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ED 237 218 TITLE. INSTITUTION SPONS AGENCY PUB DATE NOTE 42UB TYPE EDRS PRICE DESCRIPTORS IDENTIFIERS DOCUMENT RESUME PS 013 970 Comparative Licensing Study: Pro_files of State Day Care Licensing Requirements. Day Care,Centers. 'Volume 1: Alabama = Illinois: Revised Edition 3981. Johnson (Lawrence) and Associates, Inc., Washington, D.C. Administration for Children, Youth, and Families (DIMS), Washington, D.C. Nov 82 635p.; For related .documents, see PS 013 971-75. Legal/Legislative/Regulatory Materials (090) 114F03/PC26 Plus Postage. Activities;'4Certification; Child Caregivers; Comparative Analysis; *Day Care Centers; Disabilities; Early Childhood EduCation; FaCility Requirements;. *Federal Regulation; Food Service; Health; *Local Legislation; National Surveys; Nutrition; Parent. Participation; Professional PersOnnel; Safety; *State Legislation; Student Teacher Ratio - District of Columbia; Guam; United States ABSTRACT Updating-the Administration for Children, Youth and Families' 1978 "Codparative Licensing Study," a study was conducted Co 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. SO states, the District of Cdlumbia, Guam, Puerto Rico, and the Virgin Islands. The updated, six-volume comparative licensing study improves the format of the original (e.g., gives greater prominence to group size and infant care) and contains detailed information on state laws and regulations dealing with family child care homes, group child care homes, and day care centers. The 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 ofchildren; (5) staff qualifications and training requirements; (6) program of activities, including education; (7) health and safety; (8) nutrition and Ioodiservice; (9) social services; (10) parent'participation; (11). infants and toddlers; (12) children with handicappirig conditions; (13) school age children; (14) facility requirements; and (15) other state requirements - compliance with other local, state, and regional laws and regulations. Volume 1 profiles requirements of day care centers in Alabama, Alaska, Arizona, Arkansas, California, Colorado,"Connecticut, Delaware, District 'of Columbia, Florida, Georgia, Guam, Hawaii, and Illinois. In some profiles, some categories are not detailed. (RH). ** ****** -Reproductions supplied by EDRS are the best that can be made from the original document. * *********** ************************** -*-*** a COMPA TI ICENSING ST U.3. Dulammuir OF $DUCIO10111 NATIONAL INSTITUTE OF EDUCATION _4 EOUCAOONAL RESOURCES INFORMATION CENTER !ERIC) This document has boon reproduced as toronod from me poison of organisation !goofing it. Mai changes new, boon Made to.tAclotm oClocIvn qualny A Profiles of State Day Care Licensing Requirements DAY CARE CENTERS, . . Roofs of view at opinions slated rw this do u- . moot du not nnce%Onily represent officio! OPE deadens or flaky. Revised Edition 1901 Volume 1 Alabama Illinois produced 'for Dr. Raymond C. Collins GOVIMMOlit Project Officer The Office of Program Development Office of Developmental Sinless Administration far Children, Youth and Families Office of Hunan Development Services U.S. Department of Health and Human Services Lawrence Johnson & Associates, inc. 4545 42nd Street, N.W. Washington, D.C. 201115 November, 1982 1 As a ma lf its strategy to assist states and localities to improve. their practices and provide day care licensing personnel current data for clsibn-making, the Administration for Children, Youth and Families (ACYF) initiated a multi-year Comparative Licensing Study (CLS) in FY 1976. The study was designed to provide a data base to allow assessment of state and local capacities in- licensing. The final report of the first phase of the CLS was completed in 1978. This ' multi-volume report included (1) an Overview and rative Anal is of State and Federal Regulations, ces, iles of State Day Care Licen n equn area ents and Summary Tables, and B, State-Dqy Care Legal Histories. The information in these six volumes is referred to as the CLSPrincipal Documentaticn. It represents the day care licensing data base; and was designed for periodic update. Copies of the final report were provided to (1) administrators responsible for licensing day care facilities in each state, (2) the offiee of each State's Attorney General, (3) the ten ACYF Regional Offices, and (4) approximately one hundred other agencies and individuals involved in day care licensing. In order to keep the day care licensing data base current, ACYF initiated efforts to update Appendix:A (State Profiles of Day Care Licensing Requirements and Summary Tables). 'This activity was recently completed. ,expands the data base, improves the format and updates state requirements through Mardh, 1981. This information will-be useful to state and local day. care licensing personnel and others interested in upgrading the quality of child care. C. s Associate Comndssioner Office of Developmental Services Admdriistration for Children, Yolith and Families November 23, 1982 r ACKNOWLEDGE NTS sAl June 17, 1 '1 would liketo express my pppreciat"ion to the staff of Lawrence Johnson and Associateq, Inc., for theil. York in 4 completing the Comoarative Licensing Study, an c thank, in' particular, Drie-Paulette Coleman for her a-. cande-to me. in bringing 'the project to a_successful conclusion. I would also like to acknowledge the efforts ofMarzena Brow and Allen N. Smith, former Government Project Officers,,,in the Seminal e4rly phases of data collection, analysis and .report preparation. Raymond C. Collins,-.Ph.D. Government Project Officer Dirdctor Office of Prourgin Developmen Administration for cbildren,r Youth and Families Department of Health s Haman Services P.O. Box 1182 Washington, D.C. 20011 Tel. (202) 755-7724 DAY CARE CENTERS Except where otherwise no: of Pensions and Securit) N' t-Tinie Centers, Novernt. eitei 197R_ ALABAMA er from the Alabama Department As 'for Da are Centers and 100. STATE LICE. Si i F HILD DAY CARE FAcrLrnEs 110. TYPES OF FA:clizr Es SUBJECT TO LICENSURE .A,421 DEFINED BY STATE STATUTES AND. REGULATIONS AND /OR LOCAL ORDINANCES AND REGULATIONS ALA. CODE S38-7-2 Definitions. Facility For Child Care or Child-Care Facility. et facility established by any person, group of persons, agency, association ar organization, whether established for, gain or otherwise, who or which receives or arranges for care or placement of one or more chatiren, unrelated to the operator of the facility, apart from the parents, with or without the transfer of the right of custody, in any facility as defined in this chapter established and maintained fee the care of children. Day Care? Center. Any child -care facility receiving more than six children for daytime care during all br part of a day. The term "day care center" includes, but is not limited to, facilities commonly called "child-care centers," "day nurseries," "nursery schools," "kindergartens" and "play groups," with or without stated educational ptirposw. Such term further includes, but is not Ihnitid to, idndergarten or nursery schools or other daytime programs operated as a pert of a private school and receiving more than six children yotinger than lawful school age for daytime care for more than four hoizrs a day, with or without stated educational pur DAY CARE C.EN'T'ER ALABAMA Day Care Home. A child-care facility which is a family home d which receives no more than. six children for care during the day. 112... Exclusions and ExemEtim ALA. CODE 638-7-2 Definitions. Day Care Center.... The term does not include: kindergartens ot nursery schools or other daytime programs operated by public elementary systems or secondary level school units or. institutions of higher learning; Kindergartens or nursery schools or other daytime profseams, with or without stated educational purposes, operating no more than four hours a day and receiving children younger than lawful school age; Kindergartens or nursery schools or other daytime programs operated as a part of a private school and receiving chilcten younger than lawful school' age for- four- hours a day or less, with or without stated educational purposes; . Facilities operated for more than four hours a day in connection" with a shopping center or service or other similar facility, where transient children are eared for temporarily while parents or custodians of the children are occupied on the premises or are in the immediate vicinity and readily available; provided, however, that such facilities shall meet local and state fire and health reqtdremen Any type of day prembet4 nt 2 conducted bn federal Government DAY CARE CENTERS AL MAMA Special activities programs for children of lawful s2hool age including*, but not lim ited to, athletics, crafts instruction and similar activities conducted on an organized and periodic basis by civic,. charitable and government organizations; provided, however, that local and state fire and health requirements rzeimet. III Regulations. Nothing in the prescribed regulations shall give the State nepartment of Pensions and Security authority to regulate, control, or supervise the content of any religious imtruction of any day care center or nighttime center. Hripptiv of specified are Compliance DAY CARE CENTERS LABAIVIA 120. AGENCY RESPONSIBLE FOR LICENSING OF 1 KY CARE PROGRAMS 121. 0 zation of the Administrative 'Unit State Board DEPARTMENT OP PENSIONS AND SECURITY CQm Missioner Deputy Commissioner Program Administrator OFFICE OF PROGRAM ADMINISTRATION Director K.IREAU OF FAMILY AND CHILDREN'S SERVICES Supervisor DAY CARE AND CHILD DEVELOPMENT UNIT Ir I Program Administrator OFFICE OF INTERNAL ADMINISTRATION Licensing Staff DAY CARE CENTERS A In Alabama, the three counties of Jefferson, Madison, and Mobile conduct licensing programs autonomously using the state regulations. In these counties, the Child Welfare Director is ultimately responsible for the day care licensing programs with support And technical assistance from the state central office. The day tp day licensing functions for the remainder of the state are handled by staff located in the two regional offices of -Morgan County and Jefferson County and the state central office. The regional staff are under the direct supervision of the state central office. All issuances mid revocations are handled by state central office staff. 122. Resnsible Off All inquiries should be addressed to:- Supervisor, Day Care and Child Development Unit Bureau of Family and Children's Services Office ed_Prograin Administration Department of Pensions and Srurity 64 North Union Street Montgomery, Alabama 36130 (205) 832-6150 200. G PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promulegon of Regulations ALA. CODE 538-7-7 Same Department To Establish Minimum Standards For Licensing; Factors To Be Considered; Children In Need Of Special Treatment; Department To Offer Consultation. The department shall prescribe and publish minimum standards for licensing for approlAng all child-care facilities, as defined in this chapter 5 DAY CARE CENTERS ALABAMA In est blishing such standards the department shall seek the advice and assistance of persons representative of the various types of child-care f acilit es.... The department, in applying standards promeribed and published, RS herein provided, thall offer colsultation through .emoloved staff or other specified persons to assist applicants and ifrensees in rnaeting and ainfaining mum requirements for a license and to help them. otherwise to achieve programs of excellence related to the care of children served. 212. Advisory-Body and Other CoMmuniqr participation See 211. Promulgation of Regula&ro 220. LICE N ll1D PROCEDURE 221. Application and Issuance 4 ALA. ODE S38-7-4 SameApplication; nvestigation- ApPlieation Operate Foster Family Horne May Be Made To Licensed Child-Placing Arenev. Any person!, grow:). of persons or corporation who or which receives children or arranges &C?, care' or placement of one or more children unrelated to the operator shall apply for a license or for approval to Operate one of the tvtes of child-care facilities defined in this chapter. DAY CARE CENTERS ALABAMA Application for such license or approval to operate a child-care facility shall be made to the department in the manner and on forms prescribed by it. The department, Upon receiving such application, shall examine the 'premises of the child-care 'facility, including buildings, equipment, furishings and appliances thereof and shall investigate the persons responsible for the care of children therein. If, upon such examination of the facility and investigation of the person responsible for care of children, the department is satisfied that the facility and the responsible persons reasonably meet standards prescribed for the type of child-care facility for which application is being made, the department shall issue a license or an approval in the proper form designating on said license or approval the type of child-care facility and, except for a child-placing agency, the numb*r of children to be served at any one time.... ALA. CODE 538 -7 -5 SameIssuance And Term; Temporary Permits. Licenses or approvals shall be issued in such form and manner as prescribed by the departmenik and are valid for two years from the date issued, unless revoked by the department or voluntarily surrendered by the licensee, or by the child-care facility designated on the notice of approval. 222. Fee Charge Not specified 223. Areas of Investigation See 221. Apslieation and Issatmee 224. License Renewal ALA. CODE S38-743 SameRenewal; Reexamination; Renewal Of Approval Of Boarding Home. A licensed or approved child -care facility'operating under this chapter shall apply for renewal of its license or approval, the application to be made to the DAY CARE CENTERS ALABAMA, department on forms prescribed bys it; provided, however, that application for renewal or approval of a boarding home may be made to the licensed child -placing agency which issued the approval.. 225. Conditional /Provisional Liter ALA. CODE 5384-5 Same--Issuance And Term; Temporary Permits. The department may issue a six-month permit to a facility for child care to allow such facility reasonable time to becomeeligible for a full license. 226. Substantial Compliance Not specified 230. ENFORCEMENT PROCEDURES, 231. Facility Inspections ALA.'CODE136-7-11 Inspection Of Facilities. The department shall have the right and its authorized representatives shall be afforded reasonable opportunity, to inspect any child -care facility seeking a license or an approval or ft six-month pe3mft; any child-care- facility seeldng,f.a renewal of a license or an approval or a six-month permit, and any childcare facility which is opefating under a license or an approval or a six-month permit. Such inspection shall include, but not be. limited -.td, premiseS, , services, personnel, progrim, accounts and records, interview with agents and employees of the child-care faCility,being inspected attd intervtews waren!, child or other person Aithiff the custody or control of said child-care flibUity. Such inspection shall be made at any reasonable time, withorit prior notlee, and as often as necessary to enforce and administer the provisions of this _chapter. DAY CARE CENTERS ALABAMA shall be the duty of the department, prough its agents, to conduct the inspections authorized hereinabove. If any such inspection of a, licensed or approved child-care. facility discloses any condition, deficiency, dereliction or abuse which is, or could be, haiardous 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 on& be brought to the attention of the department, and the department shall have the power to revoke without notice the license or approval or six-month permit of such-chil&-care facility. In this event, the child-care facility shall not operate ding the pendency of any proceeding for fair hearing or judicial review; except under court order. 232. Denial, Suspension, R vacation of a License ALA. CODE §38-7-8 SameRevocation LicenseGrounds. Refuel To Renew The department may revoke or refuse to renew the license or the approval of any child-care facility or refuse to issue a full license to the holder of a six-month permit should the licensee or the child-cafe facility designated on theVotice of approval or the holder of a six-month permit: Consistently fail to maintain standards prescribed and published by the deputment; Violate the provisions of he license issued; Furnish or e any misleading or any false statements or report to the department; Reftise to submit to the department any reports or refuse4o 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 renewia license in such case unless it has made written demand on the DAY CARE CENTERS ALABAMA person, firm or corporation operating the facility requesting such report or reports and such person, firm or corporation fails or refuses to submit such records for a period of 10 days; Fail or refuse to submit to an investigation by the department; Fail or refuse to admit authorized representatives of the department at any reasonable time for the purpose of investigation; Fail to provide, maintain, equip and keep in safe and sanitary condition premises established or used for child core as required under standards prescribed by the department, or as otherwise required by any law, regulation or ordinance applicable such facility; Refuse to dis ay its license or permit; or 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 emerienee and other essentials in the proper care, rearing and training of children. ALA. CODE 538-7-10 Same investigation Of ©peration Without License; Report To Attorney General For Prosecution. Whenever the department is advised or has reason to believe that any person, group of persons or corporation is operating a child-care facility without a license or an approval or a six-month permit, it may make an investigation to ascertain the fact. If it finds that the child-care facility is being operated or has operated without a license or an approval or a six-month permit, it shall report the results of its investigation to the attorney general and to the appropriate district attorney for prosecution; 6rovided however, that the department may delay in maldng said report to the attorney general for a reasonable period of time, not to exceed 60 days, in order 10 14 DAY CARE CENTERS ALABAMA to give the person, group of persons or corporation operating the child-care facility reasonable opportunity to apply for a license or an approval or a six-month permit, and therefore, to meet the standards prescribed in this chapter. 233. Reme and Sanetio 233.1 Hearings ALA. CODE 338-7-9 SameAggrieved Party Entitled To Hearing; Review Of Final Decision Of Action Of Department; Bond; When Decision May Be Set Aside; Section Not Applicable To Boarding Homes and Free Homes. In the event a party or an applicant for a license or a licensee is denied a license or a renewal of a license or has a license suspended or revoked for the operation of a child-care facility required by this chapter to be licensed by the department, or in the event an application for such a license or renewal of a license is not acted upon with reasonable promptness, or in the event an approval required by this chapter to be issued by the department is denied or re ed or unduly delayed, any aggrieved party may appeal to the department for a _air hearing of his case. Notice and opportunity for a fair hearing and notice of right to counsel shall be given the appellant by the department, and at this hearing any party at interest may appear and present any relevant facts. The decision or action of the department on any fair hearing on any such appeal shall be final and binding and shall be complied with. Any party aggrieved by a final decision or action of the department refusing to grant or to issue, or suspending or revoking a license or an approval for the operation of any child-care facility required by law to be licensed .or approved by the department is entitled to a review of such final decision or action by filing a complaint with the circuit court in the county in which the child-care facility is located or in the circuit court of Montgomery County, Alabama. All such complaints shall be filed within 30 days from the date of such final 11 DAY CARE CENTERS ALA MA decision or action, and a review shall be granted a matter of right upon the filing with the department of a bond for security of costs of said review and upon filing said complaint both with the register or clerk of the circuit court, as designated herein above, and with the department. The court may set aside the final decision of the department only upon a finding of the court that such final decision was illegal, capricious, or unsupported by the evidence. Upon motion of either party or upon its own motion the court may at its discretion take additional evidence. The provisions of this section shall not apply to boarding homes and free homes as defined in this chapter. 233.2 Decisions See 233.1 Hearings 233.3 Judicial Review ALA. CODE S38-7-16 Penalties; Burde Of Proof Cr Relationship. Any person, group of persons, associ on or corporation who: Conducts, operates or acts as a child -cue facility without a license, or a six-month permit or an approval to do so in violation of the provisions of this chapter; Makes materially false statements in order to obtain a license or permit; Fails to keep the records and make the reports provided under this chapter; Advertises any service not authorized by the license or permit held; Publishes any advertisement in violation of V- -4 chapter; Receives within this state any child in violation of section 38-7-15; DAY CARE CENTERS ALABAMA Violates any other provision of this chapter or any reasonable rule OF regulation adopted and published by the department for the enforcement of the provisions of this chapter, shall be guilty of a misdemeanor and shall be fined not less than $100.00 nor more than $1,000.00. or be imprisoned in the county jail not longer than one year, or both, an in case of an association or corporation, imprisonment may be -imposed upon its officers who knowingly participated in the violation. ALA. CODE 338-7-17 Duty Of District Attorney To Enforce Chapter br Prosecute Violations. It shall be the duty of every district attorney fir assistant district attorney within the circuit, county or other territory for which he is elected or appointed to institute action for the enforcement of the provisions of this chapter or to prosecute action for the violation of the provisions of this chapter, or both. See also 233.1 Hearin 300. ADMINISTRATION L 310. GENERAL ADMINISTRATION General_Adrninistrative Requirements ALA. CODE 538-7-14 Reports By Child --Care Facility. Every child -care facility shall make reports to the department on forms prescribed by the department and at times required by the department, giving information pertaining to the children under care and such other facts as the department may require. A Administration. The governing authori to, the following: sib shall include, but need not be limited DAY CARE CENTERS ALABAMA Authorize a representative to apply to the Department for a license to operate a center and assume final authority and responsibility for the operation of the center in accordance with prescribed standards. Establish written op atin Provide operating funds. and personnel policies of the center. Develo a projected year's budget prior to the time of initial licensing, and for ch current, fiscal year following. Employ a director and delegate to her/him the authority to administer the center. Written o- , allowing: statement of purpose, function, and description of program (e health, nutrition, education, etc.). policies shall include, but need noi. be limited to, the discipline of children. hpurs and days the center is in operation (including admission procedures and re r rents. plan for arrival and de f e of children. ent plan and refund practices. proeedwe for termination of policy conee by center or ent(s). n. a es of children, non-admission and re-adm 14 AY CARE CENTERS A BA MA request concerning children's personal belongings, etc. transportation of children, if provided. emergency plans for medical emergency, power failure, storms, fire, etc. plan regarding provision' of diapers, clothing and formula, if center is licensed for infant - toddler !are. prcedures. parent(s) or guardian(s) may use to make a complaint. administration of medication. of the day when parent di and others may v name of person(s) at the center whom parent(s) or guardians) should contact in reference to the child. an re- provision of fopd. The center shall, in 'practice, offer the type of servic which the operating policies outline. am The parent(s) or guardian(s) shall be provided a copy of the cen e operating policies prior to the child's admission. A monthly report shall be sent to the Department, not later than the fifth day of the month following the month for which the report is made. The following shall be reported to the Department prior to occurrence change in ownership, directorship, or chief officership of the Board. 15 DAY CARE EATER Change in location and/o ALABAMA Co buildings. major change or extension of basic operating chedule or program. The following shall be reported to the Department within 24 hours after occurrence, with written exiolanatibn to follow within five (5) days: death or serious injury requiring a.l treatment by any child or staff member while at the center. major to the facilzty. any litigation involving the center. 312. Telephone C Facilities. There shall :be a telephone in the center when telephone service is available in the community. 313. Proof of Operator Finarciai Capabilities Not specified 314. Insurance Not specified 320. PERSONNEL 32L Publica Not spec_ 16 DAY CARE CENTS 322. Constraints Against Employment Not 5-decified a 330. NON- DISCRIMINATION 331. Requirements ProhibiEngDiscrimina 'on Not specified 340. RECORDS REQUIRE Children ALABAMA A Adm ini strati on . The records shall be filed for each child and staff member, in order. ical Records on children, filed in the center, shall include, taut need not be limited to: pre-admiasion enrollment information, signed and on file in the center prior to the day of attendance. The form shall include at least: full name, prefe-red narneW, hirtheate, age, and current address. name and address of the parent(s) or guardian and of any other person or agency responsihle for the care of the lid. telephone numbers or it tructions as to how ent(s) or guardian(s) may be reached during the time the phi is in the center. name, address, telephone number and relation o pets .nfsl to whom the child may be released from the center. 17 DAY CARE CENTERS 342A Sta_ At riAA name, address, and telephone-numher of the chiles doctor. child's admission an a al in million. hilds special interest, habits, and progress. ed parent agreement following: mation, inelfidint 1 eAst the authorization for center staff o obtain emergency m treatment for the child. authorization for child to participate to be transported to and/or from school or center on " awnv from center" field trips, or other activities, if included in center's program. request and authorizition for transportation of child -to and frog home, if service is Prolfided by the center and desired by the parent (s) or guardian(s). medical information, as require of injury occurring at -the center, which renuire professional medical attention and/or- hosoitalizadon. A Adm inistration. The director's record shall include at least a me al examination report, three reference contacts and written verification of training/edlication. This record shall be maintained tiv the licensing agency. All employees' records shall include at least: 18 22 DAY CARE CENTERS ALABAMA The application for employment Information regarding the character and suitability of the person to work with children inclusive of Recording of impressions gained through interviews with the indhAddal to be employed, particularly his/her attitudes regarding child care. Referende ntac s: Atatements from three unrelated references, including at least one previous employer, if employed. A written report shall be made concerning any oral reference contacts. 0A Written verification of training/ education Medical info_ is re Name, address and telephone number of _ on to contact in case of an emergency involving applicant. A written report of any &Jet or dereliction of duty, including the investigation procedure followed and the disposition made. Daily attendance records on staff and children shall be Maintained. 343. Child Eligibility and Enrollment Requirements A Administration. The number and age range of e children in the center shall conform to that which is specified on the license. If the center accepts children for irre tons shall be met: , vaeancies in the group o which e chil 19 en e the following signed. DAY CARE CENTERS ALABAMA RAMA a maintained child-staff ratio as required. required records Maintained and filed. advance plan of care made by parent or guardian. 344, Child Abuse Reporting A Administration. Any staff member shall report to the County Department anid to the Bur of Family and Children's Service any knowledge or suspicion of harm or threatened harm to a child's health or welfare-through non-accidental physical or mental injury, sexual abuse, or attempted sexual abuse; negligent treatment or maltreatment of-a child, including failure to provide adequate food; medical treatment, clothing or shelter. Such report shall be made immediately Sy telephone or direct oral corn mirdeation followed by a 'written report as required under penalty of 25-14-11 through 25- 14- 13,,Code of Alabama 1975. C Child Care Program. Any evidence of suspected child abuse /neglect shall be r record and reported. 345. Confidentiality & R rirements in the child's A Administrati All staff and children's records shall be kept confidential. The board members, staff members, and employees of the day care center or nighttime center shall not discuss or disel4ie 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, (b) with the agency assisting the parentS with planning for the child, and (c) the Department of Pensions and Security; 24 -DAY CARE CENTERS 400. GROUP COMPOST ALARA MA S OF CHILDREN 410. STAFF /CHILD RATIO RE REMENTS - 411. Staff /Child Ratio as of March 1981 D Child Care Program. Child-staff ratio and grouping (1) Age of Children 3 weeks tjit 1/2 years 2 1/2 years to to 4 years 4 to 6 years 6 to 8 years 8 years and older (2) Me shall be according to theifollowing: Childtaff Ratio Children in Group 1 staff person to 6 6 children 1 staff person to ln 10 children 1 staff person to 20 20 oh ildren 1 staff person to 22 22 children 1 staff.person to 25 25 children Children younger than age 2 1/2 shall be grouped separately. Corn Child Ratios D Child Care Program. Child-staff ratio and grouping shill be according to the following: When rnultTple-age grouping is used, child-staff ratio and group size shall be according to the age of the youngest child in the group if more than 10% of the children are in the youngest age category. If children in the youngest age category make up 10% or less of the group, staffing and group size shall be according to the next highest category. ff, such as director and service staff, shall counted in the chilt+-ertafx' ratio only during the time when they are giving ull attention to direct supervision of chUcten. Staff coverage shall be determinedby the_ following: All children shall have staff supervision at all times. 21 DAY CARE CENTERS ALABAMA Each staff member giving care to infants and toddlers shall be assigned the responsibility of caring for the same infants/toddlers daily. When a regular staff person is absent, there shall be a substitute present in order to maintain the regular= child-staff ratio. During the-director's absence, an adult staff member, meeting at least child care worker qualifications, shall be designated as the responsible person. One staff person shall be present it each room of children napping/resting time. The number of napping/resting children, ages 2 1/2 and older, shall not exceed 40 per staff person. Child-staff ratio. shall be one staff person to 10 children during naptime for children from one to 2 1/2 years of age. A staff member at least 19 years of age shall be present in the day care center diming all hours of operation. fi There shall be a second person age 16 or above available in the day care center building or on the premises, w.kenever 7 or more ch en are present. The operator shall have emergency staff on call in case it needed during the time there is only one adult staff member at the center. The operator shall have on file idbntifying information regarding the emergency help. This information shall include name, address, telephone number, age, and reference data. 26 22 DAY CARE CENTERS No staff person shall be on duty with the children hours, on a regalu basis, ALABAMA more than 8 continuous members shall be fre from all other dutle r the hours they are' working with the children. Volunteers working- 3 hou=r-s or more per day sheill be eligible, if other qualifications are met, to assume responsibilities of a child care worker and shall be,counted in the ehildstaff ratio. Volunteers working less thawLri 3 hours per day sh with the regular child care wiivorker. ork in assisting positions t. Volunteers working less tha=1 3 hours per day with inWant and/or toddler groups shall not be counted in the a 110d-staff ratio. 420. GROUP SIZE 421. Group Size as of Marh,1981 See 411. Staff/Child Ratio of March 1981 422. Methods of Computirmg Group Size See 412. Methods9LEssren uintStaff/Child Ratio 500. STAFF UM.11=PICATIONS AND DRAINIIW a REQUIREMENTS 510. C MD CAREGIVER STAFF UAI,IFI ATION 511. B Staff. Child care workers or teachers who have primary reponsibRity for the care of . groups of children shall be ma least 18 years of age.... DAY CARE CENTERS ALABAMA 512. Fl nth B Staff. Each staff member including substitutes and volur=eteers who are counted in child staff ratio shall provide a statement from a l_icensedpractiOng medical doctor or a physician's assistant initially and every two years thereafter. The initial statement must be dated within 12 months prior to employment and shall document the date and results of a VDRI., testes and a tuberculin skin test or chest x-ray. The statement shall attest to the physical suitability of.the staff person to care for children and the person's fieedorn 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 Mein the center.... Subsequent to the initial statement and at least inn ally thereafter, each staff person shall have a VDRL test and a tuberculin skin test or chest x-ray. Follow-up testing and/or treatment for persons witT]n reading of 4mm or more shall be made at the discretion of the atteilding phwsicianor area tuberculosis coordinator. Certification of resultS, from a li=ensed practicing medical doctor, health department or military clinicipersonixnel, shall be on file in the center. Staff members with symptoms of a communicable dlisease or illness shall not be present in the center. A staff member who, upon examination or as a resuitt of test shows indication of a physical, emotional, or mental condition whiT- could be detrimental to the children or staff or which would prevent salList actory performance of duties, shall not continue work at the day care ce-,riter until the condition is cleared to the satisfaction of the examining licensed I practicing medical doctor. DAY CARE CENTERS 513. Education B Staff. AJ411A MA Child .care workers who have primary resgeonmsibility for the 'are of roee children shall have the followirgtraining and /. =or- eXperience: when a woun of childrecIncludm orally infants to 2 1/2 veers Ole, the child care worker shall "hue at least a I .0th grade education. when any or all of the chileren in the Troup are age or older, the child care worker shell hive a high sehrlool diploma or crenPral eehmation diploma. Aides /asstant teacherswho assist wi Ith groups of children, shall he at least years of age antishall: have at least an alligrade educat=ion. work under the direct seine rvisiormn of a rierson Qualified AS a care worker. 514. Ex rience See 513. Education 520. PROGRAM DIRE cr0 QUA1.IEICATI CIDNS 521. Age B Staff. The director shall be at 1 522.- Health See 512. Health of age. DAY CA RE CENTE RS ALABAMA 523. 'Education B Staff. The director shall hoe at legit a high school diploma or general education diploma. It shall be possible f=r the responsibilities of director and program director to he ass4itiai by the person provided all qualifications are met for each position. If the dirctor does not meet the qualifications of a program director, Melia program in director shall be employed. The program director shall 1---:iave at least the following training and/or experience: a high schical or genaveral education diploma, 1 year's verifiable rience, as child came staff, center: OR a high 501041(14)1ms or general education diploma and a written Department approVed clock hoosrs of traininaog in child care within one year following em ploynn ent: OR censed or approved day care for successful completion of at least 40 verification of successr ul completion of at least 40 clock hours of training in chid care, inictcluded in, or in addition t6, the high school :Jr general edUoation diplom ma; OR a bachelors degree fr-Prrorn a college or university, in addition to successful completion or,: at least 20 clock hours of child care training or a Department approved plan to complete at least 20 clock hours of child care tram within 6 months following emploirrnent, or at least three monthe'verifiable experience, as a child care staff, in a licensed or approved diyeare counter; OR DAY CARE CENTERS ALABAMA successful completion of at east 20 clock hours of child care training or a Department approved plan to complete at least 20 clock hours of child care training within 6 months following employment or three months' verifiable experience, as cold care staff, in a licensed day care center, in addition to, or included in, the completion of the sophmore year in child development or early chEdhood education at a college or university; OR a bachelor's degree in child development or from.a college or university. 524. Experience See Ert3. Education 530- SUPPORT STAFF QUALIFICATIONS y childhood education B Staff. Supplementary staff used in the early morning and late afternoon how ., shall be at least 16 years of age, and work under visual supervision of a person meeting at least child care worker qualifications, Service uch as cooks, maids, custodtaII, and drivers shall be able to read and write. Assisting professional star such as p/oleians, nurses, caseworkers, counselors, nutritionists, dentists, psychologists, and psychiatrists, employed or used by the day care center shall be qualified and/or licensed in their respective professions. Substitute staff shall meet age clialificationS asrequir or regular a f. DAY CARE CENTERS ALABAMA Centers using volunteers shall meet the followix-tg conditions: a written and De partment approved glean for the orientation, trairdng and use of voiuntert, shall be developed and implemented. a staff member shall be designated to assign, supervise, and evaluate each volunteeK, a schedule of the hours and activities o the volunteers shall be kept on file. all volunteers wloc are counted in the child-staff ratio shall meet all qualifications recgaired of regular staff. 540. POST E1V LOYME NT/1N E RVICE: ORME NTATION AND TRAINING Program Director 13 Staff, Trainingshall occur ttroxigh, but need not be !limited to the followinig means: staff comm unload on at fanned scheduled meetings. materials concerning child growth amid developmentlearl r childhood education, avaflatale for, and used by staf. ,se" 542. Child Care ver Staff See 541. Pro am Direcbr 543. Support Staff See 541, Program Directeax 28 DAY CARE CENTERS ALABAMA 600. PROGRAM OF ACTIViTIE S, INCLUDING EDUCATION 610. PROGRAM RE QUIRE MEN 6I1. Program of Activities There shall be a of children. written daily plan or schedule of the day for each Indoor and/or outdoor experiences such as creative art, rhythm and music, books and stories, discussion, natural science, block building, home living, manipulative toys and games, wates play, climbing, riding, sand and digging, shall be available. Indoor and /or outdoor experiences for school-age chileten, such as creative art, music, story and discussion, science, dramatic play, crafts and games, recreational sports, and real tasks, such as coo:ling, sewing or wood working, shall be available. There shall be periods of indoor work-play time when the children shall permitted to proceed from one activity to another, alone or in small groups. Prei-school and school -age children sh- weather permits. time out of There shall be periods of activity and opportunity for quie There shall be daily periods of staff - directed activity planned according chRes stage of development. hen Provisions shall be made for a quiet area, somewhat removed, for use. by children desiring to be alone ot to work an homework. DAY CARE CENTERS ALABAMA The staff shall encourage the chills independence in routines and activities by assigning simple housekeeping duties, offering planned activities and projects, etc. The staff shall encourage nversation among children. The staff shall give individual attention to each child daily, such conversation between staff and child. Radio and television shall be used only when they supplement and enhance the daily plan for the children. No child shall be required to watch television. The staff shall assist the child needing help during the early morning and late afternoon periods in coping with separation from parents and usual end k-of-the day fatigue. In cases when children participate in "away from center" activities, there shall be a written plan from the child's parent(s) or guardian(s) and agreed to by the staff concerning: the number and type of community a vities in which the child shall partici pate, and means of transportation to be us the amount and kind of freedom allowed for he child mi. ns the center as "home base." The staff shall note that the child arrives at the center from school or "away from center' activities when expected and shall follow up an his/her whereabouts, if late. 812. Program Equipment and Materials C Facilities. The furnitire sh child size related to the age range of children in There shall be table spade for each child who is able to sit at the table. 