or The temporary foster placement of an infant being relinquished for adoption or A conviction for any felony or offense involving moral turpitude. 330. NON - DISCRIMINATION 331. Requirements Prohibiting Dis imination RI Limitatioils of License. NO FDC PROVIDER SHALL DISCRIMINATE IN RELATION TO ADMISSIONS, TERWATIONS, OR TREATMENT OF CHILDREAN_THE BASIS OF RACE, CREED, COLOR, NATIONAL ORIGIN, RELIGION, OR SEX. 340. RECORDS REQUIREMENTS 341. Children IX Records. THE FDC PROVIDER SHALL COMPLETE AN ADMISSIONS ANL ARRANGEMENTS FORM FOR EACH CHILD IN CARE AT THE TIME OF FMST ENROLLMENT. Satisfactory Compliance: The Admissions and Arrangements Form shall contain the following information? Name and birth date of -e child, Full name of parent or guardian. 8 4 FAMILY DAY CARE HOMES MINNESOT=A Home address, work address, and telephone numbers where parent or guardian can be reached. Name, address, and telephone number of physician caring for the child who should be consulted for Thedivil emergencies when parent or' guardian cannot be reached. Name, address, and telephone number of person to be notified in case of emergency, when parent or guardian cannot be reached. Names of all persons authorized to remove child from FDC home. Specific instructions from parent or guardian about toilet trthning, eating, sleeping or napping habits, allergies, and other special health problems. Enrollment =end termination dates. Financial* arrangem ent or every infant and toddler, the FDC provider shall get a written statement from the parent or guardian about the specific habits of eating, sleeping, toileting, communication, and comfort Written consent shall be obtained from the parent or guardian for emergency medical care or trea ment, to be used only if the parent or guardian cannot be reached immediately. Medical-care consent may be waived when in conflict with the parent's religious beliefs. THE FDC PROVIDER SHALL INFORM THE AGENCY OF EACH ADMISSION OR TERMINATION. FAMILY DAY CARE HOMES 342. Staff MINNESOTA IV Staff Qualifications and Training. ALL AMILLTS IN THE FDC lfrOME DURING THE TIME CHILD CARE IS GIVEN SHALL BE REASONABLY HEALTHY AND FREE FROM CONTAGIOUS OR INFECTIOUS DISEASE. Satisfactory Compliance: The FDC provider shall supply evidence to the'Agency that: During the six months prior to application, each adult in contact ith the FDC children has had a negative Mantoux test, or chest X-iay. A statement from the provider's physician dated within the six months prior to the application that either: The provider has received a physical examination and is physically. and emotionally able to provide day care to young or- The provider is receiving all necessary continuing medical care and is 'physically and emotionally able to provide day care to young children. 343. Child Eligibility and Enrollment Requirements See Children 344. Child Abuse Repor ng Not specified 345. Confidentiality of Records Requirements W Staff Qualifications and Training. PERSONAL INFORMATION ABOUT THE CHILD OR HIS FAMILY SHALL NOT BE SHARED WITH THE COMMUNITY. r- /4 2 10 FAMILY DAY CARE HOMES MINNESOTA '400. GROUP COMPOSITIONS OF CHILDREN 410. STAFF/CHILD RATIO REQUIREMENTS 411. Staff/Child Ratio of March, 1981 Not specified CZ. Methods o_ Computing Staff /Child Ratios Not specified 420. GROUP SIZE 421. Croup Size as of Match, 1981 III Limitations of Mouse. THE FDC HOME SHALL BE LICENSED FOR NO MORE THAN FIVE CHILDREN UNDER SCHOOL-AGE, INCLUDING THE PROVIDER'S CHILDREN UNDER SCHOOL-AGE. Satisfactory Compliance: The maximum licensed capacity shall be four if more than two infants are in care. Part-time children may be counted as one full-time child if they are not in care at the same `time. In addition to the licensed capacity, two school-age children may be in care : Care is generally limited to no more than three hours per day. Exceptions to this limit amount to no more than 30 days per school year. Other child-care arrangements shall have the prior approval of the agency. 11 FAMILY DAY CARE HOMES' 422. Methods of Co u Size See 421. Group Size as of March, 1981 MINNESOTA 500., STAFF QUALIFICATION S-AND TRAINING REQUIRE ENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. ,ILA III Limitations of License. AN FDC PROVIDER' MUST HAVE REACH- D AT LEAST ,THE AGE OF 18 YEARS AT THE TIME OF LICENSURE. 512. Health See 342k Staff 513. Education Not specified 514. Not specified. 520. PROGRAN DIRECTOR QUALIFICATIONS 521. .Liff2 See 511. Age 522. Health See 342. Staff 523. Education Not specified 12 FAMILY DAY CARE HOMES 524. Experience Not s cified 539. Not _pecified SUPPORT STAFF QUALIFICATIONS MINNESOTA 540. POST EMPLOYMENT SERVICE: 0 NTATION AND TRAINING 541. Propam Director IV Staff Qualifications and Training. THE OPERATOR MUST DEMONSTRATE wILLINGNE TO ACQUIRE KNOWLEDGE OF THE BASIC NEEDS OF CHILDREN. Satisfactory Compliance: Within two years after the agency is prepared to offer training to FDC providers, each licensed FDC provider shall ticipate in a minimum of six hours of training. Newly licensed providers s all participate in a minimum of six hours of training within one year afte the date of initial licersure, provided that the agency is prepared to make such training available. 542. Child Caragiver Staff 'Not specified 543. Sport Staff Not specified 13 FAMILY 'DAY CARE HOMES MINNESOTA 600. PROGRAM OF ACTIVITIES INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Pro am of Ac vi VI Physical Environment. THE FDC PROVIDER SHALL HAVE KNOWLEDGE OF WHERE EACH CHILD IN CARE IS AT ALL TIMES. , CHILDREN IN CARE SHALL BE ADEQUATELY SUPERVISED BY THE FDC PROVIDER OR HELPER. VIII Daily Activities. DAILY ACTIVITIES SHALL BE DEFINED AS THE PROGRAM OF THE FDC FOR MEETING THE NEEDS OF CHILDREN RECEIVING SERVICE. DAILY ACTIVITIES SHALL FOSTER NORMAL PHYSICAL, SOCIAL, MENTAL, AND EMOTIONAL DEVELOPMENT OF CHILDREN. TODDLERS, PRESCHOOLERS, AND SCHOOL-AGE CHILDREN. EACH CHILD SHALL BE ALLOWED AS MUCH INDEPENDENCE AS HE CAN SAFELY HANDLE. Satisfactory Compliance: Each child shall be allowed and encouraged to move about and handle objects in the FDC. EACH CHILD SHALL BE PROVIDED WITH LIMITS CONSISTENT WITH HIS AGE AND UNDERSTANDING. Satisfactory Compliance: Each child shall be taught to avoid behavior that would be dangerous to him or to others. 14 FAMILY DAY CARE HOMES MINNESOTA EACH CHILD SHALL BE ENCOURAGED TO COMMUNICATE VERBALLY. Satisfactory Compliance: The FDC provider shall talk to and listen to each child. EACH CHILD SHALL BE GIVEN PHYSICAL SIGNS OF AFFECTION: Satisfactory Compliance: Each .child shall be given outward signs of affection by.the FDC provider, as appropriate for his age and needs. WEATHER PERMITTING, EACH CHILD SHALL SPEND TIME 01T1 -OF- DOORS. Satisfactory Compliance: Except in inclement weather, each healthy child shall spend some time each day out-of-doors. TOILET TRAINING SHALL BE UNDERTAKEN WHEN APPROPRIATE TO EACH CHILD'S AGE AND STAGE OF DEVELOPMENT AND IN COOPERATION WITH THE PARENTS' WISHES. Satisfactory Compliance: The FDC provider shall obtain instructions from the parents about timing and methods of toilet training. Any toilet training given by the FDC provider shall be in cooperation with the parent's plan and within the limits of the licensing standards. No child shall be punished for accidents occurring during toilet training. 612. am EcNi ment and ateri VIII Daily Activities. DAILY ACTIVITIES SHALL BE DEFINED AS THE PROGRAM OF THE FDC FOR MEETING THE NEEDS OF CHILDREN RECEIVING SERVICE. DAILY 15 4 FAMILY DAY CARE HOMES MINNESOTA ACTIVITIES SHALL FOSTER NORMAL PHYSICAL, SOCIAL, MENTAL, AND EMOTIONAL DEVELOPMENT OF CLIILDREN. EACH CHILD SHALL BE PROVIDED WITH MATERIALS AND EQUIPMENT` THAT WILL FOSTER HIS DEVELOPMENT PHYSICALLY, MENTALLY, AND EMOTIONALLY. Satisfactory Compliance: The FDC home shall provide commercial, homemade, or natural materials and equipment that encourage and stimulate: Large-muscle actii.dties (e.g., large blocks, cardboard cartons). Small-muscle activities (e.g., small blocks). Creative activities (e.g., dress-up clothes). Cognitive activities (e.g., puzzles, books). Social activities (e.g., games). All equipment shall be of sound construction and in operative don 613. Nap Provision VIII Daily Activities. DAILY ACTIVITIES SHALL BE DEFINED AS THE PROGRAM OF THE FDC FOR MEETING THE NEEDS OF CHILDREN RECEIVING SERVICE. v DAILY ACTIVITIES SHALL FOSTER NORMAL PHYSICAL, SOCIAL, MENTAL, AND EMOTIONAL DEVELOPMENT OF CHILDREN. EACH CHILD SHALL NAP OR REST AS APPROPRIATE TO HIS AGE AND - STAGE OF DEVELOPMENT AND IN COOPERATION WITH THE PARENTS' WISHES. 427 16 FAMILY DAY CARE HOMES Satisfactory Compliance: _ - The FDC provider shel obtain instructions from the parent about he child's need for naps or rests and the parent's wishes about naps. Insofar as possible; each child shall take a nap in accordance with the parent's wishes. MINNESOTA 614. Discipline and Guidance W Staff.Qualifi cat:0ns and Training. NO CHILD SHALL BE SUBJECTED TO CORPORAL OR PSYCHOLOGICAL ABU pg. A Satisfactory Compliance: Methods of discipline used by the FDC provider shall be discussed with child's parent at the time of enrollment. No child shall be hit, shaken, pinched, or roughly handled by the FDC provider. No child shall be insulted or belittled by the FDC provider. - Exclusion, when used as discipline, shall not exceed ten minutes for any child and shall be within hearing of an adult in a lighted, well-ventilated room. No child shall be isolated in a locked room or closet. No child shall be punished for lapses in toilet training. Deprivation of meals and snacks shall not be used as forms of punishment unlesg the Misbehavior occurs during meal or snack. No discipline or punishment shall be delegated to another child. No derogatory rem about a child or wilily Shall be made. 17 A FAMILY DAY CARE HOMES 700. HEALTH AND SAFETY 710. HEALTH 711. General Hesilth Re uirements MINNESOTA V Health._ AT THE ME OF ADMISSION, THE FDC PROVIDER SHALL OBTAIN FROM THE PARENT A HEALTH HISTORY OF THE CHILD, INCLUDING INFORMATION ON SPECIAL DIET, ALLERGIES, IMMUNIZATION. RECOIRD, 'SOURCE OR REGULAR HEALTH CARE, AND ANY OTHER PROBLEMS OF THE CHILD. WHEN A POSITIVE DIAGNOSIS OF SERIOUS COMMUNICABLE OR INFgCTIOUS DISEASE IS MADE, THE PARENTS OF ALL EXPOSED CHM6REN SHALL BE NOTIFIED IMMEDIATELY.1 SUCH CHILDREN SHALL BE WATCHED FOR SYMPTOMS OF THE DISEASE. 712. Health Assessments Not specified 713. Immunizations Not specified 714.. Sanitation V Health. THE FDC PROVIDER AND ANY HELPER SHALL WASH THOROUGHLY AFTER CHANGING DIAPERS OR USING TOILET FACILITIES AND BEFORE HANDLING FOOD. SEPARATE TOWELS, WASH CLOTHES, DRINKING CUPS, COMBS, AND OTHER PERSONAL ARTICLES MUST BE USED FOR EACH CHILli. (PAPER TOWELS ARE PERMITTED.) 18 42r- FAMILY DAY CARE HOMES MINNESOTA CLEAN AND SEPARATE BED LINEN SHALL BE PROVIDED FOR EACH CHILD IN CARE. FDC HOMES THAT HAVE PETS SHALL PROVIDE EVIDENCE THAT SUCH PETS HAVE HAD ALL NECESSARY SHOTS; FDC HOMES SHALL NOT HAVE TURTLES, CHICKENS, OR DUCKS AS HOUSE PETS. THE FDC PROVIDER AND ANY HELPER SHALL WASH THOROUGHLY AIFTER CHANGING DIAPERS OR USING TOILET FACILITIES AND BEFORE HANDLING FOOD. VI Physical Environment. THERE MUST BE A SAFE WATER AND MILK SUPPLY. Satisfactory Compliance: Sample shall be taken of water from wells and tested by the State Health Department. All milk must be pasteurized. 715. Daily Illness Screening Not specified 716. Care of Sick Children V Health. NO FDC PROVIDER SHALL BE REQUIRED TO ACCEPT A SICK CHILD FOR CARE. THE ,PROVIDER MAY,. HOWEVER, ACCEPT A SICK GILD WHEN CARE CAN BE GIVEN WITHOUT'UNDULY ENDANGERING THE HEALTH OF OTHERS. Satisfactory Compliance: Provider shall have 'a plan approved by the agency for isolating a sick child, when necessary, from other children receiving care. 19 4' FAMILY DAY CARE HOMES MINNESOTA Parents of chit en in care shall be notified at it is the practice of the provider to offer care to sick children. . The parent of a sick child placed in the FDC provider's ears shall give complete instructions to the provider about care for his child. 'The sick child, if isolated from other children, hall still be under the control aim supervision of the provider; the sick child rust be within hearing of the FbC provider or a helper. 717. Medication and Special Diet Provisions VII Nutrition. THE FDC PROVIDER SHALL OBTAIN FROM THE PARENT AT THE TIME OF ENROLLMENT, WRIIVEN INSTRUCTIONS ON EACH CHILD'S SPECIAL DIET- OR FOOD NEEDS. Satisfactory Compliance: Any special diet or food needs shall be recorded on the child's admissions and arrangements form, Parent's wishes on the serving and time of snacks shall be observed as far as possible. ARENTS SHALL BE CONSULTED ABOUT SPECIAL FOOD PREFERENCES. S. Waiver of Health Requirements IX Records. THE FDC PROVIDER SHALL COMPLETE AN ADMISSIONS AND ARRANGEMENTS FORM FOR EACH CHILD IN CARE AT THE TIME OF FIRST ENROLLMENT. -20 FAMILY DAY CARE HOMES MINNESOTA Satisfactory Cornpliance: may be' waived when in conflict with the parent's Medic reliwious beliefs. -care consent 720. SAFETY 721. General Safety Requirements VI Physical Environment. THE HOUSE AND PREMISES SHALL BE CLEAN, REASONABLY NEAT, AND FREETROM HAZARDS THAT JEOPARDME HEALTH AND SAFETY. Satisfactory Compliance: FDC premises shall be inspected by a representative of the Commissioner. House and premises shall be clean, reasonably neat, and free from accumulations of dirt, ubbish; or peeling paint. All medicines, chemicals, cleaning supplies, and other toxic substances shall be stored out of the reach of children. They must- not be stored with or immediately adjacent to food products. Electric receptacles accessible to the children shall be covered or protected when not in use. Scissors, knives, matches, thin plastic bags, and other potential hazards to children shall be kept out of their reach. The use of potentially hazardous materials and tools shall be supervised. 21 FAMILY DAY CARE HOMES MINNESOTA Outdoor garbage and rubbish containers shall not be accessible to the children._ Outdoor play space shall be enalcsed as necessary to provide protection. Effective measures shall be taken to protect against the entrance into the home or breeding of vermin and insects. 722. Fire Sal et Requirements VI Physical Environment. THE FDC HOME SHALL BE SAFE FROM EIRE AND STRUCTURAL HAZARDS. Satisfactory Compliance: An irspection for fire safety shallAte made before licensure and whnever a fire hazard appears to be present, in the estimation of the agency. Every room below ground level shall have one exit leading directly outside. This exit may he a window large enough for a child to crawl through. Unvented room heaters hall not be No stove or heater sh stove or heater fire. gated where it would block escape in case of a A portable fire extinguisher shall be provided for the kitchen and co areas. This extinguisher shall be in working order and checked annually. Combustible items shall not be located or stored near the furnace area. FAMILY DAY CARE HOMES MINNESOTA Fireplaces, space heaters, steam radiators, and hot surfaces, such as steam pipes, shall be protected by guards. 723. Transportation VIII Daily Activities . DAILY ACTIVITIES SHALL BE DEFINED AS THE PROGRAM OF THE FDC FOR MEG THE NEEDS OF CHILDREN RECEIVING SERVICE. DAILY ACTIVITIES SH LL FOSTER NORMAL PHYSICAL, SOCIAL, MENTAL, AND EMOTIONAL D VELOPMENT OF -CHILDREN. WHEN TRANSPORTATION IS GIVEN TO FD C CHILDREN BYeERSONS OTHER THAN THEIR PARENTS, ADEQUATE -PRECAUTIONS Fdirt THEIR SAFETY MUST BE MADE. Satisfactory Compliance: No child shall be permitted to remain unattended in any vehicle. Each child being transported shall use an approved safety seat, seat belt, or harness. No more thin three persons, including the diver, shall be permitted to occupy the front seat of the vehicle. Any vehicle operated for the transportation of children shall be licensed in accordance with the laws of the State of Minnesota, and the driver shall hold a current and valid driver's license. 724. Safety Requirements for_Equipment Not specified FAMILY DAY CARE HOMES MINNESOTA SOTA 725. Water Activities (Including Swimming) Not specified 72 6. Emergency Procedures V Health. THE FDC PROVIDER SHALL BE PREPARED TO COPE WITH HEALTH EMERGENCIES. Satisfactory Compliance: The FDC provider shall have a plan approved by the agency and by the chills parents for meeting medical emergencies; this plan shall include the name and phone number of the child's physician. The FDC provider shall obtain written permission from the child's pa ents prior to the administration of any medication - prescription or nob-prescription. The FDC provider shall have written instructions from a licensed physician or dentist prior to the administration of any prescription medication. Medication with current prescription information on the label shall constitute such , instructions.. VI Physical Environment. THE FDC PROVIDER SHALL BE PREPARED TO COPE WITH EMERGENCIES. Satisfactory Compliance: The FDC provider shall make arrangements for a substitute care giver to provide care during emergencies. The substitute care giver shall be eligible for the same 1- ,jning as the licensed FDC provider. A list of emergency telephone numbers Shall be prominently posted by the telephone, including police, fire, doctor, and hospital. 43 24 FAMILY DAY CARE HOMES MINNESOTA The FDC provider shall make arrangements in advance for emergency transportation. Emergency procedures shall be include a plan for evacuation. en, and ed. They shall A review of these emergency procedures shall be held not less often than annually. At least one operable flashli power failure. 727. ;First Aid_Supplies V Health. shall be availabl for use in the event of a THE FDC PROVIDER SHALL BE PREPARED TO COPE WITH HEALTH EMERGENCIES. Satisfactory Compliance: The FDONprovider shall have a plan approved by the agency and by the child's parents for meeting medical emergencies; this plan shall include the name and phone number of the child's physician. The FDC provider shall have first aid supplies readily available to treat minor injuries. 800. NUTRITION AND FOOD SERVICE 810. NUTRITION 811. Nutritional Re irements VII Nutrition. WELL-BLANCED MEALS AND SNACKS SHALL BE SERVED DAILY. 25 FAMILY DAY CARE HOMES atisfactory Compliance: Each meal served shall include servings frOm each of he basic four food groups as indicated in the Daily Food Guide. MINNESOTA 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 821. Food Preparation and Se'rvi e Requirements VI Physical Environment. THE HOUSE AND PREMISES SHALL BE CLEAN, REASONABLY NEAT, AND FREE FROM HAZARDS THAT JEOPARDIZE HEALTH AND SAFETY. Satisfactory Compliance: The FDC provider shall maintain personal cleanliness and conform to hygienic practices while preparing food. All food and cooking utensils shall be stored to protect from dust, vermin, leakage from pipes, or other contamination. Food needing t(efrigeration shall be stored at a temperature that will prevent spoilage and bacterial growth (400 recommended). Appliances regularly used in the storage and preparation of food shall be safe and in good working order. Except for home - canned meat, fish, and _ poultry the use of homecanned foods is acceptable. 26 FAMILY DAY CARE HOMES MINNESOTA DRINKING WATER SHALL BE AVAILABLE TO CHILDREN AND OFFERED AT FREQUENT INTERVALS. Satisfactory CoMpliance: Drinking water for toddle mangle- service cups. Not s cified and older children shall tie provided in individual or 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION See 611. Program of Activities, 613. Nap Provision, and 614. Discipline and Guidance. 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES VIII Daily Activities. DAILY AanwriEs SHALL BE DEFINED AS THE PROGRAM OF THE FDC FOR MEETING THE NEEDS OF CHILDREN RECEIVING SERVICE. DAILY ACTIVITIES SHALLT FOSTER NORMAL PHYSICAL, SOCIAL, MENTAL, AND EMOTIONAL DEVELOPMENT OF CHILDREN. 27 FAMILY DAY CARE HOMES MINNESOTA EACH INFANT MUST.. EE HELD, ROCKED, CUDDLED, AND PLAYED WITH DURING EACH DAY OF CARE. EACH INFANT'S ATTEMPT _ TO COMMUNICATEVIUT BE RESPONDED TO Satisfactory Corripliance: The FDC provider shall talk and listen to each infant. THE INFANT MUST BE ALLOWED FREEDOM OF MOVEMENT DURING A LARGE PART OF HIS WAKING DAY. Satisfactory Compliance: The non-creeping infant shall spend part of each day on a clean carpeted floor or large blanket. The creeping infant shall have freedom to explore outside of crib or playpen. A crib or playpen shall be used only for sleeping or for short periods of time when needed for safety or when the provider is attending to other children. During the infant's waking hours, a playpen shall be placed where the infant can watch others. Several hours each day of care shall be spent outside the crib or playpen. THE INFANT MUST BE PROVIDED WITH AN ENVIRONMENT THAT STIMULATES ALL OF HIS SENSES. Satisfactory Compliance: Infants should be provided with: (commercial, homemade, or natural) Things to look at (e crib mobile). Things to en to (e.g., rattle, FDC provider's voice). Things to feel (e.g., a soft ball). Things to smell (e.g., new baked cookies). 3 FAMILY DAY CARE HOMES MINNESOTA Things to taste (e.g., objects that are non-toxic and too large swallow or choke him). WEATHER PERMITTING, EACH INFANT MUST SPEND SOME PART OF EACH DAY OUT-OF-DOORS. Satisfactory Compliance: Except in inclement weather each healthy infant shall spend some time each day out-of-doors. 1120. HEALTH AND SAFETY REQUIREMENTS V Health. DIAPERS SHALL BE CHANCED WHEN THEY BECOME SOILED OR WET. A CHILD WHO HAS SOILED SHALL BE WASHED WITH A SEPARATE CLOTH OR TOWEL BEFORE DIAPERING. AN ADEQUATE SUPPLY OF CLEAN DIAPERS SHALL BE AVAILABLE. DIAPERS MAY BE PROVIDED BY THE PARENT. ALL DIAPERS SHALL BE STORED IN A SANITARY MANNER. SOILED DIAPERS SHALL BE KEPT IN A CLOSED CONTAINER. THIS CONTAINER SHALL BE RENEWED OR CLEANED DAILY AND SHALL NOT BE ACCESSIBLE TO THE CHILDREN. VI Physical Environment. ALL STALR WA YS SHALL BE GUARDED FOR THE TODDLER AND CRAWLER. Satisfactory C liance: The area between d rail and stair tread shall be enclosed on stairs used by the children. Stairways d by children shall have handrails. 29 FAMILY DAY CARE HOMES MINNESOTA Gates shall be used at both top and bottom of stairs accessible to the children where care is being provided to crawlers or toddlers. Stairways shall be kept clear. 1130. INFANT NUTRITION VII Nutrition. FLEXIBLE FEEDING SCHEDULES SHALL BE PROVIDED FOR INFANTS AND TODDLERS. Satisfactory Compliance: The infant's or toddler's usual feeding schedule, as given by the child's parent, shall be recorded on the child's enrollment form. The infant's or toddler's usual feeding schedule shall be followed by the FDC provider insofar as is possible. Food and bottles brought from home shall be labeler with the child's name and refrigerated when necessary. Bottles shall be rinsed when 'empty. DID _KING WATER SHALL BE AVAILABLE TO CHILDREN AND OFFERED AT FREQUENT INTERVALS. Satisfactory Compliance: Water bottles for infants shall be identified for each individual infant. The water shall be stored and handled to protect against contamination. VIII Daily Activities. DAILY ACTIVITIES SHALL BE DEFINED AS THE PROGRAM OF THE FDC FOR MEETING THE NEEDS OF CHILDREN RECEIVING SERVICE. DAILY ACTIVITIES SHALL FOSTER NORMAL PHYSICAL, SOCIAL, MENTAL, AND EMOTIONAL DEVELOFMEITT OF CHILDREN. 4.11 30 FAMILY DAY CARE HOMES MINNESOTA EACH INFANT MUST BE HELD DURING BOTTLE FEEDINGS UNTIL HE IS SAFELY ABLE TO HOLD HIS OWN BOTTLE. BOTTLES SHALL NO BE PROPPED. An infant's first sense of security is closely related to his food. tieing field during feeding helps him to develop a trust relationship with others. It is passible for a young infant to choke on milk or water from a propped bottle. 1200. CHILDREN WITH HANDICAPPING CONDITIONS 1210: PROGRAM OF A WrrIES Not specified 1220. HEALTH AND SAFETY REQUIREMENTS V Health. SPECIAL CONSIDERATIONS MUST BE GryEN,WHEN PROVIDING CARE TO A HANDICAPPED CHILD. Satisfactory Compliance: A physician's statement indicating the nature of the h ,- -rap and any special methods that must be employed in caring for the handic- d child. A careful exploration with the parent of the handicapped child, including complete explanations of care and treatment, at the time of admission or occurrence of the handicap. Written instructions from the physician and/or parent indicating any special therapy, program, or behavior techniques required by the handicapped child. Regular conferences with the parent. 31 FAMILY DAY CARE HOMES MINNESOTA 1230. STAFFLNG Not specified 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACT ES Not specified 1320. HEALTH AND SAFETY REQ Not specified 1410. SPACE 1400. FACILITY REQUIREMENTS VI Physical Environment. BASEMENTS, IF WARM AND DRY, LIGHTED AND WELL VENTILATED, MAY BE USED FOR SHORT PERIODS OF ACTIVE PLAY BUT MUST NOT BE USED FOR SLEEPING. Satisfactory Compliance: Furnace and hot water heater must be separated by a door, partition, or barrier from play areas. C Basements partly above ground level that are clean, warm, and dry may be used for play periods; basements shall not be used for sleeping. Cellars wholly below ground level shall not be used. 1420. LIGHTING, VENTILATION, AND TEMPERATURE Not specified 32 FAMILY DAY CARE HOMES MINNESOTA 1430. EDITS See 722. Fire Safety Requirements 1440. TOMETS AND LAVATORIES VI Physical Environment. THE DAY-CARE HOME MUST HAVE ADEQUATE TOILET FACILITIES, SEWAGE DISPOSAL, AND PROPER LIGHTING AND VENTILATION, AS DETERMINED BY THE COMMISSIONER IN CONSULTATION WITH THE DEPARTMENT OF HEALTH. Satisfactory Compliance: Complete disposal of waste means toilet must flush thoroughly. Outdoor toilets are permissible if local regulations allow. 1500. OTHER STATE REQUIREMENTS COMPLIANCE WITH OTHER LOCALE STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 1520. FIRE See DAY CARE CENTERS 1530. BUILDING See DAY CARE CENTERS 1540. HEALTH See DAY CARE CENTERS 33' FAMILY DAY CARE HOME MINNESOTA 1550. SANITATION Sep D.4.Y CARE CENTERS 1560. NEW CONSTRUCTION See DAY CARE CENTERS liAMMY DAY CARE HOMES MISSISSIPPI In Mi.nsissippi, licensure of family day care homes is voluntary, unless they recei.re public funds. The regulations for licensure of family day care homes are the same as the regulations fc a. licensure of day care centers. FAMILY DAY CARE INES SSOURI Except where othervisonoted, citations are from the Missouri Department of Social Services, licerisinns for Child Day Care Facilities, Chapter 62, Day Canaliornes, 1017. 9. 100. STAT VICE OF CHEW DAY CARE FACIIJITIES 110. TYPE FACILITIES S UBJECT TO LICENSURE AS DEFINED BY STATE STAT REGULATIONS TIONS AND/OR LOCAL ORDINANCES AND 4n-62.010 Definitiongal Lice i7 rig Information. A "family day care ha is a fiarily home, occupied by the day care provider, in which family like cue is giver= to six children or less, not related to the day care prouider, for wypart of the 24 hour day. The maximum number of children under the ELKO two shad be three. "A group day care bed is a family home, occupied by the day care provider, in which family-like care is giver-1 to seven, but no more than ten children, not related to the day cireprovider, for any part of the24--hotu day. If there is only one adult provider, the ma_ durum number of children in-care under the age of two years sna jibe two. I= the provider has a full -time adult assistant, there may be four chiVren in cart under the age of two. 112. Exclusions and Exemptions See DAY CARE CEWERS 113. H S Day Car Co rnplianc Not specified FAMILY DAY CARE HOMES MISSOURI 120. AGE NC RESPONSIBLE FOR LICENSDIG OF DAY CARE PROGRAMS 121. 0 anization of the Administrative Unit See DAY CARE CENTERS 122. Responsible Official. See DAY CARE CENTERS 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promul.;tion of Regulations See DAY CARE CENTERS 212. Advisory Body and Other Cornrnunity Par -c a ion Not specified 220. L CENS_ -G PROCEDURE s£ 221. Application and Issuarice See DAY CARE CENTERS 222. Fee Charged Not specified 223. Areas of Investigation See DAY CARE CENTERS 224. License Renewal See DAY CARE CENTERS 2 FAMILY DAY CARE HOMES MISSOURI 225. Conditional /Provisional Licenses See DAY CARE _CENTERS 226. Substantial Compliance Not specified 230. ENFORCEMENT PROCEDURES 231. Facility Impectiors See DAY CAR') CENTERS 232. Denial, Suspension, Revocation of a License See DAY CARE CENTERS 233. k Remedies and Sanctions 233.1 Hearings See DAY CARE CENTERS 233.2 Decisions See DAY CARE CENTERS F 233.3 Judicial Review See DAY CARE CENTERS 300. ADMINISTRATION 310. GENERAL ADMINISTRATION General Administrative Requ 40.62.050 The Day Care Family and Household. Relationships between members of the day care family shall be such as to assure a Tavorable' influence and atmosphere for the children accepted for 4 4 FAMILY MAY CARE HOMES MISSOURI 0 care. Thiere shall be agreement among the members of the household as to the advisability of the sharing of their home for the care of children, and this shall include tile children of the household who will be sharing their mother and Malty of Ithek belongings; 40.62.010 Admission Policies and Procedures. Each day- care home shall establish policies pertaining to admission, care, and diseharg of children. It is usually helpful to have these policies in writing and available for parents at time of enrollment to avoid any misunderstanding about hotars, feJ etc. C ildre shall be regularly enrolled with enrollment and medical information on file. Overlap std Care of Children for More than One Shift. A day ca i-e home shall care for no more than two shifts of children during the 24 hour day, and the maximum length of time a provider can be regularly responsible for child care is 18 hours. T ere may be occasional situations when due to change of shifts or because of before and after school care of school age siblings of children in care, the number v=yf children in care would exceed for a short period of time the licensed maximum. The number in care, in these overlap situations, shall therefore never be more than twice the number provided for on the license for a-period (=f time'not to exe,?ed one hour. '441( 40.62.095 Records and Reports. The day care home shall be responsible for keeping records to insure knowledre of individual needs of children and families. All recar-ds and reports shall be readily]available at all times and filed or located ira a place known to anyone respo sible for the children. 4 F MILY DAY CARE HOMES ISSOURI 40.62.070 Admission Policies and Procedures. If evening or nighttime care of children is to be regularly provided, request/ for approval for this type of care shall be made on the application, and if approved, the license will designate the number and ages of children who can be 'cared for during those hours. Regulations in regard to sleeping arrangements, 'personal care, and activities shall be met as set forth. If the regularly scheduled hours for day time care extend slightly into evening or nighttime bours, however, this will be recognized in the licensing investigation and no special mention will be made on the license. Normally, however, children who have been in care all day should not remain in a day care home beyond pin. nor should they be in care for longer than 10 hours. 312. Telephone 40.62.020 Physical Requirements of the Home. There shall be a telephone in working order. 313. Proof of e_ tor Financial Capabilities 40.62.050 The Day Care Family and Household. Financial -resources of the family shall be sufficient to maintain minimum standards of care set forth by the Division of Family Services. 40.62.095 Records and Reports;, Financial records including income and expenditures shall be maintained in sufficiept detail to show the curr9nt financial soundness of the day care facility. These records shall be available for review at request by the Division of Family Services. FAMILY DAY CARE HOMES MISSOURI 314. Insurance Not specified 320. PERSONNEL 321. Publication of Personnel Poll Not spedified 322. Constraints Against Employment 40.62.040 The Day Care Provider and Other Child Care Personnel. The day care provider shall not be engaged in other employrnent, eitthr full-time or part-time dUring the hour while operating the clay earchorne, nor shall she/he be employed longer than four hours on any other shift of the 24 hour day when providing child care. 330. NON =DISCRIMINATION 331. Re uirements Prohibitin Discrimination See DAY CARE CENTERS 340. RECORDS REQUIREMENTS 341. Children 40.62.095 Records and Reports. Sufficient records shall be kept to identify the, children and ine'ble the day care facility to communicate with the parent(s) or person responAle for the e child in their home and in an emergency situation. Records shall include.: Child's name, address, birthdate, and the date of acceptance, Full name of both parents or person responsible for the 00, family-Ts, home address, work addresses, hours of work, and`telephone numbers. 6 FAMILY DAY CARE HOMES MISSOURI Instructions for reaching the parent(s) or relative(s) or guar'dian. Name, address, and telephone number of another person (friend or neighbor) who might be reached in the event of an emergency. Name, address, and telephone number of family physician and/or hospital preference. Name of person(s) authorized to take child from the facility. Health information shall be on file for each child including: Physicign's pre-admission report. Instructions for 'tion to be taken in the event parent or physician designated by the parent cannot be reached. Authorization for any-special medications. Information of illnesses while enrolled in the day care facility and/or medications admi ered. Information concerning any accident or injury to the child while at the day care facility or any emergency medical attention. gF Any significant information learned from observing the child. 312. Staff 40.62.095 Records and Reports. Health records of adult members of the household and/or staff members, and/or volunteers shall be on file. 7 FAMILY DAY CARE HOMES 343. Child Eli 'bilit and Enrollment Requirements MISSOURI 40.62.070 Admission Policies and Procedures. Each day care facility shall de, 'lop a procedure for admit shall include the following: children which A personal interview o- interviews with the parent(s) to exchange information and to arrive at a joint decision about admitting the child. A plan for continuing relationship between the day care facility and the parent(s), through scheduled conferences, written progress reports, or the like. A pre-admission visit by the child, if possible. ,Information regarding a child's personal development, behavior patterns, habits, needs, etc. Assurance that the parent has a practical and realistic plan for providing for the care of his child when ill. Instruction as to the action to be taken in case the parent or physician designated by the parent cannot be reached in the event of an emergency. - 344. Child Abuse Reporting 40.62.095 Records and Reports. AU day care providers shall acquaint themselves with the Child Abuse Law and shall make a report of any suspected child abuse to the Child Abuse and Neglect Unit of the Division of Family Services at the toll free number 1-800-392-373 FAMILY DAY CARE HOMES MISSOURI 345. Confidentialit of Records Requirements 40.62.095 Records and Reports. All records of children shall be confidential and shall be protected from unauthorized examination, but shall be available to parents and/or guardian at request. 400. GROUP COMPOSMONS OF CHILDREN' 410. STAFF/CHILD RATIO REQUIREMENTS 411. Staff/Child Ratio ss o March Not specified 412. Methods of Computing S Child Ratios Not specified 420. GROUP SIZE 421. Group Size as of March, See Ill. Definitions 422. Methvc.s of Computing Group Size Not specified 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENT 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. Not specified 9 SAMILY DAY CARE HOMES MISSOURI 512. Health 40.-62.060 Health Examinations - Members of the Household and Assistants. All adults who are members of the household who have direct contact on a regular basis with the']vhildren and/or any person who assists in the care of the children shall be in good emotional health and free of disease or disabilities that would have a harmful effect upon the children. This shall be establed by a physical examination completed not more than 90 days prior to application for the care of children and/or employment and annually thereafter. Such examination shall include a tuberculin skin test, a chest X-ray or appropriate follow-up of a pr vious examination so that the medical report will indicate the individual ree of tuberculosis. Persons shall not be allowed to work with the childr n when ill if the health of the children would be endangered. The medical report shall be in writing and kept on file at the day care facility. 513. Education Not specified 514. Experience Not specified 520. PROGRAM DIRECTOR QUALIFICATIONS 521. An 40-62.040 The Day Care Provider and Other Child Care Personnel. The day care provider shall be 18 years of age. 522. Health See 512. Health 10 FAMILY DAY CARE HOMES MISSOURI 523. Education Not specified 524. Experience The day care provider shall have knowledge of the needs of children, shall be capable of handling emergency situations promptly and intelligently, and shall be willing to cooperate with the person responsible for placing the child in the home as well as with the licensing authority. 530. SUPPORT STAFF QUALIFICATIONS Not specified 540. POST EMPLOY ENT N ERV CE: ORIENTATION AND TRAINING 541. Proram Director Not specified 542. Child Caregiver Staff Not specified 543. Support S Not specified I 600. PROGRAM OF ACT IT ES, INCLUDING EDUCATION 610. PROGRA REQUIREMENTS 611. Program of Act 40.62.080 Daily Activities and e of the Child Daily Activities. Daily activities and experien appropriate to the interests, needs, and desires of the children in care shall be provided. These shall include ell 5 11 FAMILY DAY CARE HOMES MISSOURI 47= educational play experiences and free choice of play allowing for individual interests. There shall be* a variety of materials and activities provided which will permit children to make choices. Provision shall be made for both indoor and outdoor play with at least one hour being allowed for outside activities except in inclement weather or if health of a child indicates he should remain inside. (If the yard is not fenced; preschool children must be adult supervised outside). The dally schedule shall provide a certain amount of regularity to permit children to have the security of knowing what comes next and to have a regular schedule of physical routines -'meals, snacks, naps, and toileting. Field trips or excursions away from the home mad occur but there shall be written parental consent on file and parents shall be informed whenever such trips are planned. The day care provider shall never leave the chil supervision. 612. Program Equipment and Materials hout competent adult 40.62.030 Furniture, Equipments and Materials - Play Materials and Equipment. There shall be educational and developmental play materials or equipment in sufficient variety and quantity to meet the interests and needs of the number and ages `q1 children accepted for care. 12 FAMILY DAY CARE HOMES MISSOURI 613. Nap Provision 40.62.030 Furniture, Equipment, and Materials - SleepinglArrangments. There shall be a cot, bed, or crib and bedding (a sheet and blanket) for each child who naps. These shall be well-constructed and in good repair. If a double bed is used, only two children shall sleep or nap on it at one time and each child shall be provided with a separate blanket or cover. There shall be sufficient space between cots, beds, and/or cribs to allow at least two feet on all sides except where it is in contact with the wall. Sleeping equipment and supplies shall be kept in a clean and sanitary condition. If family beds are used for napping, there shall be a clean full-sized sheet spread over the faniily bedding. 40.62.080 Daily Activities and Care of the Child 2 Daily Activities - Napping. Preschool children who do not sleep shall not be forced to remain on their beds or cots longer than one hour. School-age children can be encouraged to have a "quiet" time in the early afternoon but shall not be forced to nap. 614. Disci-line and Guidance 40.62.080 Daily Activi Discipline. and Care of the Child Daily Activities - Only constructive methods of discipline shall be used. There shall be no corporal punishment including spanking, slapping, or shaking. No technique which is humilitating, threatening, or frightening, to children shall be used. FAMILY DAY CARE HOMES MISSOURI Punishment or threat of punishment shall not be associated with food, rest, isolation for illness, or toilet training. 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Requirements Not specified 712. Health Assessments 40.-62.060 Health Examinations - Children. The day care facility shall require prior to the admission of an infant, toddler or preschool child a physical examination report made within the past 12 months which indicates that the child's medical history and current state of h satisfactory and that he/she # without handicapping conditions or- illness which would make group care inadvisable. For the school-age child, a report shall be provided by the parents(s) at the time of enrollment indicating the child's health history and any restrictions necessary for his/her care. There may be an occasional situation where the need for day care is urgent and a medical statement can not be secured before admission. In such circumstances, the medical statement must be provided no later than thirty days following admission. 71.3. Immunizations Not specified 714. Sanitation 40.62.020 Physical Requirements of the Home - Indoor Space. The physical plant shall be safe and suitable for the care of children. 14 FAMILY DAY CARE HOMES MISSOURI Home shall be reasonably clean and tidy at all times, free from dirt and any evidence of vermin, flies and rodent infestation. 40.62.090 Nutrition and Food Service. Sanitation and health standards in conformance with applicable state and local lags and regulations shall be maintained in the storage, preparation, and service of foods. Powdered non-fat dry milk shall not be used except for cooking purposes. 715. 40.62.OI Illness Screening Daily Activities and Care of the Child = Care of the Child The Ill Ch. en shall be observed for contagious diseases and other signs of i_ .ess not only on arrival but all through the day. Children who are suspected (Is having any illness should not be accepted for care and if a child becomes ill during the day, he shall be isolated from the other children. 716. Care of Sick Children 40.62.080 Daily Activities Child. e of the Child - Card4f the Child The Ill When lerny communicable disease occurs in the day care facility, every child's parent(s) shall be notified individually and immediately. An adult shall always be within range of a sick child's call, or in close attendance if needed. An ill child shall be kept in isolation only until his parent or responsible person can come for him. The parent shall be notified immediately when a child becomes ill and be requested to come for the child at once. ca 15 FAMILY DAY CARE HOMES MISSOURI 717. Medication and Special Diet Provisions 40.62.080 Daily Activities and Care of he Child - Care of the Child - The III Child. It is recommended that medications not be given at a day care facility. This responsibility should be left with the parent(s) at home. Fdr special cases, the day care provider or director or supervisor may choose to accept this responsibility. If so, it shall be authorized in writing by the parent. Medication shall be labeled with the child's name, the name of the drug, and -- the direction for its administration. It shall be carefully stored and returned to the parent or discarded when no longer needed. The date and time of administration, the name of the provider or person giving the medication shall be recorded, and the quantity of the medication given should be entered on the child's health record each dose. 718. Waiver of health R uirements Not specified 720. SAFETY 721. General Safe urements 40.62.020 Physical Requirements of the Home Indoor Space. The physical plant shall be safe and suitable for the care of childrerf. Open windows shall be securely screened. Safeguards to prevent children from falling from window openings shall be provided. Fireplaces, open-faced heaters, hot radiators, or floor furnaces shall be protected by screens or as recommended by the State Fire Marshal. FAMILY DAY CARE HOMES SSOURI Walls and floors shall be finished so as to be free from splinters and cracks and easily cleaned. Lead free paint shall be used for all painted surfaces. Clear glass doors shall be plainly k at varying heights to avoid accidental impact. / All flammable liquids, matches, cleaning supplies, poisonous materials, guns, firearms, or other hazardous items shall be stored so as to be inaccessible to the children. Outdoor Play Space. The surface of the play area shall have good drainage, be safe, suitable for the children's activities, free of hazards such as brpicen glass and other debris, and it shall be well-maintained. The area under climbing equipment, swings, slides, and other equipment from which children might fall shall be of resilient material such as grass, sand, tanbark, rubber matting, and the like. The outdoor play area must be hazard free, and keep children away from traffic, water, and other dangers. The playground shall be protected by a fence when indicated. There shall always be an adult supervisor outside with the children when need for fencing is not indicated, unless the children are of school age and definite limits have been established as to their boundaries. 722. Fire Safety Requirements Not specified 723. ;Transportation .2_ Not specified 17 FAMILY DAY CARE HOMES MISSOURI 724. Safety Requirements for Equipment 40.62.030 Furniture, Equpment, and lvlaterals Play Materials and Equipment. All equipment shall be kept in good condition free of sharp, loose, or pointed parts. Only lead free paint shall be used. Furniture and equipment shall be arranged so as not to interfere with exits. 725. Water Activities (Including Swimming) 40.62.020 Physical Requirements of the Home Outdoor Play Space. Swimming and/or wading pools shall be constructed, maintained, and used in such a manner as to safeguard the lives and health-of the children. Swimming pools and/or other areas such as pond§, lakes, or rivers shall be fenced to prevent accident0 or chance access by children. Wading pools that are left filled with water when not in use shall also be protected in some way. The water in the pool or other water areas shall be treated, cleaned, and/or maintained in accordance with health practices and regulations as determined by the local Rate health authority. 726. Emergency Procedures 40.62.040 The Day Care Provider and Other Child Care Personnel. An adult substitute for help in case of emergency shall be available and on-call. The name, address and phone number of the substitute shall be part of the licensing record and shall be posted with other emergency numbers in the day care home. 18 FAMILY DAY CARE HOMES MISSOURI 40.62.080 Daily Activities and Care of the Child - Daily Activities. Evacuation drills for emergencies such asItre.-S, tornadoes, etc., shall be practiced regularly and the plan fisted in a conspicuous place. Care of the Child - Emergency Medical Care. In case of illness, accident or injury to any child, the day care facility shall make prompt arrangements for notification of parent or guardian and for medical care if necessary. Parents shall be notified rnediately of all illness or injury to the child and specific instruction regarding action to be taken shall be obtained. - - The information regarding the illness, accident, or injury shall noted in the child's record. When planning for activities away from the facility an adequate an to be followed in an emergency shall be established in advance. 727. First Aid uppie 40.62.080 Daily Act Aid. and Care of the Child - Care of the Child - First The day care facility sh- 1 maintain first aid supplies sufficient to care for minor injuries. First aid supplies shall be kept in a room or abinet which is inaccessible to the children. 19 FAMILY DAY CARE HO ES MISSOURI 800. NUTRITION AND FOOD SERVICE 810. . NUTRITION 811. Nutritional Recauirements 40.62.090 Nutrition and Food Service. The diet shall be planned according to recognized nutritional standards. The day care home shall provide the child with approximately one-third to one-half of his daily food needs. A morning snack of fruit juice, raw fruit or vegetable, or other light food and an afternoon snack of milk and crackers, fruit juice, raw fruit or vegetable, or similar food shall be served to the children , Meals shall be balanced and contain a portion from each of the our basic foods. Orfei serving of milk per child shall-be served each day. Formulas and special foods for infants and toddlers shall be furnished by the parents. There shall be individual identification on each container. Any unused portion shall be discarded. Drinking water shall be readr ST A ail-able and conveniently located- both to the playrooms and to the playgrou so that the children are free to drink as they wish. 812. Waiver of Requirements Not specified 20 FAMILY DAY CARE HOMES MISSOURI I 820. FOOD PREPARATION 821. Food P e aration and Service Requirements 40.62.020 Physical Requirements of the Home - Indoor Space-Kitchen. The kitchen shall be equipped with a stove, sink, hot and cold running water, refrigeration, and storage space for food, dishes, Edict cooking utensils. Kitcherm shall not be used for children's play activities unlesss they are adult-supervised and part of the learning program. Kitchens shall not be used for napping. 40.62.090 utt and Food Service. The water and milk supply shall be approved by the local or state health authorities and the method of dispensing shall also be approved, Children shall be allowed ample time to eat, and shall not be forced to eat. Tu. Information about the menus shall be availably to the parents, (preferably on a weekly basis in advance) to make it possible for the parents to provide the balance of the Fhild's dietary needs on a planned basis. Not spedified 900. SOCIAL SERVICES 21 FAIVIII 1" DAY ARE HOMES Not sixwecified 1110. Not apwecified .1000. PARENT PARTICIPAT 1NIS +:3LIRI 1100. INFANTS- AND TC= DL PROGR-- M OF AC 1120. FIEALTY4 AND SAFETY REQUIRE _E Not Sp-ecified 1130. INFA NuTRrrioN Not sp-ecified 120 0. CHILDREN WITH I AND ITIONS 1210. PIOGR.,-A /VI OF ACTW1 TIES 40.62.0 70 Adrn fission Policies and Procedures. Childrn who &re 'diagnosed as pl-iysically handicapped, ern=tionally disturbed, or dev- elopmentally disabled shall be accepted only upon __ referral from a professionally 4=ualified source and an individualized plan fo=,r specialized care shall on file for each such child. 1220. 7,_-IEAL71-1 AND SAFETY REQUIREMENT Not specified 1230. _-57TAFFINT G Not .specified 22 FAMILY DAY CARE HOMES MISSOURI 1300. SGH0GL AGE CMLDREN 1310. PROGRAM OF ACTIVITIES Not specified 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 1400. FACILITY REQUIREMENTS 1410. SPACE 40.62.020 Physical Requirements of the Home - Indoor Space. The area designated for child care shall provide a minimumfof 3 5 square feet of useable floor space per child. Floor space occupied by permanent built-in cabinets or shelves, or large pieces of funiture or equipment not intended for children's use, May not be considered as usable floor space. Kitchen and bathroom areas shall not be counted.. There shall be storage space accessible to children for play materials a equipment. Provisions for space fora child's clothing and other personal belongings shall be made. AL Basements: A "basement" is any lower level of a home without a direct exit outside at ground level. No basement area shall be used for complete child care. If a basement area of a building is used for any of the children's activities, it shall be approved by a fire inspector, shall have two exits, be warm, dry, well-ventilated, and well-lighted. 23 FAMILY DAY CARE HOMES MISSOURI Children shall have no access from the approved basement play area to other basement areas. Outdoor P There 66 -outdoor play area convenien 4 reach without hazard. y located to permit children to There shall be aThinimum of 75 square feet of outdoor play area per child at time of use. 1420. LIGHTIN VENTILATION, AND TEMPERATURE 40.62.020 Physical Requirements of the Home - Indoor Space. The home or apartment shall -be dry, well-heated, well-vent ila ed and well-lighted. Temperature of the rooms shall be no less than 68 degrees Farenheit (20 degrees Centigrade). 1430. EXITS Not specified 1440. TOILETS AND LAVATORIES 40.62.020 Physical Requirements o the Home - Indoor Space - Bathroom Facilities. There shall facilifie. flush toiletand running water handwashing facility or Toilet and 'handwaghing facilities shall be the children's use and be in working order. nient and easily va _able for FAMILY DAY CARE -MOMES MISSOURI Individual towels and washcloths or soft, absorbent paper towels sh provided for the children. Potty chairs shall be located in_ the bathroom and shall be emptied and rinsed after each usef They must be thoroughly cleaned and disinfected daily. 1500. OTHER STATE REQUIREMENTS - COMPLIANCE WITH OTHER LOCA STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING 40.62.020 Physical Requirements of the Home. The building and premises shall conform to construction, maintenance, water supply, zoning and sanitation requirements of the locality and/or the state regulations of the State Fire Marshal. . 1520 FIRE _ See 1510. ZONING 1530. 'BUILDING See 1510. ZONING 1540. HEALTH See 1510. ZONING 1550. SANITATION See 1510. ZONING 1560. NEW CONSTRUCTION Not specified 25 FAMILY DAY CARE HOMES MONTANA Except where otherwise noted, all citations are to the Administrative Rules of Montana, SUbchapter 9 - Day Care Home Centers and Facilities, July, 1980. 100. STATE LICENSING OF CHIIJD DAY CARE FACILITIES 110. TYPES OF FAcnirriEs SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND /OR LOCAL ORDINANCES AND REGULATIONS 111. Definitions 46.5.902 Definitions and Standards. "Day care facility" means a persqn, association or place, incorporated or unincorporated, that receives in care during the day or part of the day, 3 or More children of separate families and continues this type of care for 5 or more consecutive weeks. It does not include a person who limits care to children who are related to him by blood or marriage or under his legal guardianship, and all group facilities established chiefly for educational pur pos "Family day care home" means a home that provides care for no more than 6 children at a time and for no more than 2 children under 2 years of age including the provider's own children who are less than 6 year of.age. "Full day care" means care given to a child(ren) in a center or home licensed by the agency for such, and pro- d for a continuous period of not less than 5 hours per day to 10 hours per day. This care includes one main meal, which may be breakfast, lunch, dinner/supper, and two snacks during the period of care. "Part-time care" means care given to a child in a center or home licensed by the agency, whether day or night care, and provided for a period of less than 5 hours per day paid on an hourly basis. FAMILY DAY CARE HOMES MONTANA- 46.5.909 Day Care Home Licensing Services, Eligibility Reqt=irements. A home must be licensed which receives from 3 to 6 eriMdren ofaeparate families for 5 or more consecutive week for care for more khan 4 hours during any 24 hour period. A home must be licensed when the children cared for are nit related by blood or marriage or under the legal guardianship of the operator. A day care home may not provide care for more than 6 chil=1,ren (no more than 2 children under 2 years of age Including the day care rnothr's children under 6 years of age). 112. Exclusions and Exem ions See 111. Definitions 113. HHS Compliance Not specified 120. AGENCY RESPONS EFOR LICENSING OF DAY CARE PROGRAMS 121. 0 nization of the Adrninistrgtive Unit See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS, LICENSINGPROCESS AND ENFORCEMENT p; 210. LICENSING PROCESS 211. promulgation of egulation See DAY CARE CENTERS 212. Advisory Body and Other Community Participation See DAY CARE CENTERS 2 FAMILY DAY C ARE HOMES 220. I I EI SiI G PROCEDURE 221. leplimissuance cObtaining 46.5.908 Day Care Home Licensing Services, Procedures ervices. . MONTANA Any individual =-nay apply for a license to operate a day care home by filling out an applicati=n for license, which can be obtained at any SRS office. Any individual, group or other agency may request that the agency determine whether or not a home should be licensed according to law. Referral may be either in writing or by telephone. Licenses are ied from an SRS district ice. Duration of tlie license is the decision of the social service supervisor, not to exceed one year_ .222. Fee Chemed Not specified 223. Areas of tion 46.5.909 Day a= are Home Licensing Services, Eligibility Requirements. A department s racial worker does a study and- evaluation of the day care home and makes a reommendation as to licensing. The social service supervisor reviews the study and has the final licensing decision. 224. License Rene Not specified 225. Comlitio=a1/Provisional Licenses Nbt specified PAMILY DAY CARE'HOMES MO TANA 226. Substantial Compliance Not specified 230. _NIE NFORCEMENT PROCEDURES 231. Facility Inspections Not specified 232. Denial, Suspension, Revocation of a License 233. Remedies and Sanctions 46.5.909 Day Care-Home Licensing Services, Eligibility Requirern At any time a facility is found out of conformity with licensing standards the license (nay be revoked by written notification from the social service supervisor. The notification will include the reasons for revocation and advice to the operator of the right of appeal. 233.1 Hearings Not specified 233.2 Decisions Not specified 233'.3 Judicial Review Not specified IJ FAMILY DA CARE HOMES MONTANA 300. ID STRATTON 310. GENEEALADMINISTRATI N Genere.lAdministrative RecrLiirements 46.5.910 Day Care Home Licensing- Services Provided. The department will provide the following: assi5tknee to the applicant "Up meet licensing standards; co uns lin ervices concerning children's problems; ce to the day care =other in providing enrichtnent experiences for the children, proper envir onment and nutrition; and ( supplying the operator with the proper forms to obtain agency placement, Each month theoperator must subs mit a voucher for child care services, to an SRS district office before deadline date, as established by the SRS district office. 312. Telephone Not specified 313. Proof otOperator Financial Capabilities Not specified 314: Insurance 6.5.909 Day we A e I c.ensin Services, Eligibility Requirements. ( Family day ewe hom es must have rlre and public liability insurance. FAMILY DAYCARE HOMES 320. PERSONNEL 321. Pub Not specifie Lion of. Pe sonn Policies 322. Constraints A inaALEzn Inent Not specified 330. Nt N---.101CRIMINATION- 331. Re *uirements Prohibitill-1_ Discrimination Not specified 340. RERDS REQUIREi 341. Child Not specified en 342. Staff MONTANA 46.5.909 Llity Care Home r-77-oing Services, Eligibility Requirements. The day care operator rrriiist provide the department with a physician's report-child care personnel, TNl -lei can be obtained from any SRS office- 343. ChiL:1 r--,-011ment Requirements Not specifieti 344. child Ruse Eeporir Not specified 3 345. Confidentialit of Records Requirements Not speei FAMILY DAY CARE HOMES MONTANA 400. GROUP COMPOSITIONS OF CHILDREN 410. STAFF/CHILD RATIO REQUIREMENTS 411. Staff /Child Ratio as of March, 9 Not specified 412. Methods of Computing Staff /Child Ratios Not specified 420. GROUP SIZE 421. Group Size as of March, 1981 46.5.909 Day Care Home Licensing Services, Eligibility Requirements. A day care tome may not provide care for more than 6 children (no more then 2 children under 2 years of age including the day care mother's children under 6 years of age). 422. Methods of Computing Group Size Not specified 600. T .AF QUALIFICATIONS AND TRAINING REQUIREMENTS 510.x` CHILD CAREG VER,STAFF QUALIFICATIONS 511. Age Not specified 512. Health See 342. Staff 513. Education Not specified 7 FAMILY DAY CARE HOMES MONTANA 514.- Eyeri Not specified nee 520. PRO RAM DIRECTOR QUALIFICATIONS 521. Awe Not specified 522. Health See 342. Staff 523. Education Not specified 524. Epe ience Not specified 530. SUPPORT STAFF QUALIFICATIONS Not specified 540. POST ELPLOYIVIENT N 541. Program Director Not specified 542. Child Care verStaff Not specified 543. Support Staff Not specified ERVICE: ORIENTATION AND TRA N G 8 4 FAMILY DAY CARE HOMES MONTANA 600. PROGRAM OF ACTIVITIES, INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Act' Not specified 612. Program Equipment and M a Not specific Nap Provision Not specified 614. Disci line and- Guidance Not specified 710. . HEALTH 700. HEALTH AND SAFET 711. General Heal uirernents Not specified 712. Health Assessments Not specified 713. Immtmizations Nbt specified 714. Sanitation Not specified 715. Daily Illness Screenin Not specified FAMILY DAY CARE.HOMES MONTANA 716.` of Sick Children Not specified 717. Medication and Secial Diet sions 46.5.909 Day Care Home Licensing Services, Eligibility Requirements. Day care operator must have a signed. medical request, on file if the child is receiving any medication. This form can be obtained from any SRS offfice 718. Waiver of Health Requirements Not specified 720. SAFETY 721... General Safet Require Not specified 722. Fire Safety Requirements Not specified 72'3. Transportation Not specified F 724. Safety Requirements for Equipment Not specified 725. Water Acti Not specified Including Swi m ming) _ 726. Emergency Procedures Not specified 727. First Aid Supplies Not specified 10 -FAMILY DAB' CARE HOMES 810. NUTRITION 800. NUTRITION AND FOOD SERVICE 811. Nutritional Reduiremcnts Not s ecified 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 821. Food Preparation and Service Requirements Not specified Not specified Not specified 900. SOCIAL RVICES 1000. PARENT PARTICIPATION 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES Not specified , 1120. HEALTH AND SAFETY REQUIREMENTS Not specified 1130. INFANT NUTRITION Not specified 11 MONTANA FAMILY DAY CARE HO ES- MONTANA 1200. CHILDREN MTH HANDICAPPING CONDITIONS `1210. PROGRAM OF ACTIVITIES Not specified 1220. HEALTH AND SAFETY REQUIREMENTS Not specified 1230. STAFFING Notcspecified 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACTIVITIES Not specified 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 1400. FACILITY REQUIREMENTS 1410. SPACE Not specified 1420. LIGHTING VENTILATION, AND TEMPERATURE Nol specified 1430. EXITS Not specified 1440. TOILETS AND LAVATORIES Not specified FAMILY'DAY CARE HOMES MONTANA 1500 OTHER STATE REQUIREMENTS - COMPLIANCE WITH OTHER LOCAL,. STATE AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 1520. FIRE Not specified 1530. BUILDING Not specified 1540. HEALTH Not specified 1550. SANITATION Not specified 1560. NEW CONSTRUCTION Not specified ) 13 = FAMILY DAY CA Except where othe- of Public Welfare, 100. STA' 110. TYPES OF STATE STATUTEc REGULATIONS III. Definitions -NEBRAS_KA° ons are to the Nair- zaska Depar merit Care, November, ME, FILED DAY CAIIE A CILITIES REGISTRATION AS DEFINED BY LATIC INS AND/OR EOCAL OP_DINANCES AND Definitions. 1. Day Care is the pr _:Ision- ofeari_- to children under 16 y _ars of age from more than One family ,f--31- 1.ess than = 2 hours per day, NI' compensation, on a regular basis, by a persei other than parents /guardians. 3. Family Day Care Iio. e is a priva-Ze home providing care =nor compensation. for children from more than one f -roily not to exceed tw elve consecutive hours for any one child. 112. EXclusions and to pti ons 13. Exemptions. The following services t=,t e exempt from registration but m,_ voluntarily be registered: Facilities providig irregular cease care that is proviei-4ed without c Barge or any rm of earipensa Care given to chit dTen from one filthily only ,Care provided to =hildren16 -ye:L_--_rs of age or older Care provided by-randpaNnts =-7-zo their grandchildren FAMILY DAY CARE HOMES NEBRASKA Care provided within geographic er--ritories not subject to State laws such as military installation or Indian U3. FIRS Day Care Compliance Not specified reservations. AGENCY RESPONSIBLE FOR R` _=-7..GISTRATION OF DAY CARE PROGRAMS '121 Organization of the Administrative See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS 200. REGISTRATION PROCESS AND 1 I FORCE AUNT PROCEDURES RE STRATION PROCESS 211. Promulgation of Reulations See DAY CARE CENTERS 212. Advisory Body and Other Sr6eFDAY CARE CENTERS RE220. GISTRATI ciliation PROCEDURE 221. Application and Issuance' 12. Registrati _ Required. Registraton shall be required when a business is exercising the care, supervision, custody or control over_ under 16, years of age, from more than one family, for compensation or hire. This care must be in lieu of the care or supervision normally exercised b .y parents in their own home. FAMILY DAY CARE HOMES 14. Registration Issuance: All family day carerhome registration certificates shall be Issued by the Division of Social Sevices - Central Office Effective for one year-from date of initial issuance Effective only for the address stated on the registration certificate. NEBRASKA 222, Fee Not specified 223. Areas of Investigation specified 224. Certificate Rene Not specified 225.- Conditional/Provisional Certificate Not specified 226 Substantial Co pliance- Alternative Compliance with Rules,. The Department may grant alternative compliance with Rules if, as determined by the Department, the alternative form of compliance offers equal protection to children and meets the intent of the rule for which the alternative compliance is sought. The Department shall consider requests for alternative compliance (vith Rules for Family Day Care except for those rules on adult-child ratio. Procedure A request for alternative compliance conditions: y be granted under the following FAMILY DAY CARE HOMES N-EBRASKA The applicant/registrant shall submit the request for alternative compliance in writing. That request shall include: The rule for which the alternative compliance is sought. An explanation of why the rule cannot be Met. Justification (how facility will continue to prov=de for the health and safety of the children as intended by the rile if the request for alternative compliance is granted).' A written request shall be submitted for each rule that will be complied with in an alternative form. The alternative compliance is effective for the duration o the registration and shall be requested with each subsequent application if it to be continued. The applicant/registrant must provide" ear and supportive evidence including, at the request of the Department, expert opinion. 230. ENFORCE-MENT_PROCEDU ES 23L -FaciylxIsispections The Caregiver. 23. The caregiver sh agency representatives care. permit home visits, unannounced or announced, by enonable times during the hou=s children are in 232. Denial, Suspemio Rev° -ion 0_ a License Not specified FAMILY DAY CARE HOM S 233. Remedies and Sane .233.1 Hearings, Not specified 233.2 Decisions Not specified 233.3 Judicial Review See DAY CARE CENTERS 310. GENERAL AD fi 300. ADMINISTRATION 311. General AdministratiV Re ents NEBRASKA The Caregiver. 19. The applicant shall'prov de the nam es, addresse, and telephone numbers of three non-relative references sndperrnision to contact such individuals. 23. The caregiver shall give [multi placing g children) in a family day care home a Parent Handbook and shall send to the Local Welfare pffice a receipt indicating that ! _; parent has received a__ handbook. 25. The caregiver _shall not provide fo hour period on a.regular finis, any on 1-,for more than 12 27. The caregiver shall riot be eng.ged in any other- employMent that interferes with the care of tli children. FAMILY DAY CARE HOMES NEBRASKA 312. - Tele hOne The Home. 56. An operable telephone shall be available. 57 Emerqency phone numbers shall be prominently posted. 3. Proof of Operator Financial Capabilities Not specified 314. -Insurance Not specified, 320. PERSONNEL 321. Publication 6f Personnel Policies Not specified 322. Constraints A ployment The Caregiver. 16. No license shall be issued or remain in effect if there is a conviction for, an admission of, or substantial evidence of crimes involving intentional bodily harm, crimes against children, or crimes involving moral turpitude on the ciart of the caregiver or any other household member. 17. The caregiver and household members shall not engage in or have a history of behaviors so as to injure or endanger the health or morals of the children in care. 18. The caregiver's name shall be cleared with the Child 'Abuse and Neglect Registry before issuance of a registration certificate. 6 FAMILY DAY CARE HOMES 330. Nd-DIS RI 1V--41NATION 331. Re' -men Prohibiting Discriminat' Not specified NEBRASKA 340. RECORDS UIR1VIEN 341. Children The Caregiver.' 28. A Childs Recorc=i (DSS- 6 shall be .completed and kept current -for.,each child in care. Program. 34. The caregiver shall obtain written permission m parents to allow school-age children -t=o engage in activities outside the day care home without direct provider super vision. 342. Staff The. Caregiver. _-20. The coregivir shall provide. a Health Information Report (DSS-0913) indicating ability to =rovide care for and/or to be in contact with children. 