30 34 DAY CA RE CENTERS ALAS A NI A There shall be a straight chait with a back, without arms, for each child who is able to use a chair. A feeding chair shall ovided for children who do no eat a he table. There shall be a staff rocking chair for each six or fewer children under age 1 112 and for each 12 or fewer children between the ages of 1 1/2 and 2 1/2 years. There shall be a crib provided for each infant, and a washable cot for each child ages toddler to lawful school age. Each crib shall have a water-proof m attress. Each cot and crib shall be egaipped with a bottom sheet and an additional sheet or covering for the child. Indoor equipment shall be arranged in an orderly mannei, in designated activity areas, such as home living, boob, blocks, and stories, music, art, manipulative toys and games, and science and nature, for each group of children between age 2 1/2 and school age. Playrooms shall arranged to provide muscle Provision D Child Care Program. The staff shall recognize differing neecb_of children for sleep /re than 45 minutes and shall not exceed 3 Chidren who do not sleep after 45 minutes of rest shall be perthitt in quiet activities. '31 DAY CARE CENTERS ALAS Cots used by any C:ce-school child shall be cleaned and the sheets washed before use by another ohld. Clean sheets shall e provided at least orice each week and as frequently as needed when wet or soaed. 614. Discipline nci Cs denee D Child Care Progrenl. Disciplinary practices t balite according toim the following requirements: Limits or rules shell be few and t__hey shall be understandable to the children to wl-o rb they apply. Staff s set. _ e,onacceptable and unacceptable behavior and on limits Expected rshall be on the level. Discipline No cOrpo Punishment stud not procedures. intent and fa---ir ishment sh.11 be -d with food, nags, or bathroom Techniques of punishment shall not be humiliating, shaming, frightening to thechild. Punishment shbJl be related tO the misbehavior and it shall be administered Moelately by the immorker primarily responsible for the child. verbal abut.; greats, or derrgatory rem lo about the child or his/her faMily Shall be used. 32 G DAY CARE CE A kind, fire n voice shall be wed. 700, HEALTH AND SAFETY 710. HEALTH 711. General Health Re tirernents A L ABA 11",---5 A C Child Care Program. Chtildn's hands shall be washed with soap and water before snacks aril meals, and after toneting. Chad-et-Is hands and faces shall be washed after m Staff shall wash their hanc with soap and water t afore food pre ration and/or service and after assisting with toil eldng or die Paper tower, or individual wash cloths, shall be supplied for each washy mg. Each infant and toddler shall have at least two washcloths, one for washing child prior to diapering, and one for face washing and an individual tow- el. Each child's toilet articles (such as combs, cloths, or identified, kept separated, and in sanitary condition. Facial tissues shall be disposed of immedately following each use. Healthy animals, which present no apparent, threat to the chiidrerl, shall be permitted on the premises, unless prohibited tinder local health ordinarees. shes) shall be 33 DAY ARE CENTERS ALABAMA qualified veterinarian shall certify that the animals have been inoculated against rabies, when required. ages and other areas used to confine animals shall he kept clean. 712. I-1 ealth Assessments C chid Care Program. Results of medical examination, s eening or assessment shall on file. Each t ,tiild shall have, within 12 months prior to admission and annually thereafter, a physical examination or medical screening or assessment (such as EPSDr). The physical examination shall be performed by a licensed, practicing medical doctor or physician's assistant: The assessment shall be performed by a licensed, practicing medical doctor, other medical personnel ho ar +e administratively responsible to a licensed, practicing medical doctor; or a lifensed Registered Nurse who has access to consultation an a regular, planned' basis from a licensed, practicing medical doctor. -Documentation of the avaLllability and frequency of consultation must be in written form. For infants wider one year, a physical examination, screening o sment shall 13.4 required semi-annually. Recortl of the examination, screening or assessment, dated and signed by the appropriate medical staff, and additional information provided by the parent(s) or gusardianes),..- concerning health matters which wail d affect the child's particiirmation in, or adjustment to, the day care program, shall be on file in the center prior to the child's admission. 34 DAY CARE CENTERS ALABAMA In situatiors where rn edicalservices are riot available, written verification of appointment to receive needed examinatiorL shall be substituted temporarily, and shall be on file. 713. Imm ui C Child Care Pro rain Record of im in uni zati©r and t is if indieat -*Lined shall be on Each child shall have immunizations accoring to the schedule prescribed by the Alabama Department ofPublic Health. Written certification/ from a licensed, peaticing medical doctor, physician's assistant, health de rtrnent, or military clinic personnel that the child's immunizations and e is are current shall bey on file in the center prior to the child's admission C)lt one of thaollowi ng eor-nditi ors shall be met: .A written stat dent from a liceeci, practicing medical 4,cloctor, physician's assist vt, health departrnent or military clinic personnel that required unit unliations have bein begun, a pd will be completed as soon as is ecli )vfeasible shall be =nn file in the center; OR Where irnrnunjzatkw are waived (o+ -a relies or medical arounct), a written statement requesting waiver and signed by the child's parent(s) or guardian(s), ice peacticirg medical. doctor or physician's assistant, ro.speetively,sh be on f fi ,e in the center. Sanita -Orl C Facilities. Cleaning shall be done daily, Cleaning shall not interietie with children's aft c DAY CARE CENTt FtS 715. Da_111L-1sSlAn C Child Care 13rogra Health inspections shallbo made prior to admittance. ALABAMA Designated staff %najlobtain consultation at least annually from a licensed practicing medical cycler, phyticiaTITS assistant, Registered Norse or health department personnel to obtain rirkinstriletion regarding health irsppbons of children. -No child w 716. apse 010E111 be nd mitted to the center. C Child Care E'rogreull. Any child in attehdans who beacag=)ni es ill shall be isolated promptly from the group, but have ceatiatioussuperviion by a staff member. The ill child's parents shall be notified immediately and required to come for, or arrange for anotherdesignated Pazterson to come for, the child. When a cornmixt cabledloase flag- been introduced into the center, parents guardian(s) of exposed6t1dren shaLll be notified. The center shall urge pirent(s) or guardian(s) to notify center when their child is known to have been exposed to ,ate communicable disease outside the center. The center shall report any knowriailauspected case of communicable disease to the local health department. A child wino do not spar to tolam fully recovered from an illness shall not be re-admitted to the center without a statement from an attending physician or physician's assistant that the ei d is able to return and participate in the activities of the centelor is no lowiEnger infectious. 4 4 36 DAY CARE CENTERS ALABAMA 717. Medication and Special Diet Pro C Child Care Program. Authority and procedure for administering medication shall be clearly defined. When parents or guardians of the ch0dren are unavailable to administer medication,- one designated staff person shall be authorized to administer medication. Medication and/or special medical procedures shall be administered to a child by the designated staff person. only when there is a written, signed, and dated request from the parent(s) or guardian(s) inclirding time of last previous dosage. Any prescription drug sent to the center shall be in its original container and clearly labeled with the chills name and directions for administering the drug. Au medicines or drugs shall be kept in locked cabinets, inaccessible to the children, and removed from the premises when no lohger being used. 411 Time of all medication dosages administered at centerogall be provided, in writing, for child's parent(s) or guardian(s). na. Waiver of Health Requirements S Immunizations 720. SAFETY 721. al Safety Requirements C Fac Floors shall have a non-slippery strface, of splinters and other hazards: DAY CARE ENTERS ALABAMA AU flammable and other dangerous substances, potential poisons, medications, firearms and ammunition, if kept, shall be stored in locked cabinets accessible only to authorized persons. 4Stairways shall have hand railings at child height. All paint used in centers shall be free of lead. There shall be no locks on doors to rooms used by the hil en. Clear glass doors shE my marked to avoid accidental impact. Water temperature at the lavatori degrees Fahrenheit. 722. Fire Safety Requirements Not specified 723. T tation idren shall not exceed 129 A Administration. The center. shall have on file written permission from the parents) or guardianS) for transporting the child to and from the home, school, or other designated place, and on center-planned field trips and activities. Written transportation plans for travel shall be on file. When the center provides transportation to and from the home, the center shall be responsible for picking the child up at the place designated and for delivering the child to the places) designated, according to the written transportation plan. Requests for deviation from the regular plan shall be in writing and sired by the parentis) or guardian(s). The driver of a vehicle transporting children shall be at least 19 years of age. 4z DAY CARE CENTERS ALABAMA The driver shall be legally livered, There shall be one staff person in addition to the driver for each six, or less, infants - toddlers being transported. There shall be one staff person, in addition the driver, when 7 to 20 children, age 2 1/2 to lawful school age, are being transported. There shall. two staff/persons, in addition to the driver, when more than 20 children, age 2 1/2 to lawful school age, are being transported. There shall be one staff person, in addition to the driver, when there are more than 30 children of lawful school age and older being transported. Children shall not be left unattended in a vehicle. A staff person shall accompany each child under 2 1/2 from the vehicle to the care of a designated person. Children being transported by the center shall be given the daily.health inspection before leaving location where received. Safety precautions in all vehicles shall be used and operated by the center- in transporting children. Stationary seating space for each child shall be provided, and no child shall sit on the floor. Children shall remain seated while the vehicle is in motion. Children shall not be permitted to ride in the front seat of a vehicle unless using automobile-safety belts. DAY CARE CENTERS ALABAMA Children shall board and leave the vehicle from the curb side of the vehicle, onto the curb, or in a protected parking area or driveway. Doors shall be locked at all times when the vehicle is moving. Each infant who is not able to sit alone safely shall be fastened securely into a seat bed, which is secured to the floor of thiviheicle. Children in portable (infant) car seats shall be secured with safety belts fastened to the floor. Children being transported by parent(s), guaraian(s) or other designated person(s) shall be accompanied into and out of the center by this parent, guardian, or other person. 724. Safety Requirements for Equipment C Facilities. Equipment and furniture shall be in operative condition, free of sharp, loose, or rusty parts. Equipment shall be easily cleaned and kept in a clean condition. Equipment used by infants and toddlers shall be free of small parts which could be swallowed. Toys made of easily breakable materials shall not be used by infants and toddlers. DAY CARE CENTERS 725. Water Activities (Includi S -imming) C Facilities. When a swim children: ALABAMA 1, exceeding 4 feet of ater in depth, is available a person holding at least a current Advanced Life Saving certificate shall be on duty at all times when the pool is in use. written safety rules shall be formulated. the water shall be clean and treated in compliance with health department regulations. (Swimming pool regulations are available at county health departrnen pools, on the premises, shall be enclosed with a fe chil ratio for additio Age 2 1/2 years and under 2 1/2 to 7 years 7 year and older When a swimming available to the children: supervision shall be: e. Child -Staff Ratio 1 staff person to 1 child 1 staff person to 5 children 1 staff person to 15 rading pool, from 1 to 4 feet of te in depth, is a person holding at least a current Basic Rescue and Water Certificate shall be on duty at all times when the pool is in use. written y rules shall be formulatedv the water to clean. DAY CARE CENTERS ALABAMA child/staff ratio for additional supervision shall be: Age Child -Staff Ratio 2 1/2 years and under 1 staff person to 1 child 2 1/2 to 7 years l'staff person to 5 children 7 years and older 1 staff person to IS When a wading area less than Z foot in depth is available to the children: there shall be continuous supervision by a minimum of 2 staff persons. the wading filled with clean water for each da. The center shall have on file written, signed permission from parents gtiardlan(s) for all children participating in swimming and wading activities. 726. ger C Child Care program. A written description of procedures to be followed in emer shall be developed and known by all staff members. The planned source of emergency medi Situations ai:th as a hospital e _ m,' clinic, or other constantly staffed facility, shall be known to staff a parent(s) or guardian(s). A vehicle shall be immediately accessible for use by staff members.in ease of emergencies. Parent authorization for the center t obtain emergency medical treatment, name and telephone number of ph ans designated by parents, telephone number and/or address where parent(s) or guardian(s) may be contacted, and 42 DAY CARE CENTER ALABAMA other emergency telephone numbers including hospital emergency room, ambulance service, rescue squad, fire and police departments, shall be posted by the center's te ephone so as to be immediately accesible. 727. First Aid Suppli C Child Care Program. A copy(s) of the American Red Cross textbook, Standard First Aid and Personal Safety, current edition, shall be readily available in the center. The center shall maintain emergency first aid supplies minor cuts and abrasions. 800. NUTRITION AND FOOD SERVICE 810. NUTRI'T'ION 811. Nutritional Requirements 1) Child Care Program. Children during the first 2 - 5 hours in attendance shall be served a snack unless the period in attendance covers the time a regular meal is served, in which case a meal shall be available to each child present. Children in attendance from 5 - 10 hours shall be served one meal and one or two snacks. Children in attendance for over 10 hours shall be served two meals and one snack. Each me-1 shall supply at least 1/3 of the child's daily nutritional requi ements. Changes or adjustments in prepared meal and snack patterns shall only with the assistance and approval of a nutritionist or dietitian. 43 DAY CARE CENTERS ALABAMA Substitutes to the meal and snack pafterrks shall be allowed for the child who has a medically di nosed allergy to any item(s) on the re ularr menu. 812. Waiver of Requirements Not specified 820. FOOD PR A ON 821. ation and Service Re fuirement D Child Care Program. Menus including a variety of foods shall be planned at 1ea1one week in advance and posted in a conspicuous place in the center. Meals shall a served in a pleasant atmosphere and in a mariner which permits, the children to assist in serving themselves. Staff shall sit at the tables with the child-en at mealtime. Portions of food served shall be suited to the child's age and appetite. Second portions shall be -kvailable. en shall not be forced to eat. Not specified 900. SOCIAL SERVICES 44 43 DAY CARE CENTERS ALArtAMA 1000. PANT PARTICIPATION D Child Care Program. The staff shall be resporsible for communicating with the parents) or guardian(s) concerning changes in the child's behavior patterns. Visits to the center by ent), guardian(s), and other interested person(s) shall be encoura The center shall be open to visits from parent(s) and guardian(s) at sc periods of the day when it would not disrupt children's activities. 1100. INFANTS AND TODDLERS 111 o. FROG M OF ACTIVITIES iWants shall be encoura ged to play with and handle a variety o Infants shall spend time outdoors daily, when weather permits. Infants shall h e daily indoor o open, unclutt space. unities for freedom of movement, in an The staff shall talk to each infant often and encourage him/her to respond. Cries of in ants shall be investigated. Each infant shall receive daily- personal con held, swig to, rocked, taken on walks. nd attention such as being Each infant's position and/or place shall be changed at least each half holm, when infant is awake. 46 DAY CARE CENTERS ALABAMA Each infant shall be allowed to form his/her own _ern of sleeping and waking. The staff shall plan and provide activities, in accordance with the toddler's developmental level, which shall include, but need not be limited to, stories, music, and creative wt. The staff shall. The staff sh rsonal, undivided attention to each toddler daily. each toddler often and encourage him/her to respond. The staff shall work with each toddler to guide his/her play wth a variety of toys. The staff shall have plant physical contact with each t Toddlers shall spend time outdoors daily, when weather rmits. Toddlers shall have daily indoor opporttmi open, uncluttered space.' Cries of toddlers shall be investigated. 1120. HEALTH AND SAFETY REQUIRE D Child Care Program - Infants, There shall be a safe and sanitary *a rihg procedure. om of movement, in an Wet or soiled diapers and other' clothing shall be chance in each child's crib or on a surface which is cleaned and disinfected after each use. There shall be a plan for the provision of diapers and clothing so that sufficient cry and clean clothing is available for each child. 46 DAY CARE CENTERS ALABAMA If parent(s) or g-uardran(s) supply diapers and are responsible for laundering, soiled diapers shall be rinsed immediately, kept separate from every other child's in containers and sent home daily. bags or plastic lined, covered If the center supplies diapers and is responsible for laundering, soiled diapers shall be rinsed immediately, placed in plastic Uned, covered containers and removed daily for washing. The containers shall be cleaned and disinfected daily. If disposable diapers are used, they shall used in a covered container b- and disposed of daily. The staff shall not initiate ani'attempts to toilet train infants. Placement of cribs shall allow a minimum of 2 feet of space between The staff shall begin toilet training toddlers only when the child. is able to communicate his/her needs to Ilse the toilet. Staff shall work together, with ent(s) or guardian(s) to insure a consistent and relaxed toilet training proems. Potty chair recepdcles shall be emptied and rinsed a with a dignfettant daily. 1130. INPANT NUTRITION each' er use, and treated D Child Care Program - Infants. A variety of food shall be offered, at the proper- developmental stage, as plannel in writing by the child's parent(s) or guEu-dian(s) or by the child's physician with the parent(s)' or guardian(s)' knowledge and consent. 41b 47 DAY CARE CENTERS ALABA MA If formula is brought from home it shall labeled with the child's name, and stored in the refrigerator. No previously opened baby food jars shall be accepted at the center. If the center provides formula, it shall be made from commercially prepared products. Drinking water shall be offered to the infants several times daily. The-feeding schedule shall be in accordance with the infant's needs rather than according to the hour. The infant shall held for bottle When an infant is able to sit in a chair or feeding table, he/she shall be allowed to do Infants shall be encouraged to experiment with self - feeding with hands and/or spoon. Each infant's solid foods shall be fed /eaten from a dish. Dishes and nursing 1'7' s used shall be unbreakable. Infants shall not be forced to eat. ood shall --he used as a punishment or reward. Weaning shall begin only when the child is determined ready by the e s physician and parents) or guardian(s). Parents) or guardian(s) and staff shall work together to insure consistency in the weaning process. The prio ant shall be allowed to become familiar with substituting it for the bottle. AR 52 inking from the cup DAY CARE CENTERS ALABAMA 1200. CHILDREN WITH HANDICAPPING CONDITIONS 1210. PROGRAM OF ACTIVITLbS Not specified 1220. HEALTH AND SAFETY REQUIRE N Not specified 1230. STAFFING Not specified 1300. SCHOOL AGE ILDREN 1310. PROGRAM OF ACTIVITIES Not specified 1320. HEALTH AND SAFETY REQUIRE MEN Not specified 1400. FACILITY REQUIREIV NTS 1410. SPACE C Facilities - Nuiltt ng Indoor Area. Activity rooms = to which the day care child-en are assigned shall be used excluAvely by the children dicing operating hours. When lunchroom facilities are shared with other groups, children receiving center care shall be seated together, apart from other groups. There shall 1?e at least 35 square feet of ,indoor play space for each child. BathroomS, kitchen, isolation roan, office, halls used as passageways, storage areas, and space occupied by cribs and _cots shall not be considered when computing play space. 49 DAY CARE CENTERS ALABAMA Designated areas of indoor play space shall be provided for each mupingsof children. A separate eais shall be provided for children younger than age 2-1/2 years. Separate areas shall proldded for sleeping infants A separate indoor area shall vided for use by school-age children. Space shall be provided to isolate at W. or injured child. A cot or crib, bed clothing and play equiprnAt shall be provided in the isolation space, and cleaned following use by an ill child. Each child shall have individual, labeled storage space. For children age 2 and older, the space shall be at child level. 0 Shelving, essible to the children, shall be provided for the play equipment and sivpli es, in rooms used by children. Storage space shall be provided or star equipment. Accessible storage space shall be provid cherls supplies, and reserve and di Office space shall be provided for storage of records conferences. C Facilites. An area for loading or shall be prpvided, afford privacy for- Outdoor clay space footage shall be: a minimum of 50 square feet of space for each child younger than age 2-1/2 year for centers licensed prior to January 1, 1971, a minimun of 40 square feet. DAY CARE CENTERS ALARA MA a minimum of 60 square feet of space for each child 7-1/2 years of and older. ge a minimum of 60 square feet of play area per child for at least one half of the lic'ensed capacity, in centers enrolling 60 or more children, ages 2 =1/2 and older. In unusual circumstances, when the above footage is not available, special permission may be granted by the Department for a partial substitution of a large indoor play area equipped with outdoor-type equipment. Separate play,areas shall be provided for children younger than age 2 -1/2 and for school-age children. Outdoor play areas shall adjoin, or be safely accessible to, the indoor area. Outdoor play areas shall be enclosed with a fence, or have other protective barriers or boundaries. Fencing for regular outdoor play space shall be at least 3 feet in height and free from sharp protruding edges. Fencing for outdoor play space located op the roof shall be enclosed by a fence which meets fire department standards. 1 Shade and mil areas shall be provided. All apparent safety hazards shall be eliminated from the outdoor play area. Concrete or asphalt shall not be used as surface material under climbing structures or swings. Play area shall be well drained. DAY CARE CENTERS ALABAMA All free - standing play equipment shall be securely cemented into the ground. The play area shall be free of hazard-producing conditions. 1420. LIGHTING, VEI TIL.ATION, AND TEMPERATURE C Facilities - Building: Indoor Area. Provisions shall be made to control excessive glare in areas cupied by children. Materials used shall be fire retardant. Window space shall be at least 1/8 of the floor space unless the building is centrally air conditioned. Outside windows which o n shall be securely sc eel Lighting shall be maintained at a minimum of 30 foot candles of llumin in areas where children are doing close work. The heating temperature shall be maintained between 68-75 degrees Fahrenheit at child level during cold weather. There shall be an indoor therm om eter. 1430. EXITS Not specified 1440. TOILETS AND LAVATORIES C Facilities - 8uildin Indoor Area. Bathrooms shall be located on the same activity rooms. evel and under the same roo DAY CARE CENTERS ALABAMA Number of fixtures for children younger than 2 1/2 years shall he one flush toilet for every 15, or fewer, children. one potty chair for every 5, or fewer, children over 12 months. one lavatory for every 15, or fewer, children. one bathinette or tub for every 15 children. Number of fixtures for children ages 2 1/2 years and older shall be: one flush toilet for every 15, or fewer, children. one lavatory for every 15, or fewer children. The toilets and lavatories shall be child size and height, or shall he adjusted for easy use with sturdy platforms and/or seat adapters, as needed. 1500. OTHER STATE REQUIREMENTS COMPLIANCE wrrH OTHER LOGAI STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING C Facilities - State, Local, and Municipal Codes and Ordinances. The center facilities shall meet all state, local and municipal cod and ordinances. Written approval shall be obtained from the fire and health departments for the particular kind of center being licensed. Separate approvals by fire and health departments are required for the day care center and for the night-time center. Subsequent irspections after the initial approval shall be made at the discretion of the director, Department representative, or the official of the fire and health departments. 1520. FIRE See 1510. ZONING 1530. BUILDING See 1510. ZONING DAY CA RE CENTERS ALABAMA 1540. HEALTH See 1510. ZONING 1550. SANITATION See 1510. ZONING 1550. NE W CONSTRUCTION See 1510. ZONING DAY CARE CENTERS ALASKA Except where otherwise noted, all citations are to the Administrative Code of Alaska, Article 2 - Day Care, February, 1977. 100. STATE LICEN 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 7 AAC 50.275 Definitions. "Day care" means the care, supervision, and guidance of a child or children unaccompanied by a parent or legal guardian on a regular basis, for periods of less than 24 hours a day. "Day care center" means a facility other than an occupied residence, in which day care is regularly provided for any number of children; or an occupied residence in which day care is regularly provided for U or more children, counting both children living in the home and chilcien.received for day care whether or not they are related to the resident caregiver. "Day care facility" means a day care center or family day care home as defined in this section, but does not include any establishment whose primary purpose is educational. "Family day care home" means an occupied residence in which day care is regularly provided for no more than 10 children, some of whom are not related to the resident caregiver. ALASKA STAT. 547.35.080 Definitions. "Nurser? means any establishment providing care and services for any part of the 24-hOur day for a child not related by blood or marriage to the owner or operator, but does not include any establishment whose primary purpose in educational. DAY CARE CENTERS ALASKA 112. Exclusions and Exemptions Not specified 113. HHS Day Care Compliance Not specified AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE DROGR A S _ 121. nization of the Admrinistrative Unit Commissioner DEPARTMENT OF HEALTT4 AND SOCIAL SERVICES Deputy Cornrnissioner Dire_ctor DIVISION OF FAMILY AND YOUTH SERVICES Field Services Supervisor Regional Man Community Care Coordinator DAY CARE CENTERS ALASKA The line licensing staff in six regions carry out the day to day licensing functions under the line supervision of the regional managers. The Community Care Coordinator has the final authority for issuance of licenses and revocation orders and the approval of waivers. The Department of Education has a joint responsibility with the Department of Health and Social_Services for supervision of day care centers and exempt educational programt. The municipality of Bethel licenses day care centers and family day care homes using its own regulations in lieu of state regulation. The municipality of Anderson operates and regulates its own day care centers in lieu of state regulation. The municipality of Anchorage licenses day care programs in ad ition to regulation by the State Department of Health and Social Services. The state has no legal authority to monitor the licensing activities of locally delegated communities. 122. Responsible Official All inciiri should be addressed to C omin unit y Care Coordinator Division of Family and Youth Services Department of Health and Social Services Pouch H-05- Juneau, Alaska 99811 (907) 465-3206 200. LICENSING ?ROCESS Al4D ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Priim gation of Regulations ALASKA STAT. 547.35.030 Authority to Issue Regulations. The department may adopt regulation s and standards consistent with other requirements of law. DAY CARE '7!ENTERS ALASKA This authority does not deny a retgious group from establishing and operating an institution solely because of the prior_ installation or operation of another religious group in the same area. The authority to adopt regulations and standards shall be exercised to insure compliance with the intents and purpose of AS 47.35.010 - 47.35.100. The department may inspect and examine institution, home or place, or the performance of a service. 212. Advisor Not specified and Other Community Participation 220. LICENSING PROCEDURE 221. Application and I a: e 7 AAC 50.155 Licensing Application Procedures. An application for a license must be made on a form prescribed from its office in Nome, Fairbanks, Bethel, Anchorage, Juneau, or Ketehikan. The application must be returned to the division. office nearest to the location of the facility sought to be licensed. Upon receipt of a completed application, a division representative will within 60 days review the application, confer with the applicant, inspect the facility for which application is made; and If the application is for operation of a day care center, request apprOpriate authorities to verify compliance with applicable _fire safety standards, environmental protection standards, buildno codes, zoning ordinances, or other state and local law; and If the application is advisory environmental protection or fire safety inspection from' app priate authorities, whenever such an inspection is considered necessary". aeration of a family day care home, request an DAY CARE CENTERS ALASKA When the results of the study and irspections verify that the. appropriate provisions of of this chapter have been met, a license will be issued. 7 AAC 50.145 Voluntary Licen;are. A facility for which a license i; not required by AS 47.35.020 is entitled to a day care license upon application and satisfactory findings. These include: An occupied residence in whih day care is reglarly provided only to a child or childrm related to the resident caregiver; an occupied residence in which day care is regularly provided for four or fewer children unrelated to the caregiver. 7 AAC 50.175 Special Provisions Regarding Licensure. Persons caring for children at the time that an application for license iis made may, on approval of the division, continue care of the children while the application is being studied and evaluated. 222. Fee Ch -ged 7AAC 50.155 Licensing Application Procedures. There is no charge for licensing. 223. Areas of investigation See 221. A lication and Issuance 224. Licese Renewal 7 AAC 50.165 Statement of Purpose. A license will be renewed upon application 30 days before the expiration date of the annual license for a family day care home and 60 days before the expiration date of the annual license for a day care center; and DAY CARE CENTERS Upon satisfactory completion of a study representative and approval by the division. ALASKA n by the licensing No later than 10 days before the expiration of a license, a written report of the study and inspection will be given to the day care operator. 225. Conditional/Pi nalLi 7 AAC 50 .175 Special Provisions Regarding Licensure. Although a license remains in effect for a period of one year, unless revoked for cause, the division will in its discretion issue a provisional license for a period not to exce4d six months to allow time for a day care facility to coMplv with applicable requirements. An exception to the six-month limitation for provisional licenses may be approved where considerations such as weather or shipping would prevent compliance within six months. 226. Substantial Compliance 7 AAC 50.185 Code Requirements, ModifiCations, and Waivers. Each day care facility shall meet required local and state fire safety, health, sanitation, and licensing requirements. However, the director or his designee may modify or waive a provision when an acceptable alternative method for meeting the safeguarding intent of that provision is established and the health and well -being of children is assured. Requests for modifications or waivers of fire safety, health, or sanitation requirements- must be reviewed and approved 1.-y the appropriate agencies before any determination by the director or his designee on the request. Applications for modifications or waivers must made in writing to the division and must include: A statement of the provision for hich modification or waiver requested; DAY CARE CENTERS ALASKA An explanation of why the provision cannot met; and a des on of the alternative method proposed for meeting e safeguarding intent of the provision to be waived or modified. AU requests will be arwere i in writing and a record of them maintained. 7 AAC 22.660 Waiver of Requirements. The director or his designee may, at his discretion, waive a requirement when an alternative r,ethod of protection is established and the well-being of occupants is reas,inably assured. 230. ENFORCEMENT PROCEDURES 231. Fuel ions 7 AAC 50.175 Special Provisions Regarding Licensure. Licensees and applicants shall permit licensing representatives to visit their day care facilities at any time during the facility's flows of operation. In carrying out these visits, licensing representatives are authorized to call upon governmental agencies for appropriate assistance. Licensees or applicants shall cooperate in these visits by providing access to their facilities, records, and staff. 232. Denial, Suspension, Revocation of a License ALASKA STAT. S47.35.050 Duration of License or Permit. The Howse or permit remains in effect for a period of one year from the date of issuance unless revoked for cause. The department shall give written notice of revocation 30 days before the effective date of a revocation, except in s ease when the health or well-being of children or dependent adults is in Jeopardy. DAY CARE CENTERS 233. Remedies and Sanction 2331 lI earings ALASKA 7 AAC 50.175 Special Provisions Regarding Licensure. An applicant who has been denied a license or an operator who has been denied .a renewal of a license or whose license has been conditioned or revoked may request a hearing of the director or his authorized designee within 15 days after receipt of the accusation or statement of issues. 233.2 Decisions Not specified 233.3 Judicial Review _ _ ALASKA STAT. 547.35.070 Violations. A person who violates a provision of AS 47.35.010. 47.35.100 or a rule or regulation adopted under AS 47.35.010 - 47.35100 is guilty of a misdemeanor, acid upon conviction is punishable by a fine of not more than $200. 300. ADMINITRATION 310. GENERAL ADMINISTRATION 311. General A inistrative Requirements 7 AAC 50.175 Special Provisions Regarding Licensure. Changes that may substantially alter the extent or ouality of services offered, including, but not limited to, expansion or reduction eof services; construction or elimination of walls, stairs,, exits; changes in the staff-to-child ratio; and -changes in location must be reported to the division at least 30 days before the expected change to facilitate review and decision by the division. DAY CARE CENTi RS ALASRA A day care license mint be displayed in a prom inent place on the facility premises. 7 AAC 50.195 Administration Requirement The name, address, and telephone number of person(s) with the responsibility and the administrative authority for operating the clay awe facility must be provided to the division. The operator of a day care facility: is responsible for providing a child care program and facility which meets facility requirements; is responsible for the screening, scheduling, supervision, and coneltict of all staff, volunteers, or others who provide services in the facility, tind for designating an adult caregiver to be in charge of the facility in the operator's absence; shall, in day care centers, ave written policies covering, but not limited to, nondiscrimination, the type or service to be offered to children served, provisions which can be made for special needs of individual children, enrollment requirements and procedures, fees and payment arrangement plans, insurance coverage, rules concerning personal belonging's brought to the facility, transportation arrangements, parental permission for tripS and related activitis outside the day care center, ill children, and disclosure of information; these policies must be presented and explained -to parents at the time of enrollments and a copy filed with the division. 312. T 7 AAC 50.197 Ensuring Care in Emergencies. Day care facilities must have a telephone or radiophone, if that service Is locally available. Emergency telephone numbers must be conspicuously basted on or adjacent to the phone. DAY CARE CENTERS ALASKA 313. Proof Not speei ied 314 Financial C trance 7 AAC 50.195. Administration Requirements. The operator of a day care facility spell, in day-w care centers, maintain bodily injury liability insurance (including traasporting-wP coverage, if' applicable) in an amount not less than $100,000 pet- child, 3 300,000 per accident, with a company authorized to write insuratopolicies - in the State of Alaska; these insurance policies must contain th% f (Awing erielorsement: "in the event of cancellation or niinonrenewal of this policy, the company agrees to give 30 days Pa-rior notice to the Division of Social Services, Pouch fi Juneau, z, Alaska q9811.n 320. PERSONNEL 321. Publication of Personnel Pol Not specified 322. Corstrairst Em plo fl?Ernl Not specified 330. SON - DISCRIMINATION 331. Fle 7 AAC 50.195 Administration Requirements. The operator of a day care facility shill efIttre that enrollment polici+as, access to services, and service i and aCt=ti viti es of the facility are nondiscriminatory with regard to the religion, sex, color, race, and national origin of children in care and their parents. DAY CARE CENTERS ALASKA 340. RECORDS QTIREIVNT 341. Children 7 AAC 50.195 Administration Requirements. The operator of a day care facility shall maintain current indvidual child emergency information records in family day care homes and, in day care centers, maintain current individual records including, but not limited to 'Child emergency information records; and caregiver and child attendance records; and shall maintain records on forms prescribed by the division, unless prior division approval has been ',Tented to use alternate forms. 342. Staff 7 AAC 50.195 Administration Requirements. The operator of a day care facility shall maintain current individual child emergency information record in family day care homes and, in day care centers, maintain current individual records including, but not limited to caregiver employment and health records. 7 AAC 50.205 Personnel Qualificau Each caregiver, excluding operators, volunteers, substitutes, and day care center students, must furnish the names, address, and telephone numbers of three unrelated references to the operator. Reference letters must be kept on file at the day care facility. The day care operator shall furnish the names, addresses, and telephone numbers of three unrelated references to the division with their initial license application; reference letters shall attest to the good character and reputation of the operator and to the qualities which enable the operator to work successfully with children. DAY CARE CENTERS ALASKA 343. Child Eliaibility and Enrollment Requirements 7 AAC 50195 Administration Requirements. The operator of a day care few: v shall, in family day care homes, give evidence, through the application tar a license, of established policies as specified in licensing requirements; these policies must be discussed with parents at the time of enrollment of a child. 