343. Child Eli y and Enrollment Requirements Not specified 344. Child Abuse I eporting Not specified 345.. Confidentialit -V of Records R quirements Not specified FAMILY DAY CARE HOMES 400. GROUP COMPOSU ONS OF CHILD 410. STAFF/CHMD RATIO-REQUIREMENTS 411. aff/Crilld Ratio of ch 1981 Not specified 412. Methods of Computing Sta_ Child Ratios _ . Not specified 420. GROUP SIZE 421. Group Size as of Progra 29. If care is to be provided only for infants, no more thati four children may be cared for at any one time including the caregiver's own children under eight. NEBRASI: years of age. 30. If the caregiver's own children are of school age and care isto be-provided only for other school-age children, no more than ten childreninclueling tlite caregiver's own children under eight years of age may be carQd tor at any one e time. 31. Care for children of mixed ages,' (infants, -pre-school, school age) is limited to eight children at any one time including the caregiver's oyrn children under eight years of age. No more than two children may he under eighteen months of age. , 422. Methckls of Computing Grout) Size See 421: Group Size as of MarCh, 1981 Nte FAMILY DAY CARE HOMES NEBRASKA 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS 510. CHILD CAHEOIVEH STAFF ,QUALIFICATIONS 511. The Caregiver. 15. The caregiver Shall be at least 1 9 years of age. 512. Health See 342. Staff 513, Education Not specified 514. Experience The Caregiver. 21. The caregiver shall be able to read and understand the Rules for Family Day Care, capable of handling emergency situations, and able to administer medications. 520. PROGRAM DIRECTOR QUALIFICATIONS 521. Age See 5117 Age 522. Health See 342. Staff 523. Education Not specified 524. Experience See 514. Experience FA Y-15AY CARE HOMES 530. SUPPORT STAFF QUALIFICATIONS Not spedified NEBRASKA 540. POST EMP OY NT N ERVICE: ORIENTATION AND TRAINING 541. Fro am Director Not specified Caregiver Staff. Not Specified 543. SupportSta Not specified 600. PROGRAM OF ACTIVITIES. CLUDIN EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities Program. 32. The caregiver shall establish a plan of daily activities and routines including: Active and quiet play Free ay. Indoor play and outdoor play as weather per Rest periods Meals and Snacks Evening Care. 63. The caregiver shall be awake until all children are asleep. 10 FAMUJY DAY CARE HOMES 612. am Equipment and Materials NEBRASKA Program. 33. Play materials which are safe, in good repair, and appropriate to the age and interests of the children shall be available for both indoor and outdoor play. 613. Nap Provision Program. 42. Each child shall have a hap or quiet time during the day. 43. Clean beds, cribs, cots, or mats shall be available for napping for each child.(siblings may share a bed). Everiing Care 62. Clean cots or beds for each child shall be toattress. 614. Discipline and Guidance ed with a firm, waterproof Program. 35. No child shall be punched, shaken, struck with any inanimate object, handled roughly, or bitten asla form of discipline. 36 Spanking (only the open hand on thetuttocks) to prevent children from harming themselves, other persons, or property, may be used only if the caregiver has obtained prior written permission from the pareht(s). 37. Children shall not be punished by denial of food, b.y forced napping, or ti because of a toilet training accident.- 1. 11 FAMILY DAY CARE HOMES 710. HEALTH° 700. HEALTH ND SAFETY 711. General Health Requirements Not specified 712. Health Assessments . Not specified-- 713. Immunizations NEBRASKA Child Health. 45. No child shall be enro ed in a family day care home unless a current record of immunizations or d written program for further immunizations has been obtained. 714. Sanitation Evening Care. 66. Children shall have shower, tub, or sponge bath as-directed by parents. Health and Sanitation. 67. All rooms used for child care shall be clean and dry. 68. All floors walls ceilings, and furniture shall be of cleanable cons and in good repair. uction 69. Doors opening to the .outside shall be self-closing (except for sliding doors), and all windows used for ventilatory purposes shall be screened. 70. Buildings shall be constructed to prevent the entrance and harborage of rodents. FAMILY DAY-CARE I HOMES NEBRASKA 75. The water supply shall meet current, standards forth by: the Nebraska Department of Health.' (Water sample test' verification shall be submitted for non-municipal systems.) 76. There shall be no open sewage clischargon the day care home property. la 77. The use of a Common4drinking container prohibited. Drin shall be provided by sanitary drinking fountains or individual cups. 78. Individual towels and washcloths and facilities for their storage shall be available. Common use of tower and washcloths ris prohibited. 79. All medications, cleanin;; agents, and poisons/shall be kept under lock and key and inaccessible to chi = can. A 82. Proof of vaccination for rabies and distemper shall be available for all household pets. 715. j Daily Illness Screening Not sil)ecified 716. Care of Sick Chil n Child HeAlth: 46. The -caregiver shall notify all parents outbreak in the day c e home.) 717. Medication and S e ial Diet Provisions communicable disease I Child Health. 48. Medication, both prescription and non-prescription, shall be given or applied only with prior written permission and written instructions from a parent. Medication shall be in the original container, stored according to 13 FAMILY DAY. CARE HO gs NEBRASKA' instructions, clearly.labeled for a named child, and returned, to the parent or estroyed when no longer needed. The caregiver shall maintain a record as to the time arid the amount of medication ven or applied. 718- Waiver of Health Requirements Not specified 721. General Safety Req trements The Home. 55. If -there are unsafe areas such as drainage ditches, wells, holes, or heavy street traffic in or near the outdoor play area for preschoolers, there shall be a fence/ and supervision by a person 16 year% or older. If a fence is not reqiiired, the children shall be accompanied and-supervised by a person 16 years or older during outdoor play. Health and Sanitation. 81. Weapons and ammunition shall be 722. Fire Safety Requirements Evening Care. 64. A UL listed horn which children sleep. tained in locked storage., e smoke alarm shall be available on all floors on 65. Children under eight years of age shall sleep only on a floor level where an adult is present. Fire Safety. 91. There shall be at least two unblocked exits from every floor on which child care is provided. One of the exits shall lead directly to the outside. 14 4 ,9 FAMILY DAY CARE HOMES NEBRASKA 92: There shall be at least one five pound ABC type dry chemical fire extinguisher available. 9 Fiznaces and water heaters, when located in the areas occupied byi children, shall be infide inaccessible to the children. 94. All storage areas shell be free fzom combustible materi 95. Bathroom and closet doors shall be desigied so they can be unlocked ro the outside. 96: Fire drills shall be pra d with e children. By tie authority found in Nebraska Statutes 019502 the Fire Marshal has the pc :er to,gisk for additional requirements for specially constructed facilities., 723. Transportation Transportation. 49. The adult-child -ratio shall be maintained when transporting children. 50. Parent or guardian's signed permission shall be required to transport children from the day care home to outside activities. 51. The number of children transported at any one time shall not exceed the seating capacity indicated by the vehicle manufacturer. 52. Age appropriate safety res raints shall be provided for each child transported. 724. Safety Requirements fornLii rfpl See 721. General Safety Requirements 15 FAMILY' I AY CARE DOMES 725. Water-AC Not specified s'" 726. tnergency _Procedures Not specific 727. First'Aid Sup lie Child Health. NEBRASKA A first 4id kit containing the following shall, be available the . of minor injuries but inaccessible to the children: fever trea m thermom er, soap, band:aids, sterile gauze pads, tweezers, tape and scissors. 810. NUTRMO _ ". 800. 1 UTRITION AND FOOD SERVICE J 811. Nutri onal Re uirernents Program. 38. When childrenwe present: 2 1/2 to 4 hours - one snack shall be served 4-to 8 hours - one snack and one meal shall be served 8 to 102hours - two snacks and two meals shall be served .10 or more hours - two s=nacks and two meals shall be served 39. Each meal served shall include servings from each of he following food groups: Milk group Meat group Vegetable and fruit group Bread and cereargroup 16 AD,11r DAY CARE HOMES . NEBRASKA 40. Each snack served shall include a serving from two of the following food groups: Milk group Meat group Vegetable and fruit group Bread and cereal group 41. n formation- about menus shall be made available to p en s upon requeit 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 821. Food Preparation and Service Requirements Health and Sanitation. 83. No animal shell be allowed in the food preparation and serving areas during the hours of operation of the day care home. 84.. All, food preparation, serving, and storage areas, equipment and utensils hall be easily cleanable and in good repair. 85. Utensils shall be properly cleaned proper manner. sanitized, and handled, and stored in a 86. All perishable foods' shall be stored in a. safe tempera_ ture (45 degrees Fahrenheit or below) and in a covered container. 87., Deep freezers with king latches shall be locked or stored in a locked room. 88. All food served to children shall be clean and wholesome. 17 FAMILY. DAY CARE HOMES 89. N home - canned f shall be served to gay care children. BRASKA 90. Only pasteuriz ,grade A milk and milk products shall be served to children. Dry milk and milk products shall be made from pasteurized milk and milk products.- Not specified 1000. PARENT PARTICIPATION Not specified 900. -S©GL4 L sE VICE§ 1100. INFANTE AND TODDLERS I IRO. PROGRAM OF Amy IES A Infant Care. In addition to the rules set forth on the preceding pages, family day care homes offering care to infants shall meet the folloiving requirements: 58. Infants shall be held, rocked, carried, and/or bathed and be given time to explore the environment each day. 1120. HEALTH AND SAFETY REQUIREMENT Health and Sanitation. Enclosed, waterproof containers shall be provided for storing soiled, wet clothing. 1 FAMILY DAY CARE HOMES Infant Care. 61. Equipment used in the scare of infanta Shall be free of small parts, sharp , edges and not easily breakable. NEBRASKA 1130. ANT NUTRITION Infant Care. 59. Infants shall b caregiyer. according to a plan agreed upon by parent and 60. Infants under six months shall be held during bottle feeding. 1200. Cl ILDREN 1VITH HANDICAPPING_ CONDITIONS 1210. PROGRAM OF ACTIVITIES Not specified 1220. HEALTH AND SAFETY REQUIREMENTS Not specified , 1230. STAFFING Not specified 1300. SCHOOL AGE CHILDREN 1310. PROGRAM F ACTIVITIES Not specified 1320. HEALTH AND SAFETY REQUIRE EN- Not specified 19 FAMILY DAY CARE HOMES 10. SPACE L. .52. At least 35 square feet of indoor space per child de-signated for child care) shall be available. 1400. FACILITY REQUIREMENTS NEBRASKA ludin are 54. At least 50 square f4et of outdoor space per child shall be available each child in care. 1420. LIGHTING VENTILATION, AND TEMPERATURE Health and Sanitation. 71. Heating, ventilating, and lighting facil protection of the health of children. 1430. EXITS Not specified 1440. TOILETS AND LAV TORIES Health and Sanitation. 72. A toilet for every good repair. shall be adequate Icy 1 persons shall be conveniently located, clean and in 73. A lavatory for every 11 persons, hot and cold running water, and be available. 74, r. Lavatories shall, be of a suitable height for children or a steady platform shall be provided. 20 FAMILY DAY CARE HOMES NEBRASKA 1500. OTHER STATE RE REMENTS - COMPLIANCE OTHER LOCAL STATE-AND REGIONAL LA WAND U ATIONS 1510 . ZONrNG The-Caregiver. 24. The caregiver shall be responsible fbr determfning that all )local codes, ordinances, and zoning requirements are met. The authority of the Department of Public Welfare to register child care ifomes is independent of and separate from any local zoning requirements that may exist. Compliance or non-compliance with. local requirements shall not be gromds.for denial or revocation of any registration. 1520. FIRE See 1510. ONINd 1530. BUILDING See 1510. ZONING 1540. HEALTH See 1510. ZONING 1550. SANITATION See 1510. ZONING 1560. NEW CONSTRUCTION See 1510. ZONING 21 FAMILY DAY CARE. HOMES Nevada license Family Day are Homes under tfie same set of regulations. as ay CaYe Centers. See AY CARE-CENTERS.. FAMILY DAY CARE HOMES NEW HA14IPHIlItE except where otherwise- noted, allr citations are from the New Hampshire Licensing. and Operating Requirements for Family Day Care Homes, April 1981. 100. STATE LICENSING OF CHILD DAY CARE FACILITIES 110. 'TYPES OF FACHITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL -ORDINANCES-AND REGULATIONS Definitiol II Definitions. Family day care home: An occupied residence in which child care is regularly provided for any part of a day (but less than 24 hours except in emergencies) for one to six children. These children are from c t or more unrelated families. The maximum of six children includes children under six years-of age who are living in the home and children received for child care related to the resident provider. Family group day care home: An occupied residence in which child care is regularly provided for any part of a day (but less than 24 hours except in emergencies) for seven to twelve children. These children are from one or more unrelated families. The maximum of 12 children includes children under six years of age who are living in the home and children received for child care who are related to the provider. 112. Exclusions and Exemptions Not specified 113. ILIHS Day Care Compliance Not specified 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS FAMILY DAY CARE HOMES NEW HAMPSHIRE 121. Organization of the A inist a ive Unit See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Fromultion of Re atiors See DAY CARE CENTERS 212. Advisompody and Other Community Participation See DAY CARE CENTERS 220. LICENSING PROCEDURE 221. Application and Issuance See DAY CARE CENTERS 222. Fee Charged See DAY CARE CENTERS 223. Areas of Investigation See DAY CARE CENTERS 224. License Renewal See DAY CARE CENTERS 225. Conditional/Provisional Licer es See DAY CARE CENTERS 226. Substantial Compliance See DAY CARE CENTERS 2 FAMILY DAY CARE HOMES 230. ENFORCEMENT PROCEDURES 23L Facility Inspections See DAY CARE CENTERS 232. Derdal Suspension, alion of a License See DAY CARE CENTERS 233. Re edi es and- Sanctio 233.1 Hearings See DAY CARE CENTERS 233.2 Decisions' See DAY CARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS 310. 300. ADMINISTRATION GENE R-AL -A D N SWRATION 311. General Administrative Requirements Not specified 312. Telephone HAMPSHIRE in Operating Requirements. In family day care /family group day care homes, there must be a telephone. Immediately adjacent to the telephone, emergency telephone numbers must he posted; these must include numbers for the fire and police department, physician, hospital/clinic, ambulance service, and poison control center. 3 5 FAMU Y DAY CARE HOMES NEW HAMPSHIRE 313. Proof of Operator Financial Capabilities Not specified 314. Ins Not specified 320. PERSONNEL 321. Publication of Personnel Policies Not Specified 322. °Constraints Against Employment Not specified 330. NON-DISCRIMINATION 331. Requirements Prohibiting_Discrimination ffi Operating Requirements. Any day -care home receiving public monetary support may not deny. admission to or exclude from any program any ithild on the basis of his race, color, or country of national origin. 340. RECORDS- REQUIREMENT 341. Children M Operating Requirements. Before a child is admitted to the home, the provider must obtain the following information from the child's parent(s) or guardian(s) and record it either on Form 196, "Child pay Care Registration and Emergency Information Form," or on a form designed by the provider which contains the same information: 6) FAMILY DAY-CARE HOMES NEW. HA MPSA-TIRE the chilr s full legal name, birth date and current address; the name and address of the parent(s) or guardian legally responsible for the child; telephone numbers or instructions as to how the parent(s) or guardian(s) may be reached, either at home or work and during those hours that the child is normally with the provider; names, addresses, and telephone numbers of person(s) who can assume respOnsibility for the child if for some reason the parent(s) or guardian(s) cannot be reached immediately in an emervencv; rmission for emergency medical transa-:tation and treatment; names and addresses and telephone num ers of take the child from the day care home; u hori zed to permission obtained from the child's parent or guar n advance if the provider wishes to take the child on a field trip or outing. See also '711. General ealth Requiremen 342 Staff III Operating Requirements. Written evidence must be on file in the District Welfare Office which states that the provider, his/her staff, and other family members who are in freauent and substantial contact with the children are free from health problems which would have a harmful effect on children, or would affect the provider's ability to care for the children. Such evidence is recorded on form 24, "Certificate of Heath For Child Care Personnel," and must consist of 5 511 FAMILY DAY CARE HOMES NEW HAMPSHIRE SHIRE the results of a physical examination for the provider, his/her staff, and family members. These examinations may be done by any licensed health practitioner. The provider's examination is repeated every two years. the results of a tuberculin test or chest x-ray administered to the provider and to etch member of the family. (NOTE: a signed statement from a physician must be on file at the District Office if the physician does not feel than an infant or child family member should have a TB test.) The tuberculin test is repeated every two years and a f certificate filed at the District Welfare office. evidence that the provider's chilcten have been immunized against --- childhood diseases according to the schedule recommended by the American Academy of Pediatrics. 18-m - 4 Years 4 DPT 4 Polio 1 Measles I Mumps 1 Rubella 4-6 years. 5 DPT 4 Polio 1 Measles 1 Mumps 1 Rubella 343. Child Eligibility and Enrollment Requirements. See 711. General Health Requirements 344. Child Abuse Reporting Not specified 345. Confidentiality of Records Requirements - Not specified FAMILY DAY CARE HOMES NEW HAMPSHIRE 400. G 1 COIVIPOSMONS OF CHMDREN- STAFF/CHILD RA REQUIREMENTS Staff/Child Ratio as cf arch, 1981 AM Operating Regairern ents Family Day Care Home (One Provider). In a fomily day care home with one prolAder, a maximum of six children may be cared, for, provided that no more than two children are under 18 months of age, including the caregiver's own preschool children. (An exception to the maximum number may be made at the discretion of the Ditdsion when school-age children are cared for after school for a short time or for a meal.) When our children -,::Aer 36 months of age are cared for, the provider- is. limited a total of four children, including her own preschool children. Nb more than two children may be trider 18 months of age. These limitations have been set because of the extra care and personal attention required for infants. The chart below shows the number of children of different ages which the family day care provider may care for at one time. Maximum Total Infant 0-17 mos. Toddler 16-35 mos. Preschool and up 36 mos. 6 0 0 6 6 0 1 5 6 1 0 5 6 0 2 4 6 2 0 4 6 2 1 3 4 0 4 0 4 2 2 0 7 FAMILY DAY CARE HOMES Family Group Day Care Provider (Two Providers NW HAMPSNhE family day care home with two qualified providers, a maximum of 12 children may be cared for, provided that no more than three chile en. are wider IS months. (An exception to the maximum number incty be made at the discretion of the Division when school-age children are cared for after school for a short time or for a meal.) A family group day care home is limited to 10 children under the age of six # when four of the 10 children are under 36 months of age. A family group day care home with two qualified providers which intends to serve five or more children under 36 mont of age must meet the Regulations and Standards for Day Care Ntrseries (Se rm 187). The chart below shows the number of children of different ages which the family day care provider may care for at one time. Maidmumf. Total Infant 0-17 mos. Toddler 18-35 mos. Preschool and up 36 mos. 12 0 0 12 12. 0 1 .11 12 1 0 11 12 2 a 10 12 0 2 10 12 1 1 10 12 3 0 .9 12 3 9 12 1 9 12, 2 9 10 1 6 10 3 6 10 2 2 6 10 0 4 6 412. Methods of Computing Staff/Child Ratios Not specified 8 FAMILY DAY CARE HOMES 420. GROUP SIZE. 421. Group Size as of 11_, 1981 NEW HA PSHIRE Operating Requirements. The number of children in attendance at the home may at no time exceed number stated .on its license to operate. 422 Methods of Computing Group Size Not specified 500. STAFF QUAUFICATIONS AND TRAINING REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS A_ge ffi Operating Requirements. The provider must be at least 18 years of age and under age 70 and must be able to read and write. The presence of persons below the age of 18 may not be counted toward meeting the child/staff ratio. 512. Health See 342. Staff 513. Education Not specified 514. Experience III Operating Requirements. The provider must: be able to praise and encourage children and provide them with a variety of learning and social experiences appropriate to the age of the child served; 1 FAMILY DAY CARE HOMES tiEW TAMP r IRE- be able to communicate with parents and children in their own language whenever possible; be able to recognize and act against hazards to physical safe possess the capacity and willingness to increase child care skills and - competence through, experience and training; be able to work with children without recourse to physical punishment or abusive language. No individual who has been convicted of child abuse or neglect, sexual abuse, is awaiting trial on such charges or is an open protective case with the New Hampshir Division of Welfare may operate or be employed in a family day care or fa y group day care home. If they. provider is engaged in other employment during the hours in which he/she is not providing, family day care, the duration and physical demands of such employme t must not interfere with his/her ability to provide family day care. The pro der may not provide 'family day care directly following all night emOoyment. Whenever any person substitutes for the day care provider, he/she m years of age or older. The day care provider must notify the parents of children attending the facility in advance whenever someone will be substituting for the provider. 520. P1 PROGRAM DIRE OR QUALIFICATIONS 521. Age See 5 11. Ase 10 - FAMILY DAY CARE HOMES NEW HAMPSHIRE 522; Health See 342. Staff 523. Education Not specified 524. Experience Not specified 530. SUPPORT STAFF QUALIFICATIONS Not specified 540. POST EMP OY ENT N SERVICE : ORIENTATION AND TRAINING 541.. Pro ram Director Not specified 542. Child Caregiver Staff Not specified 4 543. Support Staff Not spedified 600. PROGRAM OF ACTIVITIES CLUD _ G EDUCATIQN 610. PROGRAM REQUIREMENTS 611. Program of Activities III Operating Requirements. The daily schedule of the day care home must provide for: regular actives which include time for meals, snacks, and indoor-outdoor play; toileling,, FAMILY DAY CARE HOMES NEW HA P .E a balance of quiet and active opportunities for play, And enough fle1dbility to meet the needs of individual children; opportunities for individual self-exrwession ay and creative activities; nversation, imaginative opportunities for the child to participate in such activities as preparing meals, taking out or butting away materials, caring for his/her clothing and bedding in order to develop ability to care for himself/herself. 612. - Program Equipment and Materials Not specified 613. Nap Provision 111 Operating Requirements. Il Clean, comfortable rest facilities =are to be provided. where a child can quietly or lie down to rest. A nap period must be provided for children. F children unable to sleep, time and space for rest and quiet must he available. 614. Discipline and Guidance 111 Operating Requirements. The family day care provider must support the child's behavior with positive guidance, and the setting of clear-cut limits which will foster the child's own ability to be self-disciplined. Providers may not use forms of punishment which are humiliating, sharping, frightening or otherwise damaging to children.... No corporal punishment may be administered. Punishment must not be associated with food, rest, toilet training or isolation for illness. 12 FAMILY DAY CARE HOMES AMFSHIRE 710. HEALTH 700. HEALTH AND SAFETY General Health Requirements In Operatng Requirements. Each child must have a cal examination done by a licensed health practitioner upon entering the family day care home and at least every two years thereafter. Results- of the examination must be recorded on Division of Welfare Form 183, "Child Health Form," and he on file with, the family day care provider within 60 days of enrollment. No child with a communicable disease such as conjunctivitis, measles, scarlet fever, German measles, mumps, chicken-pox, hepatitis, strap" throat, scabies, impetigo, pediciAosis, or ringworm may be accepted for care until proper medical treatment has been given and the child is no longer contagious. The provider must inform all parents whenever a reportable communicable disease is identified among children or personnel. The provider must also inform the local health officer or the Divisfon of Public T-Tealth, Bureau of Communicable Disease Control (F'-800 - 852 -3345) about reportable communicable diseases. 712.. Health Assessments Not specified 713. Immunizations HI Operating Requirements. ...Evidence must be included on Form '183 that the child has been immunized according to the schedule prescribed by the American Academy of Pediatrics. FAMILY DAY CARE HOMES 714. Sanitation NEW HAMPSH E III Operating Requirements. There must be an adequate supply of hot and cold Water under pressure which is available for drinking and household use Water not from a public supply must be adequately treated and tested by the State or at a local office of the Public Health Department. There must be adequate sanitary facilities which are approved Div and in compliance with local regulations. There must protection agai ects and rodents. All pets in the home must be vaccinated, if -appropriate. Dogs must have rabies 'tagS. The presence of pets in the home .must not present a hazard to the children Provision must be made for th= individual use and s orage of such personal items as towels, washcloths, corns, and toothbrushes. 715. Daily Illness Not specified 716. Care =df Sick Chil Not spesified en 717. Medication and Spcel Diet Provisions M Operating Requirements. ...Where special "dietary needs exist, arrangements for providing such diets must be made with the parent. 14 FAMILY DAY CARE HOMES NEW HAMPSHIRE 718. Waiver of Health Require me HI Operating Requirements. Parents/guardians may request the family day care provider to exempt their child on religious grounds from undergoing the rewired Physical examinations and immunizations prior to entering the day care facility. The day care provider has the option of deciding whether or not to allow the exemption and enroll the child. However, the provider should follow a consistent policy concerning these exemptions (e.g. , the provider should not enroll one child who has been exempted on religious grounds from the physical examination and immunizations and refuse to enroll another child in the same situation). The provider should also keep a list of children enrolled in the facility who have been allowed the exemption. If the provider allows the exemption and enrolls the child, and should a case of measles occur at the day care home, the exempted child may not attend the day care home for at least two weeks from the onset of the disease or until two weeks after the last case has been reported. The parent or guardian of the exempted child must sign a form provided by the Division which states that he/she understands the above-Mentioned provisions and agrees to abide by the Division of Public Health's decision regarding an outbreak of communicable disease as it affects the child's attendance at the day m.e home. The form is giyen out by the day care provider and must he signed before the child enters theday care facility. 720. SAFETY 721., General Safet Requirements 111 Operating Requirements. The environment must be free of any condition which may be hazardous to children in terms of their particular ages or capacities. 15 FA ILY DAY CARE HOMES NEW HAMPSHIRE HIRE AU toxic materials such as cleaners, medicines, household chemicals and paints must be stored separately from food items in an area inaccessible to children. All requirements of the 1976 Life Safety Code for Family Day Family Group Day Care Homes must he met. omes or All areas used by the children must be maintained in good repair, and be clean, well lighted, and free from safety hazards. Where indicated, paint which may contain excessive amourits of lead (particularly in older buildings) should be surveyed. If excessive amounts of lead are found, corrective action must be taken. Large glass panels (doors or windows) which could he accidentally impacted by children must be constructed of safety glass. Trash collection, receptacles and burniner fee 'es must be separated from children's play areas. 722. Fire safety Requirements III Operating Requirements. Fire drills must be conducted at least once a month and a loz kept for review by local fire inspectors. The log must include the date, time, exits used, the number of children who participated and any specific problems that need tpbe resolved. Stairs, walkways, ramps and, porches must be kept free of accumulations of ice, water, and snow and must not be cluttered by objects that would obstruct the walkways or cause a fire hazard. FAMILY DAY CARE HOMES NEW HAMPSHIRE 723. Tra portation DI Operating Requirements. There shall be two adults in attendance whenever seven or more children aged three to six are transported, and whenever three or more children under age three are transported. No child may be left unattended in a vehicle. A suitable infant restraint or seatbclt must be provided for each child and used when the vehicle is in motion. Children must be instructed in safe Transportation conduct as appropriate for their age and stage of development. The vehicle and the river must comply with all State and local a s. 724. Safety Requirements for Equipment ffi Operating Requirements. All recreational items, including toys, play eqOpment, and swimming must be constructed safely and be free of paint containing lead.... 725. Water Activities (Including Swimming) III Operating Requirements. swimming pools (except for wading pools) must be fenced. 726. Emergency Procedures III Operating Requir4ments. ...When a provider takes a child for emergency medical attention, provision must be made for ongoing care for the other children in the day care facility. 17 FAMILY DAY CARE HOi4IFS NEW HA SHIRE 727 . First Aid Supplies ffi Operating Requirements. The provider must have first aid supplies available and centrally located and there must be a planned source of available emergency medical care.... 800. NUTRITION AND FOOD VICE 810. NUTRMON 811. Nutritional Requirements DI Operating Requirements. Family day care homes must provide meals and snacks of a quality and quantity to supplement food served =at home, so that the child's daily nutritional needs are met. Food should be given according to the following schedule: 3 to 4 hours - light, but nutritious mid-morning or afternoon snacks must be given at least two hours before the next meal. 5 to 8 hours - 1/3 to 1/2 of total daily food needs must be given in one meal (other than breakfast) and onekor more snacks given. 9 hours or more at least 2/3 of total daily food needs must be given, which includes two or more snacks. I 812. Waiver of Requirements See 717. Medication and Special Diet Fro 18 FAMILY DAY CARE HOMES NEW HAMPSHIRE 820. FOOD PREPARATION 821. Food Preston and Service Requirements III Operating Requirements. There must be facilities for the storage, preparation, and serving of all foods. (Prepackaged, presterilized formula must be used for each infant feeding, and any excess must be discarded ... Not specified Not specified 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION 1100. INFANT AND TODDLERS 1110. PROGRAM OF ACTIVITIES III Operating Requirements. A provider caring for infants and toddlers must arrange for the followi availability of age-appropriate types of foods (see below); an additional .change of clothing; a clean area for diaper changing and disposal of soiled diapers; storage of clean diapers; bathing of infants who are soiled; 19 FAMILY DAY CARE HOMES NEW HAMPSHIRE a crib or bed, sanitation of training chairs. The provider may supply milk or formula if he/she wishes, or arrange for parents to bring their own formula for the infant. The provider must see that the infant is fed at the required times. The bottle may not be propped during feeding. If there`mis any formula left in the infant's bottle after a feeding, it must be thrown out. 1120. FrEALTH AND SAFETY REQIJIREMEI See 1110. PROGRAM OF ACTIVITIES 1130; INFANT NUTRITION See WO. PROGRAM OF ACTIVITIES 1200. CHILDREN WITH HANDICAPPING CONDITIONS 1210. PROGRAM OF ACTIVITIES Not specified 1220. HEALTH AND SAFETY REQUIRE III Operating Requirements. When a child with special needs is cared for in a family day care/family group day care home, the provider must consult the child's parents, a physician or _some other professional source in order to obtain instructions regarding the child's disability and ways of meeting the child's special needs. 1230. STAFFING Not specified 20 `FAMILY DAY CARE HOMES NEW 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF A Not specified 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 1410. SPACE 1400. FAcnirrY REQUIREMENTS HIRE III Operating Requirements. There shall be a minimum of 35 square feet per child of floor area in quarters regularly occupied by children. This space must be exclusive of hallways, lockers, bathrooms, closets and offices. 1420. LIGHTING, VENTILATION, AND TEMPERATURE In Operating Requirements. All enclosed areas used by the children must be adequately lighted, heated, and ventilated. Temperatures should be maintained at a comfortable level, but no-less than 65°F. 1430. EXrTS Not specified 1440. TOILETS AND LAVATORIES Not specified 21 FAMILY DAY CARE HOMES NEW HAMPSHIRE 1500. OTHER' STATE REQUIREMENTS - COMPLIANCE WITH OTHER LOCAL, STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 1520. FIRE III Operating Requirements. Fire drills must be conducted at least once a month and a log kept for review by local fire inspectors. The log must include the date, time, exits used, the number of children who participated and any specific problems that need to be resolved. 1530. BLULDI G Not specified 1540. HEALTH III Operating Requirements. The proyider must ii_Zorm .all parents whenever a reportable communicable disease is identified among children or personnel. The provider must also inform the local health officer or the DiVision of Public Health, Bureau of Communicable Disease Control (1-800 852-3345) about reportable communicable diseases. 1550. SANITATION Not specified 1550. NEW CONSTRUCTION Not specified 22 FAMILY DAY CARE HOMES- NEW YORK STATE Except where othdrwise indicated, all citations are from the New York State Fang DEy Care Homes Regulations, 1975. 100. STATE CERTIFICATION OF CHUB DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO CERTIFICATION AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND RECULATIO Definit 0 PS Section 458.1 Definitions. As used in this Part, 511iy care in a familyhoms shall mean day care of not more than six children provided in an individual's own home. Authorized child caring agency shall mean a social services district or a voluntary child caring agency which has been approved by the NEN/ York State Board of Social Welfare and granted legal authority to provide care in family day care homes. 112. Exclusions and Exemptloz Not specified 113. _I-IS Day Care Compliance Not specified 120. AGENCY RESPONSIBLE FOR CERTIFICATION OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit See DAY CARE CENTERS Lt._ 122. Responsible Official See DAY CARE CENTERS FAMILY DAY CARE HOMES NEW YORK STATE 200. CERTIFICATION PROCESS AND ENFORCEMENT PROCEDURES 210. CERTIFICATION PROCESS MI., Promulgation of Reg -u ations See DAY CARE CENTERS 212. Advisory Body and Other Community Participation Not specified 220. CERTIFICATION PROCEDURE 221. Application and Issuance Section 458.2 Application for Permit or Certificate. Upon request of an interested party, the Department or authorized child caring agency shall furnish such party information, application forms and a list of required documentation' necessary to complete an application for permit or certificate. lin application for a permit to provide day care in a family home shall be made to the Department in the manner prescribed and on forms furnished by the Department. An application for a certificate to provide day care in a family home shall be, made in writing to the authorized agency if the applicant desires to receive children from such agency. Within 30 days of the receipt of the application and required documentation, written notice of any omissions or deficiencies in the application or documentation shall be given by the Department or authorized child caring agency to the applicant. 2 FAMILY DAY CARE HOMES NEW YORK STATE A notice of approval or denial of application shall be issued by the Department or authorized child caring agency within. 30 days of the completion of the investigation. If the application is approved, the certificate or permit shall be issued to the applicant. Section 458.3 Documentation for Family Day Care Permit or Certification. The completed application, on forms furnished by the Department, must include: A report of medical examination of the proposed operator and statement from a physician that other members of the household. are in good health and free of communicable disease. A diagram of applicant's house, showing rooms, number and location of exits and alternate means of egress, and description of outdoor play areas available to applicant. Names, addresses and telephone numbers of references, from other than relatives who can attest to pplicant's character, habits, reputation and personal qualificatians for providing child care. A statement from an appropriate official or authority that the dwelling meets standards for sanitation and safety where local fire, health and/or building code authorities require approval. A statement by the applicant, upon completion of the investigation by the Department or the authorized child care agency, that she understanc. the requirements for safety and sanitation, supervision.of children, the nutrition and activities program and has the resources and intent to meet these requirements. FAMILY DAY CARE HOMES NEW YORK STATE Section 458.4 Permits and Certificates. -Conditions for issuance. A permit or certificate shall be issued for day care in a family home only when: The applicant and all members of the household enjoy good health and are of good character, habits and reputation; The applicant's fitness to care for children is attested by satisfactory references. Duration; revocation. A permit or <rtificate shall be valid as stated therein for one year or less from date of issuance and only for quarters then occupied, and may be revoked at any time for noncompliance with this Put or for other just cause. Boarding home care. A permit or certificate shall not be issued to any applicant who provides boarding home care for children in the premises proposed to be utilized as a family day care home. Provisions. The provisions specified on the permit or certificate shall be binding. The number and age range of children specified, thereon shall be the maximum number and age range of chlldren who may be in the care of the family day care home at any one time. For the purposes of this Part, children of the operator of a family day care home, who are under 14 years of age and are present in the home, shall be deemed children in the care of such home. Transfer. A perm or certificate shall not be transferable to any other person. 222. Fee Charged Section 458.4 Permits and Certificates. Fee. There shall be no fee or charge for the issuance of a permit or certificate. 4 FAM Y DAY CARE HOMES 223. Areas of Investigation NEW YORK STATE Section 458.2 Applicatior'for Permit or Certificate. An investigation to determine the applicant's compliance with Department requirements and regu lations shall be conducted by the Department or authorized child caring agency and shall be completed within 75 days of the receipt of the application. Such investigation will include visits and inspection, and necessary contacts with collateral references, review of the required documentation and of the applicant's proposed plan to provide day care in a family home. 224. Certificate Renewal Not specified 225. Conditional Provisional Certificate Not specified 226. Substantial Compliance Not specified 230. ENFORCEMENT PROCEDURES 231. Facility Inspections See DAY CARE CENTERS 232. Denial, S ion, Revocation of a Cer See DAY CARE CENTERS 233. Remedies and Sanctions 233.1 Hearings See DAY CARS CENTERS 5 FAMILY DAY CARE HOMES NEW YORK STATE \ 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS . 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Administrative Requirements Section 458.11 Supervision. Children shall not be left without competent supervision at any time. 8. No person under 18 years of age shall be left. in sole charge of the children at any time. Provision shall be made for: another person oh whom the family day care mother can call in case of emergency or illness. 312: Telephone Not:specified 313. Proof of 0 e a or Financial Ca- abili Section 458.4 Permits and Certificates. Conditions for issuance. A permit or certificate shall be issued for day care in a family home only when the applicant gives satisfactory evidence of finances sufficient to operate properly and in accordance with these regulations. 314. -Insurance Not specified FAMILY DAY CAREHOIVIES NEW YORK STATE 320. PERSONNEL 321. Publication of Personnel Policies Not specified 322. Constraints Against Employment Not specified 330. NON- DISCRIMINATION 331. Requirements Prohibiting Discrimination Section 458.6 Admission of Children. Day care shall be available without discrimination on the basis of race, color or national origin. 340. RECORDS REQUIREMENTS 341. Chil Section 458.14 Records. Records shall be kept to include: Name, address, sex, and date of biri of each child; parents' or guardians' names and addresses and place or places at which parents or other person responsible for the child can be reached in case of an emergency; and a daily attendance record; Reports of physical examninatioi 342. Staff See 512. Health d immunizations of children. 343. Child and Enrollmen e uirements Section 458.6 Admission of Children. No infant less than eight weeks of age shall be admitted for care. FAMILY DAY CARE HOMES 344. Child Abuse Reportin Not specified 345. Confidentiality of Records Requirements Not specified. NEW YORK STATE 400. GROUP COMPOSITIONS OF CHILDREN 410. STAFF/CHILD RATIO REQUIREMENTS 411. Staff / Child Ratio as of March, 1981 Not specified 412. Methods of Computing Staff/Child Ratios Not specified 420. GRtIUF SIZE 421. Croup Size as of March, 1981 Section 458.6 Admission of Children. No more than two children under the age of two years shall be cared for at any one time. No more than five children shall be cared for at any one time where one or more of the children in care are under three years of age. 422. ethods of Computing Group Size Not spe FAMILY DAY CARE HOMES NEW YORK STATE 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. Alm Not specified 512. Health Section 458.4 Permits and Certificates. Conditions for issuance. A permit or certificate shall be issued for day care in a family home only when: The applicant gives satisfactory evidence of good physical health, with no disqualifying mental or emotional handicaps and freedom from communicable disease. Physical fitness shall be shown by a certificate from a physician at the time of application with evidence of medical examinations and tuberculin tests on each person residing in the family day care home. 513. Education Not specified 514. Experience Section 458.4 Permits and Certificates. Conditions for issuance. A permit or certificate shall be issued for day care in a family home only when the applicant gives satisfactory evidence of having had training or demonstrated an interest in and ability to care for children. 520. PROGRAM DIRECTOR QUALIFICATIONS 521. Age Not specified FAMILY DAY CARE HOMES NEW YORK STATE 522. Health See 512. Health 523. Education Not specified 524. . Experience See 514. Experience 530. SUPPORT STAFF QUALIFICATIONS Not specified 540. POST EMPLOYMENT/IN -SERVICE; ORIENTATION AND TRAINING 541. Pro ram Directo Not specified 542. Child C Not specified ver Staff 543. Sup.ort Staff Not specified 600. PROGRAM OF ACTIVITIES INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities Section 458.9 Health Services. Supervised outdoor play, for at least one hour for each half day in care shall be O required for all children in care, except during inclement weather or unless otherwise ordered by a physician. 10 FAMILY DAY CARE HOMES NEW YORK STATE Section 458.12 Program. The program of the family day care home shall include a schedule of meals, Imps and play. Such schedule shall be sufficiently flexible to provide a family atmosphere and to meet the needs of individual children. The program shall be varied in order to promote the physical and emotional well-being of the children, to encourage the acquisition of information and knowledge and to foster the development of language skills, concepts and problem solving abilities. 612. Program Equipment and Mater als Section 458.12 Program. Each home shall have toys, games, books, equipment and material, for education development and creative expression appropriate to the age level of the children. 613. Nap Provision Sedtl n 458.5 Physical Plant. A 'firm, sanitary crib, cot or bed of adequate size shall be provided for each child under five years of age who spends more than four hours per day at the family day care home and for any other child requiring a rest period. No crib, cot or bed shall be occupied by more than one child. See also 611. Program of Activities 614. Discipline and Guidance Not specified 11 FAMILY DAY CARE HOMES 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Re e en s Section 458.5 Physical Plant. The areas used for day care of children in the home shall have floors NEW YORK STATE walls which can be fully cleaned and maintained-a.nd which are nonhazardous to the children's clothes and health. 712. Health Assessments Section 458.6 Admission of Chileken. No child shall be accepted for care unless such child has received a complete medical examination, by a physician withi 30 days prior to admission, and a written statement signed by the examining physician has been furnished to the family day care home giving assurance that the child is free from contagious ca. or communicable disease; Section 458.9 Health Services. Each child accepted for care shall have a complete physical examination including laboratory tests as indicated, a dental examination and an initial appraisal of his health and development, prior to admission or shortly thereafter, which shall be properly recorded. 713. Immunizations Section 458.6 Admission of Children. No child shall be accepted for care unless such child has received a complete medical examination by a physician within 30 days prior to admission, and a written statement signed by the examining physician has been furnished to the family day care home giving assurance that the child has received prophylaxis against smallpox, rubella, diphtheria, tetanus, pertussis, poliomyelitis and measles, when there are no medical contraindications. 12 FAMILY DAY ARE HOMES NEW YORK STATE 714. Sani ati Section 45 .5 I hysical Plant. All buildings, goremises, equipment and furnishings used for or in a family day care home shall be safe and suitable for the comfort and care of the children and shall be prwided and maintained in a good state of repaft and sanitation. shall be effectively screened against insects. Section458.7 sanitation. All rooms, outdoor play space, equipment, supplies and furnishings shall be kept clean and sanitary at all times. The premises shall be kept free from dampness, odor, vermin and the accumulation of trash. Section 458.8 ,Ititfety Precautions-. Any pet or anim1 on the premises, indoors or outdoors, shall be in good health, properly eared =for, and known to be a friendly, suitable pet for children. 715. 4 Daily Not specified -ess Screening 716- Care of ick Children Not specified 717. Medleati on and Special Diet Provisions Section458.9 raealth Services. Children shall riot be administered any medication (whether by prescription or otherwise), or secial diet, and special medical procedures shall not be carried out, except up,on the written order of a physician. Medication shall be carefully labeld with the child's name, kept beyond the reach of children and returned to the parents, guardian or person having custody of the child when no longer need-d. 13 FAMILY DAY CARE HOMES 718. Waiver of-Health Requirements Not specified 720. SAFETY 721. General Safe Requirements YORK STATE Section 458.5 Physical Plant. Toxic paints or finishes shall not be used on walls, window sills, beds, toys oir any other equipment, materials or furnishings which may lioe used by children or within their reach. Section 458.8 Safety Precautions. All flammable liquids, cleaning supplies, detergents, match s, lighters and any other such items which may be harmful to children shall binoe kept in a locked cabinet. 722. Eir.iirprnents Section 458.8 Safety Precautions. Suitable precautions shall be taken to eliminate all e which may contribute or create a fire or safety hazard. Electrical heaters or other portable heating devices shall nit be used in rooms accessible to children regardless of the type of fuel used. There shall be an adequate number ui fire extinguishers 1.4iich shall b and maintained in good working condition. tested There shall be fire safety precautions established, and c=ivar ly fire drills shall take place so that each child is made aware of these orecautions. 723. Transportation Not specified 14 FAMILY DAY CARE HOMES NEW YORK STATE 7 4. Safety Requirements gsforEWrneit 714. Sanitation and 721. asLLerlOgityl.mftiernents 725. Water Ac Not specified (Including Swim ming) ;.--- 726. Emergency Procedures $ee 722. Fire Safety Requirements 727. First Aid Supplies Section 458.8 Safety Precautions. The home shall be equipped with a -first aid kit vvt ich shall be kept adequately stocked for emergency treatment. First aid suppli.es shall be kept in a clean container in a locked cabinet. 800. NUTRITI O N AND F00 ERVI E 810. NUTRITION 811. Nutritional Re ufremen Section 458.10 Dietary. The family day care home shall provide plenti fr= 11 and nutritious meals and snacics which shall be prepared in a afe and son itary manner and served at appropriate intervals. Consultation- should be available from a qualified nutritionist or food service specialist. If a' child is in the home for more than four hour per days, he shall be served a hot meal ,which shall supply at least on of the child's daily food requirements. 15 FAMILY fiAYCARE lai NEW YORK STATE If a child is in the home for more than 10 hours per day, he shall be served two meals, of which at leat one other than breakfast shall be hot, which shall supply at least two-thirM_s of the child's daily fosz4 requirements. Where ififtnts formula required, it shall be prepared and provided by the parent or other responsile person in the infant's home. 812. Waiver of uirments Not specified 820. FOOD PREP A A__TION 821. Foo4Pre a ion and Service Re uireme s Section 458.10 Dietary. Milk. shall be kept at a temperature below 50 degrees Fahrenheit. All perishable foods shall be kept refrigerated. 900. SOCIAL SERVICES Section 458,13 Social Se rvices. The requirements conta -ined in this section shall apply only to family day care homes operating under a__ certificate. The certifying agency sill provide necessary social services to the children in family day care homes= ertified by it. Appropriate inforrnatio7-31 as to the family background and the individual capabilities and limitat tons of Niel, child shall be obtained to assist in the introduction and partici_Dation of such child in the program of the family day care home. 16 FAMILY DAY CARE HOMES NEW YORK STATE The certifying agency shall make available to the child and his family, counseling and guidance to help determine the appropriateness of day care for the child in a family care home, and the possibility and desirability of alternative plans for care. Provision shall be made for referrals to other services which may be needed by a child and his family. Provision shall be made for continuing assessment with the parents, guardian, or other person with legal custody, of the child's adjustment in the day care program 4nd of the child's family situation. I Not specified 1000. PARENT PARTICIPATION 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES Not specified 1120. HEALTH AND SAFETY REQUIRE ENTS Not specified 1130. INFANT NUTRITION Not specified 1200. CHTLDREN WITH HANDICAPPING CONDITIONS 1210. PROGRAM OF ACTIVITIES Not specified 1220. HEALTH AND SAFETY REQUIREMENTS Not specified 17 FAMILY DAY CARE HOMES 1230. STAFFING Not specified NEW YORK STATE 1300. SCHOOL AGE C-7-14ILDREN 1310. PROGRAM OF ACTIV Not specified 1320. HEALTH AND SAFETY F.UIREME ='S Not specifi 140 FACELITY RF V ZENTS 1410. SPACE Section 458.5 Physical Plant. All rooms to be occupied by children shat windows. above grog evel and shall have There shall be space provided fc r isolation - of the child who becomes ill to provide him with quiet and rest to others. 5:4 d reduce time risk of infection or contagion 1420. LIGHTING VENTILATION AND T *ERATURE Section 458.5 Physical Plant. Heating, ventilating and lighting facilities sh11 be adequate for protection of the health of the children. A temperature of at least 68 degrees shall be maintained in all rooms to be occupied by children. 18 r- FAMILY DAY CARE HOMES fje 1430. EATS NEW YORK...S=ATE Section 458.8 Safety Precautions. Children shall be cared for only on such floors as are provided with readily accessible alternate means of egrgss which are remote from each other. 1440. TOILETS AND LAVATORIES Not specified 1500. OTHER STATE REQUIREMENTS - COMPLIANCE WITH OTHER LOCAL STATE AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 1520. FIRE Not specified 1530. BUILDING Not specified 1540. HEALTH Section 458.7 Sanit Lion. Each family day chome shall comply with the requirements of State and local departments health. Adequate and safe water supply and sewage facilities shall be provided and shall comply with State and local laws. 1550. SANITATION Not specified 1560. NEW CONSTRUCTION Not specified 19 FAMILY DAY CARE HOMES NORTH CAROLINA Except where otherwise noted, all citations are to the North Carolina Administrative Code, Section 16, current as of March, 1981. 100. STATE REGISTRATION OF minx DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO REGISTRATION AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS 111. Definition .1506. Definition Of Day Care Plan. A day care plan includes any day care program or child care arrangement where any person provides 'day care for more than one child and less than six children wherever operated and whether or not operated for profit. In determining the maximum number of children, all children five years of age or less and all nonresident children under 13 years of age shall be includes 112. Exclusions and Exemplions Not specified 113. HHS Day Care Compliance Not specified 120. AGENCY RESPONSIBLE FOR REGIS'"RATION OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS FAMILY DAY CARE HOMES NORTH CAROLINA 200. REGISTRATION PROCESS AND ENFORCEMENT PROCEDURES 210. REGISTRATION PROCESS 211. Promulgation of Regulations See DAY CARE CENTERS 212. Advisory Body and Other Community Participation See DAY CARE CENTERS 220. REGISTRATION PROCEDURE 221. Application and Issuance .1506 Definition Of Day Care Plan. All operators of child day care plans as defined in North Carolina General Statutes must register with the Office of Child Day Care Licensing. Registration shall include receipt by this office of the following information: name, address, telephone number, number of children in care. N. C. GEN. STAT. Srll 101 Registration. It shall be unlawfor any person to offer or provide a day-care plan, unless such day-care plan is registered with the Commission in accordance with the system-for registration which shall be developed by the Commission. 222. Fee Chemed Not specified 223. Areas of Investigation Not specified FAMILY DAY CARE HOMES 224. License Renewal Not specified 225. Condition J /Provisional Licer, Not specified 226. Substantial Com Not specified 230. ENFORCEMENT PROCEDURES 231. Facility Inspections Not specified 232. DenalLSuspension, Revocation of a License Not specified 233. Remedies and Sanctions 233.1 Hearings Not specified 233.2 Decisions Not specified 233.3 Judicial Review Not specified 300. ADMINISTRATION 310. GENERAL ADMINISTRATION RI. General Administrative Re uirements Not specified NORTH CAROLINA FAMILY DAY CARE HOMES NORTH CAROLINA 312. Telephone Not specified 313. Proof of Operator Financial capabilities Not specified 314. Insurance Not specified 320. PERSONNEL 321. Publication of Personnel Policies Not specified 322. Constraints Against Employment N. C. GEN. STAT. 5110-90.1 Qualifications for staff in a day-care plan. No day-care plan shall be registered if that plan is operated by or employs any person who has been convicted of a crime involving child abuse, child neglect, or moral turpitude, or who is an habitually excessive user of alcohol or who illegally uses narcotics or other impairing drugs, or who is mentally retarded or mentally ill to an extent that may be injurious to children. 330. NON-DISCRIMINATION 331. Requirements Prohibiting Discrimination Not specified 340. RECORDS REQUIREMENTS 341. Children Not specified 4 FAMILY DAY CARE HOMES 342. Staff Not specified 343. Child Eli bili Not specified and Enrollment Requirements 344. Child Abuse Reporting Not specified 345. Confidentiality of Records Re irements Not specified 400. GROUP CMPOS1TIONS OF NORTH CAROLINA ILDREN STAFF /CHILD RATIO REQ MENTS 411. Staff/Child Ratio of March, 1981 Not specified 412. Methods of Computing Staff/Child Ratios Not specified 420. GROUP ME 421. Grow Size as of March, 1981 See In. Definitions 422. Methods of Corn -n Group Size Not specified 5 FAMILY DAY CARE HOMES NORTH CAROLINA 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. Age Not specified 512. Health Not specified 513. Education Not specified 514. Experience Not specified 520. PROGRAM DIRECTOR QUALIFICATIONS 521. &ge_ Not specified 522. Health Not specified 523. Education Not specified 524. Experience Not specified 530. SUPPORT STAFF QUALIFICATIONS Not specified 6 FAMILY DAY CARE HOMES NORTH CAROLINA 540. POST E OY NT N ERVICE: ORIENTATION AND TRAINING 541. Program irector Not specified 542. Child Caregiver Staff Not specified 543. Support Not specified 600. PROGRAM OF ACTIVMES, INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities Not specified 612. Program Equipment and Materials Not specified 613. Nap Provision Not specified 614. Discipline and Guidance Not specified 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Requirements Not specified 7 3 .z FAMILY DAY CARE HOMES NORTH 'CAROLINA 712. Health Assessments See 322. Constraints Againat Ern * went 713. Immunizations Not specified 714. Sancta Not specified 715. D Not speci s Screening 716. Care of Sick Children Not specified 717. Medication and Special Diet Provisions Not specified 718. Waiver of Health Requirements Not specified 720. SAFETY 721. General Safety Requirements Not specified 722. Fire Safety Requirements Not specified 723. rir=ortation Not specified 724. Safety Regiurements for Equipment Not specified FAMILY DAY CARE HOMES 725. Water Activities (including wimmi Not specified 726.. Emergency Procedures Not specified 727. First Aid Supplies Not specified 810. NUTRITION NORTH CAROLINA 800. NUTRITION AND FOOD SERVICE 811. Nutritional Requirements Not specified 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 821. Food Preparation and Service Requirements Not specified 900. SOCIAL SERVICES Not specified 1000. PARENT PARTICIPATION Not specified FAMILY DAY CARE HOMES NORTH CAROLINA 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES Not specified 1120. HEALTH AND SAFETY REQUIREMENTS Not specified 1130. INFANT NUTRITION *Ur Not specified 1200. CHILDREN WITH HANDICAPPING CONDITIONS 1210. FROG Not specified F ACTrVITIES 1220. HEALTH AND SAFETY REQUIREMENTS Not specified 1230. STAFFING Not specified 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACTIVITIES Not specified 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 5 FAMILY DAY CARE HOMES NORTH CAROLINA 1400. FACILITY REQUIREMENTS 1410. SPACE Not specified 1420. LIGHTING, VENTILATION, AND TEMPERATURE Not specified 1430. EXITS Not specified 1440. TOILETS AND LAVATORIES Not specified 1500. OTHER STATE REQUIREMENTS - COMPLIANCE Wrril OTHER LOCAL, STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 1520. FIRE Not specified 1530. BUILDING Not specified 1540. HEALTH Not specified 1550. SANITATION Not specified 1560 NEW CONSTRUCTION Not specified 11 Li FAMILY DAY COE HOMES NORTH DAKOTA Except where otherwise noted, all citations are from the Social Service Board of North Dakota, Chapter 75-03-0L1, Supplemental Parental Care and Family Day Care Regulations, January, 1981. 100. STATE REGISTRATION OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO REGISTRATION AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS Defini 'o N.D. CENT. CODE S50-1L1-02 Definitions. "Family day care home" shall mean an occupied private residence in which supplemental parental cue is regularly provided for no more than twelve children from more than one family. 112. Exclusions and Exemptions Not specified 113. HHS Day Care Compliance Not specified 120. AGENCY RESPONSIBLE FOR REGISTRATION OF DAY CARE PROGRAMS 121. anization of the Administrative Unit See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS FAMILY DAY CARE HOMES NORTH DAKOTA 200. REGISTRATION PROCESS AND ENFORCEMENT PROCEDURES 210? REGISTRATION PROCESS 211: -Promulgation of-Regulations See DAY CARE CENTERS 212. Advisory Body and Other Community Participation See DAY CARE CENTERS 220. REGISTRA- ON PROCEDURE 221. Application and Issuance N.D. CENT. CODE §50-11.1-05 Operation- of family day care home Registration required - Issuance of registration certificate - Term. No person, partnership, firm, corporation, association, or 'nongovernmental organization intending to provide/ supplemental parental care shall operate a family day care home without first procuring a family day care registration certificate from the board. The bdard shall determine whether the standards have been met and shall issue or deny a registration certificate based upon that determination. Family day care registration certificates shall be in force and effe_: for a period of not more than two years. N.D. CENT. CODE S75-03-01.1-05 Family Day Care Home Supplemental Parental Care. Any person, corporation, partnership, or voluntary association desiring to provide supplemental parental care in a family day care home shall apply fora registration certificate, therein certifying compliance with the applicable provisions of NDCC chapter 50-111 and the standards for such care established by the social service board of North Dakota and shall secure a registration certificate from the board. FAMILY DAY CARE HOMES NORTH DAKOTA Application shall be made to the county social service board office in the county wherein the applicant proposes to provide family day care home services. Upon the approval of the application the applicant shall, subject to the provisions of these regulations, be entitled to a registration certificate issued by the social service board of North Dakota. Any registration certificate issued by the social service board of North Dakota shall serve as public documentation that the provider of the family day care home has in writing certified compliance with the provisions -of North Dakota Century Code chapter 5a-11.1 and other applicable requirements. An applicant for a registration certificate may be required to verify any claim _ of compliance with standards. N.D. CENT. CODE §7503- 01.1 -07 Registration Certificate. No person, partnership, firm, corporation, association, or nongovernmental orgarlization desiring to obtain a registration certificate to either provide in-home or family day care shall hold out or represent such registration es evidence of compliance with the applicable standards contained herein. Registration certificates are not transferable and are valid for the person registered and in the designated location only. 222. Fee Charge Not specified 223. Areas of Investigation Not specified FAMILY DAY CARE HOMES 224. Certificate Renewal Not specified 225. Conditional Provisional Cer icates Not specified 226. Substantial Compliance Not specified 230. ENFORCEMENT PROCEDURES NORTH DAHOTA 231. Facility Inspections N.D. CENT. CODE 575-03-01.1-06 Inspections. In-home and family day care providers functioning within the purview of this chapter, or any premises proposed t6 be operated for in-home child care or a. family day care home shall be open to investigation and inspection at any time by the social service board of North Dakota or its authorized agents. An inspection will be made upon receipt by the social service board, or its designea, of a complaint concerning. the provider or the facility. The board may request the assistance of fire and sanitation inspectors. 232. Denial, Suspension, Revocation of a Certificate N.D. CENT. CODE §75-03-01.1-09 Notices of Violations. Any day care home which *ter inspection, is found to be in violation of minimum standards and f-cr-,Zations shall receive written s notice of the violations revealed by the inspection. Notice given in any of the following, ways is sufficient. A statement of deficiencies, which shall identify each violation and advise the day care provider that prompt action to correct the violation is expected. FAMILY DAY CARE HOMES NORTH DAKOTA -- A statement of violations, which shall include a date certain by which each '',violation will be corrected. Such a statement shall be issued only if: The day care provider has, in writing, waived his right to a written statement of charges and his right to an administrative hearing, in the manner provided in NDCC Chapter 28-32, should his registration be revoked for failure to correct the state viblations within the time set for correction, and The day care provider has, in writing, acknowledged the violations and provided assurances of his ability and intention to correct the violations within the time set for their correction. Written charges as to reasons for the denial or revocation of a reg ation certificate. N.D. CENT. CODE §75-03-01.1-08 Denial or Revocation of Registration Certificate. The social service boarcof North Dakota may revoke or deny a registration certificate issued to an- in-home child care provider family day care home; provided that any person aggrieved by revocation or, denial of a registration certificate has been informed in writing of the charges and reasons for revocation or denial and is afforded an administrative hearing in a manner prascribed by NDCC chapter 28-32, if written request for the hearing is made within ten days of receipt of the written charges. The board may revoke or deny registration of a family day care home or in-home care provider should that provider: fail to comply with these regulations; Furnish or make any rnisleading,,or false statements or reports to the board; FAMILY DAY CARE HOMES NORTH DAKOTA Refuse to submit to the board any reports or refuse to make available to the board any records which the holder is required, by this chapter, to keep; Refuse to submit to an investigation by the board; Refuse to admit authorized representatives of the board at any time for the purpose of inves on; Fail to provide, maintain, equip, or keep in safe and sanitary condition premises established or used for child care as required under standards prescribed herein, or as otherwise required by law, regulation, or ordinance applicable to, the location of such facility; or Fail to comply with the provisi9ns of the child abuse and neglect reporting act, NDCC Chapter 50-25.1. 233. Remedies and Sanctions 233.1 Hearings See. 232. Denial, Suspgnsion, Revocation of a Certificate 233.2 Decisions Not specified 233 Judicial Review 14.D. CENT. CODE §50-11.1-12 Violation of Chapter or Regulations Injunction. When there is a violation of this chapter or a regulation promulgated thereunder, and the unlawful activity or condition of the day care center or family, day care home is likely to result in serious harm to the children under care, the board may seek injunctive action against the day care center or family day care home in the district court through proceedings instituted by the attorney general on behalf of the board. 6 FAMILY DAY CARE HOMES NORTH DAKOTA N.D. CENT. CODE 550M1.1-13 Penalty. Any person, partnership, firm, corporation, otAssociation, or organization who violates any of the provisions of this ehr_ apter is guilty of a class B misdemeanor. 300. ADMIN1STR TION 310. GENERAL AHMINISTRATI0 Gene a Administrative R quiremen 75-03-01.1-05 Family Day Care Home Supplern Aental Parental Care - Records. The current registration certificate for the family day care home must be available in the premises to which it applies. A copy of the current standards for farnily da care homes shall be kept in the premises. 312. Telephone 75-03-01.0-05 Family Day Care Home Supplrnental Parental Care - Health Protection. The home shall have a telephone. 313. Proof of 0 erator Fi ncial pabilit- es Not specified 314. Insurance Not specified 320. PERSONNEL 321. Not specified Publication of Personnel Policies Y DAY CARE HOMES NORTH DAKOTA 32 *.. Constraitst Employment N.D. CENT. CODE S50-11.1-06.1 Conviction not bar to licensure - Exceptions. Conviction of an offense shall not disqualify a person from lic-risure under this chaptraitless the board determines that the offense has a direct bearing upon a personYability to serve the public as the owner or proprietc=tr of a day Care v, cen er;family day care homey or as a child care attendant, or= that, folldwing conviction of any offense, the person is not sufficiently rehabili_ fated. 330. NON-DI SCRIMINATION 331. Requirements Prothibiting Discrimination Not specified 340. R191311REMEN'TS 341. ilp.tdren 75.03-01,1-05 Family Day Care Home Supplemental Parental Cure - Records. The following records shall be kept and maintained for each chid. The chil4s full name, birthdate urrent home address, names of the child's parents or legal guardian and business plione and home telephone numbers where those persons can be reactiet. A health practitioner's annually. h assessment s a er=nent completed A written statement from the p rents or legal guar. dian authorizing emergency medical care. FAMILY DAY CARE 14 MES NORTH Atio OTA Names and addresses of so authorized to take the enudirom the home. Verification thfitt the child has received all irnmunizationsippropriat for his age, a5 =rescribed by the North Dakota departrnen tof health. 342. Staff Not specified 343. Child Eh Enrollment Requirements 75-03-01.1-05 Family Day Care Home Supplemental Parer"; I Care Admissions Procedures, The provider Shall real-zest admission visit by the child at-01111e child's . parents to acquaint tlie d and the parent with the home and its surroundings, the other e .hilcten, and the family day care provid The provider shall infOr= m parents about the day care program, policies, and emergency procedi.res, and discuss information concerning the child so that the child's needs can be = identified and accommodated. An eXplaralon of how accidents and illnesses be dealt with shall be provided. parents shall be notif" of the payment rates'and the time of payrimts. The provider shall cularly offer parents opportunities to cbscrve t children while in care. FAM Y DAY CARE HOMES NORTH DAKOTA A liensed health practitioner's statement based upon a health assessment shall II=)e obtained at the time of initial admittance of the child to the day care home. No more than 6 months shall have elapsed between the examination and the date of initial admittance. The statement shall indicate any special precat_itions for diet, medication, or activity. This statement must be on record within 60 days of admittance to the home and be updated annually. 344. Child Abuse Reporting Not St=ecified 345. Confidentiality of Records Requirements 75-03-01.1-05 Family Day Care Home Supplemental Parental Care - Re All records which are maintained with respect to children receiving day &ire servie ..es shall be deemed confidential and access shall be limited to the provier, his or her staff and parents and to the folloWing: Authorized social service board representatives. Officers of the law or other legally constituted boards or agencies. Persons having a definite interest in the well-being of the child or children concerned and who, in the judgement of the board are in a position to serve their interests should that be necessary: Persons who possess a written authorization from the child's parent. 10 FAMILY DAY CARE HOMES 400. GROUP COMPOSITIONS OF HrLDRI 410. STAFF/CHILD RATIO REQUIREMENTS 411, Staff/Child Ratio arch, 1981 lTORTH DA !-A Affidavit of standard compliance - standards for provision of supplemental parental care in family day care home. The staffing requirements are determined- on the basis of the number of children physically in care at a given time, rather than total enrollMenl. Family day care homes staffed by one caregiver may Provide care to no more than three children under the geaf two years and no more than a total of six children; or Provide care to no more than four children under age two qut to no other children except the caregiver's own children over the age of six years; or Provide care to seven, children, all of whom are age two or de and Provide care for three additional children of school age before and after school and during school holiday vacations. Where one or more children is a child with a handicapping- condition which requires more than usual care, the child's evaluated developmental age level, rather than chronological age level, will be used in determinin -the number of children for which cue can be provided. 11 FAMILY DAY CARE HOMES Family day care homes staffed by two or more caregivers may NORTH DAKOTA Provide care to no more than six children under the age of two years and a total of no more than twelve children; or Provide care to no more than eight children under age two but to no other children except the caregiver's own children over the age of sik years. Where one or more children is a child with handicapping condition which requires more than usual care, the child's evaluAted developmental age level, rather than chronological, age level, will be used in determining the number of children for' which care can be provided. The children of any caregiver present in the home, under age six and not in school shall be counted among the Children, for whom care is provided. 412. Methods of Computing Staff /Child Rati6s See 411. Staff/Child Ratio as of March, 1981 420. GROUP SIZE 421. Group Size as of h 1981 Not specified 422. Methods of Computing Group Size Not specified 12 FAMILY DAY CARE HOMES NZ4ORTH DAKOTA 500. STAFF QUALIFICATION TRA NG REQUIREIvl 510. CHILD CAREGIVER STAFF QTJALIIICATIONS A 75-03-01.1-05 Family Day Care Home Supplemental Parental Care. All Caregivers who provide direct care, supervision and guidance Ilto children Must The at least 14 years of age or, if a ;member of the immediat family of the fa ily day care provider, be at least 12 years of age. 512. Health 75403 - 01,1 -05 Family Day Care Home Supplemental Parental Health F acto-s. Famil day care home providers shall complete a health statement to certify that they do not have health problems that would interfere their functioning as caregivers or that would be detrimental to the health of the children or other staff. If the physical or mental health of a provider appears questionable, the social serviee board of North Dakota may require the provider to be eVluated by apprOriate professionals, with the results provided to the board. Frovid ers shall not use any drugs or alcoholic ibeverages except ftr medic411 purpOs - es while children are in care. 513. Education Not 5 cified 13 FAMILY DAY C RE HOMES 514. Experience NORTH DAKOTA 75-03-011-05 ra=uy Day Care Home Supplemental Parental Care. All caregivers wn-io provide direct care, supervision, and guidance to children must be mentally, physically, and emotionally able to provide adequate care for the children L.n the applicant's charge. 520. PROGR__AMDIRE -TOR QUALIF`I QUALIFICATIONS 521. Age 75-03-01.1705 FiItinily Day Care Home Supplemental Parental Care. Family Day carte providers are persons who are primarily responsible for the child caregiving. They shall be at least, 18 yeIrs of age. 522. Health See 512. Health 523. EdueSt7 an Not specified 524. Experince Not specified 530. SUPP T STAFF QUALIFICATIONS 75-03-01.1-05 lF roily Day Care Home Supplementaf Parental Care. All volunteers, including family members providing direct care for children, shall meet the Minimum requirements of caregivers. 14 FAMILY DAY CARE HOMES NORTH DAKOTA 540. POST EMPLOYMENT/1N -SERVICE: ORIENTATION A D.TRAINING 541. Program Director 75-03-01.1-05 Family Day Care Home Supplemental Parental Care. Family day care providers shall certify attendance at a minimum of 4 hours of Board-approved training related to child care annually when made available in the provider's community. 542. Child Caregiver Staff Not specified 543. Support Staff Not specified 600. PROGRAM OF A ITIES INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities 75-03-01.1-05 Family Day Care Home Supplemental Parental Care - Program. There shall be a program of daily activities appropriate to the ages and needs of the child-en in the family day care home. The program shall include activities which foster sound social, intellectual, emotional, and physical grown. The.program shall be desired with intervals of stimulation and relaxation,and a balance between periods of active play and quiet play or rest. The daily routine should foster the development of good health habits and self-discipline, adequate indoor and outdoor play, rest, and sleep with sufficient time and opportunities for various experiences. 15 FAMILY DAY CARE HOMES NORTH DAKOTA The program shall provide children in the day care home with opportuniti6s,for individual and small-group activities. The program of the center shall reflect the special needs of the children who are provided drop-in service. 612. -am Equipment and Materials 75-03-01.1-05 Family Day Care Home Supplemental Parental Care - Program. The program shall -provide for a variety of educational experiences for all ages of children served with an adequate supply of safe play equipment, toys, and materials for indoor and outdoor activity. 613. Nap Provision 75-03-011-05 Family Day Care Home Supplemental Parental Care-- Program. Areas used for napping shall provide an opportunity for undiiturbed rest. Napping schedules should be set for children according to their ages, needs, and parent's wishes. 614. Discipline and Guidance 75- 03- 011 -05 Family Day Care Home Supplemental Parental Care - Punishment. No hila shall be punished by withholding or forcefeeding food, requiring or prohi iting rest or by placement in isolation.- No child shall be punished for wetting or soiling clothes due to a failure of toilet habits. Brief, supervised separation from the rest of the children may be used necessary. 16 FAMILY DAY CARE HOMES NORTH DAKOTA No method of punishment which humiliates or frightens the child or causes - more than minor transient physical and/or emotional discomfort, shall be used. No child of any age may be shaken, hit, spanked, bitten, pinched, or otherwise physically punished, except that a parent may give written permission to the registrant to spank the child with an open hand on the buttocks. A registrant may refuse to permit physical punishment of any kind. Profane, threatening, unduly loud or abusive language shall not ed when addressing children or in the presence of children. 700. HEALTH AND SAFETY 710. HEALTH General h-Re irements 712. Health Assessments See 343. Child EligibilityEindInrollment Requirements 713. Immunizations 75-03-01.105 Family Day Care Home Supplemental Parental dare - Health Protection. All children shall receive all immunizations appropriate for their a prescribed by the North Dakota state department of health. FAMILY DAY CARE HOMES 714. Sanitation NORTH nAKOTA 75-03-011-05 Family Day Care Horne u plernentail llsiirental Care - P 'aEA The home shall be clean, and free of Mutter and rriftintained in a sanitary condition. Rubbish shall be regularly renic=syecl. 715. DailyIllness Screening Not specified 716. Care of Sick Children 75-03-01.1-05 Family Day Care Home SL_Jpplemental F parental Care Health Protection. Plans shall be made to respond to minor Illnesses vibe iehildren can be cared for in the provider's home. 717. Medication and Special Diet P Not specified 718. Waiver of Health Re irements Not specified 72 O. SAFETY 721. General Safe Hequirerrrent 75 -01.1-05 Family Day Care Rome ipplemental F arenta Care Health Pro Hazardous or potentially injurious or poisneil substa 'should be kept in a space inaccessible to children. s*. FAMILY DAY CARE HOMES NORTH DAKOTA- The family day care tvovider shall release a child only to the child's parents,. guardian, or person in loco parentis, or to an individual auth .zed'in,writing by such person to take the child from the day care home. No child shall be allowed to play outdoors without elpthing appropriate to climatic;- conditions. 75-03-01.1-05 Family Day Care Home Supplemental Parental Care Physical Facilities. Elevated areas such as -stairs or porches shall have railings and safety gates where necessary to prevent falls. Potential hazards such as guns, household cleaning chemicals, umiroulated wires, medicines, poisonous plants, and open stairways must not be accessible to young children. 75-03-01.1-05 Famil§ Day Care Home Supplemental Parental Care Health Factors. The provider shall at no time place children in an environment that would be harmful or,,dangerous to their physical or emotional health. Children under care shall never be left without supervision by a person meeting the minimum qualifications of a caregiver. 722. Fire Safety Re --uirements4% Not specified 723. -Transportation 75-03-01.1-05 Family Day Care Home Supplemental Parr ntal Care - Health Protection. If transportation is provided, liability/medical insurance coverage should be obtained by the day care provider. = 9 FAMILY DAY CARE H _ 724. afet Re irements ent NORTH DAKOTA 75-03-01.1-05 Family Day Care Home Supplemental Parental Care - Physical Facilities. Equipment and toys shall be in good repair. 725. Water Activities (Including Swimming) 75-03-01.1-05 Fainily Day Care Home Supple .rental Parental Care - Health Protection. No child shall by bathed, permitted to use wading pool, or to play outdoors without adequate supervision. 726. Emergency Procedures 75-03-01.1-05 Family Day Care Home Supplemental Parental Care - Health Protection. Family day care providers shall be familiar with emergency first -aid techniques. A copy of a statement signed by the child's parents authorizing emergency medical care for each child shall be in the possession of the provider. The day care provider shall have plans to respond to illness and to emergence including evacuation in case of fire, serious injury, and ingestion of poison. At least one person who may be called upon for child care assistance in emergencies shall be designated. r- 20 FAMILY DAY CARE HOMES 727. First Aid Supplies NORTH DAKOTA 75-03-01.1-05 Family Day Care Home Supplemental Parental- Care Health Protection. Sufficient first aid supplies shall be available for minor emergencies. 800. NUTRITION AND FOOD SERVICE 810. NUTRITION 811. Nutritional Requirements 75-03-01.1-05 Family Day Care Home Supplemental Parental Care' utrition. All children present at meal time shall be served a nutritious meal, including a food from each of the four basic food groups. Adequate amounts of food shall be available. A nourishing mid-morning an mid-afternoon snack shall be provided. If sack luncheS are sent by parents, the day care provider must set guidelines for parents regarding content, and if necessary supplement sack lunches, so that minimum standards of nutritive quality are maintained. 812. Waiver of Requirements Not specified 820. .FOOD PREPARATION 821. Food Preparation and Service Requirements Not specified FAMILY DAY CARE HOMES I Not specified Not specified 900. SO IAL SERVICES 1000. PARENT PARTIC 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES Not specified 1120. HEALTH _AND. SAFETY REQ _ EM ENT Not specified 1130. -PANT NUTRITION Not specified 1200. CHILDREN WITH HANDICAPPING MINDITIONS 1210. PROGRA Not specified OF ACTIVITIES 1220. HEALTH AND SAFETY RE Not specified 1230. STAFFING Not specified 22 NORTH DAKOTA FAMILY DAY CARE HOMES NORTH DAKOTA 1310. PROGRAM OF AC Not spedified 1320 . HEALTH AI D F Not specified 1410. SPACE 13C 1TLDREN IVIENTS y REQU1REMEN tS t. 75-03-01.1-05 Family Day Care Home Supplemental ParentaVcare Physi Facilities. The family day care horse shall provide adequate space:indoors and out, for the, daily activities of the children. This shall include a minimum of thirty-five square feet (3.25 square meters) of play space per child indoors and a ininim.um of seventy-five square feet (6.97 square meters) of play space p0 child outdoors. Indoor space considered shall exclude bathrooms, pantries, and passageways leading to outdoor exits. Each child shall have a comfortable and clean place to sleep or rest. The floor shall be used only when carpeted or padded, warm, and free from drafts. A child who is in care betwer the hours of 8 PM and 6 AM shall haVe an individual sleeping place. dhildren under 12 months of age and any child unable to walk unassisted shall sleep in a crib, bed with side rails and a firm mattress, or play pen. Exterior play areas in close proximity to busy streets and other unsafe areas shall be contained, fenced or have natural barriers to restrict from unsafe areas. 23 FAMILY DAY CARE HOME NORTH._ DAKOTA 1420. LIGHTING, VENTILATION AND TEMPERATURE 75 -03- 01.1 -05 Family Day Care Home Supplemental Parental Care - Physical FaCilities. The home shall have adequate heating, ventilation, and lighting facilities for the comfort and protection of the health of the children. During the heating season, a temperature of not less than sixty -eight degrees Fahrenheit (20 degrees Celsius) shall be maintained in all rooms occupied by children. 1430. FT S Not spec fied 1440. TOILETS AND LAVATORIES Not specified 1500. OTHER STATE REQUIREMENTS COMPLIANCE WNH OTHER LOCAL, STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING 75-03-01.1-05 Family Day Care Home Supplemental Parental Care - Physical. Facilities. The .home shall meet the requirements of applicable local alid state laws and ordinances for sanitation, health, fire, building construction, safety, and all other applicable state laws and local ordinances. 1520. FIRE 75-03-01.1-05 Family Day Care Home Supplemental P en Care Physi_41 Facilities. The home shall have been inspected by the local fire department. The provider shall hive corrected any code violations noted by the fire inspector. 24 FAMILY DAY CARE HOMES NORTH DAKOTA The home shall be equipped with sufficient smoke detectors and fire extinguishers, as recommended by the local fire department. 1530. BUILDING See 1510: ZONING 1540. HEALTH See 1510. ZONING 1550. SANITATI See 1510. ZONING 1560. NEW CONSTRUCTION See 1510. ZONING 5 FAMILY DAY CARE HOMES Except where otherwise noted, all citations are from the Oklahoma Standards for FAMILY DAY CARE HOMES, 1979. 100. STATE LICENSING OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY. STATE STATUTES1 AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS DJ. Definitions I Definitions. A family day care home is a family home that provides care and protection for five or less children for part of the 24-hour day. The "caregiver" when used in these standards shall mean the licensed individual or the delegated substitute. An informal arrangement is a situation, not on a regular basis,, where the caregiver is not compensated and no advertising is done in any way. Exclusions and Exemptions I Definitions This deffnition of a .family day care home does not include informal arrangements which parents make ependently with neighbors, friends, or others. Nor does it include the caregi er in the child's own home. 113. HHS Day care Compliance Not specified 1201.. EtESP NSIBLE Feill LICENSING oF DAY CARE PROGRAMS 121. Oi nization of the Administrative Unit See DAY CARE CENTERS FAMILY DAY CAOIHO _ES 122.. .Reaponsible_Official_ See DAY CARE CENTERS OKLAHOMA '41 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 21L Promulgation of Regulations See DAY CARE CENTERS 212. Advisor- Body and Other Community PartiC. ation See DAY CARE CENTERS 220. LICENSING PROCEDURE 221. App cation and Issuance See DAY CARE CENTERS 222. Fee Char ed See DAY CARE CENTERS 223. Areas df Investigation See DAY CARE CENTERS 224. License Renewal See DAY CARE CENTERS 225. ConditionaVProvisional Licenses ---- See DAY CARE CENTERS 226. Substantial Compliance See DAY CARE CENTERS 2 FAMILY DAY CARE HOMES OKLAHOMA 230. ENFORCEMENT PROCEDURES 231. Facility Inspections See DAY CARE CENTERS 232. Denial, Suspension, Revocation of a License See DAY CARE CENTERS 233. Remedies and Sanc o- 233.1 Hearing! See DAY CARE CENTERS 233.2 Decisions See-DAY CARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS 300. ADMINISTRATION 310. GENERAL ADMINISTRATION Generral Administrative Requirements EU Caregiver Qualifications. Caregiver's own children and others living in the home must accept the family day care children and provide constructive influence. There must be indication of a congenial and happy home life. IV Restrictions on Home. The caregiver shall not give continuous 24 -hour faster care on a regular basis. FAMILY DAY CARE HOMES OKLAHOMA If. the caregiver moves from one residence to another, licensure of the new home Must comply with these standards, The neighborhood should= be such that the character of the immediate neighbors and associates of the family- day care children insure wholesome relationships. The heighborhdod should offer opportunities for healthy recreation and the home shOuid be within reasonable access of the chiles own home and school if school age children are under care. III Caregiver Qualifications. 44S An adult (18 years or over) substitute caregiver shall be available, The name, address, telephone number, of the substitute shall be a part of the licensing record. It shall also be posted with the other required.emergency numbers at the family day care home. XIV References, There shall be fbur references other than relativ'es including the family physician. 312. Telephone IV Restrictions on Home - Physical struct pre. The home shall have a telephone with the following emergency numbers posted: physician,- or clinic, Fire Department, Police Department, substitute caregiver. 313. Proof of 0 or Financial_Ca abili III Caregiver Qualifications. There shall be another regul the caregiNie es-ow'fffamily. trce of income ave able to meet the needs of FAl4Ul Y. DAY CARE OMES, OKLAHOMA 314. Insurance IV Restri &ions on Home -, Physical structure. Liability insurance for children under care is recommended, 320. PERSONNEL 321. Publ cntion'of Personnel Policies Not specified 322. Cons aints Against, Employment IlI Caregiver Qualifications. Any person convicted of assault and battery, beating, physical violence, or abusing children spoil be restricted from the premises of the family day care home. The caregiver may not hold another job, either full time -pr part time during the-hours while operating a family day care home. 340. RECORDS REQUIRE DIMNTS 341. Children\ VI Records. Childs records must be kept on forms provided by the Department or on any forms containing the same information. These are: Identification and health record including: the child's name and date of birth, name of parent(s), home; address, business addresses, telephone nunibers the name and address (home and business) of a responeible person to contact in an emergency if parent(s) cannot be located promptly permission of parent(s) authorizing medic care FAMILY DAY CARE HeiMES OKLAHOMA name of person(s) permitted to call for the oh d. health information, including record of immunization name, address, and telephone numt5er Hof Physician to call in an emergpncy date of acceptance and home. hdrawal from the (fanifly day care Daily attendance record for each child. 342. Staff Not specified 343. Child Eligibility and Enrollment Requirements Not specified 344.' Child Abuse Repor III Caregiver Qualifications. The caregiver is responsible for reporting immediately to proper authorities any suspected child neglect or abuse. 345. Confidentiality of Records Requirements Not specified 400. GROUP COMP ITIONS OF CHILDREN 410. , STAFF/CHR.D RATIO REQUIREMENTS 411. Staff/Child Ratio &eh, Not specifiedat. 6 FAMILY DAY CARE HOM OKLAHOMA 412. Methods of Computing Staff /Child Ratios Not specified 420. GR UP SSE 421. Group Size as of March, 1981 II Age and Number of Children. The number and ages of chil&en in a home shall be in keeping with the capacity and skills of the family day care parents and accommodations of the home. The total number of children placed in any one home shall be limited to five including the family day care parents' -own preschool children. under five years of age living in the home. 422. eth Not Specified omputing Group Size 500. STx STAFF QUALIFICATIONS AND TRArN1NG REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. ;A...E III Caregiver Qualifications. tr The caregiver must be at least eighteen years of age. Consideration shall be given to the vitality and flexibility of the caregiver regardless of age. 512. Health III Caregiver Qualifications. The caregiver, members of the caregiver's. famil , and all others living in the home shall provide a medical statement from a duly licensed physician in the State of Oklahoma verifying, the health of each and that each is free of communicable disease. 7 FAMILY DAY CARE HOMES CI LAHOMA 513. Educe' 111 Caregiver Qualifications. The caregiver must be ,able to read and write in order to comprehend and adhere to licensing standards. 514. Experience III Caregiver Qualifications. The caregivers shall have suitable temperament o care for a child a show love and understanding of children. They must work cooperatively with the child's parents or guardians and respect the child's individual feelings. 520. PROGRAM DIRECTOR QUALIFICATIONS 521. A See 511. AgE 522. Health See 512. Het 523. See 513. Education ion 524. Experience See 514. Experience 530. SUPPORT STAFF QUALIFICATIONS See 510. CHMD CAREGIVER STAFF QUALIFICATIONS 540. ENWLOYMENT/IN-SERVICE: ORIENTATION AND TRAINING 541. Program Directo Not specified F MILY DAY CARE HOMES OKLAHOMA 542. Child Care ver Staff Not specified 543. Support Staff Not specified 600. PROGRAM OF /tarry ES INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of ActicAties IX Roiktine and Activities. The caregiver shall provide the children with activities and experience which will insure the physical, social, intellectuall' and emotional development of the children in keeping with their ages, interests and individual differences. Play materials shall. be readily available and space in the home arranged to encourage play. There shall be a variety of games, toys, books, crafts and materials and adequate, safe indoor and outdoor play equipment to meet the varied developmental needs and interests of children of different ages. 612. Program Equipment and 1Vlateri Not specified 613. Na--_ ,- Provision XIII Equipment. Each child must have an individual bed or cot for res adequate bedding. pped with clean and VA1V11LY'DAY CARE HOMES 614. Discipline and Guidance 1 Guidance and Discipline. Each child shall be considered as an individual and provided lent, understanding, consistent, and loving guidance. Co ruetive methods of guidance and discipline shall be util Loud, profane, or abusive language shall not be used. Corporal punishment shall not be used. Corporal punish-Ment is infliction of physical pain. Shaming, frightening, and huiniliating methods shall not be aged.. Punishment shall not be associated with rest, toilet twining or loss of food. 700. HEALTH AND SAFETY 710. HEALTH 711. IGeneral Health Requirements Not specified 712. Health Assessments Not specified 713. Immunizations See DAY CARE EN 714. Sanitation IV Restrictions on Home - Physical structure. The premises shall be maintained in a clean and sanitary condition. Water supply, sewage disposal, and solid waste disposal must meet local rdinances and State Department of Hearth regulations. .10 FAMILY DAY CARE HOMES OKLAHOMA Animals or household pets are permitted provided the following is adhered to:- There must be -proof of rabies and other current required wiecinationS for each animal before license is issued. The caregiver must advise potential, patrons of the existence of the anim his may affect the patron's decision in using the facility. 718 DailyllInmi Screening Not specified VIII Child Health. Any child showing symptoms of illness should be the child's parent(s) or physician shall be notified. 717. 1Vled catioh nd cie Diet P ated from the group VIII Child Health. Meditations, prescription and otherwise, that are brought by the parents to be administered by the caregiver, shall be accompanied with written dated permission from the parents, with the child's 'name and the exact amounts and time of dosages to be given. The caregiver shall post these so that they may be clearly read and followed. Prescription (kugs'shall be clearly labeled with name and dosage. The caregiver shall not give a child medication of any kind without the written permission of the parent(s). 718. Waiver of Health Requirements Not specified FAmmy.DAY CARE M S 720. SAFETY 721. _General Safety Requirements OICLAHOMk rv, Restrictions on Home - Physical structure. Building shall bt in good state of repair from standpoint of structure. s abil The premises shall be free. of undile hazards, indoor and out. Clear glass doors shall be plainly marked to avoid accidental impact. Y. All flammable liquids and/or poisonous materials shall he stored in facilities or cabjnets that are inaccessible to children. Stairways, inside and outside, over four steps, must have railings. Safety gates at stairways must be provided if infants and toddlers are given care. 722. Fire Safety Requirements Appendix I Fire Safety. Every stairway shall comply at least with the minimum requirements for Class B stairs, in respect to width, risers, and treads, and shall be maintained free of items of storage. tf. Interior finish in occupied c in the home shall be Class A, 9, or C. The interior finish in means of egress and in rooms into which exits disch shall be Class A or B. Use of unclassified wood paneling is prohibited. 12 FA ILY DAY CARE HOMES OKLAHOMA Where the floor a.boVe the floor of exit discharge is used for sleep g purposes there shall be a smoke 'detector at the top of the stairs in a building two stories or less with on stairways; or, inside the dwelling tinit used as a day care facility in a m ple dwelling. A portable fire extinguisher suitable for Class B fires shall be prodded for-the kitchen and cooking areas. Fire extinguishers shall be checked annually. Portable electric or gas fire, unvente room heaters shall not be permitted. Oil and gas fired room heaters shall be installed in accordance with state and local plumbing and heating codes: A guard shall be provided to protect the children from hot surfaces and open flames. No' stove or combustion heater shall be so located as to block escape.in case ©f malfunctioning of the stove or heater. I Electrical services. Electrical wiring in -new construction shall be installed in aceprdance with state and local codes or ordinances. In existing buildings, the electrical wiring shall be sized to provide' for the load. Electrical appliances shall be grounded in accordance with state and local codes and ordinances. -0-- Receptacles and outlets serviced by extension cord -type wiring prohibited. ,Special receptacle covers shall be imtalled in homes for children under 5 years of age. areas occupied by children in An operable flashlight shall be available at all times. 13 4 FAMAY DAY_QA_ HOMES OKLAHOMA V Transportation. The caregiver must have emergency transportation available. The carver must have written dated ission to transport hildren. Person driving vehicle must have current driver's lice have current inspection and passenger liability insurance. When caregiver transports children, car seats or seat each child's size and age must be used. 724. Safety Requirements for Equipment See 612. Program Equipment and-Materials I Water A Swimming) vehicle in keeping with W Regtrictiorm on Home - Physical structure. Any play activity which involves "water must be supervised constantly. No ponds or pools n be left accessible to children. Wading pools must be emptied after each use. W Restrictions on Home - Physical ucture. There shall be a planned source of medical care a hospital emergency room, clinic, or other constantly staffed facility or physician known to the caregiver and acceptable to parents. The caregiver shall be familiar with emergency evacuation procedures. 14 FAMILY DAY CARE IIPMES OKLAHOMA 4. 727. First Aid Supplies W Restrictions on Home 7 Physical structure. First aid procedures and suPilies shall be available for quick reference. 800. NUTRITION AND FOOD SERVICE 810. N TRITION 811. Nutritional Requirements XII Food and Nutrition, Children remaining in the family day care home ter longer than a four-hour period shall be served a balanced meal which shall provide at least one-third of the child's total daily nutritive requirement. Caregivers can require parents to provide food for infants or children requiring special food or special diet. The crregiver shall provide the food for all children who, are able to eat regular food. Menus shall be posted one week in advance. Such menus shall be closely followed, although reasonable substitutions are permissible. Snacks shall be provided both mid-morning and mid-afternoon when the interval between regular meals is four hours or longer. Children should be encouraged to try new foods but shall not be forced to eat or be punished for not eating. Water shall be offered at various times throughout the day. 812. Waiver of Requirements Not specified 1 FAMILY DAY CARE HOMES OKLAHOMA 820. FOOD PREPARA- ON 821. Food' Pre on and Service Re uiremen s Not specified Not specified 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION VI Records. From the time the child enters the family day care home, the caregiver should discuss with the parents the child's progress. 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES XI Infants and Toddlers. The caregiver shall have sufficient time to hold, cuddle, talk, and sing to the infant and time to understand and respond to his particular needs. routine oi~ care for the infant shall be adapted to the individual needs of each child and shall fit as much as possible into the schedule set up by the parent. Infants and toddlers shall be given the opportunity (under supervision) to move `about safely and to explore their surroundings for substantial periods of each day. They shall have time out of doors daily under supervision of caregiver, weather permitting. 16 FAMILY DAY CARE HOMES OKLAHOMA Infants shall not be left in a crib without direct caregiver contact except for brief intervals. Toilet training shall be a relaxed ;Aeasan 'activity and shall. support the training started by the parent in the home. There. shall appropriate c__ or use at meal lime and snack time. An individual crib, playpen, or port-a-crib shall be provided for each infant. Each crib, playpen, or port-a-crib shall be equipped with a clean waterproof mattress and sheet. An adequate supply If sheets shall be available so that sheets can be changed daily or more frequently if soils*. 1120. HEALTH AND SAFETY REQUIREMENTS XI Infants and Toddlers. Potty chairs must be sanitized after ach use. ( There shall be sufficient quantities of clean diapers available and provision their disposal and/or storage in a closed container when soiled. 1130. INFANT NUTRITION Not specified 1200. CHILDREN WITH HANDICAPPING f ONDITIONS 1210. PROORAM OF ACTIVITIES Not specified 1220. HEALTH A4D SAFETY REQDlREMENTS Not specified 17 GULL FAMILY DAY CARE HOMES 1230. STAFFING Not spTified oKLATio A 1300 SCRs bL AGE CH1L EN 1310. PROGRAM OF ACTIVITIES VII School. The egegivers are responsible for the children's school attendance in .accordance with the requirements of the State Department of Education. 1320. HEALTH AND SAFETY 1EQUIRE1VIEN'TS Not specified 1410. SPACE 1400. PAC Y REQUIREMENTS IV Restrictions on Home - Physical structure. There shall be a minimum indoor space available for child care of not less than 35 square feet per child, exclusive of hallways, bathrooms, kitchen, and space occupied by furniture not intended for children's use. There shall be an outdoor play area of -not less than p square feet per child. This area must be hazard free, and keep children away from traffic, water, and other dangers. In most instances, this will require a fence. 1420. LIG TING, VENTILATION, AND TEMPERATURE IV .Restrictions on Home = Physical structure. Rooms used by children shall be-well lighted and ventilated. 18 FAMILY DAY CARE HOMES I 1430. EXITS APpendix I Fire Safety. OKLAHOMA 'c- In of _unprotected- Wood-Tr ame or unprotected naty construction _ used for c d. care purposes, every, room u sid-ifor sleeping, living, or dir A . .. ' . . purposes; shall, ripe at om. two Mears of egress; at least one of which shall be-a-door o stairway providing a means of protected unobstructed travel to' the outside of the building at ground level. Nei room or-space shall be occupied. for living or sleeping purposes- which is _accessible only by a ladder, folding -stairs or hrough a trap door.' In the instance of a single-story building only, one of those means of egrets may be an operable window that provides a clear opening of 22 inches and 5 feet in area. Bottom of window opening. must be no more than 32 inches above t -- floor and no more than 5 feet above ground level. Where children are located on a floor (beiement) below the floor of exit discharge, at least one exit shall be provided directly to the outside t ground.. level. No facility shall be located more than one story below the ground. Exits in buildings other than unprotected _wood frame or unprotected ordinary construction shall-be provided as prescribed by local building code, or if none exists, the State-adopted National Building Code and NFPA Life Safety Code. Each.door in a means of egress shall be not less than 24 inches wide. Every closet door latch shall be such that children can open the door from inside the closet. Every `bathroom door lock shall be designed to permit the opening of the locked door friffn the outside in an emergency and the opening device shall 6e readily accessible to the staff. FAMILY DAY CARE HOMES OKLAHOMA 1440. TOILETS AND LAVATORIES Not specified 1500. OTHER STATE REQUIREMENTS a COMPLIANCE WITH OTHER LOCAL, 7 STATE AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 15 20. FME Restrictions on Home - Physical structure. In- the opinion of the licensing worker, if the fire, safety, and/or health conditions are questionable, the state or local fire department shall be consulted regarding such conditions. Safety, Fire, and Health Requirements. The licensing worker may request a fire inspection if there is evidence of violation of the fire safety code. Appendix I Fire Safety e Canstruction. r- Any building used as a family day care home shall meet the local minimum housing code and fire prevention code for the applicable class of residential construction, or if none exists, the State-adopted National Building Code and NFPA Life Safety Code. Where family day care homes are located in a building containing mixed occupancies, the separation requirements of the locally applicable building code, or if none exists, the State-adopted National Building Code and NFPA Life Safety Code shall apply. In buildings of unprotected wood frame or unprotected ordinary construction, no story above the second level above grade shall be used as a family day care home.. 20 Cu FAMILY DAY CARE HOMES OKLAHOMA 1530. BUILDING See 1520. FIRE 1540. HiALTH Not specified 1550. SANITATION Not specified 1560. NEW CONSTRUCTION Not specified FAMILY DAY CARE HOMES OREGON A Except where otherwise noted, all citations are to the Oregon Children's Srvices Division, Rules Governing Standards for mfy Day Care Homes, December, 1979. 100. STATE APPROVAL OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILlimS SUBJECT TO APPROVAL AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOC AEGULATIONS 111. Definitioi 412-10-405 Definitions. ORDINANCES AND "Family day care home" means any home providing day five children, excluding the provider's own children. 112. Exclusions and Exemptions Not specified 113.. HHS Day Care Complia= 412-10-400 Applicabilit and Purpose of Rules. These rules set forth Children's Services Division (CSD) standards to be used for reviewing and, if appropriate, certifying family day care homes serving one or more children whose care is subsidized by Children's Services Division, or by any other agency which subsidizes day care services ,which must comply with Federal Interagency Day Care Requirements. These rules also apply to any person who does not request approval to serve subsidized children but who voluntarily applies for a certificate of approval to serve no more than five children. re to no more than 412-10-410 Certificate. No person shall provide day care services to children whose care is subsidized by CSD or any other agency which subsidizes day care services which must comply with Federal Interagency Day Care Requirements without a current, valid certificate issued by CSD. 600 FAMILY DAY CARET HOMES - OREGON 120. AGENCY RESPONSIBLE FOR APPROVAL OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit See 'DAY CARE CENTERS 122. Resnsible Official See DAY CARE CENTERS 200. APPROVAL PROCESS AND ENFORCEMENT PROCEDURES 210. APPROVAL PROCESS 211. -Promulgation of Regulations See DAY CARE CENTERS 212. Advisory_Body and Other Community Participation See DAY CARE CENTERS 220. APPROVAL PROCEDURE 221. .if.piication and Issuance 412-10-410 Certificate. No person, unless exempted by ORS 418.805, shall operate a day care facility providing day care to six or more children at any one time who are unrelated to the caregiver without having a current, valid certificate of approval issued by CSD. Any person operating a day care facility for fewer than six children may apply for a certificate for such facility from CSD. No person stall provide day scare services to children whose care - is subsidized by CSD or any other agency which subsidizes day care services which must comply with Federal Interagency Day Care Requirements without a current, valid certificate issued by CSD. 6' u 2 FAMILY DAY CAR HOMES OREGON In the event of a change of location, application for a certificate shall be made no-less than 30 days.prior to the date certification will be needed at he new address. 222. Fee Charged See DAY CARE CENTERS 223. Areas of Jr rrLiipties on 41240-410 Certificate. Upon receipt of an application for a certificate a representative of CSD will evaluate the home and the applicant to deternkine if they meet the Division's standards for the physics]. hen 1th, care, and safety of children as set forth in these rules. If standards are met a certificate will be issued by CSD. The certificate is: Valid for no more than one year. Not transferable to any other location or to another orgnr,i.7 indi 224. Certificate Renewal 412-10-410 Certificate. Application for the annual renewal of a certificate shall r e made at lit 30 days prior to the expiration date of the certificate. 225. Conditional/Provisional Approval Certificate See DAY CARE CENTERS 226. Su an Com pliance 412-10-470 Exceptions. Exceptions to an individual standard set forth in these rules may be granted for good and just cause by the Division. The provider shall make application in writing to the Division. FA: DAY CARE HOMES OREGO 230.. ENFORCEMENT PROCEDURES 231. Faciliqlrvections 412-10-47 5 Enforcement. In order to ascertain continued compliance with these standards, CSD may inspect the premises of any home to which a certificate has been issued by CSD, or inspect at any reasorilable time, the record of subsidized children. In some instances there are no common definitions as to degree of acceptability, such as health and safety hazards. In these instances in these rules the determination of acceptability or nonacceptability shall be made at the discretion of CSD. 232. Denial --ion, Revocation of e 412-10-475 Enforcement. Upon failure to meet standards or correct deficiencies, CSD may deny -application, or revoke, suspend or refuse to renew the certificate. CSD shall net accept a new application from, an operator for at, least one year following the denial of his/her application or revocation dr refusal to renew a certificate. Three written warnings for violation of one standard during a year shall result in refusal to renew a certificate. The provider has the right to appeal any decision to deny, suspend, or revoke a -certificate, or the determination that a person is unable to care for children, subject to the provisions of Chapter 183, Oregon Revised Statutes'"? 4 FAMILY DAY CARE HOMES OREGON 233. Rail ti 233.1 Hearings See DAY CARE CENTERS 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Administrative Retirements 412-10-430 Requirements of the Family Day Care Provider. The provider shall provide a wholesome adult model and a stable, harmonious environment that conforms with the community's socially acceptable values. The provider shall provide names, address, and phone numbers of three persons with personal knoirledge of the applicant's ability to care for children. The provider shall not combine day care with child foster care unless prior authorized by CSD, in accordance with CSD policy and procedures. The provider shall not combine day care with boarding of adults, nursing or convalescent care of adults, unless such care is not detrimental to the best interests of day care children, as determined by CSD. FAMILY DAY CARE I OMES OREGON `The provider must have a back-up substitute caregiver who is available in emergencies.- If care is provided-in a home other than the provider's Town home the substitute caregiver must hold a valid Certificate issued by CSD. At the time of the preplacement arrangements to parentVj / he proVider must explain substitute caregiving, 412-10-460 Health and Safety. Lnjtries or accidents shall, be reported to parents on the _day of occurrence. Written record of all injuries and accidents shall be maintained, and shall include date, child's full name, nature of injury and action taken. 412-10-465 Requirements for the Family Day Care Home. In order to qualify for or maintain a certificate the day care home shall be the residence of the applicant. 312. Telephone 41210 -465 Requirements for the Family Day Care Home. Telephone service shall be available in the home at all times. 313. Proof of rator Financial Capabilities Not specified 314. Insurance Not specified 320. PERSONNEL 321. Publication of Personnel Policies Not specified 6 FAY DAY CARE HOMES OREGON 322. Constraints Against Employment 412-10-430 Requirements of the Family Day Care Provider. Indhdduals whose presence may be detrimental to the welfare of children shall be excluded from the home during the hours children are in care. No person who has been convicted, or is awaiting a hearing on charges of child abuse (physical injury, neglect which leads to physical harm or_ sexual moltation), or who has demonstrated behavior which might have a detrimental effect on a child, may be in the home with the chil&en. 330. NON - DISCRIMINATION 331. Requirements Prohibiting Discrimination 412-10-425 Admittance Requirements. As required by Oregon Civil Rights laws (ORS 30.670, 659.425) and applicable federal laws and regulations, services to children must be available hout discrimination on the basis of race, religion, color, national origin, sex, m ital status of parent or because of a mental or physical handicap. Refusal by a provider to care for a child with a mental or physical handicap because of his/her lack of related skills and degree of competence, or because of structural barriers in the home, shall not constitute' discrimination. However, the burden is on the provider to establish that the refusal to care for a handicapped child was not an act of discrimination. 340. RECORDS REQUIREMENTS 341. Children 412-10-415 Record Keeping. The following records shall be maintained for each child: Current identifying information. FAMILY DAY CARE 'HOMES 0 Authorization by parent for emergency medical care signed every 6 months and on a form acceptable, to designated emergency facility. NOTE: This requirement may be waived if it is contradictory to the religious practices of the parent(s). Written permission from the parent allowing the ,child to participate in field trips or other excursions away from the family day care home, or in any water activity, such as swimming, on or off the premises. Names of persons, other than parent(s), authorized to pick up a child. There shall be a daily written register listing, a minimum, the date, name, and time of arrival and departure of each child. There shall be a written record maintained of medications administered listing, as a minimum, the name of the child, the name of the person administering the medication, date, time, dosage given, and reason for administering the medication. There shall be a wri ten record maintained- of all injuries and accidents including the date, the child's full name, nature of injury, and action taken. 342. Staff 412-10-430 Requirements of the Fan fly Day Care Provider. The provider shall provide names, address, and phone numbers of three persons with personal knowledge of the applicant's ability to carejor children. 8 FAMILY DAY CARE HOMES .4' 0- All caregivers who work directly the children shall show evidence that s/he is free of tuberculosis. Results of an intradermal tuberculin test or chest x-ray must be dated within 90 days prior to the initial application for a certificate. 343. Child Eligibility and Enrollment Requirements 412-10-425 Admittance Requirements. In order to maintain a certificate the provider shall mply with the following admittance requirements: Children shall be admitted only in accordance with the conditions of the certificate. As required by Oregon Civil Rights laws (ORS 30.670, 659.425) and applicable federal laws and regulations, services to children must be available without discrimination on the basis of race, religion, color, national origin, sex, marital status of parent or because of a mental or physical handicap. Refusal by a provider to care for a child with a mental or physical handicap because of his/her lack of related skills and degree of competence, or because of structural barriers in the home, shall not constitute discrimination. However, the burden is on the provider to establish that the refusal to care for a handicapped child was not an act of discrimination. An opportunity for a preplacement visit shall be provided for each child and his parent(s) in order that they may become famili with the surroundings and with the day care family. Information and emergency medical release for each child shall be obtained from the parent(s) prior to admission. The emergency medical release shall be on a form accepted by the medical treatment facility designated for emergencies by the provider. FAMILY DAY CARE HOMES OREGON Child Abuse Re .412-10-420 Reporting of Child Abuse. &s requested by Oregon law (ORS 418.750) any day care provider holding a' certificate from CSD who has reasonable cause to believe that a child in his/her care has suffered abuse (physical injury, neglect ,which leads to physical harm, or sexual molestation) must report the incident to CSD or to a law enforcement agency. 345. Confidentiality of Records Requiremetits Not specified 400. GROUP COMPOSMONS OF CHILDREN 410. STAFF/CHUM RATIO REQUIREMENTS 41L Staff/Child Ratio as of March, 1981 Not specified Methods of Com- u staff /Child Rati Not specified 420. GROUP SIZE 421. Group Size as of March, 1981- 412-01-435 Number of Children. A family day care home may be certified for no more than 5 child.en unrelated to the provider. 422. Methods of COmputirig _Croup Size 412-01-435 Number of Children. In determining the maximum number of day care children that may be cared for, the number of children residing in the home must be considered. 10 G .; FAMILY DAY CARE HOMES OREGON The provider's children and any other related children or foster children in the household under six years of age must be counted. If there are no children under three years there may be a total of six '- children, including those children residing in the home under sic years of age. If there are children under three years, there may be no more than 2 children under 2 years, and no more than 5 in total, including those children residing in the home under 6 years of age. 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 54. Age_ 412-10-430 Requirements of the Family Day Care Provider. The provider shall be at least 18 years of age and shall possess physical and rnenl health, judgement and .moral character appropriate to meet the needs of children, as determined by CSD. NOTE: If CSD needs additional infprmation to assess a person's ability to care for children, references or an evaluation by a physician, psychiatrist, or other qualified person or community resource may be requested. The provider or a substitute caregiver who is at least 18 years old m the premises during the hours children are in care. FAMILY DAY CARE HOME OREGON 512. .Health 412-10-430 Requirerner,ts of the Fariily Day Cire Provider. All caregivers and Members of the family day care household must be in such physical and mental riesitti as will rot adversely affect either the health of the child in care or the quality or rnewiner of the care. The provider shall upon request of CSD submit inedicalevid once to this effect. 513. Education Not specified 514. Experience Not specified 520. PROGRAM E TJAI=ICATIONS 521. Agil* See 511. Am 522. Health See 512. Health 523. Education Not specified 524. Experience Not specified 530. SUPPORT STAFF CAilFIA ONS Not specified 12 FAMILY DAY CARE HOMES `ORE N 540. POST EMPLOYMENT/IN-SERVICE: ORIENTATION AND TRAINING 541. Program Director Not specified 542. Child Caregiver Staff Not specified 543. Support Staff Not specified /600. PROGRAM OF ACTlVrrIES, INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities 412-10-440 Program and Care of Children. Child-en in care must be supervised at all times. The provider must give the children's needs first priority, assuring that they get adequate care and attention. The day care provider shall carry out activities which shall provide a variety of experiences geared to the ages an abilities of the child(ren). Activities shall be planned to use the family settirng and the every day happenings of the home, and shall allow children to make individual choices, and to encourage a child to develop skills in all areas appropriate to the age tilid ability of the child. A balance of active and quiet play shall be provided. There shall be activities both indoors and outdoors (when weather permits). The program shall provide regularity in routines such as, but not limited to, eating, nappirig, and toileting, with sufficient flexibility to respond to the needs of the individual. FAMILY DAY CARE HOMES 612. Program Equipment and Materials OREGON 412-10-450 Equipment. An indiVidual crib or playpen shall be provided for each infan The provider shall make available a supply of play equipment and materials suitable to the age and abilities of the children) in care. Play equipment and materials shall be available for both indoor and-eutdoor activities. E3, Nap Provision 412-10-450 Equipment. An individual bed or cot with individual bedding adequate to the season shall be provided for each child in day-care. Beds used by family Alembers may be used if covered by a sheet. 614. DisclOine and Guidance 412-10-445 Discipline, The provider shall establish simple, understandable ,rules so that expectations and limitations are caregivers, to the child, the parent(s), and ti) any other The provider shall not use, or permit another person to use, corporal punishment (i.e., striking, slapping, spanking with a hand or any other instrument), or punishment which is abusive or humiliating, as interpreted at the discretion of CSD. Discipline shall be handled without delay and shall not be out of proportion to the particular inappropriate behavior; as for example, scolding children for honest mistakes such as spills, and accidents caused by lack of coordination. Food shall not be withheld as a me.iis of punishment, nor shall a child be punished for refusing food. 14 FAMILY DAY CARE HOMES ORE N There shall be no verbal abuse, threats, or derogatory remarks about the child or the child's family. No child shall be punished for toileting acrid 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Requirements 412-10-460 Health and Safety. Suspected food poisoning or suspected exposure to a communicable disease shall be reported to the parents and to the proper health agency (i.e., County Health Department, State Health Department). 712. Health As} Not specified -ments 713. Immunizations Not specified 714. Sanit 412-10-465 Requirements for the Family Day Care Home. Water for domestic use shall be safe to drink. All sewage shall be disposed of in accord with State Department Environmefital Quality rules. All garbage and solid waste shall be stored in water easily washable containers with close - fitting lids. 15 Glj nonabsorbent and FA my DAY CARE HOMES 715. Daily Ill ss Screening 412-10-460 Health and Safety. Each child shall be observed daily for ill ness. ORE N of communicable disease or other- OREGON ther Children who are ill shall not be accepted in the home if care is provided to children from more than one family. NOTE: This does not apply to a provider is certified to care only for children who are ill or are recuperadng. 716. Care of Sick Children 412 - 10-460 Health and Safety. If a child becomes ill during the day, he sh shall be notified immediately. a parents) e Arrangements shall be made to have a licensed physician or hospital or clinic available in case of emergency when the physician designated by the parent cannot be reached. 717. Medication and Special Diet Provisions 412-10-460 Health and Safety. The provider may administer medication to a child under the following conditions: For prescription medications, there must be written permission to administer the medication from the parent, and it Must be administered in accordance with a physician's current orders. For non - prescription medications, the parents tten instructions must include the name of the medication, circumstances under which it may be administered, dosage, administration. l6 and frequency of ILM FAiVIH.Y DAY CARE HOMES There shall be a written reco maintained of medications ministered listing, as a _minima the name of the child, the name of the person administers the medication, date, time, dosage given,f reason for administering the medication. When permission given to administer medication on an "as needed" basis, the parent m st be notified that medication was given on the, same day it is administered, the amount administered, and when it was administered. Authorization..to administer non-prescription medication must be reviewed with the parent every 3 months. Revisions WM. be indicated in writing ecessary. 718. Waiver of Health Requirements Not specified 720. SAFETY 721. General Safety Requirements 412-10-465 Requirements for the Family Day Care Home. All exposed electrical receptacles in rooms used by preschool' resc o children shall have harto-remove protective caps when not in use. Clear glass panels in sliding doors and doors shall be clearly marked to avoid accidental impact. - Protection shall be provided from hot pipes, stairs, windows, electric tars, and other hazardous conditions, and from fireplaces, space heaters, and wood stoves if in use during the hours chlicken are in care. 17 FAMILY DAY PARE HOMES OREGON An emergency light source, such as flashlight, shall be readily available. Items of potential danger to a preschool child (medicine, drugs, cleaning supplies and equipment, paints, plastic bags, aerosols, detergents, etc.) shall be kept under lock and away from food service supplies. Firearms, ammunition, and other potentially hazardous equipment shill be kept under lock. Guns shall be disassembled, when possible. Flexible cord or extension cords shall not a substitute for th wiring of the home. and cats in the home shall have a current rabies vaccination. There shall be an ASME approved ety release valve on the hot water heater. The building and grounds shall be maintained in a clean, s Y9 hazard-free condition, and in a manner that minimizes the i estation of rodents and insects. 722. Fire Safety Requirements See 721. General Safety Requirement. 723. Trans 412 - 10-460 Health and Safety. The provider must have a plan for emergency transportation ding the hours children are in care. 18 FAMILY DAY CARE HOMES OREGON Any caregiver trai porting a child in a motor vehicle shall be at least 18 and shall hold a current' diver's license. A child shall be secured to the seat by own seat belt'arSn4 infant safety seat that conforms to the standards and specifications of the Society of Automotive Engineers. 724. Safety Requirements for Equipment 412-10-450 Equipment. Equipment, materials, and toys shall be kept clea accessible to the children. fe.-', orderly, and 412 - 10-465 Requirements for the Family Day Care Home. Toys, equipment, and furniture shall be maintained in a clean, sanitary, and hazard-free condition. 725. Water Activities (Including Swimming) Not specified 726. Emergency Procedures 412-10-460 Health and Safety. Emergency phone numbers shall be one. Children shall be advised of plans for evacuation in case of crnergency, such as fire, etc. 727. First Aid Supplies 412-10-460 Health and Safety. First Aid supplies shall be collected in one container and be available for use, but kept out of the reach of children, and shall contain bandages, gauze pads, a wound cleaning agent, such as soap or sealed moistened towelettes, scissors, and tweezers. First Aid supplies shall be taken on children's field trips. 19 FAMILY DAY CARE HOMES 0 800. NUTRITION AND FOOD SERVICE ;op 810. NUTRITION 811. Nutritional Requirements 412-10-455 Nutrition. Lunch and morning and afternoon snacks shall be provided by the provider. When the planned attendance is prior to 7 a.m. a child shall be offered a breakfast if it is not provided by the parent(s). When the planned attendance is after 6:30 p.m. a child shall be offered dinner if it is not provided by the parent(s). Each meal plus snack served shall provide at least one third of the child's daily, nutritional needs (recommended Dietary Allowance, Food and Nutrition Board, National Adademy of Sciences,- National Research Council). All meals shall include at least one serving from the Basic Four food groups (bread and cerealk fruits and vegetables; milk and milk products; meat, fish, poultry and vegetable protein foods, such as legumes, i.e., dried beans and peanut butter). All snacks shall be selected from the Basic Four Food Groups. If breakfast is served in addition to lunch and/or dinner, meat, fish, potdtry,,or vegetable protein is not requ_..eed. There shall be no more than 3 1/2 hours between meals and snacks in any family day care home proViding care for the same children 3 1/2 or more consecutive hours. Nutrient concentrates, supplements (protein powders, liquid proteins, vitamins, minerals, and other non food substances), or modified/special diets (for a child's 'allergy or medical condition which requires the addition/elimination of specific foods or ingredients not tolerated/recommended) shall not be served without written instructions from a physician and parental consent. 2 20 FAMILY DAY CARE HOMES OREGON grade A pasteurized and fortified milk shall be served to ehilcken. Powdered milk may be used only in cooldng. The serving of raw milk is prohibited. No low fat or skimmed milk shall be served to a child under two years of age without written parental consent. No home-canned vegetables, meats or fish shall be served to the children. This does not prohibit the serving of home-canned jams, jellies or fruit, or food excluding meat and seafood that is frozen or commercially canned; or home canned food supplied by a parent for his/her child as ordered by a physician. Only meat and seafood that has been inspected by USDA may be served to children. Honey shall not be served to chil en under 12 months of age. 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 821. Food P ation and Service Requirements 412 - 10460 Health and Safety. All food shall be stored, prepared, and served in a Perishable food shall be kept under refrigeration. Not specified Not specified 900. SOCIAL SERVICES 1000. PARENT PARTIOIPATIOI 21 y sax e manner. FAMILY DAY CARE HOMES OREGON 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES Not specified O. HEALTH AND SAFETY R UIHENIENTS Not specified 1130. INFANT NUTRITION Not s -fled 20 0. EN WifH HANDICAPPING CONDITIONS 1210. PROGRAM OF ACTIVITIES Not specified 1220. HEALTH AND SAFETY REQUIREMENTS Not specified 1230. STAFFING Not specified 1300. CHOOL AA GE CHILDREN 1310. PROGRAM OF ACTIVITIES Not specified 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 22 Y DAY CARE HOMES -71410. SPACE OREGON 1400. :FACILITY REQUIREMENTS S 412-10-465 Requirements for the Family Day Care Home. Space used for day care shall be arranged to facilitate the supervision of children, and shall meet the foilowing requirements: Indoor play and nap areas shall allow a minimum of 35 square feet per child. There shall be a place where an ill child can be Isolated from other children. Outdoor play area shall be free from hazards. It shall be protected by fencinc or some type of barrier if it is readily accessible to a street, drainage ditch or any other existing hazard. In .homes with an unfenced play area serving children under 5 years of age, the .provider shall accompany the children and provide constant supervision whenever they are outdoqrs. 1420. LIGHTING, VENTILATION, AND TEMPERATURE ri 412-10-465- Requirements for the Family Day Care Home. Room temperature of at least 680 Fahrenheit shall be maintained while children are in care and are awake. 1430. EXITS 412-10-465 Requirements for the Family Day Care Home. All rooms used by the day care children for play and napping shall have at least two usable exits, one of which may be a window. 1440. TOILETS AND LAVATORIES -Not specified 23 .-- FAMILY DAY CARE HOMES OREGON 1500. OTHER STATE REQUIREMENTS - COMPLIANCE WITH OTHER LOCAL, STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 1520. FIRE 412-10-465 Requirements for the Family Day Care Home. In order to qualify for or maintain a certificate the day care home shall be inspected by a representative of the State Fire Marshal or the Health Divisi6n if and when deemed necessary by CSD to meet health and safety requirements. 1530. BUILDING Not specified 1540. HEALTH See 1520. Fire 1550. SANITATION See 1520. Fire. 1560. NEW CONSTRUCTION Not specified 24 FAMILY DAY CARE HOMES PENNSYLVANIA Except where otherwise noted, all citations are from the Pennsylvania Department of Public Welfare, Bureau of Child Development Programs, Regulations for Family Day Care Homes (Chapter II, Section 8C of the Department of Public Welfare's Social Serviges Manual), June, 1981. 100. STATE REGISTRATION OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO REGISTRATION AS DEFINED BY STATE _STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS Definitions 15. Family Day Care Home is any premise other than the child's own home, operated for profit or not for profit, in which child day care is provided at any one time to four, five, or six children, who are not relatives of the caregiver. 112. Exclusions and Exemptions Not specified 113. HITS Day Care Compliance Not specified 120. AGENCY RESPONSIBLE FOR REGISTRATION OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit See DAY CARE CENTERS 122. Resmisible Official See DAY CARE CENTERS FAMILY DAY CARE HOMES PENNSYLVANIA 200. REGISTRATION PROCESS AND ENFORCEMENT PROCEDURES 210: REGISTRATION PROCESS 211. Promulgation of Regulations See DAY CARE CENTERS 212. Advisory Bodjr and Other Community Earticpation See DAY CARE CENTERS 220, REGISTRATION PROCEDURE 221. Application and Issuance 24. Any individual operating a family day care e is required to have -a registration certificate issued by the Department. No individual is allowed to operate a° family day care home without a registration certificate. 222. Tee Chemed See DAY CARE CENTERS 223. Areas of Investigation See DAY CARE CENTERS 224. Certificate Renewal See DAY CARE CENTERS 225. Conditional/Provisional Certificate See DAY CARE CENTERS 226. Substantial Compliance See DAY CARE ,CENTERS 2 6 FAMILY DAY CARE HOMES PENNSYLVANIA 230. ENFORCEMENT PROCEDURES 231: Facility Inspections See DAY CARE CENTERS 232. Denial, Suspension Rivocation of a Certificate See DAY CARE CENTERS 233. Remedies and anctions 2 Hearings 25. Appeals related to the Department's registration must be made pursuant to Title. 2 of the Pennsylvania Consolidated Statutes in accordance with the Department's Licen.sure Approval Procedure, DPW Manual Section 9003. 233.2 Decisions See DAY CARE CENTERS, 233.3 Judicial Review See DAY CARE CENTERS 300. AD INISTRAnON 310. GENERAL ADMINISTRATION 311. General Administrative Requirements 28. The caregi.ver shall submit a written report to the appropriate Regional Office of the Department within 24 hours after occurrence of an unusual accident, such as the death or serious injury of a child while at the family day care home or when a lire occurs which requires the services of a fire department. A serious injury is defined as one requiring in-patient hospitalization. 3 FAMILY DAY CARE HOMES PENNSYLVANIA 35. The caregiver shall provide the parent of each child enrolled in the day care home with a copy of these regulations. 312. Telephone 46. The family day care home must have an operable telephone. 