344. Child Abuse Reporting 7 AAC 50.197 Ensuring Care in Emergencies. Every caregiver or operator who, in the performance of his or her duties, has cause to believe that a child has suffered harm as a result of abuse or neglect shall immediately report the harm to the nearest office of the department. If the caregiver or operator cannot reasonably contact the nearest office of the department, and immediate action is necessary for the well-being of the child, the caregiver or operator shall make the report to a peace officer. Whenever a child is left in day care by his parents for a period exceeding the preplanned arrangement or more than 14 howl without contacting the operator, the operator shall immediately report that situation to the nearest office of the division. 345. Confidentiality of Records Regirements 7 AAC 50195 Administration Requirements. The operator of a day care facility shall ensure confidentiality of records and information pertaining to an individual child or hit parents, except as rewired by facility staff in working with the child and his family. DAY CARE CENTERS 400. GROUP GROU1 OMP SITIONS OF CHILDREN 410. STAFF CHILD RATIO REQ 411. Staff /Child Ratio -ch ALASKA 7 AAC 50.210 Number of Staff Required. Each facility must have sufficient personnel to ensure that the children are never without supervision by a responsible caregiver. In a family day care home, if there are children under age wo in care, there may not be: more than two children under age two; more than five children unrelated to the caregiver; or more than eight children under age 12, including children related to the cared ver. In a family day care home, if there are no children under age two in care, there may not be: more than six children unrelated to the careOver; or more than a total of 10 children under age 12, including children related to the caregiver. In a day care center, the ratios of caregivers to children must be maintained at all times as follows: no newborn children may receive care in a day care center; there must be one caregiver for every five children between the acres of six weeks and 24 months; there must be one caregiver for every 10 children between their second and sixth birthdays; for school children aged six to 10 years, there must e caregiver for every 15 children; for school children aged 10-14 years, there must be one caregiver for every 20 children. DAY CARE CENTERS ALASKA In a day care center where there are more than in children present, there must be a minimum of two caregivers on the premises. In a day care center, only caregivers who spend at least 75 percent of their working time providing direct care for children will be counted in meeting staff-to-child ratios. 412. Methods of Corn utin Staff /Child Ratios Not s 420. GROUP SIZE 42L Group Size as of March Not s 422. Methods of Computing Group Size Not specified 500. STAFF QUA CATIONS AND TRAIN! 5101 CHILD CAREGIVER STAFF QUALIPICATIO NS 511. Age . G REQUIRE N 7 AAC 50.205 Personnel Qualifications. Each caregiver, excluding operators, must have reached the age of 18 to be counted toward meeting the staff-to-child ratio requirements. However, persons aged 14 through' 17 may be employed as caregivers and counted toward staff-to-child ratio requirements if they have completed a child care training csourse or have demonstrated to the operator competency in child care; they work under the close supervision of an adult caregiver; they constitute no more than one-third of the total caregiving staff; and they are never placed in sole charge of a group of children in a center. DAY CARE CENTERS 512. H ealth 1 AZASKA 7 AAC 50.205 Personnel Qualifications. Each caregiver and adult member of a family day care home must have an annual negative tuberculin skin test or a negative retort of a chest X -ray before contact with day care child-en. For caregivers whose skin test is positive, the X-ray is required in accordance with the Alaska TB Control Program schedule or the recommended schedule of the caregiver's physician, rather than annually. Education Not specified 514. Experience 7 AAC 50.205 Personnel Qualifications. Each caregiver must be able to: Encourage children and provide them with a variety of learning and social experiences appropriate to the age of the children served; Work with children without recourse to physical or and ye Recognize and act against hazards to health and physical safety. 520. FROG VI DIRECTOR QUALIFICATIONS 521. Lkin 7 AAC 50.195 Administration Requirements. The operator of a day care facility mint be at least 19 years of age. 522. Health See 512. Health abuse; DAY CARE CENTERS 523. Education Not specified 524. xierience See 514. Experience 530. SUPPORT STAFF QUALIFICATIONS Not specified ALASKA 540. POST E PLOYM- NT N-SERVICE: ORIENTATION AND TRAINING 541. Program Directcr Not specified 542. Child Car Not specified 543. Support S Not specified iver Staff PROGRAM OF ACT1 ES, rNCLUUING EDUCATION 610. PROGRAM REQUIREMENT 611. Program of Activities 7 AAC 50.240 General Program. The program conducted in a day care facility must provide planned experiences which promote the individual child's physical, emotional, social, and intellectual growth and a positive identity. Satisfactory compliance with this subsection requires that: Caregivers generally follow a written schedule of daily activities which provide a balance of quiet and active, group and individual activities and include adequate time for m Is, snacks, sleep, and toileting according to individual needs, and DAY CARE CENTERS ALASKA indoor/outdoor play; however, the schedule in farmily day rare facilities need not be written; Opportunities be provided for individual self-expression in conversation, imaginative play, and creative expression; Opportunities be provided for intellectual and social development through use of a variety of games, toys, books, crafts, puzzles, sand, crayons, infant toys, and other activities and materials; Opportunities be provided for such activities as walking excursions and field trips, weather permitting, to increase each child's awareness beyond his immediate environment. 612. program Equipment and Materials 7 AAC 50.240 General Program. Satisfactory compliance with this section requires that the amount and variety of materials and equipment available, and its arrangement and use are appropriate to the developmental needs of the children in care so that the quality of materials and equipment is sufficient to avoid excessive competition and long waits by children. Furniture and equipment is durable and safe and that in day care centers t is of child size or appropriately adapted for children's use. 613. Nap Provision 7 AAC 50.250 Health Program. Children under age six who are in care for. periods longer than four hours must have alime and place to lie down and sleep or rest quietly, as follows: DAY CARE CENTERS ALASKA in day care centers, individual cots, mats, or beds and bedding must be provided and must be clean and individually labelled; in family day care homes, there must be sleeping arrangements with clean individual bedding provide. 614. Disci line and Guidance 7 AAC 50.240 General Program. Caregivers are not to use any form of corporal punishment unless otherwise approved in writing by the parent of the child, and they are not to use any other technique which is humiliating, shaming, frightening, or otherwise damaging to a child. 710. HEALTH 711. General He Not specified 700. HEALTH AND SAFETY Requirements 712. Health Assessments Not specified 713. Immuniza 7 AAC 50.225 Immunizations Required. The operator of a day care center Shall maintain evidence of current immunization, or exemption from it, for each child in attendance. This evidence must be obtained from the child's parent or guardian upon his admission, and show that he has received or has begun and is continuing to receive immunizations appropriate to his age as prescribed in the Alaska Division of Public Health's schedule for active immunization, or that he is DAY CARE CENTERS ALASKA exempt from immunization under (b of this section. Satisfactory compliance requires that each child's day care center health record contain evidence of immunization or evidence of exemption. Evidence of immunization must include: the name of the health service provider, and the date of mmunization against diphtheria, tetanus, polio, measles, rubella and, if the child is less than six years of age, pertussis; and only valid immunization certificates, which are limited to: an international immunisation certificate; or a statement by a physician listing the date each required immunization was given; or A copy of a clinic or health center record listing the date each required immunization was given. Day care centers may not admit a child who does not comply with the provisions of this section. 714. Sanitation 7 AAC 50.247 Environmental Health. A family day care home must have a water supply, sewage disposal, and refuse control system which satisfies the requirements of the environmental protection regulatory authority. 7 AAC 22.570 Toilet Areas and Fixtures. Toilet room floors must be constructed of an easily cleanable, durable, and impervious material. The intersecting corners between walls and floors must be covered. 715. Dailyialness Screening Not specified DAY CARE CENTERS ALASKA 716. Care of Sick Children Not specified 717. Medication and Special Diet Provisions 7 AAC 50.250 Health Program. Medicines or drugs may not be administered to any child except with written permission of the child's parent or physician or other medical authority. However, in the case of prescription medicine, a prescription label with the medical authority's name, the child's name, and a recent date may be accepted as showing that the drug may be administered to the child. Medicines or drugs kept at the facility for a child must be clearly labeled with the child's name and the dosage and must be inaccessible to children. 7 AAC 50.260 Nutrition. The caregiver shall obtain information from the parents concerning any food allergies or special needs the child has and shall plan his or her meals accordingly. 718. of Health Requirements 7 AAC 50.225 Immunizations Required. Evidence of exemption from immunization must include: a signed affidavit by a doctor of medicine (M.D.) or osteopathy (D.O.) licensed in Alaska attesting that immunizations would, in his professional opinion, be injurious to the health of the child or members of the Childs family or household or an affidavit signed by the parent or guars dia affirming that immunization conflicts with the tenets and practices of the church or religious denomination of which the applicant is a member; or DAY CARE CENTERS ALASKA an entry demonstrating that the child is attending for the first time a day care center providing drop-in c -e. A day care center providing drop-in care must require immunization as provided in (a) (See 713. Immunizations) of this section, if not exempt, on the child's second admission date. A day care center in a community where regular medical services are not available on at least a weekly basis may provisionally admit a child who does not have the required immunizations, for a reasonable period of time in exceptional circumstances, but for no longer than 90 days. ProvisionC admissions must be reported to the Commtniicable Disease Control Section of the Division of Public Health of the department, which shall then determine that th required immunizations are completed during the provisional period if the child is to be admitted. 720. SAFETY 721. General Safety Requirements 7 AAC 50.247 Envirnomental Health. A family day care home must be free of hazards which can cause injtry. In a family day care home, medicines, cleaners, and other harmful chemicals must be stored so as to be inaccessible to young children. In a family day care home, firearms must be unloaded and stored in a place inaccessible to young children. Ammunition must be stored separately in a ace inaccessible to children. 7 AAC 22.640 Safety. Outdoor recreation areas at day care centers, pre-elementary schools and residential child care facilities must be protected with a fence at least three feet high or other equally effective barrier. DAY CARE CENTERS ALASKA 722. Fire Safety Requirements 7 AAC 50.245 Fire Safety. Family day care homes must be free-of fire hazards. They must have: at least one five pound ABC dry-chemical fire extinguisher or an AC primary power or monitored battery powered smoke-detection device; a restriction limiting occupancy to the main floor, daylight basement, or second floor of the building, when more than two children under age five are in care; a safe and effective heatinesystem; adequate screening of radiatok, hot water pipes, open fires, oil or wood - burning stoves, and similar hazards t2 prevent burns. 723. Transportation Not specified 724. Safety Requirements for Equipment Not specified 725, Water Activities Including Swimming) Not specified 72 6. Emergency Procedures 7 AAC 50.197 Ersuring Care in Emergencies. Each day care facility must have a plan for evacuation of children in case of fire or other disaster. The plan must include Drovi sions for accountability for each child, until released to an appropriate authority. In day care centers, the plan must be written and posted. Caregivers must be aware of the plan and must hold evacuation drills at least once every two months. DAY CARE CENTERS ALASKA Provision must be made in all day care facilities for emergency electrical lighting by generator or battery power for use in case of power failure. In family day care horiTesi a second adult mu summoned to assist in any emergency. 727. First Aid Supplies readily available to be 7 AAC 50.197 Ensuring Care in Emergencies. In all day 'care facilities, first aid supplies appropriate to the size of the facility must be maintained and readily available at all times. 800. NUTRITION AND FOOD SERVICE 810. N RnioN 811. Nutritional eiwirements 7 AAC 50.260 Nutrition. To ensure adecpate nutrition and promote good eating habits and attitudes, a day care facility must ensure that: at least' one nutritious meal is offered to each child in care for five hours or more; a wholesome snack is offered lunch and dinner; en breakfast and lunch and between each child in care over 10 hours is offered an additional snack or meal unless parents request otherwisq and with respect to all snacks and meals offered, the National Academy of Science's Recommended Efietary Allowance, 8th Ed. 1974, available from the division, is met. DAY CARE CENTERS ALASKA Vitamin and mineral supplements t lay be provided to a child only Witt parental permission. Children may be encouraged but not forced to eat. In a day care center, menus must be planned, be available to parents, be retained for inspection for one year after the day for which they are prepared, and reflect actual food served. 812. Waiver _of Requirements Not specified 820. FOOD PREPARATION 821. Food P e on and Service Requirements Not specified Not specified Not s 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES 7 AAC 50.240 General Program. Where newborns, infants, and toddlers are in care, corm allance with the criteria in subsection (a) must be appropriate to their developmental staee. In DAY CAKE CENTERS ALASKA separate sleeping space must be provided for infants and toddlers in day care centers; a play or crawl area exclusive of crib space must be provided for their use; and provisions must be made to ensure that they are not endangered by the active play of older children. these children may not be routinely left in a crib without direct adult contact for long periods of time while awake (e.g., typically not more than 45 minutes); infants and toddlers must be allowed, under supervision, some opportunities during the day when they can explore and learn on their own; there must be toys and materials available for their use which provide opportunities for the child to learn through seeing, feeling, hearing, smelling, and tasting; there must be frequent verbal communication between caregivers and these children; and there must be physical stimulation through being held and rocked and played with as well as through being dressed, bathed, and carried. 1120. HEALTH AND SAFETY REQUIREMENTS 7 AA C 50.250 Health Program. Infants must be provided a crib or other safe and suitable place to sleep. 7 AAC 22.650 Infants and Toddlers. At least two feet of space must be provided between individual cribs. A suitable area exclusive of crib space must be provided for crawling. 25 DAY CARE CENTERS ALASKA 1130. INFANT NUTRITION 7 AAC 50.260 Nutrition. An infant must be fed according to his own schedule, and by the same person insofar as possible. Typically, infants not able to hold their own bottles should be held, and bottles may be propped only when the caregiver is unable to hold the child and only when he or she is present within sight of the child. 1200. CHILDREN WITH IIANDICAPPINC CONDITIONS 1210. PROGRAM OF ACTIVITIES Not specified 1220. HEALTH AND SAFETY REQUIREMENTS 7 AAC 22.655 Special Provisions for Physically Handicapped Persons. When the facility regularly provides care for physically handicapped persons, appropriate equipment which may include access ramps, handrails, grab bars and accommodations for wheelchairs must be provided. Mechanical aids furnished by the facility or owned by the occupants must be maintained in a sanitary manner, kept in good repair, and conveniently located. Doorways must be of a sufficient width to reasonably facilitate passage of persons, who require mechanical aicis including crutches, wheelchairs, and walkers. Corridors must be of a sufficient width to reasonably facilitate passage of persons who require mechanical aids including crutches, wheelchairs, and walkers. 26 DAY CARE` CENTERS ALASKA On each floor where persons in wheelchairs are regularly located there must be at least one toilet room large enough to accommodate wheelchairs. There must be a bathtub or shower which is equipped to accommodate a non-ambulatory person. Well-secured grab bars must be installed in all toilet rooms and bathing 1230. STAFFING Not specified 1310, FROG Not specified OF ACTTV rTms OOL AGE '} ILDREN 1320. HEALTH AND SAFETY REQUIREMENTh Not specified 1400. FAGLLITY REQUIREMENTS 1410. SPACE 7 AAC 50.242 Environment Requirements. Each day care center must have sufficient indoor and outdoor space in relation to the number and ages of children in care to accommodate the physical and other developmental needs of children served. Satisfactory compliance with this subsection requires that: there be at least 35 square feet of indoor space per child capacity used for the care of children, exclusive of hallways, bathrooms, lockers, closets, laundry and furnace rooms, and the kitchen; 27 DAY CARE CENTERS ALASKA there be at least 75 square feet per child of outdoor play space for the maximum number of children on the playground at any one where outdoor play space is not available at the facility, parks or other outdoor facilities that are easily accessible may be used. 7 AAC 50.250 Health Program. Each day care facility must provide a place where a tired, ill, injured, or upset child may rest or play quietly, apart from other children, vet under adult observation. ill children need not be sent home as a routine policy, but may be cared for during minor illness at the discretion of the parent and operator. If the child apprears to be more than moderately ill or a communicable disease other than a cold is indicated, the child may not be allowed to expose other children to his or her illness and must be isolated in a separate room wider adult observation until appropriate arrangements are made. Caregivers shall inform parents when their children have been exposed to illness or comm 'micelle disease. 1420. LIGHTING- VENTILATION_ AND TEMPERATURE 7 AAC 22.600 Ventilation. All habitable rooms, including instructional, play, toilet, bathing, food preparation and storage areas must be proirided with natural or mechanical ventilation sufficient to provide fresh air and to prevent the accumulation of moisture. The introduction of the supply of air into all rooms must be arranged to prevent objectionable drafts on occupants. Smoking is not permitted indoors in the presence of children in day care centers and pre-elementary schools. When smoldng is allowed in residential facilities, designated smoldng and non- smoldng areas must be provided. 28 DAY CARE CENTERS ALASKA Designated smoking areas in all facilities must be provided with natural or mechanical ventilation sufficient to provide fresh air and to prevent the accumulation of smoke and smoke odors. 7 AAC 22.610 Heatng. Heating facilities mint be installed and operated to provide heat to all occupied areas. The recommended temperature range is sFi to 72 degrees Fahrenheit, measured 12 inches from the floor in day care centers, pre-elementary schools, and residential child care facilities, and measured 36 inches from the floor in adult residential care facilities. 7 AAC 22.620 Lighting. All instructional, work, and play rooms must be provided with a minimum of 60 footcandles of light measured 3n inches from the floor. Living rooms and bedrooms must be provided with a minimum of 30 footcandles of light measured 30 inches from the floor. Toilet rooms, corridors and storage rooms must have a minimum of 20 footeandles of light measured 30 inches from the floor. 1430. S 7 AAC 50.245 Fire Safety. Family day care homes must be free of fire hazards. They must have: two exits remote from each other that are usable year round, one of which may be a window which can be opened; at least one usable directly to the outside at street level where a basement is utilized; at least one exit leading directly to the outside in any room used for sleeping purposes from midnight to 6:00 a.m. 29 DAY CARE CENTERS 1440. TOILET AND LAVATORIES ALASKA 7 AAC 22.570 Toilet Areas and Fixtures. Step stools, when provided in toilet ares, must have non -slip treads of an impervious, durable material. Toilets and hind-wash sinks must be available in the ratio of one toilet and one hand-wash sink for each 15 children in day care centers and pre - elementary schools and for each six persons in residential facilities. Urinals for males may be substituted for not more than 1/2 the required number of toilets. Bathing facilities must be available in the ratio of one tub or shower for each six persons in residential facilities. 1500. OTHER STATE REQUIREMENTS COMPLIANCE WITH OTHER LOCAL, STATE, AND REGIONAL LAWS D REGULATIONS 1510. ZONING Not specified 1520. FIRE 7 AAC 50.245 Fire Safety. When the division receives a license application from a day care center and when new construction or remodeling is completed, a fire inspection of the premises must be made by the fire marshal or his local designee to determine c9nformity with existing safety standards. Subsequent annual fire inspections might be required. 1530. BUILDING Not specified 1540. HEALTH Not specified 30 DAY CARE CENTERS ALASKA 1550. SANITATION Not specified 1560. NEW CONSTRUCTION 7 AAC 22.550 Plan Review and Inspectic Whenever a facility is to be constructed or extensively remodeled, nl-As and specifications for the construction or remodeling must be submitted to the department for review and approval before construction or remodeling is beg 31 DAY CARE CENTERS ARIZONA Except where otherwise noted, all citations are from the Arizona Department of Health Services, Rules and Regulations for Chapter 5, Day Care Centers, JiAy 1980. 100. STATE LIC S 1NG OF CHU.D DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STA- STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS Definitions R9-5-112 Definition "Day care" means the care, supervision and guidance of a child or children, unaccompanied by parent, guardian or custodian, on a regular basis, for periods of less than twenty-four hours per day, in a place other than the child's or children's own home or homes. "Day care center" means any facility in which day care is regularly provided for compensation for five or more children not related to the proprietor. R9-5-113 Classification of Day Care Center Services. A day care center shall be licensed to provide one or more of the following classifications of service: Evening care: care provided to children between the hours of 6:00 p.m. and 12:00 a.m. Full day care: care provided to .children for more than four hours' per day, between the hours of 6:00 a.m. and 6:00 p.m. Infant care: care to infants. Part-day care: care provided to children for no mo per day, between the hours of 6:00 a.m. and 6:00 p.m. an four hours DAY CARE CENTERS ARIZONA Special children care: care provided to special children. Toddler care: care provided to toddlers. School-age child care: care provided during periods of a day when public, private or parochial schools are not in session, to children who are eligible to attend elementary school. 112. Exclusions and Exemptions A.R.S. Article 1,5 36-884 Exemptions. The provisions of this article shall not apply to the care given to children by or in: The homes of parents or blood relatives. A religious institution conducting a nursery in conjunction with its religious services. A unit of the public school system. A regularly organized private or parochial school engaged in an educational program which may be attended in substitution for plane school. Any facility that provides training only specific subjects, including dancing, drama, music, self defense or religion. Any facility that provides only recreational or instructional activities to school age children who may come to and go from the center at their own volition. 113. HHS Day Care Compliance Not specified DAY CARE CENTERS ARIZONA 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 121. Organization of e Administrative Unit DIRECTOR ARIZONA DEPARTMENT OF HEALTH SERVICES DEPUTY DIRECTOR ARIZONA DEPARTMENT OF HEALTH SERVICES ASSISTANT DIRECTOR HEALTH RESOURCES CHIEF BUREAU OF DAY CARE FACILITIES HEALTH SERVICES - I SURVEYOR III HEALTH SERVICES - SURVEYORS His PUBLIC HEALTH - SANITARIAN I DAY CARE CENTERS ARIZONA Day care center licenses are issued and revoked at the state central office level by state based staff under the direct supervision of the state central office. Family day care and group day care home licensors are outposted in 14 district offices under the supervision of district administrators. Family day care and group day care home licenses are issued from the district offices under the signature of the Director of the Family Services Division. Program specialists monitor and provide consultation to the district licensing staff. 122. Responsible Official All inquiries should be addressed to Chief = Bureau of Day Care Facilities Arizona Department of Health Services 1740 West Adams Phoenix, Arizona 85007 (602) 255-1112 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promulgation of Regulations A.R.S. Article 1, S 36-883 Standards of Care; Rules and Regulations; Classifications. The director of the department of health services shall prescribe reasonable rules, regulations and standards regarding the health, the safety and the well-being of the children to be pared for in any day care center, including, but not limited to Adequate physical facilities for the care of children such as building construction, fire protection, sanitation, sleeping facilities, isolation facilities, toilet facilities, heating, ventilation. Indoor and outdoor activity areas and, if provided by the day care center, transportation safely to and from the premises. 4 DAY CARE CENTERS ARIZONA Adequate staffing per number and age groups of children by persons qualified by education or experience to meet their respective responsibilities in the care of children. Activities, toys and equipment to enhance the development of each child. Nutritional and well-balanced food. Encouragement of parental participation. Exclusion from day care centers of individuals whose presence may be detrimental to the welfare of children. 212. Advisory Body and Other Cc cuaron A.R.S. Article 2, S 36893 Day Care Advisory Board; Members; Terms; Compensation. There is established the day care advisory board composed of the following nine members appointed by the director of the department of health services: Three owners of day care centers. Three individuals with recognized expertise in child development. Three parents. Of the members first appointed, three shall be appointed for terms ending June 30, 1977, three for terms ending June 30, 1978 and three for terms ending June 30, 1979. Thereafter, members shall serve for terms of three years. Members shah serve without compensation. 220. LICENSING PROCEDURE 221. Application and Issuance R9-5-211 General Requirements. All applications for a licen. must be fully completed, signed and notarized. 5 DAY CARE CENTERS ARIZONA An applicant shall submt a written statement to the Department which designates the person who will be the on-the-premises center director. An applicant must also submit to the Department a written statement clearly defining the responsibilities of the center director and written documentation that the center director meets the qualifications set forth in these Regulations. A separate license is required for each location when more than one center is owned by the same person. A separate license is not _require center. or annexes on the same grounds used by the A separate license is required for each center operated at a single location by different persons. R9-5-212 Issuance of license. n addition to the requirements imposed by A.R.S. S 36-882.D., the license shall specify: The name of the day care center. The expiration date of the license. The licensee shall notify the Department in writing at least 30 days prior to the effective date of any change of ownership, location or name of the center. The licensee shall -notify the Department in writing at least 30 days prior to the effective date of any intended change in services, or space utilization offered by the center. DAY CARE CENTERS ARIZONA 222. Fee Charged A.R.S. Article r, S 36-882 Licerse; Pi:sting; Transfer Prohibited; Fee. The fee for an initial application for licensure shall be one hundred fifty dollars and shall not be refundable in the event that full licerstre is not granted. Such appbcation fee shall be both for the provisional and the first full licensire period. Application for renewal of license shall be one hundred fifty dollars and shall not be ref undable. 223. Areas of Investigation Not specified 224. License Renewal R9-5-217 Renewal of License. Each applithation for renewal of a fe shall be submitted on a form provided by the Department and shall be submitted 60 days prior to the expiration of the current license. 225 Condition /Provisional enses R9-5-213 Provisional License. In addition to the requirements listed in A.R.S. S 36-882.C., a provisional license may be issued only if the center submits an approved written plan for correction which describes in detail the licensee's plan for correcting the existing deficiencies and the date by which corrective action will be completed. 226. Subistan ial Compliance Not specified 7 DAYCARE CENTERS ARIZONA 230. ENFORCEMENT F;ROCEDURES 231, Facility Inspections , A.R.S. Article 1, S 36-885 ,Inspection of Day Care Center. The department or designated local health departments or its agents may at any time visit during hours of operation and -irepect day care centers in order to determine- whether they are conducted- in compliance with law and with rules and regulations. The department shall visit each center as' often as necessary to assure continued compliance with law and the rules and regulations. At least, one unannounced visit shall be made annually. 232.. De evocation of a License R9-5-218. -Causes for Denial, Revocation or Suspension of License. A license may be derded, revoked or suspended for any of the following s s: The use of fraud or deceit in'obtaining a license. -e) The applicant has been convicted of a felony or any crime involving moral turpitude, or, if a corporation, firm or association is controlled or operated directly or indirectly by a person or persons who have been convicted'of a felony. or any crime involving moral turpitude. The utilization of personnel addicted to or under the influence of drugs or alcohol; known to have engaged in child abuse or sexual misconduct; known to have been convicted of a felony or any crime involving moral turpitude; or known to,ilse unacceptable disciplinary methods.. DAY CARE CENTERS ARIZONA Fkiltre. to comply with the provisions of the' Day Care Act or these Rules and Regulations. A.R.S. Article 1, S 36-888 Denial of License. Whenever he department authorized by law or ation to deny a license to an applicant, it shall afford the applicant the right' of hearing before denial by serving upon the applicant at least thirty days' notice, by registtred matt witli return receipt requested, to show cause before the director, upon a date to be fixed in the notice, why the application for a ligense Should not be denied in accortlince with- the regulations of the departrinent and the provisions of law. The -notice shall set forth the facts constituting the reasons for the denial and shall refer to the provisions of the applicable law or regulations indicating that the application or the operation of the day care center is not in conformity therewith. If the applicant does not respond to the written notice, the department shall, at'the expiration of the time fixed in the notice, deny the license. If the applicant, Within the period fixed in the notice, shall cause his application or the operation of the day care, center to conform with the applicable law. and regulations, the department may grant the license. A.R.S. Article 1, S 36-889 Revocation and pension. The department may revoke or suspend the license of any person for a tdolation of the applicable law or regulations. The department shall efford the affected, licenspe the right of hearing by serving upon the licensee at least thirty days' notice, by registered mall with return receipt requested, to dhow cause before the director, upon a date to be fixed in the notice, whp the license should not be Suspended or revoked in accordance witir-the-lregulations of the department and the provisions of law. The notice'shall set forth the act or . acts constituting the violation and shall refer to the provisions of the applicable-law or regulations alleged to be violated. If the licensee does not respond to the written notice within the peribd provided in the notice, the department shall revoke or suspend the license. 9 DAY GAF CENTERS ARIZONA 'If the cam- within the period piovicled by the notic rectifies the natit0Ing the v4o!at1on, the depitr:rneut may withdraw the notice' of suspeaustoh or revocation.. ElfreedL act.ons 233.1 heminjo See 232. Denick Suspemion, evocation of a License 4.2 Der.iTors See X32. Deni Suspersi 3n, EevuLation o- a License 4- 233.3 Judizial eview Not specified - Z.00. A 1 0.11NISTRATION GENERAL AL MIN7STRATICN General Admirustracive Recuirements R975-31.1 Eesporsibinty. Netwithgtending the provisions 3f any lease or other contract to the contrary, the liceisee_is Llemately respens.bla for the.upkeep and maintenance of the center's propery and for overseainr the center's operations in accordance with these Regulations. The written statement of services required to'be famished annually to the Department and made available upon request to parents shall include at least the following: 113t services clfered to children;` . The hours the center is in operabon, including scheduled vacations hen the center will be closed; is 9j. DAY CARE CENTERS 'Admission requireinents and enrollment pro'cedures; Fees charged and plan of payment; re Discipline policies; II Provisions for the individual heeds Of spe&al children; transportEttlon services provided by the 'Procedure for field trips outside the center; Y; ARIZONTA Identification of responsibilities and involvement expected of parents in eenter aotivitiei; Schedule of routine activities including a description on the educational program(s) offered. R9753312 Required Records and Reports. Copies of the most recent: fire and sanitation inspection reports, current within one calendar year shall be maintained at 4ch center and shall be cur=rent end available to the Department on request.. R9-5-411 Personnel Requirements. There shall be at least 1 staff member with current certification in emergency training from a program recognized by the bepartment, on he premises at all times when the cm is open. Written verification of El ccessful completion of the staff member's emergency training shall be availa e at the center. Personnel management - The center director s supervision of all personnel and children; and de qualified to apt in the center director's behalf dun the center. be responsible for the ate in writing a person his or her absencp-from DAY CARE CEN Staffing of agency qualified person in charge of th,,, 6,4 cy 312.r T _ephonk R9-6-416 Fire There shall Emergency department, anli telephone. AR ZONA ri re in attendance, the agency director or a sicenc director shall be on the premises and- rur age _for these persbns is 21 years. as'et cautiohs. Least one readily available, telephone in: the rtu nbers foi the- local fire department, amtvAance service shall be conspicu9usly fisted near l; 313. Proof of Operator Financial Capabilities Notaspe d 314. Insurance Not specified 320. PERSONNEL 4 321. Publication of Personnel Poll Not specified . 322. Ironstraints Against Employment Not specified 330. -DISCRIMINATION 33L Requirements Prohibiting Discrimination . Not specified 12 DAY CA _en ARIZONA R9-5-312 Required Records and Reports. Individne.reeor for all children shall he kept current for tip year and shall include: The childs name, address, sex and date of The names of the child's 'parents or guardians, their horile and addresses and telephone numbers; The aflame, address and telephone number of an additional responsible person or person 3 to be notified in the event that the .rents or guardians cannot be located; 3. The name and telephone number of the chi' s primary source of medical care; . rt Authorization and instruction for emergercy medical care of he child The written instru tiors of the 'Ewen guatdian, or attending physician for any special dietary needs; and 4uthoti zation for, and reports , any. medications drn ered by the center. 6 Accurate and corn to pally attendance records shall be kept of the staff on duty and of all Ihildren admitted; Such _records shall indicate the *time of arrival and Isparture of each Staff member and each child, andshall be retained in the center for 2 years. 13 102 DAY CARE CENTERS ARIZONA R9-5-420 Medications. The center shall- maintain a record of all medications administered to children by the center. The record shall contain the following information: line name of the &Inc% The name and, any, the prescription number of the medication; The date and time of day the medication is given; The signature or the person giving the, medication.. This must the person designated as the agent of the parent or guardian. 342. Staff R9-5-312 Required Records and Reports. An individual file "shall be maintained for each full-time and part-time employee. The file shall be preserved in the center for 1 year following termination of employment. The file shell include:, Applicant',s name, address, and phone number; Education, training, working experience; The name and telephone number of the person, physician anc health facility to be notified in case of an emergency; Evidence of a pre - employment tuberculin test an tuberculin test thereafter; Verification of any required liter e e u eur's, cerse); 5 14 DAY CARE CENTTE :'ARONA A record of all orientation and in- servi .pe training including workshops, - in which the,ern-1210yee has taken part, to be verified in writing-by the em oyee; The date of employment; At least an annual perfCrinlance evaluation of each staff person. A file shall be maintained for each volunteer and shall in information required above for staff. 333. Child Eligibility and Enrollment e uirements R9-5-313 Admission. ude at least he Each center shall, eAablish relies for the admission of chil&en which shall incl4de the following provisions: The 'child shall be enrolled by the parent, guardian, or other person responsible for his care. At this time a written plan for the child's satisfactory adjustment tothecenter shall -be discussed and any special requirements pertinent Jo the child's care shall be clearly defined in writing. Information needed for the child's record shall be accordance with R9-5-312.A.4. The parent or guardian steal record when the child is enrolled. Children shall be rel( print per guirdiars. n only to persons authorized in writing by The admission plan shall include specific irstructions and authorization for the emergency care of the child in case of accident or illness when the parents, guardian-or persons respzonsible cannot be contacted. The instruction shall identify: The name and telephone number of the child's primary source of medical care; and the name of the -health cafe institution to which the child should be taken. 1 4 DAY CARE CENTERS ARIZONA Infants and toddlers shall not admitted unless the license so autLiorkzes. A child shall -not be admitted if his admission will cause the center to exceed its licensed capacity. A child shall not be admitted and then transported off the center premises if such admission causes the center to exceed its licensed capacity. 344. Child Abuse RE 0.9-5-411. Personnel Requirements. Any staff person having responsibility for the care of chilcken shall report any case of suspected Child abase to the appropriate authorities. 345. Confidentiality of Records Requirements R9 -5-215 Records. All records required by these Regulations to be maintained at the center sh be open to 1 nspection by thenauthorized representatives of the Department. 