70. Telephone numbers of the nearest hospital, police department, fire department, ambulance, and poison control center must be posted by each telephone in the family day care home. 313. Proof 641, era or Financial Capabilities Not specified 314. Insurance Not specified 320. PERSONNEL 321. Publication of Personnel Policies Not specifi 322. Constraints Against Employment 33. No caregiver, or other household member present in the family day cart home while the children are in care, shall have been convicted of a crime involving child abuse, child neglect, moral corrupthess or physical violence. Any caregiver, or other household member present in the family day care home, who is awaiting trial on charges listed above shall not provide child day care, resent in the family day care home, pending the outcome of the trial. No caregiver, or other household members present in the family day care home while the children are in care, shall be currently diagnosed or k_ receiving therapy or medication for serious mental illness which might create 4 FAMILY DAY CARE HOMES PENNSYLVANIA a risk to the children in care. Serious mental illness which' might create a risk to-- children- in= care shalt. be determined- and documented- by a licensed psychologist or psychiatrist. No caregiver, or other household members present in the family day care home while the children are in care, shall have evidenced drug addiction or alcoholism within the past year. Drug or alcohol addiction shall be determined and documented by a licensed physician. Indicated and founded reports of child abuse in which the caregiver, or other household members present in the family day care home while the children are in care, are named as perpetrator shall be considered in determining the suitability of the caregiver and the family day care home. 330. NON-DISCRIMINATION 331. Requiren4ents Prohibiting Discrimination Not specified 340. RECORDS REQUIREMENTS 341. Children 85. The caregiver shall have an individual record for each child enrolled. 86. Each child's record must contain the following: initial and subsequent health appraisal reports; written consent signed by parent for administration o any medications, health aids, or special dietary needs (required prior to admission); written consent signed by parent for administration of emergency medical life saving procedures by a licensed physician (required prior to admission); written consent signed by parent for all transportation provided by the caregiver, trips, and swimming if the child will be participating in these activities; and, FAMILY DAY CARE HOMES PENNSYLVANIA record of accidents, injuries, and illnesses which require inpatient t hospitalization occurring to the child while he/she is p -ent at the family day care home and a copy of the report sent to the appropriate , Regional Office of the Department in relation to such an occurrence. 342. Staff Not specified 343. Child Ellgjbilit Not specified d Enrollment Requirements 344. Child Abuse Repo 34. The caregiver shall report immediately cases of suspected child abuse to Childline (Toll Free.800-932-03 3). 345. Confidentiality of Records Requirements 87. The caregiver shall not disclose or knowingly permit the use of any information concerning the child, or family, directly or indirectly, except in the course of performance of official duties and to employees or agents of the Department. 400. GROUP COMPOSITIONS OF CHILDREN STAFF /CHILD RATIO REQUIREMENTS 41L Staff/Child Ratio of March, 1981 Not speNfied 412. Methods of Computing Staff/Child Ratios Not specified FAMILY DAY CARE HOMES 420. GROUP SIZE 421. Group Size as of March, 1981 PENNi YLVANIA 37. At no time shall the number of ch dren in care exceed six children, excluding relatives of the caregiver. 38. There shall be no more than four infants and /or toddlers in a family day care home at any one time. 422. Methods of Cornsutirtg_Grotv Size Not specified 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. Age 32. The caregiver shall be at 1 years of age. 512. Health 73. Each caregiver and persons providing direct care on a regular basis shall have an initial medical examination and every two years thereafter. The medical examination must establish that the caregiver is physically able to c for children and is free from any communicable disease. The medical xamination must also establish that the caregiver has had a tuberculosis ser6ning and is free from communicable tuberculosis. 7 FAMILY DAY CARE HO PENNSYLVANIA 74. *Upon indication of a health problem in the home which may be harmful to the children in care, the Department shall require members of the caregivers household to submit to a medical examination, with the results of such examination provided to the Department. The results of such examination must establish that the household memr is free from any condition which may be harmful to the children in care. 513- Education Na specified 514. Expe rience Not specified 520. PROGRAM DIRECTOR QUALIFICATIONS 521. See 511. Age 522. Health See 512. Health 523. Education Not specified 524. Experience Not specified 530. SUPPORT STAFF QUALIFICATIONS Not specified 540. MPLOYMENT/IN-SERV CE 'ORIENTATION ANWTRAINING 541. Program Director Not specified 8 FAIVI Y DAY CARE HOMES PENNSYLVANIA 542. Child caregiver Staff Not specified 543. Support Staff Not specified 600. PROGRAM OF ACTIVITIES, INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities 63. A plan of daily activities and out in- in addition to free play, must be established. 612. Program Equipment and Materials 52. Play equipment and materials must be provided that are appropriate to the developmental needs, individual interests, and ages of the children. There must be a sufficient amount of play equipment a materials so that there is not excessive competition and long waits. 613. Nap Provision 57. Each child, except school= age children do not take naps, must ave clean, age-appropriate rest equipment. 58. If night care is provided (children are sleeping at the famiy day care home), each child must have a bed equipped with comfortable springs, mattress, sheets,. pillow, pillow case, and blanket. No children shall share a singe bed. 9 6 FARULY DAY CARE HOMES PENN YLVANIA Discipline and Guidance 64. Caregivers shall not use any form of physical punishment, including spanking. Disciplinary methods shall not humiliate, shame, or frighten the clvild. Caregivers shall not use harsh or demeaning language in the presence of the children. 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Requirements Not specified 712. Health Assessments See Day Care Centers 713. Immunizations See Day Care Centers 714. Sanitation 40. All fl good repair. ceilings, and other surfaces shall be kept clean and in 715. Dail _11n_ s Screening Not specified 716. Care of Sick Chil No vecified l0 FAMILY DAY CARE HOMES PENNSYLVANIA 717. Medication and Special. Diet Provisions 7L No prescription medications shall be given to a child without a physician's current written administration instructions and written consent from the child's parents. No non-prescription medication or health ids, for example, cough drops, vitamins, aspirin, ointments, ear drops, vaseline, suntan lotion, aspergum, or cough syrup, shall be given to a child without a written consent and written administration instructions from the childs Farah 718. Waiver of Health Requirements Not specified 720. SAFETY 721. General Safety Recuirements 41. All medicines, drugs, cleaning materials, detergents, aerosol cans, and other poisonous and toxic materials shall be stored in their original 'containers and used in such a way that shall not contaminate play surfaces, food? food preparation areas, or constitute a hazard to the children. Such materials shall be kept in a place inaccessible to children and separate from child care areas, food, and food preparation areas. 47. Stairways, hallways, and exits from rooms and from the family day care home must be unobstructed. Eas y opened protective gates and other devices are oerritted. 48. -Protective receptacle covers must be placed in all electrical dutlets accessible to children under five years of age. FAMILY DAY CARE HOMES 722: Fire S em eats PE SYLVANIA 42. Fixed and portable space heaters and wood burning stoves are permitted to be used while children are in care, only if they are inspected and approved in writing by the State Department of Labor and Industry, a local fire marshall, a local fire department (volunteer or. professional), or other local fire safety agency. A copy of this written approval must be kept on file. 43. Hot water pipes, fixed and portable space heaters, wood burning stoves, and other sources of heat, exceeding 1100F (430C), which are accessible to children, must be equipped with protective guards or insulated to prevent children from coming into direct contact with the heat source. Fireplaces must be securely screened or equipped with protective guar& while in ue. 49. An operable smoke detector must be placed on each level of the home used by the children and on each level of exit from the home. 50. A portable fire extinguisher suitable for Class B fires must be provided in the kitchen and other cooldng areas. The fire extinguisher must be tested yearly or have a gauge to assure adequate pressure level. 723.Transportation 79. The operator of the vehicle must at least years of age and possess a valid driver's license. 80. Each child must be secured in an individual safety restraint appropriate to the child's weight at all tines the vehicle is in motion. All safety restraints must be federally approved and labeled as such. Manufacturers instructions for use of all safety restraints must be kept in the yehiele at all times. 6 12 FAMILY DAY CARE HOMES 81. Children must never left unattended in a vehicle. PENNSYLVA 82. The back of pick-up trucks must not be used to transport children. 724. safety Requirements for Equipment 53. Toys, play equipment and other indoor and outdoor equipment used by the children must be kept clean, in good repair, and free from rough edges, sharp corners, pinch and crush points, splinters, and exposed bolts. All ladders on slides must have guards along the sides. 54. Outdoor equipment, such as climbing apparatus, slides, and swings, must be anchored firmly and in good repair. Outdoor equipment at the family day care home must not be located on either concrete or asphalt surfaces. 55. Toys and objects with a diameter of less than 1 inch (2.5 centimeters), objects with removable parts that have a diameter of less than 1 inch (2.5 centimeters), plastic bags, and styrofoam objects must not be accessible to children who are still placing objects in their mouths. 725. Water Activities (Includ-ing Swimming) 5 All children must be directly supervised (caregiver physically present with the children) at all times children are wading or swimming. 60. Above-ground and in-pound swimming pools must be made inaccessible to children, when children are not swim mi 61. Portable tiding cols must be emptied and cleaned daily. 13 FAMILY DAY CARE HOMES 726. Emergency Procediates PENNSYLVANIA 69. Emergency contact information must be easily accessible and located ysically close to the children at all times that children are in the family day ere home, being trarsported by the provider, and on tripe, including neighborhdod excursibris. This-information Must be signed by the parent upon enrollment and updated every six months. This info-rmation must include: name, address, and telephone number of the child's physician or source of medic care; home and work addresses and home and work telephone numbers of parents; name, address, and telephone number of emergency contact person; any special medical information on special needs, of the child, specified by the child's parent(s) or phYsician, which might be helpful in handling an emergency situation; health irstranee coverage and policy number for child under family policy or medical assistance benefits, if applicable; person(s) designated by parent to whom the child may be released. 727. First Aid.Sup-pli 56. The following materials must be available in the family day care home: soap, sterile gauze pads, tweezers, tape, and scissori. FAMILY DAY CARE HOMES 0 800 NUTRMON AND FOOD SERVICE 810. NUTRITION 811. Nutritional Requirements PENNS YLV ANIA 75. When the family day care home is ,open 5 hours or longer for any one child in a day, nutritional, appropriately timed meals and snacks must be served. No child is permitted, to be without .a meal or snack for more than four and one-half hours. 77. Each meal prepared by the caregiver for children of toddler age or older must have at least one item from each of the following food groups, that the daily nutritional needs of children can be met and not exceeded: sr dairy products: milk, milk products, cheese; protein group: meat, fish, poultry, eggs, peanut butter, dried bear, peas, nuts, cheese; fruits and vegetables: including a wide variety of green, white, yellow, and red vegetables and all fruits; and, grain group: whole grain and enriched products such as breads, cereals, pastas, crackers, rice. 812. Waiver of Requirements Not specified 82 0. , FOOD PREPARATION 821. Food Pre ration and Service Requirements Not specified 15 FAMILY DAY CARE 'HOMES PENNSYLVANIA Not specified 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION 66. Children must be released from the facility o _y to the child's parent, the person designated in writing by the child's parent to receive the child, or to any person designated over the telephone by the parent. 1100. INFANTS AND TODDLERS Mil. PROGRAM OF ACTIV mEs Not specified 1120. HEALTH AND SAFETY REQUIREMENTS 91. Soiled diapers must he placed in a tied plastic bag or covered container. 92. Training chairs mint be emptied and sanitized after each use." 94. High chairs, en strap. have a wide' base and a T-shaped safety 95. Crib and playpen slats must be no more than 2 3/S inches apart. 1130. INFANT NUTRIHON 93. Meals for infants must be provided according to the following guidelines: formula and feedink schedule shall be obtained from the parent; 16 FAMILY DAY CARE HOMES PENNSYLVANIA if no specific formula is specified by the parent, a commercially prepared iron-fortified formula shall be used and unused portions shall be discarded after each feeding; introduction of all new foods shall be made in consultation with parent; dposable nursers shall be used unless sanitized bottles are provided by the parent or unless a dishwasher is used by the caregiver to sanitize bottles; infants six months or younger shall be held while being bottle fed; and, bottles shall be labeled with the individual child's name. 1200. CHILDREN WITH HANDICAPPING CONDITIONS 1210. PROGRAM OF ACTIYITInS 29. A family day care home that enrolls a child with a disability must also comply with Chapter II, Section 8D, of the Department's Social Services Manual, Day Care Service for Childrei Regulations Specialized Services For Children With Disabilities. See also DAY CARE CENTERS (Specialized Day Care Services fo_r#iildren with Disabilities) 1220. HEALTH AND SAFETY REQUIREMENTS See DAY CARE CENTERS (Specialized Day Care Services or Children with Disabilities) 1230. STAFFING See DAY CARE CENTERS (Specialized Day Care ServIc or Children with Disabilities) 17 FAMILY DAY CARE HOMES PENNSYLVANIA 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACTIVITIES Not specified 1320. HEALTH AND SAFETY Q 'JIREMENP Not specified 1410. SPACE Not specified 1400. FACILITY REQUIREMENTS 1420. LIGHTING, VENTLATION, AND TEIVIPERATURE 45. All windows and doors used for ventilation screened. 1430. EXITS Not specified 1440. TOILETS AND LAVATORIES 44. The family day care home must have one indoor flushing toilet and one sink with water available at the sink. 1500. OTHER STATE REQUIREMENTS - COMPLIANCE WITH OTHER LOCAL STATE AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 1520. FIRE Not specified 18 FAMR,Y DAY CARE HOMES 1530. sumpnip Not specified 1540. HEALTH Not specified 1550. SANITATION Not specified 1560. NEW CONSTRUCTION Not specified 19 PENNSYLVANIA FAMILY DAY CARE HOMES PUERTO RICO Except where otherwise noted, all citations are from the Puerto Rico Department of Social Services, Regulation Number 7 for tie Licensing and Supervision of Family Day Care Homes, February, 1955. 100. STATE LICENSThiG OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS Definitions P.R. LAWS ANN., tit, 8, §1. Day Care Home - is the home of a family who for pay is devoted to day care, and in regular manner for a maximum of six (6) children not related by blood. 112. Exclusions and Exemptions P.R. LAWS ANN., tit. 8, 53. Any person who cares for one or two children or any person who cares for children who are related by blood or affinity up to the third- grade of consanguinity are exempted from complying with this provision. 13. HHS Day Ca e Compliance Not specified 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 121. Ojmnization of the Administrative Unit See DAY CARE CENTERS Responsible Official See DAY CARE CENTERS FAMILY-Wei CARE HOMES PUERTO RICO 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promulgation of Relations Not specified 212. Advisor Eod and Other Communit P ation Not specified 220. LICENSING PROCEDURE 22L Application and Issuance Article I Issuance of License. Any person considering the establishment of a Family Day Care Home shall apply for a license in the offices of the Social Services Department and shall give any and all information as required by the Secretary of Social Services. The person applying for said license, shall include with the application a medical health certificate for himself or herself and all the members of the household where the Family Day Care Home is to be established. Every applicant will apply for his license two months prior to the scheduled opening of the Family Day Care Home. No person will receive a license for a Family Day Care Home whose home is being used as a foster home or nursing care center for adults or children. This does not preclude a person from caring for a member of his family. The license will be issued taking into consideration the housing facilities where the Family Day Care Home is to be established. FAMILY DAY CARE HOMES PUERTO __CO The person in whose name the license is issued will personally care for the children in the Family Day Care Home. 222. Fee Charged Not specified 223. Areas of Investigation Article I Issuance of License. Once the application for the license is filed, the applicant shall allow an officer of the Department to enter his premises to make a study in order to verify, among others, the following: that the members of the household possess the moral and personal qualities to provide a wholesome environment for the welfare of the chilen. that the relations between the members of said household are favorable to provide a wholesome environment for the children. any information given in the application. that all the members of the household are in good health. that the requirements set forth in this regulation for the physical plant are met. 224. License Renewal Not specified 225. Conditional /Provisional Licenses See DAY CARE CENTERS 226. Substantial Compliance Not specified FAMILY DAY CARE HOMES PUERTO RICO 230. ENFORCEMENT PROCEDURES 23L Facility Inspections See DAY CARE CENTERS 232. Denial, Suspension, Revocation of a License See DAY CARE CENTERS 233. Remedies and Sanctions 233.1 Hearin s See DAY CARE CENTERS 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Administrative Requirements Article VIII General Dispcsit-ions If among the children admitted to the Family Day Care Home two or more are less than a year old, the Day Care Mother will have the help of another adult person to take cive of the group. The person in charge of the Home will allow the authorized Department personnel to visit the Home and will render the personnel all necessary assistance to make regular inspections. 4 FAMILY DAY CARE HOMES PUERTO RICO The Day Care Mother must prepare and send to the Department a month statistic report in a form supplied by the Department for this purpose. The Day Care Mother must maintain in a safe place all records related to the children. Any deficiency found by an officer or employee of the Department will be reported to the Day Care Mother who will be allowed time to correct the deficiency. The time allowed will not exceed 3 months or be less than 48 hours from the time the report is made. The notifications of the deficiency can be submitted by mail or in person. 312. Telephone Not specified 313. Proof of 0 ator Not specified 314. Insurance Not specified 320. PERSONNEL uncial Capabiliti 321. Publication of Personnel Policies Not specified 322. Constraints Against Employment Not specified 330. NON- DISCRIMINATION 331. Requirements Prohibiting Discrimination Not specified 5 FAMILY DAY CARE HOMES PUERTO RICO 340. RECORDS REQUIREMENTS 341. Children Article II Admission. The "Day Care Mother" will require of the father or legal guardian of the child the following information about the child when he is admitted to the Family Day Care Home. full name. age. parent's names. home address of the parents and home and business telephone of both. name and address of the person to contact in an emergency or for any other reason, in absence of the parents. names and telephone numbers of doctors to be notified in an emergency and the name and telephone number of the hospital where the child is to be taken. 342. Staff -Not specified 343. Child Eligibility and Enrollment Requirements Not specified 344. Child Abuse Reporting Not specified. 345. Confidentiality of Records Re ements Not specified FAMILY DAY CARE HOMES PUERTO RICO 400. CROUP C iMPc SiTICNS CF CHILDREN 410. STAFF /CH RATIO REQUIREMENTS 411. Staff/Child Ratio of Meech t1981 Not specified 412. Not specified Co u Staff /Child Reti 420. GROUP SrZE 42L Croup Size es.of March, 1981 Not specified 422. Methods of Cc ,Not specified Size 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. A Not specified 512. Health Not specified 513. Education Not specified 514. Experience Not specified 7 FAMILY DAY CARE HOMES PUERTO RICO p 520. PROGRAM DIRECTOR QUALIFICATIONS 521. A.E Article I Issuance of License. Every applicant must be 21 years of ag experienced in the care of children. 522. Health Article VII Health. The day care, mother and all perso annual medical examination. 523. Educal Not specified on 524. Experience Not specified or over and shall vers the household will have to undergo an 530. SUPPORT STAFF QUAL -MATIONS Not specified 540. POST EMPLOYMENT/IN ERVICE: ORIENTATION AND TRAINING 541. Program Director Not specified 542. Child Caregiver Staff Not specified 543. Support Staff Not specified tJ FAMILY DAY CARE HOMES PUERTO RICO 600. PROGRAM OF ArrivrriEs,_INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities Akicle III Children Activities. Activities must be planned in such a way that they provide safety to children. The daily activities program will -provide time for rest,, meals and personal cleanliness. It will be planned in suk-a way as to become a. daily routine. It must include both active and quiet y, inside and outside the home. 612. Program Equipment and Materials Article IV Equipment. The equipment, the game materials and the children's boob will be chosen according to the children's ages. If said equipment is provided by the parents, the Day Care Mother will make suggestions to insure that said equipment will possess those characteristics. 613. Nap Provision Article IV Equipment. Each child shall have at the Family Day Care Home, a bed, or cot, clean linen and towels regardless of whether it is provided by the parents or the Day Care M ether. 614. Discipline and Guidance Not specified FAMILY DAY CARE HOMES PUERTO RICO 700. HEALTH AND SAFETY 710. HEALTH 71L General Health Requirements Not specified 712. Health Assessments Article H Admissions. To be admitted into a Family Day Care Home, the child will have undergone a complete general physical examination and will have been vaccinated against polio, smallpox, tetanus, typhus, and whooping cough, if it is possible depending on the age of the child. If the child is too young to have been vaccinated against any of the above mentioned diseases, the child shall be vaccinated against the disease upon reaching the age when vaccination is possible. Article Vll Health. In addition to the medical examination required of all children when admitted to the Family Day Care Home, they will have to undergo an additional annual medical examination. 713. Immunizaif ons See 712. Health Assessments Article VI Physical Plant. The food goods will be kept in a well ventilated location protected from insects and other animals. 10 FAMILY DAY CARE HOMES PUERTO Ripe) 715. Daily Illness Screening Article VII Health. The Family Day Care Horne must examine each child daily in the presence of e person bringing him to the Family Day Care Home in order to determine if the child has evidence of any disease, if he has been hurt or if he shows any- abnormal condition. Care of Sick Children Article VII Health. No child who is suffering Family Day Care Home. m a communicable disease will be adrri at a If a child becomes ill or is hurt during the day after being left at the Family Day Care Home, he must be isolated from the other children until arrangements are made for his parents or guardian to remove him from the home; Under no circumstances will a sick child be admitted to the Ifarnily Day Care Home. 717. Medication and Special Diet Provisions Article II Admission. The parents or legal guardians of any 2hnc who enters a Family DO Home will give written authorization to the "Day Care Mother" allowing her to authorize a doctor of medicine to give the child any medicine or any emergency treatment during the hours the 'child remains at the Family Day Care Home. 718. Waiver of Health Requirements Not specified 11 FAMILY DAY CARE HOMES 720. SAFETY 721. n.eneral Safety Requirements PUERTO RICO Article VI Physical Plant. The yard must have a fence and te that can be locked securely. 722. Fire Safety Requirements Not specified 723. Transporta Not specified 724. S Requirements for Equipment Not specified 725. Water Acti Not specified 9 Including Swimming) 72 6. Emergency Procedures Not specified 727. First Aid Supplies Article IV Equipment. There will be a first aid kit out of the reach of the child-en. 12 FAMILY DAY CAE HOMES PUERTO RICO 800. NUTRITION AND FOOD SERVICE _ 810. NUTRITION 811. Nutritional Requirements Article V Nutrition. It will be the responsibility of the Day Care Mother to insure that the children who remain in the home during the day receive a daily morning snack, a hot lunch and an afterno6n snack. The children who remain at the home for only half a day must be given a snack. The children's diet, when it is provided by the home will a balanced diet. When the foodstuff is provided by the parents the day care mother will make suggestions to the parents in order to insure that said food meets the requirements of the aforementioned section. 812. Waiver of Requirements Not specified. 820. FOOD PREPARATION 821. Food Preparation and Service Requirements Article IV Equipment. The dining area will have sufficient tables and chairs to accommodate all the children. There will be individual glasses, plates, and silverware for each child. Not specified 900. SOCIAL RVICES FAMILY DAY CARE HOMES PUERTO RICO Not specified 1000. PARENT PARTICIPATION 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES Not specified 1120. HEALTH AND SAFETY REQUIREMENTS Not specified 1130. INFANT NUTRITION Not specified 1200. CHILDREN wTrii HANDICAPP 1210. PROGRAM OF ACT1V1'1ThS Not specified 1220. HEALTH AND SAFETY REQUIRE IVITNTS Not specified 12U. STAFFING Not specified CONDITIONS 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACT1VMES Not specified 1320. HEALTH AND SAFETY RE UIREIvIENTS Not specified 14 FAMILY DAY CARE HOMES PUERTO RICO 1400. FACILITY REQUIREMENTS 1410. SPACE Article VI Physical Plant The home where- Ftily Day Care Home is located must have sufficient indoor and outdo& 'lay space for the children. 1420. LIGHTING, VENTILATION AND TEMOERATURE Article VI Physical Plant: All rooms used for children's care, the place where the food is prepared, and the bathrooms must have adequate ventilation and lighting. 1430. EXITS Not speèified 1440. TOILETS AND LAVATORIES Not specified 1500. OTHER STATE REQUIREMENTS COMPLIANCE WITH OTHER LOCAL, STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 1520. FIRE fr Article VI Physical Plant. The home where the Family Day Care Home is located must comply with the ,regulations established by the Bureau of Environmetital Health of the Health Department and meet the reqirements of the Fire Department. 15 FAMILY DAY CARE HOMES PUERTO RICO 1530. BUILDING Not specified 1540. HEALTH. See 1520. FIRE 1550. SANITATION See 1520. FIRE 1560. NEW CONSTRUCTION Not specified 16 FAMILY DAY CARE HOMES RHODE ISLAND Except where otherwise noted, all citations are from the Rhode Island Department of Social and Rehabilitative Services, Guide for Independent and A Foster Boardin Homes: Part-Time Foster Boarding, 1970. 100. STATE LICENSING OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS Definitions R. L GEN. LAWS, S40-15-2 Childrens Boarding Home Defined., Any person who for compensation receives for care or treatment or has in his custody one or more children under the age of six-teen (16) years, unattended by a parent or guardian, for the purpose of providing such child with care and lodging, except children related to him by blood or marriage, or legally adopted by, or legally committed by order of any court to such person, shall be deemed to maintain a children's boarding home. R. I. GEN. LAWS S40-15-3 Institutions for Which License Required. Any person, unincorporated society, or corporation desiring to maintain a horde for aged, a convalescent home, a a home for mental patients in any of. which two (2) or more persons shall be cared for, or a children's boarding home, or a dity nursery, shall apply to the director of the state department of social and rehabilitative services for a license to maintain such a home. FAMILY DAY CARE HOMES 112. Eclons and Exemptions See DAY CARE CENTERS 113. HHS Day Care Cora fiance Not specified 120. AGENCY RESPONSIBLE FOR LICENS RHODE ISLAND G CAF DAY CARE PROGRAMS 121. OEganization of the Administrative Unit See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS 200. LICENSING PROCESS AND ENFORCE ENT PROCEDURES 210. LICENSING PROCESS 211, Promulgation of Ration Not specified 212. Advisory and Other Community Partcation Not specified FAMILY DAY CARE HOMES ' 220. LICENSING PROCEDURE 221. Application and Issuance 1SRule 1 Application Must Be Filed. t is necessary that each person who boards one or more unrelated children, either full -or part time, apply for a license to Child Welfare Services, .the designated agency of the Department of Social and Rehabilitative Services or a licensed child placing agency. This application may be initiated by telephone or by letter. At a personal interview, an application form furnished by the agency is filed out and signed. It then becomes the responsibility of the agency to investigiste the facts set forth on the application and to satisfy itself by further interview home visits, and, information that the home meets the requirements for a license. This is called a home study. At the conclusion of the home study a decision is made on the application and a license is either granted or denied. RHODE AND A.-LICENSE is necessary before a child is taken to board. This is issued for a one year period unless revoked or voluntarily surrendered by the boarding parent. The number of children to be cared for, and the type of care, either full or part time, is specified an the license. 222. Fee Charged Not specified 223. Areas of Invest ti on Not specified 224. License Renew Rule 5 Renewal of License Necessary One Year from Date of Issuance. Licenses are reissued every year, after agency consideration of care given by the home during its licensed period. FAMILY DAY'CARE HOMES 225. Conditional/Provisional Licenses Not specified 226. Substantial Compliance Not specified 230. ENFORCEMENT PROCEDURES 231. F &cuity Inspections Rule 4 Continuing Con License. -RHODE ISLAND with Child Welfare Services after Issuance of A nurse from Child Welfare Services visits independently licensed homes quarterly or-more often, to observe and discuss the children in residence. An agency worker visits both independent and agency homes yearly to COM Dlete an annual evaluation of the boarding home. Refusal to oermit reasonable inspection and examination shall constitute one valid ground for revocation of the license. 232. Denial, Suspension, Revocation of a License See DAY CARE CENTERS 233. Remedies and S 233.1 Hearings See DAY CARE CENTERS 233.2 Deeisioro See DAY CARE E 233.3 Judicial Review See DAY CARE CENTERS 4 FAMILY DAY CARE HOMES 300. A DNIINISTRATIO N 310. GENERAL ADMINISTRATION General Administrative Requirements R e 3 License to Board Children Only. Boarding home care is specialized service, and no home shall be licensed which mbines this service with other services such as adult roomer or boarders, convalescent or nursing homes, parents in residence with their children, and any other business. No home shall be licensed for both full-time and part-time RHODE ISLAND care. Rule 6 Fees for Care. 4 Independent faster boarding mother sets fee with parent placing child. The parent who places the child in the licensed independent boarding home is responsible for rnsking.and meeting all financial arrangements and maintains full responsibility for the welfare of his child or childr Before admission there shall be a written boarding agreement between parents or agency and boarding parents on the amount of the fee, services covered, and the date payments are to be made. If a child is placed in a boarding home by a child placing agency the particular agency involved would supply the boarding agreement forms. A written receipt must be given to the parent or person placing' the child by the independent boarding mother each time money is received as board payment. Rule 8 Community E,d Home. The faster home be in a Wholesome commun educational, medical and recreational facilities. 5 of .religious, FAMILY DAY CARE HOMES 312. T l hone Not specified 313. Proof of 0erator Financial Capabilities Not specified 314. Insirance Not specified 320. PERSONNEL 321. Publication of Personnel Policies Not specified 322. Constraints Against Emploent Not specified 330. NON -HI CR11V1 A ON 331. Requirements Prohibiting Discrimination Not s 'fled 340. RECORDS REQUIREMENTS 341. Children RHODE_ SLAND Rule 10 General Care of Children. The faster boarding home may accept children from infancy to 16 years, required information (as described below) must be kept for each child in the foster boarding home. A separate sheet giving identifying information and other facts about the child as listed below must be kept on each child by the independent foster boarding home or by the child placing agency. A suggested home register form s may be obtained from Child 'Welfare Services by the independent foster boarding mother. FAMILY DAY CARE HOMES Information must include: The name and address of RHODE ISLAND ether and mother or guardian. Date of acceptance for care Child. name and a1ddress of person placing Telephone numbers where either or both parents may be reached in case of an emergency while the child is in care. A Certificate of Health signed by a physician stating that the child has been examined within the preceding five days and found to be free from contagious disease or exposure to contagious disease and is physically well.' Name and telephone number of the child's physician and instructions from parents on action to be taken in case of emergency ff the child becomes ill or has been inured shall be secured for day-time children. Written consent from parents to secure emergency medical care for the child in case of accident or serious illness shall be secured for daytime children. Written staterrient from the child's parents or physician on form la and feeiir dule for the child under one year shall be secured for days Ale c en. The approximate date of triple immunizations, polio shots an successful smallpox immunizations and measle protection. Religion of child. Date of discharge 'from care and name and address of person taking child. 7 IQ FAMILY DAY CARE\ MES RHODE ISLAND Rule ll Reporting. Each independent foster boarding home shall keep a reinter in the home giving the required information as outlined regarding each child in residence. This shall be available to Child Welfare Services staff, at any time. It is suggisted that an 8 1/2 x 11 looseleaf notebook be used. A separate sheet should be set up for each child. To this should be attached the boarding agreement and the doctor's statement of health. 342. Staff Not specified 343. Child Eligibility and Enrollment Requirements See 341. Children. 344. Child Abuse Reporting Not specified 345. Confidentiality of Records irements Not specified 400. GRhailIP COMPOSITIONS OF CHILDREN 410. STAFF/CMID RATIO REQ IREMENTS 41L Staff/Child Ratio as of March 1981 Rule 10 General Care of Children. Children in a foster home shall at no time be without competent adult supervision. To insure adult supervision in case of an emergency, arrangements must be made to have a nearby person on call. 412. Methods of Commuting Staff /Ch ild Ratios Not specified FAM Y DAY CARE HOMES 420. GROUP srzE 421. Gtoup Size as of March,_ 1961. Not specified 422. Methods of Computing Group Size Not specified RHODE ISLAND 500. STAFF QUALIFICATIONS AND TRAINING RE MREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 51L Rule 9 General Requirements for Foster Families. Foster parents, in general, shall be between the ages of 21 and 60. 512. Health Rule 9 General Requirements for Foster Families. Every member of the household shell be free from communicable disease or any disqualifying mental or physical 'defects. An annual chest x-ray of eal members over 16 in the family is required. . 513. Education Not specified 514. Experience Rule 9 General .Requirements for Foster Families. The foster family shall provide a normal, happy home for children and shall have a genuine interest and understanding of the care and "raining of them. Boarding children must be treated as own childreh and share fully in theme ly activities. A FAMILY DAY CARE HOMES RHODE 'LAND The foster ps.rents shall be well-balanced, mature individuals, a wholesome 'example to a child in _their home, capable pf e-xarqising good judgment and offering a child intellectual, spiritual and moral guidance. The foster family shall 'be composed of a complete family unit, with both parents whenever possible. Foster mother should have knowledge of physical and emotional needs of children and know about growth and development. All members of a foster family shall by of good eh reputation. cter, habits Favorable reference's from a physician, clergyman, and three other not related to the family are required. and Both foster mother and foster father should be able to speak the English language. 520. PROGRAM DIRECTOR. QUALIFICATIONS 521. Age See 511. Age 522. Health See 512. Health 523. Education Not specified FAMILY DAY CARE HOMES RHODE ISLAND 524. Experience See 514. Experience 530., SUPPORT STAFF `QUALIFICATIONS Rule 9 General Requirements for Foster Families. If it is necessary for both foster parents to be absent from the home it is expected that the children shall be left in charge of a person cti'mpetent to supervise them. 540. POST E PLOYIVIENT/IN-SERVICE: ORIENTATION AND TRAINING 541. Program Director Not specified 542. Child Caregiver St Not specified- 543. Support Staff Not specified 600. PROGRAM OF ACTIVITIES, INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities Rule 10 General Care of Children. The boarding mother is expected to provide individual care and attention to the children under her supervision. Children need her help with good personal hygiene, eating, toilet training, bathing, dressing, learning to use toys, y games, etc. FAMILY DAY CARE HOMES RHODE ISLAND The daily program for the children needs to be varied to provide opportunity to leam new skills, to stimulate their interest in things around them, and to learn to play with others. Children should be encouraged to participate in wholesome social, spiritual and recreational activities. Children under years of age shall have no work that will preclude ample opportunity for school or play. 612. Program Equipment and Materials Not specified 613. Nap Provision Rule 4 Conformity to Codes. Adewate accommodations must be available for daytime naps or overnight sleeping in properly ventilated rooms, in comfortable, clean cribs or beds.. Fresh linen shall be provided we kly or more often if necessary for the boarding child and shall be for his u e alone. 0 It is desirable that no more than two children occupy a bedroom. It is desirable that the foster home shall provide each child with a separate bed in a well-ventilated, well-lighted room. Bedrooms should have 60 square feet of floor space per single bed in which each child sleeps or 100 square feet per double bed in which two children of the same sex share a double be(i. All sleeping rooms for children must have at least one window and be used only for sleeping purposes. Living rooms, dining rooms and halls are not: considered sleeping quarters. Never more than two children near the same age shall be permitted to sleep in the same bed, and they must be of the same sex, if over four years of age. 12 FAMILY DAY CARE HOIVI RHODE ISLAND Children over the age of one shall not sledp in a -room with adults or foster parents. No child shall share a bed with an adult. 'All babies must sleep .alone in cribs not less than two _feet apart. A responsible adult sh'il sIek3 on the same floor where young children are 'sleeping, to enable suitable supervision. No child shall sleep below the ground floor of a house. 614. Discpline and Guidance Rule 10 General Care of Chilcken. Corporal punishment is prohibited. 710. HEALTH 71L General Heal Not specified 700. HEALTH AN SAFETY Requirements 712. Health Assessments See 341. Children 713. Immunizations See 341. Children 714. S ation Rule 4 Conformity to Codes. The house and yard must be kept clean, free from odors, vermin and accumulallon of trash, in accordance with local ordinances. FAMILY DAY CAT 71§.. paELIllnc Rule 10 Gene The boardinF shows evidc children anc child) or cr 716, Care o. RHODE ISLAND alert to the child's physical condition. If he le disease he is to be isolated from other he can be taken home (if a part-time boarding Rule 8 Cor u Home. Foster mother should know about simple home nursing procedur such as' temperature taking, bed baths, and isolation technique. 717. Medication and Special Diet Provisions Not sp 718. Waiver of Health Requirements Not specified 720. SAFETY 721. general Safety Requirements Not specified 722. Fire Safety equiremen s Rule 4 Conformity to Codes. Fire places, open-space heaters etc., must be protected by s eens. No 'oil space heaters shall be Great care must be taken to protect children from accidents in tiie home which would result from slipping rugs, unguarded stairs, Or low windows improperly cared for electrical equipment or electrical 6 14 FAMMY DAY CARE HOMES RHODE ISLAND 723. Transportation Rule 5 Transportation to and from the foster day care home should be the parent's responsibility. If the foster mother provides transportation to and from the home or for any activities during the day these requirements must be met: No more children than the licensed capacity of the car can be carried in an automobile licensed as a passenger car. Tlie care must be equipped with safety locks on all doors except the driver% so arranged that they cannot be opened by the children. It is advisable that liability insurance be carried on the car and its drivers. 1 724. Safety Re- quirements for Equipment Rule 4 Conformity to Codes. Toys and play equipment must be kept reasonably clean and in good repair in order that they do not subject children to the danger of injury from splinters, cuts, etc. There must be no lead paint used on toys,, beds, windo which might be used by a child or be within his reach. 725. Water Activities (including Swimming) Not specified 726. Emergenc Procedures Not specified or any equipment FAMILY DAY CARE HOME RHODE ISLAND 72.7. First IklSmpes ----Rule 4 Conformity to-Codes. A First Aid Kit containing alcohol, tincture of soap, cotton balls, bandaids, small gauze bandages, and adhesive tape must be kept on the premises, out of reach of children. 800. NLLkUTRM" AND FOOD SE ICE 810. NufrtrrioN 811. Nutritional Re ments Rule 10 General Care of Childr All food is to be furnished by and prepared in-the foster home. Lunches are not to be brought from home for part -time foSfer children. Formulas shall be prepared under sanitary conditons. Bottles, nipples, eating and cooking utensils 'shall be pk.operly cleansed and sterilized in accordance with approved medical procedures. The daily menu served shall be wholesome, of good quality, and in sufficient amount and variety to insure good nutrition. To insure recommended amounts of nutrients, the following must be included in each day's menu: "-Full-Time Care: 3 to 4 cups, of milk, or equivalent on the basis of calcium content 4 to 6 ounces of lean, cooked meat, fish or poultry, or equivalent 4 or more servings of vegetables and fruits 4 or more servings of hole grain or enriched breads and cerealq 16 FAMILY. DAY CARE HOMES RHODE isLAND'' 400 I.U. Vitamin D-may be consumed as Vitamin D fortified milk Additional foods to promote normal growth .nd development PExt-Time Care: meat, poultry, o fish..................2-4 tablespoons (1-2 oz. cooked) cooked vegetables........ ... .........2-4 tablespoons raw vegetables 2-4 strips- (one dark green vitamin A) bread 1 /2 -i slice butter or margarine 1/2-1 teaspoon fruit or pudding 1/4-1/2 cup - milk. . a w . . 1/21 cup 812. Waiver of Requirements or yellow for Rule 10 General Care of Children. Any deviations from normal eating pattern for the child should be followed only on the written prescription of the physician. ti 820. FOOD PREPARATION 821. Food Preparation and Service Requirements Rule 4 Conformity to Codes. Food must be properly refrigerated. Lary washing procedures must be used. All rilk purchased for use in the foter home must have been pasteurized and bottled at the plant licensed by the R ide Island Department of 'Health. 176 S. FAMILY DAY CA E HOMES RHODE ISLAND Homes situated in localities served by public water supply and public sewage disposal systems should 'use these services. Where such services are not available, the facilities shall be approved by the R. I. Department cif Health. Common nldng cups must never be used. There must be adequate bathing toilet, and handwashing facties. Bathroom equipment must include individual towels, washcloths, toothbrushes, combs and brushes for the children. Not specified Not specified 000. SOCIAL SERVICES 1000. PARENT PARncEPATION 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES Not specified 1120. HEALTH AND SAFETY REQU MENTS Rule 4 Conformity to Codes. If toddlers are cared for, the outdoor play space must be fenced in or there must be adequate protection against traffic accidents. 1130. ENFANT NUTRITION Not specified FAMILY DAY CARE HOMES RHODE ISLAND 1200. CHILDREN WITH HANDICAPPING CONDITIONS 1210. PROGRAM OF AC- -S Not specified 1220. HEALTH AND SAFETY REQUIREMENTS Not specified 1230. STAFFING Not specified 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACTIVITIES Rule 10 General. Care of Children. Provision shall be made for re school age. attendance at school when child is of 1320. HEALTH AND SAFETY RE UIR EN Not specified 1400. FACILITY RtQ E E 1410. SPACE stile 8 Community and Home. The faster home shall be in a' wholesome community offering religious, educational, medical and recreational facilities. Adequate space for indoor play and an enclosed yard or safe yard for outdoor play is required on the prernis' es. FAMILY DAY CARE HOMES RHO7 E ISLAND The foster home shall hare adequate space to accommodate the memhe of the Household. There shall be for the prope isolation of chilclren in case of illness. See also 613. Nap Provision 2 LIGHTING VENTILATION AND TEMPERATURE Not specified 1430. EXTPS Not specified 1440. TOILETS AND LAVATORIES Not specified 1500. R STATE RRQTJIREMENTS COMPLIANCE WITH OTHE R LO ,A STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified J" 152G. FIRE Rule 3 Fire; unitary, and Building Inspections. The premises to be licensed must meet the reduirements of State and Local Town or City Ordinances, and recommendations of the State Fire Marshal, Building Inspector and R. 1, Health Officer or Sanitary Officer as reouireri in Title 40, Chapter 15, Section 5 of the General Laws of 1956 as amended. 20 KAME' DA.TCARE HOMES RHODE ISLAND Rule 4 Conformity to Codes. _ No license may be issued until all fire, health, and building laws have been complied with; including the recommendations of the State Fire Marshal, Building Inspector, and R. I. Deparlment-of Health and Sanitation. -A new ,inspection is required each time the licensee changes his place of residence, as a. license applies only to the residence occupied at, issuance., Notification of such change' shall be given verbally or in writing, to Child Welfare Services so that the, necessary inspections may be made by fire, building, and heath authorities'. 1530. BUILDING See 1520. FIRE 1540. HEALTH See 1520. FIRE 1550. SANn'ATION See 1520. FERE 1560. NEW CONSTRUCTION Not specified 21 FAMILY DAY CARE HOMES SOUTH CAROLINA Except Where otherwise noted, all citations are to the South Carolina Depaitment of Social Services, Regulations for Family Day Care Homes, December, 1976, loo. STATE REGISTRATION OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO REGISTRATION AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS Definitions S.C. CODE ANN. ARTICLE IV Registration and Penalty. Family day care 'home means an occupied residence in which child day care is regularly provided for no more thin six children, unattended by a parent or legal guardian, including those children living in the home, and the children received for day care who are related to the resident caregiver. 112. Exclusions and Exemptions S.C. CODE ANN. ARTICLE IV Registration and Penalty. An occupied residence in which child day care is regularly provided only for a child or children related to the resident caregiver, or only for the child or children of one unrelated family, or only for a combination of such children is not a family day care home. 113. HHS Day Care Compliance Not specified 10. AGENCY RESPONSIBLE FOR REGISTRATION OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit See DAY CARE CETERS FAMILY DAY CAI E I OMES 122. Responsible Official See DAY CARE CENTERS 200, REGISTRATION PROC AND ENFORC SOUTH CAROLINA ENT PR EDURES 210. REGISTRATION PROCESS 211. Promstion of R = tions See DAY CARE CENTERS 212, Advisor- Body and OtmaParticipation See DAY CARE CENTERS 220. REGISTRATION PROCEDURE 22L Application and Issuance S.C. CODE ANN. ARTICLE IV Registration Procedures. Registration shall be completed on forms supplied by the department and in the mariner it prescribes. Prior to becoming a registered operator, the applicant Shall: Sign a statement that he has read the Suggested standards developed by the department; furnish the department with a signed statement by each consumer parent verifying that the operator has provided each day care home and the procedures for filing complaints; upon request provide the department with any facts, conditions or circumstances relevant to the operation of the family day care home, including references and other information regarding the character of the family day care home operator. 2 if FAMILY DAY CARE HOMES SOUTH CAROLINA A statement of registration shall be issued when the family day care operator satisfactorily completes the procedures prescribed by this act. The current statement shall be displayed in a prominent place in the facility at all times. The department shall offer . consultation through employed staff or other qualified persons to assist a potential applicant, an applicant or registered operator in meeting and maintaining the suggested standards for family day ti care homes. S.C. CODE ANN. ARTICLE V Registration and Inspection. It shall be the responsibility of the child day care operator to notify the department of the fact of its operation and existence and to request inspection of the facility. It shall ba the responsibility of the department to request that the local health and fire safety agencies conduct an inspection of the facility at least annually and more often if necessary to insure compliance with health and fire safety regulations. If there be no local health and safety agencies to conduct the inspection, then the appropriate State Agency will conduct the impection. The departnIentothall ''regter any such day care facility upon notification from health and fire safety agencies that the day care facility is in compliance with such regulations. a The applied shall be the same health and fire safetyr-egulations applied to other facilities regulated under this act as Sedretary of State by the department for Child Day Card Centers and Group Day Care Homes. 222. Fee Charged Not specified 223. Areas of Invest ation Not specified F AMII iAY CARE HCM 224. Registration Renewal . -SOUTH CAROLINA S.C. CODE ANN. ARTICLE IV Statement i3f Registration. - Regittration expires at the end of one year from the date of issuance of the statement of registration. Registration may be renewed according to the procedures developed by the department. 225. Conditional/lirovision;)1 Registrations Not specified Substantial Compliance, Not specified 230. ENFORCEMENT 15ROCE4 ES 23L Facility Inspections S.C. CODE ANN. ARTICLE IV Registration of Family Day Care Homes. The department shall visit the facility when concerns are expressed by the community regarding the health and safety of the children, child abuse or enrollment beyond the limits set forth in this act. If the concern is in regard to the health and safety of the children, the. department may call on other appropriate agencies (i.e., State Department of Health and Environmental Control, Office of the State Fire Marshal) as necessary to conduct an inspection. If the concern indicates that the, child has been abused, the department shall carry out its responsibility as authorized. If the visits and inspections verify conditions detrimental to the health and safety of the children or overenrollment, tl-i- '?.partment shall carry out its responsibility as authorized. 4 FAMILY DAY CARE 232 Denial? Suspension, Revocation of R on SOUTH CAROLINA S.C. CODE ANN. ARTICLE ry tatement of Registration. The dsartment shall have the power to withdraw the statement of registration if the health and safety, of the children so require, if the facility_, has enrolled children beyond the limits defined-in this act, or if the operator fails to comply with- the registration procedures provided in this act- 233. Remedies and Sanction6 233.1 Hea______Eitgi s S;C. CODE ANN. ARTICLE IV Appeals. A registrant whose statement of registration has been withdrawn by the department shall be given written notice by certified or registered mail- The notice shall contain the reasons for the proposed action and shall inform the registrant of the right to appeal the decision to the commissioner in writing within thirty calendar days after the receipt of the notice. Upon receiving a written appeal_ the_ commissioner shall give the registrant reasonable notice and an opportunity for a prompt hearing before a hearing examiner appointed by the Board of the South Carolina Department of Social Services. On the basis of the evidence adduced at the hearing, the commissioner shall make the final decision of the departinent as to Whether the statement of registration shall be withdrawn. If no written appeal made, the statement of registration shall be. withd_rav as of ermination of the thirty-day,period. FAMILY DAY CARE HOMES SOUTH .CAROLINA At the hearing provided for in this section, the registrant maybe represented by couroel, and has the right to call, examine- and cross-examine witnesses and to-otherwise introduce' evidence. ParentZappearing ac he hearinalay also be -represented by counsel. The hearing examiner is empowered to require the= presence of witnesses and evidence, by subpoena on- behtilf of the appellant" or department. The final decision of the department shall be in writin hall contap the department's findings of fact and rulings of law and shall to the parties to the proceedings by certified or registered mail. A full and complete record ihall be kept of all proceedings, and all testimony shill]. be reported and need_ not be transcribed unless the decision is, appealed to the courts, or a transcript is requested by an interested party. Upon an appeal to the courts, the department- shall furnish to any appellate, free' of charge, a certified copy of the transcript of all evidentiary proceedings before it. Other parties shall pay tl3e cost of transcripts. 233.2 Decisions See. 233.1' Decisions 233.3 Judicial Review S.C. CODE ANN. ARTICLE IV Appeals. The decision of the department shall become final unless appealed by a party to the hearing to.the circuit court having jurisdiction for the county in which the facility is located for review within thirty days after the receipt by the Party of the notice of the decision. The review shall consist of a trial de novo. The court shall have power to enter judgement iipon the .pleadings and a certified transcript of the record which shall include the evidence upon which the findings and decisions appealed are based. FAMILY DAY CARE HOME SOUTH CAROLINA b 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Adminiitrative Requirements THE ADMINISTRATION OF THE HOME REGULATION: Interpretation of Policies.. The- operator shall provide the parent user with a copy of the policies 'of he family day care home, in such areas as: hours and days care is provided (including holidays). ages of children accepted. plan for fee payments and refunds. how operator or parent can end services. poliCy concerning illnesses of children, non-admission and readmission. requests concerning children's personal belongings, etc. provision of diapers, clothing and formula, if family day care home accepts infants and toddlers. procedures parent(s) may use to make-a complaint. authority and procedures for. administering medication and special medical procedures to a child. emergency or disaster plan. authorization for emergency medical care. REGULATION: Admission Procedures. No family day care home shall have present at any one time children in of the number for which it is licensed. EVIDENCE OF COMPLIANCE: ess Compliance shall be determined by the actual number of children in the family day care home at a given time as reflected by enrollment records. 631 FA11IEY DAY CARE HOMES REGULATION: Display of License. The family day care home shall display its curren license prominently. SOUTH CAROLINA' THE STAFFikiiliTHE HOUSEHOLD -REGULATION: erices. The operator shall provide the licensing authority with -three' references from non-related sources to verify his/her suitability to care for children. 312. Telephone SA ATION AND SAFETY PROVISIONS FCEGULATION: Emergency_Phone Numbers. Emergency telephone numbers shall be availabl y ecified telephone which is readily accessible in the day care home. EVIDENCE OF COMPLIANCE: The following telephone numbers shall be posted by the telephonei Ambulance service and emergency service plan; Police department. Fire department. Others emergency n mbers shall be available near the telephone. These numbers shalLinclude: The number of the physician designated by the parent(s). Home and business numbers of the parent(s). (Enrollment information or health forms kept in 'a readily accessible location constitute compliance.) 313. Proof of Operator Financial Ca- abilities Not specified 8 FAMILY DAY CARE HOMES SOU CAROLINA 314. I twance Not specified 320. PERSONNEL 321. Publication of Personnel Policies Not specified 322. Constraints Against EmOLoynient dot specified 330. NON - DISCRIMINATION 331. Requirements ProhibitinE_Discrimination Not specified 340. RECORDS REQUIREMENTS 341. Children THE ADMINISTRATION OF THE HOME REGULATION: Genotaal-Records on the Child. The operator shall initiate at admission and maintain a general ecord on each child to include: Child's name, address, birthdate, and date of his acceptance and discharge. Full name of both parents, or person responsible or child, famil home address, work addresses and telephone numbers. ructions for reaching parents or relatives. Name, address, and t71Tphone number of another person who might be reached in case of emergency. 9 693 FAMILY DAY CARE HOMES SOUTH CAROLINA Name, address, and telephone number of family physician and/or health resource. Accurate records of daily attendance of h child. -REGULATION: Child Health Records. The operator shall Maintain *a health record on each following items: Parent's statement of the child's physical d mental condition at time of his admission to the family day care home. airing the hysician's statement where there are handicapping physical or psychological conditions, attesting to the child's ability to participate in activitiessual for his age level, and indicating any recommendations. Written verification that the operator has been shown the immunization card of each child by the parent(s) indicating required immunizations are completed, in process or child meets exemptions. Other health information as deemed necessary by the operator and parent(s). 342. S THE ADMINISTRATION OF THE HOME REGULATION: Records on Staff and Household. The operator shall maintain records on all caregivers including himself, other members of his haus old, and additional staff or help as follows: Medical statements completed regarding health status. (See Appendix for information regarding how to secure medical statement form.) 694 10 FAMILY DAY CARE HOMES SOUTH CAROLINA Written evidence from a physician or health department verifying freedom from communicable tuberculosis. REGULATION: Health Requirements for Staff. Written evidence shall be required from each staff member verifying his health is Ls satisfactory and would not interfere with his effective functioning in the family day care home. ES,IDENCE OF COMPLIANCE: Written statements, using the form ...provided by the department, shall be completed initially by the family day care operator; filly additional caregivers, substitutes and emergency person verifying' that their current health status is satisfactory. Written verification from a physician or health resource attesting that each staff person is free from communicable tuberculosis shall be submitted initially and annually thereafter. REGULATION: Health Requirements for Household. Written verification shall be required from each household member and domestic help not serving as staff attesting that their health is satisfactory. EVIDENCE OF COMPLIANCE: Written statements, using the form provided by the department, shall be completed initially by_each member of the household and domestic help. Written verification from a physician or health resource' attesting that each household member and domestic help is free from communicable tuberculosis shall be subriia initially and annually thereafter. 343. Child Eligibility and Enrollment Requirements Not specified 11 9 a FAMILY DAY CARE HOMES SOUTd SOUTH CAROLINA 344. Child Abuse Reporting THE ADMINISTRATION OF THE HOME REGULATION: Reporting Neglect or Abuse. The operator shall notify the appropriate departmeent staff or local law enforcement official when it appears that El-child is being neglected or abused. 345. Confidentiality of Records RegArements Not specified 4wp 400. CROUP COMPOSITIONS OF DREN 410. STAFF/CHELD RATIO REQUIREMENTS 4ll. Siff /Child Ratio as of March, 1881 f. THE CARE OF THE CHILDREN REGULATION: Staff-to-Child Ratios. -The operator shall supervir the care for up to a total of six children, including the operator's own children under 12. REGULATION: Caregiver Coverage. Chidren shall not be left without -competent supervision at any time. No person under 18 years of age shall be left in sole charge of the children at any time. The operator shall present written evidence that a plan has been worked out whereby an outside person cEffi be summoned quickly: to assist in an emergency. FAMILY DAY CARE B0 ES 412.- Methods of Computing Staff/Child Ratios See 411. Staff /Child Ratio as of March, 1981 GROUP SIZE SOUTH CAli-OL A 42L Group Size as of March, 1981 See 411. Staff/Child Ratio a of March? 1981 422, Methods of Computing Group Size Not specified 500. STAFF QUALIFICATIONS AND TRAINIl REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 51L As& THE STAFF AND THE HOUSEHOLD REGULATION: Age of Caregivers.. Caregivers less than eighteen years of age_ shall by perm' ted provided the following conditions are met: They are at least 14 years of age. They are not the person in authority and are properly supervis The facility is in accord with South Carolina Labor Laws regarding the employment of minors in non-hazardous jobs. 512. Health See 342. Staff 513. Education Not specified 13 FAMILY CARE HOMES SOUTH AHDLINA A 1514. E erience Not specified 521. PROGRAM DIRECTOR-QUA 1 THE STAFF AND T1TE HOUSEHOLD REGULATION Au of Operator. The operator of .a family day care home shall have achieved majority. 522. Health See 342. Staff 523. Education Not specified 524. Experience Not specified 530.. SUPPORT-STAFF UALI '1 ATIONS Not specified 540. POST EMPLOYMENT/IN 541. Pro ram Director Not specified 542. Child Caregiver Staff Not specified 543. Support Staff Not specified ie J e of ENTATION AND TRAINING 14 FAMILY DAY CARE HOM SOUTH CAROLINA 600. PROGRAM OF ACTIVITIESINCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611, Program of Activities THE CARE OF THE CHILDREN REGULATION: Daily Schedule. The operator shall establish a daily schedule which will provide regularity of activities with sufficient flexibility and variety to respond to the needs of children. REGULATION: Activities for Children Three and Above. The family day care home shall provide daily activities which contribute- to the individual child's growth and well-being, including both active and quiet experiences. REGULATION: Overnight Care. A family day care home offering overnight care shall provide fort the special needs of children during the night, shall adapt to the day/night routines of the parents, and shall assure sufficient, unbroken periods of sleep for the children. EVIDENCE OF COMPLIANCE: The operator shall schedule an additional caregiver during sleeping hours to provide for the needs of the children-and to respond to emergencies. The operator shall encourage parent(s) to leave and pick up their children before and after their normal sleeping period so that there is minimal disturbance of the child during sleep. The operator shall provide comfortable beds or cots and complete bedding an make arrangements with parent(s) for nightclothes (See also Regulation 41.) 15 FAMILY DAY CARE HOMES SOUTH CAROLINA REGULATION: Drop-in Care. Drop-in care shall be offered only if this practice does not cause the operator to exceed the number of children for which the family day care home has been licensed. 612. Program Equipmeiit nd Materials THE CARE OF THE CHILDREN = THE CHILDREN REGULATION: &ILI pment and Materials. A family day care home shall have available material_ and equipment appropriate to the needs of the children in care. 613. Nap Provision SANITATION AND SAFETY PROVISIONS REGULATION: Sleeiin and Restin: E tupment. Individual, comfortable and sanitary equipment for sleeping and resting shall be provided. EVIDENCE OF COMPLIANCE: For Daytime Rest and Nap Periods. A separate bed, cot crib or mat shall be assigned each individual for use during rest or nap periods. If mats are used, they shall be made of waterproof washable material and shall be stored and handled in such a manner that the sleeping surface does not contact the floor. If linen is provided, itall be clean and available for each individual user. For Overnight Care. If the facility offers overnight care, a bed or cot with a mattress shall be provided. The size of the bed or cot shall be appropriate to the age and size of the user. Each mattress shall be equipped with a waterproof cover or protector. Individual, clean linen shall be provided. Covering shall be available, as necessary. 16 FAMILY. DAY CARE HOME-. SOUTH CAROLINA Placement of Equipment. Placement of beds, cots;. cribs, or mats shall allow - staff to have rea access to each individual. 614. Discipline and Guidance THE CARE OF THE CHILDREN REGULATION: Disciplinary Practices. Disciplinary practices shall be according to the following requirements: Limits or rules shall be those necessary to safeguard the chIldren and premises and stated on the children's level of understanding. No corporal punishment shall be used, except when authorized in writing try the parent(s). Caregiver(s) shall not deprive chil en of meal, naps, or bathroom procedures. 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Requirements Not specified 712. Health Assessments See 341. Children 713. Immunizations See 341. Children 17 7U1 FAMILY DAY CARE HOMES SOUTH CAROLINA 714. Sinitation THE STAT. AND THE HOUSEHOLD REGULATION Health Practices of Staff and Household. The operator,' his household, domestic help and any additional staff shall follow health practices necessary to safeguard the health of the children and other staff, as folloys: Each Person shall wash -his hands with soap and water before food preparation and/or service and after assisting with toilet use or diaper changes. No person if afflicted with boils, infected wounds, sores, or acute respiratory infection shall work in any capacity in which there is a likelihood of such person contaminating food or food-contact surfaces with pathogenic organisms, or transmitting \disease to other individuals. 7U2 18 FA Y DAY CAR HOMES OUTH CAROLINA THE CARE OF THE-CHILDREN REGULATION: Toilet Articlest Toilet articles such as combs, brushes, toothbrushes, towels and washcloths, when used by the children in attendance, shall be individually provided and plainly mw.ked. REGULATION: Personal Hygiene. The operator and other caregivers the children. EVIDENCE OF COMPLIANCE. Wet or soiled clothing shall be changed ediately. 11 be thoroughly washed before and after meal 11 follow good hygienic prattices with Face and Hands shall be washed after toileting. SA ATION AND SAFETY PROVISIONS f. REGULATION. Facility and Grounds. The facility and grounds shall be situated, equipped and maintained as needed in order to safeguard the health of the users. EVIDENCE-OF COMPLIANCE: The facility shall be located-in an area reasonably free from health hazards, such es open drainage,, ditches, wells, holes, and/ other natural or man-made obstacles. Outdoor areas shall be kept neat, clean, and free o Measures for the control of insects, rodents and other vermin shall be applied to prevent harborage, breeding and infestation of the premises. 19 U3 FAMILY DAY CARE HOMES SOUTH CAROLINA Floors shall have smooth, washable surface and shall be kept clean, in good repair, and free from hazards. If carpeting is used, it shall be cleaned arly and repaired if torn. Walls and ceiling shall be in sound condition and clean. No lead-based paint (0.5 lead compound per cent of the total weight of the contained solids or dried paint) shall be used on interior and exterior surfaces accessible to children. Healthy animals, which present no apparent threat, shall be peril fitted, roviding they are properly housed, cared for and have required rabies inoculation. REGULATION: Water Supply. The water supply shall meet the bacteriological, chemical, and physical requirements of the South Carolina Department of Health and Environmental Control. EVMENCE OF COMPLIANCE: Water shall be accessible from an approved source of supply, in adequate amounts, under pressure (21 psi. recommended). If a private water supply is used, the operator shall obtain approval from the South Carolina Department of Health and Environmental Control to assure safe location, construction, and proper maintenance and operation of the system. Water under pressure shall be supplied to the kitchen area where food is processed or handled; laundry room and bathroom. Where hot water is provided, the tempenitures shall not exceed 1200F, except that where mechanical dishwashing is used, an adequate supply of 1600E water shall be available to the machine. The operator shall supply mixing faucets at all lavatory fixtures, where hot water is provided. ro 4 20 FAMILY DAY CARE HOMES SOUTH CAROLINA Each indhridual shall be provided with a drinking cup, unless disposable cups are used. The use of "common drinking cups" is prohibited. Disposable cups, if used, shall be stored to prevent contamination. REGULATION: Waste Disposal. The facility shall follow approved sanitary methods of disposal of wastes EVIDENCE OF COMPLIANCE: All sewage and liquid waste shall be disposed of in a manner not' to create a public health hazard and by sanitary methods approved bar the local health officials. Where public sewage systems are provided, this shall be the method of disposal. Refuse shall be stored in, contained or designated areas in an approved manner. Garbage and other putrid material shall be stored in durable, rust-resistant, nonabsorbent, watertight, air-tight, rodent-proof, easily cleaned containers away, from the reach of children. All solid waste shall be disposed of at sufficient frequencies and manner so as not to create a rodent, insect, or other vermin problem. 715. Dail IPlness,Screening Not specified 716. Care of pick Children THE CARE OF THE CHILDREN REGULATION: Emergezo§ Health Care. The family day care home shall have provision for emergency medical care of children requiring treatment away from the day care setting, such as an . arrangement with a hospital, public health department, or local physician. 21 7u5 FAMILY DAY CARE.HOMES SOUTH CAROLINA 717. Medication and Scial Diet Prcvisioi THE CARE OF THE CHILDREN REGULATION: Administration of Medicine. The authority for administering medication to children defined as follows: Medication and/or special medical procedures shall be administered to a child only when there is a request from the parent(s). Prescription drugs and other medications required by the children shall be properly, labeled with the child's name and dosage schedule and kept in a location inacce§sible to the children. 718. Waiver of Health Requirements Not specified 720. SAFETY 72L General Safety Requirements SANITATION AND SAFETY PROVISIONS REGULATION: Accident Prevention. The operator of a family day care home shall provide prethises which in- ize the risk of accidental injury. EVIDENCE OF COMPLIANCE: Outdoor play areas shall be protected by fencing or some type of barrier if location is readily accessible to street or highways or otherwise dangerous. 7'JG 22 FAMILY DAY CARE HOMES Outside stairs, walkivays, ramps and porches shall accumulations of water, ice or snow. SOUTH CAROLINA aintained free from amps, if hazardous, shall be provided with handrails. Where clear glass is used in exterior windows less than 32 inches above fldor level, the glass shall be of safety grade. Flammable liquids, cleaning supplies, -detergents matches, lighters, medications and other such harmftil items shall be kept inaccessible to children. 722. Fire Safety Requirements SANITATION AND SAFETY PROVISIONS IONS Adjustment of Waivers. These fire safety regulations shall not prevent the use of any material, method of construction, system, or appliance- which be shown by the Submission of evidence to the fire safety authority having jurisdiction to provide an equivalent degree of quality, str+th, effectiveness, fire-resistance, durability and safety. THE FIRE- SAFETY AUTHORITY HAVING JURISDICTION MAY WAIVE E REGULATIONS WHICH IF RIGIDLY RDS- -P BUT ONLY IF THE SAFETY OF THE SPECIFIC PROVISIONS OF T SUCH WAIVERS WILL NOT ADVERSELY AFFE OCCUPANTS: 23 FAMILY DAY CARE HOMES SO T CAROLINA REGULATION: Exit Details. The following details shall apply to exits in family day care homes: In a one-or two-family dwelling or bulls:Ling of unprotected woodframe construction used for child day care purposes, every room used for sleeping, living or dining purposes shall have at least two means of egress. At least one of which shall be a door or stairway providing a means of =obstructed travel to the outside of the building at street or ground leveL No room or space shall be occupied for living or sleeping purposes which is accessible only by a ladder, folding stairs, or through a trap door. REGULATION: Doors. The doors in family day care homes shall meet the following requirements: Each door M a means of egress shall be not less than 36 inches wide in new construction and 32 inches wide in existing buildings. Every closet door shall be such that children can open the door from inside the closet. Every bathroom door lock shall be designed to permit the opening of the locked door from the outside in an emergency. REGULATION: S Every stairway shall comply at with the minimum requirements for Class B stairs, as described in Section 5-3 of National Fire Protection Association No. 101 in respect to width, risers, and treads sand shall be maintained free of items of storage. 7u3 24 FAMILY DAY CARE HOMES SOUTH CAROLINA REGULATION: Interior Finish. The interior finish of family d y care homes shall meet the following requirements Int9rior finish in occupied spaces in the family daycare home shall be no more hazardous than Class C in accordance with Section 6-2 of National Fire Protection Association No 101. The interior finish in means of egress shall be Class A or B. REGULATION: Detection Systems. Where the floor above the floor of exit dischaffige is used for sleeping purposes, there shall be a detector which responds to the products of combustion' other than heat at the top of the stairs in a building with open stairways; or inside the dwelling. REGULATION- . Extinguishers. A portable fireexting-uisher suitable for C kitchen -47cooking areas. REGULATION: Heating Equipment Heating equipment in family_ day care homes shall requirem ents: B fires shall be provided for the following Any heaters in spaces occupied by children shall be separated from the space by partitions, screens or other means. Unvented room heaters shall not be permitted Oil and gas fired room heaters shall be installed in accordance with the applicable standards listed in Appendix B of National Fire Protection Association No. 101. A guard shall be provided to protect the children from hot surfaces and open flames. 25 FAMILY DAY CARE HOES REGULATION: Electrical Electrical services iri family day care homes shall be protected as follows: ---,- Electrical wiring in new construction shall be installed in accordance with the National Electrical'Code. . vices. SOUTH CAROLINA CAROLINA 1 In existing buildings, the electrical wiring shall be sized to provide for the load. Electrical appliances shah, be grounded. Receptacles and outlets serviced by extension cord type wiring are prohibited. Special protective, receptacle covers shall be installed in all areas occupied by children in family day care homes for children under 5 years of age. REGULATION: Flashlight. At least one operable flashlight shall be provided in a location accessible tc the operator for use in the event of a power failure. REGULATION: Fire Safety Practices. The operator of a family day care home shall impleme safety practices. the followi EVIDENCE OF COMPLIANCE: A fire evacuation plan shall be hosted in each room used by children. ire Fire drills shall be held a minimum of once a month and at different times of the day. All warming children shall participate and be skilled in fire drill exercises. 723. Transpor Not specified a Ton 26 711) FAMILY DAY CARE HOMES 724. Safety Requirements for Equipment SANITATION AND SAFETY PROVE ONS SOUTH ANIMA REGULATION: Safety of Equipment. Equipment used with or by the children shall be kepi asonably free of hazards. EVIDENCE OF COMPLIANCE: I Indoor equipment, furnishings and toys shall be of safe construction, free from sharp edges and loose or rusty points. No toy accessible to infantsd toddlers shall be small enough to swallow. Outdoor play equipment shall be free of jagged edges and rust, made of durable, nonpoisonous material, and sturdy. Stationary outdoor equipment shall be firmly anchored. When cribs and playpens are required after the effective date of these regulations, the safety requirements developed by _the United States Consurner Product Safety Commission shall be observed. 725. Water Activities (Includin wimming) Not specified 726. Emergency Procedures SANITATION AND SAFETY PROVISIONS- REGULATION: Disaster Plan. The operator shall develop a disaster plan in case of fire or etnergencies h shall be put in writing and tested with the children at` ar intervals. 27 711 FAMILY DAY CARE HOMES SOUTH CAROLINA 727. First_ Aid Supplies THE CARE OF THE CHILDREN REGULATION: First Aid Information. The operator shall have readily available a chart describing emergency medical treatment technique. F REGULATION: First Aid Supplies. First aid supplies shall be available fix' the treatment of minor cu abragions and stored out of the reach of children. 800. NUTR TION ANTI FOLD SERVICE 810. UTRITION 811. Nutritional Requirements THE CARE OF THE CHILDREN REGULATION: Nutritional Needs. Food of a- quantity, variety and quality to meet the daily nutritional needs of the children shall be provided during whatever part of the 24 hour t!lay they are in the family day care home. EVIDENCE OF COMPLIANCE: Regular meals and snacks with no more than four hours between food services during the period from 6:00 a.m. to 9:00 p.m. Milk or full strength fruit or vegetable juice shall be served at least once a day. ood is provided by the facility, daily menus shall be plainly posted. 28 712 FAMILY DAY CARE HOMES SOUTH CAROLINA REGULATION: Drinking Water. The family day care home shall have safe &inking water readily accessible to children of all ages. 812: Waiver of Requirements Not specified 820. FOOD PREPARATION 82L Food Pre a on and Service Requirements SANITATION AND SAFETY PROVISIONS REGULATION: Food and Drink. All food and drink shall be prepared, served and stored so that sanitary cooking _methods_are_obser_venutrients retained and spoilage prevented. EVIDENCE OF COMPLIANCE: The operator shall provide refrigeration units and insulated facilities as needed to ossure the maintenance of all food at 450F .or below except during preparation and service. Utensils, such as forks, knives, tongs, spoons, scoops, shall be provided and used to minimize handling of food at all points where food is prepared. After each usage, tablewaregshall be thoroughly cleaned to sight and touch. After each usage, all kitchenware and food- contact surfaces used in the preparation, serving and storage of food, shall be thoroughly cleaned to sight and touch. 29713 FAMILY DAY CARE HOME SOUTH CAROLINA An approved two-compartment sink and a container of adequate length, width, and depth to.completely immerse all tableware for final sanitization shall be provided in facilities beginning operation after the effective date of these regulations. A one-compartment sink shall be approved in facilities operating prior to the effective date of these regulations, provided that a container shall be furnished of adequate length, width, and depth to completely immerse all tableware for final sanitization. Hot water sanitizing is discouraged due to a possible health hazard in using extremely hot water of 1700F. If a dishwashing machine is used, it shall meet the standards for sanitization required by the State Department of Health and Environmental Control. Facilities which do not have adequate and effective equipment for cleaning and sanitizing utensils shall use single service articles. Single service articles shall ,be used only once. Single service articles shall be stored in closed ----cartons_or_containers-which-protect-them-from-contamination Protection of Food and Food Supplies All food being stored, prepared or served shall be protected contamination. All perishable food-like fruits and vegetables shall be stored at such temperatures as will protect against spoilage. All raw fruits and vegetables shall be washed thoroughly before being cooked and served, to remove poisonous and toxic materials. Grade A pasteurized fluid milk and fluid milk products or pasteurized dry milk or evaporated mill( shall be served. Individual portions of food once served shall not be served again. 7j 30 FAMILY DAY CARE HOMES 900 SOCIAL ERVIC Not spec' 'ed 1000. PARENT PARTICIPATION Not specified 1100. INFANTS AND TODDLERS . . WO. PROGRAM OF ACTIVITIES THE CARE OF THE CHILDREN SOUTH CAROLINA, REGULATION: Infant-Toddler Care. The family day care home shall provide an environment which safeguards infants and toddlers from physical harm but is not so restrictive so as to inhibit physical, intellectual, emotional and social development EVIDENCE OF COMPLIANCE: The caregiver(s) shall provide frequent direct contact so that he children are not routinely:left in any situation for long periods of time. The caregiver(s) shall have frequent verbal communication with the children. The caregiver(s) shall hold the children while they are feeding or drinking, as long as they are unable to sit in a high chair, an infant seat, or at the table. The caregivers) shall feed infants individually and follow a recognized or prescribed formula, diet and developmental needs. The caregivers) shall offer ater to infants and toddlers at frequent intervals. FAMILY DAY CARE HOMES SOUTH CAROLINA The caregiver(s) shall provide the following types of equipment and space: Indoor area protected from general walkways, within the home, where crawling children can be on the floor at least part of the day to explore, Toys and materials which afford opportunities for tle, children to learn through seeing, feeling, hearinsmelling and tasting. Comfortable chairs to use when feeding, holding or aymg with the chilcken. Sleeping equipment including cribs for infants who have t yet begun to climb and low cots for the other Children. In a facility with limited space in which cribs and other bulky equipment would leave too little area for floor space, individual floor pads are adequate, provided that that the floors are clean, warm and free from drafts. 1120. HEALTH AND SAFETY REQUIREMENTS See 1110. Program of Activities 1130. INFANT NUTRITION SANITATION AND SAFETY PROVISIONS REGULATION: Food and Drink. All food and drink shall be prepared, served and stored so that sanitary cooking methods are observed, nutrients retained and spoilage prevented. 32 FAMILY EtAY CARE HO SOUTH CAROLINA EVIDENCE OF COMPLIANCE: In facilities offering care to infants, formula, juice and baby food served in a baby bottle shall be fully prepared and packaged (ready-to-feed) and identified for the appropriate child at the child's home and provided daily by the parent/guardian; or formula and juice served in a baby bottle shall be provided by the facility as a ready-to-feed, fully prepared and packaged sngle-use item; or formula and juice may be provided in a manner specifically approved by the local health authority. Any excess formula or juice shall be discarded after each feeding. Formula and juice which require refrigeration and baby food (after opening and re-covering) shall be identified for the approiate child and shalthe refrigerated at 450F or below. A 1200. CHILDREN WITH HANDICAPPING CONDITIONS 1210. PROGRAM OF AC'T'IVITIES Not specified 1220. HEALTH AND SAFETY REQUIREMENTS Not specified 1230. STAFFING Not specified 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACTIVITIES Not specified 1320. HEALTH AND SAFETY REQUIREMENTS Not specified FAMILY DLT CARE HOMES 1400. FACILITY REQUIREMENTS 1410. SPACE THE CARE OF THE CHILDREN SOUTH CAROLINA REGULATION: S_pace. A family day care home shall have sufficient indoor and outdoor ace for the activities of the children. EVIDENCE OF COMPLIANCE: The operator shall provide at feast 35 square feet of indoor space per child (exclusive of 'bathrooms and storage places). Halls may be counted as indoor space if approved by the appropriate fire official. r, The operator-shprOVide-atleast-7-5-square-feet-per child of outdoor space. Where., the outdoor space is not available at the facility, the operator may utilize parks or other outdoor play areas which are easily accessible. 1420.E LIGHTING, VENTILATIONLAND TEMPERATURE SANITATION AND SAFETY PROVLSIONS REGULATION: FliteilyitIand Grounds. The facility and grounds shall be situated, equipped and maintained as needed in order to safeguard the health of the users. All rooms shall be adequately lighted and ventilated. Lighting on the task shall never be less than 30 foot candles. Lighting and ventilation systems shall comply with the local and/or state building codes, whichever is more stringent. Windows d other similar openings shall be protected or otherwise remain cliosed. 34 FAMILY DAY CARE HOMES 1430. Ex:us Not specified 1440. TOILETS AND LAVATORIES SANITATION AND SAFETY PROVISIONS REGULATION Toilets and Lavatories. Sufficient toileting and lavatory facilities shall be provid EVIDENCE OF COMPLIANCE: One (1) flush toilet. One (1) lavatory. SOUTH CAROLDIA Safe step stools. shall be provided -to allow standard- sized- toilets and lavatories to be used Training equipment shall be available to children who need it Water under pressure, soap and single service towels shall be provided. Facilities caring for infants shall provide a surface with clean covering for each changing process. Feces shall be disposed of through the sewage system and soiled diapers placed in a plastic lined, covered, leakproof container, which shall be emptied and cleaned daily. 1500. OTHER STATE REQUIREMENTS COMPLIANCE WITH OTHER. LOCAL, STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 719 FA Y DAY CARE HOMES SOUTH CAROLINA 1520.- FLU SANITATION AND SAFETY PROVISIONS REGULATION: MinimumConstruction Standards. Each building used Eis a family child day care home shall meet the local minimum housing code and the fire prevention code for the applicable Class of residential construction. 1530, BUILDING See 1520. FIRE 1540. HEALTH Not specified 1550. SANITATION Not specified 1560. NEW COI CONSTRUCTION Not specified 36 FAMILY DAY CARE HOMES SOUTH DAKOTA Except where otherwise noted, all citations e from the Rules of the South Dakota Department of Social Services, Chapter 67:42:03, Day Care Homes, October, 1979. 100. STATE LICENSING OF CHILD DAY CARE FACILITIES 110. TYPES FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS Definitions 67:42:03:01 Definition of terms. "Family day-care" e -care-and -supervision- of the child= or-children by an unrelated provider as a supplement to regt.d parental care on a regular basis for part of a twenty-four hour period; "In-home care" - the care and supervision of a child or children by a related or unrelated provider in the child's or children's own home for part of a twenty -four hour period; and "Family day care in a relative's home" - the care and supervision of a child or children by a related provider in the relative's own home for a part of a twenty-four hour period. 112. Exclusions and Exemptions 367:42:03:03 Approval of in-home care and family day care in a relative's 'home. In-home care and family day, care in a relative's home must be approved by the department before payment may be made from state or federal funds. In-home care and family day care in a relative's home are exempt from all provisions of this chapter with the exception of §67:42:63:114, 67 :42:03:07, 67:42:03:13, and 67:42:03:15. In-home care and family day care in a relative's horne_ate also exempt from the provision of §67:42:03:05. 721 FAMILY DAY CARE HOMES SOUTH DAKOTA 113. MIS Care Compliance Not specified 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 121. Or nization of the Administrative Unit See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS 200. LICENSIN PROCESS AND ENFORCEMENT PROCEDURES I. CESS 211. Promulgation of Re gulatioro See DAY CARE CENTERS 212. Advisory Body and Other Commwity Participation See DAY CARE CENTERS 4 220. LICENSING PROCEDURE 221. Application and Issuance See DAY CARE CENTERS 222. Fee Charged _ See DAY CARE CENTERS 223. Areas of Investigation See DAY CARE CENTERS FAMILY DAY CARE HOMES SOUTH DAKOTA 224 License Renewal See DAY CARE CENTERS 225. Conditional/Provisional Licen See DAY CARE CENTERS 226. Substantial Compliance Not specified 230. ENFORCEMENT PROCEDURES 231. Facility peticrs' See DAY CARE CENTERS 232. Denial, S e on of a License See DAY CARE CENtERS 233. Remedies and Sanctions See DAY CARE CENTERS 233.1 Hearings See DAY CARE CENTERS 233.2 Decisions See DAY CARE CENTERS 33.3 Judicial Review See DAY CARE CENSERS FAMILY DAY CARE IMES SOUTH DAKOTA ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Administiative Re uireinents 567:42:03:09 Reporting and maintenance of records. Reporting and maintenance of records by the provider shall be subject to the provisions of S67:42:01:21. In addition, written permission -from parents -allowing for the child's medical care, field trips, publicity, travel and special diets shall be obtained and maintained by the provider. See also DAY, CARE CENTERS in) 312. Telephone Not specified 313. Proof of Operator Financial Ca bilitiem Not specified 314. Insurance Not specified 320. PERSONNEL 321. Publication of Per onnel Pal Not specified 322. Constraints Against_ E mployment Not specified 330 . NON-DISCRIMINATION 331. Requirements Prohibiting Discrimination See DAY CARE CENTERS 4 FAMILY DAY RE HOMES SOUTH DAKOTA 340. RECORDS REQUIREMENTS 341. Children See 712. Health Assessments 342. Staff See 512. Health 343. Child Eligibility and_EnreilmentReivirements Not specified 344. Child Abuse Repo Not specified 345. Confidentiall_ of Records Re u*_-ements See DAY CARE CENTERS 400. GROUP COMPOSITIONS OF CHILDREN 410. STAFF/CHILD RATIO REQUIREMENTS 41L Staff/Child Ratiojaa of March, 1981 §67 :42 :03:04:01 Adult-child ratio. Those family day-care providers receiving state or federal funds shall maintain a an adult-child ratio no lower than one adult to four children zero to three years of age and no lower than one adult to six children for children three to fourteen years of age. 567:42:03:15 Presence of the provider. The provider shall be present in a family day care home whenever a child in care is present. Tihe provider may arrange for a substitute provider. When a substitute provider is to be used, the child's parent must d notified. - FAMILY DAY CARE TOMES SOUTH DAKOTA 412. Methods of Co rn ._tin4 staff /Child Ratios See 411. Staff /Child Ratio as of March, 1981 420. GROUP SIZE 421. Group Size as of March, 1981 See 411. Staff/Child Ratio as of March, 1981 422. Methods of Corn roup Size See 411. Staff/Child Ratio as of March, 1981 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. ilgE , See 521. Age 512. Health See 522. Health 513. Education See 523,-Zducation 514. Experience See 524. Experience 520. PROGRAM DIRECTOR QUALIFICATIONS 521. Age §67:42:03:07 Age and family composition. The family day care applicant shall be tit least eighteen years old. The age of the applicant shall be considered in relation to his physical energy, 6 72 G FAMILY DAY CARE IGMES SOUTH DAKOTA flexibility, and ability to care for a child. The applicant's family composition and relationships must not adversely affect a child in care. See also DAY CARE CENTERS 522. Health See DAY CARE CENTERS 523. Education See DAY CARE CENTERS 524. Experience a 567:42:03:06 Criteria for family day care provider. In addition to the criteria of 567:42:01:06, a family day care provider shall have personal characteristics and relationships which make it possible for him to undertake and perform the responsibilities necessary to care for Children. See also DAY CARE CENTERS 530. SUPPORT STAFF QUALIFICATIONS Not specified 540. POST E-IPLOYMENTAN-SERVICE: ORIENTATION AND TRAINING 54L Pro am Direc Not specified F 542. Child Caregiver Staff Not specified 543. Support Staff Not specified FAMILY DAY CARE HOMES SOUTH DAKOTA A00. PROGRAM OF ACTIVITIES, INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities S67:42:03:14 Program standards for family day care. A provider shall conduct a program in a family day care home which provides experiences that promote the child's physical, emotional, social and intellectual growth and well-being. The program shall include both active and passive learning experiences which encourage skill development, social competence, self-esteem and positive self- identity. 612. Program Equipment and Ma erials Not specified 613. Nap Provision Not specified 614. Discipline and Guidance Not specified 700.- HEALTH AND SAFETY 710. HEALTH 711. General Health Requirements Not specified 712. Assessments 567 :42:03:08 Physical health standards for family day care children. f(The day care provider shall request from the child's parent or guardian a written statement by a duly licensed physician or physician's assistant 8 725 FAMILY DAY CARE HOMES SOU DAKOTA indicating that the child in day care is generally in good health and is free from communicable diseases. A written statement indicating that the child is free from, or is in control of, tuberculosis and has been immunized for rubella, mumps, whooping cough, diphtheria, tetanus, and polio shall also be requested. Medication shall only be given to a child upon written parental consent. All medications shall be kept in a place inaccessible to children. A daily health observation must be made of each child-in day care. If a child suffers an illness requiring isolation, proper notification shall be given to the parents. If a communicable disease is evident, parents of the children in day care shall be notified of the exposure. 713. Immunizations See 712. Health Assessments 714. Sanitation 567:42:03:12 Sanitation requirements. Good housekeeping habits shall be practiced. Baths, bowls, and basins shall be maintained in a clean and sanitary condition. Garbage, refuse and waste shall be handled and disposed of in a safe and sanitary manner. Sewage shall be disposed of by means of a public sewage disposal system, or a septic syStem, so as not to constitute a source of contamination of food equipment, utensils, or otherwise create an unsanitary condition or nuisance. 715. Daily Illness Screening Not specified 716. Care of Sick Children See 712. Health Assessments 717. Medication and Soecial Diet Provisions See 712. Health Assessments 9 FAMMY DAY CARE HOMES 718. Waiver of Health _Requirements Not specified 720. SAFETY 721. General Safety Requirements See 1410. SPACE 722. Fire Safety Requirements Not specified 723. Transportation Not specified 724. Safety Ruirements for Equipment Not specified 725. Not specified er Activit Including Swimming/ 726. Emeroncy Procedures Not specified 727. Supplies Not specified I 810. NUTRITION SOUTH DAKOTA 800. NUTRITION AND FOOD SERVICE 811. Nutritional Requirements S67:42:03:13 Nutrition requirements. If a child remains in family day care for more than four hours, a warm nutritious meal shall be served which supplements at least one-third 73u 10 FAMILY DAY CARE HOMES SOUTH DAKOTA of the child's daily nutritional needs. Midmorning and midafternoon snacks are also required to be served. 812. Waiver of Requirements of specified 820. FOOD PREPARATION 821. Food Pre _ and Service Re -uiremen s Not specified Not specified Not specified 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVilitS Not specified 1120. HEALTH AND SAFETY REQUIREMENTS Not specified 1130. INFANT NUTRITION Not specified FAMILY DAY CARE HOMES SOUTH DAKOTA 1200. CH]LDREN WITH HANDICAPPIN 1210. PROGRAM OF ACTIVITIES Not specified 1220. HEALTH AND SAFETY REQUIREMENTS Not specified 1230. STAFFING Not specified CONDITIONS 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACTIVITIES Not specifl 1320. HEALTH AND SAFETY RE UIREMEN Not specified 1400. FACILITY REQUIREMENTS 1410. SPACE S57:42:03:10 Location of family day care home. A family day care home must have access to medical, community facilities. ec eational and other §67:42:03:11 Physical requirements of family da care home. There shall be no hazard to the day care child concerning fire, sanitation, sewage disposal, water supply, milk supply, or food preservation. Physical accommodation% must afford a degree of comfort sufficient to ensure the family's self-respect and its well being in the community, where it is situated. A family day care home shall be so constructed, arranged, equipped, maintained and operated as to a ?id undue danger to the lives and safety of its 12 32 FAMILY DAY CARE HOMES SOUTH DAKOTA occupants from fire, smoke, fumes or resulting panic during the period of time reasonably necessary for escape from the structure in case of fire or other emergency. Two convenient edits, one of which may include a window, shall be available in a family day care home. All space occupied by persons and approaches shall have approved artificial lighting at a satisfactory level for general safety. The water supply shall derive from a pubLit water system or one approved by the department of health. The water volume shall be sufficient to meet the needs of the home. The hot water system shall be capable of supplying the home with water at proper temperatures. The heating plant shall be capable of maintaining a comfortable temperature throughout the home. Each home shall have on file with the department an authorized safety check list indicating safety requirements have been met. 1420 LIGHTING VENTILATION AND TEMPERATURE See 1210. SPACE 1430. Exrrs See 1210. SPACE 1440. TOILETS AND LAVATORMS Not specified 1500. OTHER STATE REQUIREMENTS COMPLIANCE WITH OTHER LOc4 L STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 1520. FIRE Not specified 1530. BUILDING Not speci_ 13 .FAMILY DAY CARE POMES 1540. Not specified ALTH 1550. SANITATION- Not specified 1560. NEW CC ON Not specified 14 SOUTH DAKOTA FAMILY DAY CARE HOMES TENNESSEE Except where otherwise noted, all citations are from the Tennessee Department of Human Services, Standards for Group and Fame il Day Care Homes, July, 1978. Standards indicated in all caps are required and must be met before an annual license is issued or the agency must demonstrate good intentions of meeting them before a temporary license can be issued; Value points received from meeting the recommended standards (indicated in regular type) counted in determining whether the agency receives a Grade A, B, or C license. a hundred (100) is the maximun number of points available. An agency receiving 85°100 points will receive a Grade license; 65 through 84 points, a Gr ense; less than 65 points, a Grade C license. 100. STATE LICENSING OF CHILD DAY CARE FACILITIES 110. TYPES OF FACMITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS Defini o- TENN. CODE ANN. §14-10-101 Definitions. As used in this chapter "child welfare agency" shall include "child-caring institution," "child- placing agency," "maternity home," "family boarding home," "group care home," "family day-care home," "group day-care home," and "day-care center." "Family day-care home" shall mean the home operated by any person who receives therein for pay five (5) or more children under seventeen (17) years of age, who are not related to such person and whose parents or guardians are not residents in the same house, less than twenty-four (24) hours per day for care, without transfer of custody. FAMILY DAY CARE HOMES TENNESSEE 112. Exclusi s and Exemptions See DAY CARE CENTERS (Preschool Children) 113. HHS _Day Care Compliance Not specified 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit Se DAY CARE CENTERS (Preschool Children) 122. Respnsible Official See DAY CARE CENTERS (Preschool Children) 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. Licensin: Process 211. Prom ation of Regulations See DAY CARE CENTERS (Preschool Children) 212. Advisory and Other Community rficiad= See DAY CARE CENTERS (Preschool Children) 220. LICENSING PROCEDURE 221. Application and Issuance See DAY CARE CENTERS (Preschool Children) 2 FAMILY DAY CARE' HOMES 222. Fee Charged See DAY CARE CENTERS (Preschool Children) 223. Areas of Investi4ation See DAY CARE CENTERS (Preschool Children) 224. License Renewal See DAY CARE CENTERS (Preschool Chil ) 225. Conditional/Provisional Licenses See DAY CARE CENTERS (Preschool Children) 226. Substantial Compliance See DAY CARE CENTERS (Preschool Children) 230. ENFORCEMENT PROCEDURES 231." Facility Inspections See DAY CARE CENTERS (Preschool Children) 232. Deni == Suspension, Revocation of a License See DAY CARE CENTERS (Preschool Children) 233. Remedies and Sanctions 233.1 Hearings See DAY CARE CENTERS (Preschool Children) 7 3 " TENNESSEE FAMILY DAY CARE HOMES TENNESSEE 233.2 Decisions See DAY CARE CENTERS (Preschool Chiltken) 233.3 Judicial Review See DAY.CARE CENTERS (Preschool Children) 300. ADMINISTRATION 310. GENERAL ADMINISTPATION 311. General Administrative Re uirements I Administration - Statement of Purpose. THE APPLICANT FOR A LICENSE MUST COMPLETE IN THE PRESENCE OF THE LICENSING COUNSELOR THE "STATEMENT OF PURPOSE." THE MOST RECENT FIRE SAFETY AND ENVIRONMENTAL REPORTS MUST BE ON FILE FOR A GROUP DAY CARE HOME AND AVAILABLE TO THE LICENSING COUNSELOR. AN UP-TO-DATE LICENSE TO OPERATE A GROUP OR FAMILY DAY CARE. HOME MUST BE PLACED WHERE ANYONE ENTERING THE HOME WILL BE ABLE TO SEE 11'. 312. Telephone VII Physical Facilities - General Requirements. THERE MUST BE A TELEPHONE IN WORKING ORDER IN THE HOME FOR USE IN EMERGENCIES AND OTHER COMMUNICATIONS. 4 FAMILY DAY CARE HOMES TENNESSEE THESE TELEPHONE NUMBERS MUST BE POSTED NEAR THE TELEPHONE: FIRE DEPARTMENT, POLICE DEPARTMENT, HOSPITAL, AND NUMBER WHERE PARENTS CAN BE REACHED. RESCUE SQUAD, AMBULANCE AND POISON CONTROL CENTER TELEPHONE NUMBERS MUST ALSO BE POSTED E AVAILABLE IN THE COMMUNITY. 313. Proof of Operator Financial Ca abilities Not specified 314. Insurance VII Physical Facilities - General Requirements. The operator should carry liability insurance covering both children and adults in case of accident.(3 POINTS) 320. PERSONNEL 321. Publication of Personnel Policies Not specified 322. Constraints Against Employment Not specified 330. NON-DISCRIMINATION 33L Requirements Prohibiting Discrimination Not specified 340. RECORDS REQUIREMENTS 341. Children I Administration - Records. THESE RECORDS MUST BE KEPT AND MUST BE AVAILABLE TO THE LICENSING COUNSELOR: 5 FAMILY DA CARE 'HOMES TENNESSEE CHILDREN'S HEALTH RECORDS MUST BE ON FILE. DAILY ATTENDANCE RECORDS. AN,APPLICATION FORM MUST BE KEPT FOR EACH CHILD LISTING: NAME, DATE OF BIRTH, NAME OF PARENT(i) OR GUARDIAN(S), HOME ADDRESS, BUSINESS ADDRESS AND TELEPHONE, WORK HOURS, CHILD'S BACKGROUND INFORMATION, TRANSPORTATION PLAN, AND THE NAMES OF PERSONS ALLOWED. TO PICK THE CHILD UP EMERGENCY INFORMATION FOR EACH CHILD LISTING: THE NAME, ADDRESS AND TELEPHONE NUMBER OF TIE PERSON PARENTS WISH TO BE CALLED IF THEY CANNOT BE REACHED IN AN EMERGENCY; THE NAME, ADDRESS AND TELEPHONE NUMBER OF A DOCTOR TO CALL IN AN EMERGENCY; WRITTEN PERMISSION OF PARENT (OR GUARDIAN) AUTHORIZING EMERGENCY MEDICAL CARE. THIS INFORMATION MUST BE KEPT WHERE IT CAN BE FOUND QUICKLY IN AN EMERGENCY. A record of how each child is growing- and learning should be kept; The record should have notes on how the child acts, what his/her speech is like, how he/she feels about self and others, how he/she use' his/her body, and the way ,he/she learns. The record may be written out or a checklist may be used. This can be provided by the Department. Notes should be dated when they are made. Records are to help the child care provider and' are not report cards for parents. 342. Staff I Administration - Records. HERE MUST BE A RECORD ON ALL STAFF MEMBER g WHICH I1STS - DUCATION, TRAINING AND EXPERIENCE, .AID HEALTH RECORD _. AVAILABLE TO THE LICENSING COUNSELOR: 6 FAMILY DAY CARE HOMES TENNESSEE 343. Child E id Enrollm ente . uirem en I Administration - Enrollment Policy. CHILDREN MUST BE AT LEAST 6 -WEED OLD BEFORE ENTERING DAY CARE.- Parent and child together should visit the day care home for a short time to see the home and to meet the child care provider and the other children. Other visits as needed should be made so that the child feels comfortable in the day care home. (1 POINT) A policy statement form signed by both the child e provider and the parent, should be given to the parent. (1 POINT) 344. Child Abuse Reportin Not specified 345. Confidentiality of Records Requirements Not specified 400. GROUP COMPOSITIONS OF CHILDREN 410. STAFF/CHILD RATIO R9:1JIFIEMEN'IS 411. Child Ratio as of ,1981 11 Staff - Adult-Child Ratio and Supervision. THERE MUST BE AN ADULT STAFF PERSON (AT LEAST 18 YEARS OLD) PRESENT AT ALL TIMES. A PERSON UNDER 18 MAY WORK WITH THE CHILDREN ONLY IF AN ADULT STAFF PERSON IS PRESENT. FAMILY DAY CARE HOMES TENNESSEE -Group Day Care Home (8-12 Children). THERE MUST BE NO MORE THAN 12 CHILDREN IN A GROUP DAY CARE HOME WHO ARE NOT RELATED TO THE PROVIDER. IF MORE THAN 12 CHILDREN 2V'E IN THE HOME, INCLUDING THE CHILD CAE PROVIDER'S OWN Ch- IREN, A SECOND ADULT MUST BE PRESENT: IF ANY CHILD UNDER 3 YEARS OLD OR ANY SEVERELY HANDICAPPED CHILD, INCLUDING THE PROVIDER'S OWN CHILDREN, IS IN A GROUP DAY CARE HOME, A SECOND ADULT MUST BE PRESENT WHILE THAT CHILD (OR CHILDREN) IS PRESENT. IF GROUP DAY CARE HOME ENROLLMENT DROPS TO 7 CHILDREN OR BELOW, THE FAMILY DAY CARE HOME RATIOS MUST BE MET. IF SITUATIONS #2 AND 2 BOTH EXIST, A THIRD ADULT MUST BE PRESENT. Family Day Care Home (5-7 Children). THERE MUST BE NO MORE THAN 7 CHILDREN N A FAMILY DAY CARE HOME WHO ARE NOT RELATED TO THE PROVIDER. IF MORE THAN 7 CHLLDREN ARE IN THE HOME, INCLUDING THE CHILD CARE PROVIDER'S OWN CHILDREN, A SECOND ADULT' MUST BE PRESENT. IF MORE THAN 4 CHILDREN UNDER 2 YEARS OLD, INCLUDING THE CHILD CARE PROVIDER'S OWN CHILDREN, ARE ENROLLED IN A FAMILY DAY CARE HOME, THERE MUST BE A SECOND ADULT PRESENT. IF SITUATIONS #2 AND #3 BOTH EXIST, A THIRD ADULT MUST BE -P RESENT. 412. Methods of Computing Staff/Child Ratios See 411. Staff/Child Ratio as of March, 1981 8 FAN= DAY CARE HOMES 420. GROUP SIZE 421. Group Size as of March, 1981 See 411. Staff/Child Ratio as of March 19 81 422. Methods of Computing Group Size See 411. Staff/Child Ratio as of Marcht1981 TENNESSEE 500. STAFF QUALIFICATIONS AND TRAINING' REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 5R. As! II Staff - Qualifications of Adult Helpers. HELPERS MUST BE AT LEAST 18 YEARS OF AGE IN ORDER TO BE COUNTED IN THE ADULT CHILD RATIO. 512. Health Health - Staff Health Requirements. CHILDREN MUST BE AT LEAST 6 WEEKS OLD BEFORE ENTERING DAY CARE. ALL STAFF MEMBERS MUST HAVE ON FILE BEFORE BEGINNING TO WORK WRITTEN EVIDENCE OF A PHYSICAL EXAMINATION AND A STATEMENT THAT THEM GENERAL PHYSICAL CONDITION WILL PERMIT THEM TO DIRECT AND ACTIVELY PARTICIPATE IN THE ACTIVITIES OF A GROUP OF CHILDREN. THIS MUST BE SIGNED BY A PHYSICIAN OR A HEALTH AGENCY. AN UPDATED STATEMENT OF THE CHILD CARE PROVIDER'S HEALTH CAN BE REQUESTED AT THE DISCRETION OF THE DEPARTMENT WHEN DEEMED NECESSARY. FAMILY DAY CARE HOMES TENNESSEE EACH STAFF MEMBER MUST PRESENT WRITTEN EVIDENCE OF A YEARLY TUBERCULIN SKIN TEST OR CHEST X-RAY WITH NEGATIVE RESULTS. ADULT FAMILY MEMBERS WHO ARE IN CONTACT WITH THE CHILDREN AS OFTEN AS ONCE A_ WEEK MUST HAVE A YEARLY TUBERCULIN SKIN TEST OR CHEST X-RAY WITH NEGATIVE RESULTS. All child care providers and their helpers should have a complete physical examination annually. (2 POINTS) 513. Education II Staff - Qualifications of Adult Helpers. Helpers should have a high school diploma or a G.E.D. (1 POINT) 514. Experience Not specified 520. PROGRAM.DIRECTOR QUALIFICATIONS 521. lAgs_ II Staff - Qualification of the Child Care Providers. THE CHILD CARE PROVIDER MUST BE AT LEAST 18 YEARS OLD. The child care provider should be at least 21 years old. (I POINT) 522. Health See 512. Health 10 FAMILY DAY CARE HOMES TENNESSEE 523. Education Staff - Qualification of the Child Care Providers. The child care provider should hive a high school diploma or a G.E.D. (1 POINT) 524. E erience U Staff - Qualifications of the ChildrCare Providers. THE CHILD CARE PROVIDER MUST BE ABLE TO READ AND WRITE. THE CHILD CARE PROVIDER MUST BE ABLE TO EXPLAIN THE PROCEDURES TO FOLLOW IN CASE OF FIRE OR SERIOUS ACCIDENT OR ILLNESS OF A CHILD OR STAFF MEMBERS. PLANS MUST BE MADE FOR A SECOND ADULT TO HELP IN AN EMERGENCY. RECOMMENDATIONS FROM AT LEAST THREE REFERENCES MUST BE PROVIDED IN WRITING. 530. SUPPORT STAFF QUALIFICATIONS Not specified 540. POST E PLOY EN N-SERVICE: ORIENTATION AND TRAINING 541. Program Diilec or H Staff - Qualifications of the Child Care Providers. The child care provider should have attended at least four hours of meetings or workshops on child development during the year. (2 POINTS) FAMILY DAY CARE HOMES TENNESSEE The child care provider should have passed at least one course on child development during the year. (1 POINT) The child care provider should have completed a minimum first-aid course, a Red Cross first-aid course, or a workshop or training course on first-aid procedures within the previous three years. (2 PINTS) 542. Child_Caregiver Staff II Staff - Qualifications of the Child Care Providers. Helpers should attend at least one 2-hour workshop on child develgrnent during the year. (1 POINT) 543. Support Staff Not specified 600. PROGRAM OF ACTIVIES INCLUDING EDUCATION 610. PROGRAM REQU -E ENTS 611. Program of Activities II Program - Phyateal Care - Toilet Training. TOILET TRAINING MUST NEVER BE STARTED UNTIL A CHILD HAS BEEN IN THE DAY CARE HOME LONG ENOUGH TO FEEL COMFORTABLE, TOILET TRAINING MUST NOT BE STARTED UNTIL A CHILD IS ABLE TO UNDERSTAND, TO DO WHAT IS ASKED OF HIM/HER AND TO LET HIS/HER NEED TO USE THE BATHROOM BE KNOWN. 12 FAMILY DAY CARE HOMES TENNESSEE CHILDREN MUST NOT RE MADE TO SIT ON THE POTTY FOR MORE THAN FIVE MINUTES. dTIMDREN MUST BE DIAPERED OR CLEANED WHEN NEEDED. EXCEPT WHEN THE WEATHER IS EXTREMELY BAD, THERE MUST BE A CHANCE FOR OUTDOOR PLAY EACH DAY FOR CHILDREN OF ALL AGES, INCLUDING INFANTS AND TODDLERS. ACTIVITIES MUST BE PLANNED SO THAT THINGS' HAPPEN AT ABOUT THE SAME TIME EACH DAY TO GIVE SECURITY TO THE CHILD. CHILDREN MUST BE GIVEN SOME CHOICES IN PLAY ACTIVITIES. OTHER PLAY ACTIVITIES WILL BE PLANNED BY THE CHILD CARE PROVIDER. There should be a home-like feeling. Children should not be kept in one room all day. (2 POINTS) Things should move slowly, so no child feels hurried. (1 POINT) Except for meal time and nap time, all children should not m do the same thing at the same time. 3 POINTS) If children under age one are in care, their individual eating. and sleeping schedules should be respected and followed. (2 POINTS) Stories, singing with children, listening and talking with children should be done daily. (4 POINTS) FAMILY DAY CARE HOMES TENNESSEE Children should be encouraged daily to express heir feelings and ideas through music, painling, pasting, cutting, blocks, or in other ways. (4 POINTS) 612, Program Equipment III Equipment for Children - General. There should be child-sized tables and chairs. (2 POINTS) THERE MUS EQUIPMENT FOR ACTIVE AND QUIET PLAT THAT IS SUITABLE FOR THE CHILDREN'S AGES AND riNTERESTS, AND FOR CHILDREN WITH SPECIAL NEEDS, THERE MUST BE ENOUGH PLAY EQUIPMENT SO THAT EACH CHILD CAN TAKE PART I'M MANY KINDS OF PLAY EACH DAY. PLAY EQUIPMENT MUST BE PLACED IN SUCH A WAY THAT CHILDREN CAN GET IT AND RETURN IT WHEN NEEDED, SO THAT THEY CAN GROW IN INDEPENDENCE. There should be play things for make believe every day. (2 POINTS) Art material should be available. (2 POINTS) There should be at least twie many book. s as there are Zbildren. They should be ingood shape, right for the ages of the children and placed where they can choose their own. (2 POINTS) There should be music equipment. (2 POINTS) There should be enough quiet toys and games such as puzzles or beads or pegs to be used every day. (2 POINTS) 14 FAMILY DAY CARE HOMES TENNESSEE Toys should be stored in an orderly way. 'or example: all blocks should be stored together. (2 POINTS) THERE MUST BE ENOUGH PLAY EQUIPMENT SO THAT EACH CHILD CAN TAKE PART IN MANY KINDS OF PLAY EACH DAY. There should be something to climb. (2 POINTS) Provisions should be made for sand _play. (2 POINTS)) Provis be made for water play. (2 POINTS) J There iouid be child-size wheel toys. (2 POINTS) There should be equipment for make believe. (2 POINTS) There should be b s of different sizes. (1 POINT) 613. Nap Provision. IV Program - Physical Care - Naps. THE PRESCHOOL CHILD MUST HAVE A' REST PERIOD, ACCORDING TO HIS NEEDS. IF PRESCHOOL CHILDREN ARE PRESENT AS LONG AS 6 HOURS, NAPS OR A REST PERIOD LYING DOWN ARE REQUIRED. EACH CHILD UNDER 15 MONTHS OLD AND ANY CHILD UNABLE TO WALK MUST HAVE HIS /HER OWN CRIB. EACH CHILD 15 MONTHS (AND ABLE TO WALK) THROUGH 5 YEARS MUST HAVE HIS/HER OWN COT, BED, OR FOAM PAD AVAILABLE. FAMILY DAY CARE HOMES TENNESSEE IF COTS, CRIBS, OR MATS ARE USED, THEY MUST E TWO FEET APART. EACH CO- CRIB, MAT, OR FAMILY BED MUST HAVE A CLEAN SHEET AND COVERLET. A CHILD MUST NOT BE LEFT IN A CRIB OR ON A COT FOR A VERY LONG TIME AFTER HE/SHE HAS RESTED. Rocking, back rubbing, or other soothing acts should be used to help children prepare for rest. (1--POINT) The house should be quiet at nap time. (2, I- Lighting should be dimmed. (1 POINT) Children who wish should have a favorite toy or special thing to cuddle at nap. (1 POINT) Children should be given the security of being able to sleep in the same place and on the same cot, crib, mat, or bed every day. (1 POINT) 614. Disci -line and Guidance Program - Discipline. DISCIPLINE MUST BE REASONABLE AND IN : TERMS OF THE CHMDTS UNDERSTANDINGS PUNISHMENT WHICH IS SHAMING, HUMILIATING, FRIGHTENING, OR INJURIOUS TO CHILDREN MUST NOT BE USED. PARENTS AND CHILD CARE PROVIDER SHOULD AGREE ON DISCIPLINE WHENEVER POSSIBLE. IF THIS INCLUDES SPANKING, THE PARENT MUST GIVE WRITTEN PERMISSION BEFOREHAND. FAMILY DAY CARE HOMES TENNESSEE Praise and encouragement of good behavior should be only unacceptable behavior. (2 POINTS) Spanking should not be used. (2 POINTS) 700. HEALTH AND SAFETX 710. HEALTH 711. General Health Requirements Not specified 712. Health Assessments sed instead of noticing 1V Health - Child's Health Requirements., A yearly microhematocrit or hemoglobin determination should be done on all children in day care by a physician or local health department. This will show if the child is anemic or not. (1 POINT) All children should have physical examinations on the following schedule: birth to six months every two months; six months to-one year every three months; one year to two years every six months; two years to six years every twelve months; six years and older every three years. (2 POINTS) 713. Immunizations IV Health - Child's Health Requirements. BEFORE A CHILD IS ACCEPTED FOR. CARE, THE CHILD MUST HAVE BEEN TESTED FOR TUBERCULOSIS (TB) AND IMMUNIZED AGAINST THESE DISEASES: DIPHTHERIA, TETANUS, POLIO, MEASLES, RUBELLA, AND PERTETSSIS AS EVIDENCED BY HAVING A HEALTH FORM SIGNED BY THE PHYSIbIAN OR HEALTH DEPARTMENT. 17 5 FAMILY DAY CARE HOMES TENNESSEE A STATEMENT SIGNED OR STAMPED BY A LICENSED PHYSICIAN OR HEALTH CLINIC IS ACCEPTABLE IF IT SAYS THE IMMUNIZAnONS HAVE BEGUN. IF IMMUNIZATIONS ARE NOT CONTINUED BY THE PARENT, AS RECOMMENDED BY CHILD HEALTH STANDARDS ADOPTED BY THE TENNESSEE DEPARTMENT OF PUBLIC HEALTH OR IMMUNIZATION PRACTICES OF THE ACADEMY OF PEDIATRICS, THE CHILD WILL NOT BE ALLOWED TO REMAIN IN DAY CARE. A COPY OF EACH CHILD'S IMMUNIZATION RECORD, WITH DATES AND THE RESULTS OF THE TB TEST MUST BE GIVEN TO THE CHILD CARE PROVIDER. THESE SHALL BE RETURNED TO THE PARENT UPON REQUEST WHEN T1{E CHILD LEAVES THE DAY CARE HOME. THESE RULES MUST BE FOLLOWED FOR THE CHILD CARE PROVIDER'S OWN CHILDREN IF THEY ARE PRESCHOOL AGE LIVING IN THE F LY HOME. 714. Sanitation Not specified 715. Daily Illness_Screening Not specified 716. Care of Sick Children Not specified 717. Medication and Special Diet Provisions Not specified 718. Waiver of Health Rec uirements Not specified 720. SAFETY 721. General Safety Requirements Not specified 18 FAMILY DAY CARE HOMES 722. Fire Safer Requirements See 726. Emergency Procedures 723. Transportation I Administration = Trarsportation. TENNESSEE WHEN TRANSPORTATION IS PROVIDED, THE DRIVER MUST BE LICENSED AND THE VEHICLE PROPERLY INSURED. CHILDREN MUST NOT BE LEFT ALONE IN A VEHICLE. PLANS FOR EMERGENCY TRANSPORTATION MUST BE MADE IN ALL HOMES, 724. Safer Requirements Tor Equipment III Equipment for Children - General. ALL EQUIPMENT MUST BE WELL MADE AND SAFE. THERE MUST BE NO SHARP EDGES, SPLINTERS, OR NAILS STICKING OUT. UNSAFE EQUIPMENT MUST BE REPAIRED OR REMOVED FROM THE DAY CARE HOME AT ONCE. PAINTS ON TOYS AND ALL EQUIPMENT USED BY CHMDR.EN MUST BE NON-TOXIC. CLIMBERS, SWINGS AND OTHER LARGE EQUIPMENT MUST BE SECURELY ANCHORED. EQUIPMENT MUST BE PLACED TO AVOID ACCIDENTS: FOR EXAMPLE, SWINGS MUST BE PLACED OUT OF TRAFFIC PATHS. IF THERE ARE CLIMBERS OR SWINGS, THEY MUST NOT BE PLACED OVER CONCRETE OR ASPHALT. 725. Water Activities (Including Swimming). Not specified 75 19 FAMILY DAY CARE HOMES TENNESSEE 726. Emergency VII Physical Facilities s General Requirements. FIRE DRILLS MUST BE CONDUCTED MONTHLY. 727. First Aid Supplies V Health -Child's Health Requirements. The first-Aid chart, "When the Unexpected Tinge available from t Tennessee Department of Human Services, should be posted, and the child care provider should be familiar with its contents. (1 POINT) 800. NUTRITION AND FOOD SERVICE 810. NUTRITION 81L Nutritional Requirements VI Food - Nutritional Needs. FOR CHILDREN IN THE HOME AT LEAST FOUR HOURS, ONE SNACK MUST BE PROVIDED, UNLESS THE FOUR-HOUR PERIOD COVERS A NORMAL MEAL.HOUR, IN WHICH CASE A MEAL MUST BE PROVIDED. FOR CHILDREN IN THE HOME FT's' TO TEN HOURS, ONE MEAL' AND ONE OR TWO SNACKS MUST BE PRN-1- ED, TWO SNACKS IF THE PERIOD IS AS MUCH AS SEVEN HOURS. FOR 'DOSE IN THE HOME LONGER THAN TEN HOURS, TWO MEALS AND TWO SNACKS MUST BE FURNISHED. DIETS OF ENFANTS AND OTHER SPECIAL DIETS MUST BE PREPARED AS PRESCRIBED BY THE PHYSICIAN. 20 FAMILY DAY CARE HOMES TENNESSEE BREAKFAST MUST BE OFFERED TO CHILDREN WHO ARRIVE BEFORE 7:00 A.M. AND WHO HAVE NOT HAD BREAKFAST AT HOME. THE WEEK'S MENUS MUST BE PLANNED AND POSTED BY THE FIRST DAY OF EACH WEEK SO THAT PARENTS CAN KNOW THE FOOD THEIR CHILDREN ARE RECEIVING. THESE MENUS MUST BE FOLLOWED, ALTHOUGH REASONABLE SUBSTITUTIONS ARE PERMISSIBLE IF THE UBSTITUTED FOOD CONTAINS THE SAME NUTRIENTS. Meals or snacks should include a Vitamin C food each day, a Vitamin A food three times or more a week, and foods rich in iron at least once per day. (3 POINTS) The folio ng meal ttern should. be used as a guide for breakfast: /3 to p fruit or.-full- strength fruit or vegetable juice (may be served as morning snack) 1/4 to 1/2 cup whole grain or enriched or fortified cereal (cooked or prepared) and/or one egg. 3/4 to I cup (8 oz.) milk, part to drink and part on cereal. : 1/2 to 1 slice enriched or whole wheat. toast or equivalent (may be served as morning snack). (3 POINTS) The following meal pattern should be used as a guide for the noon meal: 3/4 to 1 cup (8 oz.) milk. to 2 °tinges (edible portion) of or egg or cheese (dried beans or peanut butter not more than once a week as a substitute). Fruits and vegetables amounting to 1/2 cup or more combined. 1/2 to 1 slice enriched or whole grain bread or equivalent. Butter or fortified margarine. 21 FAMILY DAY CARE HOMES TENNESSEE Additional foods to complete the meal, such as other vegetables or rice, macaroni or spaghetti, simple desserts such as fruit, puddings or custard. (4 POINTS) Snacks provided Should be simple and nourishing and planned as a part of the day's food allowances.- Carbonated drinks, fruit ades, synthetic fruit-flavored (kinks, and candy should not be served as snack foods. Real juice will be labeled "juice." Food patterns' for snacks: Moroin 1/2 cup fruit or vegetable, or ull-strength fruit or vegetable juice, or milk., Bread product (made_from enriched flour or meal.) .Afternoon 1/2 cup fruit or vegetable, or fulstrength fruit or vegetable juice, or milk. Bread product (glade from enriched flour or meal.) (2 POINTS)- At least one full-time staff member should have completed a minimum nutrition course or workshop at least every 5 years. (2 POINTS) A 4-week cycle menu should be prepared and used. (2 POINTS) The c4ovider should have a copy of "Food Service for Child Care Centers" and be familiar with it. This booklet is furnished by the Department of Public Health and the Department of Human Services. If infants are cared for, the provider should have and use "Food for Infants" which is available from the Department of Public Health. (1 POINT) 22 FAMILY DAY CARE HOMES TENNESSEE 812. 'Waiver of Requirements Not specified 820. FOOD PREPARATION 821. Food Pre _ration and Service Requirements VI Food Meal Service, THE CHILD MUST BE HELD WHILE HE/SHE IS FED AS LONG AS HE/SHE IS UNABLE TO SIT IN A HIGH CHAIR OR AT THE TABLE. BOTTLES MUST NEVER BE PROPPED. WHEN A CHID CAN USE A HIGH CHAIR, HE/SHE MUST BE ALLOWED TO DO SO AND TO EXPERIMENT WITH FOOD, WITH FEEDING HIMSELF/HERSELF AND BE ALLOWED TO EAT WITH FINGERS OR SPOON. SOLID FOODS MUST NOT BE GIVEN IN A BOTTLE, NO WITH INFANT` FEEDERS; TO CHILDREN OF NORMAL EATING ABILITIES. FOOD, INCLUDING DESSERT, MUST NOT BE FORCED ON OR WITHHELD ) FROM A CHILD. Desserts and sweets should not be used as rewards. (I POINT) The children hould have the opportunity to use forks and spoons at mealtime. Napkins should also be a part of the place setting. (1 POINT) Adults shoulc; sit at the tables with the children. (I POINT) Adults should eat with the children. (1 POINT) Not specified 900. SOCIAL SERVICES 23 FAMILY DAY CARE HOMES 1000. PARENT PARTICIPATION TENNESSEE _7 I =Administration - Records. Parent conferences should be about the information in the record ; 1pt on the child. Parents.stieuld be given a chance to say how they feel about the day care h he child cares provider should write a few notes about the confelen -nd rile them in the child'S record. A record of each child's d_ evelopment should be kept and updated every three months. (1 POINT)' a At least one parent conference should be held each year (1 POINT) 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES III Equipment for Children. Babies and young children should have additi l equipment such as high chairs, walkers, etc., for comfort and safety. (2 -TS) There should be special infant and toddler toys if infants and toddlers are cared fbr. (2 POINTS) , 1120. HEALTH AND SAFETY REQUIREMENTS Not specified 1130. INFANT NUTRITION Not specified 41; 1200. CH DREN WITH HANDICAPPING CONDITIONS 1210. PROGRAM OF ACTIVITIES Not specified ( L) 3 ri FAMILY DAY CARE HOMES TENNESSEE 1220. HEALTH AND SAFETY REQUIRE ENS IV Health - Child's Health Requirements. IF HANDICAPPED CHILDREN ARE ENROLLED, THEIR HEALTH RECORDS MUST LNCLUDE A PHYSICIAN'S STATEMENT INCLUDING THE PARTICULAR NATURE OF THE HANDICAP AND THE PHYSICIAN'S SPECIAL INSTRUCTIONS TO THE CHILD CARE PROVIDEICFOR THE CHILD CARE. 1230. STAFFING Not specified 1300. SCHOOL AGE CH REN 1310. PROGRAM OF ACTIVITIES Not specified 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 1400. FACILITY REQUIREMENTS 1410. SPACE III Equipment for Children. There should be a place for-each child's coats, hats, and his own things, with a plan for storing extra clothes. (I POINT) IV Program - Outdoor Play. IN GROUP DAY CARE HOMESMUST THE OUTDOOR PLAY AREA MUST CONTAIN FIFTY SQUARE FEET OF SPACE PER CHILD, INCLUDING THE PROVIDER'S OWN CHILDREN. 75-J FAMILY DAY CARE HOMES TENNESSEE THE INSIDE OF A GROUP DAY CARE HOME MUST PROVIDE THIRTY SQUARE FEET OF USABLE PLAY SPACE PER CHMD, INCLUDING THE PROVIDER'S OWN CHMDREN, NOT INCLUDING OFFICE SPACE, STORAGE SPACE, THE BATHROOMS, OR SPACE OCCUPIED BY BEDS. VII Physical Facilities,- General Requ irements. A GROUP DAY CARE HOME MAY NOT BE LOCATED IN A BUILDING USED FOR OTHER PURPOSES WHICH WOULD BE HAZARDOUS TO THE CHMDREN OR WOULD LIMIT OUTDOOR PLAY. 1420. LIGHTING, VENTILATION AND TEMPERATURE Not specified 1430. EXITS YR Physical Facilities General Requirements. THERE mum' BE AT LEAST TWO EXITS IN ALL HOMES, IN GROUP DAY CARE HOMES, Wk OF THE OUTSIDE EXIT DOORS MUST OPEN OUTWARD, 1440. TOME Not specified AND LAVATORIES 1600,E OTHER STATE REQUIREMENTS COMPLIANCE WITH OTHER LOCAL STATE, AND REGIONAL LAWS ANi REGULATIONS 1510. ZONING Not specified 26 FAMILY DAY CARE HOMES TENNESSEE 1520. FIRE VII Physical Facilities - General Requirements. GROUP DAY CARE HOMES MUST BE APPROVED BY THE DESIGNATED FIRE SAFETY AUTHORITY AND THE DEPARTMENT OF PUBLIC HEALTH.. THE APPROVAL OF THE FIRE SAFETY INSPECTOR IS BASED ON THE CURRENT CODE. THE APPROVAL OF THE ENVIRONMENTAL DIVISION OF THE DEPARTMENT OF PUBLIC HEALTH IS BASED ON THE GUIDE FOR SUCH INSPECTIONS. 1530. BUILDING Not specified 1540. HEALTH See 1520. FIRE )1550. SANITATION See 1520. FIRE 1560. NEW CONSTRUCTION VII Physical Facilities - General Requirements. ANY NEW GROUP DAY CARE HOME OR ONE THAT IS REMODELED, ENLARGED, OR CHANGED IN ANY WAY MUST HAVE STATE FIRE APPROVAL; 27 761 FAMILY DAY CARE HOMES (Family Day Homes) TEXAS Except where otherwise noted all citations are from the Texas Department of Human Resources, Minimum Standards for FanfilLIEly±- Imes, February, 1980. 100. STATE LICENSING OF CHILD DAY CARE FACIL TIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS Definitions Handbook of Licensing Rules and Regulations §16 3 0 Definitions of Day Care Facilities. Family Day Home - A child care facility that provides care for not more than six children under 14 years of age for less than 24 hours a day not in the caretaker's own residence nor in the residence of one or more of the children. 112. Exclusions and Exemptions See DAY CARE CENTERS 113. HHS Day Care Compliance Not specified 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 12L Organization of the Administrative Unit See DAY CARE CENTERS 122. Responsible Official See -DAY CARE CENTERS FAMILY DAY CARE HOMES (Family Day Homes) TEXAS 200. LICENSING PROCESS AND ENFORCEMENT PROCEDU ES 210. LICENSING PROCESS 211. Promulgation See DAY CARE CENTERS 212. Advisory Body and Other Community Participation See DAY CARE CENTERS 220. LICENSING PROCEDURE 221. = Appliqation and Issuance 51100 Organization. The owner of the family day home service shall submit an application to the Texas Department of Human Resources on a form provided by the Department. The operator of an agency home shall submit the application to the child-placing agency on a form provided by the Department. The caregiver, who may or may not be the owner, shall be named on the application form. The caregiver shall give the Department or child-placing agency the names, addresses, and telephone numbers of three adult references who are not related to the caregiver. 222-, Fee Charged Not specified 223. Areas of Investigation See DAY CARtcENTE S 224. License Renewal See DAY CARE CENTERS 2 FAMILY DAY CARE HOMES (Family Day Homes) F 225. boiditional/Provisional Licenses-- See DAY CARE CENTERS 226. Substantial Compliance See DAY CARE CENTERS 230. ENFORCEMENT PROCEDURES 231. Facility Inspections See DAY CARE CENTERS 232. Denial, Suspension, Revocation of a License See DAY CARE CENTERS 233. Remedies and Sanctions See DAY CARE CENTERS 233.1 Hearings See DAY CARE CENTERS 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Ad rative Requirement TEXAS 51400 Records. All records required to he maintained and on file by 'the standards shall be available for inspection by the Ilepartment during hours of operation. FAMILY DAY CARE HOMES (Family Day Homes) §2100 Staff Qualifications and Responsibilities. . TEXAS The caregiver is responsible for the home's day-to-day operation and fair meeting -these standards. Caregivers in agency homes are responsible for meeting all standards except those which are met by the child-placing agency. When the caregiver is away from the home for a short period of time, someone at least 18 years old shall be responsible for_children. 312. Telephone §3200 Furnishings. The day home shall have a telephone with a listed number. 313. Proof of 0 e ator Financial Capabilities 51400 Records. The facility shall keep complete financial records. The Department will cheek these records only on written notice- from the Department's Director of Licensing. 314. Insurance Not specified 320. PERSONNEL 321. Publication of Personnel Policies Not specified 3,22. Constraints Against Employment 31200 General Administration. Any employee or other person at the family day home shall be reassigned or removed from any contact with children if any of the following is returned. 7 U5 4 FAMILY DAY CARE HOMES TEXAS (Family Day Homes) An indictment alleging commission of a felony classified as an offense against the person or family or of public indecency or a violation of the Texas Controlled Substances Adt. An indictment alleging commission of a misdemeanor classified as an offense against the person or family or of public indecency. An official criminal complaint accepted by a district or county attorney alleging commission of a misdemeanor classified as an offense against the person or family or of public indecency. Such reassignment or removal shall remain in effect pending resolution of the charges. Notification of such action shall be made, to the Licensing Branch within 24 hours or the next working day. i2100 Staff Qualifications and Responsibilities. No one may serve as the caregiver of a family day home who has been convicted within the preceding 10 years of a felony classified as an offense against the person or family or of public indecency or a violation of the Texas Controlled Substances Act or of any misdemeanor classified as an offense against the person or family or of public indecency unless the Director of Licensing has ruled that proof of rehabilitation has been established. No one w h_as been convicted within the preceding 10 years of a felony classified in e against the person or family or of public indecency or a violation of the Tomas Controlled Substances Act, or of any misdemeanor classified as an offense against the person or family or of public indecency, may serve in any capacity where there is contact with children, unless the Director Of Licensing has ruled that proof of eehabilitation has been established. 5 FAMILY DAY CARE HOMES (Family Day Homes) 330. NON - DISCRIMINATION 331. Requirements Prohibiting Discrimination TEXAS 51300 Enrollment. The family day home shall accept children for care without regard for race, 340. RECORDS REQUIREMEN 341. Children §1300 Enrollment. An enrollment agreement shall be obtained for each child before admission and filed in the records of the family day home. The caregiver shall be responsible for ensuring that the terms of the agreement related to (the) items (above) are met. The child care agree ent signed by the parents and caregiver shall- have the following information: Child's name, birth date, home address, and telephone number. Name and address of the parents and telephone number where the parents can be reached while a child is in care. Statement that the child will be released only to the parents or person named by the parents and a statement that persons bringing the child or picking up the child will be sure that a staff member is aware of the child's arrival -or departure. School age children who leave the center to go to classes or clubs, shall have written permission from their parents. Parents shall spegify the activity, time, and method of transportation. Hours the child will be in care. FAMILY DAY CARE HOMES (Family Day Homes) TEXAS Emergency medical authorization and the name, address, and telephone number of the child's physician. Transportation per _ion, if any. Permission to participate in water activities, if any. Notes of special problems or needs as indicated by the parents and a statement that the special problems or occurreries in the family day home affecting the child will be brought to the attention of the parents. This includes serious contagious diseases. Statement that the parents may ask r a conference with the caregiver. 1400 Records. Records shall be kept of things that happen to child affect his or growth. Such things as starting to walk or talk, a problem with hearing or seeing, or a change in eating habits shall be recorded. A daily attendance record shall be kept in the home for the previctus three Months. 342. -Staff 3,2100 Staff Qualifications and Responsibilities. The caregiver shall'submit to the Department on an official _ epartmerit form: A record of training and e ience, Information as to convictions within ,the. Dreceding 10 years of .any' felony or misdemeanor, ormation of pending iminal charges, FAMILY DAY CARE HOMES TEXAS (Family' Day Homes) A list of references with addresses and telephone numbers. The references shall be adults not related to he caregiver. The caregiver is responsible for Maintaining records or all employees who have contact with chilikerrincluding: A statement from the employee providing information concerning Whether there have been any convictions- within the preceding 10 -years of any refony or misdemeanor, and of any pending criminal charges.,, . . Three references attesting to the employee's character and,suitabilits for the job. References shall be unrelated to the employee. This does not apply to persons employed by the home' on June 29, ,1975 References shall include: - Name, address, and telephorte number of each reference. ten stateMents signed by the references or quotes from the - references signed by the caregiver. J. 343. Child Eligibility and Enrollment Requirements Not specified 344. Child Abuse 'Reporting 31200 '3eneral Administration. The Department shall Pe notified of Anything serious that happens to a child in the family day home, or if it appears that a child has been abnsed or neglected. Any fire shall be reported to the Department. 345. Confidentialit ecords Requirements Not specified 1 FAMILY DAY CARE HOMES (Family Day Homes) - 400. 'GROUP COMPOSITIONS OF CHI DREN 410.- STAFF / HILD RATIO REQ1fIRE E 411. Siff /Child R arch, 1981 TEXAS 82200 Staff-Child Ratio. No more tharsix children _under 14 years of age shall be in care in a family day ti home. This includes the caregiver's or staff member's Dwn children who are under 14 years of age. One c -egiver met case for ehilren according to these age combinations: Infants under 18 mos. of age 2 3 4 and and and and and Children 18-mos. to 14 yrs. Two caregivers may keep six children 0-13 years of age. 412. Methods of Computing Staff / Not specified 420. cr DU1 421. Group Size as of March, 1981 Not spegifi'ed 422. Methods of 0 utin Croup Size Not specified FAMILY DAY CARE HOMES (Family Day Homes) TEXAS 500. STAFF TiAL MATIONS AND TRAINING REQUIREMENTS 510. CHILD CAREGIVER` STAFF QUALIFICATIONS 511. Age §2100 Staff Qualifications and Responsibilities. Caregivers of the family day home shall be at ,least 18 years old and able to read and write. 512. Health 32,100 Staff Qualifications and Responsibilities. .Caregivers shall be mentally; physically, and otionally able to handle responsibilities. Staff shall have a record of a tuberculosis examination no earlier than 12 months prior to employment. Re-examination shall be required in accordance with the recommendations of local health authorities or the regional office of the Texas Department of Health. Househol0 members over 14 years old who are present when children are in care shEill also obtain the above information. Household members under 14 years old shall meet the same requirements as children in care. 513. Education Not specified 514. Experience Not specified 10 FAMILY DAY CARE HOMES TEXAS (Family Day Homes) 52'0. PROGRAM DIRECTOR QUALIPICA =TINS` 521. Afe' See 511., Age I 522. Health See 512. Health 523. --Education Not specified 524. Experience Not specified 530. SUPPORT STAFF QUA MATTO Not specified 540. POST EMPLOYMENT/IN-SERV IENTAT ON AND TRAINING IF 541. -.c21-ratc, Director Not specified 542. Child Car.egiverStaff Not specified 543. Support Staff Not specified FAMILY DAY CARE (Family Day Homes' 600. 610, PROGE Fitra §2100 Staff Staff membt Courtaesy, resp TEXAS, .TIES- ItC DDINC EDUCATION esponsibiliti itact with the children .ce, antl-patience. 