4d0. GROUP comPosmoNs OF Cl4MD N 410. APP /CHILD RATIO REQIRREMENTS 411. Staff/Child Ratio as of March,19 81 R9-5-411 Personnel Requirements. Staffing of agency '= In agencies that are licensed far more than 10 but not less than 40, there shall be at least one staff member directly engaged in the care and supervision of children fqr each: 8 - Infants 10 - Toddler children up to 3 years 16 DAY CARE CENTERS AytrzONA 15 - Children 3 years to 4 jeers 20 - Children 4 years to '5 years 25 - Children 5 years to 6 years and above Each agency shall have a minimum of two staff memberz orrduty whenever the _number of children_ op the premises exceeds ten. In an agency where ten or less children are in attendance, only one adult need be on the premises, providing 'there is a specific plan in the event of an emergency whereby another adult is eandnuously and readily available to reeve the one in charge. 412. Methods of Computing Staff/M.70d Ratios R9-5-411 Personnel Requirements. Staffing of agency - Other than the agency director, or person substituting for the agency director, the minimum age of staff members shall be 18 years, except that persons of 16-17 years may work as staff assistants, providing they are under adult supeivisicel- at all times. These persons may be counted as providing staff ratio when a ref() of one'16 or 17.year old person to one adult is maintained. C The agency director, domestic, office and maintenance pereonneT may be included in the count of required.staff-child rati;" at those times - hen their sole _responsibility d supervision. In 'groups of mixed age, the maximum number of children per staff member shall be that required for the youngest child in the group. In agencies licensed for more than 40, the above minimum ratio shall be supplemented by the addition of one staff person, assigned to child supervision duties, for each 20 children who are in attendance-in excess of 40 children. This may be the use of auxiliary personnel if it is clearly shown that their auxiliary duties do not interfere at the time for which thjy have child care respon.sIbililies.. 17 A ARE CT NTERS ARIZONA The number of children for ch the agency is to be licensed m ea. the tna)dmum number of children the 1ency at any one time. 420. GROUP SIZE 421. Group Size as of March, 1981 422. Methods of Computing Group Size R9-5-411 Personnel Requirements. Children shall be grouped according. to age and maturity for all groups of ch'ildren shall be directly supervised at all tiinffl. Not specified rvision, and 1,4 500. STAFF QUALIFICATIONS AND TRAINING RE UIRENIEN 510. CHIL13.CARSGIVER STAFF QUALIFICATIONS 511. R9-5-411 Peisonnel Requirements. Staffing o agency - Other than the agency director, or person substituting for the agency director, the minimum age of staff members shall be 18 years. ( 512. Fle4.1th R9-5-411 Personnel Requirements. Qualifications of personnel - Personnel shall be free from physical, mental, and emotional disabilities which might reasonably interfere with ,the conduct of the duties required of them by these Regulations or be detrimental to the health, seety, or welfare of the children under their care. o 18 DA' CARE CENTS RS ARIZONA' Personnel shall receive a tuberculin skin test prior to em oyment. Thereafter, each employee and volunteer shall have an annual tuberculin skin test if the initial skin test was negative, or an annual chest X-rah if the initial skin test was poiitive. If the center is conducted in a private tome, every member of the household shallibe subject to the same yearly tuberculosis report as is required of the staff. Personnel shall not be in the center who knowingly halte, or present symptoms of, a contagious disease diarrhea', upper respiratory infections and skin lesions); or are ill with a cOndition which impairs their physical capabilities or sound judgment to the extent that . the health, safety or well-being of the children in the center may be jeopardized. 513. Education R9-5'-411 Perkmnel Requirements. Personnel management - The teacher - caregiver shall seas the following minimum qualiiicationsF A high school diploma or its equivalent; A Child Development Associate credential (C.D.A.) or equivalent; An associate degree; A bachelors degree; or- Current enrollment in a program leading to a high school diploma, C.D.A. credential, associate degree, or bachelOrs:degree. 519. Not s 19 1 DAY CARR CENTERS ARIZONA 520. PROGRAM DIRECTOR QUALIFICATION 521. Age R8-5-4 11 personnel Requirements. Personnel managements The center director shall at least years of age. 522. Health See 512. Health 523. Education P9 -5-411 Personnel Requirements. Personnel management - The center- director shall ,uses the fillowtng minimum qualifications: A high school diploma or its equivalent, plus two years of alifying experience; A Child Development Associate edential (C.D.A.) or its eqUivalent; One year of college, plus 18 months of alifying experience; Ar associate degree; p 6 months of ying experience; or A !bachelors degree, plus 3 months of qualifying experience. 524. ence See 523. Education 10.1 DAY CARE CENTERS ARMONA 530. SUPPORT STAFF QUALIFICATIONS fir R9-5-411 Personnel Requirements. Personnel management -, Supplementary teacher-caregiver staff who are at least 16 years of age, but who do not satisfy all staff requirements, may work in,a center when the following restrictions are observed: These persons shall work under the continuous, direct supervision of a qualified teacher-caregiver; These persyll-: may be included in the required staff /child ratio whenever a ratio of-one 16 or 17 year old to one adult is maifitained and each 16 or 17 year old is under the continuous, direct supervision of one adult. 540. POST RMPLOYIVIENT/IN -SERVTOP : ORIENTATION AND TRAINING -541. Pro am Director R9-5-411 Personnel Requirements. Personnel responsibilities and duties - The center director, shall thoroughly orient the staff to, and operate the center in compliance with all Rego ation and provide evidence of continuous in-service training and development of the enter's staff, whfch shall include at least the following: Orientation of all new employees to familiarize them with the center and its policies andiprocedur es; On-thjob training of all new employees in need tr e training in specific area of job responsibilities; Thorough review of these Regulations; Recognition of symptoms of illness or dises Understanding of the developmental stages of chUcten. 21 DAY CARE CENTERS 542. Child Caregiver Staff See 541. Program Director 543 Stleport Staff See 541. Program Director 600. PROGRAM OF ACTIVITIES, UDING 9 610. PROGRAM REQUIREMENT 611. Program of Activities ARIZONA ON R9-5-415 Program Development. The center shall provide a program offering a variety of daily activities designed to meet the various needs and developmental stages of the children served. A schedule of the dap activiti ed at he center. The program shall be planned and shall provide: ActiAties to promote the age appropriate, cognitive, language, social-emotional and creative developmept of the children present; Indoor /outdoor activity time; Quiet /active time; supervised fred choice/teacher directed activities; individual, small group, and large group activity opportunities; and small/large muscle development activities; Activities which enhance development of self-help skills, independence and a sense of responsibility; 22 DAY CARE CENTERS ARIZONA Time and activities which will provide for the basic needs of children for food, rest, toileting, body movement, and adjustment to difficult situations such as parental separation and fatigue; The opportunity for each child to individually interact with an understanding and supportive adult; and An opportunity, weather permitting, for each child to spend s portion of every day outside. 612. Program Equipment and Materials R9-5-415 Program Development. For each child -of the total licersed capacity, there shall be a variety of equipment, toys and materiel, from each of the following developmental areas: Small muscle development Creative expression Sensory perception Language skills Large muscle development. Equipment, toys and materials shall be provided in sufficient quantity to allow each child a choice during free playtime, and shall be available in sufficient quantity to allow for participation by all children who are involved in teacher-directed activities. Equipment, toys and materials shall be available and within the reach of children. AU equipment, toys and materials shall be maintained in a safe and usable condition. 23 DAY CARE CENTERS ARIZONA 613. Nam provision R9-5414 Activity Area Requirements. Sleeping facilities - Each child shall have a nap or rest period during the day. The fige and needs of the children and the length of time spent in She center shall be considered in scheduling naps and rest period. There shall be a cot, pad, or crib for each child who needs to nap, with only one child to a cot, pad or crib. Cots and cribs shall be of sound constriction, shall be of sufficient size to comfortably accommodate the size and weight of the child, and shall be kept clean and in good repair. Pads shall be large enough for a "chads body, stored properly to maintain cleanliness, and approved for use only In rooms where close contact with the floor will not present a draft or dust problem. Rigs, carpets, and towels shell not be used as pads. Diring a nap or r floor. Each cot and pat supervisory perso- riod, a child shall not lie in direct contact with the ranged to be physically accessible to the There shall be at minimum a 24 inch corridor between each row of cots and pads. The arrangement of cots and pads shl not obstruct access to exit doors. Bunk beds shall not rmitted. Naps and rest peridds in to attics or straw places &re prohibited. Where a private home is used as a center, a family bed shall not used by a child in attendance at the center. 24 DAY CARE CENTERS ARIZONA The center shall provide a crib for each infant and when appropriate for each toddler. Cribs shall meet the following requirements! The crib shall be of sturdy struction with bars closely spaced so that a child's head cannot be caught between the bars. Cribs shall have clean, individual crib-size bedding, including sheets and a blanket in gOod repair. 614. Discipline and G dance R9-5-412 Discipline. Staff, whenever possible, shall use techniques of explaining firmly to a child why the particular behavior is not- allowed, suggesting an alternative, and then assisting the child to become engaged in activities in an acceptable way.) When behavior must be stopped immediately because of potential danger to the child or another child, a staff person may physically hold the child until the child gains control of himself. When a child is removed from the situation where he or she is misbehaving, the isolation shall not be longer than 10 minutes or lack supervision. Disciplinary methods shall not be detrimental the health or emotional needs of the child. that unduly frighten or demean the child shall not be allowed. Mechanical restraints or devices medications shall not be used to discipline. PunishMept shall not be associated with toilet training. DAY CARE CENTERS ARIZONA Corporal punishment shall be prohibited. This includes shaking, spanking, punching, hitting, pinching, slapping, twisting, jerLng, kicking, hitting with instruments, pulling hair and strangling. Punishment or disciplinary actions shall not include measures that could result in bruises,' Welts, abrasions, contusions, lacerations, burrz, fractures, wounds, cuts, punctures, subdural hemorrhages or hematomata, internal injuries, sprains, dislocations, or other forms of physical damage. 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Requirements Not specified 712. Health Assessments Not specified 713. Immunizations R9-5-312 Required Records and Reports. A record completed by the parent, guardian, or physician complete history of immunizations, including type and date illness susceptibility and special requirements for health shall be kept. 714. Sanitation noting the child's of immunizations, and Maintenance, R9-5-4 3 Physical' P Construction. AU sewage and liquid wastes shall be discharged into a mmi system, Or in a manner pproved by the Department. Diinlilng water shall be accessible to the children on the playground ndoor dietivity rooms. sewage in DAY CARE CENTERS R9 -5-417 Sanitation Requirements. ATITZONA All parts of the center premises and all center firnishings, equipment, materials, and toys shall be kept in a sanitary condition. At all times the center shall be maintained ree of other vermin. roaches, or Fixtures (such as toilet bowls and lavatories) and floors in bathrooms, playroom, and kitchens shall be scrubbed daily, or more ft equently if necessary, with a cleaning solution and disinfectant. All areas in the center shall be clean. All plumbing fixtures shall be maintained in proper operating condition. The use of a common drinking and eating utensil is prohibited. Clean, single-u4e cups, dispensed from an approved dispenser, are acceptable. Drinking fountains shallbe kept clean and in working condition. 715. Daily Illness Screening* R9-5-419 Isolation and Emergency Medical Care. Each child entering the center shall be observed by a staff member for signs of illness, or, if! the center provides transportation to the center, the child shall be observed upon entering the vehicle. A child shall not be acce of having a contagious or the center i ectious disease. he is obviously ill or suspected DAY CARE CENTERS ARIZONA 716. Care of Sick Children R9 -5419 Isolation and Emergency Medical Care. Any child showing symptoms during the day of a fresh cold, sore throat, inflammation, fever, rash, diarrhea, vomiting, etc., shall be immediately isolated from the group. Parents or persons responsible shall' be notified at once and all necessary arrangements for prompt removal of the child shall be made. Parents shall be notified if their child has been exposed to a contagious or infectious disease. In addition, the local health department shall be notified. Parents or guardiam shall be notified _immediately of any serious injury to the `child that may require medical attention; alternatively, the person specified by the parent to be notified in case of an emergency shall be contacted. In addition, parents or gularclans shall be notified at the end of each day of any significant incident involving the child: Medication and Special Die R9-5-420 Medications. The center director, or a persqn designated in writing by the center director, shall be responsible for the storage, record keepipg and administration of medieation to children. Only one person in a centerlat any given time shall be responsiUe for handling and adndnistering medications. Medication shall not be given to a child without specific from the child's physician, parent or guardian. The written authorization following inform adorn A statement identify agent of the parent or en authorization o give medication sha\l_ contain at least the specific person designated to act to an n to give medicatiorg 28 DAY CARE CENTERS- The name, given; ARIZONA if any, the prescription number, of the medication to be Specific instructions in the manner the medication shall be, f4en including the amount or .dasage to be given, times of the day the medication shall be given and dates on which the medication is to be even; Reason the medication is being given; e of parent or guardian; and Date of authorization. Injectable medications shall only be administered by appropriately licensed persons. Storage of medications - All prescription and nen -pr ta i ion medications shall be kept in a locked storage cabinet or container which shall be located out of the reach of children. Medications requirin in the refrigerator. a rim shall be kept in a locked box or container Center pbrsonnel may only give medications that are provided'by parents from the original factory-labeled container, or in the case/ of prescription medications, in the orl escr on- labeled container. 4 Center personnel ma only give medics ns that are provided by the child's parent or guardian and labeled with chills name. The center is specifically prohibited from keeping an premises stock supplies of any internal medication, including gsplrin. Medicines no longer in use sh or guardian.- 29 immediately e child's parent DAY CARE CENTERS ARIZONA Center personnel may refEjse to administer died ication and shall notify parents or guardians of this decision when the child arrives at the center. When a child is on a modified diet prescribed by the parent, guardian or physician, the food and snacks served this child shall comply with the requested dietary regime. The modified diet shall be conspicuously posted for persons preparing and serving food. 718. Waiver of Health Requirements Not specified 72 0. SAFETY 721. General afetv Requirements A R9-5-416 Fire and Safety Precautions. All fish ponds, irrigation ditches, or other bodies of water shall be inaccebl e: to children except diving periods of close and constant supervision. Fire Safety -5-416 Fire and Safety Precautions. Each center shall comply with State and local safety and fire prevention codes and regulations, and in addition shall conform with the following requirements: Fire evacuation drills shall be held monthly and written records of each fire drill shall be kept at the center. When possible, fire drily shall be executed at the time of the annual fire inspection. Written instructions shall be posted which include special stiff assignments and general procedires to be followed in case of fire or disasters. -30 113 DAY CARE CENTERS ARIZONA R9-5-4I3. Physical Plant Construction. Center buildings shall have a manually operated_ fire alarm system a center is licensed fo:" 26 or more children; or children are in attendance in the center between 8:00 p.m. and 6:00 a.M. New center buildings shall have an approved fire detec warning system. 723. Trarsportation R9-5-415 Program Development. When a field trip is conducted away from the center, applicable licensing rules and regulations shall apply. All parents and guardian shall be given advance notification of each trip including details about the trip. The center shall obtain from the parent or guardian, advanced written permission for the child's participation in thy trip. R9-5-124 Transportation. If vehicular trarsportation is provided directly by, or through a contract with, the center, the following requirements%hall be met: The vehicle driver shall hold a current Arizona chauffeur's e. There shall be a Sufficient number of staff available to supervise children while being trarsported. Chili:ten shall not be tray ported in vehicles constructed for the pirpose of transporting people. All children shall be properly seated on seats which are securely fastened to the body of the vehicle and which provide sufficient space for the childs body No staff person, or child, shall stand while the vehicle is in motion. DAY CARE CENTERS ARIZONA A child shall not be left unattended in a vehicle. One additional qualified staff person shall be in the 'vehicle when child-en under two years of age are transported. The center or, as appropriate, its contractor, shall obtain and maintain motor vehicle insurance coverage in an amount not less than the minimum required by State financial responsibility statutes. 724. Safety Requirements ents for Equipment fah R9-5-416. Fire and Safety Precautiors. Play equipment and structures, indoors and outdoors, shall be of .sturdy construction, Shall be in good repair, and shall be free from hazer _ 725. Water Acti (Including Swimm R9-5-425 Swimming and Wading Pools. Swimming and wading pools shall conform with requirements for public and semipublic bathing places. A verification of awe with the requirements for public and semi- public bathing places must be obtained from the Department or appropriate county health department prior to use of any swirrniing or wading pool. A lifeguard with either a current Red Cross Senior Life Saving Certificate or documented equivalent training shall be on duty at all when a swimming pool with a maximum depth of 3 or more feet is in use. If wading pools ltns than 3 feet in depth are in use, a person with current first-aid training shall be on duty at the wading pool. 32 121 DAY CARE CENTERS ARIZONA When swimming pools are being used by the chil&en, the staff/child ratios shall be met. Tha',21ifeguare may be included in computing the staff/child ratio. Swimming pool and permanent wading pools must ba el.c1 ed by a fermi with a rninnum height of five feet. , Emergency Procedures Not specified 727. First Aid Sup R9-5-419 Isolation and Emergency Medical Care. An approved =first-aid kit, accessible to all personnel and out of reach of childrent.shall be kept in the center. This first-aid kit shall at least contain band-aids, antiseptic solution, sterile bandages, scissors, medical tape, cotton swabs, and Syrup of Ipecac. 300. NUTRNION AND FOOD SERVICE 810. NUTRMON 811. Nutritional Requirements 4iF R9-5-4118 Food Service and Nutritiay. Meals shall be available to all children at customary meal times4-rArLindividue sack lunch provided by the parents or guardian is acceptable. However, if not provided with the sack lunch, the center shall provide milk; or a full strength fruit or vegetable jiAce (frozen, concentrated, canned, or fortified) containing 30 milligrams of Vitami-n C per 6 ounce serving, which is the equivalent of a juice providing 50% of the USRDA of Vitamin C for adtfits. DAY CARE CENTERS ARIZONA When meals consist of sack lunches provided by parents, the center shall have a refrigerator, maintained at proper temperatures, for storage of perishable f oods. Powdered,- imitation, and concentrated sugar syrup drinks shall never be used in place of full-strength juices. Nutritious foods, handled in a sanitary manner and attractively served, shall be provided in the variety and amounts nedessary to meet the standards set forth in the current edition of the "National Research Council's Recommended Dietary Allowances". accordance with these standard's, children in the center for the period of time specified shall receive the following at appropriate times: 2 to 4 hoursa mid-morning or mid-afternoon snack, unless the child is at the center during a regular meal time, in which case the child shall be served the appropriate minimum meal; 4 to $ hoursa meal and one or more snacks; 9 or more hourstwo snacks and one or two appropriate meals, A snack shall be made available before bedtime. Breakfast shall be available to children who come to the center in the morning without it or have remained in the center overnight. Snacks shall include, but not be limited to, milk and enrichid or whole grain bread products; or a fruit or vegetable; or a full-strength fruit or vegetable juice. Snacks and meals prepared for school-age children shall be of sufficient quantity to meet their physical and nutritional needs. Each noon or evening meal shall provide one-third of the child's daily nutritional needs set forth in the current edition of the "National Research CouncR's Recommended,Dietary Allowances." 1 DAY CARE CENTERS ARIZONA 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 821. Food Pre ation and Service Requirements R9-5-418 FoodService and Nutrition. Children shall be encouraged but not forced to eat. The parent or guardian shall be notified when a child eat or exhibits unusual eating behavior. tently refuses to The center shall not serve the same menu twice in the same day. State S atu and Regulations pertaining to food establishments and the handling of food shall apply to centers. Current 'menus shall be planned a week in advance, dated, and conspicuously posted in the center on the first day of each week. Menus shall be kept on file for one year. Any substitutions shall be noted on the posted menu. Food shall be prepared as dose to serving time as possible and served at a proper tern peratire in order o maintain their nutrients, flavor and appearance. Second servings shall be available. Children shall be given necessary assistance in feeding and in learning self-feeding skills. Centers shall pirchase food in sizes and amounts suitable for the number of children enrolled. A supply of perishables and staples shall be kept on hand to meet emergency situation. 85 DAY CARE CENTERS No Not spec 900. SO IAL, SERVICES 1000. PARENT PARTICIPATION 1100. INFANTS AND TODDLERS 111 0. PROGRAM OF ACTIVITIES ARIZONA R9-5-415 Program development. The center shall provide a variety of toys and objects for infant, play which shall number at least three times the number of infants enrolled. The variety shall include at least some of each of the following:: nesting toys, stacking toys, books, pull toys, blocks and grasping toys. The center shall provide a variety of toys and objects for toddler play which shall number at least three times the number of toddlers enrolled. The toys shall Ile accessible to the toddlers at appropriate limes and shall include at least some of each of the following: creative - expressive materials (e 4.r, p crayons, paper, clay, play-dough, paints, paste, etc.), dolls, dress-ups, blocks, books, wheeled tori riding toys, climbing units, wall mirrors, puzzles and manipulative toys. Toys used b infants and toddlers shall be durable, easily cleaned and moveable, ortoxic, too large to swallow, and shall have no sharp pieces, edges or points. Toys shall be inspected frequently and regularly to ensure that hazards are not present. 36 12 DAY CARE CENTERS ARtIONA Provisions shall be made for infants and toddlers to spend the majority of their waking hours outside of the crib, highchair, playpen, or other confining equipment. Infants and toddlers shall have an outdoor playtime in an area that safely separates them from older children. Self-feeding skills shall be encouraged with finger foods being included in the daily menu. The staff persons shall talk to and hold infants and toddlers at appropriate tines during the day to provide positive verbal and tactile stimulation. The center shall provide pleasant surroundings with visual materials (erg,, pictures and posters) at eye level of the infant and toddler. 1120. HEALTT-1 AND SAFETY REQUIREIVIENTS R9-5-421. Infant and Toddler Care Requirements. Centers enrolling either or both infants and toddlers shall receive prior permission to do so from the Department. Rooms used by infants shall_ be separated from rooms used by older children. In infant room(s), there shall be no passageway for use by older children going from one area to another. Infants and toddlers shall be separated from each other. There shall be continuous staff suuery center. an ers while in the A diaper changing area shall be p_ rovided in each infant room and, if the center cars for diapered toddlers, in each toddler room. The changing area shall provide a smooth, non-porous sirTace for diaper changing. The changing area shall be cleaned, sanitized and dried between each change of diapers. 37 DAY CARE CENTERS ARIZONA There shall be a staff handwashing sink available in each diaper changing area with soap, warm running water and disposable hand towels provided. The center, shall prepare and post in each diaper changing area the diaper changing procedure to be followed. Each diaper changing area shall be equipped with a diaper riming fixture. Each child's diaper shall .be changed as frequently as needed. When changing clerpers, the child shall be washed and died using the child's individual toilet accessories. Staff persons shall wash their hands before and after changing diapers as a routine procedure. 1130. INFANT wurRrr ON R9-5-421 Infant and Toddler Care Requirements. Special formulas may be provided by the parents or by renter. If prepared by the center, the child's parent, guardian or physic.a, all supply advance written instructions and the special formula shall be prepared in accordance with those instructions through the use of the sanitary procedures governing the preparations of all food found in State Statutes and Regulations. If the infant or toddler has any special dietary needs, the parent or guardian shall supply written directions for a modified diet which shall be on file in the center and conspicuously posted for staff reference. The center shall meet the toddlers: quirements for feeding infants and All infants under six months of age or older children who cannot hold their own bottle, shall be held when being fed with a bottle. Bottles shall never be propped. Each child's bottle shall be individually labeled. Bottles, nipples, and bottle covers shal be sterilized prior to reuse. 38 12 7 DAY CARE CE RS ARIZONA As soon as they are of ufficient age, infants and toddlers shall be spoon fed from individual spoons and containers and they shall be encouraged to feel themselves as soon as this desire is exhibited. As soon as the child is able, (s)he shall sit in a chair at a table of appropriate size during feeding. Highchairs stall be equipped with a safety strap and shall be constructed so that the chair will not topple. The Department may waive the safety strap requirement if the design and construction of the chair is such that a safety strap is not needed. The fray or feeding surface shall be smooth, free of cracks, and shall be sanitized prior to each use A sturdy adult size chair, preferably a rocker, shall room for use in holding and feeding infants. _ e provided in the infant The center shall provide for infants an unobstructed free play area of a minimum of 35 square feet with non-abrasive carpeting upon which infants may safely and comfortably sit, crawl, play and toddle. In every infant and toddler room there shall be a procedure for recording and relaying to parents and staff information concerning any significant occurrences in the child's progress including new or unusual behavior. 1200. CHILDREN WITH HANDICAPPING CONDITIONS 1210. PR OGRA Pd OF A crwrnEs R9-5-422 Special Children Care Requirements. The staff Shall be provided with in- service, training or eora;ulltation to enhance their ability to meet the needs of special children who are enrolled. All in-oervice training or consultation shall be documented in writing and a copy of that record shall be kept at the center. AO DAY CARE CENTERS ARIZONA The center shall provide appropriate program equipment subsitutions or physical plant modifications to meet the varying needs of snecial children are enrolled. Special children shall be integrated o the daily activities of the center whenever possible. 1220. FTEALTH AND SAFETY REQUIREMENTS Not specified 1230. STAFFING Not specified 1310. FROG Not specified 1300. SC I00L ACE C1ITLDREN OF ACTIVnrEs 1320. WEALTH AND SAFETY REQUIREMENTS Not specified 1400. FACILrF Y REQUIREMENTS 1410. SPACE R9-5.413 Physical Plant Corwtrud When a center is located in a multiple use building community . building, or family residence), the building or portion thereo o which children have access shall be used only for child care purposes during the.center's hours of operation. When a center is located in a multiple use bulking, the entire building must conform to all construction code req rements for new centers unless the center has required fire separation. 40 12j DAY CARE CENTERS A REONA The center shall provide a safe vehicle loading and unloading area for children. This vehicle loading and unloading a-r-ca shall be located in an area away from moving traffic and hazardous obstructions. The vehicle loading and unloathng areas shall also be indicated on the.j, site drawing submitted to the Department for approval. R9-5-414 Aclivity Area Requirements. The center shall provide at least 25 square feet of interior activity space per child, except that at least 35 square feet of indoor activity space Der child shall be provided for infants and toddlers. The center shall prolfide at least 35 square feet of indoor activity Space per child when toddlers are mixed with older cht&en. The indoor activity space shall be occupied only by the children's play materials, equipment, or children's ftrnittre. The floor space of kitchen, bathrooms, closets, halls, storage areas and rooms, recreation areas, isolation rooms, offices, and other rooms designated for staff use as well as wall thickness shall be excluded in computing the minimum indoor activity space. Room space used for other things such as- storage, teacher'sesk, file or record cabinets, fixed storage cabinets, or closets shall not e counted as activity space in computing licensed capacity. The licensed capacity of indoor activity space shall be posted conspicuously in each room with indoor activity space on forms furrushed by the Department. 41, 13 ti DAY CARE CENTERS ARIZONA Computation of indoor activity space in centers which are located in multiple-use buildings (e.g., where the center dot not utilize the entire building) shall be limited to those areas which are used exclusively by the center during its hours of operation. There shall be an isolation area which can be separated from children in indoor activity space. The isolation area shall not be included in computing the minimum indoor activity space. A child in the isolation area shall personnel. rvised at tim by qualified staff 1 Except w permitted by this Regulation, there shall be an outside play area for child care which meets the following requirements: The outside play area shall be of sufficient size to allow all children rewonable. scheduled access, and shall contain at least 75 square feet for each child occupying the area at any time. The outside play area shall contain a minimum of 75 square feet per child for at least 50 - 5ercent a the center's licensed capacity. The area shall be contiguous with the, center or easily accessible without the need to cross thoroughfares, streets, or highways, shall be fenced to ensure the safety of the children, and shall be free from hazards. The outside play area shall have non-hazardous play surface and resilient material under swings and play eqiipment wher.t children may falL A hard surfaced area may be provided for wheeled vehicles. Duit a windborne sand or dirt shall Adequate shade kept to a minimum. is shall be available during summer m All play areas shall be directly super flsed when in use, in accordance staff ratios. 42 131 DAY CARE CENTERS AREONA Outside play equipment shall be arranged to minimize hazard from conflicting An outside play area shall not be are met: No child attends the center hen all of the following conditions more-than foir hours per day; and The center provides at least 50 feet of indoor activity space per and The indoor activity space conforms with the requirements. 1420. LIGHTING, VENTILATION, AND TE ERATURE R9-5-413 Physical Plant Construction. Resting and cooling - Rooms used by children shall be maintained tempeiatixes between 680 children to drafts. and 820 F. Ventilation shall. not subject Lighting and electrical - Center buildings shall be lighted and free of are. A minimum of thirty foot candles of illumination shall be maintained at work and play areas. 1430. EXITS R9-5-413 Physical Plant Constructi Each room limbed for use by children shall have at least one approved exit, except that rooms exceeding 1,000 square feet shall have at least two approved eadts. Each infant room licensed for 5 or fewer infants shall have at least one approved esit. Each infant room licensed for more than 5 infa-nts sh ave at least two approved exits. Exiting from a center shall be acco methods!; Through an approved exit dire+ by one or more of the following o e exterior; Through an-approved exit access corridor; 43 132 DAY CARE CENTERS By to earl of an approved stairway; Through an intervening room. ARIZONA An approved exit door shall be 36 inches in width and at least feet, 8 inches in height, except in infant rooms two doors 32 inches in width and at least feet, 8 inches in height maye substituted. A pair of doors which open together, each leaf to be a minimum of 2 feet, A inches in width and at least 6 feet, 8 inches in height may be substituted for the door required above. 144 TOILETS AND LAVATO S R9 -S-413 Physical Plant Construction. Toilets and lavatories (handwashing sinks) easily accessible to children within the center shall be provided in the following minimum ratio: At least one flush toilet and one lavatory for ten or fewer children; At least two flush t ets a children; I lavatories for eleven to tw entfive At least one flush toilet and one lavatory for each additional twenty children. Note: Infants who e diapers are-not included in this calculation. The facilities ;611 be child -sized or e without sosistance. so that children can use them, An approved diaper changing area Mal provided in each room housing diapered children. 44 DAY CARE CENTERS ARIZONA 1500. OTHER STATE REQUIREMENTS - COMPLIANCE WITH OTHER LG STATE, AND REGIONAL LAWS AND REGULAm1ONS 1510. ZONING Not specified 1520.. FIRE Not specified 1530. BUILDING Not specified 1540. HEAUTH Not specified 1550. SANITATION Nat specified 1560. NEW CO TRUCTION Not specified 45 DAY CARE CENTERS Except where otherwise noted, all citation ARKANSAS e from the Arkansas Department of Human Services, Minimum Licensing Requirements for Day Care Centers, September, 1980. 100. STATE LICENSING OF CHILD DAY CARE FAcmarEs 110. TYPES OR FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS Definitions I Licensing Authority and Definition - Facilities Requiring Licensing. "Child Care Facility" means any facility which provides care, training, education, etztody, or supervision for any minor child who is not related by blood, marriage, or adoption to the owner or operator of such a facility, whether or not the facility is operated for profit, and whether or not the facility makes a charge for the services offered by it, and this definition includes, but is not limited to, a nursery school, a kindergarten, a day care center, or a family day care home, foster homes, group homes and custodial institutions. Exclusions and Exem ARK. STAT. ANN. S 83-918 Religious exemptic of abuse. Inspection Correction Any religious child care facility organized and operating as of July 1, 1969, shall be exempted from the institution child care standards provided that the governing body of said religious child care facility requests thitt their child care institution be exempted froin the licensing standards because conformity with said licensing standards violates basic religious tenament (tenet) of thei. church as it rates to separation of church and state and that said governing DAY CARE CENTERS ARKANSAS body certifies each year that their institution has met the fire, safety and health standard of either state or local fire, safety and health inspections and further that they certify that they are in substantial compliance with the published standards under which similar nonreligious facilities are required b the state to operate. No institution, which files or has filed such certification with the Board- shall hereafter be subject to inspection by the Child Care Facility Review Board. I Licensing Authority and Definition - F eiritieS Requiring Licensing. The following do not require a licens a) special schools or classes operated solely for religious instruction; (2) facilities operated in connection with a church, shopping center, business or establishment where children are cared for during short periods of time while parents or persons in charge of such children are attending church services, shopping, or engaging in other activities during such_ periods; (3) any educational facility, whether private or public, which' operates soley for educational' proems in grades one or above and does not proVide any custodial care; (4) kindergartens operated as part of the public schools of this State; (5) any situation, arrangements, or agreement, by which one or more persons care for the children of not more than four (4) families at the same tiine, but not to exceed six (6) children. 113. HHS Da Care Compliance I Licensing Authority and Definition. If a facility requests participation in a federally funded child care program, it shall also meet Health and Human Services Day Care Requirements as administered by the Arkateas Division of-Social Services staff in addition to the Minimum State Requirements. DAY CARE CENTER ARKANSAS 120. AGENCY RESPO S E FOR LICENSING OF DAY CARE PROGRAMS 12L CmmILiza on of the Administrative Unit DEPARTMENT OF SOCIAL AND REHABILITATION SERVICES SOCIAL SERVICES DIVISION PROGRAM OPERATIONS Director of Individual and Farnfly Services GENERAL RVICES Wanner CHILD DEVELOPMENT UNIT Field 0 reiabors Area Offic The day to day licensing functions are carried out by licensing staff in area offices tinder the direct supervision of the state central office. DAY CARE CENTERS ARKANSAS 122. Respo All inquiries should be addressed to Manager, Child Development Unit Social Services Division P.O. Box 1487 Little Rock, Arkansas 72203 (501) 371-7512 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICEN IN LICENSING PROCESS 211. Promulgation of ARK. STAT. ANN. S 83-904 Rules and regulations by Child Care Facility Review Boards - Consultation with commissioner of education and 'other agencies - basis of regulations. In establishing requirements and standards for the granting, revoking, refusing, and suspending of a license for a Child Care Facility the Welfare Department (Child Care Facility Review Board) shall adopt such rults and regulations as will: promote the health, safety and welfare of children attending a Child Care Facility; promote safe, comfortable, and healthy physical facilities for the children who attend the Child Care Facility; insure adequate supervision of the children by capable, qualified and healthy individuals; insure appropriate educational programs and activities within each Child Care Facility; and insure adequate and healthy food service where food service is offered by the Child Care Facility. DAY CARE CENTERS ARKANSAS 212. Advisory Body and Other Community Pm cipation I Licensing Authority and Definition - Child Care Facility Review Board Functions. The Child Care Facility Review Board is enmposed of seven members including the Commissioner of the Social Services Division, the State HeCth Officer or his designee, one representative from the Family and Children's Services State Advisory Committee, three personS-engaged in child care appointed by the governor, and one representative at large appointed by the governor. The State Commissioner of Education serves ex officio without voting power. The Child Care Facility Review Board has the power to establish rules, regulations, and standards for licensing and operation of child care facilities. This includes all powers with respect to granting, revocation, denial, and suspension of licenses. Decisions regarding special situations shall be made on an individual basis by the Child Care Facility Review Board. 