12200. Staff-_. Children shall be supervised at all times v Children shall not be out of control. relate to children with J7100 Operation. Activities shall Pe suited to the ages, interests,, slid abilities of the children. Activities shall be flexible and promote the physical, emotional, social, and mental growth of each child. They shall include: After the noon meal, a supervised nap or rest period for preschool and kindergarten children, appropriate to the needs of the child. Cots, mats or beds shall be provided. Indoor and outdoor periods for active and quiet activities and individual and group activities. When trips ar`e taken away from the home, the safety of the children shall be ensured: §7500 'Evening and Night Care A .caregiver shall stay awake until all children are asleep. Activities and routine shall meet the special needs of children in evening or night care. - 7 FAMII,,Y DAY CARE.H0 -ES TEXAS (Family Day Homes) 612. Program Equipment and Materials §3300- Equipment. There ". shall be enough indoor and outdoor equipment for the number and ages of children in care to Meet their physical and growth needs. There shall be enough equipment so that there is not excessive competition among the children or long waits for materials. There shall be available to the children materials for the following activities: Arts and crafts Building Reading and language Dramatic play, including dolls Large muscle (climbing, running, jumping) Manipulative (things done with the hands) Music Nap Provision §3200 Furnishings. Each child shall have his or her own clean place to sleep or rest. Preschool age children shall have cots, beds, or mats. Mats shall be at least One inch thick and covered with waterproof, washable material. If mats are used on floors, floors shall be clean, warm, and dry. g7500 Evening and Night Care- Children in evening or night care shall be given a bed or cot, a mattress or pad, and a pillow. Sleeping equiprrient shall suit the age and size of the child. Pillows and mattresses shall,have washable protective coverings. Each child shall have his or her own clean linens and cover. 13 FAMILY DAY CARE HOMES. (Fa Mily Day Homes) 614. Discipline and Guidance.. TEXAS -37200 Discipline and Guidance.' Discipline and guidance shall show, that the. caregiver understands each child's needs and shall promote selfdiscipline and good behavior. There shall be- no cruel, harsh, or unusual punishment. V 4' hild of any age shall ever be shaken or hit, and no ,child under five ye ,old shall ever be spanked. If the family day home caregiver believes that it is necessary to spank children who are past their fifth birthday, there shall be a statement on file at the home that it is the home's policy to use !physical punishment. The statement of the rule Which the home has adopted concerning, the administration of physical banishment 'shall-include that spanking can be done only wiiri caregiver's \.open hand on a child's buttocks. Each .,\ incident shall be documented in-the child's'records. The caregiver shall inform parents, in writing, of the policy add shall have a signed approval by parents. Brief, supervised separation f,om the group may he usedr bu no child shall be placed in 13 locked room. Children shall not be shamed or spoken to abusively ?r With profanity. Children shall not be denied food or put to bed as punishment, or ,punished for poor toilet habits. 14 FAMiLY DAY CARE HOMES (Family Day Homes). 710. HEALTH 711. Genera 700. HEALTH AND SAFETY ealth equirements ( , §2100 Staff ''Qualifications and Responsibilities. 1 . . . PerSons whose behavior or health status ppears to endanger children shill not be allowed tri the family day home. TEXAS , 7112. Flea h Assessments 35100 Health Requirements for Children. Evidence is required that each child in care is physically able to participate in the program. Evidence of the general state of each child's health shall be presented by his or her parents when the .child is adm:tted to the home, or within one week. One of the following is needed: A written statement from a licensed physician that a child has been, examined within the previous 12 months. A copy of the medical screening form of the Early and Periodic `Screening, Diagnosis and Treatment (EPSDT) program if no referral for further diagnosis and treat nt is shown. fi A written statement or cop ofaa form from a health service or inie including any of the following: Head Start phySical-exam, Well -child conferences (clini Maternity and infant programs, or Chidren and youth programs; FAMILY DAY CAR,- --0 -ES TEXAS (Family Day Homes) If parents cannot get the above, the parents shall submit a Written statement that the child has been examined by a licensed physician and is able to participate in the program. This shall be folldwed within 12 months by a document as described above;' pr If the parents cannot get the above within one week, a statement is required signed by the parents giving either: the name-and address of a physician with .honli an appointment has bean made, or EPSDT screening site where the child will be examined, and following. the examination a document as described above shall be submitted. ) . A signed statement from the, parents that medical diagnosis and treatment are against their religion. Annual evidence of an evaluation that a preschool age child is able to continue in the home shall be available. Either a written or oral statementy the parents that the child is enrolled in an ongoing healtfl care program- with -annual evaluation as described above. Any oral statement shall be documented, or -d Arr annual statement from a licensed physician that the continue to participate in the program. __y The child in- he home shall be ,ested for tuberculosis in accordance with the recommend ii ons of the Texas Department of Health. Recommendations can be obtained by contacting the local health authorit -)r the- regional office of the texas Department of Health. 713. -Imm unizatiolkis 55100 Health Requirements for-Children. The family day home shall comply with laws, rules,..-and regulations regaring. immunization of children. (Chapter 42 Human Resources Code, Sec. 4Z:043). Current immunization records shall be maintained for each child at the family 16 P, r. I a FAMILY DAY CARE HOMES (Family Day Homes) TEXAS day home. Each chip's imminizat on record shalli_nclude the birthdate, the immunization status, the number of doses, and the dates each immunization was received. A machine orhandwritten copy of tl le immunization record is acceptable, handwritten copiesshall bear the signature ot the responsible staff [member copying the information. Compliance with the -standard shall be measured by the presence done or more of the fc_Alowing foe each child in care: A written and dated record that the child ham been immunized against diphtheria ,:etahus, pertussis, polio, measles-, mumps, and rUbella. This record shall have ,a rubber stamp or signature of the physician or health personnel and shall specify the type, number of doses, and dates given as required b.y A written and dated statement from a tic ensed physician, or other authorized health personnel that immunizatioras against at least one of the above menlioned diseases have 'begun- The immunization cycle shall. -be completed aO'soOn as is raedica=ls feasible. A, current immunization record shall be on file at the fan ]ily,day home. A certificate signed a physician,' duly regi.t------tered and licensed under the Medical Practice Act, stating the phy sician'si opinion that the = required immuraZationivould be injurious to health and well-being of the child or a mernber of his or her family household. fi An affidavit signed bythe parent or managin --E=, conservator of the child stating that the immunization conflicts with '.11----zhe tenets and practice of a recognized church or religious denominatic-)n of which the child or parent is an adherent or member. 0 A written and dated statement for a child enrolled in after school care signed by the pareritsor managing conservatcr stating that the child's immunization record is on file at the school the child attends s-and that all immunizations are'eurrent. The name of ti--=e school shall be included t. on the statement. 17 FAMILY DAYCARE HOMES (Family Day Homes) { 714. Sanitation 'TEXA'S §4200 'Sanitation. The.family day home's building, grounds, and equipment shall_be clean, kept in . good repair, and maintained as needed to protect the health of the children. The family day, home shall Crave an adequate -supply of water tlYiat meets the standaids for drinking water of the Texas Department of Health. Whenever poSsible, the water supply- shall be from a public,drinking water system. Water shall always be available to the children. Garbage shall be kept in cans, with tight lids and out'of areas.used by children. Trash shall berernoved once a week. Steps shall be taken to keep the home free of insects and rodents. Caregivers and children shall wash their hands after using the toilet and before eating. Anyone caring for children shall wash their hands before and after changing a diaper and before feeding a child.' §5500 Animals. Animals, on the premises shall be vaccinated according to the recommendations of a licensed veterinarian. Documen tion of vaccinations shall be at the home. The house and yard shall be kept free of stray animals. ':i7500 Evening and Night Care, Child-en staying the night nail have the opportunity to bathe. When 'oath tubs or showers are used prechool children,shall be closely watched. Privacy shall I be ensured for school age children. Fresh water,shall be given each child, and tubs nor showers cleaned after each use Children shalt be given fresh washcloths and towels. 18 ( FAmnry DAY 'CARE HOMES. CParnfly Day Homes)' 716. Dail r Illness Screening §5200 Illness and Injury. TEXAS The child 'Who iS apparently ill shall not enter h family day home without medical approval. are of Sick Children §5200 Illness and Injury. Illness in the family day home shall handled protect all children in care.. When ill, a child shall have a bed, cot,- or mat away- from the other children,r and the- child's parents shall he called immediately. The child shall be closely watched until he or she leaves. The --child shall.be give- first aid if needed. In case ocritical illness or injury- and If the parents cannot be reached the phyithian shall be called. If necessary, the child shall be taken to the nearest emergency room. When a child recovers from a communicable disease, re_ commendations of the Texas(Department of Health shall be followed before the child is allowed to return to the home. 717. Medication and Special Diet Provisions 35310 Medicatiqns.. Medicines shall he Riven a child only as follows: Prescription medicine shall be in the original eontainer and __labeled win the child's name, a recent date, directions, and the physician's name. _Kedication shall-not.be administered after any stated expiration date. 19 FAMILY DAY CARE HOMES TEXAS (Family Day Homes) All nonprescription medicine, except aspirin or aspirin substitute, shall be labeled with the -child's name and dated. All nonprescription medicine, including aspirin dr aspirin substitute, shall be .given to the child only with written permission of health personnel or the child's gents, and in accart with label instructions. Medicine k out o the reach of children or in a locked container. edicine needing refrigeration shall b kept separate from food. 0- Medicine shall be returned to the parents when no longer needed. Medication t left at the family day home when a child withdraws from care or when the medicine is out of date shall be disposed of properly. 718. Waiver of Health, Requirements e See 712. Health Assessment and 713. Immunizations 720. SAFETY 721. General Safety Requirements 5 4300 Safety. Building, grounds, equipment, and supplies shall be of safe construction and in good repair for the children. Electrical outlets accessible to children shall have child-proof hovers or safety outlets. Electric fans and heaters shall be out of children's reach or have guards to prevent children from being injured. 20 FAMILY DAY CARE HOMES. (Family Day Homes) TEXAS Window air conditioners shall be built s children cannot touch working parts. Where the 220 volt window unit connections are in reach of a child, a-screen or guard shall protect the connections. s and 'porches over o feet off the ground shall have, railings the children can reach. Large outdoor equipment shall be located away from busy areas in the play yard and anchored in the ground unless portable by design. The yard shall be dry and free from sharp objects. Tanks, ponds, open wells, drainage ditches, sewage drain pipes, and dangerous machinery shall be fenced to keep children from getting to them. Trash cans are permitted. Toys that use anything that ex-plodes (such as caps) or that shoot things (such as darts or BB's) shall not be allowed. Furnishings, equipment, and- toys shall have no lead painted surfaces or contain poisonous materials. Anything poisonous indoors or outdoors sliall be kept away from the children's reach. 722. Fire Safety Requirements i4100 Fire. In case of fire, no matter how small, the first responsibility of the caregiver shall be to get the children to a safe place. Fire drills shall be held at least once every hree months at different times of the day. The structure and use of the home shall let the children out quickly and safely in case of emergencies. 21 FAMILY DAY CARE HOMES (Family Day Homes) TEXAS Doors and pathways shall be clear of equipment that blocks the movement of children and staff. Heating devices and their nearby eas shall not be fire hazards. Gas appliances shall have metal tubing and connections unless otherwise approved by the fire mushal. Open'fla e space heaters shall not be used. All space he s shall be enclosed and have the seal of approval of a test labora y that is approved by the fire marshal. Floor. furiaces shall be enclosed to keep the children off them. Space heaters shall be vented to the outside. Anything that burns shall b-e kept away from light bulbs and other heat urces. 723. Transportation 57700 Transportation. When a family day home provides transportation, children shall be seated safely when the vehicle is in motion. Children shall enter and leave a vehicle at the curb side or a protected parking, area or driveway. Vehicles regularly used to transport children shall have a first aid kit. Children shall not ride in the back of open trucks. 724. Safety Requirements for Equipment See 721. eneral Safety Requirements 22 FAMILY DAY CARE HOMES- TEXAS (Family Day Homes)' , 725. 6 Ater Activities (including Swimming) 57600 Water Activities. When a splashing pool or a wading pool (less than two feet of water) is in the following applies: The pool shall be drained and cleaned after each use and kept as required by local re Health for such po tions and standards of the Texas Department of When such pools are not in use, they shall be -out of children's' Someone with.a knowledge of w7iter safety shall supervise at all times. When children under four are in the rater, there shall be at least two persons supervising. When a swimming pool (more than two feet,of water) is in use, the following applies: A pool at the family day home shall encloSed by a fence at least six feet high and built so children cannot easily climb over it. The. gate shall be locked when the pool is not in use: Machinery rooms near all pools shall,be locket All pools shall be 'maintained according to the standards of the Texas Department of. Health and local regulations. Enough lifesaving equipment shall be on hand to cover the area and number of children swimming. A certified lifeguard shall be on duty a all times and cannot be counted in the staff-child ratio. 23 FAMILY Y CARE HOMES (Family' D_yHornes) 726. rnerency Procedures 51200 General Administration. --:-- ... The Department. shall be notified of anything'serious that-happem a child in . .. the family day home, or if it appears that a child has been bused or ,_. TEXAS neglected. Any fire shall be reported to the Depiartment. 55400 Emergency Phone Numbers. The following numbers shall be posted by a telephone tha to the caregiver: Ambulanbe service or emergency medical service (E 1S). Police or sheriff's department. Fire department. The following telephone numbers shall be p telephone. Physician named by the parents. Home and business numbers of the parents. 727( First Aid Supplies 500 and Injury. First aid supplies shall be in a handy place out of children' reach and a g, e / . to first aid and emergency care p ted. u c y available place accessible to the 810. NUTRITION NUTRITION AND FOOD SERVICE 811. Nutritional Requirements 56200 Nutrition. Food in the family day home shall be nutritious and in variety and amounts adequate to ensure the nutritional well of the children. 24 FAMILY DA kr CARE HOMES (Family Day Hom'es) TEXAS . Regular meals and nutritious mid-morning a-nd mid-a ernoon snacks shall be served to all children' present. If food brought in by a child does not meet the nutritional. requirements, the faniily day home shall provide -the ,additional necessary nutritional re 'reit-lents. ;Any special diet shall be approved in writing by a physi 812. Waiver of Re Not specified' ements 820. FOOD PREPARATION 82.1. Food Pre aratibn and ServiceRequiremen 6l00 Food Service. All food and drink shall be safe and shall be stored, prepared, distributed, or served under sanitary conditions. Cleaning supplies shall be clearly marked and kept separate from fbod... Paper napkin, bibs, dishes, and utensils shall be thrown away after. use. Washable napkins and bibs shall be washed after each use. Children of any age shall be encouraged, but not forced to eat. If a child eats too little or too much the problem shall be discussed with the parents. Not specified 900. SOCIAL SERVICES 25 FAMIL:Y DAY CARE HOI ES (Family Hay. Homes) f 1000. PARENT PARTICIPATION 31200 General.Administration. . The lic.nse shallbe avErilable at the family day home. . complete set of "Mimmurn Standards for Family Day H , il .t avaableo parents, st d an otheri upon request for review. N. . 1100. INFANTS AND TODDLERS TEXAS shall be 1110. PAOGRAM OF ACTIVITIES ;7300 Infant and Toddler Care. - Children udder 18 onths of age Shall be kept in a safe place that helps their physical, mental, atonal,' and social o-rowth. Infants shall have su alone indoors or out. rvisors except when asleep. Infants shall not be left Infants who cannot climb shall have cribs. - Infants shall be talked to, held, and played with by the caregiver. Each infant shall be given some °pp° tmiti dtiring the day both morning and afternoon to explore the area outside the .crib or baby bed to learn on his or her own. An infant, while awake, may remain in the r.ib as long as he or she is content, but no longer than one hour. 1120. HEALTH AND SAFETY REQUIREMENTS 37300 Infant and Toddler Care. .A child's soiled or wet diapers or other clothing shall e changed promptly and in a sanitary and safe manner. 26 FAMILY DAY CARE HOMES Family Day Homes) -The child shall be placedlon a clean washable a 'disposable-covering. - Individual washcloths, and dry the child. TEXAS- . e or a surface within clean wels,, or disposable toweiettes -shall be used to clean Soiled or wet cloth- d s be promptly rinsed in the toilet and all used diapers put in a plastic bag or co ered container that is cleaned dily. 1130. INFANT NUTRITION 37300 Infant and Toddler, Care. All infant or toddler feeding bottles shall be clearly arked with the child's name. Infants who are not ready, for table, food Shall b approved by his or her physician or parents. fed a for>nula or diet Infants under six months of age shall pe held while being bottle,fed. Infants six months of age or older shall be held if needed. Bottles shall not be propped at any time. Infants no longer held for feeding shall be fed in a manner which ensures their safety and comfort. When an infant wants to feed himself or herself, the infant shall be encouraged to do so. 4200. CHILDREN WITH HANDICAPPING CO 73ITIONS 1210. PROGRAM OF ACTIVITIES 37400 Children Needing Special Care. Children who need special care due to disabling or limiting conditions shall be given care, recommended by qualified psycholo7ists, physicians, or other experts. Care recommendations and documentat iat they were carried out shall be in the child's record FAN= DAY CARE HOMES TEXAS Farn-ilr Day Homes) 020. HEALT AND SAFETY REQUIREMENTS Not specified 1230. STAFFING Not specified 00. S HOOL AGE CHILDREN 1310. PROGRAM OF ACTWITIES Not specified 1320. 'IHEALTH AND SAFETY REQUIREMENTS Not specified 1400. FACILITY REQUIREMENTS 1410. SPACE 3100 Space. There shall he at least 30 square feet of-Indoor space for each child in the . home, measured 11 --t wall from the inside of areas use_d for activity, and not including areas the children use for one type of activity. The family day home shall have a fenced outdoor play area or use nearby perks or playgrounds, within one- quarter mile of the home. 1420. LIGHTING1 V TI ATION, AND TE-MPERATURE i4200 Sanitation. There shall be adequate light, ventilation, and heating in the home. 28 FAMILY DAY CARE HOMES (Fa tnily Day H am es) $4100 Fire. The structure TEXAS tise of e home shall let the chil&ed-out quickly and safely in case of emergencies. A fmay day ho-rne more than one story high shall have inside and de staircases leading to all floors. Exceptions shall be made only if ,approved by a fire official. _4f there are no outside stairs and the fire official's approvkl cannot be obtained, then children shall be kept on the first floor. A, family day home shall, have atliast two doors to the outside 1 :a on different sides of the home. Doors opening-into a fencbd yard shall be .fixed so the children can open them easily from the inside. Doors between rooms shall not be locked while children are in the home. 1440. TOILETS AND LAVATORIES §3400 Toilet Arrangements. Bathroom and toilet equipment shall be adequate to handle child-ren's needs 4uickly and safely. 1500. OTHER STATE REQUIREMENTS COMPLIANCE WITH OTHE STATE, AND REGIONAL LAWS AND REGULATIONS 1510. -ZONING Not specified 29 OCAL, 1p FAMILY DAY CARE HOMES (Family Day Homes) 1520. FIRE 54100 Fire. A family day home shall have a fire inspection with a written report as TEL_ year. Any corrections called for in the report shall be made. ,Fire inspections shall be requested from local fire de artmenf officials where available and if no in ections are available, the care provided by the Department. ver shall comply with the fire check list 57500 Evening and Night Care When a family day home offers evening or night care, the home shall eet any applicable fire and safety requirements for this type of care. 1530. BUILDING Not specified 1540. HEALTH See 1550. Sanitatia 1550.- SANITATION §4200 Sanitation. ( A family day home shall have a sanitation inspection every year with a written report. Any needed corrections called for in, the report shall be made. Inspections shall be requested from local authorities where available and if no inspections are available, the caregiver shall comply with the sanitation cheek list provided by the Department. 1560. NEW CO1 CONSTRUCTION Not specified FAMILY DAY CARE HOMES TEXAS (Registered Family Home) Except where othe ise noted, all citations are from the Texas Department of Minimum Starwlards for Registered Family Homes, Human .Resourogs, February, 1980. L STATE REGISTRATION OF CHILD DAY CARE FACILITIES 110. TYPES.OF FACILITIES SUBJECT TO REGISTRATION AS DEFINED BY STATE STATUTES AlTh REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS Definitions Handbook of Licensing Rules and Regulations §1630 Definitions of Day Care Facilities. Registered Family Home - A child care facility that regularly provides care in the caretaker's own residence for not more tharrsix children under 14 years of age, excluding the caretaker's -own 'children, and that provides care after school hours for not more than six additional elementary school siblingS of the other children given care, but the total number of children, including the caretaker's own, does not exceed 12 at any given time. Regular Care - A child care arrangement where care is ongoing or expected to be ongoing. For registration, care provided or expected to be provided for less than five consecutive weeks is not considered to be regular care and the facility is not subject to registration. After School Hours - For registration,- after school hours include' school holidays, summer vacations, and periods during which the school is in operation but students are not expected to attend, such as teacher work days. FAMILY DAY CAR = HOMES (Registered Family canes) Handbook of Licens Family Homes. A acility'pr2viding care for the caregiver's own residence is provided or expected to e p Regulations 2 500 jRegulation o TEXAS ered or fewer chilcken unrelated' to the caregiverin part of_the gay wrn nat be registered if care Handbook Licensing. if Licensing R vided for less th consecutive weeks. and Regulatic ns 51500. Exemptions from Human Resources Code, Section 42.041(b) lists the types pf child care facilities or arrangements that are exempt from licensing, exeMptions are: 7,---- A registered family home. istration regulatory procedure different from licensing. 113. HHS Day Care omice Not specified 120. ADEN PROGRAMS -SP6NSEBLE FOR 1 I TRATI ON' -OF DAY CARE 121. Or:anization of the Administrative Unit See DAY CARES CENTERS 122. Responsible Official. See DAY CARE CENTERS 200. REGIS RATION PROCESS AND ENFORCEMENT PROCEDURES 210. REGISTRATION PROCESS 211. Promul tion of Re uiativns See DAY CARE CENTERS FAMILY DAY CARE HOMES (.Registered Family Homes} k,212. Advisor See 4AY CARE CENTERS er Cornmunit P .2207, REGISTRATIQN P 1 721. -Applica & Handbpok of Licensing Rul F:enilly Htam j -t. ns §2500 Regulation of Registere - When the RegiStration Requ codeterminr that- it mple _e Standards for Registered Family Rom ,; staff evaluate the form to compliance with the MiniUni f the form is not corn- e shows nondompliahee w standards,- - attempt to correct the matter by telephone. I . -f cha on the form are necessary, the form mist be returned to the caregiver or completion or correction If the matter cannot be corrected and chilcten are not in care, staff offer the opportunity to withdraw the requests. If children are, in care or the person chooses not to withdraw the requester see Item 2552, Noncompliance With Standards and §ubsections. I 222. Fee Charged Not specified 223: Areas of Investigation Not specified . 224.i ation Renewal Handbook of Licensing Rules and Regations §2542 Re- Registration. -,t== A family day care home registration is valid for two years from the date the Notification of Registration is issued unless revoked. 1 FAMILY DAY CARE HOMES (Registered Family Homes) TEXAS At least two months prior to the expiration of a current registration, the registered family home caregiiver is- sent a renewal notice letter with a Registration Request. If there is no response within 30 days, the caregiver is sent a renewal reminder letter. If the caregiver does not respond prior to the expiration of- the current registration, the registration expires. A -Contact is made to determine if the children are in care. When a new completed Registration Request, reflecting compliance with standards is received, a Notification of Registration is sent to the caregiver. 225. Conditional/Provisional Registration Not specified 226. Substantial Compliance Handbook of Licensing Rules and Regulatious 52500 Regulation of Registered Family Homes. Human Resources Code, Section 42.042(j) states: "The department may waive compliance with a minimum standard in a specific instance if it determines that the economic impact of compliance is sufficiently great to make -compliance impractical." Section 42.049(c) states: "The division may grant a variance of an individual standard set forth in the applicable standards for good and just cause." §2571.2 EMI - Requesting the Waiver/Variance. The person operating a registered family home or a facility for which registration has been requested must explore all reasonable alternatives which would permit meeting the standard as stated, before requesting a waiver/variance. Waiver/variance requests may be initiated at any time afte,r-, the facility comes under regulation. When applicable, the requestor is advised that until the waiver/variance is approved by the Director of Licensing, the FAMILY DAY CARE HOMES_ TEXAS (Registered Family Homes) facility is not in compliance with the standards. In the case of a waiver request, the requestor must provide information which clearly reflects that compliance is economically impractical. The caregiver or his/her duly authorized representative initiates the waiveevariance request on a Department form and submits it to the staff Person responsible for working with the registered family home. Staff may assist the caregiver in completing the form or in some cases staff may complete the form on behalf of the caregivers but the request is signed by the caregiver or his/her duly authorized representative. 52571.3 RFH - Waiver/Variance Time Limits. Waivers /variances for a registered family home automatically expire when the gistration expires or is revoked.' The Director of Licensing may grant waivers/variances for a period of time less than the duration of a registration. 230. ENFORCEMENT PROCEDURES 231. Facility Inspections Handbook of Licensing Rules and Regulations 52500 Regulation of Registered Family Homes Staff do not make routine visits to registered family home caregivers. A request from a caregiver for assistance in meeting or maintaining standards, a receipt of a complaint, or reason to believe that a threat of serious violation of minimum standards has or is occurring, auti- .zes contact from staff. 232. Denial,_ ion Revocation of Registration Handbook of Licensink Rules and Regulations 52500 Regulation of Registered Family Homes. 7 DeniaL3 and revocations of registrations are initiated by licensing staff in accordance with Items 2160, Denial of an Application or Suspension or Revocation of a License, Certificate or Registration and 2169. Revocation/Denial Without a Standard-by-Standard and subsections. 5 9G FAMILY DAY CARE HOMES TEXAS (Registeredaamily Homes) Handbook df Licensing Rules and RE ations 52561 Cessation of Operation. When attempts to contact a caregiver by gphone (or in person) have been unsuccessful and after several such attempts have been made; registration staff send a letter to the caregiver stating that previcUs attempts to contact the caregiver have ben tmsuccessful, and informing the caregiver that if no response is received within two weeks of the date the letter is mailed, the registration will be revoked automatically due to assumed cessation of operation. The regional administrator sends the letter to the registered family home, "Certified Mail, Return Receipt Requested." The letter contains, but is not limited to, the following: A statement that the purpose of the letter is to notify the caregiver that if the caregiver has not contacted the licensing staff within two weeks registration will be revoked based on assumed cessation of operation with no immediate plans to re-open. The letter includes the dates of attempted contacts with, the registered family home, the effective date of revocation. A statement that the Notification of Registration is to be returned. A statement, when appropriate that if the person decides to resume child care in the future, a registration or license must be obtained from the Department before providing child care; otherwise, the caregiver would be in violation of the child care licerming law. 4 A statement that if licensing staff have made an error in the finding of cessation of the operation, licensing staff should by notified by phone or letter upon receipt of the letter (provide the phone number of the regional director) and this letter will be rescinded. 6 FAMILY DAY CARE HOMES , (Registered FamilyHomeS) TEXAS Extending the right to appeal is not appropriate when a registration is revoked under this section, since notification to staff that operations have in fact not ceased provides a basis for rescinding the revocation. The registration is also revoked under this section when a registered family home ceases to provide care due to the physical destruction of the home. This procedure is not required when a Registered Family Home fails to re-register and the previous registration has expired. Handbook of LieensingRules and Regulations §2561.3 Change of Address. Human Resources Code, Section 42.049(e) states: "A change in location or ownership automatically revokes a license." A change in ownership or location swill also automatically revoke a registration and formal revocation procedures are not necessary in these instances. When registration staff learn that a caregiver has moved, a- letter is sent notifying the caregiver that the registration is revoked and that if child care is to be provided at the new address, a new registration is necessary. Registration at the new address is handled as an inquiry. Handbook of Licensing Rules and Regulations 32562 Misrepresentalon of Registration Request: Knowingly and willfully providing false inforMation on a Registration Request is grounds for immediate revocation of the registration without opportunity to make corrections. Staff, upon discovery of the misrepresentation, will evaluate the seriousness of the situation and inform the caregiver that the misrepresentation will be evaluated for immediate revocation of the registration. 7 795 FAMILY DAY CARE HOMES (Registered Family Homes) TEAS a decision is made to deny or revoke the registration and with the ,u concurrence of the regional attorney in legal aspects of a decision and of the letter described herein, and -after informing therprogram management specialist a letter containing the following is prepared. Purpose of the letter: notification of decision to revoke or deny the registration, to be final 30 daS7s after receipt of the letter. Legal basis for action: Human Resources Code, Section 42.072(a) and Section 42.052(d). Description of the misrepresentation on the registration request. Right to request appeal of the decision within 30 days after receipt of the letter; that a request for an appeal must be in writing, addressed to the Director of Licensing, Texas Department of Human Resources, P. O. Box 2960, Austin, Texas 78769; that the letter requesting an appeal \ must state the reasons against revocation or deniF 1; alid that =a copy of such request must be sent to the staff person whnQr ,arne and address are in the letter. Statement that if no appeal is:requested, revocation is final 30 days after receipt of the letter and the notification of registration must be returned within five days thereafter. A copy of Section 4000, Licensing Appeals, is enclosed with the letter. The letter is reviewed by the program management specialist and within 10 working days following the determination of misrepresentation it is signed by the regional administrator and is sent to the caregiver "Certified Mail, Return Receipt Requested." Copies of this letter are sent to the program management specialist, the Director of Day Care Licensing, and the State Office Legal Division. 79J 8 FAMILY DAY CARE HOMES (Registered Family Homes) .233. Remedies and Sanctions 233.1 Flearings See DAY CARE CENTERS 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS 300. ADMINISTRATION 31Q. GENERAL ADMINISTRATION 311. General Administrative Requirements Not specified 312. Telphone TEXAS S4300 Telephone Numbers. The registered family home must have a worldng telephone. Telephone numbers for ambulances, police or sheriff's departinent, and fire department must be near the phone. Telephone numbers where parents can be reached must be near the phone in case of an emergency. 313.Proof of Operator Financial Cappilities Not specified 314. Insurance Not specified S U FAMILY DAY CARE HOMES TEXAS (Registered Family Homes) 320. PERSONNEL 321. Publication of Personnel Policies Not specified 322. Constraints Against Employment §2000 The Caregiver And Family. No one who has. been convicted within the preceding 10 years of a -felony classified as en offense against' the person or the family, or of public indecency or a violation of the Texas Controlled Substances Act or of a ,misdemeanor classified as an offense against the person or the family, or of public _indecency, may serve as a caregiver or be present when children are in care in a registered family home, unless the Director of Licensing has ruled that proof of rehabilitation-is established. If an indictment or an official criminal complaint accepted by a County or district attorney is brought agaimt a person present in a registered family home alleging ,commission of a felony classified as an offens'e against the person or the family,. or of public indecency, or a violation of the Texas Controlled Substances Act or of a misdemeanor classified as an offense against the person or the family or of public indecency, that person must not be allowed to have any contact with children in care until the charzes are resolved. The caregiver must notify the licensing office of such charges within 24 hours or on the next worldng day. 330. NON - DISCRIMINATION 331. Re s Prohibi n4 Discrimination §1300 Taking Children for Care. Racial Discrimination e The registered family home may not refuse care to a child because of race. 10 FAMILY DAY CARE HOMES I TEXAS R tered Family Homes) 340'. RECORDS REQUIREMENTS 341: Children 51300 Taking Children for Care. Parente Booklet - Before accepting a child for care,--the caregiver must give parents a copy of the booklet for parents provided by the Texas Department of Human Resources. E_Fiergency Medical Care Form - Before accepting a child for care, the caregiver must have parents complete and sign an emergency medical care form for their, children. This form must be kept on file in the registered family home. 342. Staff Not specified 343. Child Eligibility Enrollment Requirements Not specified 344.. Child Abuse Reporting §4200 Child Abuse or Neglect. Children must not be abused or neglected while in care in the registered family home. If a child comes to the registered family home looldng abused or neglected, the caregiver must call the Department or the police immediately. This is required by State law. 345. Confidenti Not specified 11 FAMILY DAY CARE HOMES (Registered family Homes) 400. GROUP COMPOSMONS OF CHUJDREN 410. STAFF /CRUJD RATIO REQUIREMENTS Staff/Child Ratio as of March, 1981 TEXAS 7 31000 The Children In Care. The Number of Qualified CEregivers in the Home When the home meets the definition of a registered family home, the caregiver must be sure that enough qualified staff is present to care for the children. The caregiver's own children must be counted when figuring how many caregivers are need Ages of the Children in Care When One Caregiver Present: If no infants are in care, then no more than 12 children age 18 months and older may be cared for, so long as no more than six children are less than five years of age.' If one infant is in care, then no more than nine children age 18 months and older may be cared for, so lag as no more than five children are between 18 months and five years of age; If two infants are in care, then no more than six children age 18 months and older may be cared for, so long as no more than four children are between 18 months and five years of age. If three infants are in care, then no more than four children age 18 months and older may be cared for, so long as no more than three children are between 18 months and five-yars of age. If four infants are in care, then no more than two children age 18 months and older may be cared for. 12 FAMR, DAY CARE HOMES TEXAS (R Bred Family Homes) fr Infants are children age 0 to 18 months. A regislaered family home may not care for more,than four infants when only qne car-egiver is in the home. This includes the caregiver's own children. When More Than One Caregiver is Present: Care njay be given to 12 children of any age so Tong as therhome meets the legal definition of a registered family home, There= may never be more than 12 children in care, including the caregiver's own chilcr=ren. 412. Not Specified ethods of Corn u Chi d Ratios 420. GROUP SIZE 421. -Group Size as of March, 1981 Not specified 422. Methods of Ce?rn Not specified -u n Grow Size J 500. STAFF QUA (CATIONS AND-TR_ ING REQUIRE EN 510. CHILI) CAREGIVER STAFF QIJALIFICATIO STS 511. §2100 Caregiver Qualifications! The caregiver must bei,,at least 18 years ld and able to care for children. 512. Health See 511. Age and 711. General Health Re uirernen'Ll_s AAMILY DAY CARE HOMES (R istered Hord ) 513. ducation See ell. AE 51,41. Experience See 511. Ag 520. PR RAM DIRECTOR QUALIFICATIONS 521. Ags. See 511. A 512. Health See 511. A and 711. General Health Ree uir-ements 523. Education See 5 524. Experience See 511. Age 530. SUPPORT STAFF QUALIFICATIONS Not specified 540. POST EMFLOYMENT/IN-SERVICE: ORIENTATION 1DPRAIi 11 54L Program Director Not specified 542. Child. Caregiver Staff /NT-cot specified 543. Supra S Not specified 14 FAMILY DAY CARE HOMES (Registered.Farnily Homes) TEAS 600. PROGRAM OF ACTIVITIES IN LUDIN CATION 610. PROGRAM REQUIREMENTS 611.e Program of Activiti 31200 Length of Care. No child may be in registered family home care for more a 24 cona utive hours. 54100 Supervision and Health. Children must be supervised at all times by an adult of them. Children must not be out of control. 54400 Activities. Quiet and active play must be planned for the children and equipment mist be available. ble to take care ieient toys and If the weather is good, the children must be allowed to play outdoors daily. Infants must be allowed activities outside their cribs. The ea egiver must get signed permission from the parent for trips or activities away from the reg ered family home. Signed permission from parents is required bet-core the careg ver may allow anyone other than the parents to take a child awEty from the re stered family home. 612. Program Equipment and Materials Not specified 613. Nap Provision Not specified 806 15 FAMILY DAY CARE HOMES (Registered Family Homes) 614. Discipline and Guidance §4500 Discipline. Chili:ten in care must not be punished cruelly, her TEXAS or in an unusual way. No child of any age can ever be shaken or hit. No child under five years old can ever be spanked. The caregiver can only spank a child five years old or lder if, the child's parents give the caregiver their written and 'signed permission. The caregiver can only use his or her ope6 hand to spank, and the spanlcng can only be done on the child's buttocks. 700. HEALTH AND SAFETY no. HEALTH 711. General Health Requirements S2200 Persoris in the Home. When children are present, persons whose behavior or health status endangers the health; safety, and well-being of the children must not be allowed in the registered family home. Family members, visitors, parents or other persons with sytnptoms of contagious disease, a physical o mental condition that would be harmful to the children, or who appear to be intoxicated must not be allowed in the home while children are present. §2300 TB Examination. Everyone over 14 years old who is in the registered family home when children are in care must have a record of tuberculosis examination. This examination must have been made no earlier than 12 months before the date the home first became registered with th'e Department. -Further examinations are required according to the recommendation of the Texas Department of Health for the area in which the registered family home is located. For recommendations, call the local- health authorities or the regional office of the Texas Department of Health. A copy of the examination records must be kept on file in the registered family home. 16 8 j FAMtLY DAY CARE HOMES (Registered Family Homes) '712. Health Assessments ents 3140 0 Children's Health Records. 6 TEXAS Before accepting a child for care, the caregiver roust get a record from the parents that the child has had a tuberculosis examination, if this is recommended by the Texas Department of Health for the area in which the registered family home is located. Further- examinationsi are required according to the recommendations of the Texas Department of Health. For recommendations, call the local health authorities or the regional office of the Texas Department of Health. These records must be kept on flle in the registered family home. The caregiver's own children under 14 years of age must meet the same requirements and their records must also be on file in the registered family home. 713. Immunizations smart Ohildren's Health Records. The registered family home must comply with laws, rules', and regulations regarding immunization of children. Current immunization records must be kept for each child at the registered family home, including the caregiver's own children if they are living in the family home. Each child's record must include the child's- the type of immunization, the number of doses, and the date each immunization was given. A machine or handwritten copy of the record is acceptable. When the caregiver copies She record by hand, it must also be signed by the caregiver. The record may be any one of the followi- A dated statement signed or stamped by a physician or health clinic that the child has been immunized against diphtheria, tetanus, pertussis, polio, measles, mumps, and rubella, showing the type of vaccine, the number of doses, and the dates the immunizations were given. 17 FAMILY DAY CARE HOMES f TEXAS (Registered Family Homes) a 714. A dated statement signed or stamped by a physician or heilth clinic stating that immunization against at least one of the diseases mentioned above has begun, and that all immunizations will be completed as soon as possible. A current updated immunization record must be on file in the home. Fire Prevention, Sanitation, and Safety Requirements For Registered Family Homes. The home and grounds must be kept clean. The kitchen and all food preparation, storage, and serving areas and utensils must be kept clean. Perishable food must be refrigerated or safely stored in other ways. The home must either use a public water supply or a private well that is approved by local' health authorities or the Texas Department of Health. The home must either use a public sewage disposal system or a private system that is approved by local health authorities or the Texas Department of Health. robing must be kept in - working condition. The home must have hot and cold running water. There must be at least one toilet, avatory, and bathtub or shower inside home. Bathrooms must be kept clean. Soap and toilet paper must be available. at all tiny 18 Li FAMILY DAY CARE HOMES TEXAS (Registered Family Homes) Each child must have clean towel available, or paper towels must be available. Garbage must be removed at least once a week. Garbage must be kept in metal or plastic containers with tight fitting lids in an area away from the chilcten. The home must be kept free of ects, mice, and rats. The yard must be well drained, with no standing water. The yard must be kept free of garbage and trash. The house must be adequately ventilated and free from bad odors. Windows and outside doors that are kept open must be screen 715. Daily Illness Screening Not specified 716. Care of Sick Children §4100 Supervision and Health. If a child gets sick, he or she must be separated from the other children and the sick child's parents notified immediately. If the illness is serious, the physician named on the emergency medical care form must be notified or the child must be taken to the hospital or clinic named on the form. 717. Medication and Special Diet Provisions 54100 Supervision and Health. Medicines can be given to a child in care only if a phySician or he child's parents have given written permission to do so. 19 FAMILY DAY CARE HOMES TEXAS (Registered Family Homes) 718 Waiver of Health Requireme 51400 Children's Health Records. 4 A statement \signed by a physician that the = mmunizations would harm the health and w being of the child or a ember of the child's 'family or household. A written statement signed by the h parent hat immunization is against the family's religion. For children enrolled in school, a statement signed and dated by the parent that the child's immunization record is on file at the school and that -all immunizations are current. The name of the school must be included on the statement. 720. SAFETY 721. General Safety Requirements 53100 Fire, Sanitation, and Safety. o The registered family home must meet the requirements in Fire Prevention, Sanitation, and Safety. 53300 General. The caregiver must keep a safe and healthy home. indoor and outdoor toys, equipment, and supplies must be safe for the children. Fire Prevention, Sanitation, and Safety Requirements for Registered Family Homes. The home and the outdoor play area must be kept free of hazards to children. en. Cleaning supplies, bug sprays, medicines, and other materials that would harm children must be kept where children cannot reach them. 20 811 FAMILY DAY CARE HOMES (Registered Family Homes) TEXAS Electric outlets in rooms used by children must be safety outlets or- have chil oof covers. Electric fans must be securely mounted where children cannot reach them, or have guards which keep children from touching the fan blades. Outdoor steps must not have a slipperysurface. Porches, railings, playhouses, and other wooden structures must not have splinters. Indoor floors and steps must not be slippery, and must be dry when children are using them. Wood surfaces and objects must not have splinters. Glass doors must b e marked at a child's eye level to prevent accidents. 722. Fire Safety Requirements Fire Prevention, Sanitation, and Safety Requirements for egistered Family In case of danger from fire, the first responsibility of the caregiver is to get the children to safety. There must be a 2 3/4 pound dry chemical fire extinguisher in good working condition available for use in the kitchen. When children are in care, there must always be an adult present who is familiar with the operating instructions for the fire extinguiSher. The fire extinguisher must be serviced after each use and checked for proper weight at least once a year. There must he at least two unblocked exits to the outside of the home. A window may be counted as an exit if children can get through it to the outside of the house quickly and safely. Jf 21 FAMILY DAY CARE HOMES (Registered Family Homes) The electrical wiring system must be in good repair. Fuses or circuit breakers in the fuse box mus TEXAS in good rating condition. Cords for electrical appliances and lighting fixtures must be in go working condition. Extension cords must not be overloaded. They may not be run under rugs or )hooked over nails. Central heating units must be inspected by a qualified technician as often as recommended by the manufacturer. Wood burning or gas log fireplaces and open flame heaters must be protected with a spark screen or guard. Space heaters designed to be vented m be vented properly to the outsid, Ali gas appliances (heaters, water heaters, stoves) must have metal tubing and pipe connections. If trash is burned, must be in an area away from the children. Lighters and matches must be kept where children cannot reach them. Flammable liquids must be stored in safety cans and kept where children cannot reach them. The home and yard, particularly attics, basements, garages, and storage sheds, must be kept free of rubbish. Rags, paper, and her flammable materials must be kept away from heat. 22 FAKLY DAY CARE HOMES TEXAS (Registered Family Homes) 723. Transportation Not specified 724. Safety Re- irements for Equipment 54600 Toys. Toys that use anything that explodes (such as caps) or that °shoot things (such as darts or EE's) are not allowed. Toys must have no poisonous materials (such as lead paints or poisonous gases). 725. Water Activities (Including Swimming) Not specified 726. Emergency Procedures Not specified 727. First Aid Supplies 52400 Accidents. The caregiver must have available a copy of the first aid and emergency care guide provided by the Department to use in case of an accident. 800. NUTRITION AND FOOD SERVICE 810. NUTRITION 811. Nutritional Requirements 53200 Nutrition. The registered family home must see that children in care are given nutritious meals and snacks in amounts adequate to meet the needs of each child. 23 FAMILY DAY CARE HOMES TEXAS (Registered Family Homes> 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 82L Food Preparation and Service Requirements Not specified Not specified 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION 51300= Taking Children for Care. Parents' Booklet - Before accepting a child for care, the caregiver must give parents a copy of the booklet for parents provided by the Texas Department o Human Resources. INFANTS AND TODDLERS 1110. PROGRAM -OF ACTIVI'T'IES Not specified 1120., HEALTH AND SAFETY REQUIREMENTS Not specified 1130. INFANT NUTRITION Not specified 24 FAMILY'DAY CARE HOMES TEXAS (Registered Family Home3) 1200. CHILDREN HANDICAPPING CONDITIONS 1210. PROGRAM OF Acisi s Not specified 1220. HEALTH AND SLLFET,Y REQUIRE N Not specified 1230. STAFFING Not specified 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACTIVITIES Not specified 1320. HEALTH AND SAFETY RE U RE EN Not specified 1400 FAcmrr ivEQUIREMENTS 1410. SPACE Not specified 1420. LIGHTING VENTILATION AND TEMPERATURE Not specified 1430. EXITS Not specified 1440. TOILETS AND LAVATORIES Not specified 25 816 FAMILY DAY CARE HOMES TEXAS (Registered Family Homes) 1500. OTHER STATE REQUIREMENTS - COMPLIANCE WITH OTHER LOCAL STATE LOCAL, STATE AND REGIONAL LAWS AND REGULATIONS '1510. ZONING Not specified 1520. FIRE Not specified 1530. BUILDING Not specified 1540. HEALTH Not specified 1550. SANITATION Not specified 1560. NEW CONSTRUCTION Not specified 26 FAMILY DAY CAIDE HOMES UTAH Except where otherwise noted, all citations are to the Utah' ljepar Social Services, Yarn lly Day Care Standards, July, 1978. 100. STATE LICENSING OF CHR,D DAY CARE FACILITIES ent of 110. TYPES OF FACILITIES SUi3JECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS W. Definitions Child Care Center: A child care center is a facility in which children tire being cared for out of their own homes by persons other than 'their own parents. It is maintained for at least four and less than twenty-fotir hours daily for the care of seven or more children less than 14 years of ige unrelated to the caregiver. This care may be given with or without charge and with or without stated educational or developmental purposes. Drop-in: A child who is not in regular attendance at least one day per week who does not have a current medical and day care register on file. Each "drop-in" child shall count in the total number the facility is licensed to serve. 112. Exclus ns and Exemptions See DAY CARE CENTERS LIDS Da Not specified are Compliance 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRA 121. Organization of the Administrativ Unit See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS FAMILY DAY CARE HO gS UtAH 200, LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210, LICENSING PROCESS 211. Promulgation of Regulations See DAY CARE CENTERS 212. Advisory Body and Other Community Participation See DAY CARE CENTERS 220. LICENSING PROCEDURE 221. Application and Issuance See DAY CARE CENTERS 222. Fee Charged See DAY CARE CENTERS 223. Areas of Investigation See DAY CARE CENTERS 224. License' Renewal See DAY CARE CENTERS 225. Conditional/Provisional Licenses See DAY CARE CENTERS 226. Substantial Compliance See DAY CARE CENTERS 230. ENFORCEMENT PROCEDURES 231. Facility Inspections See DAY CARE CENTERS 2 FAMILY DAY CARE HOMES UTAH. 232. Den i Sus nsion, Revocation of a License See DAY CARE CENTERS 233. Remedies and Sanctions See DAY CARE CENTERS 233.1 Hearin See DAY CARE CENTERS 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial Review See DAY CARE ENTERS 300. ADMINISTRATION 310. GENERAL ADMINISTRATION General Administrative Requirements ( 111C100 General Requiremeritt The Division shall be notified of anything requiring medical attention that happens to a child while in family day care. The provider shell release childr to or allow visits from only those persons who have been authorized in advance with written permission from a parent. The term parent refers to the child's natural parent, guardian, or other legally responsible person or organize DES staff may issue a provider a license with special conditions or limitations such as limiting the number of children to less than six, depending upon the home, yard, equipment, neighborhood, amount of space, or other resources or conditions which affect children. FA ILY DAY CARE HOMES UTAH 11K250 Substitute Providers. The provider shall make arrangements for a responsible substitutq provider. The provider shall not leave the premises unless the substitute is present. The substitute provider shall meet the provider requirements listed in Section IIK201 and be familiar with the lidensing standards, rules, and procedures of the day care home. 312. Telephone IMOD General. 'Family day care providers shall have a telephone or other means of obtaining emergency service. 313, Proof of Operator Financial Capabilities Not specified 314. Insurance Not specified 320. PERSONNEL 321. Publication of Personnel Policies Not specified 322. Constraints Against Em moo General Requirements. When children are in care, no one can be in the home who has been convicted of a crime of immoral conduct or convicted of the violation of a criminal statute that protects children. 4 FAMILY' DAY CARE HOMES 330. T ON-DISCRIMINATION Requirements Prohibiting Discrimination UTAH mud(' General Requirements. The provider shall not exclude people, from service or treat them in a discriminatory. way on the basis of race, color, national origin, sex, or religion. 340. RECORDS REQUIREMENTS 34. Children 11K150 Records. Written information shall including: aintained in the home and updated on each child The child's full name, birth date, current addr.e, and date rollment. Parents' name, address, a telephone number. Telephone number and/or instructions as to how the parent may be reached during the hours the child is in the day care hpome. Names, addresses, and telephone nurpbers- of perso who can assume responsibility for the child in an emergency. A form signed by the parent listing names, addresses, and telephone numbers of persons other than a .parent to whom the child may be released. Names and addresses of the child's doctor and dentist a signed statement saying that the child does not have a doctor or dentist. FAMILY DAY CARE HOMES UTAH Current information including a copy of the report of the child's physical eamination, immunization record, and any special information on the chiMells physical condition or problems such as allergies. Written g rrnission from the parent for emergency medical care. Written permission from the parent to transport the child and/or take the child cm field trips. A record (=sf daily attendance. 342. S 111(100 General Ir_equirements. The provider arid persons living in the home must provide information indicating they ai-e free of physical or mental illnesses that would be harmful to children. If -there is an indication of a problem, an examination by a licensed medical doctor, psychologist, or social worker shall be required. IIK200 Provider A.bilitiea and Training. "6 The provider sta_11 be mentally, physically, and emotionally able to provide quality care to cE.ildren. If the provider's well being is in question, they shall be required to h-a_ve an examination, by an appropriate, licensed professional medical doctor, psychologist, or social worker. Before receiving a license, and annually thereafter, the provider shall submit a dated report of :al_ satisfactory tuberculosis test or chest X-Ray taken within twelve (12) months of licensing. 343. Child E -11 Not specified and Enrollrnen Re -uirements 6 FAMILY DAY CARE EWES 344.. 9hildAbusellsporting UTAH. LIMO General Requirements. Suspected child abuse or neglect shall be reported immediate Local police or sherifrsoffice. 345. Confidentiality of Records Requiremerits 111050 Records. Any information concerning parents or ehilren shall be accordance with Division policy. 400. GROUP COMPOSITIO 1=F CHEAREN 410. STAFF` /CI D RATIO REQUIRE EN 411. Staff/Child Not specified arch, 1981 412. Methods of Child Kati Not specified 420. GROUP SIZE 421. Group Size a March, 1981 DFS or the erttial in I1K270 Staff to Child ludo. The provider shall care for no more than six _cl=tildren including provider's owns children, under the age of six. The provider shall care for no more than two children under image of twenty-four (24) rrinths. 422. Methods of See 421. Coup Siz mooting Group Size 7 FAMILY DAY CARE HOMS UTAH 500. STAFF QUALIICATIONS AND TRAINING REQUIREMENTS 510. CHMD CAREGIVER STAFF 7AEIFICA,TIONS 511. 11K200 Provider Abilities and Training. Each provider shall be at last eighteen years of age. 512. Health See 342. Staff 513. Ec cation Not specified 514. Experience 111(200 Provider Abilities and Training. Each provider shall be .able to read and write well enough to handle emergencies, meet standar---is and maintain records. 520. PROGRAM DIRER R QUALIFICATIONS 521. Age See 511. Age 522. Health See 342. Staff 523. Education Not specified 524. Experience See 514. Education 525 FAMILY DAY CARE HOMES 530. SUPPORT Not specified AFF QUADIFI CATIONS UTAH 540. POST E PLOYMENT N ERV CE: ORIENTATION AND TRAINING 541. Program Director ruczoo Provider Abilities and Training. The provider shall meet all DFS district requirements for training and shall be encouraged to complete a minimum of 12 hours of inservice training annually. 542. Child Caregiver Staff Not specified 543. Support Sta Not specified 600. PROGRAM OF ACTIVITIES, INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. ProFam of Activities 118420 Daily Activities. In a family care home, the daily activities of the children shall be planned-in accordance with the child's age and special needs to promote physical, emotional, social and intellectual development. The provider shall plan daily activities in such a way that the child experiences family living, including participating in household routines, playing both indoors and outdoors, engaging in activities and using community resources. The provider shall provide children a balance of quiet and active experiences, as well as small group and individual activities. 9 FAMILY DAY CARE HOMES UTAH Children shall allowed to play outdoors daily when the weather allows. 612. Program Equipment and Materials HIC420 Daily Activities. The provider shall proVide a variety of activities, games, toys, books, art materials, crafts and other materials to enhance the child's development. 613. Nap Prevision IIK4 20 Daily Activities. A clean, cot, or two inch mat or bed with clean individual covers shall be provided for each child remaining in the hover four hours. When children are cared for during night time hours, they shall be bathed and changed into clean comfortable sleepwear. 614. Discipline and Guidance II_ 00 Supervision and Discipline. The provider shall provide adequate supervision at all zimes to insure the health and safety of each child. The provider shall not use any form of physical punishment, such as shaking, spanking, or hitting. The child shall not be disciplined through the use of food or rest. The provider shall not use emotional abuse with children such as e-calling, shaming, embarrassing, or threatening. Infants and children shall not be confined in cribs, playpens, jump chairs, walkers, etc., for inappropriate periods of time. 10 FAMILY DAT CARE HOMES 700. HEALTH AND SAFETY 710. HEALTH 711 General Health Re- irements cifi ed 712. Health Assessments Illness. If a child's health is in question, the provider may require a physical exandnation. UTAH 713. Immunizations HK730 Immunization. No child shall be admitted for care that has not had the age appropriate immunizations required by state fa.w. By eighteen (18) months of age a child shall have had 4 DTP shots, 3 doses of polio vaccine and measles-rubella and mumps immu=nization. 714. Sanitation rIK600 Home. Home and outdoor areas used for day care shall be clean, provid6 adequate space for daily activities of young children, and present no hazards to their health .or safety. IIK7 40 Cleanliness. The provider shall insure that children wash their hands b fo toileting. and aster The provider shall maintain standards of personal cleanliness including washing hands after toileting, before preparing food, before feeding infants, and before and after diapering infants. 11 25 FAMILY-DAY CARE HOMES UTAH ./ The provider shall provide either individual disposable towels or clean individual towels for each child. Children shall be encouraged to brush their teeth and shall have a toothbrush which shall be maintained in a sanitary manner. A child's wet or soiled clothing shall be changed promptly. IIK 820 Sanitation. The water- used in the home shall be from a public water supply or meet the- requirements of the State Division of Health. Homes shall be reasonably free.of flies, qu _oes, other insects, and rodents that are harmful to children. Garbage shall be stored in tightly covered leak-proof containers and shall be disposed of regularly. 715. Daily Illness Screening IIK 720 Illness. The provider shall inspect the child for signs of illness when the child arrives. If a child shows signs of illness after arrival, the provider shall contact the parent immediately. 716. Care of Sick Children 11K700 First Aid Emergencies. The provider shall have basic knowledge available of Prst aid and emergency procedures including how to control bleeding, deal with choking, and give mouth to mouth resuscitation. 12 FAMILY DAY CARE HOMES UTAH If a child requires immediate medical attention due to- accident or illness, the day care provider shall notify the parent. If unable to contact the parent, the provider shall obtain medical services as agreed upon by the parents in writing. IIK 720 Illness. Illness of persons within the family day care home must be handled in such a manner that would protect all the children in care. The provider shall inform the parent when there is a communicable disease in the home, before a child is admitted for care. The provider shall report the local health department or State Division of Health any child diagnosed or suspected to be ill with measles, rubella, diphtheria, whooping- cough, polio, tetanus, hepatitis, scarlet fever, or other communicable diseases. 717. lvledieation and Special Diet 13 viions RK710 Medication. The day care provider shall give prescription drugs. to a child only if the drug has been currently prescribed by a physician, and if a copy of the doctor's instructions are in writing and parents agree. 718. 'fiver of Health Requirements IIK730 Immunization. If immunization is against the parents' religion, or Ldvisable for medical reasons, the parents must provide a signed statement to that effect. 13 FAMILY' CARE TOMES ' 720. SAFETY / 721. Geriet/eguirentents UTAH IIK830 Safety.. Flammable materialx- and dangerous materials including matches, cleaning solutions, aerosol spays, gasoline, paints, medicine, and other hazardous chemicals and poison, firearms and plastic bags shall be stored so that they are inaccessible to ch f.dren. When preschool chiltwen are cared for, the provider shall take precautions to protect children from falling or injuring themselves on stairs. c Electrical outlets wi hin reach of preschool children shall be protected with outlet covers. 722. Fire Sa IIK800 General. As soon as possible (=)r within 6 months of licensee, each home shall have a smoke detector, aril each fltor occupied by 'children Shall have a fire extinguisher, which sire in working condition and of a type approved by the State Fire Marshal. irern ents IIK830 Safety. Fireplaces and open - aced heaters shall be prptected by screens. Gas heaters shall tiie vented and irrstalled with permanent connections and prote,ctors. 723. Transportation 111i830 Safety. Children shall not bey transported in open vehicles such as the back of pickup trucks or con ver tibl 14 31 FAMILY DAYCARE I--OMES UTAH 724. Wet R gu rrer ant for quipment Not specified WaterAetivit Swimmin ) DIR 830 Safety, Swimming pools shall 3e maintained and operated acaumording to the rules the Utah State Division of Health. 726. Not s 727 Firs___tts IIK700 FirstAid Emprgencies. The provider shall have a copy of "A Guide for First Aid and Emergency Care for Young Children" (Depatment provides this) t use when there is an accident. The Guide shall be posted in aprorninent 80 0. NUTRITION AND FOOD SEF,VICE 810. NUTRITION 811. Nufritional Reg- uirements IIK500 Nutrition. Meals and snacks sery ed in the family day care horn shall meet the Fequired proportion of the child's daily nutritional needs basted on the Recommended Daily Allolvance (RDAD determined by the Foodand Noitrition Board. 15 PAMMY DAY CARE HOMES UTAH Hours in Care 12 hrs. per day 8 hrs. or more but less than 12 per day 4 hrs. but less than 8 hrs. Less than 4 hrs. 80 hrs. of n!ghttime care Minimum Meals and/or Snacks Proportion of Total That Shall be Served , RDA Required 2 meals and 2 snacks 1 meal and 2 snacks or 2 meals and 1 snack 100% 2/3 1 meal and 1 snack 1/2 to 1/3 1 snack 1/4 2 snacks or meals if 1/2 child is in the center at standard mealtime hours. Sufficient food shall be available to allow for second servings. Only milk that is Grade A whole or Grade A 2% fluid shall be used for drinking. Powdered dry milk shall be used for cooking purpose's 812. Waiver of Re uirements II1(500 Nutrition. Children and infants shall be served special diets, formulas, food supplements only in accordance with the written instructions of a physician or a parent. 820. FOOD PREPARATION 821. Food Preparation and Sery e Requirements 111(520 Menus and Service. All food, utensils, and food preparation areas shall be kept clean and sanitary. All children shall be served at the appropriate mealtime hour. 16 FAMILY DAY CA HOMES UTAH There shall he no more than 3 hours between the serving of meals or snacks. Not sperm 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION IIK300 Parent Communication and Conferences; The provider shall request a conference with the parents at least every three months to exchange information about the child. The provider shall invite and encourage the parent to make suggestions and offer ideas for improvement of the day care program and services. IIK303 Parent's Visiting. The day care home shall be open for observation by parents during the regular hours of operation. IIK304 Information Provided to Parents. The provider shall notify parents of any changes in services offered. The provider shall inform the parents of their right to make complaints about inadequate care, and of the Division's grievance procedure. The provider shall inform parents of the licensing standards. A copy of the standards and of any provider policy must be available on the premise and shall be given parents on request. 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES Not specified 17 FAMILY DAY CARE HOMES UTAH 1120. HEALTH AND SAFETY REQUMEMENTS Not specified 1130. INFANT NUTRITION UK550 Infant Feeding. The infant shall be held while drinking from the bottle. Infant food and formula shall be refrigerated and shall be fed to the infant in a clean and sanitary "manner. 1200. CHILDREN WITH HANDICAPPING CONDITIONS 210. PROGRAM OF ACTIVITIES Not specified 1220. HEALTH AND SAFETY REQUIREMENTS Not specified 1230. STAFFING Not specified 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACTIVITIES Not specified 1320. HEALTH ANO SAFETY REQUIREMENTS Not specified 18 FAMILY DAY CARE HOMES 1400. PACMITY REQUIREMENT; UTAH 1410. SPACE riK600 Home. The home shall have enough indoor space for the number of children in care. A minimum of 35 square feet for each child is required. 11K603 Yard. family _day' care home shall have an outdoor play area. A minimum of 40 square feet for each child is required. (When a home lacks that amount the provider may use other- easily accessible parks or outdoor areas if it is approved by Division staff. If the outdoor play space is near a dangerous area it shall be enclosed by a fence or some other barrier to protect the children. 1420. LIGHTING, VENTILATION, AND TEMPERATURE IIK800 General. rooms used for children shall have a temperature of at least 85o. 1430. EXITS IIK830 Safety. Doorways, hallways, sta and rooms shall permit eas: 'exit in ease of fire or emergency and shall be free of obstruction to exit at all times. 1440. TOILETS AND LAV-ATORIES Not specified 19 FAMILY DAY CARE HOMES UTAH 1500._ OTHER STATE REQUIREMENTS - COMPLIANCE WITH OTHER LOCALE STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 1520. FIRE Not specified 1530. BUILDING Not specified 1540. HEALTH Not specified 1550. SANITATION Not specified 1560. NEW CONSTRUCTION Not specified 20 FAMILY DAY CARE HOMES VERMONT Except as otherwise noted, an citations are from the Vermont Department of Social and Rehabilitation Services, R ions for Da Care Services, October:, 1973. 100. STATE LICENSTNG OF CHILD Y CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED -BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS ons Definitions. A day care home is a day care facility that is a family residence other than the child's own home, which offers care and protection to children within a normal family routine. The day care home serves only as many children as it can integrate into its own physical setting and pattern of living (usually six or fewer). It is especially suitable for infants, toddlers, sibling groups, as well as for neighborhood based day care for children before and after school. 112. Exclusions and Exemptions See DAY CARE CENTERS 113. HHS Day Care Compliance Not specified 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 121. 0 anization of the Administrative Unit See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS FAMILY DAY CARE HOMES µ VERMONT 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promulgation of Regulations See DAY CARE CENTERS 212. Advisory Body and Other Community Participation Not specified- 220. LICENSING PROCEDURE 221. ssuance Not specified 222. Pee Charged Not specified 223. Areas of Investigation Not specified 224. License Renewal Not specified 225.- Conditional /' 'ce es Not specified 226. Substantial Compliance Not specifi 230. ENFORCEMENT PROCEDURES 231. Not specified Facility Inspectiol 2 FAMILY DAY CARE HOMES VERMONT 232. Denial Not specified ion, Revocation of a License 233. Remedies and Sanctions Not specified 233.1 Hearings Not -specified 233.2 Decisions Not specified 233.3 Judicial Review Not specified 300. ADMINISTRATION 310. GENERAL ADMINISTRATION General Administrative Requirements 101.10 Admission of children shall involve an interview with the parent to secure necessary information about the child and to ascertain if the child can benefit from day care. 101.20 A sample admission form is recommended by the Department. Each day care facility may devise its own form as long as it contains the following: Emergency phone numbers; Name of child's doctor; and Name, address and telephone number of responsible person to contact if 'parent cannot be reached. u FAMILY DAY CARE HOMES VERMONT 101.40 Each child is to be assigned her/his own toilet articles, and a change of clothing shall be available. If the program includes naps, each child shall have her/his own individual napping blanket. 102.20 The day care director shall submit to the Department of Social and Rehabilitative Services, as requested and on forms provided by the Department of Social and Rehabilitative Services, information concerning: Names, ages of children cared for; Date admitted, date withdrawn; Any change in members of staff; References and evaluations; and; Other reports as requested. 312. Telephone 111.70 A Day Care Home shall have a telephone with posted telephone numbers of local doctors, fire department, police department, hospitals and parents of children in care. 313. Proof of Operator Financial Capabilities Not specified 314. Insurance 123.90 Each Day Care Home shall carry liability insurance of a reasonable amount for its own protection. 320. PERSONNEL 321. Publication of Personnel Policies Not specified 4 FAMILY DAY CARE HOMES 322. Constraints Against ainst Employment Not specified 330. NON- DISCRIMINATION 331. Requirements Prohibiting Discrimination Not specified 340. RECORDS REQUIREME, 341. Childiren VERMONT 101.23 Prior to admisqion, a physician's statement that the child is free from communicable dis.?.:152s, or the medical history of the child as written by a R.N. or P.H.N. is required. These documents shall be part of the. child's records. When the child leaves the day care facility these documents shall be returned to the parent. The day care director shall ensure that each child has had all immunizations appropriate to her/his age, including Polio, DPT/DT and Measles. 141.10 The following written records shall be maintained in the day care facility and kept up-to-date: Application or admission form on each child in care. Vital statistics on each child in care, including data on age, weight, height, etc. Summary of parent conferences including dates held; and. Health records of staff and of children, including physician's statement or medical history, description of physical disabilities, dietary requirements, immunization records, and signed permission by parent to contact child's physician in the event of illness or accident. 5 FAM DAY CARE HOMES VERMONT 141.13 The director shall secure at the time of admission signed permission by the child's parent to contact a physician in the event of illness or injury. 342. Staff 133.10 All staff shall have an annual physical examination or a written statement from a physician stating they are in good physical and emotional health. This includes a T.B. test or an x-ray. All such records shall be on file in the personnel records. 141.10 A Day Care Home operating primarily for the purpose of providing care for cOildren in attendance on a non-recurring- basis shall maintain health c--2corris of-staff, including physician's statement or medical history, in the day care acility and kept up-to-date. 343. Child Eligibility and Enrollment Requirements Not specified 344. Child Abuse Reporting Not specified 345. Confidentiality of Records Requirements Not specified 400. GROUP COMPOSITIONS OF CHILDREN 410. STAFF/CHILD RATIO REQUIREMENTS 411. Staff /Child Ratio as of March, 1981 Not specified 6 'FAMILY DAY CARE HOMES VERMONT 412. Methods of Computing Staff Ch" d Ratios Not specified 420. GROUP SIZE 421. Group Size as of March, 19 113.10 A Day Care Home shall be given a .regular license to care for no more than six children, under sixteen years old, including the director's own pre-school or home bound handicapped children; and 113.11 Of these six, only two'sha11 be under 24 months unless a second person is on deity. 422. Methods of Computing Group Size 113.20 The number and ages of children in a Day Care Home shall be determined by the experience, physical strengths, skills and capacity of the day director, and the director's ability to deal with children of different ages and capacities, subject to the sections above. 30 Day Care Homes frequently provide before-school and after-school care for short durations of time. If such care is given which increases the number of children, the licenser shall determine whether additional help is needed. 7 FAMILY DAY CARE HOMES VERMONT 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS 510. CRUD CAREGIVER TAFF QUALIFICATIONS 511. Lgf. 131.40 Regular staff who assume major responsibility shall be at least eighteen years old. Aides who are under eighteen years may assist under supervision, but shall not be counted in the child-adult ratio. 512. 133.10 Al staff shall hav statement 1 tom a physician hea4tA. This includes a T.B. in the personnel records. 513. Education Not specified 514. Experience an annual physical examination or a written stating they are in good physical and emotional test or an x7ray. All such records shall be on fi 131.00 Staff shall have sufficient knowledge of early childhood development and skills in working with children, developed through formal training and/or work experience, to properly fulfill all responsibilities with which they are charged. 131.20 All staff shall have a knowledge in and be familiar with the proper use of first-aid supplies, and be aware of the hazards of infection and accidents and how such hazards can be minimized. FAMILY DAY CARE HOMES VERMONT 131.30 The suitability of all staff shall ;be determined by reliable and satisfactory references which shall indicate the staff person's demonstrated interest in and lildng for children, understanding of children and their growth needs, personal competence and emotional stability, and dependability. 520. PROGRAM DIRECTOR QUALIFICATIONS 521. Age See 511. Age 522. Health See 512. Health 523. Education Not specified 524. Experience See 514. Experience 530. SUPPORT STAFF QUALIFICATIONS See 510. Child Caregiver Staff Qualifications 540. POST EMPLOYMENT/IN- SERVICE: ORIENTATION AND TRAINING 541. Program Director Not specified 542. Child Caregiver St 132.10 It shall be the responsibility of the Day Care Home director to provide in-service training and/or disseminate information about meetings in the area and to prompt and allow staff, if any, to attend workshops or meetings which would benefit the staff. 9 FAMILY DAY CARE HOMES VERMONT 543. Support Staff See 542. Child Caregiver St 600. PROGRAM OF ACTIVITIES, INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities 121.10 A Day Care Home need not have a planned program, but shall provide 'constructive growth experiences within a flexible schedille. The schedule shall contain time for free play, snack periods, meals, and naps. 122.10 Some differentiation of program shall be made for the three year olds whose activities are more limited and different than the more adtive four and five year olds. 122.20 Day Care Programs and Policies for school age children shall be flexible enough to allow them to accept appropriate responsibilities in accordance with their abilities and the parent's consent. 122.30 Opportunity shall be given fo k the interaction between the day care children and the day care staff to promote the emotional and social development of the child. 122.50 Opportunity shall be available for outdoor activity, appropriate to the age of the child, when the weather permits. 122.60 Periods of active and quiet play shall be alternated to avoid fatigue and overstimulation. 10 EMMY DAY CARE HOMES VERMONT ,_ 141.10 The director shall assure that proper indoor and outdoor clothing is available for each child in the day care facility, and that each child is dressed appropriately for all activities. 612. Program Equipment and Materials 112.10 Play equipment of sufficient quantity and variety shall be provided indoor and out which is appropriate to the needs of the children, their . developmental levels and interests; such equipinent shall be maintained in good repair., 112.20 There shall be equipment -kkhich encourages large muscle activity apparatus swins-rs, wheel toys, tumbling mats, etc.), 112.30 There shall be equipment which encourages quiet activity (sand, clay, crayons, paints, story and picture books, dolls, puzzles, music, etc.). 613. Nap Provision 121.20 Provisions shall be made for a rest period of at least an hour daily; individual cots are recommended. Mats or sleeping bags may be used if floor is clean and free from drafts and dampness. Cribs for infants shall have sides. Beds regularly used by the f-mily shall not be used for day care children unless a separate covering is place:, the bed. 121.30 There shall be a nap period or quiet period after thhe mid-day meal for children age four and under. 614. Discipline and Guidance 124.10 Discipline shall meet the needs of each individual child. 124.20 Authority to punish shall not be delegated to older children. 11 FAMILY DAY CARE HOMES VERMONT 124.30 A child shall not be deprived of snacks or meals as punishment. 124.40 No child shall be subject to verbal abuse or threats. Cruel, severe, unusual or unnecessary punishilight shall not be inflicted upon children. Derogatory remarks shall not be made in the presence of children, about family members of children in care, or about the children themselves., 124.41 Reports of mistreatment coming to the attention of the Department of Social and Rehabilitative Services will be investigated and, when appropriate, referred to the proper authorities. 700. HEALTI-1 AND SAFETY 710. HEALTH 711. General Health Requirements 123.70 Provisions shall be made for the development of good health habits, eating habits, personal habits and proper social and behavioral attitudes. Face and hands shall be thoroughly washed before meals. Hands shall be washed after toileting. 141.10 The director shall determine at the time of admission of a child that the child is free from communicable diseases, is in good health, and teas no physical or mental disability which would preclude the child's admission to the home. 712. HealthAssess ents Not specified 12 FAMILY DAY CARE HOMES VERMONT 713. Immunizations L 101.23- Prior to admission, aphysician's statement that the child is free from communicable diseases, or the medical history of the child as written by a R.N. P.H.N. is required. These- documents shall be part of the child's fir( When the child leaves the day care facility these documents shall be J to the parent. The day care director_shall ensure that each child hEis had all immunizations appropriate to er/his age, including Polio, DPT/DT and Measles. 714. Sanitation 4ot specified 71:5. Daily Illness Screening 123.10 No child shall be admitted to a Day-Care Home if in the,opinion of the director the child is ill. 716. -Care of Sick Children 123.30 An ill or injured child shall receive immediate attention of the staff. 123.31 An ill or injured child's parent shall be notified of the child's illness or injury; the child shall be moved only with the permission of the parent or by direction of a physician; and 123.32 An ill or injured child (if allowed) shall :solatecl in a separate room, under supervisiOn. Clear plans shall be made for the earliest possible return of the child to the parent. _717. Medication and Special Diet Provisions 123.40 Medication or specjal diet'shall be given to the child only on written request of the parent, guardian or physician. 13 FAMILY DAY CARE HOMES VERMONT 718. Waiver of _.hReq1 iernen s Not specified 720. SAFETY 721. General Safet Requireri/ n 111.20 The Day Care Home meet state Life-Safety and Environmental Sanitation requireMents. 111.40 Drugs, poisons, harmful chemicals, household supplies and recreational equipment other than that use ---d by the children, dangerous tools and weapons hal 1 :le 1,-_,eted out o f sight or, (-n therwisc, inaccessible to the children. 722. Fire Sa Not 0.peoifipri 723. Transportation uirem 114.11 Transportation may be provided for children either as part of the Program or for pick- upand deli very when the following conditions are met: No more than five chilren shall be carried in a standard passenger car without the presence of -a second adult. The vehicle shall be properly inspected by an official 'Vermont Inspection 5 teflon. All. installed safety equii pment appropriate to the sizes and ages of the children shall beutilized Car-beds, -seats, ChffJ. harnesses, rp-seat-belts shoulder-belts shall meet f ederal saf et___7 standards. There shall benostandir=q passengers. 14 FAMILY DAY CAFE HON..wrIES VERMONT The operator of the he vehicle shall hold a State of Vermolit regular operator's license. Automobile insuramee with special passenger-carrying permit st limits of bodily injury Lia ability of not less than $50,0004100,000 aridproperty damage liability of $10,000 shall be carried, Seats shall be secur=ely fastened to the floor of the vehicle; antd Children shall not b= ;e transported in truck bodies. 724. Safet Requiremen= is for Equipment Not specified 725. Water Aetiv Not specified cluding Swimming). 726. Eriler-:eioceidll=tres lb) There shall be ple:_ns for the protection or evacuation of Iii ren in event of a natural disaster or other emergency; and 111.31 There shall be a reponsible adult available or on call for emergencies. This person's name, telepE hone number, and signed statement of avagability shall be on record. 727. First Aid Supplies 123.20 Adequate first-aid supplies shall be maintained for emergen ymedical care of a child who may be =come injured or ill. M1LY DAY CARE HOMES VERMONT 800. NUTRITION AND FOOD SERVICE 1._O. NUTRITION 81:_l. Nutritional Requirements 127.. 3.50 Adequate and nutritious snacks and meals shall be provided when the Oar-lads stay at a Day Care Home exceeds three hottrs. A weekly menu shall be available for inspection. 81-. Waiver of Requirements ti-ot specified O. FOOD PREPARATION Food Pcfrot specified at specified and rnents 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION 2Alt 10 :3.10 The director-and/or staff shall meet with parents at least three times Pr year. 10 =3.20 Arrangements for the child's return to the parent shall not include third ")Irties or other child care facilities traess written agreement between the day eEt.re facility and the pFe.nt is on file with the director. 3.30 A system of positive identification of children and parents shall exist in e day care facility. 16 FAMILY DAY CARBROMES VERMONT F AN AND TODDLERS 1110. P ROG RANOF. ACT V TIES 122.40 Infants stiollbe hetd, ed with, and given social experiences which are stimulating 4ogro.wth/.ire:devetaopment. Infants shall not be isolated or left in cribs for ihornajOr part of tZ he day, nor shall they be inhibited in their progre_s3 toward taping, wafking, and talking, and in awareness o or reaction to theii. envir:)nrooll, 1120. T-1E. L I ANOSAFETY -E RENIENTS Not specified 11.30. NoliffION Not sp 1200. CHILDRE 1210. P Not specified VIT =HANDICAPPING CONDITIONS AA! OPACTIVITIES 1220. HEALTI Not specified 1230. STAFFING Not specified INDSAFETY E E ME- 17 FAMILY DAY CARE HOMES 1300. SCHOOL E-1 flJDREN 1310. P ROG A I OF ACTIVITIES 30 Day Care Homes frequently provide ber.ore-school aird after-school care for short durations of time. If such care is gi yen which in creases the number ,of children, the licenser shall determine whethr additional :help is needed. VERMONT SAFETY REQUIREMENT Not specified I- 100. FACILITY l E UI 7i.E1IE 1410. SPACE 111.50 Mere shall be provision for a safe oUt door play a-ra which provides a minimum of 75 square feet of space per c-hild. The clay area shall be protected from t af fie or other hazards iniii a mnnrrsafe foi-- childrem 111.60 There shall be indoor space of at least 35 square f met per child, This space shall not include toilet facilities, fam.d storage 0= preparation area, office or isolation room. LI ail lNG. VENTI AND RATURE Not specified 1430. EXITS Not specified 1440. TOILETS AND LAVATORIES Not specified FAMILW DAY CARE HOMES VERMONT 1500. 0 TI ER STATE REQUIREMENTS COMPLIANCE WITH OTHER LOCAL, STATE, AND REGIONAL LAWS AND REGULATIONS 1510. 0 G Not speified 1520. 1-_-7'IRE fi- 1530. B LIILDING Not sue= i fled 15 40. \LTTI Not s ified 1350. --ANITATION Not s ified 1560. W CONSTRUCTION Not spe ci fl ed 19 FAMILY DAY CARE HOMES VIRGIN ISLANDS All citations in Sections 100 and 200 are to the Virgin Islands Code Annotated title 34, Chapter 13, 1980. All other citations are to the Virgin Islands Department of Social Welfare, Sections 401.4 and 401.5, Standards Care Centers and Family Dtay Care Homes, 1966. 100. STATE LICENSING OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS 111. Definitions 5382 Definitions. "Family day care home" means a child day care facility which provides care for not less than 3 nor more than 6 children under 14 years of age for less than 24 hours a day, and whether or not the facility is operated for profit. See also DAY CARE CENTERS 112. Exclusions and Exemptions See DAY CARE CENTERS 113. HITS Day Care Compliance Not specified 120. AGENCY RESPONSMLE FOR LICENSING OF DAY CARE PROGRAMS 121.fnization of the Administrative Unit See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS FAMILY DAY CARE HOMES VIRGIN ISLANDS 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES - 210. LICENSING PROCESS 211. Promulgation of Regulations See DAY CARE CENTERS 212. Advisory Body and Other Community Participation Not specified 220. LICENSING PROCEDURE 221. A plication and Issuance See DAY CARE CENTERS 222. Fee Charged Not specified 223. Areas of Investigation Not specified 224. License Renewal See DAY CARE CENTERS 225. Conditional/Provisional Licenses See DAY CARE CENTERS 226. Substantial Corn -Rance See DAY CARE CENTERS 230. ENFORCE ENT PROCEDURES 23k Facility Inspections See DAY CARE CENTERS FAMILY DAY CARE 1101YthS VIRGIN ISLANDS 232. Denial, Sus nsion, Revocation of ice e See DAY CARE CENTERS 233. Remedies and Sanctions 233.1 Hearings See DAY CARE CENTERS 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS 300. 'ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General d inistr ive -uirernen s b Staff and Household. The children must have constant supervision. If a day care mother is alone in the home, a responsible adult must be available on call to assist should an emergency arise. g Records and Reports. A family day care home mu-t maintain records prescribed by the Department of Social Welfare and on forms provided for this purpose. Representatives of the Department shall have access to ll records and reports. The confidential nature of these records and ports must be respected. Required records include: FAMILY DAY CARE HOMES VIRGIN ISLANDS `Financial Records and Reports appropriate and adequate financial records must be maintained. These 'financial records must be submitted to the Department upon request. Statistical Reports Monthly reports required by the Department mint be maintained, including daily attendance and fee payment report. 312. Te Not specified ephone 313. Proof of Operator Financial Capabilities I- Not specified 314. Insurance Not specified 320. PERSONNEL 321. Publication of Personne Not specified 322. Constraints ainst Employment b Staff and Household. A married woman living with her spouse must -eve his consent acid cooperation to operate a day care home. 330. NON- L)ISCRIMIIVATIO N 331. Requirements Prohibi "n Discrimination Not specified 4 FAMILY DAY CARE HOMES 340. RECORDS REQUIREMENTS 341. Children VIRGIN ISLANDS g Records and Reports - Children's Record. This record must include at least the following information: Name, birthdate and birthplace of child; name of parents, home and business addresses and telephones; information about the child's-habits, which will be helpful to the day care mother in providing individualized, understanding care; legal guardian, if other than parents, with name, address and telephone; dates of admission and discharge; a current medical certificate from a licensed physician; name, address and the telephone number of the person to contact in an emergency if Parents cannot be contacted promptly; and other reports required by the Department. 342. Staff Not specified 343. Child ELigbility and Enrollrnerte uirements b Staff and Household. The child's own parents must be accepted by the day care arnily and they must recognize the differing areas of responsibility of the da., =are home and those of the child's own parents. 344. Child Abuse-Reporting Not specified 345. Confidentiality of Records Requirements Not specified 5 FAMILY DAY CARE HOMES VIRGIN ISLANDS 400. 0 0 POS T ONS OF C NU 410. STAFF/CHILD RATIO FiQUIREMENTS 411. Staff /Child Ratio a Not specified 412. Methods of Corn u Not specified 420. GROUP SIZE h 1981 Child Ratios 421. Group Size os o reh, I _981 a Definition. The total number of children at may be cared for in a family day care hone may not exceed six ineludirq thft_e day care mother's own children with no more than three under 18 months of age. If -all children being eared for are Undar- three years of age, the maxinattirn may not exceed five. The number for wniCht the home is licensed must inclLicLe the mother's own pre-schoolchildren. 422. Metho croup :Size a Definition. . T and ages of chIldr- en that may be cared for in a family day cera home depe s upon the space 1 :n the home, the skill of the mother, a number of o n children in the 11tme. FAMILY DAY CAREHOMES VIRGIN ISLANDS 500. -STA E 'QUALIFI CAT S AND T_ AINING REQUIREMENTS 510. CH ID CAREGIVER r Q olJALIFICATIONS 5il. Age b Staff and Household, The day care rnother must be 21 yea ors of age or over and should be a mature, active person who is flexible in caring for young children, although persons responsible for careof the children must be eighteen years of age or over. 512. Health b Staff and Household. The day care mother must be physieFtlly and mentally able to give good care to children, as indicatedby referanceS a_nd by a physician's statement. 513. Education b Staff and Household, The day care mother must be to read and write well enough to keep necessary records. Education with knowledge of Child care principls is desirable. 514. E- b Staff and Household. The day care mother and other persons responsible for the child must have an interest in and a capacity for et--_njoying children. They should also be dependable and consistent, have the Eiability. to discern the feelings and needs of children and possess good judgment, thus assuring the handling of emergency situations promptly and intelligently... The suitability of the day care mother must be attested by three satisfactory non-related references. 7 FAMILY-DAY CARE HOMES VIRGIN ISLANDS 520. PROGRAM DIRECTOR QUALIFI QUALIFICATIONS 521. Age See 511. Age 522. Health See 512. Health 523. Education See 513. Education -524. Experience See 514. Experience 530. SUPPORT STAFF QUALIF CATIONS Not specified, 540. POST EMPLOYMENT/IN- SERVICE: ENTAT 0-_ l AND TRAINING 54L Program Director Not specified 542. Child Caregiver Staff Not specified 543. Support Staff Not specified 660 PROGRAM OF ACTIVrFIES INCLUDING EDUCATION 610. PROGRAM REQUEE ENTS 6E. Program Of Activities 6 Program. The day care home expetience he should ieceiv ularly suited to provide a dill with 'the sal ti own horn FAMILY DAY CARE HOMES VIRGIN ISLANDS The child engages in the same kind of informal play activities that should be provided in his own home. It is important, however, that _planned daily activities be provided which will serve to stimulate the phyical, social and , emotional growth of the child. Activities must be planned in such a way that each day follows a pattern so the child can find security in the routine. Snack -time, meal time, play time, and nap time should always come as nearly as possible at the same,time each day. It is important that there be a relaNed, unhurried, homelike atmosphere which is far more important than adhering strictly to a schedule. The activities of the day must provide. alternate periods of active and quiet play to promote healthy, growth and development and to protect rthildren from fatigue and over stimulation. In ,,suitable weather there should be periods when infants and younger children ar out of doors. 612. Pro ui. ment and Materials e Equipment. Appropriate toys and materials for indoor and outdoor play must be provided. All toys and equipment must be constructed so that there are no loose, -sharp or pointed parts that might injure the child. An individual bed, pad or cot must be provided for each child. 'Beds used by the family must not be used for children. For infants under 18 months, a crib or play pen with sides must be used. 9 FAMILY DAY ARE H' 613. Nap Provision ES' VIRGIN ISLANDS c Program. All pre-school age children must be required to sleep or rest on individual cots, pads or beds after the mid-day meal. 614. Discipline an Guidance Not specified 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Re_ uirements Not specified 712. Health Assessments See DAY CARE CENTERS 713. Immunizations See DAY CARE CENTERS 714. Sanitation d Physical Plant. 9 Toilet and bathing facilities must" be inside the home. In areas where these facilities are not available, adequate substitutes approved by the Bureau of Environmental' Sanitation will be accepted. There must be an adequate sanitary supply of water available for drinking and household use. Water supply that is not certified must be purified, Building, premises and equipment should be kept clean, satita and in good -,repair, and should provide for reasonable comfort and well-being. (i6 10 FAMILY DAY E ACMES 715. Daii 11.1r See DAY CARE C=NTERS 716. Care of Children See DAY CARE C=ENTERS 717. Medicatit n and Special Die Provisions See DAY CARE CENTERS 718. Waiver of F=ealth Requirements See DAY CARE C=NTERS 720. SAFETY 721. General Sat et Requirements Not specified 722. Fire Safety Requrrernents Not specified 723. Transportt on Not specified 724. Safety Qqt_zirernents for Lquiprnent Not specifie 725. Water Aeti. Not specified cludincr Swimming) 726. Err res Not specified 727. Firat Aid5ts Not specified 11 8 VI1GIN ISLANDS FAMILY DAYCARE HOMES 810. NUTRITION . VIRGIN ISLANDS 80 O. NUTRITION AND FOOD SERVICE 811. Nu Reg Not specified 812. Waive Not specifier e irements 820. FOOEPIIEPAIL ATION AND SERVICE LJIREMENTS Not specified Not specified Not specified 900. SOCIAL SERVICES 1000. .PARENT PARTICIPATION 1100. INFANT AMID TODDLERS 1110. PROGRAM t F ACTIVITIES Not specified 1120. I1= 11 AND SAFETY REQUIREMENTS N-t;t specified 1130. -INFANT N.uTar_TioN Not specified 12 FAMILY DAY CARE HOME' VTR ISLANDS 1200. HIL' 1210. PROGRAM OF .11 Not specified 1220. HEALTH ANT Not specified 1230. STAFFING Not specified :APPIN6CONDIE IONS MEN'"1-S 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACTIVITIES Not specified 1320.- HEALTH AND S__ REQUIREMENTS Not specified 1400. FACILITY RE ?UT E1NTENTS 1410. SPACE d Physical Plant. The day care home should be in or near the r2hil d's own neEighborhood. This avoids the strain of long daily travel and provides familiar surroundings for the older child. There must be adequate indoor and outdoor play space. Oudoor play space may be waived if only infants are under care. 13 FAMILY DAY CARE HOMES VIRGIN ISLANDS 1420. LIGHTING- VENTILATION, AND TEMPERATURE d Physical Plant. All rooms used for children should have plenty of sunlight, adequate ventilation and lighting. 1430. EXITS .- Not specified 1440. TOILETS AND LAVATORIE Not t Deeified 1500. OTHER STATE REQUIREMENTS COMPLIANCE WITH OTHER LOCAL STATE, AND REGIONAL LAWS AND REGULATIONS 1510. .ZONING-', Not specified 1520. FIRE Not specified 1530. BUILDING , See DAY CARE CENTERS 1540. HEALTH See DAY CARE CENTERS 1550. Not specified 1560. NEW CONSTRUCTION Not specified 14 FAMILY DAY CARE I-10 ES VIRGINIA Except where otherwise rioted; all citations are from the Virginia Department of Welfare, Minimum Standards for Licensed Family Day 1977. 110.. "STATE STATU A I= 100. STATE LICEN IN OF CHILD DAY CAIIE EA ors es, Jury, TYPES 0 FACILITIES SUBJECT TO LICENSURE AS DEFINED BY AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS 111. Definitions VA. CODE §63.1-195 Definitions. "Family day-care home" means any private family home in which more than five children are received for -care, protection and guidance 'during only a part of the twenty-four hour day, 112. Exclusions and- VA. CODE §63.1 -195 Definitions. "Family day-care home" means any private family home... except (1) children who are related by blo-od or marriage to the person who maintains the home or (2) homes which accept children -exclusively from local departments of welfare or social services; provided, however, that in case of a complaint in such a home where less than six children reside, the Commissioner may cause an investigation to be made as provided in VA. CODE 363.1-198 and may require such home to comply with the provisions of this chapter applicable to family dar-care homes if he finds that such home is not conducive to the welfare of the children received therein; See also DAY CARE CENTERS 113. FIFIS Day Care Compliance - See DAY CARE CENTERS FAMILY DAY CARE HOMES- VIRGINIA 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit See DAY CARE CENTERS 122. lieEponsibleOfficial See DAY CARE CENTERS 200. LICENSING P OCESS,AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promulgation of Re ulations See DAY CARE CENTERS 212. Advi or Body and Other Community -See DAY CARE CENTERS 220. LICENSING PROCEDURE 221. Application and Issuance 7- I General Licensing Procedures Original License. Any individual(s) planning to conduct a program for family day care shall file an application for lice se at least two (2) months in advance of the planned opening date. The app ation form is provided by and may be obtained from the Department of Welfar If the home has a private Water supply and is not connected to a municipal sewer line, the Department will request an inspection and report from the local health department. Inspection and approval of such authorities' as are either required or permitted to inspect and enforce fire regUlations will be required in instances when conditions seem to indicate need for approval. FAMILY DAY CARE HOMES VIRGINIA 222. Fee Charged I General - Licensing Procedures - Original License. There is no fee for a State license. 223. Areas of Investigation I General - Licensing Procedures. Following receipt of application a representative of the Department will make a study of the proposed services and facilities of the applicant. ' . = After the application for license is approved by the commissioner, the applicant will receive by mail a license which; as provided by statute, Will- set forth the conditions under which he/she may operate. The terms of thelicense include the name(s) of the operator(s) of the family day 'care home, the maximum number and age range of children to be served, and the period of time for which the license is effective, and may include other limitations which the Commissioner may prescribe. An accompanying letter may contain, in addition to the limitations on the license, any recommendations regarding activities, services, and facilities to be employed. A letter accompanies a provisional license and states the reason(s) for its being provisional. .224. License Renewal 4- I General - Licensing ,- 2edures - Renewal of Annual or Provisional License. The statute requires for continued operation, annual renewal - license or renewal of the provisional license at its expiration date. See also pAY CARE CENTERS- 225. Conditional/Provisional Licenses See DAY CARE CENTERS 226. Substantial Compliance Substantial See DAY CARE CENTERS FAMILY DAY CARE HOMES VIRGINIA 230. ENFORCEMENT PROCEDURES 231. Facility Inspections See DAY CARE CENTERS 232. Denial, Suspension, Revocation-of a License See DAY CARE. CENTERS 233. Remedies and.Sanctions 233.1 Hearin s See DAY CAE 'CENTERS 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial eview See DAY CARE CENTERS 300. ADMINISTRATION GENERAL ADMINISTRATION 311. General Administrative Require ents Not specified 312. Telephone IV PhysicEd:Environment and Equipment. The family day care home shall have a working telephone, 'other than a pay, phone, with a listed number. 'A number far a doctor who may be called in an emergency, an ambulance service or rescue squad, the fire department, and the polide shall be posted near trie phone and out of the reach of children. FAMILY DAY CARE NOME 313. Proof of Operator Financial Capab' HI Household. The day care family shall give evidence that their financial resources are such that they can give continuing 'maintenance operati`on of the y care VIRGINIA home-. 314. IroUranee Not specified 320. PERSONNEL 321. Pub on of Personnel Polici Not specified 322. Constraints A Employment II Personnel - Qua --a_ Requ ements for Family Day Care. Parer and Assistant(s). No .person convicted of a crime involving child abuse, child ne turpitude shall be a family day care parent or assistant. III ousehold. ect or moral All risen hers of the day' care household\ neltidinri relatives, lodgers, and employees, shall be responsible, vholesomP and emotionally stable persons of good character and reputation. No member of the household shall have- been convicted of a came involving child abuse, child neglect or moral turpitude. O. NON-DISCRIMINATION 331. Requirements Prohibiting :Oi crirnination Not specified FAMILY DAY cA E HOMES VIRGINIA 340. --RECORDS REQUIREMENTS, 341. .Children VU ReCords. Each family day remains in care. care home shall maintain a record for each child as-long'as he Records shall include: Identifying Information: Name and nickname (if any Eirthdate of the child; Names, home address, and telephone number of parent orfothr responsible person(s) and of the family physician; Place of parent's(s') or other responsible person's(s') employment and telephone number; Address and telephond number of some 'closignr d person in ease of an,ernergoncy when the parent cannot be reac-hel; Nantes of persons authorized to call for the child' who are not to visit or call for the child; Date of admission anddate of withdrawal. Required edical Information (See 712. Health Assessments). 342. Staff Not specified 6 I as those FAMILY DAY CARE HOMES 343. Child Eli t b l t end Enrollment Re u- e ents VIRGINIA VII Records - Agreement Forms. Written agreements shall be made between' the day care parent and the natural parent, guardian or other responsible person for each child in care. One copy shall be maintained with the record and one copy shall be given to the parent, guardian, or other _responsible person. Agreement forms shall cover: Hours or care per day, week, or month; cost of car4 per day, week, or month: frequency and amount of payment per day, week or month: and any special services to be provided by either party to the agreement; Aqthorization for emergency medical care if an emergency occurs and parents cannot be located immediately; 1 Authorization for participation in specific classes, clubs, or other activities, when feasible, indicating the activity, time of leaving and returning, and method of transportation to the activity. Individual authorization for out-of-town trips when taken; and Provision that the day care parent will notify the parent whenever a child becomes ill and the child, will be picked up as soon as it is feasible for the parent or other responsible persons to do so. All records shall be made available to the Commissioner's Representative upon request. 344. Child Abuse .Report -ice Not specified 7 FAMILY DAY CARE HOMES 'VII GINIA 345. Confidentiality of Records Requirements See DAY CARE CENTERS 400. GROUP COMPOSITIONS OF CHILDREN 410. STAFF /CHILD RATIO REQUIREMENTS 411. S Child Ra oh 1981 II Personnel - Ratio of Adults to Children - Staffing. When applicable, an assis ant must be present in order to maintain following adult-child ratio: One (1) adult to every four (4)- infants below two (2) years of age, including those related to the licen4e; One (1) adult to every six (6) children above two (2) years of age, including children under six (6) years of age who are related to the licensee; In determining the need for an assistant, children. who are accepted for no more than threi hours of care before and after school shall not be counted. 412. Methods of Corn uting Staff /Child Ratios 11 Personnel - Ratio of Adults to Children Maximum Number of Children in Care. A license is required for the care of six (6) to nine (9) children unrelated to the licensee. (A child care center license is required for ten (10) or more children.) The number of children on the license represents the 'maximum number of children unrelated to the licensee who may be in care at any one time. 8 FAMILY DAY CARE HOMES ti 420. GROUP SIZE 421. Group Size as of March, 1981 See 111. Definition 422. Methods of Computing_ Group Size Not specified VIR IIIIA 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS UIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 51L II -Personnel Qualification Requirements for Family Day Care Parent a Assistant(s). A family day care parent shall be at least 18 years of age. C A family daycare assistant shall be at least 14 years of age. 512. Health VI Physical Health - Health Requirements for Family Day Care Household anz Assistants. An applicant for a Family Day Care Home License shall submit a statement from a licensed physician indicating that the applicant, any assistant, and all- members of the family day care household (including lodgers and employees) who have, direct contact with the children will not jeopardize the health of v anyone in the household. Such reports shall be renewed annually. FAMILY DAY CARE HCM VIRGINIA An applicant for a Family Day Care Home License shall submit statement from a licensed physician indicating that the applicant,. any adult assistant, and all adult members of the household (including lodgers or employees) who have direct contact with the children in *dare are determined to be f6pe from tuberculosis in accordance with acceptable methods of the Virginia Department of Health. Such reports shall be renewecl annually. Medical records shall be kept and made available to the Commissioner's. Representative upon requelt. 513. Education H Personnel - Assistant(s). A family day Qualification Reirements for Family Day Care Faxen and e parent shall hafable to read and write. 5144 Experience II Peisonnel Qualification Requirements for Family Day Care Paren Assistant%. and A family day care parent and any assistant(s) shall be responsible, wholesome, and emotionally stable people of good characrter and renutati on. 520. FROG AM DIRECTOR QUALIFICATION'S 521. Age See 511. Afas 522. Health See 512. Health 523. Education See 513. Education 10 FA Y DAY CARE HOMES 524. Experience Experience 530. SUPPORT STAFF QUALIFICATIONS Not specified 540.. P T EMPLOYMENT N E OMENTATI 541. ProugraDireetor - Not specified 542. Child Cuegiver_Staff Not specified 543. Support Staff Not specified SOO. -PROGRAM OF A 'TIVITIES,INCIAUDII G EDUCATION 610. PROGRAM REQUIREMENTS 611. . Program of Activities V Care of Children - Activities and Experiences. v- Daily activities in the faniiity day are home_ shall he informal so that children may have the benefit of exper Aide in family. 'living and may have an opportunity to participate in the usual household routins. o The family day- care parent shall plan the day so that he/she has sufficient time to talk with, play with, and offer physical comfort to the children in care. Planning shall provide children with activities appropriate to their ages, interests, and abilities on an individual basis with due consideration for the physi al, emotional, social and mental growth' of the child. FAMILY DAY CARE HOMES Activities shall include: VIRGINIA Opportunities for alternating periods of active and quiet paiticipation depending upon the ages of the children:. Opportunities for vigorous outdoor play daily, depending upon the iiveather, the ages, and health_of the children; One or more regularly schedules rest or nap periods; Opportunities for children to learn about -themselves, Anthers and the world around them: Opportunities for children to exercise- initiative and develop'- independence in accordance with their ages. If television viewing is used, it shall be used with4discretion and shall not he used as a substitute for planned activities. The amount of time children spend watching television shall be regulated. 612. 3 Pro =_arri E.uitmeat and Materials IV Physical Environment and Equipment. ?elay- material and equipment appropriate to 'children's ,developmental stag shall be made available for their .use. Na rovisi IV Physical 'Environment and Equipment. Each gild must-be provided with a crib, cot, or bed for resting or napping and clean bedding suitable to the season. Neither play pens nor double decker cribs, nor double decker cots shall be used for sleeping. 12 FAMILY DAY CARE HOMES VIRGINIA A crib, cot, or' bed shall be designated for a particular child's use. , Children may sleep on beds of family members if .they.do not sleep on same linen. Cribs shall be provided for infants. 614. Discipline and Gui V Care of childzen - Behavior and Guidance. The following requirements. apply to the 'day care parent and the assistant(s): The day care parent shall plan e peratively with each child's ptitrent(s) or guardian in establishing rules and limits that encourage desired behavior and discourage undesired behavior of children in care. Expectations of each eh' d(s) behavior must be appropriate to _,the child's age and developmental state. Rules , and limits shall be clearly _explained to each child and shall be consistently reinforced. Consistent methOds shall also be used in responding to a child's unacceptable behavior. These methods .shall never be humiliating, shaming, or frightening to a child; they shall never include physical or verbal abuse, threats or derogatory remarks; and they/shall never be associated with food, naps, or toileting prOcedures. 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Requirements IV Physical Environment and Equipment. The ramily day care home shall provide a homelike atmosphere, with emphasis 13 FA DAY CA-RE HOMES on homemaking rather than ousekee._ 712. Health Assessments VIRGINIA yet the premises shall be, clean.- VI Physical Health - Health Requirerhents for Children. Within 30 days before or after admission, and annually thereafter,. each child accepted for care in the home shall have a physical examination by a physician licensed to practice medicie, and a. copy of the report shall be submitted to the licensee. The report shall include a recorcimfof child's having had immunizations as required by the State Health Department. In the case of infants below two years of age, there, shall be a statement from the physician as to the child's immunization status since the timing of immunization for infants will be a determinatiem of the child's physician. 713. Immunizations See 712. Health Assessments 714. Sanitation IV Physical Environment and.Equipment - Sanitation; Except where water is obtained from a municipal supply and the house is connected to a municipal sewer line, the water supply- and sanitary disposal shall be approved by the local health officer. VI Physical Health - Anirnals. In cases where there are pets in the day care home, care shall be taken to protect the children. There shall only be domestic -animals, fowls, and fish in the day care home and/or yard where the day care children are. 14 FAMILY DAY CARE HOMES VIRGINIA / All dogs over. 6 months of age shall be immunized against rabies. 715. Daily Illness Screenin-, Not specified 1 716. Care of Sick Children VI Physical Health -- Illness and Injury. A is apparently ill shall not enter the family day care home without medical approval. If a child becomes ill during the day,- he shall be isolated and the parents or other responsible person shall be notified immediAtely in order that the child may be removed. He shall be }solaced but not left alone. 717. Medication and Special Diet Provisions V Care of Children - Nutrition and Food Services. Special diets shall be provided as prescribed by a physician for individual children or in accordance with religious requirements. VI Physical Health - Health Requirements for Children. There shall be a -record of other pertinent information, including allergies, food habits, special diets, and the like. Medicines Non-prescription cyugs, including but not limited to vitamins and aspirins, may be given to a child only with a parent's or guardian's written' consent. Prescribed drugs shall be given to a child only in accordance with a doctor's signed order or authentic prescription label and with a parent's or guardian's written consent. A copy of such written permission shall be filed in the child's record. 15 FAMILY.DAY CARE HOMES VIRGINIA All mediation shall be identified,' carefully labeled with the child's name, kept out of the 'reach of children, and returned to the parent when no longer needed. 718. Wailier of Health RegLiirements Not specified 720. SAFETY 721. Arn 721 General Safety R-..uirents Not specified 7 2. § Fire Safe Requirements IV Physical Environment and Equipment - Fire Prevention.. The home shall be free from fire dazerds and have adequate fire protection. Inspection and approval of such authorities as are either required or permitted to inspect and enforces` fire regulations shall be required when conditions seem to indicate need for approval. 723. Transportation Not specified 724. Safety Requirements for Equipment Not specified 725. Water Activities (Including Swimming) Not specified 726. Emergency Procedures Not specified 727. First Aid Supplies Not specified 16 t. FAMILY DAY CARE HOMES . 800. NUTRITION AND FOOD SERVICE NUTRITION 8H.. Nutritional Requirements s- Care of-Children - Nutrition and Food_ Services. The food for 'children shall .be..adequate for nutritional-ne growth and developments VIRGINIA for wholesome Since n-teals and snacks will vary according to the hours childreh are in care: Children in care between the -hours of 8 a.m. and 5 p.m. shall a mi morning snack, a mid -day meal, and an afternoon snack; erved Children in care between the hours of 2 p.m. and 10 p.m. shJ1 be served a mid-afternoon snack, an evening meal, and a bed-time snack; Children in overnight care between the hours of 8 p.m. and 7 a.m. shall 7 : be offered a bed-time snack and shall be served breakfast. All meals served to children shall consist of food sele,te orn each of the following groups: Meat, eggs or cheese; Green and yellow vegetables-fruits; Enriched or whole grain breads, cereals; and Milk 4 Children shall be served small size por additional servings. 17 ors and permitted to have FAMILY DAY CARE HOMES VIRGINIA Snacks served to children shall consist of, but of be limited to such things as milk or fruit juice and crackers, frui or vegetables, -rather than candy, cake, ceoldeg, soft drinks, and the like. Drinldng water shall be made available to the chicken at all times. If paper cups are not used, each child shall have his individually assigned ii 812. Waiver f Revirementgl Not specified 820. FOOD PREPARATION 821. Food Preparation and Service equirements V Care 9f Chilten - Nutrition and Food Services. Meals shall be planned to provide' children an opportunity to learn to -Pat and enjoy a variety of nutritious food. Provision shall be made for the children's corn for ins meal times. There shall be proper provision for food preparation and care perishable foods. Eating utensils and dishes shall be appropriate in aize to be handled by children. If disposable dishes and utensils are used, they shall be sturdy enough to prevent them from being a safety hazard. They shall be used only once and then discarded. Not spec 900. SOCIAL SERVICES 18 F ILY DAY CARE HOMES Not specified 1000. PARENT PAR 4 °IPA 16N 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES _ / Not specified 1120. HEALTH AND SAFETY REQUIRE- EN Not specified 1130. INFANT NUTRITION Not specified VIRGINIA 1200. CHILDREN WITH HANDICAPPING ONDITIOI 1210. PROGRAM OF ACTIVITIES Not specified 1220; ``HEALTH AND SAFETY REQUIREMENTS Not specified 1230. STAFFING Not specified 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACTIVITIES Not specified 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 19 FAMILY DAY CARE HOMES 4410. SPACE 1.41:10. FAC rTY'REQUIREMEN IV-PhYsical Environnfent and Equipment.- The physicacilities of 'the homi? and grounds shall present no hazard to the; hea th arid sa ety of the children. ,.,,, GINIA There shall be ipare indo childrer} to play.- Space shall be provided ,and accessible for each child over keep clothing, toys and other personal belongings. wo.yearsgo age to There shall be a place for the isolation of .a child who becomes ill wful in the family day care home.- 14217. 'LIG TING VENTILATION AND TEMPERATURE IV Physical Environment and.Equipment. The house must be screened- and properly ventilated and must be dry and heated in winter. A winter temperature. of 680 to 729 .Fahrenheit 11 5e maintained in all rooms occupied or used by the children, exec when' mandated otherwise by federal Or gtate authorities. - 1 'Adequate' lighting hi be provided in each room. 1430. E7ITS Not specified '1440. TOILETS AND LAVATORIES! IV Physical Environment and Equipment. There shall be adequate bathing ail toilet facilities easily accessible to the children. Either paper towels or individually assigned cloth towel's shall be provided. If cloth towels are used, they shall be laundered when soiled: 20 7.= FAMILY DAY CARE HOMES VIRGINIA 1500. OTHER STATE REQUIREAENTS.- COMPLIANCE Wral OTHER LOCALf, STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING IV Physidal Environment and Equipment. Family day care homes must comply with local child care ordinances where such exist. Note of approval from the administrator of the local child %care ordinance will constitute evidence of compliance. 1520. FIRE See 1510. ZOl 1530. BUILDING See 1510. ZONING 1540. HEALTH See 221. Application and Issuance, 712. Health Assessments, and 1510. ZONING 1550. SANITATION See 714. Sanitation 1560. NEW CONSTRUCTION Not specified 21 c FAMILY DAY CARE HOMES WASHINGTON Except where otherwise noted, all citations are from the Washin Department of Social and Health Services, Minimum Licensing Requirements Family Day Care Homes for Children, Chapter 388-73, Washington drn rative Code, June,1979. 100. STATE LICENSING OF MD DAY CARE FA CILiTIE 5 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS Definitions WAC 388-73-014 Persons and Organizations Subject to Licensing. "Foster family home" means a person(s) who regularly Provide(s) care during all or any part of the twenty-four day to one or more children, expectant mothers, developmentally disabled adults or other adults in need of protection in the family abode of the person or persons under whose direct care and supervision the child, expectant mother or adult is placed. A family day care home means a home which regularly provides care during part of the twentyfour day to six or fewer children. 112. Exclusions and Exemptions Not specified 113. FIHS Day Care Compliance Not specified 120. AGENCY RESPONS LE FOR LICENSING OF DAY CARE PROGRAMS 121. Organization of e Administrative Unit See DAY CARE CENTERS FAMILY DAY CARE HOMES WASHINGTON 122. Rponsible 0 See DAY CARE CENTERS 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promulgation of Regulations See DAY CARE CENTERS 212. Advisory Other Community Participation See DAY CARE CENTERS 220. LICENSING PROCEDURE 221 Application and Issuance Application See DAY CARE CENTERS 222. Fee Charged See DAY CARE CENTERS 223. Areas of Investigation See DAY CARE CENTERS 224. License Renewal See DAY CARE CENTERS 225. Conditional/Provisional L Licenses See DAY CARE CENTERS 226. Substantial Compliance See DAY CARE CENTERS 2 FAMILY DAY CARE HOMES WASHINGTON 23 0. ENFORCEMENT PROCEDURES 231. Facility Inspections tz, See DAY CARE CENTERS 232. Denial, Suspension, Revocation of a License See DAY CARE CENTERS 233. Remedies and Sanctions 233.1 Hearings See DAY CARE CENTERS 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS 300. ADMINISTRATION 310. GENERAL ADMINISTRATION /- 311. General Administrative Requirements WAC 388-73-030 General Qualifications of License, Persons on the Premises. The licensee, stafand other persons on the premises shall be persons of good character. The licensee shall ..demonstrate that he/she, child care staff, volunteers and other persons whb have access to persons under care have the understanding, ability, physical health, emotional stability and personality suited to meet the physical, mental, emotional and social needs of persons under care. 6.) FA IdarkiY.AY CARE HOMES WASH CTCN WAC 388-73-032 Age -of Licensee. Applicants for a license tinder thas chapter shall be at least eighteen years of age. WAC 388 -73 -034 Posting of License. All licensees, except for foster family homes for children, expectant mothers, developmentally disabled adults and adults in need Of protection, shall post the license issued under this chapter in a conspicuous place. WAC 388-73-060 Work Assignments. Persons under care shall not be used to carry the responsibility for basic maintenance of the fa9ility and equipment. However, household tasks may be performed insofar as they are appropriate to the program and as part of a planned learning experience. Work assignments shall be appropriate to the age and physical condition of the person under care. WAC 388-73-422 CapacityFamily Day Care Home. /4 family day care home ; all be licensed for more Inn x (6) children; such number shall be reduced by' the number of licensee's _ children and foster children under twelve years of age who are on the premises. A family day care home may provide care for more than six children provided that: None of and e additional children are in care for more than three hours; In no event shall the total number of children under twelve years of age on the premises exceed ten, and Whenever there are ore than eight children on the premises or whenever there are moe than six children onithe premises any of whom are under two years of age, the day care prOvider shall p assisted by a competent person who is at lest sixteen years of age. FAMILY DAY CARE HOMES WASHINGTON No family day care home shall care for more than two children under two years of age, including the licensee's own and foster children under two years of age. WAC 38 8-73-0 42 Religious Activities. The rights of persons in care to observe the tenets of their faith shall be respected and facilitated consistent with state and federal law. Personstahall not be punished for exercising the 312. Telephone Not specified 313. Proof of Operator Financial Capabi Not specified 314. Insurance Not specified 320. PERSON 321. Publication of Personnel Policies Not specified 322. Constraints Against Employment WAC 388-73°030 General Qualifications of I, le -e Persons ©n the Premise The licensee, staff and other persons on the premises shall not have been convicted of child abuse and/or any crime involving physical, harm to another person nor be a perpetrator of substantiated child abuse. 5 9t FAMILY DAY CARE HOMES WASHINGTON 330. NON - DISCRIMINATION 331. Requirements Prohibiting Discrimination WAC 388-73-040 Disc rimthation Prohibited. The licerse shall comply with federal and state statutory and regulatory requirements regarding naidiicrimination in employment practices and client services. 340... RECORDS REQUIREMENTS 341. Children See DAY CARE CENTERS 342. Staff See DAY CARE CENTERS 343. Child Eli bill t and Enrollment Requirements Not specified 344. Child Abuse Reporting See DAY CARE CENTERS 345. Confidentiality of Records Requirements See DAY CARE CENTERS. 400. GROUP COMPOSI'T'IONS OF CHILDREN 410. STAFF CHILD RATIO REQUIREMENTS 411. Staff/Child Ratio as of h, 1981 Not specified 412. Methods of Co ro . tin= S Child Ratios Not specified 6 FAMILY DAY CARE HOMES WASHINGTON 420. GROUP srzE 421. Gro Size as of March, 1981 See 111. De 2. Methods of Cornputinff Group Size Not specified 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS STAFF 510. CHILDCAREGIVER STAFF QUALIFICATIONS 511. A See DAY CARE CENTERS 512. Health See DAY, CARE CENTERS 513. Education Sec DA CARE CENTERS 514. Experience See DAY CARE CENTERS 520. FROG AA M. DIRECTOR. UALIFICATIONS 521. A See DAY CARE CENTERS 522. Health See DAY CARE CENTERS 523. Educati on See DAY CARE CENTERS 7 AMILY DAY CARE HOMES WASHINGTON 524. Experience See DAY CARE CENTERS 530. SUPPORT STAFF QUALIFICATIONS Not specified 540. POST EMPLOYMENT/IN -SERVICE. ORIENTATION AND TRAINING 541.. Program Director- WAC 388-73-420 Orientation and TrainingFamily Day Care Home. Applicants and family day care licensees shall attend orientation and training programs provided, arranged or approved by the department. 542. Child Caregiver Staff See 541. Program Director 543. Support Staff See 541. Pro ram Director 690. PROGRAM 'OF ACTIVITIES INCLUDING EDUCATION 810. PROGRAM REQUIREMENTS 611. Program of Activities WAC 388-73-424 Family Day CareProgram and Equipment. The day care parent shall develop a planned program of both group and individualized activities with the day care parent playing an active role, as well as beriods of free play, deigned to promote the physi'cal, m and social skills of the children under care. 8 FAMILY DAY CARE HOMES WASHINGTON 612. Program Equip. ent and Materials WAC 388-73-424 Family Day CareProgram and Equipment. A variety o play equipment suitable to the ages of the child and suitable for such acti es as climbing, pulling, pushing and riding shall be provided. Equipment shall be . constructed. and maintained to minimize chances of accidents. Toys which might be ingested by infants or which are otherwise hazardous to young children shall be removed from areas in which they are playing. There shall be a variety of suitable indoor play equipment including, but not limited to, art materials, musical materials and toys suitable for table-top play. 813.. Nap Provision See DAY CARE CENTERS 614. Discipline and Guidance See DAY CARE CENTERS 710. HEALTH HEALTH AND SAFETY 711. General Health irements WAC 3 83-73- 3 2 Health Care Plan. All facilities providing direct care shall have a written plan of action to be taken in the event of medical emergencies and a plan for health supervision f and arrangement for the provision of needed medical care.... 712. Health Assessments See DAY CARE CENTERS 9 FAMILY DAY CARE HOMES 713. Immunizations See DAY CARE CENTERS 714. Sanitation WASHINGTON WAC 388 - 73-116 Laundry. Adequate facilities shall be provided for separate storage of clean linen. Adequate laundry and drying equipment shall be arrangements are made for commercial laundry services, or clothing are provided and laundered by parents... 715. Daily Illness Screen See DAY CARE CENTERS 716. Care of Sick Children See DAY CARE CENTERS 717. Medication ai Special Diet Provisions soiled 117n and provided (unless beddi d/or WAC 388-73-136 Medications Controlld By Licensee. Except for foster family homes, a record shall be kept .of all medications disbursed and "as needed" medications shall be approved by a physician or 41 registered nurse prior to disbursement. 718. Waiver of Heal Not specified 720. SAFETY 721. General Safety = Requirements WAC 388-73-102 Safety and Maintenance. The physical plant, premises and equipment shall be maintained in a clean and -- sanitary condition, free of hazards and in good repair. Steps shall be provided with handrails as determined necessary by the department. Emergency lighting devices, such as flashlights, in operational condition shall 10 9 u FANI.,Y DAY CARE }imps WAS NGTON available. All flaking or deteriorating lead-based paint on exterior and interior surfaces and equipment and toys which are accessible to preschool-age children shall be refinished with lead-free paint or other non-toxic material.... WAC 388-73-104 Firearms. Firearms, if any, shall be used only under competent adult supervision and 7 when not in use shall be kept in locked storage accessible only to authorized persons. -722. Fire Safetr-Requirements WAC 388-73-310 Fire Safety. Every room used by persons under care, unless provided with two separate doors or one door leading directly to the outside, shall have a window of sufficient size and free of obstructions to be readily available for emergency escape or rescue. Every occupied area shall have access to at least one exit which does not pass through rooms or spaces subject to being locked or blocked from the opposite side. No space shall be used for residential purposes which is accessible only by ladder, folding stairs or a trap door. Every bathroorn door lock shall be designed to permit the opening of the locked door from the outside in an emergency. Every closet door latch shall be such that the door can be opened from the inside. No stove or heater shall be so located as to block escape in case of ma functioning and ensuring fire. Flammable, combustible or poisonous material shall be stored away from exits and in areas not accessible to persons under care. 11 FAMILY DAY CARE HOMES I WAS fNGTON Open flame devices, heating and cooking appliances, and other similar products capable of igniting clothing shall not be left unattended or used in such a manner which could result in accidental ignition of clothing. There shall be readily available an approved five pound or larger all purpose (A.B.C.) type fire extinguisher. A smoke detector shall be located in proximity to the area(s) where persons are tinder care sleep. If question arises concerning fire dan shall be consulted. 723. Transportation See DAY CARE CENTERS he local fire protection authority 724." Safety Requirements for Equipment See 612. Program Equipment and Materials and 721. General ety Requirements 725. Water Activities (Including Swimming . _ Not specified 726. EnieTency Procedures WAC- 388-73-310 Fire Safety. All persons in care shall be imtructed in emergency evacuation procedures and drills conducted at regular intervals to test-and practice the procedure. 727. First Aid Supplies See LAY CARE CENTERS 12 FAMHAT DAY CARE HOMES 810. NUTRITION WASHINGTON 800. NUTRITION AND FOOD SERVICE 811. Nutritional - Re uirements WAC 388-73-144 Nutrition. Food served by each ageney shall be planrI4d in light of the needs of the persons under care, taking into consideration their ages, cultural background, any handicapping condition, and hours of care in the facility. A The use of raw milk is pro d. Skim milk and reconstituted non-fat dry milk shall not be used for (kink rposes by children less than two and one-half years of age, except with the written permission of a physician. Dry milk and ilk aproducts may be reconstituted in the facility for drinking purposes for children over two and one-half/ years of age provided the preparation, rvice, and storage of said m is in accordance with the requirements 248-84 WAC relating to potent ally hazardous foods.... Day Care and 'Jay Treatment. Children in care for five to ten hours shall be served food that provides at least one-third of the 1974 recommended dietary allowances set by the National Research Council. Children in care for more than ten hours shall be served food that provides at least one-half of the 1974 recommended dietary allowances set by the National Research Council. Children who bring sack lunches from home shall be provided additional foods to meet these requirements. Licensees shall consult with parents as to the additional foods that are provided. All children arriving before 7:00 a.m. who have not received breakfast shall be offered a breakfast that provides at least one-fourth of the recommended dietary allowances. FAMILY DAY CARE HOMES WASHINGTON All children present shall be offered mid =morning and mid-afternoon. snacks. If a breakfast was served to all children, then a mid - morning snack is not required. Children arriving after school shall be offered a snack. Between-meal snacks shall be provided and may be part of the daily food needs. Snacks shall consist of two or more of the following items -(two foods within the same grouping may be served), served in age - appropriate Serving-s_ milk or milk products fruit and/or vegetables fruit and /or vegetable juice that are at least fifty oeicent real whole gain or enriched breads and /or cereal products, protein foods (animal or vegetable). The occasional serving of party foods which do not meet these requirements is not prohibited. 812. Waiver of Requireenn specified 820. FOOD PREPARATION 821. Food Preparation and Service Requirements VAC 388-73-112 Kitchen Facilities. 'Facilities for the proper storage, preparation and service of food shall be provided to the extent required by the type of care being provided.... 14 9 1i 5 FAMILY DAY CARE HOMES WASHINGTON Children may participate in food preparation provided it is part of an agency's supervised program. Preschool age children shall be supervised svfltn in the kitchen.... See DAY CARE CENTERS 900. SOCIAL SERVICES PARENT PARTICIPATION See DAY CARE CENTERS and 611. PROGRAM OF ACTIVITIES 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES Not specified 1120. HEALTH AND SAFETY REQUIREMENTS WAC 388-73-1AS Infant Care. Cribs - Cribs shall be _made of wood, metal or approved plastic and have secure latching devices. Cribs purchased for the use of infants under six months of age shall have no more than two and three-eighths inches space between vertical, slatS. Cribs Currently on hand which do not meet the spacing requirement may be used provided crib bumpers or other effective methods are used to prevent the infant's body from slipping between the slats. Mattresses-, shall fit snugly to prevent the infant being caught between the mattress and crib side rails. Crib mattresses shall be waterproof and easily sanitized.... FAMILY DAY CARE HOMES WASHINGTON 1200. CHILDREN WITH HANDICAFFING CONDITIONS 1210. FROG HAM OF ACTIViiIES Not specified 1220. HEALTH AND SAFETY REQUIREMENTS Not specified 1230. STAFFING Not specified 1300. S HOOL AGE CHILDREN 1310. FROGRAM OF ACTIVITIES WAC 388-73-424 Family Day Care--Frogram and Equipment. Children shall be under close supervision of an adult and within easy hearing- distance at all times. If the absence of the day care parent is necessary, the child must be left in charge of a competent adult. With written parental permission, school age children may visit neighborhood friends and participate in community activities. 