2 20. LICENSING PROCEDURE 221. Application and uance I Licensing Authority and Definition. An individual or group wishing to establish a child care facility may obtain an application for a license and related forms from Arkansas Social Services. The applicant shall submit to Arkansas Social Services a plan for operation including the purpose of the facility, policies of admission, a list of staff and their qualifications, and a description of the services which will be provided to children. 1 3 DAY CARE CENTERS ARKANSAS ARK. STAT ANN. S 83-905 Application for license Issuance for one year Limiting number of children served by facility. Any person, partnership, group, corporation, organization or association 3 desiring to operate a Child Care Facility shall first make application for a license for such a facility to the Welfare Department on the application forms furnished for this purpose by the Welfare Department. The W are Department shall act on any such application within sixty (60) days after has been received by the Welfare Department. If an applicant meets the requirements of this Act and the published rules and regulations of the Welfare Department regarding minimum standards for, a Child Care Facility, the applicant shall be granted a license by the Welfare Department as a Child Care Facility, which license shall continue in effect for one (1) year or until revoked or suspended w provided herein. ARK. STAT. ANN. S 83-907 License limited to location stated Not transferable. A license for a Child Care Facility shall apply only to the 'ad ess and location stated on the application and license issu and it shall not be transferable from one holder of the license to another o from one place to another. If the location of a Child Care Facility is chanted or the operator of the Child Care Facility is changed the license for that Child Care Facility shall automatically be revoked on such a change. 222. Fee Charged _ Not specified 223. Areas of Investiption I Licensing Authority and Definition. The facility shall be inspected and approved by Arkansas Social Seibvices staff before a license may be issued by the Child Care Facility Review Board. A licensee shall not accept more eMdren than the maximum specified on the license. Arkansas Social Services shall have authority to visit and inspect the 14v DAY CARE CENTERS ARKANSAS facility. Ordinarily, this visit shall be made after appropriate notice en given to the Director or the person in charge of the facility. 224. License Renewal I Licensing Procedure. The license shall be renewed one year from the date of issuance and each year thereafter. 225. Conditional/Provisional ARK. STAT. ANN 5 83.906 Provisional licenses. If the Welfare Department finds that an applicant for a Child Care Facility meets the licensing requirements for a Child Care Facility in the main and has a reasonable expectation of correcting deficiencies in a reasonable time, the Welfare Department may, in its discretion, issue a provisional license for a Child Cue Facility, with such provisional license to be in effect for a reasonable time, not to exceed six months, which time shall be specified in the provisional license. Issuance of provisional licenses shall be in accordance with\the published rules and regulations adopted by the Welfare Department in accordance with this Act. 226. Substantial Compliance Not specified 230. ENFORCE !WENT PROCEDURES 231. Facility Inspections ARK. STAT. ANN. S 83-908 Irspections and investigations of facilIti and personnel. The Welfare Department or any other agency of the State of Arkansas which the Welfare Department` asks to assist It is authorized to make an inspection :DAY CARE CENTERS ARKANSAS and investigation of any proposed or operating Child Care Facility and of any personnel connected with that facility to the extent that such an inspection and investigation is required to detgirnine if the Child Care Facility will be or is being operated in accordance with this Act (5583-901 83-9161 and the published rules and regulations of the Welfare Department for Child Care Facilities. 232. Denial ion, Revocation ARK. STAT. ANN. written notice. 0 Denial, revocation, or sus of license The Welfare Department shall have the power to deny, revoke,, or suspend a license for a Child Care Facility if an applicant or licensee has failed to comply with the provisions of this Act (8583-901-- 83 -916) or any published rule Or regulation of, the Welfare Department relating to Child dare Facilities. If a license is denied, revoked or suspended such denial, revocation, or suspension shall be effective when made and the Welfare Department shall notify the applicant or licensee of such action in writing and tie out the basis for the denial, revocation or suspension of the license. Appendix C - show cause hearing. and denial, revocation, or sus license written notice. Whenever the Child Care Facility Review Board determines that a situation exists In a facility that Jeopardizes the health, safety, or welfare of a child or children in the facility, so that continued operation of the facility may result in death or injury to a child or children in the facility, the Board may summarily suspend the license and direct that the facility cease operation immediately, and thereafter set down a hearing for the fmility to show cause why the license of the facility should not be revoked or proper action taken under the provisioru3 of the Administrative ProceduresAct. 1 -1 DAY CARE CENTERS ARKANSAS The Commissioner of Arkansas Social Services as chairman of the Child Care Facility Review Board is authorized and directed to act for the Board, when the Child C are Facility Review Board is not in session, to determine if an emergency situation exist and to take immediate action to deny, revoke or suspend a license and order immediate clostre of the facility. The action of the Commissioner shall be reviewed within five (5) days by a quorum of th Child Care Facility Review Board and his action revoked or confirmed; and thereafter the matter shall be set down for a hearing for the facility to show cause why the license of the facility should not be revoked or proper action taken tinder the provisions of the Administrative Procedures Act. 233. Remedies and Sanctions 233 ti ARK. STAT. ANN S 83-911.1 Adjudication procedures. The Child Care Facility Review Board shall follow the procedures prescribed for adjudication in the Arkansas Administrative Procedures Act (SS5-701 5-714). Appendix C - show cause hearing and denial, revocation, or suspension of license written notice. If a complaint is received from Arkansas Social Services or from any interested persbn that a facility is not complying with the provisions of this Act or any published rule or regulation of Arkansas Social Services relating to child care facilities, the Child Care Facility Review Board shall issue a notice to the facility to show cause why their application for a license should not be denied or their license revoked or suspended. A show cause hearing shall be held at the next re Services or the corn meeting of the Board at which time Arkansas Social ainant shall present evidence in support of their allegation that the facility is not in compliance with the provisions of this Act or any published rule or regulation. The facility may be represented by counsel and will be given an opportunity to refute the allegations. DAY CARE CENTERS ARKANSAS After a hearing to show cause why a facility's tense should not be denied, revoked, or suspended, the Child Care Facilit Review Board may deny, revoke, or suspend the license of a child care facility. If the facility fails to appear for the show cause hearing, the allegations of the complainant or Arkansas Social Services shall be taken as confessed, and the Child Care Facility Review Board may deny a license, or revoke or suspend an existing license. If the Board finds, from evidence presented, that the child care facility has failed to comply with the provisions of this Act or any published rule or the Board may deny a license, or revoke or suspend an existing license. Revocation or suspension shall be effective when made, and Social Services shall notify the applicant or licensee of such action in writing and set out the basis for the denial, revocation, or suspension of the license. The granting, denial, or renewal of a license will be preceded by notice and opportunity for hearing, as provided in cases of adjudication. When a licensee has made timely and sufficient application for the renewal of a license or a new license with reference to any activity of a continuing nature, the existing license shall not expire until the application has been finally determined by the Child Care Facility Rev' d, and, in case the application is denied or the terms of a new license limited until the last day for seeking review of tLe Board order, or a later date fixed by order of the reviewing court. No revocation, suspension, annulment, or withdrawal of any license is lawful unless, prior to the institution of Board proceedings, the Child Care Facility Review Board gave notice by mail to the licensee of facts or conduct warranting the intended action, and the licensee was given an opportunity to show compliance with all lawful requirements for the retention of the license. 233.2 Decisions See 233.1 Hearings DAY CARE CENTERS ARKANSAS 233.3 Judicial Review ARK. STAT. ANN. S 83-914 Misdemeanors Penalties. Any person violating any provisions of this Act (5S83-901 83-4316) and any person assisting any partnership, group, corporation, organization or association in violating any provisions of this ACt shall be deemed guilty of a misdemeanor, and upon conviction thereof, shall be fined in any sum not less than -$25.00, and not more than $100. Each day of such violation shall constitute a separate offense. ARK. STAT. ANN. -915 Injunctions. When any person, partnership, group, corporation, organization or association shall operate or-assist in the operatiorr-eLe Child Care Facility which has not been licensed by the Welfare Department in accordance with the provisions of this Act (5583-901 83-918), the Welfare Department shall have the right to go into the Chancery Court in the jurisdiction in which the Child Care Facility is being opeEated, and upon affidavit secure a writ of injunction, without bond, restraining and prohibiting the person, . partnership; group, corporation, or nizalion or association from operating the Child Care Facility. ARK. STAT. ANN. S 83-917 Declaratory judgments on r u1atians. Any rule or regulation promulgated by the Welfare Department under authority of Sect. 3 of Act 434 of 1969, or under any other child care facility licensing law, shall, at the suit of any interested person instituted in the Chancery Costal of Pulastd County, be subject to remedies provided by law for obtaining declaratory judgments; provided at the Welfare Commissioner shall be named a party defendant and summ ed as in an action by ordinary proceedings. Appendix C - show cause hearing and denial, revocation, or suspension of license written notice. When in a case of adjudication a majority of the officials of the Child Care . - Facility Review Et who are to render the decision have not heard the we or read the moo e decision, if adverse to a party other th i4 DAY CARE CENTERS ARKANSAS shall not be made until a proposal for decision is served upon the parties, and an opportunity is afforded to each party adversely affected to file exceptions and present briefs and oral argument to the officials who are to render the deci,n. The proposal for decision shall contain a statement of the reasons therefore and of each issue of fact or law necessary thereto, prepared by the person who conducted the hearing. In every case of adjudication, a final decision or order shall be in writing or stated in the record. A final decision shall include findings of fact and conclusions of law, separately stated. Findings of fact, if set fo h in statutory language, shall be accompanied by a concise and explicit statement of the tmderlying,facts supporting the findings. If, in accordance with agency rules a party submitted proposed findings of fact, the decision shall include a rulineu -piEtn each proposed finding. Parties shall be served either personally or by mail with a copy of any decision or order. In cases of adjudication, any -person who considers himself injured in his person, business, or property by ape Child Care Facility Reidew Board action shall be entitled to judicial review thereof under this Act. Nothing in this Section shall be construed to limit other means of review provided bylaw. The coirt rnay affirm the decision- of the agency or remand the use for further proceedings. It may reverse or modify the decision if the substantial is of the petitioner have been prejudiced because the administrative findings, inferences, conclusions, or decisions are in violation of constitutional or statutory prow in excess of the agency's statutory authority; made upon unlasiful pruesdire; affected by other error of law; not supported by substantial evidence of record; or arbitrary, capricious, or characterized by abuse of 4 12 DAY CARE CENTERS 300. AD LSTRA 0 310. GENERAL ADMINISTRATION 311. General Administrative Requirements ARKANSAS II Organization and Administration. The board, or director if there is no board, shall be responsible for operating the facility and shall have final responsibility to ensure that the facility shall meet minimum licensing'requirements. Written statements of policy shall be made available for review during the licensing process, these shell include but not be limited to the foliating: Purpose and operational policies of the center Policies pertaining to the Admission and discharge of children Policies pertaining to the care and discipline of children Title, duties and hours of each eryp1oyu !. If the nter has a governing board, there shall be clear tin of responsibility for the board and administrator. Ill Staff. Director - AU facilities shall have a director and/or person in charge on the premises at all times. The name of the person in charge shall be posted. The director shall be resporsi facility's daily activities. arming, managing aid strolling the VI Records. General Facility Record shall be kept and made available to Arkansas Social Services Licensing staff on request. These records shall include the following: General attendance records of all children Fire Department Inspection reports 14 DAY CARE CENTERS ARKANSAS Arkansas State Department of Health I Vocal zoning approval, if applicable Liability insirance certificate Policies governing the center Record of routine emergency dills length of drill Summary report of accidents or injurie 312. Telephone -tion reports g dates, time of day, and hick occur in the center. VIII Buildings and Grounds. . A day care center shall have a telephone if the service is available in the comm unity. 313. Pr2(9yera or Financial bilities XI Safety. Evidence of financiall-re3ponsibility of a minimum of $100,000 or liability irstrance of a like amount shall bd required. 314. Insurance See 313. Proof of Operator Financial Capabil O 320. PERSONNEL 321. Publication of Personnel Policies Not specified 322. Constraints Again t Employment III Staff. Any person convicted of a felony_ or misdemeanor involvi Shall not serve as a staff me 14 14 urpitude DAY CARE CENTERS ARKANSAS Any person convicted of a felony or- misdemeanor involving child abuse or neglect of a child shall not serve as a staff member. Any substantiated report of child abuse or neglect shall be considered in determining the employment of a staff member. 330. NON-DISCRIMINA ON 1. Requirements Prohibiting Discrimination Not specified 340. RECORDS REQUIRE NTS 341. Children Vl Records Child records shall be kept and made available to Arkansas Social Licensing Staff on request. These records shall include the following: Application form Which includes the child's name and date of birth, name of parent or guardian, telephone numbers and work hours of parents or guardians. The name, address and telephone, (home and business) of a- responsible person to contact in an emergency if the parent or guardian cannot be located promptly. Nem e, address and phone number of child's physician. Written permission of parent or guardian authorizing medical ewe. Permission slip signed by parents or guardian authorizing the child taken on field trip§. ncy DAY CARE CENTERS ARKANSAS Pertinent medical history on the child; and any change in health, including accident or injuries that occur in the center. Nam e of persons) authorized to pick-up child. An authorized record of up-to-day immunizations as required by the Arkansas State Department of Health. The center should maintain a roster of children who have not completed the minimum immunization requirements. 342. Staff VI Records. Staff records shall be kept and made available to Arkansas Social Services Licensing Staff on request. These records shall include the following: Name, date of birth, address and telephone number Education, fairing and experience Health records, including current health card and /or physician's atement At least two character or employment references Daily attendance record Date of employment and date of separation Training session attendance 343. Child Eligibility and Enrollment Requirements Not specified 344. Child Abuse Re Safety. Reports of abuse or neglect of a child shall be thoroughly reviered by the licensing agency. It is the responsibility of any child care worker tokeport any suspected abuse or neglect of a child to the County Social Services of'fi'ce. 16 DAY CARE CENTERS 345. Confidentalit of Records Requirements Not specified ARKANSAS 400. GROUP CO mo S OF ClIII,DREN STAFF/CHILD RATIO REQUIREMENTS 411. Staff/Child Ratio as of March, 1481 DI Staff. The following staff/child ratios shall be maintained at all U Ages 2 1/2 and 3 years -1 worker per 12 children 4 years - 1 worker per 15 children 5 years to first grade -1 worker per 18 children, First grade and older - l_wiliker per 25 children In a group containing children of different ages, the staff/child meet the requirements for the youngest child in the group. In the during lunch or outdoor play activities, children of different age together in large areas, the staff/child ratio for the respective shall be maintained. 412. MethodlpfqorNputi Staff/Child Ratios ratio shall event that groups are age groups III Staff. Additional staff provisions shall be made for the following: *Preparation and serving of food. Housekeeping activities. Absence of staff memberrs. Emergencies and accidents with children or staff which necessary for a staff member to be absent from the center. make If a facility has an attendance of more than fifty (50) children, the director DAY CARE CENTERS ARKANSAS If a director is in charge of more than one child care facility, and the combined attendance exceeds fifty (50) children, the director shall not be included in the staff/child ratio in any of the facilities. 420. GROUP SIZE 421. Group Size as of March, 1991 See 411. Staff/Child Ratio as of March, 1981 422. Methods of Com_putinz Group Size See 411. Staff/Child Ratio as of March, 1981 500s STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS 510. CHMD CA.REGIVE STAFF QUALIFICATION 511. Age III Staff. Staff members shall be between the ages of 18 and 70. Staff members under age 18 or over age 70 shall be considered on an individual basis and shall be under the direct supervision of the director or the person in charge of the center. 512. Health ff. All persons worldng in a child care center in any capacity, including volunteers, shall obtain a health card or physician's statement showing the absence of commmicable disease and tuberculosis. This shall be renewed on a yearly basis. I DAY CARE CENTERS ARKANSAS Any person caring for children shall be physically able to carry out his/her assigned tasks and responsibilities. If a child care center is operated in a private home, a health card or physician's statement shall be rewired of household members who may come in contact with the children. 513. Education In Staff. Staff members sh 514. Experience Not specified able to read and write. 520. PROGRAM DIR OR QUALIFICATIONS 521. IH Staff. The director and/or person in charge of the center shall be between the age of 21 and 70 years. Directors older than 70 shall be considered on an individual basis. 522. Ilea See 512. Health 523. Education III Staff. Directors of centers opening an or after October 1, 1970 shall have the minimum of a high school education or a CDA credential. DAY CARE CENTERS 530. SUPPORT STAFF QUAIIIFIGATIGNS Not specified ARKANSAS 540. POST EMPLOYMENT/IN -SERVICE. ORIENTATION AND TRAINING 54L Prgra m Director III Staff. The director and the program staff shall attend one or more training sessions regarding child care during the year. 542. Child Caregiver_Staff See 541. Program Director 5'43. Support Staff Not specified 600. PROGRAM OF ACTIVITIES INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities IV Program. Program is defined as all activities that comprise the child's day at the center. A schedule of the program (daily activities) shall be followed with reasonable closeness. en, . pos There shall be at least one hour of outdoor play per day in suitable weather. There shall be opportunities for vigorous play either outdoors or indoors regardless of the weather. I DAY CARE CENTERS ARKANSAS The program shall include a good balance between individual and small group ay. It shall also offer alkernating periods of active play and quiet times throughout the daily session. Child-en shall have opportunities to engage in group activities and quiet play. 612. Program Equipment and Materials VIII Buildings and Grounds. There shall be playground equipment !sappropriate for the age and number of children enrolled in the facility. Equipment shall he properly anchored, safe and shall offer a variety of activities. IX Furniture and Equipment. Each day care center shall be equipped with toys, hool and play apparatus to take care of the needs of the total group and to provide each child with a variety of activities throughout the day. A variety of this equipment shall be accessible from low shelves to the children of all ages. Chairs and tables shall be the size appropriate to the body measurements and ages of children. There shall be a minimum of one sturdy chair for each child in attendance. 613. Nap Provision M Staff. Additional staff provisions shall be made for the following: During naptime a minimum of 50% of the staff shall remain with the children, with a total of 75% of the staff-remaining in the building. At no time shall children be left unattended. IV Program. There shall be a supervised rest period of at least one hour on individual cots or mats for all pre-sehbol children who attend for more than five hours. Chileken who arrive at lunch or shortly after shall be required to rest. DAY CARE CENTERS ARKANSAS IX Furniture and Equipment. Sleeping arrangethents shall provide fora comfortable and safe rest period for children. There shall be a labeled individual cot or mat, bottom sheet, and adequate cover for each child who remains for more than five (5) hours in the day care center.. This requirement shall also apply when a child arrives at the center duing nap time or for evening care. The use of mats shall also be acceptable if the following guidelines are mete Mats shall be heavy duty, non-folding and be at least two inches thick, 2 feet wide and 4 feet in length and covered in a washable, waterproof m aterial. Mats shall be allowed only in facilities which are carpeted and free. There shall be adequate cover for each child. 614. Discipline and Guidance V Discipline. The use of discipline shall not be humiliating, frightening, or physically harmful to children. Discipline shall be consistent and individualized for each child, it shall be appropriate to the chileis' level of understanding; and be directed toward teaching the child acceptable behavior. Disc for illness Inc shall not be ciated with food, rest, toilet training or isolation DAY CARE CENTERS ARKANSAS Labelin of the child "bad," "naughty," etc., should be avoided. Inappropriate purushment uding physical punishment, restraint, scolding, harsh treatment, isolation without supervision, verbal abuse, sarcasm, threats or derogatory remarks about the child or his family have no place in_a well managed day care center. Methods of discipline used by the center shall be discussed with each chills parent at the time of enrollment. If the policy of a facility includes physical punishment, it shall be administered only with the prior written consent of the parent or guard n with the following guidelines being mat: Punishment is to be administered by the director or person in charge. An adult witness is to be present. Any spending shall be administered below the waist and preferably with an open hand on the buttocks. Children shall not be punished or berated ih any way for soiling their clothes. Clean clothes shall be aviiilable for those children who, because of age or other circumstances, might accidentally soil themselves. 700. HEALTH AND SAFETY HEALTH 711. General He th Reiuirements Not specified 712. Health Assessments Not specified DAY CARE CENTERS ARKANSAS 713. Immunizations See 341. Children 714. Sanitation X Health. Paper towels are preferable for children's use. If regular towels are used there shall be one for each child. These shall be laundered daily. Soap shall be available. Hot and d running water shall be available in each lavatory. Water shall be dispersed by any of the following means: Fountain. Paper cups. Individually lAbeled cup which shall he washed daily. 715. Daily Illness Screening X Health. Children shall be checked each morning on arrival for contagious or infectious disease and not admitted if ill. 715. Care of Sick Children X Health. Any child who becomes ill and unable to participate in the dimly activities shall be isolated and supervised. Appropriate action should be taken to meet the individual needs of the child. Parents or guardian shall be notified immediately. DAY CARE CENTERS 717. Medication and S oecial Diet Provisions X Health. ARKANSAS Medication shall be given to children only with written parental rmission. 718. Waiver of Health Requirements Not specified 720. SAFETY 721. General Safety Requirements VIII Buildings and Grounds. All space within a center shall be kept clean and free of hazardous or potentially hazardous objects. Floor and floor covering.rshall be in good condition and kept sanitary. Torn or worn covering shall be replaced to prevent accidents. Paints used in any way in the facility shall be lead free. Outdoor play space shall meet the following irements: The area shall be well drained. The area-shall be free of hazards or potentially hazardous objects. Mobile homes shall used as day care centers. Mobile homes currently licensed (prior to July 1, 1980) as day care facilities may continue to be used if tied down as recommended by the Deferse Department's Civil Preparedness Agency. IX Furniture and Equipment. Paint on toys and other materials used by the center shall be lead free., DAY CARE CENTERS ARKANSAS X Health. Smoking shall be prohibited in the presence of children and shall be limited to a designated area. XI Safety. AU detergents, cleaning supplies and Poisons shall be kept out of the reach of children. 722 Eire Safety Requirements VIII Buildings and Grounds. Outdoor play space shall meet the following requirements: There shall be an emergency exit from the play area, far eno h from the building to provide a safe exit in the event of fire. 723. Transportation XI Safety. Any person diving a vehicle transporting children for day care purposes shall meet staff age requirements and have a current Arkansas driver's license. The vehicle shall be lice- ed insured maintained in proper working condition. 724. Safety Retirements for Equipment IX Furniture and Equipment. All equipment shall be sturdy and safe and shall be free protruding nails and s p edges, XI Safety. Any pool of water in excess of 12 inchei deep is defined as a swimming pool. This does include natural pools of water such as lakes, pond and rivers. DAY CARE CENTERS ARKANSAS Swimming pools and natural pools of water, such as lakes and ponds may 1-ie used for water play if the following requirements are met: Health Department approval where applicable. Written parental permission. There shall be one person present at all times who has received Red Cross Life Saving certification or is a Water Safety Instructor (W511. Adult supervision of the children at all times, with grouping based on the following child/staff ratio (unless children are enrolled in an authorized swimming instruction program): 1st gr. ik up 5 years 4 years 2 1/2 - 3 years Non -Swimmers Swimmers 1:6 1-12 1:5 1-10 1:3 1-6 1:2 1-5 Iri the event that children of different ages are swimming in a group the staff/child ratio, shall be based on the youngest child within the group. Swimming pools located within the enclosed play area of the center shall have a fence and a locked gate. 726. Emer ncy Proced tr es X Health. Parent shall notified of n agious illness in the center as soon as passible. XI Safety. There shall be written fire and tornado policy. Routine emergency drills shall be practiced monthly and staff shall be thoroughly familiar with safety drill procedures. 27 DAY CARE CENTERS ARKANSAS 727 First Aid upp:: X Health. A fit aid upply shall be kept in reach of the staff, but not in reach of the children. Medicine shall be kept out of the reach of the children. gi00. NUTRITION AND FOOD SERVICE 810. NUTRITION 811. Nutritional Requirements VII Nutrition. The center shall plan, prepare, and serve a well-balanced noon meal offering a variety of foods. Menus shall be posted. Meals shall include 1/3 of the minimum daily nutritional requirements from each of the four basic food -'groups. Milk shall be provided to each child during the day. Breakfast shall be made available for children who arrive early. A nutritious evening meal shall be available to children who are present during the supper hour. Mid-morning and mid-afternoon snacks of nutritional shall be provided for all children by the center. 812. Waiver of Retirements Not specified 28 DAY CARE CENTERS 820. FOOD PREPARATION 821. Food Pre. =_ration and Service Re - irernents ARKANSAS VII Nutrition. Mealtime atmphere shall be as enjoyable and relaxed as possible and no child shall be forced to eat, but shall be encouraged to set his or her own pace according to personal prefer. enees. Meals shall be served at tables so that each child may be seated. An adult staff member shall be present with the children while eating. Vending machines shall not be available to children. Carbonated drinl0 shall not be made available to the children except on special occasions. Not specified Not pecified SOCIAL RVICES 1000. PARENT PARTICIPATION 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIV1MS vra Buildings and Grounds. If an Infant and Toddler Center an air Care Center are operated in the same building, the areas designated fo re of Infants and Toddlers shall be in J63 29 DAY CARE CENTERS ARKANSAS rooms or quarters separate from the activity of other children. If it is necessary for the room or rooms to adjoin the section occupied by older children, provision shall be made to prohibit the entrance of the older children into the Infant and T6ddler area. This may Jse achieved by closing the door or installing a gate. 1120. HEALTH AND SAFETY REQUIRE ME N Not specifi 1130. INFANT N Not speci -7 1200. CHILDREN wrrH HANDICAPPING CONDITIONS 1210. !ROGRAM OF ACTIVMES Not specified 1220. HEALTH AND SAFETY REQUIREMENT S Not specified 1230. STAFFING M Staff. Additional staff provisions shall be made for the enrollment of physically handicapped or emotionally disturbed children who require individual attention. 30 DAY CARE CENTERS ARKANSAS 1300. S HOOL AGE CHILDREN 1310. PROGRAM OF AcTivrrrEs XII Care of School Age Ckiloteri. If a facility cares for school-age children Oat grade and above) for any Portion of a day whether before and/or after school, or for extended periods during public/private school holidays or during the summer months, its program for care of school-age children shall comply with the Day Care Center Regulations with the following exceptions and/or additions. There shall be a staff/Child ratio of 1:25 for children aged first ade and above. A rest period on cots is not re ired. However, a period for quiet activities must be provided. If a facility designates an area of the center solely for the care of school-age children there shalt be 25 square feet of indoor usable floor space per child. If a facility utilizes the out-of-doors as its major program component for school-age children, covered pavillions and other roofed structures shall provide 25 square feet per child. The requirement for an enclosed outdoor play area may be exempted at the discretion of the licensing worker, if health, safety, and fire hazards are not present. The space requirement for outdoor play area per child remains applicable. Sack lunches shall be accepts e for school-age children. There shall be a minimum ratio of I toilet and 1 wash basin per 30 school-age children.; tlapiarate.toil et facilities for boys and girls shall be N, 4 provided. DAY CARE CENTERS ARKANSAS The program of activities for school-age child-en shall be flexible and provide an opportunity for a child to choose how he will spend his time. A program for school-age children shall provide a variety of activities which may include the following: excursions to museums, zoos and parks, picnics, nature hikes, archery, trampolines, swimming, boating, fishing, horseback tiding, 'physical education, skating and outdoor play. The nature of many of these activities calls for special precautions to be taken to safeguard the health and welfare of children. Upon enrollment, parental permission shall be obtained and kept on file for each activity in which a child may par fel pate. 1320. HEALTH AND SAFETY REQUIRE See 1310. PROGRAM OF ACTIVITMS 1410. SPACE- 1400. FACH,TrY REQUIREMENTS VIII Buildings and Grounds. Thirty-five square feet per child of usable floor space shall be reouired for indoor activities This does not include hallways, bathroom, and kitchen floor space. Separate space shall be provided for the isolation of children who become ill, and s be located in an area that can be supervised at all times by a staff membe Outdoor play space meet the following requirements: There shall be an approved enclosed space offering at lees feet per child present on the playground at any given time 166 75 square DAY CARE CENTERS 1420. LIGHTING, VENTILATIO ARKANSAS AND I13ERATURE VIII Buildings and Grounds. All parts of the center building used by the children shall be well heated, lighted and ventilated during each day. Glass doors shall be clearly marked. Doors and windows shall be tight enough to prevent drafts. When windows and doors are used for ventilation, heavy screens and proper safety precautions shall be taken. New or replacement windows or glass doors shall be plastic or tempered glass. Heating shall be adequate to keep the floor warm and the room temperature between 68 and 75 degrees. Adequate ventilation shall be provided year round. 1430. EATS VIII Buildings and Grounds. There' shall be an emergency exit from the play area, building to provide a safe exit in the event of fire. 1440. TOILETS AND LAVATOFIES X Health. There shat children. enough from the toilet and 1 washbasin available for each group of fifteen (15) While a bathtub is not required, the facility shall have a safe method for bathing children when necessary. DAY CARE CENTERS ARKANSAS 1500. OTHER STATE REQUIREMENTS - COMPLLANCE WITH OTHER LOCA 1510. ZO STATE, AND REGIONAL LAWS AND REGULATIONS VIII Buildings and Grounds. Day Care Centers shall comply with local Fire and Health Department requirements, and building, plumbing and zoning ordinances. Written verification of the annual inspection by the Arkansas State Department of Health and Fire Department shall be on file in the facility. 1520. FIRE See 1510. ZONING 1530. BUILDING See 1510. ZONING 1540. HEALTH See 1510. ZONING 1550. SANITATION VIII Buildings and Ground. All facilities and equipment used for the preparation, storage a /or transporling of food shall meet the Minimum Regulations of the Arkansas State Department of Health, Division of Sanitarian Services. 1360. NEW CONSTRUCTION See 1510. ZONING DAY CARE CENTERS (infant /Toddler Care) ARKANSAS Except where otherwise noted, all citations are from the Arkansas Department of Human Services, Minimum Licensing Requirements for Infants and Toddlers in Day Care Centers, September, 1980. 100. STATE LICENSfG 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 See DAY CARE CENTERS 112. Exclusions and Exemptions See DAY CARE CENTERS 113. HMS Day Care Compliance 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 DAY CARE CENTERS (Infant/Toddler Care) ARKANSAS 200, LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING ROCESS 211. Promul ation of Regulations See DAY CARE CENTERS 212. Adv See DAY C and Other Community P ion E CENTERS 220. LICENSING PROCEDURE 22L Application and Issuance See DAY CARE CENTERS 222. Fee Char Not specified 223. Areas of Invest eation See DAY CARE CENTERS 224. License Renewal Not specified 225. Conditional/Provisional Licenses See DAY CARE CENTERS 226. Substantial Compliance Not specified 230. ENFORCE ENT PROCEDURES 23L Facility Inspections See DAY CARE CENTERS DAY CARE CENTERS (Infant/Toddler Care) 232. Denial, Suspension, Revocation of a License See DAY CARE CENTERS 233. Remedies and Sanctions 233.1 Henri See DAY CARE CENTERS. 233.2 Decisions See DAY CARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS 300. AEIMINITRATION 310. GENERAL A MINI -T 311. General Administrative. Re uirements See DAY CARE CENTERS 312. Telephofie See DAY CARE CENTERS 313. Proof ot....ellitor Financial Cbilities See DAY CARE CENTERS 314. Insurance See DAY CARE CENTERS 320. PERSONNEL 321. Publication of Pe onnel Policies See DAY CARE CENTERS I-51 ARKANSAS DAY CARE CENTERS ARKANSAS (Infant/Toddler Care) 322. Constraints Against Employment See DAY CARE CENTERS 330. NON-DISCRIMINATION L Requirements Prohibiting Discrimination Not specified 340. RECORDS RE UIREMENTS 34]. Children See DAY CARE CENTERS 342. Staff See DAY CARE CENTERS 343. Child Eli -'bin and E oliment Requirements Not specified 344. Child Abuse Reporti See DAY CARE CENTERS 345. Confidentiali Record i Re q uirements Not specified 400. GROUP COMPOSITIONS OF CHUDREN 410. STAFF/CHILD RATIO REQUIREMENTS 411. Staff/Child Ratio as of March, 1981 M Staff. The following staff/child ratios shall be inaintained at all times: Ages 6 weeks to 18 months -1 worker per 6 children 18 months to 3 years -_1_ worker per 9 children DAY CARE CENTERS (Infant /Toddler Care) In a group containing children of different ages the staff/child ratio shall meet the requirements for the youngest child in the group. ARKANSAS Additional staff provisions shall be made for the following. Preparation and serving of food. Housekeeping activities. Absence of staff members. Emergencies and accidents with children or staff which make necessary for a staff member to 3e absent from the center. ,cility has an attendance of more than fifty (50) children, the director /or person in charge shall not be included in the staff/child ratio. 412. Methods of Computing /Child Ratios See 411 Staff /Child Ratio as of ch, 1981 420. GROUP SIZE 421. Group Size as of March, 1981 Not specified 422. Methods of Computi Group Size Not specified 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS 510. CHMD CAREGIVER STAFF QUALIFICATIONS 51L See DAY CARE CENTERS DAY CARE CENTERS (Infant/Toddler Care) 512. Health See DAY CARE CENTERS 513. Education See DAY CARE CENTERS 514. Experience Not specified 520. PROGRAM DIRECTOR QUALIFICATIONS 521. Age See DAY CARE CENTERS 522. Health See DAY CARE CENTERS 523. Education See DAY CARE CENTERS 524. Experience Not specified 530. SUPPORT S'T'AFF QUALIFICATIONS Not specified ARKANSAS 540. POST EMPLOYMENT/INERVICE: ORIENTATION AND TRAINING 54L Program Director See DAY CARE CENTERS 542. Child Caregiver Staff See DAY CARE CENTERS t. 1 (4 6 DAY CARE CENTERS (Infant/Toddler Care) 543. Support Staff See DAY CARE CENTERS ARKANSAS 600. PROGRAM OF ACTIVITIES, LUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. IV Program. All children in care, regardless of age, shall he given the opportunity for outdoor experiences. The program shall include opportunities during each day for gentle holding, cuddling, and talking with infants. Children shall be cared for by the same person on a regular basis if possible. The program shall include a good bale) ue between individual and small group play, along with total group activity. It shall also offer alternating periods of active play and quiet times throughout the daily session. Children shall have opportunities to engage in group activities and quiet play. i 612. Program Equipment and Materials See DAY CARE CENTERS 613. Nap Provision IV Program. There shall be a supervised rest period of at least one hour for all children who attend for more than five hours. Children who arrive at lunch or shortly after shall be required to rest. Individual cots or cribs shall be available for each child as age requires. 