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 1400. FAcarry REQUIREMENTS 1410. SPACE WAC 388-73-424 Family Day Care -- Program and Equipment. Adequate play space shall be available both indoors and out. The outdoor play area shall be fenced if conditions require. 16 FAMILY DAY CARE HOMES 1420. LIGHTING! VENTILATION, AND TEMPBRATURE See DAY CARE CENTERS 1430. Man Not specified 1440. TOILETS AND LAVATORIES WASHINGTON WAC 88-73-118 Toilets, Lavatories and Bathing Facilites. There shall be at least one indoor flush type toilet and one lavatory with hot and cold or _tempered running water. The following ratios of persons normally on the premises to facilities shall apply- Bathing Toilets Lavatories Facilities Family Day Care Home 1 mininum 1 minimum 1 minimum Toilet and bathing facilities Shall- provide for privacy for persons of the opposite sex.wlx, are six years of age or older. Toilets, urinals and handwashing sinks shall be of appropriate height for the children served or be provided with a safe and easily cleanable platform.... All bathing facilities shall have a conveniently located grab bar unless other safety measures, such as non-skid pads, are approved by the department.... Preschool children shall not be left unattended in a bathtub. Equipment for toileting and toilet training of toddlers shall be provided and maintained in a sanitary condition at all times. Infants in diapers and those using toilet training equipment need not be included when determining the number of Bush -type toilets required.... 17 FAMILY DAY CARE HOMES WASHINGTON Soap and individual towels or disposable towels shall be provided. 1500. OTHER STATE REQUIREMENTS COMPLIANCE WITH OTHER LOCAL, STATE, AND REGIONAL LAWS AND R 1510. ZONING See DAY CARE CENTERS 1520. FIRE See DAY CARE CENTERS 1530. BUILDING See DAY CARE CENTERS 1540. HEALTH See DAY CARE CENTERS 1550. SANITATION See DAY CARE CENTERS 1560. NEW CONSTRUCTION See DAY CARE CENTERS 18 9 (K2, GULATIONS FAMILY DAY CARE HOMES WEST VIRGINIA Except where otherwise noted, all citations are from the West Virginia Department of Welfare, Family Day Care: Enrichment Standards, 1975. 100. STATE LICENSING OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS 111. Definitions 512090 West Vfr'ginia Social Services Manual - 2/81. A family day care home - facility which provides care for up to six (6) children including the day care provider's own children for a part of the twenty-four hour day, with,not more than two (2) children under age two (2), including the provider's. If care is provided for any child from infancy to age three (3), not more than five (5) children can be provided for, including the provider's own children under age six. 112. Exclusions and Exemptions See DAY CARE CENTERS '113. HMS Day Care Co- pliance Not specified 120. AGENCY RESPONSIBLE FOR LICENS N F DAY CARE PROGRAMS 121. Organization of the Administrative Unit See DAY CARE CENTERS 41. 122. Responsible Official See DAY CARE CENTERS FAMILY DAY CARA' HOMES 200. LICENSING PROCESS AND ENFORCEMENT PROCEDU ES 210. LICENSrNG PRO CE 211. Promulgation of Regulaticns See DAY CARE CENTERS 4 212. Advisory Body and Other Community Participation See DAY CARE CENTERS 220. LICENSING PROCEDURE 221. Application and Issuance See DAY CARE CENTERS 222. Fee Charged See DAY CARE CENTERS 223. Areas of Investigation See DAY CARE CENTERS 224. Lidense Renewal See DAY CARE CENTERS 225. C onditionaJ/Provisional-Licenses See DAY CARE CENTERS 226. Substantial Compliance See DAY CARE CENTERS 230. ENFORCEMENT PROCEDURES 231. Facility I-nspections See DAY CARE CENTERS 2 FAMILY DAY CARE HOMES 232. Denial, Suspension, Revocation of a License See DAY CARE CENTERS 233. Remedies and Sanctions See DAY CARE CENTERS 233.1 Hearings See DAY CARE CENTERS 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Administrative Requ'rements WEST V GINIA HI Hours of Work. The day care provider should not usually work more than ten.(10) hours in any twenty-four (24) hour period. A full day will be considered as between seven (7)-and ten (10) hours.. Many client situations, however, such as attending an out-of-town training program, working split shifts, hospitalization or illness; require a day care arrangement for more than ten (10) hours in any twenty-four (24) hour period. The worker may approve such an arrangement if the worker and natural parents agree that day care is the best plan. FAMILY DAY CARE HOMES Payment for day care which exceeds ten (10) hours in any period will be the same as payment for full day care. 312. Telephone WESI. VmGINIA our (24) hour V Health and Safety. In all day care homes there shall be a telephone accessible within ten (10) minutes to the day care parent. 313. Proof of Operator Financial -apabilities Not specified 314. I trance V Health and Safety. The day care family should have a plan to purchase standard liability insurance (legal liability coverage) for the protection of both the child and the family day care provider in case of accident or injury. 320. PERSONNEL 321. Publication of Personnel policies Not specified 322. Constraints Aire Not specified 330. NON-DISCRIMINATION 331. Reclmlmrements Prohibiting Discrimination Not specified 4 FAMILY DAY CARE ES WEST VI GI NIA 340. RECORDS REQUIREMENTS 341. hildren IV Records. For each child there must be on file in the home the following emergency information: Childs name and age. Telephone number- or instructions as to how parent(s) or guardian may be reached during the hours the child is in the family day care home. Name and telephone number of child's physician. Name and telephone number of the hospital or clinic preference. Written permission for emergency medical, dental or surgical atment. Notes regarding discussions with parents about health problems indicating that the parent has been made aware of any health problem observed by the day care provider and that an appropriate plan has been devibloped, to resolve the health problem noted. Any pertinent information obtained from,-parents and/or health sources. See also 717. Medication and Special Diet Provisions 342. Staff See 512. Staff Qualifications - B Oalth 5 FAMILY DAY CARE HOMES WEST VIRGINIA 343. Child Eligibility and Enrollment Requirements Not specified 344. Child Abuse 3r.li Not specified 345. Confidentiality of Records Re irements Not specified 400. GROUP COMPOSrIIONS OF CTIUDREN 410. STAFF/CHMD RATIO REQUIREMENTS 411. Staff/Child Ratio Not specified 1 412. Methods of Computing Staff/Child Ratios Not specified 420. GROUP SIZE 421. Group Size as of March, 1981 IL Admission of Children. The day care provider will not care for more than six children at any cn including the day care provider's own children under the age of 14. In a family c=1-,1 f e re home there may be only two children under the age of two. 422. Methods of ompu 'rig Group Size Not specified I.J FAlVI1LY DAY CARE HOMES WEST Vl CINIA 500 STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS 510. CHILD CAREGWER STAFF QUALIFICATIONS 511. I Day Care Provider Requirements. Each provider should be at least 18 years of age and not over 65. Persons over 65 may be considered if there is no physical or emotional impairment that would interfere with their ability to supervise children. Persons under 18 years of age should be considered only upon recommendation of the serviceovorker with supervisory approval. In these cases, a responsible adult must be :willing to countersign the vendor contract (FC-6C) and assist in supervision of the children. The e prime concern in any exception should be that the worker feels the day care parent is not so young as to lack maturity nor so old as to lack the energy and flexibility necessary to care for the children. 512. 11 eilth I Day Care Provider Requirements. The day care provider must have written evidence on file certifying that he/she is free of physical andrental illness. This Medical Report must be completed annually. The record shall also certify that he/she is free from communi :tile tuberculosis as a result of a negative tuberculin teat or a satisfactory est x-ray. Such tests must be repeated annually. 7 FAMILY DAY CARE HOMES WEST VIRGINIA Each provider with an identified health problem must obtain a written statement from a physician that he or she has sufficiently good health to care for young children. 513. Education I Day Care Provider Requirements. The family day care provider should be able to read and write. 514. Experience Not specified 520. PROGRAM DIRECTOR QUALIFICATIONS 521. Age See 511. Age 522. Health See 512, Health 523. Education See 513, Education 524. Experience Not specified 530. SUPPORT STAFF QUALIFICATIONS Not specified 540. POST EIVIP 0VNIEN'TAN- SERVICE. ORIENTATION AND TRAINING 541. Program Three Not s cified FAMILY DAY CARE -HOMES WEST VIRGINIA 542. Child Caregiver Staff Not specified 543. Support Staff Not-specified 600. PROGRAM OF ACTIVITIES,INCL UDING. EDUCATIOt! 610. PROGRAM REQUIREMENTS 611.` Program of Activities XII Program. --The-family day- care e-provider will have-a-- written a -poste1:1 daily-routi or the children. F9r full day ewe (7-10 hours) the routine will include the following: Provision for active and vigorous play such as water play, pounding, molding clay, digging, etc., with suileible space and e ipment. Provision for the children to spend a portion of each day outside unless raining or the weather conditions prevent a satisfactory play experience. ovision for a minimum of one hour per day of the day care provideN time spent in direct activities with-the children. Provision or quiet activities when the television set s turned off. FAMILY DAY CARE HOMES WEST VIRGINIA If a television is available, provision for watching educational television programs desigied for preschool children, such as Sesame Sfreet and Captain Kangaroo. Provision for a nutritious meal and snacks. With parents' approval, children should have opportunity to participate in activities away from the home such as trips to the store, to a park, etc. For part day care (less than 7 hours) the routine will include the following: Provision for a period of direct interaction between the day care parent and children. Selection of at least one other element from full day program, if time permits. 612. Program -Equipment and Ma VII Equipment. Each child should have an individual bed or cot kept in clean and sanitary condition at all times. Beds currently used by family must not be used by the child unless clean linen is provided. 613. Nap Provision XII Program. For full day cape (7-10 hours) the routine will include the following: Rest periods should be arranged for preschool age children, even if the child does not actually nap. FAMILY DAY CARE HOMES VII Equipment. WEST VrnGINIA Rooms used for rest or sleep should, when possible, be away from the noise and bustle of other household 614. Discipline and Guidance IX Discipline. Disciplinary methods used by the day care parent must not include physical punishment, withholding of food, 6r humiliation of a child. 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Requirements Not specified 712. Health Assessments Not specified 713. Immunizations Not specified 714. Sanitation V Health and Safety. Toys, table tops, furniture and other similar equipment used'by children must be washed when they becOme sticky and gummy, or contaminated. Cleaning with soap and followed by adequate drying is sufficient. Soap, water and individual towels (paper or cloth) must be available to children. 11 FAMILY DAY CARE HOMES WEST VIRGINIA Children must wastkohands before snacks and meals and after toileting. Personal health practices of the day care provider must minimize transmission of infecting agents and protect the health of children. The day care provider must practice the following personal health habits: Hands shall be washed prior to preparing any food for the children. Whenever the day care provider has a contagious ailment, he/she must secure a substitute and remove herself/himself to an area of the house away from the normal activity of the children. VI Nutrition and Food Services. A domestic dishwasher is acceptable, but if it is not available, the dishes must be washed and rinsed in a sanitary manner. VII Buildings and Grounds. Floors, walls, and ceilings must be reasonably clean. X Sanitation. The home must have a safe water supply. Bathroom facilities used by children must be cleaned daily or as often as needed with a disinfectant such as Lysol. 715. Daily Illness Screening Not specified FAMILY DAY CARE HOMES 716. Care of Sick Children WEST VIRGINIA V Health and Safety. Any child showing symptoms of illness during the day shall be removed from the group to a quiet area where he shall receive necessary attention until such tirrie as the home and his parents can make plans for his care elsewhere. 717. Medicafaon and Special Diet Provisions IV Records. For each child receiving any form of medication, including aspirin, there will be on file in the home: Written authorization of the parent or of a physician. Child's name and name of medication. Authorized dosage and times of administration. Each container must be clearly labeled with the child's name and dosage. 718. Waiver of Health Requirements Not specified 720. SAFETY 721. General Safety tequirements V Health and Safety. First aid supplies, medications, cleaning materials, poisons, ',leaches, detergents, insecticides, firearms and other potentially hazardous or dangerous materials must be out of the reach of children. Consumption of alcoholic beverages or the use of prescribed or non-prescribed medication which alters behavior is prohibited on the premises during the hours children are in care. S FAMILY DAY CARE HOMES WEST VIRG See also 312. Telephone 722. Fire Safety Requirements V Health and Safety. The family day care provider shall have a plan for evacuation of children in ease of fire or other disaster. The plan must be posted. A fire drill must bconducted once a month. IX Fire Safety. All fireplaces, heaters, ,stoves, and hot radiators in rooms used by children shall be adequately protected by guards. Heating and cooking equipment must be adequately separated from walls, ceilings, and floors, or protected by noncombustible insulation. Combustibles such as clothes racks, curtains, furniture, beds, etc. , must he positioned to prevent accidental combustion. The home shall not use indoors while children are in care, makeshift heating or cooking devices, such as charnol grills o7 camping stoves. Gasoline, benzene, or other flammable fluids ml ever be used for fling- clothes, furnishings, or floors. 723. Transportation Not specified 9 14 FAMILY DAY CARE HOMES 724. Safety Requirements for Ewipment Not specified 725. Water A eluding Swimming) at specified 726. Emergency Procedures IV Records. Emergency telephone numbers including fire, p clinic must be available in written form. WEST VIRGINIA e physician, and pi al or The day care provider must have a written plan whereby an additional adult could be summoned to be available to assist in an emergency. The includes: name and telephone number of one adult who could assist or replace the day care provider. V Health and Safety. At least one operable flashlight power failure. 727. First Aid Supplies available for use in the event of a V Health and Safety. The day, care provider must have available the following first-aid' supplies, stored together to make up a first-aid kit: soap, antiseptic (such as Bactinel, band aids, sterile gauze squares, adhesive tape, and thermometer. 15 FAMILY DAY CARE HOMES WEST VIRGINIA 800. NUTRITION AND FOOD SERVICE 810. NUTRITION 811. Nutritional Requirements VI Nutrition and F'oo'd Services. Chilaren who are in care four or more hours shall have one-third of their daily food neetls supplied by the day care home. This shall include a nutritious mid-mornin snack or breakfast, a noon-day meal and a mid-afternoon snack or supper, depending upon hours of care. (Soft drinks, candy, potato chips, etc., are not considered to be nutritious snacks.) A balanced meal shall include one item from each of the four basic food groups. In a full day program, preschool *children must be served two snacks and lunch. School age children receiving part day care must be served a snack. Children shall be served a minimum of oz. of whole milk per day. (Full Day Only) N21 Program. For part day care (less than 7 hours) the routine will include the following: Provision for a nutritious snack, or if applicable, a nutritious meal. 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 821. Food Preparation and Service Requirements I Nutrition and Food Services. In planning diet, the introduction of solid foods, etc., the home shall follow the recommendations of the child's parent(s). FAMILY DAY CARE HOMES WEST VIRGINIA A weekly menu chart must be posted showing daily and breakfast/lunch/supper menus. V Health and Safety. Perishable foods and milk must be kept re The family kitchen must be in good repair. ra Food prepared ahead of time or any left-over foods which will be used later must be properly refrigerated when necessary, and must be covered to prevent contamination. Children's meal's must be serves' family style. The day care provider must eat with the children. Not specified t specified 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES XII Program. For full day care (7-10 hours) the routine will include the following: Provision shall be made for each infant to spend at least one hour of each day outside the crib or playpen. &2I FAMILY DAY CARE HOMES -WEST VIRGINIA 1120. HEALT AND SAFETY REQUIREMENTS V Health and Safety. Water shall be offered to infants and toddlers three or four times a day. Day care provider must either assist or wash infants an accidental scalding. ers to prevent In the case of infants and children not yet toilet Veined, the natural parent will supply sufficient clean diapers, plastic panties, and training pants on a daily basis. VH Equipment. An infant under 18 months of age should have a crib or bed with sides. 1130. INFANT NUTRITION VI Nutrition and Food Services. For children under one year of age, the family day care_ provider shall secure from the parents a formula and feeding plan. Formulas shall be, clearly identified. I planning diet, the introduction of solid foods, etc., the home shall ollow recommendations of the child's parent(s). Infants shall be fed individually and prefer:ably shall be held while fed. 1200. CHH.DREN WITH HANDICAPPING CONDITIONS 1210. PROGRAM OF AcrwrnEs Not specified 18 FAMILY DAY CARE HOMES WEST VIRGINIA 1220. HEALTH AND SAFETY REQ Not specified 1230. STAFFING Not specified 1300. SCHOOL AC 1310. P ROGRAM OF ACTIVITIES Not specified 1LD N 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 1400. FACILITY REQUIREMENTS 1410. SPACE VIII Buildings and Grounds. The outdoor play space must be safe, easily supervised and located next to or near the family day care home. Preferably the exterior space is fenced or has natural barriers to restrict preschool children from unsafe areas. Play areas and play equipment shall be maintained in a reasonably safe condition and supervised by the day care provider. 1420. LIGHTING, VENTILATION, AND TEMPERATUREE VIII Buildings and Grounds. All rooms used by children must havl.at least one operable window for proper ventilation. 19. FAMILY DAY CARE HOMES WEST VIRGINIA 1430. ENETS IX Fire Safety. Fastening devices on wilt doors shall y opened. Each room used by the children must have two means of egresp. 1440. TOILETS AND LAVATORIES VIII uildings and Grounds. Toilet and lavatory facilities must be provided of a type determined by the availability of water under pressure. Approved facilities (water or non-water carriage) shall be provided for disposalof sewage and other liquid wastes. There mud be at least one indoor toilet and one handwashing facility available for children's use. Potty chairs must be provided for use by children who require them. Training "potties" must be emptied promptly and sanitized after use. Where outdoor-privies are used, they must he limed, frequently to keep down odors. A step or riser must be provided for the children in the outdoor privy. Holes must be sized to the age group in e privy. 20 FAMILY DAY CARE HOMES T VIRGINIA 1500. OTHER STATE REQUIREMENTS - COMPLIANCE WITH OTHER LOCAL, STATE, AND REGIONAL LAWS AND REGULATIONS 1510 ---1 ZONING Not specified 1520. FIRE Not specified 1530. BUILDING Not specified 1540. HEALTH Not specified 1550. SANITATION Not specified 1560. NEW CONSTRUCTION Not specified 21 FAMILY DAY CARE HOMES- , WISCONSIN. Except where otherwise noted, all citations are from the Wisconsin DepaTtment of-Health and SOCIEITS-ervic-es, Cbapter -HSS 55-,-Day Care'eenters for Children, Subchapter H Additional Requirements for Family Day Care Services, May, 1980. 100. STATE LICENSING OF CHILD DAY CARE`FACILIT ES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS 111. Definitions See DAY CARE CENTERS 112. Exclusions and Exem tions See DAY CARE CENTERS 113. HITS Day Care Compliance Not specified 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAM, 121. 2IT'anization of the Administrative Unit See DAY CARE CENTERS 122. Responsible Official See DAY CARE CENTERS FAMILY DAY CARE HOMES 200. LICENSING PROCE5 210. LICENSING PROCESS WISCONSIN AND ENFORCEMENT PROCEDURES 211. Promulgation of Regulations See DAY CARE CENTERS 212. Advisory Hod anti Other Community ParticiRation See DAY CARE CENTERS 220. LICENSING PROCEDURE 221. Application and Issuance See DAY CARE CENTERS 222. Fee Chemed Not specified 223. Areas of Investigation See DAY CARE CENTERS 224. License Renewal See DAY CARE CENTERS 225. Conditional /Provisional Liee__ See DAY CARE CENTERS 226. Substantial Compliance See DAY CARE CENTERS 230. ENFORCEMENT PROCEDURES 231. Facility Inspections See DAY CARE CENTERS FAMILY DAY CARE HOMES 232. Denial, Suspension, Revocation a License See DAY CARE CENTERS 233. Remedies and Sanctions 233.1 Hearings See DAY CARE CENTERS 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS 300, ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Administrative Requirements WISCONSIN HSS 55.21 Responsibilities of the Family Day Care Provider. The licensee shall: Develop written plans for fees, admission, termination of enrollment, health policy, feeding, cipline, evacuation, and daily activities of the children. Display the day care license in a location where parents can see it during the hours of operation. 312. Telephone HSS 55.23 The Home. The center shall have at least one telephone with a list of emergency telephone numbers on or near each telephone, such as the local rescue squad, fire department, police department, child protective services and emergency medical service. 3 9 3 FAMILY DAY CARE HOMES 313. Proof of 0erator Financial Caabilities Not specified 314. Insurance SCONSIN HSS 55.21 Responsibilities of Family Day Care Provider. The licensee shall provide documentation of current coverage by the submission of a certificate of insurance reflecting dates of coverage for general liability insurance and vehicle liability insurance if transportation is provided. 320. PERSONNEL 321. Publication of Personnel Policies Not specified 322. Constraints Against Employment HSS 55.22 The Day Care Provider and Member of the Household. The provider shall not be employed in any other occupation during the hours of operation of the center. 330. NON-DISCRIMINATION 331. Requirements Prohibitin Discrimination HITS 55.21 Responsibilities of the Family Day Care Provider. The licensee shall ensure that the day care center does not discriminate on the basis of age, race, color, sex, creed, handicap, political persuasion, national origin or ancestry against: Any employee or applicant for employment, in regard to hire, tenure or term, con 'dition or privilege of employment. Any enrolled child and family or any applicant for enrollment in regard_ to admission, privilege of enrollment or discharge condition. 4 FAMILY DAY CARE HOMES 4= WISCONSIN 340. RECORDS REQUIREMENTS 341. Children HSS 55.21 Responsibilities of Family Day Care Provider. The licensee shall maintain a current written record file at the center on each child enrolled and make it available to the licensing representative. Each record file shall include: The information prescribed on a department enrollment form. Written consent from the parent for emergency medical c- e or treatment. ( Authorization for child to participate in and be transported for field trips and other activities if these are part of the program. Specific informed consent from the parent for each incident or participation by a child in any research or testing project. The family day care center shall obtain and make available to the department and the parents a statement indicating the sponsor, the subject matter, the specific purpose and the proposed use of results with respect to each such project. Record of the current physical examination and any other mat relating to the child's health. A record of the daily attendance of each child shall be maintained for the length of time the child is enrolled in the program. 342. Staff Not specified 343. Child Eligibility and Enrollment Requirements Not specified 5 FAMILY DAY CARE HOMES WISCONSIN 344. Child Abuse Reporting HSS 55.21 Responsibilities of the Family Day Care Provider. The licensee, who knows or has reasonable cause to suspect that a child has been abused or neglected shall immediately contact the county welfare agency, sheriff or City police. 345. Confiden Records Re if HSS 55.21 Responsibilities of the Family Day-Ciire Provider. Children's records are confidential All persons having access to children's records may not discuss or disclose personal information regarding the children and facts learned about children and their relatives. This does not apply to: The parent or a person authorized in writing.by the parent to receive such information. The agency assisting in planning for the child when informed written parental consent has been given. Day care centers shall make accessible to the parent, upon request, all records and reports maintained on their own child. All records required by the department for licensing purposes are be available to the licensing representative. 400. GROUP COMPOSITIONS OF CHILDREN 410. STAFF/CHILD RATIO REQUIREMENTS 411. Staff/Child Ratio as of March, 1981 HSS 55.22 The Day Care Provider and Member of the Household. At no time may more than 8 children wider 7 years of age be in the care cif the center. FAMILY DAY CARE HOMES WISCONSIN When children who are 7 years of age and older who are not members of the prolAder's family are served in the same center with children under 7 years of age, they shall-be included in determining the maximum capacity. The maximum number of children that one provider may care for is based on the combinations of ages as specified in Table 55.22. TABLE 55.22 Children Under 30 Months of Age Children 30 months cLI`TIro-11 6 Maximum Number of Children in a Group -0 8 8 1 __7 _ 8 2 4 6 3 2 5 4 0 4 412. Methods of Computing Staf Child Ratios PISS 55.22 The Day Care Provider and Member of the Household. If! the size of the group or age distribution of the children exceeds the number that may be served by one provider, there shall be a second provider. No more than 3 children under one year of age may be served at any one time. A child or group of children shall have adult supervision at all times. In order to ensure that the requirement of par. (e) is met, a second adult shall available within 5 minutes for emergencies. There shall be a dated and signed statement with name, address, and telephone number on file certifying to the second person's availability and agreement to serve. In the event of the provider's absence, an adult substitute shall be on the licensed premises during any period that enrolled children are present. 7 93 FAMILY DAY CARE HOMES WISCONSIN Only a person 18 years of age or older may be left e charge of the children. 420. __1t JP SIZE 421. Group Size as of March, 1981 See Staff /Child Ratios as of arch, 19 422. Methods of Computing Group Size See 412. Methods of Comparing Staff/Child Ratios. 500. STAFF QUA1IFICATIONS AND TRAINING REQUIREMENTS 510. CH HAD CAREGIVER STAFF QUALIFICATIONS 511. Age 0 HSS 55.22 The Day Care Provider and Member of the Household. The provider shall be at least 18 years of age. 512. Health HSS 55.22 The Day Care Provider and Member of the Household. Any person who works directly with children shall have a health examination within 6 months prior to beginning work or within 30 days thereafter. The report, dated and signed by a licensed physician, shall be on file in the center and certify that: The person is free from illness detrimental to young children. The person is physically able to work with young children. Household members under the age of 15 who work directly with young children and substitutes shall be required to meet the same health qualifications as the provider. 8 Cl FAMILY DAY CARE HOMES WISCONSIN Household members under the age of 15 years shall be subject to the same health requirements as the children in care as specified in HSS 55.25 (5) (g). Staff, household members, volunteers, visitors or parents with symptoms of illness, communicable disease or whose behavior gives reasonable concern for the safety of children shall not be in contact with children. 513. Education HSS 55.22 The Day Care Provider and Member of the Household. The provider shall have completed satisfactorily, or be enrolled in, 40 hours of early childhood training as approved by the department. 514. Experience Not specified 520. PROGRAM DIRECTOR U_ALIFICAT1ONS 521. AL! See 511. AL! 522. Health See 512. Health 523. Education See 513. Education 524. Experience Not specified 530. SUPPORT STAFF *UALIFICAT1ONS See 510. Child Caregiver Staff Qualifications FAMUY DAY CARE HOMES WISCONSIN 540. POST EMPLOY ENT SERVICE: t RIENTATION AND TRAINING 541. Program Director HSS 55.21 Responsibilities of the Family Day Care Provider. 44 The licensee must ensure that every child care worker who comes in contact with the children at the day care center has received training in: Child abuse and neglect laws. The process of identification of children who have been abused or neglected. The process for reporting known or suspected cases of child abuse or neglect HSS 55.22 The Day Care Provider and Member of the Household. The provider shall document 15 hours of training annually in child growth and development or early childhood education as approved by the department. This training may include attendance at training events, workshops, conferences, independent reading, consultation with community resource people or observation in day care centers. 542. Child Caregiver Staff See 541. Program Director 543. Support Staff HSS 55.22 The Day Care Provider and Member of the Household. The adult on call within 5 minutes and the substitute helper shall receive an orientation to the operation of the home including: The plan for evacuation and other emergencies. The location of the daily attendance sheet and emergency information for children. 10 .9 4 u FAMILY DAY CARE HOMES The plan of the center as specified in HSS 55.21 (4) (d 600. PROGRAM OF AC_ V S INCLUDING EDUCATION WISCONSIN 610. PROGRAM REQUMEMENTS 611. Program of Activities The Child. PlEajt, activities shall reflect the cultural diversity of the children of the cor:_mL.-iity and provide experiences in which each child can: e successful and feel good about self. Use and develop language. Use large and small muscles. Use materials and take part in activities which encourage creativity. Learn new ideas and ski Participate in imaginative play. The daily schedule shall be planned according to the age and developmental level of the child in mire and include a flexible balance of: Daily indoor and outdoor activities. Active and quiet play. Protection from excess fatigue and overstimulation. 11 FAMILY DAY CARE HOMES WISCONSIN Individual and group activities. Children shall be given individual attention on a one to one basis. The cultural diversity of the children shall be reflected in the program through the incorporation of their language, food, celebration and lifestyles. 612. Program Equipment and Materials HSS 55.23 The Home. Furnishings shall be durable and safely constructed, with no sharp edges, loose or pointed edges. Included in the furnishings shall be Table space for each child and seating sufficient o serve the children cared for in the group. Storage space for equip ent, cots (if used), bedding, children's clothing and personal belongings. A safe, washable cot, bed or sleeping bag available for each child over one year of age who naps or sleeps. A safe, washable crib provided for each child under one year of age who naps or sleeps. Low shelves for children's daily equipment. HSS 55.24 The Child. Equipment shall be provided for indoors and outdoors and be scaled to the size and development level of the children. A variety of equipment shall be provided to allow for large and small muscle activity, dramatic play, creative expression and intellectual stimulation. 12 FAMILY DAY CARE HOMES WISCONSIN Indoor equipment shall be provided in a sufficient quantity so that each child has a choice of at least 3 activities involving equipment when all children are involved in using equipment. 141 Outdoor equipment shall be provided in a sufficient quantity so that each child has at least one activity when all children are using equipment at the same time. Equipment and materials which reflect an awareness of cultural and ethnic diversity shall be provided. 613. Na 'Provision HSS 55.23. The Home. There shall be a nap or rest period of appro children under 5 years of age. ately one hour or longer for all Children who do not sleep shall be permitted to get up and have a quieftime through the use of equipment or activities which do not disturb other children. Each child shall be provided with a bed, cot, sleeping bag or -crib which is placed at least 2 feet (63.8 cm) from the next bed, cot, sleeping bag or crib. Sleeping bags, if used, shall be provided by parents. When sleeping bags are used, the child's head may not rest on the floor. When the beds of family members are used by day care children they shall be completely covered with a separate sheet. Each sheet shall be identified with the child's name. Eadil child using a bed, cot or crib shall be provided an individual sheet and blanket. Beds, cots, cribs, sleeping bags and bedding shall be stored in a clean And -sanitary manner and labeled with the child's name. 13 9 4 FAMILY DAY CARE HOMES f WISCONSIN There shall be a complete change of bed linen after each 5 uses or immediately when wet or soiled and always after a change of occupancy. Sleeping bags shall be waslied and cleaned as often as needed or at least wee Infants under one year shall sleep alone in cribs. Only 2 related children may share a double bed. No 2 children may share a single size bed, cot or sleeping bag. 614. Discipline and Guidance HSS 55.21 Responsibilities of the Family Day Care Provider. Written policy. Each day care center shall have a written policy on the discipline of children which provides for positive guidance, redirection and the setting of clear-cut limits. It shall be designed to help the child develop. self-control, self-esteem, and respect for the rights s. Delegation. Only a qualified child care worker may discipline children. Discipline may not be delegated to older children or peers. ,Punishments prohibited. Punishment which is humiliating or frightening to a child such as, but not limited to the following, is prohibited: Span.- .ig hitting, pinching, shaking or inflicting any other form of corporal punishment. Verbal abuse, threats or derogatory remarks about self or famil Binding or tying to restrict movement or enclosing in confined space such as a closet, locked room, box or similar cubicle. Withholding or forcing meals, snacks or naps. 14 FAMILY DAY CARE HOMES Children may not be punished for lapses in toilet tra.ini 700. EALTH AND SAFETY 710. HEALTH 711. General Health Requirements Not specified 712. Health Assessments WISCONSIN IISS 55.24 The Child - Physical Examination. Each child shall have an initial examination not more than 6 months prior to, nor later than 3 months after admission to a center. Evidence of current and dated by a phy examination is done. cal examination shall be provided by a report signed licensed in this state or in the state where the Each child 2 years of age and older shall have a subsequent physical examination at least once every 2 years thereafter by a physician. Each child under 2 years of age shall be given a physical examination by a physician at least once every 6 months after admission. Children participating in the early and periodic screening, diagnosis and treatment program (EPSDT) or other screening programs, approved by the department, meet the requirements of this paragraph. 15 FAMILY DAY CARE HOMES WISCONSIN HSS 55.24 The Child = Immunization. Each child shall have an immunization history ,which states that the,child has been immunized against diphtheria, pertussis, tetanus, poliomylitis, measles, rubella and the month and year each- dose was administered. This written statement shall be on file at the center or _one of the following compliance alternatives shall be met prior to the child's admission: Signed permission by the parent to have the child immunized in a prompt and timely manner by a. physician specified by the parent dr the local public health agency; Upon written and dated s ate ent -by a-physician that, -in -the opinion of that physician, a particular required immunization is or may be detrimental to the health of a particular child, the requirements for that particular immunization shall be waived for that child until it is certified by that physician or another physician chosen by the parent that the particular immunization is no longer detrimental to the health of the child; or Upon written, signed and dated statement by the parent that a particular child is an adherant of a religious belief which precludes immunization, the immunization requirements shall be waived by the department for that child. A written statement from parent regarding the type and. date of any required immunization which i administered to a child after the immunization history has been submitted to theenter shall be on file within. 90 days or according to the required immunization. 16 FAMILY DAY ARE HOMES WISCONSIN 714. Sanitation HSS 55.23 The Home - Sanitation. The prernises shall be free from litter, in a sanitary condition and in good repair. Doorways and windows which are opened for ventilation shall be screened. Furnishings, toys, cots, and other equipment shall be cleaned or washed regularly and as often as -they become soiled. Household duties and domestic routines shall be limited to daily maintenance of the home while children are present. Potty chair recepcles shall be emptied, rinsed and disinfected immediately after each use. Water. A safe supply of drinking water, shall be readily available to the child at all times by use of disposable or individually labeled cups. Common use of drinking cups is prohibited. When a public water supply is not available, a private well may be used if it is approved by the department of natural resources. Water samples from an approved well shall be tested by the state laboratory of hygiene or state-approved laboratory at least annually. The water supply shall be bacteriologically safe prior to use. The report shall be available to the department. 17 FAMILY DAY CARE HOMES WISCONSIN HSS 55.24 The Child - Personal Cleanliness. Children's hands shall be washed with soap and water before eating toileting. Children's hands and faces shall be washed after meals. alter Persons working with children shall wash their hands with soap and water before handling food and after assisting with toileting. Individual washcloth, comb and toothbrush shall r kept in a sanitary condition when used at the center. Wet or soiled clothing shall be changed promptly from an available supply of clean clothing. Dogs and eats shall be vaccinated against diseases for which immunizations are available and which present a hazard to the health of children. Pets suspected of being ill or infested with ectoparasites (external lice, fleas and ticks) or endoparasites (internal worms) shall be removed from the center. In the event that an animal bites a child, a veterinarian shall be contacted by the provider to determine a 'course of action in the diagnosis of possible rabies in the animal. Procedures for emergency care of children as specified in sub. (5) (f) shall be followed. Parents shall be notified of any action taken by the veterinarian. Tvrtles, skunks and poisonous reptiles are prohibited as pets in order' to prevent salmonella, rabies and poisoning. Animal pene shall be kept clean. 18 FAMILY PAY CARE HOMES WISCONSIN Pets shall be kept and handled so as to protect the e ing of both children and pets. 715. _pEqlining HSS 55.24 The Child - Observation. Each child upon arrival shall be observed by the provider for symptoms of illness Any evidence of unusual bruises contusions, lacerations, and burns shall be noted on the child's record. --716. =-= Care -of Sick Children- HSS 55.21 Responsibilities of the Family Day Care Provider. Tl providoi* stall 9113intAin doily moclicol log recording any injuries received by or medication dispersed to children. The log shall be in a bound book with pages that are lined and numbered. The pages may not be removed. Entries shall be in ink and dated and signed or initialed by the provider. HSS 55.Z The Child - Isolation. A separate room or area shall be provided for the care of en who become ei ill. When an apparently ill child is observed in a center, the following procedures' shall apply: Children with a sore throat, inflammation of the eyes, fever, lice, rash, ti vomiting, diarrhea or other illness or condition shall be isolated. o9 FAMILY DAY CARE HOMES WISCONSIN The child shall be provided with a bed, crib or cot and sheet and blanket in a separate room or area with the day care provider within sight and hearing of the child. The Child shall be separated from other children until the child can be removed from the center. Arrangements shall be made with the parent or emergency contact persoh to remove the child from the center,.as soon as possible. Cornmunicable.disease. When a child is suspected of having a communicable disease or condition such as, but not limited to, chi.Cken-pox, German measles, infectious hepatitis, measles, mumps, poliomyelitis, lice, ringworm of the scalp, scarlet fever, -whodping-e-OagN-diphtherianr-- meningitis, theCOUnty -0-r -city public health nurse shall be notified. communicable disease is made, the exposed children shall be watched for symptoms of the disease and the parent notified. child may be readmitted without a statement from a physician after a communicable disease only if the child has b en absent for a period of time designated by the department. Plairuied procedures for the treatment of accidents and injuries shall include: Procedure to be followed in bringing the child to emergency medical care. Routine procedures for treatment of minor injuries. First aid measures for serious accide FAMILY DAY CARE HOMES WISCONSIN A planned source of emergency medical care, such as hospital emergency room, clinic or other constantly staffed facility shall be designated and made known to patients. Written permission from the parents to call the family physician or refer the child for medical care in case of accident or emergency shall be on file at the center. Parents shall be contacted as soon as possible after the emergency has occurred. A record of the accident or injury shall be kept in the child's permanent file and in the center medical log. Parefits shall be given an explanation of the plan of operation of the center before the child is admitted. nts of an enrolled child shall be notified: Immediately of illness of or serious injury to the child. Of any minor njury to the child, upon departure from the center. The provider shall communicate with the ,parent regarding the child's adjustment to the program and growth and development. A` of the applicable parts of HSS 55 shall be made available to parents. 717. Medication and Saecial Diet Provisions HSS 55.24 The Child - Medication. No prescriptive or non -prescriptive medications such as, but not limited to, aspirin, cough medicine or nose drops may be given to a child except under the following conditions: A written authorization that is dated and signed by the parent is on file. 21 FAMILY DAY CARE HOMES WISCONSIN Prescription medication is in the original container, and labeled with the child's name, drug, dosage,- directions for administering, date and physician's name. Non-precriptive medication is labeled with the child's name and the request, signed by the parent, includes- do age directions- for administering. A written report including type of medication given, dosage, time, date and the name of the pdrson administering the medication shall be kept in the child's record and the center's medical log as specified in HSS 55.21 (6). All medications shall be kept under lock and key or otherwise inaccessible to children. Medication requiring refrigeration shall be kept in a designated, separate, covered container clearly labeled "Medication". 718. Waiver of Health Requirements See 713 Immunizations 720. SAFETY 5 721. General Safety Requirements FISS 55.23 The H - Protective Measures. Fireplaces, steam radiators, electric fans, electric outlets, electrict heating units and hot surfaces such as pipes shall be protected by screens or guards. Unvented space heaters shall be prohibited in rooms used by or accessible to children. Firearms, ammunition and other potentially dangerous items which are located on the premises shall be under lock and key. rJE 22 FAMILY DAY CARE HOMES WISCONSIN Materials harmful to children such as, but not limited to, power tools, flammable or combustible materials, insecticides, matches, drugs, arr other articles labeled hazardous to children shall be in properly marked containers and stored in areas inaccessible to children. Each home shall have an evacuation plan for fire, d and -other emergencies which shall be practiced monthly. Indoor and outdoor space shall be free from hazards such as, but not limited to, abandoned automobiles and household appliances, uncovered wells and cisterns, stacked lumber with exposed nails, and explosives. Neither alcohol or non-prescrib controlled substances as defined in s. 161.01, Stats., shall be consumed during hours of operation by the day care provider. Furnishi..gs shall or pointed edges. ble and s 00. with no sharp edges The outdoor space shall be well drained and free of hazards. 722. Fire Safety Requirements The fire extinguisher shall be operable at all times, inspected once a year by a person qualified to do so and bear a label indicating its present condition and the date of last inspection. The provider and substitute shall be knowledgeable about the use of the fire extinguisher. 23 FAMILY DAY CARE HOMES 723. Transportation WISCONSIN HSS 55.24 The When transportation including, but not limited to;-field trips is contracted for or provided by the center, it shall comply with the transportation rules as specified in Subchapter Ill-Additional Requirements For Group Day C Centers. 724. Safety Requirements for E nent IISS 55.24 The Child. Equipmnt shall be provided for indoors and outdoors and be: Of sound construction with no sharp, roigh, loose or pointed edges and in good operative condition. Placed so as to avoid danger of accident and collision and to permit freedom of action. Permanently ins stability. ent shall be anchored in a manner which assures . 725. Water Activities (Including Swimming) HSS 55.24 The Child. Centers which have swimming places such as pools and beaches located on their premises shall comply with: The requirements of ch. H 71, Wis. Adm. Code. The American Red Cross standards as specified in Subchapter IV-Additional Requirements for Day Camps. 726. Emergency Procedures HSS 55.23 The Home - Protective Measures. A motor vehicle at the home or a public or private rescue or emergency vehicle shall.be immediately available at all times in case of an emergency. 24 FAMILY DAY CARE-HOMES WISCONSIN 727. First Aid Supplies HSS 55.24 The Child. Each center shall have a supply of bandages, tape and bandaids. Superficial wounds shall be cleaned with soap and water only and protected. 800. NUTRITION AND FOOD SERVICE 810. NUTRITION 811. Requiremen HSS 55.24. The Child. Food shall-be provided according to Table 55.24- hich is based on the amount of time children are present. TABLE 55.24 Time present Number of meals and snacks 2 1/2 to 4 hours 4 to 8 hours 8 to 10 hours 10 or more hours 1 snack 1 snack and 1 meal 2 snack's and 1 meal 2 meals and 2 or 3 meals Food shall be served at flexible intervals, but no child may go without nourishment for longer than 3 hours. Each meal shall provide 1 of the daily nutritional requirements of the child. Breakfast is to consist of at least one item ,categories: Fruit or juice Cereal or whole grain or enriched bread product 25- each o_f following 1 FAMILY DAY CARE HO ES WISCONSIN Butter or margarine Grade A vitamin D milk Noon or evening meals shall consist of at -st one item fromeach of the following categories: Meat, ultry, fish, egg, cooked dried peas or beans, cheese or peanut butter Two veglti tables or 1 vegetable and 1 fruit or 2 fruits Cereal or whole wheat or enriched bread products Butter or margarine e A vita 11,ilk' Snacks (either mid-morning or mid - afternoon) shall consist of at least one of the following: milk or milk product, fruit, fruit juice, vegetable, peanut butter or other protein, whale grain or enriched bread or cereal. When only fruit juice is served, it shall be pure fruit juice. Asufficient quantity of food shall be prepared for each meal so that second portions of vegetable or fruit, bread, butter or margarine and milk are available to children. Menus shall be available for review by the department and reflect the cultural and ethnic preferences of children of the community. When fa such as bag lunches is provided by the parent, the provider shall ensure each child has a meal that provides 1/3 of the daily nutritional requirements. 812. Waiver of 1reouirements Ncit specific 26 FAMILY DAY CARE HOMES 820. FOOD PREPA TION 821. Food Preparation and Service Requirements WISCONSIN HSS 55.23 The Horne. Equipment and __utensils for preparing, serving .storing shall i_.e lean and equipped for the safe handling of food. Dishwashing procedure. Utensils and dishes shall be scraped, sorted and prewashed under running water. For manual washing of dishes and utensil, a 3-step procedure shall be used: as in water -bi-tWeen --II0---ered; 120° -F (43 to 54° C), using an effective soap or detergent. Rinse by immersing dishes and utensils in clean, hot water to remove soap or detergent. Sanitize by submerging dishes and utensils for at least 2 minutes in a solution of an approved sanitizer. For mechanical washing of dishes and utensils in home type dishwasher with a temperature setting of between 130 and 1500 F (54 to 660 C), dishes and utensils shall be washed and rinsed in the dishwasher and sanitized by submerging dishes and utensils for at least 2 minutes in solution of an approved sanitizer. All dishes and utensils shall air -died in racks or baskets or on a drain board. Food sources. Food shall be from sources approved or considered satisfactory by the department and shall be clean, wholesome, free from spoilage, adulteration and misbranding, and safe for human consumption. 27 FAMILY DAY CARE HOMES WISCONSIN Only milk and milk products which meet the Grade A standard of the department of Agriculture, trade and consumer protection and certified t the department may be served.or used. Food in dented, bulging or leaking cans, Or cars without labels shall not be used. No hermetically sealed, non -acid or low acid food which has been processed in a place other than a commercial food processing establishment may be used. Food'storage. Food shall be stored at temperatures .which will protect against spoilage. Perishable and potentially hazardous food which includes all custard-filled and creamed filled pastries, milk and- milk products, meat, fish, shellfish, gravy, poultry stuffing and sauces, dressings, salads containing meat, fish, eggs, milk, or milk products, or any other food or food products liable to rapid food spoilage shall be continuously maintained at safe temperature: 400F (40 C) or below 1500F (660 C) or above, except during necessary periods of preparation and service. Each cold storage facility shall be maintained at 400 F (40 C) or lower (refrigerator), or 10 F (-170 C) or lower (freezer). cold Storage facility shall be equipped with a clearly - visible, accurate thermom ter._ F shall covered during storage under refri ration. Food handling. Raw fruits and vegetables shall be washed before serving or cooking. Food return- o individual plates or from dining tables shall be discarded. 28 FAMILY DAY CARE HOMES WISCONSIN Leftover prepared food which has not been served shall be refrigerated promptly and used within 24 to 36 how's, or frozen immediately for later us6. NOt Not specified 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION , 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES HSS 55.25 Infant and Toddler Care. Information obtained on preadmission enrollment forms shall be used -to individualize the program of care for each child. This information shall be reviewed and revised with parents at least once every 2 months. Children under 30 months of age are restricted to first floors or ground floors having direct grade level exits. Safety gates shall be provided at stairways. Each child shall be allowed to form and follow the chips own patterns of sleeping and walking periods. Emphasis in activities shall be given, to play as a learning and growth experience. Throughout the day, each infant and toddler shall receive physical contact and attentiar such as being held, rocked, talked to, sung to and taken on walks inside and outside the center. 29 FAMILY DAY CARE HOMES WI S ONSIN Routines such as bedtime, fe eanliness and toile ing shall be used as opporti.mities for lang velopment and other learning experiences. When a non-walking child is awake, the child's changed several times during g-the waking hours. ition and a ion shall be The non - walking child shall have opportunity during each day for freedom of movement such as creeping and crawling in al' safe, clean, open, warm and uncluttered area. Infants and toddlers shi_ _toys and objects. encouraged play with a wide Variety of safe 1120. HEALTH AND SAFETY REQUIREMENTS HSS 55.25 Infant and Toddler Care. Infants and toddlers shall be -taken outdoors for part of each day except during inclement weather qr when a physicianh dered otherwise. When being transported in a motor vehicle, children under ,30- months of a shall be fastened. securely in a child crash tested restraint. soiled diapers and clothing shall be Changed promptly; There shall be a supply of dry clean clothing and diapers sufficient in quantity to meet the needs of each infant. Infants and toddlers shall be changed on a surface which is individual each child or is cleaned with-a germidical solution after each.use. If cloth diapers are ,used, soiled diapers ,shall be placed in a plastic lined. , covered container; FAMILY DAY CARE HOMES WISCONSIN Soiled diapers shall be removed from 'containers as needed or at least daily for washing or disposal. Containers shall be washed and disinfected daily. Soiled infant clothing shall be plac in a container separate from diapers. The hands of the provider shall be washed before and after each diapering or assistance with toileting routines, using soap and running water., The application of lotions, powders or salves to the child during diapering may be done only at the specific direction of the parent or physician. A child shall be waned with' a disposable or fabric washcloth used once before rediapering. Washcloths shall be individual to each child. Washcloths and towels shall be provided for face and handwashing. Washcloths and towels shall be individual to each child and separate from washcloths used for diapering. Toilet training shall be planned cooperatively between the day care provider and the parent. MO. INFANT NUTRITION HSS 55.25 infant and Toddler Care. 'Food and formula -wrought from home 'shall be labeled with the child's name and refrigerated if required. Leftover milk or formula shall be discarded after each feeding. Bottled shall be rinsed after use. 31 FAMILY DAY CARE HOMES Drinking watershall be o WISCONSIN ered to the infant and toddler several times daily. A child unable to hold 'a bottle shall be held whenever the bo Bottles may not be propped. e is given. Commercial baby food containers which are opened and food prepared in the center which are stored shall be covered, dated, and refrigerated. If not used within 2A hours, leftover food Shall be discarded. . - A child too young to sit in a high chair or feeding table small be held or placed in an infant seat while being fed. Wide base high chairs with safety straps or feeding tables with safety straps shall be provided for those children not developmentally able to sit at tables or chairs. Infants shall be encouraged to experiment with self-feeding with hands and spoons or both. Eating utensils and cups shall, be scaled to the size and developmental level of the infant and toddlers. A variety of nourishing foods shall be offered including cereal, vegetables, fruit, eggs and meat according to the child's developmentael level and the parent's feeding plan, except that no child may be forced to eat. Each child under 2 years of age shall be fed on the child's own feeding schedule. 1200. CHILDREN 14,WH HANDICAPPING CONDITIONS 1210. PROGRAM OF A cnv rrms Not specified 32 FAIVIIL Y DAY CARE HOMES , S 1220. HEALTH AND SAFETY REQUIREMENTS Not specified 1230. STAFFING Not specified 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACTIVITIES Not specified 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 1400. FACILITY REQUIREMENTS 1410. SPACE HSS 55.23 The Home. The space used by children shall be notes than 35 square feet (3.1 square WISCONSIN meters) of us ble floor space per child. This space excludes passageways, bathrooms, lockers, storage areas, furnace room, that part of the kitchen occupied by stationary equipment and furniture not intended for children's use. The rules on outdoor space shall apply to any center here children are present for more than 3 hours per day. There shall be at least 75 square feet (7.0 square meter) of outdoor play space for each child. FAMILY DAY CARE HOMES WISCONSIN The boundaries of outdoor play space shall be defined in such a way as to protect children. A permanent enclosure not less than 4 feet (1.2 meter) high shall be provided where hazards exist such as, but not limited to, traffic or bodies of water. 1420. LIGHTING, VE ITILATIN AND TEMPERATURE HSS 55.23 The Home. The inside temperature may not be less than 67 F (2( 1430. EXITS Not specified 1440. TOILETS AND LAVATORIES IISS 55.23 The Home. There shall be at least one toilet and one sink available for use of children. Steps or bl cs shall be provided if lavatory (washbasin) or water closet (toilet) are not proportioned to the size of children. Soap, toilet paper, disposable paper or individually labeled towels and a waste paper container shall be provided and accessible to children. 15?00 iTHER h; REQUIREMENTS - .COMPLIANCE WM-I OTHER LOCAL, STATE AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 34 Y DAY CARE HOMES 1520. FIRE HSS 55,23 The Home Buil There shall be a report of by the department of ind investigator of that depr local'building codes. 1530. BUILDING See 1520. FIRE 1540. HEALTH See 1520. FIRE 1550, SANITATION See 1520. FIRE 1560. NEW CONSTRUCTION Not specified 35 WISCONSIN .dica es approval of the building .uman relations or by :a certified shall comply with state and FAMILY DAY CARE HOMES WYOMING Except where Otherwise noted, all citations are from the Wyoming Department of Health and Social Services,' Standards- and Guidelines for Child Care Certification, Chapter I, 'Family Day Care Home and Group Day Care Home, 1980. 100.- STATE CERTIFICATION OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO CERTIFICATION AS DEFINED BY%STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS 111. Definitions See DAY CARE CENTERS 112. Exclusions and Exemptio See DAY CARE CENTERS 113. HHS Day Care Compliance See DAY CARE CENTERS 120. AGENCY RESPONSIBLE FOR. CERTIFICATION OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit -e -DAY' CARE CENTERS 122. Reapo_nsible Official See DAY CARE CENTERS 200. ,CERTIFICATION PROCESS AND ENFORCEMENT PROCEDURES /- 210. CERTIFICATION PROCESS 217, ation of Regulations See D Y CARE CENTERS 96 tj FAMILY DAY CARE HOMES WYOMING 212._ Advisory Eedy and Other Community Participation See DAY CARE CENTERS 220 CERTIFICATION PROCEDURE 221. ,Application and Issu' antFe See DAY CARE CENT'ERS, 222:- Fe- , See DAY CA CENTERS 223. Areas cf tion See DAY CARE CENTERS 224. Certificate Renewal` See DAY CARE CENTERS 225. Conditional/Provisiona a es See DAY CARE CENTERS 0 226. Substantial Com iance- See DAY CARE CENTERS 230. ENFORC MENT PROCEDURES 231. Facility- Inspections See DAY CARE CENTERS -232. Denial, Sus Revocation cif a Ce See DAY CARE CENTERS 233. Remedies and Sane .ons Seb DAY CARE CENTERS f - FAMILY DAY CARE HOMES 233.1 Hearing See DAY CARE CENT,ERS 233.2 Decisions See DAY ARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS 300. ADMINISTRATION 310. GENERAL ADMINISTRATION General Administrative R uiremen s WYOMING § 3 Standards As Interpreted From the Statutes. All privately operated child caring facilities, except, those excluded under the provisions of W.S. 14-4-102 prior to the exercise of care, custody or control of three or more minors shall b required to be certified, by the certifying authority. Trie Division of Public Assista e and SocialfServices requests a report within 48 hours after the occurrence f an unusual accident, such as death or serious injury of a child while at the facility (a serious injury being 4efined as one requiring hospitalization of the child), or after the occurrence of a fire which requires the services of a fire departmen 312. Telephone § 3 Standards As Interpreted From the Statut There shall be'a single line telT3hone immediately-ace-essible at all times. FAMILY DAY CARE- HOMES WYOMING 313. =Proof of Operator Financial Capabilit Not specified 314. Insurance Not specified ,320. PERSONNEL 321. Publication of ersonne Policies . Not specified 322. employment § 3 Standards As'Interpreted From the Statutes. An applicant or staff member, family member dr boarder living in ,the home who has been convicted of a felony or hag been involved-with a- child abuse or neglect court action or 'official investigation shall be required to provide ,informatidn relative to the conviction and evidence of suitability for his or her position in the child care facility; 330. NON - DISCRIMINATION 331. Requirements Prohibiting Discrimination Not specified 340. RE OR.Dc' UIRE N 341. Children 3 Standards- As .Interpreted From the Statutes. To verify the imni-unization status of a child enrolled in a day care facility, the parent or guardian must present a completed and signed "Official Record of Immunization" to the operator of the day care facility., The operator is responsible for transcribing the data from the Official Record of immunization FAMILY DAY CARE HOMES a WYOMING onto an official immunization record card which should be maintained on each child. An immunization status report and conditional enrollment report should be '- submitted by October 15 and January 15 of each year to the Wyoming Division. of Health and Medical Services (IMMUNIZATION PROGRAM).- The forms for these reports shall be provided by the,Immunization Program. - 342. Staff § 3 Standards As Interpreted From the Statutes. An applicant for certification Must sure the certifying authority of the good moral character of the applicant, his employees and all those perSons who will come in direct contact with the children cared for. This will be accomplished in the following manner: Each applicant shall have' three references on file with the cdunty office of public assistance and .social services, attesting to the applicant's character and.. child caring ability. The references should include persons who have personal knowledge of the .applicant's ability to care for children. It is the responsibility of the applicant to attest to the good moral character of all employees and other persons who come in contact, with the children. This will to done by the applicant collecting references on all employees and volunteers. These shall remain on file for review. 343. Child E bility and Enrollment Reduiirernents Not specified 344. Child Abuse Reportir Not specified 5 99i, - FAMILY DAY CARE HOMES WYOMING 345. Conf of Records Re .0 Not specified 40'0. GROUP COMPOSITIONS OF CHILDREN 410. STAFF/CHMD RAT O'REQUIREMENTS 411. Staff/Chi d_Ra o 19 81 3 Standards As Interpreted From the Statutes. The staff ratio shall be determined as follows: Family day care' home: The staff ratio ,shall be not less than one responsible adult o six children. There may be no more than three children under the age of two without adding an additional responsible person. The operator's own,.preschool children shall be included in the count. Group day care home: The staff ratio shall he not less than one responsible person to eleVen children. 4f the facility takes children under the age of two, then there must be one staff person for each three children under the age of two. The operator's own preschool children shall be included in the count. For both types of .facilities a staff ratio of one adult to two children must be used if severely Multiple handicapped children are present. 412. Methods of Corn ChildRatic See 411. Staff/Child Ratio as of March 19 81 420. GROUP SIZE 421. Group Size as of March, 19 See 411. Staff/Child Ratio as of March 19 FAIVilL DAY CARE HOMES 422. Methods of Computi:g Group Size See- 411 Staff/Child Ratio as of March 19 Si WYOMING 500. STAFP'QUAL FICATIONS AND TRAINING REQU RE -ENTS, CHILD CAREGIVER STAFF` - QUALIFICATIONS 511. Not specified 512. Health g 3 Standards As Interpreted From the Statutes. The family and group day care home must comply wit the ollowing to be considered safe: There shall be evidepce of preemployment ..and annual review of the health status of each adult Who has regular responsibilities with -the children by a responsible health source to include a T.B. test or chest X-ray. Staff members should be discouraged from coming to work- when they are ill with contagious diseases or with other illnesses whicti would affect their performances. 513. Education 3 Standards As Interpreted From the Statutes. An applicant must demonStrate practical experience or education or training in the care and treatment of children. 514. Experience See 513.- Education 520.1 PROGRAM DIRECTOR QUALIFICA'T'IONS 521. Age Not.specified FAMILY DAY CARE HOMES WYOMING 522. .Health See' 512. Health 523. Education Not-specified 524. Experience _ _ Not-Specified 530. SUPPORTS "AFF QUALIFICATIONS Not specified 540. POST E PLOYMENT -SERVICE: O NTATICN AND TRAINING 541. Program Director Not speCified 542. Child Careiii.rfrStaff Not specified 543. Support Staff Not specified 600. PROGRAM OF ACT VffIES INC1 INCLUDING EDUCATION 610. PROGRAM RE UIREMENTS 611. Program of Actiyi Not specified 612. Program Equipment Materials Not specified 613. Nap Provision S 3 Standards As Interpreted From the Statutes. The children may sleep on the beds of family membe if they do not sleep directly on the same b4id linens. Each child is to have his own bed linens. If 9 FAMILY DAY CARE HOMES WYOMING the children are sleeping on cots or mats, they should be covered with linens and be sanitized regulwly. 614. Disci Not specifie Guidance 700. HEALTH AND SAFETY /10. HEALTH 711. General Health Requirements Not specified fi 712. Health Assessments Not specified 713. Immunizations S 3 Standards As Interpreted From the Statutes. Each child enrolled in a child caring facility must be adequately immunized in accordance with the following table: _ Age 19 mo. - 4 years Age 5 and over at least 3 doses DTP at leas_t 3 doses Polio 1 dose Measles 1 dose Rubella 1 dose Mumps at least 4 doses DTP or TB at leas_t 4 doses Polio 1 dose Measles 1 dose Rubella 1 dose Mumps The immunization requirements must be completed within 120 days of enrollment or the child shall be excluded from the day care facility by the facility operator. 714. Sanitation S 3 standards As Interpreted From the Statutes. Family and group day care homes must be uncrowded, clean and well repaired and safe. FAMILY DAY CARE HOMES WYOMING Those facilities having their owm water and sewage system shall contact their local health deparSment or the state Division of Health and Medical Services if no local 'department exists for consultation regarding .water and sewage standards and water testing. The premises, both indoor and outdoor, shall be free of environmental haz and clean and comfortable as follows: Fee of rodents and vermin. Garbage and trash stored in covered containers away from the reach of children and disposed of frequently. …