7 DAY CARE CENTERS ARKANSAS (Infant/Toddler Care) IX FUrniture and Equipment. Sleeping arrangements shall provide for a comfortable and safe rest period for children. A crib or safe playpen with a waterproof mattress which covers the bottom of the crib shall be provided for each child under 18 months of age. Cots may be used for children 18 months and older if they do not need to use a crib or playpen for rest. Sides of the crib shall be secured for safety. All new or replacement cribs shall meet government safety standards with slats being no greater than 2 3/8" apart. Cribs should be placed at least two feet. A bottom sheet and adequate cover shall be required for each child. Sheets shall be changed daily or more frequently when wet or soiled. Once a sheet or blanket has been used by one child, it shall not tit used by another child until it has been washed or dry cleaned. No more than 2 children shall be placed in a playpen for play. No more than 1 child shall be placed in a playpen for sleep. Diapers and extra shall be kept in labeled containers for each child. 614. Discipline and Guidance V Discipline. Physical punishment shall not be administered to children under three of age. See also DAY CARE CENTERS y DAY CARE CENTERS (Infant/Toddler Care) 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Rerufrements Not specified 712. Health Assessments Not specified 713. immunizations See DAY CARE CENTERS 714 Sanitation ARKANSAS X Health. Planet shall be made for a safe diaper changing area Care of diap training pants shall provide for the following Soiled or wet diapers shall be removed and replaced h clean dry diapers. Soiled disposable diapers shall be placed in closed containers and discarded outdoors. Soiled cloth dpers shall be rinsed immediately: If they are provided by parents, these shall be stored in a container to be taken home. All used diapers and training pants provided by the center shall' be laundered on a daily basis. A washbasin shall be readily available in the area in which infants and toddlers are cared for. 9 171 DAY CARE CENTERS ARKANSAS (Infant/Toddler Care) 715. Day_llinecs ScreeninE See DAY CARE CENTERS 716. Care of Sick Children See DAY CARE CENTERS 717. Medication and Special Diet Proviso See DAY CARE CENTERS 718. Waiver of Health Requirements Not specified 720. SAFETY 721. General Safety Requirements See DAY CARE CENTERS 722. Fire Safety Requirements See DAY CARE CENTERS 723. Transportation ffi -Staff. Transportation of child-en. One (1) adult for no more than three children under 3 years of age. XI Safety. Any person driving a vehicle transporting children for day care purposes shall meet staff age requirements and have a current Arkansas diver's license. A vehicle transporting children shall maintain a ratio of one adult for three children. There shall be a minimum of two (2) adults per vehicle. 17 10 DAY CARE CENTERS (Infant/Toddler Care) ARKANSAS The vehicle shall be licensed, insured and maintained in proper working condition. 724. Sal!tyftient See DAY CARE CENTERS 725. Water Activities ncludi Swimm XI Safety. Any pool of water in excess of I2 inches deep is defined as a swimming pool. Swimming pools and natural pools of water such as lakes, ponds and rivers shall not be used. 726. Emergency ocedur es See DAY CARE CENTERS 727. First Aid Supplies See DAY CARE CENTERS 800. NUTRITION AND FOOD SERVIC 810. NUTRITION 811. Nutritional Requirements See DAY CARE CENTERS 812. Waiver of Requirements Not specified 11 1 9 DAY CARE CENTERS ARKANSAS (Infant /Toddler Care) 820. FOOD PREPARATION 82L Food Preparation and Service Requiremen VII Nutrition. Meals shall be served at tables so that each child may be seated. An adult staff member shall be present with the children while eating. Children who are unable to sit at a table shall be served in high chairs. Infants up to six (6) months of age shall be held for bottle feeding. The use of baby food, bottles and formula shall be agreed upon by the caregiver and parent and may be provided by the parent. Adequate refrigeration shall be maintained with proper identification of the child's food and bottles. See also DAY CARE CENTERS Not specified Not specified 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES Not specified 12 DAY CARE CENTERS (Infant/Toddler Care) 1120. HEALTH AND SAFETY REQUIREMENTS Not specified 1130. INFANT NUTRITION Not specified ARKANSAS 1200. CHILDREN H HANDICAPPING CONDITIONS 1210. PROGRAM OF ACTIVITIES Not scified 1220. HEALTH AND SAFETY REQUIREMENT Not specified 1230. STAFFING See DAY CARE CENTERS 1300. SCI OOL AGE CLIILDREN 1310. PROGRAM ACTIVITIES Not applicable 1320. HEALTH AND SAFETY REQUIREMENTS Not applicable 1400. -FACILITY REQUIREMENTS 1410. SPACE Ser DAY CARE CENTERS 13 Y CARE CENTERS ARKANSAS (Infant/Toddler Care) 1420. LIGHTING, VENTILATION, AND_TEMP RATURE See DAY CARE CENTERS 1433. EXITS See DAY CARE CENTERS 1440. TOILETS AND LAVATORIES X Health. There shall be 1 conventional commode and 1 washbasin for each group of fifteen (15) children in an Infant and Toddler Center. Potty chairs shall be added as needed. Each center licensed for thirty (30) or more children shall have separate toilet facilities for the staff. In the event that an Infant and Toddler Center and a Day Care Center are operated in the same building, the toilet facilities for staff may be shared. Children shall not be punished or berated in any way for soiling their clothes. Clean clothes shall be available for those children who, because of age or other circumstances, might accidentally soil themselves. 1500. OTHER STATE REQUIREMENTS COMPLIANCE WITH OTHER LOCAL, STATE AND REGIONAL LAWS AND REGULATIONS 1510. ZONING See DAY CARE CENTERS 1520. FIRE See DAY CARE CENTERS 14 DAY CARE CENTERS (infant /Toddler Care) 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 15183 ARKANSAS DAY CARE CENTERS FORNIA Except where otherwise noted, all citations are to State of California, Department of Health, laws and Re= ullations Relatin to the Licensing of Children's Day Care Facilities (Excerpts from the California Health and Safety Code and the California Administrative Code, Title 22, Division 2), May, 1p72. 100. STATE IICEN ING OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS REGULATIONS Ul. Definition D/OR LOCAL ORDINANCES AND CAL. HEALTH AND SAFETY CODE 51502 Definitions. "Day care center" means any facility which provides nonmedical care to persons in need of personal services, supervision, or assistance essential for sustaining the activities of daily living or for the protection of the individual on less than a 24-hour basis. CAL. HEALTH AND SAFETY CODE 5 License. "License" means a basic permit to operate a community care facility. A license shall not be transferable. 112. Exclusions and Exemptions CAL. HEALTH AND SAFETY CODES 51505 Exempt Facilities. The provisions of this chapter shall not apply to any of the following: Any neighborhood family day care home which is accredited by a shool district. Any cooperative arrangement between parents for the care of their children by one or more of the parents where no payment for the care is involved. 184 DAY CARE CENTERS CALIFORNIA Any arrangement for the receiving and care of persons by a relative or any arrangement for the receiving and care o? persons from only one family by a dose friend of the parent, guaidian, or conservator, if such arrangement is not for financial profit and occurs only occasionally and egularly, as defined by regulations of the state department. Any similar activity determined by the director. 113. HHS Day Care Compliance 31243 Facilities Receiving Federal Funds-Com pliance with Federal Requirements. Every nursery operated by public, voluntary, or proprietary organization which enters into a contract to accept children whose care is paid from federal funds must meet Federal Interagency Day Care Standards as well as state licensing standards. If the facility has one or more children for whom federal finds are received, it must meeticederal staffing standards, as well as state standards set forth in previous subchapters of this chapter. If a nursery has a substantial number of children enrolled in the facility for whom federal funds are received, it must meet all the standards as defined in this subchapter, as well as state standard. An operating agency is considered to be utiling a substantial amount of federal funds when: 40 or more of the children enrolled are financed with federal monies; or 25 percent or mo-e of the children enrolled in the day care program are provided with federal finds; or 23 percent or more of the income of the center comes from a combination of federal and state or,cal matching funds. DAY CARE CENTERS CALIFORNIA 12©. AGENCY RESPONSIT3LE FOR LICENSING OF DAY CARE PROGRAMS 121. Or= nization of the Administrative Unit Director DEPARTMENT OF SOCIAL SERVICES Chief Deputy Deputy Director COMMUNITY CARE LICENSING DIVISION Chief P OLIC y -it ADMINISTRATIVE SUPPORT BRAN CH 1 Chief FIELD OPERATIONS BRANCH LICENSING POLICY BUREAU .71 LICENSING EVALUATION & SUPPORT BRANCH FIELD SUPPORT SERVICES District Licensing Staff Licenses are issued and revoked at the state /central office level. In those counties with which the state has a contract, the day to day monitoring functions are carried out by county staff. For the remaining counties, these functions are carried out by state licensing in censing staff operating out of seven dis "ct offices. The state/central office monitors and provides consultation to the count -, staff performing the licensing function. The district licensing staff are under the direct supervision of the state/central office. 18 DAY CARE CENTERS CALIFORNIA 122. Responsible Official All in should be addressed to: Deputy Director Community Care Licensing Division Department of Social Services 744 P Street Mail Station 17-17 Sacramento, California 95814 (916) 322 -8538 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promulgation of Regulations CAL. HEALTH AND SAFETY CODE 51530.- The state department shall adopt, amend, or Vepeal such reasonable rules, regulations, and standards as may be necessary or proper to enable the department to exercise the powers and perform the duties conferred upon it by this chapter, not inconsistent with any of the provisions of any statute of this state. Such regulations shall designate separate categories of licensere under which community care facilities shall be licensed pursuant to this chapter. Such regulations shall also designate the specialized services which community care facilities may be approved to provide pursuant to this chapter. 212. Advisory Body and Other Community -cipa CAL. HEALTH AND SAFETY CODE 51532 Ad'Sory Committee on Community Care Facilities; Membership; Duties; Compensation. The Director of Health shall appoint a statewide Advisory Committee on Community Care Facilities consisting Of 21 members to advise him on the e1 4 is DAY CARE CENTERS CALIFORNIA delivery of care and services through community care facilities. The. membership of the advisory committee shall be divided into three groups of seven members each, to be appointed at staggered intervals for three-year terms. The advisory committee shall advise the director regarding regulations, policy, and administrative practices pertaining to community care facilities. The advisory committee shall review proposed regulations for community care facilities, and submit its written comments to the director prior to the adoption of such regulations. The Advisory Committee on Community Care Facilities shall be solely advisory in character and shall not be delegated any administrative authority or responsibility. Committee members shinbeselected from concerned interests including representatives of professional associations, providers and employees of care and services, and consumers of all major types of community care facility services. Such members shall \serve without compensation, but shall be reimbursed for actual and necessary expenses incurred in connection with the performance of their duties. 220. LICENSING PROCEDURE 221. Application and Issuance CAL. HEALTH AND SAFETY CODE 8-1509 Necessity of Licensure; Temporary Permit; County Facilities; Inspection, Licensure and Approval. No person, firm, partnership, association, or corporation 'vithin the state shall operate, establish, manage, conduct, or maintain a community care facility in this state, without first obtaining a license therefor as provided in this chapter. 5 DAY CARE CENTERS CAL 0- NIA No person, firm, partnership, association, or corporation within the state shall provide specialized services within a community care facility in this state, without first obtaining a special permit therefore as proYided in this chapter. The state department shall inspect and license community care facilities. The state department shall inspect and approve a community care facility to provide specialized services. CAL. HEALTH AND SAFETY CODE 51520 Applications for License; Contents. Any person desiring a license for a community care facility or a special permit for specialized services under the provisions of this chapter shall file with the state department, pursuant to regulations, an application on forms furnished by the state department, which shall include, but not be limited to Evidence satisfactory to the state department that the applicant is of reputable responsible character. If applicant is a firm, association, organization, partnership, business trust, corp,ration, or company, like evidence shall be submitted as to the members of shareholders thereof, and the person in charge of the community care facility for which application for license or special permit is made. Evidence satisfactory to the state department of the ability of the applicant to comply with the provisions of this chapter and of rules and regulations promulgated under this chapter by the state department. Such other information as; may be required by the state department the proper administration Lind enforcement of this chapter. 6 DAY CARE CENTERS CALIFORNIA 222, aefimiar CAL. HEALTH AND SAFETY CODE 51523 Fees; Payment of Portion on Application; Balance; Reduction, Waiver, or Exemption; Anntal Assessment and Report. Each application for a license or special permit submitted to the state department shall be accompanied by a fee to be determined annually by the director. ,On and after January 1, 1974, no local jurisdiction shall impose any business license, fee, or tax for the privilege of operating a facility licensed under thiS chapter which serves six or fewer persons. 223. Areas of Investigation CAL. HEALTH AND SAFETY CODE 51522 Criminal Record of Applicant; Ground for Refusal of Licensure. Before issuing a license to any person or persons to operate or manage a community care facility, the state department shall secure from an appropriate law enforcement agency a criminal record to dettrinine whether the applicant, facility administrator or manager, or the spouse of such persons living in The same location, has ever been convicted of a crime other than a minor traffic violation. If it is found that the applicant, facility administrator or manager, or the spouse of such persons living in the same location, has been so convicted, the application shall be denied, unless otherwise provided pursuant to this section. After review of the record, the director may exempt any applicant for a- license or certificate from the provisions of this section if the director or person in charge of the county inspection service believes the applicant to be of such good character as to justify issuance of a license. 7 1 9y DAY CARE CENTERS CALIFORNIA 224. License Renewal CAL. HEALTH AND SAFETY CODE 11524 Duration of Licenses; Renewal; Expiration Upon Failure to Renew. Each new license or special permit issued pursuant to this chapter shall expire 12 months from the date of its issuance. Application for renewal of a license or special permit accompanied by the necessary fee shall be filed with the state department not less than. 30 days prior to the expiration date each year. Failure to make a timely renewal shall result in expiration of the license or special permit. A renewal license or special permit may be issued for a period not to exceed two years, providing the licensee has been found not to be in violation of any statutory requirements, regulations, or standards during the preceding license period. In all other cases, the renewal license or special permit shall be issued tor a period not to exceed one year. 225. Co visional Lice CAL. HEALTH AND SAFETY CODE :1525 Issuance of License, Special Permit, or Provisional License. The director may issue provisional licenses to operate cornmtmity care . facilities for facilities which the director determines are in substantial compliance with the provisions of this chapter and the rules and regulations adopted pursuant to this chapter. Such a provisional license shall expire six months from the date of issuance, or at such earlier' time as the director may determine, and may not be renewed. 226. Substanti Not specified e-om oliance 8 191 DAY CARE CENTERS CALIFORNIA 2 . ENFORCEMENT PROCEDURES 231. Facility rat:motions CAL. HEALTH AND SAFETY CODE 51533 Inspection by Department. Any duly authorized officer, employee, or agent of the state department may, upon presentation of proper identification, enter and inspect any place providing personal care, supervision, and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation of, any provision of this chapter. CAL. HEALTH AND SAFETY CODE 51534 Periodic Inspection and Evaluation; Notification of Deficiencies and Noncompliance; Civil Penalties. Every licensed community care facility shall be periodically inspected and evaluated for quality of care by a representative or representatives designated by the director. Evaluations shall be conducted at least once per year and as often as necessary to instil.* the quality of care being provided. The state department shall notify the commtr', 7 care facility in writing of all deficiencies in its compliance with the provisions of this chapter and the rules and regulatio adopted pursuarill to this chapter, and shall, set a reasonable length'of tim for compliance by the facility. Upon finding of noncompliance, thCtratedemrtment may levy a citril penalty not to exceed fifty dollars ($50) per day which shall-be paid to the state department each day until the state department finds the facility in compliance. If the facility fails to comply within the established length of tine, then the amount collected from the facility shall be forfeited to the state department. In such case, the state ) department may also initiate action against the facility in accordance with the provisions of Article 5 (coMmencing with Section 1550) of this chapter; 9 192 DAY CARE CENTERS CALIFORNIA Reports on the results of each inspection, evaluation, or constatation shall be kept on file in thee state .department, and all inspection reports, consultation reports, lists of deficiencies, and plans of correction shall be open to public inspection in the county in which the facility is located. 232= Denial, Suspension, Revoitationsof a License CAL. HEALTH AND SAFETY CODE 51525 Issuance of Licenses, Special Permits, or Provisional License. , Upon the filing of the application for a license or for a special permit and full compliance with the provisions of this chapter and the rules, reatims, and standards of the department, the 'director shall issue to the applicant the license or special permit. If the director finds that the aPplicant .is not in, compliance with the laws or regulations of this chapter, he shall deny the applicant a license or a special permit. Immediately upon the denial of any application for a License or for a special permit, the state department shall notify the applicant in writing. Within 10 days after the state depiFtmerlt mans. the notice, the applicant may present his written .petition for a hearing to the state dppartment. Upon receipt by the state department of the petition in proper form, such petition shall be set for hearing. / CAL. HEALTH AND SAFETY CODE S1550-1551 Suspension or Revocation of License and Special Permits; Grounds; Temporary Suspension. The state department ay- suspend or revoke any license or special permit issued under the provisibns of this chapter upon any of the following grounds and in the manner provided in this chapter: 193 10 DAY CARE CENTERS CALIFORNIA 4s Violation by the licensee or holder of a special permit of any of the provisions of this chapter or of the rules and regLilatiors promulgated under this chapter. Aiding, abetting, or permitting the violation of any provision of this chapter or of the rules and regulations promulgated under this chapter. Conduct in the operation or maintenance, or both the operation and maintenance, of a community care facility which is ininlicel to sths health, moraLS, welfare, or safety of either an indiVidual in or receiving -services from the facility or the people of the State of California. CAL. HEALTH AND SAFETY CODE 51552 Notice of Proposed Suspension of Revocation; Noticeof Defense; Hearing; Final Determination. When the director intends to seek the suspension or revocation of a licerwe or special permit, he shall notify the licensee or holder of the special permit cif the proposed susperalon or revocation and at the same time shall serve such person with an accusaton. Upon receipt of a notice of defense from the licensee,or holder of the special permit, the director shall set the matter for hearing within five days after receipt of such notice. The director shall make a final determination. as to whether to-suspend or revoke the license or spec permit within 30 days after the original hearing' has been completed. CAL. HEALTH AND SAFETY CODE 51553 Withdrawahof ApT311 Disciplinary Actions Following Suspension, Expiration or Fbrfiture. The withdrawal of an application for a. license or a special permit after it has been filed with the state lepartment shall not, unless the state department consents in writing to such withdrawal, deprive the _state department of its authority to institute or continue a proceeding against the applicant for the denial of the license or a special permit upon any ground provided by law or to enter an order denying the license or special permit upon'iny such ground. DAY- CARE CENTE CAt1FORNIA The suspension, expiration, or forfeiture by operation of law of a license or a special permit issued by the state department, or its suspensice, forfeiture, 'or cancellation by order of the state department or.by order of a court of laW, or its surrender without the written consent of the state department', shall not - deprive the state department of its authority to institute or continue a disciplinary proceeding against the licensee or holder of a special permit upon any .ground provided by law or to enter an order suspending or revoking the license or special permit or otherwise taking disciplinary action against the licensee or holder of a special permit on any such ground. 233. Remedies and Sanctions 233.1 Hearings See 232. Denial Sus = rei0h, Revocation o_ 233.2 Decision See 232. Denial_ ion, Revocation of a License 233.3 Judicial Review CAL. HEALTH AND SAFETY CODE 51540-1543 Violation4 of Chapter or Regulations; Miidemeanor. Any person who violates any of the provisions of this chapter, or who willfully or repeatedly violates any rule or regulation promulgated under this chapter, is guilty of a misdemeanor and upon conviction thereof shall be punished by a fine not to exceed five hundred dollars ($500) or by imprisonment in the county jail for a period not to exceed 180 days, or by both such fine and imprisonment. CAL. HEALTH AND SAFETY CODE 51 542 2 Actions ,Pending at the Time of Sale or Transfer of Facility; Abatement. Any action brought by the director against community care facility shall not -abate by reason of a sale or other transfer of ownership of the community care facility which is a party to the action except with express written consent.of the director. 95 DAY CARE'CENTERS CALIFORNIA' CAL. HEALTH AND SATIETY CODE 51543- District Attorney; Institution and Prosecution of= Actions. The district attorney' of every county shall, upon epplicatitin by the state department or its authorized representative, institute and conduct the prosecution of any action for Qviolation within his county of any provisions of this chapter. 300. ADMINISTRATION GENERAL ADM STRATION 31L General Administrative Requirements 31243 Facilities Receiving Federal Funds - Cdmpliance with Federal Requirements. Staff Training. The operating or administering agency shall provideror arrange for the provisioixof orientation, continbous inservice training and Supervision of all staff involved in the day care program. 31191 General Requirements. The organkation of every facility shall be such that legal res clearly defined and admin rative authority specifically placed. The persons respe,_,Ible for the facility, shall detrmine what children the facility can best serve, establish a program to serve these children and adopt policies which permit the admission of only those children who need what thp facility has to offer. A w ten statement of program shall inch The purpose of the service. The administrative frameworkbfor providing the service. The conditions under which it will be made available. Whether the service will be provided by the facility or secured from 6 another age' 13 196 .t)AY CARE CtNr3Fr The persons r. CALIFORNIA 1ility shall review the program and admission' policies at liee t annually o wire that the program offered is needed by the children under - 31192 Grp F,, lifaP.ts Under 2 Years. Group day Crk ildrcen 2 years of age shall be permitted for th e children for Who; the ,ouriity involved offers no reasonable alternatiye, s ai a- sufficient -mornt-Ner (-4 family day care hqrnss to pr9vide iequate care,or to meet the special needs of partiqulac groups, such as mothers attendihg school or training, or -migrant workers living in.specifil camps for migrant workers and. shall be permitted only under the direction of a nonprofit facility. 1192.1 Reports of Personnel. The name of the employed manager any; and the substitute manager shall b reported tothe licensing age nc'Y prior to the granting of the license. Individual &ice nsee. Each licensee who is an individual s4talh be at-least 18 years of age, meet the qualifications for the director or employ a director whp meets these qualificatiops, meet the personal qualifications for all staff, and have the ,knowledge add ability to carry out the following respOnsibilities: Knowledge f good administrative, educational, and child welfare practices. Ability to communicate effectively in Knowledge and ability to develop personnel practic practices which will make it possible to attract and retain qualified staff. Ability to organize time and materials. Knowledge ability to develop sound financial practices bas understanding of capital outlay, operadonal budgeting, and a procedures. 14 197 DAY CARE CENTERS a 31194 Employed Director. CALIFORNIA When ,professionally qualified director is employed to administer a facility, a clear written/ statement of the administrative respo ibility ,and authority L delegated to the director shall be developed. This written, statement shall be available to the director and to SDSW. 31198 Fees Fees shall be in discussed- with all appli a schedule or chart and be available to and 31201 _Responsibilities of Directors. There must be aresponsible director in charge of the nursery it a! times it is in operation. To be in charge mean that (except for programs lasting, more than eight hours) the director must usually be mi the premises, available to staff, parents, and children. He may not accept outside em oyment which interferes with these .duties.. - In a proprietary institution the director may the owner or an employee of the owner. The structure of lome organizations is such that substitution of the term "head teacher" is appropriate for the term "director ". Such a difference in position title is acceptable provided the head teacher meets qualifications of the director and there is appropriate written delegation of responsibilities. Licensees who are directors and who own two or more day nurseries must limit the responsibllities.they carry. Each such day nursery must have a full-time director. The licensee may serve as the full-iime director -of oneof the day nurseries or may serve as the executive director for all the day nurseries, employing a full-time director for eadh day nursery. 31203- Substitute for the Director. When the director is required :to be abient temporarily from the nursery, arrangements shall be made for another staff member at least 18 years of age . p to act as a.substitute. 1 5 198 DAY CARE CENTERS the absence is for more than one month, the quali ficationa of a director. 31210 Duties of Teachers-Day Nursery. The teacher shall work full time with a group of children in keeping with the hours the nurre-y is in operation. The work with the children shall include arming and super3.ridion of their carer 4 The teacher shall,have responsibility for: Supervising the children individually and as a group. CALIFORNIA ing director mu eet the Providing care, guidance, and IleveloPmental Prperienc meeting apropriate education emotional needs of the children. The teacher shall not be expected to out .sirrt.._ultaneously other respOnsibilities; except that during the children's rest period, he may perform some additional tasks related to his teaching funellon provided the chit en are. adequately supervised. 31215 Clerical, Housekeeping and Maintenance Staff. Sufficient staff to carry out necessary clerical, housekeeping and maintenance functions shall be provided. PenLons employed for these functions shall not be included' as teachers in considering the adequacy of teaching staff for regular .superviiion of groups, but may be used as emergency substitutes 'if personal qualifications and duties permit. 31221 Admission Policies. Every masery must establish admission criteria designed to guide in the selection of children who can benefit most from the program and services it has to of fer. Every nursery shall state its admission criteria in written policies available to the public. and make such DAY CARE CENTERS p CALIFORNIA The admission policies established by each nursery shall be determined by the total brograni, including The hours of operation The size of groups The number-and qualifications of staff The program activities .9 The supplementary serviceEr provided. Although its program will determine the specific admission policies established by each 'nursery, the admission pollcies of all .nurseries must include- the ollowig Children under two years of age shall not be accepted. Each child admitted must be determined -be ready for the type of group experience that the nursery has to offere and able to benefit from the program offered. Children who we physically handicapped or emotionally disturbed shall not be accepted, unless it is determined that There will be no adverse affect upon ether children, either through direct behavior of the child or through requiring staff time needed by other children, and the nursery is able to meet the individual needs of the child. 312. Tel one N5fspecified 313. Proof of Operator Financial Capabilities 31195 Funds. Any applicant for a new license must: Have the financial ability to meet the cost of providing and equipping the physical plant and meeting other capital costs. 20u DAY CA .CENTEttS - CALIFORNIA 4 Have available at the beginning of operation cash, other liquid reserves, guarantees by a' responsible governing board or predictable income to acility in accordance may be set forth in at three Months. The children hn ipay, with reasonable may be Inc tided ix determining the cover the estimated cost of operation- o with regulatiorz and such additItInal sex policy and adVertising statements number . of enrolled children Or ceriainty be expected to enroll "predictable" income. Submit a written stat to h e Department of Social Welfare demonstrating financial ability to mee the fiscal reouirements for a license. :IN Each facility shall have sufficient resources in the.korm of financial. reserves, anticipated income, or guarantees by_a responsible governing board, to insure a facility operation in keeping"with regulation.. Cash or other liquid as available at all times 6 s sufficient to -.meet current obligations shall be The funds shall be accounted for in a saner which maces it possible to show, income and expenditures for the facilit program. 31196 Financial Records. , .. Financial records including Income and expenditures shall ni ained in sufficient detail' to show the financial status of the facility. i Financial records shall be available for review by-the State Department of Social Welfare. L DAY CA RE CEJJTERS .31197 Insurance. The faellity shall carry adequate and appropriate insurance, including Workments?Compersaticin coverage. Evidence of compliance with this section _CAL FORMA shall be available for review by the State Department of Social Welfare. 320. 'PERSOistNEL 321. Publication of Personnel Po "c" Not specified 330. Non4:11sCRIICNATION 331. 1 Requirements Prohibiting Discrimination 31223 Nondiscrimination. / The written Zamissitin policies shall Include a Staternert that the nursery is operated at a nondiscriminatory basis;' a c ring equal treatment and access to services without regard to race, color, religion, national origin or ancestry An otherwise eligible child may not be excluded on the basis of these characteristics, except as indicated below. A nonprOfit nursery established to Serve an identified group may serve children of. this group, but shall not Maori h to within the gTopp on the basis of race, color, religion, national origin ar A religious group may elect to serve' children of a particular religious faith, but may not discriminate wittiiithe koup an thekasis f race, color, national origin or ancestry. AIDE CENTERS CALIFORNIA 4 RECORDS REQUIREMENTS Children 231 Case Records. A complete and current record shall be maintained for each child and shall be readily available at all times. A daily attendance record shall be maintained . . and shall be readily available at all times. / 31233 Content of Record. The record on each child enrolled shall include the followi Child's full name, birthdate and current address Father's full name- Mother's name Addresses of both ents-if available Name, address, telephone (horns and business} and signature. of person or persors responsible for child. Names of persons authorized to take child from nursery Names, address, ai responsibility for reached immediate teleph'tis of relatives or others who can assume e child, if for some reason, the pareIt cannot be y, in an emergency Name, addresses and telephone of physician to ory prior to admission, including immunization Physician's Pre-adntission report. 20 1)3 n an emergency DAY CARE CENTERS CALIFORNIA Instructions for the action to .be taken in case the parent or the physician designated by the parent, cannot be reached in an emergency. Continuing th history, din Informati9n on illness' IV e enrolled In the nursery / Detailed- information on any acciiient or injurieses to the child in the al nursery, and any emergency medic attention given. Significant information learne romobservation of the child. 312 89 Comprehensive Record. A comprehensive record shall be Maintained at the nursery for each child and shall contain the following: Significant% physical findings at admission. Written report of physical examination. Plan for medical care in case of eritergendy. Name of family physician or source of health care. Written permission from the family to obtain em and permissible alternative sources of care. ncy medical 6 Telephone number and address of place-Where parents can be reached in an emergency, if possible. . - Competent adult authority o act for parent in case of emergency when parent is not avallable. zl 2 0 4 D Y CARE CENTERS CALIFORNIA Notes of Staff and/or nurse as to child's health and development; Pertinent subsequent physical findings. 342. Staff Not specified 343. Child Eligibility and Enrollment Requirements 31225 Admission Procedures. There must be a plan for initial and conti Jiing relationships between nursery and parent, which provides for a sharing by the parent in the-decision about the admission of the child to the nursery and in all later decisions affecting ,' the child. There must be a plan for admission of the child to the group that will allow for gradual orientation of the child to the nursery. 31227 interviews with Parents. The admission procedure must include a personal interview ortinterviews with the parent to exchange information and arrive at a joint decision about the admission of the child. r During the admission interviews, the parent must be given complete infdrrnation about the nursery. This must include its admission policies and procedures, activities, services, .r fees. atiorm, hours and days of operations and In these interviews, the nursery must obtain the folio rig: Assurance that the parent has a practical and realistic way of providing for the care of his child when ill. All identifying information required by Case Records. 2 1i DAY CARE CENTERS CALIFORNIA All health.information required by Pre-Admission Health Evaluation. Instructions as to the action to be taken in case the parent or the physician designated by the parent cannot be reached in an emergency. 344. Child Abuse AbusexReporting Not specified 345:- Confidentiality of Records Requirements Not specified 400. GROUP COIVIPOSITIONS OF CHILDREN 410. STAFF/CHR,D RATIO REQUIREMENTS 411. Staff/Child Ratio as of- March,1981 31243 Facilities Receiving F eral Funds - Compliance with Federal Requirements. For children three to four years old, there shall be no more than 15 in a group, with a teacher and sufficient assistants, supplemented by volunteers, so that the total ratio of adults to children is no less than one to five. For children four to six years old, theil'e shall be no more than 20 in a group with a teacher and sufficient assistants, supplemented by volunteers, so that the total ratio of adults to children is no less than one to seven. For children six through fourteen years, there shall be no more than 25 in a group with a teacher and sufficient assistants, supplemented by volunteers, so that the total ratio of adults to children is no less than one to ten. DAY CARE CENTERS CALIFORNIA' 31257 Child-Staff Ratio-Group Care of Infants. If a nursery has more than 25 infants enrolled, there shall be both a director and an assistant director on the staff. There shall be sufficient staff to assure that at least -zne staff person shall be within sight and sound of each child in the nursery at all times. There shill be at least one nursery aide for every four infants enrolled in the nursery. 31259 Child-Teacher Ratio Day Nursery. There must be an overall ratio of not less than one teacher to 12 enr children. A teacher-assistant may be used in a ratio of one teacher and one assistant for every 15 children enrolled. The Director of a nursery may be counted in the child-teacher ratio during the time he is actually engaged in teaching a group of children. 412. Methods of Computing Staff /Child Ratios See 411 Staff/Child Ratios as of March, 1981 420. GROUP SIZE 421. Group Size as of March, 1981 See Staff /Child Ratios as of March, 19 81 422. L ethods of Computing Group Size Not specified 2 DAY CARE CENTERS CALIFORNIA 500. STAFF QUALIFICATIONS AND TRAINING RFt UIRFN11yN 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. Age 31205 Nursery Aide - Group Care of Infants. A nursery aide shall be at least 16 years of age. 31209 Teacher - Day Nursery. A teacher shall be at least 18 years of age 31211 Teacher's Assistant-Day Nursery. A teacher's assistant shall be at least 18 years of ago. 512. 31219 Personnel H ealth. A complete physical examination by a licensed physician shall be required of each staff member (including the director, teacher, parent participants, cooks, etcetera) prior to beginning work. This examination must include the verification of freedom from tuberculosis. The nursery must also have on file, reports showing that each employee has had the reqUired test or X-ray within the last twelve months, and is free f tuberculosis. The s shall be in writing kept on file in the nursery. Staff members shall not be allowed to come to work when ill with contagious diseases (such as colds) or with other illnesses which. would affect their performance. .25 DAYCARE CENTERS CALIFORNIA 51 Education 31199 Personal Qualifications. All staff members must be of character and equipped by education, training and/or experience for the work they are required to do. All staff members must be in good physical and mental health. All persons having direct contact with children must be suitable age and temperament for work with children. These persons must have the following qualifications. They must store, r ponsble adults. They must have the qualities of armth and friendllness. They mutt have the ability to understand and accept individual differences in children. 31207 Qualifications of Nursery Aide-Group Care of Infants. A nursery aide must: have graduated from hi r have equivalent education; or be enrolled in a course leading to graduation m high school; or demcostrate through previous experience the potential for increasing skills through study, corderences, observations and other means of learning, and have experience in caring for children, either in own home' or other person's home, or as ctiildren's nurse, practical nurse or rearing own children. 21.1i) 26 DAY CARE CENTERS CALWORNIA 31209 Teacher-Day Nursery. A teacher shall meet the requirements for all -staff shall meet one of the following requirements: Be enrolled in a course of study leading to a high school diploma or the equivalent, and have had two years experience in group child care, and successful completion of 12 semester units or the equivalent in Early Childhood Education or other units of formalized training, under a qualified instructor, in working with-children of the age group served by the day nuery or After employment, successful completion each year of at 1 two semester units or the equivalent in Early Childhood Education or other formalized training under a qualified instructor, in working with children of the age group served by the day nursery, until at least 12 such units shall have been completed. Graduation from high school or the equivalent such as receiving a passing grade in an appropriate examination, and successful completion of 12 semester units or the equivalent in Early Childhood Education or other units of formalized training under a qualified instructor, in working with children of the age group served by the daynursery., The education requirements do not apply to teachers employed before May 1, 1970. A teacher who qualified under the provision shall so qualify for a period of three years following termination of employment. 514. Erieriee See 613. Education, 27. " , DAY CARE CENTERS CALIFORNIA 520. PROGRAM DIRECTOR QUALIFICATIONS 521. Age 31202 Qualifications of Director. The director must be least 18 years o 522. Heelth See 512. Health 523. Education 31202 Qualifications of Director - Day Nurse The director must have education and experience which will provide the knowl e and skill needed to carry out an effective program of child-care set forth in these regulations and must meet one of the fo awing requirements: High school graduation and successful corn of 12 seynester units or the equivalent in Early Childhood Education or other formalized training under a qualified instructor, in working with children of thee age group to be served and the equivalent of three semester units in admintration or staff relations and four years of teaching and child care experience in a day nursery or comparable group child care program. OR One year of attendance at an accredited college or Junior College, and successful completion of 12 semester units or the equivalent in Early Childhood Education or. other formalized training, under a qualified instructor, in working with children of the age group to be served and the equivalent of three semester units in administration or staff relations, and two years teaching and child care experience in a day nursery or comparable group child care program. OR 211 28 DAY CARE CENTERS CAL1FORN A Two years of attendance at an accredited college or junior college and completion of 12 semester units or the equivalent in early childhood education or other formalized training, under a qualified instructor, in woridng with children of the age grcup to be served and the equivalent of three semester units in administration or staff relations, plus one year of teaching and child care experience in a day nursery or comparable groiip child care program. OR A Bachelor's degree from an accredited college and A major in Early Childhood Education, or Successful completion of 12 semester units or the eotdvalent in early childhood education or other formalized training, under a qualified instructor, in working with children of the age group to be served and the equivalent of three semester !slits in administration or staff relations. Experience to be qualifying must be verified, satisfactory, full time (at least 3 hours per day for a minimum of 100 days in a calendar year) as a paid or volunteer staff member under supervision of a person who would qualify as a director under these regulators. The 12 iemester units in working with children shall include courses covering the equivalent of the following: Child Growth and Development or Human Growth and Development. Child, Family and Community or Child and Family. Fro ran 29 dl et DAY CARE CENTERS CALIFORNIA The education and experience requirements do not apply to directors who were employed prior to May 1 970. A director who qualifies under this provision shall so qualify for a period of three years following termination of employment. 524. Experience See 523. Education 530. SUPPORT STAFF QUALIFICATIONS 31217 Other Professional Staff. When nurseries employ or use professional staff such as phvsiciai psychiatrists, Social case workers, psychologists or !nurses, these persons must meet the minimum professional standards in their particular fields. Professional p_ ersons whose practice is regulated by state law, must meet the requirements of the Department of Professional and Vocational Standards. 540. POST E LOYMENT -SERVICEOORIENTATION AND TRAIN 541. Fro ram Director 31243 Facilities Receiving Federal Funds - Compliance with Federal Requirements. Staff Training. The operating or administering agency shall provide or arrange for the provision of orientation, continuous inserviee training and supervision of all staff involved in the day care program. 542. Child Caregiver Staff See 541. grogram Director 543. Support Staff See 541. Program Director I 30 2 DAY CARE CENTERS cALrFop.NIA 600. PROGRAM CP ACTIVITIES, INCLUDING EDUCATION 610. PR REQ 611. Program of Acti 31239 Program. Each nursery must provide a well balanced program of daily activities designed %,- tonneet the needs Of the children served and based upon the principles of good nursery 'education. The dell' schedule must provide a certain amount of regularity to permit children io have the security of knowing what comes next, and a regular schedule pbysjcal routines-meals, snacks, naps, and toileting. 612. Program Equipment and Materials 31239 Program. Play materials and equipment in sufficient variety and quantity to meet the interests and needs of the children must be provided. Equipment and materials must be suitable for theage range served, and must be selected according to the type of supervision provided. 31321 Firnitire and Equipment. An adequate number of tables and chairs must be provided to meet the needs of the group to be served for meal time and play activities. Tables and chairs must be scaled to the size of the children using them. There m naps. X. a well -cor tructed cot and bedding available for each child who Suitable play equipment and materials must provided. 31 DAY CARE CENTERS 612. Nap Provision 31239 Program. Provision must be made for all children under after lunch. CALIFORNIA years of age to have a Adult supervision must oikided during nap periods. Napping exits must be spaced to prevent overcrowding and to allow the children to rest well without distraction 0? disturbance. 9 1eeping Arrangements. Bach child shall have a separate lib, cot or floor pad for sleeping and no other child shall occupy this. Each child's bedding sh or soiled. sed fqr him only, and shallp1acjd when wet ti Bedding shall be changed daily. 614. Discipline and Guidance 31239 Palgrarn. Constructive methods mt individual behavior. or mining group control and hand Corporal punishment and other humiliating or fri ening techni prohibited. Punishment must not be associated with food, rat, isolation or illness or toilet trainin 32 215 DAY CARE CENTERS 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Requirements CAtWORNIA 31243 Facilities Receiving Federal Funds - -Compliance wtih F Requirements. Health Services. The operating or administering agency shall assure that the health of the children and the safety of the environment are supervised by a qualified physician. Nurses or others with appropriate training may plan and supervise th health aspects of a day care program, but the total plan must be reviewed by a pediatrician or a physician especially interested in child health. 31263 General Requirement. An nurseries must make. adequate pr ovision for them action the health of the children coming into their care. 31273 Continuing Health Supervisionl. Nurseries mutt maintain continu ig supervision of the chileten's health throughout the period of attendance. The nursery staff mast be evert to physical, emotional or mental problems which may interfere viith a' ustment in the nursery. Any unusual behavior or signs of illn s'shall reported to the parents. n2. Health Assesstrients 31265 Pre-Admission Health Evaluation. Prior to accepting a child, the nursery m determine that he is 216 DAY CARE CENTERS CALIFORNIA In Food general health. ithout defects or illness which would endanger other children_in the _nursery or make his participation in vigorous activities inadvisable. Physically and emotionally ready for the particular program of the nursery. The nursery must secure information as to any special health problems or Siandcaps which will require attention in the nursery or limit the chfrdS activities. 31267 Health History. Before a child is accepted for care, the nursery mist obtain from the parent, sufficient information about the child's health and development to Be Sure t the child is within the normal range in health and development. Know enough about the child to be able to understand ts individual needs and be certain that they can be met in the nursery program. 31269 Physician's Report. Prior to admission, the nursery must obtain for each child, not otherwise exempt, as provided below, a written report from a licensed physician, preferably the family physician. The physician's report must cover the child's general health, physical and emotional maturity, special problems and needs, immunizations, and test for tuberculcis. The parent shad be required to have the child examined pri6r to admission the child has not had regular health supervision and there is no physician who can complete the report on the basis of his prior knowledge of the chgas health. DAY CARE CENTERS CALIFORNIA Exception: Parents who adhere to a religious faith practicing healing by prayer or other spiritual means, may be exempted from this requirement if they provide the required health history, and sign a statement which indicates their: Acceptance of full responsibility for the child's health. Refusal to obtain a medical eximination of the child. Request that no medical care be given to the child. 312 8 7 Health Evaluation. Every child admitted to the nursery shall have a physical examination within two weeks aft4r admission unless he has had a complete physical examination within a month prior to his admission. The appropriate immunizations for his age shall have been given or shall be in process. 713. Immunizations 312 71 Immunlzatiors. All children not exempt from this requirement must have the following immunizations before admission: Diphtheria Pertussis Tetanus Poliomyelitis Measles The nursery must obtain, as part of the preadmission evaluation, information as to whether such immunizations have been given. and shall refer all children not adequately protected for necessary immunizations. 35 213 DAY CARE CENTERS CALIFORNIA Exception: A ct iid may the exempteld frorn-7n this requirement when his physician recommendsagainst immunizatiozn on medical grounds, or his parents sign a requesi far exemption on the T basis of religious belief. 714. Sanitation 31283 General Sanitation. Nurseries must maintain en acceptable level of general" sanitation and cleanliness with regard to the plant, playgrou- equipment and storage of supplies, bedding, clothing, eta. ' provisions for proper washirigaf dishes ar utens be made. The use of common wash clothsand towels by the is prohibited. 31301 Building Reqtairernents-AllNursen'es. The floors of all rooms must have a surface which cleanliness. provides safety, warmth and Adequate provision must be made for the story of ning equipment and for the disposal of waste water, 31313 Drinking Water. Drinldng water must be readily available both irm the playrolpms and on the playgrounds, so that childremere free to drink as tIrlhey wish. 715. Da._liStrtslNilin 31275 Morning irepection. Ill children shall not be ace pted for care in a MU'S ry. The nursery must make ewers/ effort to gain trimie cooperation of parents in keeping their children at borne when,they are not wwell. 21p 36 DAY CARE CENTERS CALIFORNIA The nursery has responsibility for seeing that children with obvious symptoms of illness, including, the common cold, are not accepted. The regular reception procedure used to meet this requirement must include the following: A parent or a person designated by the parent must bring the child into the nursery, unless the child is old enough to come alone and the parent has Made this plan with the nursery. Children must not be dropped off at the door. The adult bringing the child must remain until the child is accepted. The child must be observed by a staff member who knows the child and has had instructions as to early signs of illness and screening procedures. The specific inspection procedure used must be in accordance with the advice of the nursery's consulting physician or local health department. The inspection procedure must take place before the child enters the goup. When the children are picked up by automobile at their homes, the inspection procedure must take place before the child enters the car. ial attention shall be paid when a child has been absent because of illness and a particular contagious disease is epidemic. Under these circumstances, the nursery must be particularly careful to watch for early signs of this illness. 716. - Care of Sick Chu -en 31277 Isolation. Some provision nits ill during the day. made for isolating or a child who be 11NY CA E CENTE RS CALIFORNIA Illeparer=t shall be notified immediately when the child becomes ill, and asked tocome r or him at once, olll child may be kept in the nursery only unt =1 his parent can come for him. 111. Plot Waiver of HealthRe ireme- See 712 RH ealth Assessments 710, _FETY gnera11y2fet Re iirements 2155 Sal ety. Awnings, canopies, or wooden lath structures tz_ised for shade must be approved tore sA__f et y. 199 1)1tyground-FencIng, Ihtplayround must be properly fenced with ma substantial fence of sufficient telght to provide adequate prOtection for elldren and to keep them in the- or° tra_m d Ilfish posonds, wading pools, swimming pools itnd similar bodies of water shall 'pomade i naccessible when not in use, by fenciramg or covering. corrtruction or equipment (such as incinerator) which cannot be emoved - and which causes a hazardous situsion on the playground must be eideGuateLt_y fenced off orenclosed. 22i DAY CA.RECENTE RS CALIFORNIA 31311 Tc Yilets and Handwasil Yung F aciliti es. Hot waterused for handw asking shall not be required. However, if hot water is used for handwashing Lit shall not exceed 48.8 degrees C (120 degrees F). Taps delivering water whiRch exceeds 48.8 degrees C (120 degrees F) shall be made inaccessible to the e en. 722. P ireSl Not sge,cified --meats 723. Treraportat4on Not speciled 724. Safety Require n Equipment 31321 Furniture and Equipment. All ecpipment must be kept in parts. Furni cord etwipment rim 725, Weiler A cti vi Not specified 726. trergency condition, free of sharp, loose or pointed anted so as not to interfere with exits. udirkg Swimming) 31279 Enorgency Medical Care. In cases oiliness, aceiderwit, or injury to any child, the nursery must be able to make prompt arrangernerunts for notification of the parents and for medical care, if necessary. Parents Sall be notified i mmediately of any illness or injury to the child in the nursery, and their specific r instructions regarding action to be taken, obtained. DAY CARE CENTERS The nursery m CALIFORNIA prepared to obtain em er ncy mediea_ specific parental instruction in case the parents cannon e without reached immediately, csr the nature of th llness or injury is such that= there should 1.3e no delay in get -ting medical advice. The nursery nr t have an arrangement with a nearby phyrrician, clinic, of hospital so that immediate treatment ears be obtained in etnerlomencies- , 72 7. First A i d Supplies 31281 First Aid_ The nursery shall maintain first aid supplies sufficient to ceir e for minor cuts and scratches. The first aid supplies shall include only thaw a items the persor in charge is quistlified to use. 800. NUTRrrION AND FOOD SRP 810. NuTR LaoN 811. Nutr ti nal Requirements 31241 Nutrition and Food Service. Ntrseries in v Irich children are cared for during regular meal I adequate pmvision for meeting their dietary needs. 812. Warr of Requirements Not specified An 223 DAY CARE CENTERS CALIFORNIA 820. FOOD PREPARATION Food Elton and Service Requirements 31315 Kitchens. AU nurseries which provide a noon meal must have a kitchen of adequate size. Kitchens must be equipped with a stove and sink, hot and cold running water, refrigeration, and storage space for food, dishes, and cooking utensils. Kitchens should not be used for children's play activities, rapping, and passageways for child-en. 900. SOCIAL SERVICES 31237 Continuing Services to Parents and Children. All nurseries must me stain close contact with the children's parents so that the parents are informed about the child's activities, adjustment, and development. Services requiring professional skills shall be given only by persons who meet recognized professional qualifications. Nurseries which provide casework or counseling services directly must have professionally qualified staff for these functions. 31251 Social Services-Group Care of Infants. Provision shall be made for social services to be provided, as needed, to the children enrolled in the nursery. Such social services may be provided in accordance with an agreement or contract with an established public or private social agency. 22.4 41 DAY CARE CENTERS CALIFORNIA 1000. PARENT PARTICIPATION 31249 Parent Conferences-Group Care of Infants. There shall be a plan for regular conferences and referral for social services if it seems appropriate. However, it shall be the policy of the nursery that the parent has primary responsibility for his own child, and the fir is decision for the child's care shall be his. 1100. INFANTS AND TODDLERS 1110. PRO I RANI OF ACTIN/1MS 31247 Toilet Training-Group Care of Infants. Staff shall have special instruction so that they may understand the developmental needs of children at the time toilet training is begun. 31305 Indoor Play Space Group Care for Infants. There shall be adequate indoor play space separate from the sleeping area. There must be sufficient space to provide areas where toddlers can explore in a safe mariner an environment that offers stimulation and experimentation. There shall be space where children who cannot yet walk can be in playpens or can be placed on the floor for free play and crawling- The play space shall be equipped with washable, safe rria alive' toys which lend themselves to the development of perceptiral and auditory discrimination. They shall not be small enough to swanow nor made of Material which could splinter it. also shall be sufficient space for qui children who need it. 2 42 privacy for those DAY CARE CENTERS CALIFORNIA The room for play shall be equipped with pictures, books, record players, other items so that it offers variety, change and encouragement to explore. 1120. HEALTH AND SAFETY N 31253 Clothing-Group Care of Infants. Each child shall have sufficient changes of clothing so that he can dry all day. can and Each child shall have a separate storage place for his clothing and this shall be clearly labeled. Disposable diaper service shall be used, and a separate container for their disposal shell he used. Provision of proper washing of dishes, bottles and utensils shall be made. Unless a dishwasher is used, they shall be dipped in a steriliadng solution and air dried. The use of common washcloths towels for the children is prohibited. Allivoms shall be cleaned daily. All walls and I shall be made of such m erial that they can be washed. 1 Diapering shall be done for each child in his own crib, or if a common changing table is used the cover shall be changed after each child's use. Disposable paper towels or appropriate substitute may be used for this purpose. An unpadded surf ace should be wiped with soap and water after each use. 43 226 DAY CARE CENTERS CALIFORNIA If training chairs are used they shall be emptied promptly and sanitized at least once a day. The plastic one-piece units which can be immersed in a sanitizing solution are preferred. 31285 Medical Consultation-Group Care for Infants Under Two Years of Age. Every nursery caring for infants shall have provision for continuing medical consiiltation from a licensed- ysician. Such medical consultation include the following: Development of plans for continuing surveillance o diseases. shall communicable Development of plans for daily health surveillance including plans for the care of the sick children. Development of procedures for recordkeeping and reporting accidents and illness. Standing orders for allowed treatment for n Plans for procedures for emergency health care necessary telephone numbers. Plan for storage of medication. Determination of the adequacy of emergency including the availability of trained staff. Plan for the provision for the continuing who are not under the care of a personal physician. 31307 Outdoor Play Space Group Care for Infants. There shall be adequate, welfenced outdcor, play spa shaded, free from rubbish, litter or other hazards. 227 44 angering illnesses. including posting of TSt aid procedures e of se children properly drainei DAY CARE CEN CALIFORNIA There shall be space for those child-en who will in playpens teat who need an interesting-area wit1 both sun and shade. The ofltdoor play space shall bee ipped with toys to provide development of large muscles. 1130. INFANT NUT_ RITION , 31245 Feedin roup Care of Infants. The feeding of the child-en shall be planned by a nutritionist, pediatrician, or public health nurse, with the introduction of new foods into individual diets so as to insure proper nourishment and physical development of the infants. Infants under six months shall be held for bottle feeding. At no time shall a child be placed in bed with a propped bottle. At no time shall a child be allowed to carry a bottle. There shall be frequent communication with the childs mother about feeding, such as introduction of new foods, likes and dislikes, and introduction of cup. 1200. CIIIT,ORRN W1TH HANDICAPPING CONDITIONS 1210. PROGRAM OF A CT1VrnEs Not specified 1220. HEALTH AND SAFETY REQUIREMITNTS Not specified 1230. STAFFING t specified 45 2 2 DAY CARE CENTERS FROG Not specified 1300. SCH00lr AGE CHM OF A CTIV 1TIE5 1320. HEALTH AND SAFETY RE UIREMENTS Not specified 1400. FACI1 try REQ _RE_ 1410. SPACE 31291 Playground-General Requirements. The CALIFORNIA ust be outdoor play space adequate in size for the group in attendance, properly =laced and fenced and conveniently located in relation to the indoor facilities. 31293 Playground-Size. There must be at least 75 square feet per child of outdoor plaY area. 31295 Playgrpund-Location and Arrangement. The playgrowd must be so situated that it Thrill provide adequate sunshine and shade, according to climatic eondidormi and hours oil operation, and permit children to reach it without hazEwd. Equipment and activity areas must be arranged so that= there will be no hazard from conflicting activities. Solid 'equipment shall not be located where running children might bump into it. Rooms to be used for indoor activities must t of suitable size and arrangements to permit proper grouping, good prlograrn -planning, and necessary supervision. 22L1 46 DAY CARE CENTERS CALIFORNIA 31303 Indoor Play Space - General Requirements. There must be adequate indoor sNao.e.tfor the children's play activities and for dining and napping when these are included in the program. 31304 Indoor Play Space-Size of Floor Area. The indoor play rooms must have sufficient floor area (occupied only by the children's play materials-, equipment and furniture) to provide 35 square feet of law,- floor space per child. Floor space occupied by permanent built-Ln cabinets and shelves may not be nsidered as floor space available for play. An exception to the area requirement may be permitted for nurseries offering a half-day program when: Most of he prograt carried out-of-doors. The outdoor play space is of proper size and easily accessible to the indoor play area. The nursery will be cl ed in inclement weather, or the capacity reduced to the number the indoor play area can properly accommodate. 31317 Office Space. Some space must be available in the nursery to serve as an office. This space must be adequate in size and location and properly e uip to meet the needs of the nursery. 31319 Staff Rest Room -Full Day Provams. There must be a properly equipped room available fOr use as a staff rest room. The equipment in this ro9M must include a day bed or couch and space for storage of coats and personal belongings. 47 23u J1 DAY CARE CENTERS CAL ORNIA 1420. LIGHTING, VENTILATION, AND TEMPERATURE Not specified 1430. EMTS Not specified 1440.. TOILETS AND LAVATORIES 31311 Toilets and Handwashing Facilities. { There must be an adequate number of toilets and handwashing facilities in nursery and accessible and available for general use by the children. One toilet and handwashing facility is required for the first 19 1-01.2&en, and one additional toilet and lavatory must be added for every 10 etlisildren, or fractional part thereof in excess of 14 children. There must be one toilet and handwashing facility, y, separate from fhine general use toilets for isolation, staff, and emergency use. It must be wrii-nveniently located. 1500. OTHER STATE REQUIREMNTS COMPLIAI4CE WITH 11 LOCAL STATE, AND REGIONAL LAWS A 1510. ZONING Not specified 1520. FIRE Not Specified 1530. BUIL DINd. Not specified 48 231 DA T- CARE CENTERS 1540 - HEALTH Not pecified 1 skNrrATION NEW CONSTRUCTION specified 2 C L ORNIA DAY CARE CENTERS COLORADO Except where otherwise noted, all citations are to the Colorado State Department of Social Serivces, Minimum Rules and Regulations for Child Care Centers, September 1975. 100. STATE LICENSING OF 0--IILD DAY CARE FACIJITIES UO, TYPES OF FACILITIES SUBJECT TO UCENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS IR. Definitions A-7402.2 Classification: Child Care Centers. Child Care Center rnears a facility, by whatever name known, which is maintained for the whole or part of a day for the care of five or more children under the age of 16 years, and not related to the own* oper&tor, or manager thereof, whether such facility is operated with or without ecmpersation for such care, and with or without stated educational purposes. The term includes facilities commonly known as a "day care center," "day =series," "nursery school," "kindergarten," hpreschools," "play groups," -"day camps," "summer camps," "centers for m'entally retarded child-en," and those facilities which give 24-hour care for dependent and neglected children; and includes those facilities for children under the age of 6 years with stated educational purposes operated in conjunction with a public, private, or parochial college, or a private or parochial school, except that the term shall not apply to a Idndergarten maintained in connection with a public, private, or parochial elementary school system of at least six grades. A Large Day Care Center provides less than 24-hour care for 13 or more children between the ages of two and one-half to 16 years. 233 DAY CARE CENTERS COLORADO A Small Day Care Center provides less than 24-hour care for seven throttle' 12 children between the age of two and 16 years. An Infant Nursery provides less than 24-hour care for children between the age of 6 weeks and 18 months. A Toddler Nursery provides less than 24-hour care for children between the age of 12 months and walking independently, and 38 months. A Center for Mentally Retarded Children offers specialized day programs for the education and training of mentally retarded children, ages 3 through 16, for not less than 2 hours per day. 112. Exclusio and Exernptiors A-7401.4 Application of Statute. A license is not required for: A special school or class operated primarily for religious it truction. Such a special school or class may be known as Sunday School, Catechism Class, Bible School, Bar Mitzvah Class, Church School and shall be a school or class in which more than 50% of the time that children are present is spent in religious instruction which shall include but is not limited to such activities as worship, singing religious songs or listening to religious stories. A special school or class operated primarily for religious instruction shall not also offer day care for chil&en while parents are working or otherwise engaged and thus unavailable to care for their children. 23 2 DAY CARE CENTERS COLORADO A child care center operated in connection with a church, shopping center, or business where children are cared for during short periods of time while parents or persons in charge of such childre are attending church services, or shopping, or patroniwing any such usiness. This facility must be operated on the premises of the church, busineSs, or shopping center. The church, business or shopping center must be the owner, operator, or governing body of the center. Occasional care of children which shall mean the infrequent and irregular care of children. Any owner, operator and/or governing body believing that his/her facility is exempt from licensing must write to the Department, describe the program and explain why it is believed that the facility need not be licensed. The Department will determine if a license is necessary. 113. HISS Day Care Com ance Not specified 2 3 DAY CARE CENTERS COLORADO 12©. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 121. OrInnization of the Administrative Unit STATE BOARD OF SOCIAL SERVICES Executive Director for Social Services Associate DAre_e_or Program SOCIAL SERVICES DIVLSION Licenses are issued and revoked at the state /central office level. The day to day monitoring functions for day care centers are carried out by licensing staff under the direct supervision of the state central office. The monitoring , functions for family day care homes are carried out by county staff under the direct supervision of the state central office except in Denver County where they are carriediout by the Denver Department of Health and Hospitals. 4 ..... ---- .... DAY CARE CENTERS COLORADO 122. Responsible Offi al AU inquiries should be addressed to: Licensing Administrator Licensing Section Social Services Division Department of Social Services 1575 Sherman Street, Room 420 Denver, Colorado 80203 (303) 866-5263 200. LICENSING PROCESS AND ENFORCEKENT PROCEDURES 210. LICENSING PROCESS 211. Promulgation of Regulations A-740L3 Licensing Authority. The State Department of Social Service has the authority.to, establish and administer a licensing program for child care facilities within the State, which includes responsibility to prescribe and publish minimum standards for licensing. Colo. Rev. Stat. 526-6-106 StandaNs for facilities and agencies. The department shall prescribe and publish minimum standards for censing. Such standards shall be applicable to the various types of facilities agencies for child care regulated and licensed by this article. The department shall seek the advice and assistance of persons representative of the various types of child care facilities and agencies in establishing such standards. Such standards shall be established by rule of the department, and such rules shall be issued and published only in conformity with the provisions and procedures specified in article 4 of title124, C.R.S. 1973, and shall become effective only as provided in said article 4. 5 DAY CARE CENTERS COLORADO Any person licens ed to operate a child care facility or agency under the provisions of this article has the right to appeal any standard which, in his opinion, works an undue hardship or when, in his opinion, a standard has been too stringently applied by -representatives of the department. Upon such appeal, the department shall designate a panel of three persons representing the department of institutions, the department of education, and the department of health to hear such appeal and to make recommendations to the department. 212. Advisory y-and Other Community Pu A-7401.5 Advisory Comnuttee on the Licensing of Child Care Facilities. The Child Care Act states that there shall be an Advisory Committee on Child Care Licensing appointed by the Governor. The advisory committee shall advis% and consult with the State Department of Social Services in the administration and enforcement of the law. 220. LICENSING PROCEDURE 221. Application and Issuance A-7401.4 Application of Statute. A license is required for any person caring for or placing for care one or more unrelated children in a location outside the child's or children's home. A license must be obtained for such care before care begins and in accordance with the provisions of the Child Care Act. Every person regardless of his or her qualifications, has a right to make application for a license to care for children. 238 6 DAY CARE CEWERS COLORADO A-7403.1 Original Application: Child Care Center and Child Placement Agency. The procedure for application for an original Hearse for a Child Care Center or a Child Placement Agency is as follows: All inquiries concerning licensing of child care center or child placement agency shall be directed to the Department of Social Services. All parsers wishing to make application for a child care center or child acement agency license may be provided an original application form and a copy of rules and regulations for the appropriate type child-center or child placement agency. An original application accompanied by the appropriate fee should be submitted to the State Department a minimum of 30 days prior to the proposed opening date for such facility. The fee, as listed below must be received by the Department before the investigation can be completed or a license issued. Final approval or denial of the application is determined by the-- Department, based on written reports of health and fire departments, and the investigation of the facility according to applicable minimum rul4s and regulations. Written reports of the investigation of the licensing representative are available to the applicant upon his/her request. A7404.1 License Required. A person operating a family care home need not obtain a license if such perdon holds a certificate to operate such home from a licensed Child Placement Agency. A-7404.4 License Information and Conditions. A license or certificate shall designate lbe sex, if appropriate, age and number of children for which a facility may mierit-liny one time It shall also identify the name and address of the facility ad/or licensee, the dates the license is applicable and the type' of facility the licensee may operate. The conditions of the license or certificate must be eomplied with at all times. 7 DAY CARE CENTERS COLORADO 222. Fee Charted A-7403.1 Original Application: Child Care Center and Child Placement Agency. The fee, as listed below must be received by the Department before the investigation of the facility can be completed or a license issued. Public centers operated by a unit of a e or 1 e government or supervised directly by d ?ublic agency.... . . ... $1.00 Voluntary _centers operated by a nonprofit o_rganizi social agency, settlement group, church, etc.. $1.00 wider auspices of a Proprietary or commercial centers operated for the financial profit o owner, operator or manager . ........ Moo 223. Areas of Investigation See 221. Application and Issuance 224 License Renew A-17403.2 Renewal Applications: Child pare Center and Child Plaiement Agency. The procedure for applying for a renewal license for a child care center or child placement agency is as follows: An application for a renewal license for a child care center or child placement agency shall be submitted annually. A renewal application form will be sent from the Department to the licensee two months to six weeps prior to the expiration of the current license. The completed and signed application for renewal license and the appropriate fee should be in the Department 15 days prior to the expiration of the current Hearse. The fee for renewal is the same as for the original license. Should the licensee fail to submit the renewal application of the license, such _operation is contrary to the law and injunctive proceedings may be initiated. 24u 8 DAY CARE CENTERS' COLORADO If the completed and signed application for renewal of the license and appropriate fee are received by the Department before expiration of the license, the application is timely and the license continues valid until licensing action is taken by the Department. If the application is received after the expiration of the license, the application is untimely and the license is no longer valicl. The application will be treated as an original application. A renewal license is granted to the facility or agency when all rules and regulations are being met. Additionally, in the case of child care centers, written approval of the necessary health and fire departments must have been received by the Department before a renewal license is issued. 225 ondi onal/ProvisionarLicers es A-7404.2 Types of Licenses: A proviMonal license is granted to an applicant for an original or renewal license for a period of six months. This license permits the child care center or family care home to operate if it is temporarily unable to conform to all minimum rules and regulations, and upon proof by the applicant that attempts are being made to comply with minimum rules and regulations. Such provisional license may be renewed for six-month periods up to two years, at the discretion of the department. Reasons for issuing a provisional license are listed on the license. 226. Substantial Coln chance Not specified 9 DAY CARE CENTERS COLORADO 230. ENFORCEMEN ` PROCEDURES 231. Facility Inspections A-7405.1 Supervisory Visits. Supervisory visits to licensed facilities or agencies shall 15C made in order to be assured that the regulations are being maintained. The Department reserves the right to make unannounced visits. When a supervisory visit is made, the representative shall identify him/herself to the person in charge, shall tell the person in charge any items observed which do not meet the regulations, and may follow up with a written notice. 232. Denial, uspeio Revocation of a License Colo. Rev. Stat. S26-6-103 Denial of Original License S Revocation, Probation, or Refusal to Renew License. The department may susriend, revoke, make probationary, or refuse to renew the license of any facility regulated and licersed under this article should the licensee: Be convicted of any offense involving moral turpitude, the record comdction being conclusive evidence thereof; 1 Be determined to be insane or mentally incompetent by a court of competent jurisdiction and should a court enter an order specifically finding that the mental incompetency or insanity is of such a degree that the license is incapable of operating a family care home or child care center, the record of such determination and entry of such order being conclusive evidence thereof; Use any narcotic or any alcoholic beverage to an extent or in a manner that such use impairs his ability to properly care for children; 242 10 DAY CARE CENTERS Consistently fail to maintain standar department; COLORADO d and published by the Furnish or make any misleading or any false statement or report to the department; Refuse to submit to the department any reports or refuse to make available, to the department any records required by it in making investigation of the facility for licensing purposes, Fail or refuse to submit to an investigation or inspection by the department or to admit authorized representatives of the department at any reasonable time for the mrpcse of investigation or inspection; Fail to provide, maintain, equip, and keep in safe and sanitary condition premises established or used for child care pursuant to minimum standards prescribed by the department of health or by ordinances or regulations applicable to the location of such facility; fully or deliberately violate any of the provisions of this article; 04, Fail to maintain financial) resources adequate for the satisfactory care of children served in regard tos upkeep of premises and provision for personal care, medical services, and clothing, other essentials in the proper care of children. The department shall suspend, revoke, or refuse to renew a license only in conformity with the provisions and procedures specified in article 4 title 24; except that all hearings wider this article shall be conducted by a hearing officer of the department who shall render his decision, which shall be the final decision of the department. No such hearing shall Prevent or delay any injisictivc proceedings instituted under the provisions of section 28-8-111. 11 243 DAY CARE CENTERS 233. Remedies and Sanctions 233.1 H earings COLORADO A-7403.5 Right to Appeal. Any person licensed to operate a child care facility or gency shall have the right to appeal any rule or regulation which, in his opinion, works an undue hardship or when, in his opinion, a rule(s) or regulation(s) has been too stringently applied by the representatives of the Department. 233.2 Decisions Not specified 233.3 Judicial Review A-740L6 Penalty. "Any person violating any provision of the Child Care Act, or intentionally maldng any false statement .or report to the Department or to any agency delegated by the State Department of Social Services to make an investigation or irspection under the provisions of the law, shall be deemed guilty of a misdemeanor and shall be punished- by a fine of not less than one hundred dollars nor more than three hundred dollars." 0 When an indit4dual continues to operate a facility after a licee has been denied, suspended, revoked, or not renewed, or before an original license has been issued, injunctive proceedings may be initiated tee -enjoin the individual from operating a child care facility without a license. A-7405.4 Reports about Unlicensed Facilities or Agencies. Suppression of unlicenied activities will be handled in the following manner: Reports about an unlicensed facility may be received by telephone, letter, or personal interview. Anonymous reports about unlicensed facilities shall be investigated. 12 244 DAY CA-RE CENTERS COLORADO The licensing representative shall make an unannounced visit to the facility for which there is a report of unlicensed child care. In the case of a family care home the county department of social servi ay inform' by mail the caretaker of the need for a license and the me d of application. If an application is not forthcoming, a visit shall be made. After the licensing repr entative has identified him /herself, explained the purpose of the visit, she/he shall ascertain if care of unrelated children under the age of 16 years old is being given regularly. If care is being given, the -licensing representative shall inform the caretaker of the need for a license and that care must cease until a license is obtained. If care does not cease, the Department may seek to enjoin the caretake.rfrom caring-for children without-a-license. The licensing representative shall explain to the caretaker appropriate procedures for making application. The licensing representative shall send to the unlicemed caretaker a letter documenting the investigation. If an application is not forthcoming, the licensing representative shall_ visit the facility again,to be sire that the unlicensed child care has ceased. If care has not ceased the Department may seek to enjoin the caretaWer from eivin,g for chilcte* Without a license. DAY CARE CENTERS COLORADO 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Admim trat ve Requirements A-7404.5 Posting of License. The license shall be posted in a conspicuous $ace in the child-care facility or agency at all times. A-7404.6 Reports of Changes of Conditions of Care, Legal Action, Accidents. All child care facilities shall report to the Department immediately the following changes or events: Change of licensee, owner, operator, or governing body. Change in classification of facility or service offered. Chare in location of the center or home. The following items shall be reported in writing: Accidents or illnesses, which occur at the center or home and which result in medical treatment, hospitalization, or death. Any legal action against a center, home or agency w affects any child or children in care, personnel, or conduct of the home or agency. Change of dire Proposed increase in enrollment of the center or home over the num authorized on the license?` Change of ages of children to be served. Additions to the center or home, or changes of use of rooms for child dare. 246 Closure of the center or home. DAY CARE CENTERS . COLORADO A-7404.7 Reissuance of License and Need for a New License. A license.may be reissued when necessary if the facility makes the proper request to the Department for the changes and if the Department is assured that'll-re minimum rules and regulabons in respect to such chances are being met. A license automatically expires and a new application is required whenever there is a; (1) change in classification of facility; (2) change in the location of the facility (3) change in the governing body, owner or operator of the facility. A-74101 Governing Governing Body means the individual(s) or group in whom the ultimate authority and legal. responsibility is vested for the administration and operation of the child care facility. The ownership of the child care facility shall be disclosed fully and steal file with the 'Department of Social Services. In the case of corporation or trust ownership, the corporate or trust officers shall be disclosed fully and on file with the Department. A-7410.2 Administrator /Director. The Governing Body shall appoint an Administrator /Director who shall 1.-,e responsible to the Governing Body and who shall be delegated the executive authority and responsibility for the administration of the child care facility according to its defined purpose. The Governing Body, together with _ the Administrator/Director, shall formulate purpose and policies to be followed by the facility, and they shall have a regular planned review of such purpose and policies to determine that the facility is in compliance with minimum standEeds for licensing. The Governing Body and/or Acrministrator/Director shall be responsible for providing necessary facilities, adequate financing, oualified personnel, services, and program functions, for the welfare and safety of children in accordance with these standards. DAY CARE CENTERS COLORADO A-741I.1 Statement of Policy of Child Care Center Operation. A written statement of child care center policy shall be available to staff and to parents and shall include the following: The purpose of the center. The ages of children accepted, inclusion or exclusion of handicapped children and special services offered if handicapped children are accepted for care. I The hours the center is open and specific hours during which special programs are offered. The procedure concerning admission and registration of chilcken. Fees. The procedure for the har of nd emergencies of children. The procedure for transportation of children, where provided, including transportation arrangements and parental permission for excursion and related activities outside the child care center. The procedure for release of children from the center only to persons for whom the center has written authorization. The procedure concerning children's personal belongings. Tnformation concerning meals and snacks. A-7412.4 Administrative Records. The following records shall be on file at the day care center: Records of enrollment and daily attendance for each child. Current Health Department inspection report. Current Fire Department inspection report. o+off asirl enhatitiifinar and ctaffino. DAY CARE CENTERS COLORADO A-7412,5 Fatality and Hospitalization Statements, All child care centers shed' report in writing to the Licenng Unit of the State Department of Social Services immediately accidents or illnesses, which occur at the child care center and which result in medical treatment, hospitalization or death. A-7413.3 Hours of Employment = Director - Large Day Care Center. The director of a center shall be present at the center at least 60% of any day that the center is open. For the remaining 40% or less of any day, a staff member meeting group leader qualifications shall be in charge of the center. If the director must be absent more than 40% of any day, an individual who meets director qualifications, shall substitute for the director. In centers operat all times. ee hours or less, there shall be a qualified director at A-7413:4 Responsibilities - Director. The director of each center shall be the person responsible for administering the child care center in accordance with licensing requirements. It shall be the duty of the director to plan and supervise the child development program, to plan for or participate in selection of staff, to plan for orientation and staff development, to supervise and coordinate staff activities, to evaluate staff performance, and to participate in the program activities. A-7413.5 Vacancy in Director Position. In the event of staff turnover in the position of director, the child day care center shall employ within sixty (60) days a person who meets qualifications of director as stated in Staff Qualifications above. DAY CARE CENTERS COLORADO 312. Telephone A-7411.6 Communication. The child care center shall have a telephone with the number listed in the public telephone directory. Emergency telephone numbers (fire, police, rescue unit, parents, etc.) shall be readily available. 313. Proof of Operator Financial Capabilities Not specified 314. Not specified -ante 326. PERSONNEL 321. Publication of Pe onnel Foli A-7411.4 Personnel Policies. The duties and responsibilities of all staff and the lines author responsibility within the center shall be c1eitF0 established. At the e of employment, each staff member shall be informed of his duties a person to whom he is administratively responsible. if volunteers are used by the facility, there shall be a clearly established policy in regard to their function, and to whom they are administratively responsible. 322. Constraints Against Ernplb ment Not specified DAY CARE CENTERS 330. NON-DISCRIMNATION 331. Requirements Prohibiting Discrimination A-7407.1 Civil Rights. COLORADO No person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or he subjected to discripination under any program or activity receiving federal financial assistance (Sec. 601, CivikRights Acts of 19641. 340. RECORDS REQUIRE MENT 341. Children A- 7412.3 Children's Records. The day care center shall maintain a record on each child which shall include: The child's full name, birth date, and current 'Address and date of enrollment. Name, home and employment address and telephone number of parent(s), or the petsan(s) legally responsible for the child. Telephone numbers or instructions as to how the person& _responsible for the child may be reached during the hours the child is at the center. Names, addresses and telephone numbers of persons authorized to take the child from the center. es, addresses, and telephone numbers of person(s) who can assume responsibility for the child in the event of an emergency if parent(s) or guardianCs) can not be reached immediately. 10 DAY CARE CENTERS Name and address of child's physician and dentist. COLORADO Health information including medical report, chronic physical problems, vaccination and immunization history and pertinent social information on the child and his family. Written authorization from medical care. en s or guardian(sY for emergency Written authorization froth parents) or guardian(s) for the child to participate in field trips or excursions, whether walking or riding. y and illness record. Reports of accidents regu death of a child. spitalization, or the occurrence Significant observations of the child's development. 342. Staff A-7412.2 Personnel Records. Current personnel records shall be kept at the center for as long as the individual is a member of the staff. Such records shall include: Name, address, telephone number, birth date, education and training, work experience, employment references, health examination reports; names, addresses and telephone numbers of persons to be notified in the event of an emergency, and the date of employment. ..0 343. Child Eli bili Enrollment Re uiremen s A-7414.1 Admission Procedure. The center shall accept children only of the age for which it has been licensed. a-% " DAY CARE CENTERS COLORADO Admission procedures shall be completed prior to the child's attendance at he center and shall include: A pre-admission interview with the child's parent(s) or guardian(s) in order that they can secure information which will help them determine whether the services offered by the center will meet the needs of the child, his parent(s) or guardian(s). Explanation of the center's policies and procedures including plans for payment of fees. Completion of the registration form for the child's record and the written authorization for emergency medical care of the child. 344. Child Abuse Reporting A-7412.6 Reporting of Child Abuse. The child care facility shall report instances of suspected child abuse. 19-10-104 C.R.S. 1973 as amended,, inter. ells states ". . . Any person who has reasonable cause to latow or suspect that a child has -been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions which would reasonably result in abuse or neglect shall immediately report or cause a report to be made of such fact to the county department or local law enforcement agency. Any person participating in good faith in making of a report' or in a judicial proceeding pursuant to this title shall be immune from any liability, civil or criminal, that gtherwise might result by reason of such reporting." DAY CARE CENTERS 345. Con identiali v of Rec equirements COLORADO A-7406.1 Public Records. The records concerning the licensing of acilities are open by the right of the Open Records Law. Anyone wishing to read a record must make a written request to the State Department. Parts of ttie record not available are Names of children and their relatives are confidential and shall be deleted from the record upon such inspection. All facts learned about children and their relatives shall be confidential both by the acidity and the Department. Scholastic records, health reports, social or psychological reports shall be available to the person in interest only. Licensing references received by the .Department, the county departments of social services, or the Maternal and Child Health Services for licensing pin poses are confidential and unavailable for inspection. 400. GROUP COMPOSTrIONS OF CIAILDREN 410. STAFF /CHILD RATIO RE LTIRE.7ENTS 411. Staff/Child Ratio as of ch In Large Day Care Centers, the ratio 'of child care staff o the number of children shall not be less than the following schedule: Age of Child 2 1/2 yrs to 3 yrs 3 yrs to 4 yrs 4 yrs to 5 yrs Number of Sta 1 staff member to 8 children 1 staff member to 10 children 1 staff member to 12 children DAY CARE CENTERS COLORADO 5 yrs and over Mixed group 2 1/2 yrs to 6 yrs 1 staff member o 15 children 1 staff member to 10 children In other age combinations, the staff ratio for the youngest child shall be utilized if more than twenty percent (20%) of the group is composed of younger children. A-7421.2 Staff Requirements for Centers Licensed for Seven (7) or More Inf ants. Each infant nursery" shall maintain a staff ratio of one qualified staff member for each five (5) infants in attendance. A-7415.6 Physical Care. children shall be under direct supervision of a responsible ;adult at all times. A-7416.3 Night-time Care of Children. The child-staff ratio for sleeping children shall be one adult when six (6) or fewer children are in attendance; two adults when seven (7) to twelve (12) children are in attendance, plus one adult for each additional twelve (12) children. 412. Methods of Computing Staff /Child Ra A-7413.9 Personnel Required- Group Size and Child Staff Ratio. ny time when seven (7) or more children are present in the center, there be at least two adult staff members on duty When six (6) or fewer child-en are present, except infahts and toddlers, there ..shall be at least one adult staff member on duty and a second adult on c and immediately available. In Small Day Care Centers, two staff persons shalbe on duty at all times when seven (7) or more children are in attendance. Kindergarten class sessions for children in the year preceding ri.t ,Trade shall have ont staff member to each twenty-five (25) childien in attendance. 2S DAY CARE CENTERS `COLORADO At other parts of the day when children are in attendance, the ratio shall be one staff mender to each fifteen (15) children. Centers which enroll ten (10) or More school age children shall have 'at least one staff member who is qualified by training and experience in group activity to work with this age group. A separate schedule of child care staff ratios is given for In Nurseries. (See 1100. INFANTS AND TODDLERS) Children of the director or staff members, who attend the Center or are on the premises for supervision and care, shall be counted in the number of children in the appropriate age gri3ups as specified in the license. and Toddler Children who are in attendance for only part of the day are counted only while in the cdnter in determining staff requirements. 420. GROUP SIZE 421. Grow Size as of March, 1981 A-742L2 Staff Requirements for Centers Licensed for Seven (7) or More Inf ants. The maximum number of infants in any one group or in any one room of the facility shall not exceed ten (10). See also 411. Staff /Child Ratio of Much 1981 fi 422. .Methods of Computing Group Size Not specified DAY CARE CENTERS COLORADO 500. STAFF t QUALIFICATIONS AND TRAINING REQUIREMENTS 510. CHMD CAREGIVER STAFF QUALIFICATIONS 511. Age A-7413.6 Group Leader Qualifications. A staff member assigned responsibility tor-a single group and working under supervision 4' a program director shall be at least 19 years of age. 512. Health A-7413.1 General and Health Requirements for All Personnel. All employed staff shall be free from evidence of illness, mental and physical, and free of evidence of personal conduct which may be injurious to children. Persons to be employed shall provide written statements of three satisfactory references attesting to the professional and personal qualifications of the individual for employer -rent in the child care program. Prior to employment each member of the staff including part-time staff and substitute staff shall submit a dated report of a satisfactory tuberculin test or chest x-ray taken within six months of beginning employment. Such test shall be repeated annually unless specifically exempt by adviqe of a licensed physician or by the local health department authorities. Each staff member shall have had a medical examination prior to employment or shall be examined within thirty .(30) days after the date of employment. The medical examination report shall be dated and signed by authority of, a licensed physician. 25 DAY CARE CENTERS ,COLORADO There shall be En annual review and report of the health status of each staff member including the director, by a licensed physician. An employee who, upon examination or as a result of tests, shows indication of a physical, emotional, or mental condition which could be hazardous to a child, other staff, or self, and which would prevent Satisfactory performapce of duties, shall not be assigned or returned to position until the condition is cleared to the satisfaction of the examining physician. All persons shall be excluded from the day care center when they have an infectious illness. 513. Edudation A-7413.6 Group Leader Qualifications. A Bachelor's Degree from a college or university. An Associate Degree or two years college aining in a college or university, plus six months verifiable full-day experi nce in group care of unrelated children six years of age.' Twelve (12) semester hours or eighteen (18) quarter hours in college level credits in the area of child growth' and development and nursery school education, plus nine months verifiable full-day experience in group care of unrelated children under six years of age. Completion of a vocational or occupational educaton sequence in child growth and development plus 18 months verifiable full-day experience in group care of unrelated children under silt years of age. 2 26 DAY CARE CENTERS COLORADO Thirty-six (36) months verifiable full-day experience in group care of unrelated children under six years of age. A-7413:7 Private Kindergarten Teacher Qualifications. Each teacher of the kindergarten class session for children in the year preceding first grade shall have the same qualifications as director for Large Day Care Centers, or shall have current Colorado State Department of Education certification as an elementary teacher. 514. Experience See 513, Education 520. PROGRAM DIRECFOR QUALIFICATIONS 521. Not specified 522. Heath See 512. Health 523. Education A-7413.2 Director Qualifications. The director of a center licensed for thirteen (13) or more children shall have satisfactory evidence of completion of a .minimum of 24 semester or 36 quarter hours in the following college courses: Area of Child Growth and DeysloPment and Nursery School Education. The director must have a total of 12 ,,semester or08 quarter hours. A maximum of 3 semester or 415 quarter hours in a supervised student participation, cotese will be cotrited toward the 12 semester or 18 quarter hours recuirement. This practeum must be with preschool age children., 27 DAYCARE CENTIE Child Cr and Development. COLORADO Methods arm Techniques of Teaching Preschool Children. (Preschool age is defined as under six years of age. Optioal courses to complete the semester or quarter hours requirement in this area of study, such as: CreatM ve Activities for Preschool Children. Music Science, Literatme, Art for eschool Children. Psych logy. (3 semester or 4.5 quarter hours) logy. (3 semester or 4.5 quarter hours) Nutrition for Preschool Child or satisfactory equivalent (2 semester- or 3 quarter hours minirnum)(3 semester or 4 quarter hours maximum) AcIrnitistration of a Preschool or a Day Care Program or satisf=sictory equivalent. (3 semester or 4.5 qualier hours minirrm urn) (4 semester or 6 quarter hours maximum) 's director of a center licensed for seven (7) through twelve (12) children shall have a mininr-zurn of three years satisfactory experience in the group care of children, or twm. years college training in an accredited college or University, plus emvirie year of .'satisfactory experience in the group care of utildren. In the absence of the director, an equally qualified substitute shall bieavailable to carry out the program. 44421.1 Staff R quirernents for Centers Licensed for Three to Six (A) Infants. birector Qualifiamdions fior Centers Licensed for Ti.re to Six Infants. The director for a eerater licensed for six of lewer infants shall have satisfactory qvIdence of trainivn or experience as follows: Registered -Nturse, or 26u 28 DAY CARE CENTERS COLORADO Licensed Practical Nurse, plus two years supervised experience in care of children under age three years, or An adult who has had five years of supervised experience in the care of children 'under age three years. Persons who are not qualified as a registered nurse, shall have bi =monthly consultation with a registered nurse with a specialty in -maternal and child health, a pediatric nurse' practitioner, or a pediatrician. Consultation shall be in the following areas but not limited to: infant feeding, infant stimulation, understanding normal infant growth and development, interaction of adult and infant, record keeping and routine nursery operation. The consultant shall available to confer with parents as needed. The director shall have a current Standard First Aid Certificate. A director shall be present at the center at all times. A-742I.2 Staff Requirements for Centers Licensed for Seven (7) or More Infants. The director for centers licensed for seven (7) or more infants shall meet director qualifications, education and experience, as specified for Large Day Care Centers. In addition, the director or a staff member, who shall be !mown as the Infant Nursery Supervisor, shall meet qualifications as specified for directors of centers licensed for three (3) to six (6) infants. There shall be a qualified Infant Nursery Supervisor present at all times who shall be responsible for the_ care of the infants. 29 DAY CARE CENTERS COLORADO Staff members other than the director or infant nursery supervisor, shall meet _:the education and experience requirements specified for Group Leader, Large Day Care Center. 524. Experience A-7413.2 Director Qualifications. Persons with only the 24 semester hours in the specified courses for director and persons with one year of college work plus completion of the specified courses for director shall have the equivalent of 24 months of full-day experience working with young children in a group. One-third (1/3) of the experience shall be work with children under the age of six years, and two-thirds (2/3) of the experience shall be with groups as defined in applicable experience. Applicable experience includes working with a group of children under ten years of age, preferably in a preschool or day care center, experience in an elementary school, kindergarten through third grade and hours spent in student teaching, if these courses are not used to meet the educational requirement. Persons who have completed the equivalent of two years or more of college work and who have completed the specified courses listed above for director shall have the equivalent of 12 months of fullday experience working with young children in a group. Exception to Experience Requirement: In communities that can not provide opportunities for child care experience consideration of acceptable substitute experience shall be made by the State Department of Social Services. DAY CARE CENTERS COLORADO 530. SUPPORT STAFF QUALIFICATIONS A-7413.8 Staff Aide, Service Personnel, and Volunteers. Staff aides shall be at least 16 years of age and shall work directly under the supervision of the director or a g-roup leader. Service personnel shall be available for housekeeping and food preparation as needed for adequate operation and maintenance duties of the facility. Assignment of housekeeping and maintenance to child care staff shall not interfere with their supervisory responsibilities and child care duties. Prior to assignment, each volunteer shall submit a dated report of a satisfactory tu5erculin test or chest x-ray taken within six months of the date for assignment. Volunteers shall have qualifications suitable to the tasks assigned. 540. POST EMPLOYMENT VICE: ORIENTATION AND TRAINING 541. Pro am Director A-7411.5 Orientation and Staff Development. The facility shall have a plan for orientation and staff development which may include use of available relevant publications, regular staff meetings, individual conferences, field trips, consultation by experts, or in-service wining programs, works ops and institutes. 542. Child Car giver Staff See 541. P_ -am Director 543. Support Staff See 54L Program Director DAY CARE CENTERS 600. PRO GRAM OF A COT, 0 RA DO ES INL1=TDli G EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities A-7416.1 Formal Program. The center shall carry out a planned, written program suitable to the needs of the children. This program shall be available for evaluation when requested by the State Department. The program shall include outdoor play each day except when the severity of weather makes it a health hazard or when there is an individual reason for a child to remain indoors. School age children shall have specifically planned activities and shall, with parents' permission, participate in supervised visits and recreational activities in the community. 612. Program Equipment and Materials A-7416.2 Program Equipment and Equipment, materials, and firnishings shall be provided for both indoor and outdoor play that is sufficiently varied and adequate to meet the developmental needs of the child-en and the number attending. Durable furniture such as tables and chairs shall be child-sized or appropriately adapted for children's use. Play materials shall be stored on low, open shelves, readily accessible to children and shall be arranged in an orderly manner so that children may select, remove and replace the play materials either independently or with minimum assistance. 32 DAY CARE CENTERS COLORADp Each center shall have enough planned materials and equipment so that at any one time, each child for which the center is licensed can be individually involved. Separate play rooms or separate 'interest centers shall be provided for each category of equipment required or the program. Material and equipment shall be representative of each category listed below. Art Supplies: Paints (tempera, poster, finger), easel, crayons, blunt scissors, paste, clay, and college materials. Blocks and Accessories: Large and small blocks, boats, cars, planes, trains, figures of people and animals of various sizes. Books and Posters: Picture and storybooks, flannel boards. Dramatic Play Area: Beds, dolls, telephones, toy stove, sink, refrigerator, cabinets, table, chairs, dishes, pots, pans, ironing board, iron, cleaning equipment (broom) dress-up clothes (both men's and women's), large mirror placed at child's level, puppets and materials for costum es. Large Muscle Equipment: Boxes, boards, saw horses, barrels, climbers, ladders, workbench, sand, water, wheel toys, swings, slides, balls. Manipulative Toys: Pegs, beads, lotto, puzzles, pounding boards, s building sets. Musical Equipment: Piano, records and record player, drums, cymbals, bells, rhythm sticks. Science Materials: Aquarium with fish, nonpoisonous seeds and flower pots, growing plants, gardening tools, dry batteries, magnets, compass, thermometer, rope and pulleys, majnifying glass. 33 DAY CARE CENTERS COLORADO 613. Nap Provision A-7415.6 Physical Care. All preschool children remaining in the center longer than four hours shall have a nap or rest period. A rest period or quiet activities shall be provided before meals are served. A-7416.3 Night =time Care of Children. Centers offering care beyond the usual hours of operation shall observe the following provisions for care: Separate cribs or cots with sheets and clean washable covering or two-inch Sleeping pads or mattresses shall be provided for each child. If pads or mattresses are used, the room temperature at floor level shall be at 68 to 72 degrees. Pads and mattresses shall be fitted with clean washable removable covering. Permission of parents or guardians shall be obtained for each child who uses a sleeping oad or mattress placed on the floor. A-7417.9 Sleeping Area and Equipment. A firm and sanitary cot with a clean washable cot cover shall be provided for each preschool child remaining in the center over four (4) hours. Each child shall have a clean, washable blanket or other suitable covering for his use while sleeping or resting. Cots shall be thoroughly cleaned and covers washed before assignment to another child. In multiple use facilities where -riding is used by children other than children attending the day care center, it shall be the responsibility of the center staff to thoroughly clean all equipment before use by day care center children. 34 DAY CARE CENTERS COLORADO If cots are not used, a two-inch pad with a clean washable pad ver and a clean washable blanket or other suitable coveting shall be provided. The pad may be placed directly on clean floors where the floor level temperature shall be at least R8 to 72 degrees. Cots or pads shall be spaced at 1t two (2) feet apart on all sides. Adjustable shades or cur ants shall be provided to promote an atmosphere conducive to sleep at nap time. When the room provided for rest is used for other program activitie=s, the cots or pads shall be properly stored in an area which is not included in the required square footage assigned for play space. 614. Discipline and Guidance A- 7415.6 Physi cal Care . The director shall not use, nor permit an employee or other child to use, corporal or other harsh punishment, or any humiliating or frightening method of discipline to control the actions of any child or grout) of children. Punishment shall not be associated with food, rest or toneting. 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Re irements Not specified 35 DAY CARE CENTERS 712. Health Assessments COLORADO A-7,415.1 Health Examination. Each child 2 1/2 years of age and over, admitted to the center, shall have a health examination within six months prior to admission or within thirty (30) days after admission. A medical statement dated and signed by authority of a licensed physician, or a copy of the child's health record signed by a physician and carried by the parent, shall be on file in the center and shall include information and instruction for care of each child who has a chronic or handicapping problem, physical or emotional, such as seizures, asthma, diabetes, allergies, heart or respiratory illness and drug reaction. A-7415.2 Periodic H ealth Examination. Periodic health examinations for children age 2. 1/2 years and over shall he repeated annually, and whenever the director shall have reason to smoect that a child participating in the program may have a condition hazardous or potentially hazardous to others, or finds that the child's general condition indicates the need for such examination. The date and results of such health examinations shall be submitted to the child care center. 713. I m A-74151 Health Examination. Each child 2 1/2 years of age and 'over, admitted to the center, shall have a health examination within six months prior to admission or within -thirty (30) days after admission. A medical statement dated and signed by authority of a licensed physician, or a copy of the childs health record signed by a physician and carried by the parent, shall be on file in the center and shall include information regarding immunizations, vaccinations, or tuberculin testing the child has had and the dates administered. 2G . DAY CARE CENTERS COLORADO 714. Sanitation A-7415.5 Personal Hygiene. The center shall include provision for personal hygiene, washing hands and ace before meals, and washing hands after ung toilet facili t es. Each child shall be provided an individual washcloth and towel, or disposable towel, or if other type facilites are used, they shall be approved by the Dr -nt of Health. All toilet articles shall be individually identified and ke' a sanitary condition. or soiled clothing shall be changed promptly. A sufficient supcly of clean clothing shall be available for this purpose. A-741&2 Program Equipment and Materials. If the facility has dogs and cats, they shall be immunized for any disease which can be transmitted to humans. There shall be no turtles. or birds of the parrot family at the center. All pets shall be cared for as recommended by the State/Local Department of Public Health. A-7416.3 Night-time Care of Children. Children shall be bathed as necessary and changed into comfortable night clothing for sleeping. A-7417.4 Plumbing and Toilet Facilities. If drinking fountains are not available, individual si provided in a sanitary disperser, and used only once. A- 7417.5 Laundry Facilites. If laundry facilities are included, they shall be insta manner as to safeguard the health of childre 37 service cups shall he - and used in such a DAY CARE CENTERS COLORADO Laundry fixtures shall be located in an area separate from food preparation area and toilet rooms. LaCm&y trays or slop sinks shall be available and ated conveniently for purposes of cleanliness and sanitation. A-7418.3 Safety Requirements. BuUdings shall- be kept in good repair and maintained in a safe, clean and sanitary condition. Good housekeeping shall be observed in all areas at all tines. Major cleaning in rooms s. children. prohibited while rooms are occupied by All bage and trash shall be kept in easily cleanable containers with close-fitting covers and shall be stored in areas inaccessible to children and approved by the fire department. Garbage and trash shall be removed from the premises as frequently as necessary to prevent nuisance conditions. 715. 12A11- A-7415.4 Health Practices and Control of Communicable Diseases. There shall be daily observation of each child on arrival at the center by a person capable of recognizing common signs of communicable diseases or other evidence of ill health. Staff shall be alert to symptoms of illness throughout the day. A child who is ill upon arrival at the center shall not be admitted. 716. Care of Sick Children A-7415.4 Health Practices and Control of Communicable Diseases. When communicable diseases occur, all staff members shall be advised, and all parents or guardians of exposed children shall be notified immediately by the center and such children shall be observed for symptoms of e disease. 38 27u s DAY CARE CENTERS COLORADO The director shall request parents to report exposure of a child to communicable disease outside of -e center; and at the discretion of the director, the child shall be excluded from attendance at the renter for such time as is prescribed by the chiles physician or for a period of time designated by the local health division. When accidents or illnesses occur, the director or responsible adult in charge shall notify the parent or guardian of the child or call the physician or medical facility as instructed in writing by the parent or guardian. 717. Medication and Special Diet provisions A-7415.7 Medication. The giving or application of medication including tranquilizers and sedatives, or individual special medical procedures shall be provid only on written order or a prescription from a physician to the chills parent) or guardian(s), or to the center, with knowledge and written consent of the parent(s) or guardian(s). Medication prescribed for an individual child shall be kept in the original container bearing the original pharmacy label which shows the prescription number, name of medication, 'date filled, physician's name, childs name and directions for dosage._ When no longer needed, medications shall be returned to parents or-`guardians, or destroyed. There shall be one staff member on duty at any time designated to dispense and to record all medications. All medicines and drugs shall be kept in a storage area inaccessible to children. Providing dietary supplements or making variations of diet shall be carried out only on writ4n order from a physician to the child's parent(0- or guardian(s), or to the center with written consent of the parent(s) or guardiem(s). 39 DA Y CARE CENTERS 718. Waiver of Health Requirements Not specified 720. SAFETY 721. General Saftylf_quirements COLORADO A- 7418.3 Safety Requirements. Volatile substances such as gasoline, kerosene, fuel oil, paints, and other hazardous items such as firearms and explosives, shall not be stored in any building used by children. Plastic bags, sharp tools or instruments shall be stored in areas inaccessible to children and in a manner approved by the fire department. All outdoor areas available to children's activities shall be maintained in a safe condition by removal of debris, dilapidated structures, broken or worn play equipment. The play areas shall be free of unprotected wells, grease traps, cisterns, cesspools, and utility equipment. A-7418.1 Space Requirements. All stairways, interior and exterior, which are used by children sh provided with hand-rails within reach of the children. The play area shall be fenced or have natural barriers such as hedges or stationary walls to restrict children from unsafe areas. 722. Fire Safe'rlyrements A-7418.3 Safety Requirements. When smoking within the facility is permitted, smoking areas shall be designated and approved by the fire department. DAY CARE CENTERS COLORADO Every building or structure shall be so constructed, arranged, equipped, maintained and operated as to avoid undue danger to the lives and safety of its occupants from fire, smoke, cumt, or resulting panic during the period of time reasonably necessary for escape from the hullding or structure in case of fire or other emergeTicy. In every building or structure, exits shall be so arranged and maintained as provide free and unobstructed eess from all parts of the build-ing or structure at all times when it is occupied. No lock or fastening to prevent free escape from the inside of any building shall be installed. Only panic hardware or single action hardware shall be permitted on a door or on a pair of doors. All door hardware shall be within the reach of children. In every building .,or structure, an automatic or approved manually operated fire alarm system shall be provided to warn occupants of the existence of fire so that they may escape, or to facilitate the orderly conduct of fire exit dills. Each staff member of the child care center shall be accordance with Life Safety Cod ined in fire safety in Fire exit &ills- shall be held with sufficient frequency /to occupants with the drill procedure and to have the conduct matter of established routine. Fire drills shall bo coordinated department procedures. Drills shall be held at unexpected times and under varying simulate the untisui conditions prevailing in case of fire. familiarize all of the drill a with local fire nditions to In the conduct Of drills, emphasis shall be placed upon orderly evacuation under proper discipline, rather than upon speed as such; no running horseplay shall be permitted. 41 or DAY CARE CENTERS Drills shall include suitable procedures to make sure that all building, or all persons subject to the drill, actually participate. COLORADO in the Fire alarm facilities shrill be regularly used in the conduct of fire exit drills. 723. Transportation A-7419.1 Transportation Provided by Centers. If a center provides transportation, it shall assume responsibility for a child between the place where he is called for and the center, and from the center until he is delivered to his parents or to a responsible person designated by his parents. The center shall require written permission from perents and guardians for transportation of their child to and from the center and for center-sponsored excursions in center-operated vehicles or in vehicles volunteered for center use. There shall be at least one adult supervisor in addition to the driver for 7 to 15 children and a ratio of one adult for each additional 15 children, or portion of that number, using the vehicle, or, in lieu thereof, each child being transported shall be secured in a seat by a seat belt appropriate to the weight and height of the child. No child shall be permitted to remain unattended in .the vehicle. Children shall not be permitted to ride in the front seat of a vehicle unless each child is secured with an automobile safety belt. Children shall remain" seated while the vehicle is in motion. Children shall be loaded and unloaded at the curb on the side of the street on which the home, center, or other destination is located. 27 42 DAY CARE CENTERS COLORADO Transportation arrangements for school-age children shell b by agreement between the center and the chiles parents, whether the child is to walk, ride his bicycle, or travel in a car. The center shall exercise reasonable precaution to see that the child arrives at the center from school when expected and to follow-up on his whereabouts if he should be late. Written permission from parents or guardians for their child to attend community functions after school hours shall include agreements regarding transportation. A-7419.2 Responsibility for Drivers of Vehicles. All drivers of vehicles transportating children shall comply with applicable laws of the Colorado State Department of Revenue, Motor Vehicle Department, and ordinances of the municipality in which the child care center operates. All drivers of the vehicles owned by the center, in which the children are transported, shall have a current American Red Cross Standard First Aid Certificate or its equivalent and have access in the vehicle to a first aid kit, as recommended by the American Red Cross current edition. A-7419.3 Responsibility for Vehicles. Any vehicle operated by the center and used for the transportation of children nail be provided with door locks and the driver of such vehicle shall be responsible for assuring that doors are locked at all times while vehicle is moving. Any vehicle which a facility uses for transportation of children shall be enclosed. A-7419.4 Transportation of Infants and Toddlers. Centers providing transportation for infants and too center shall comply with the following requirements: to and from the All vehicles shall be equipped with car be and /or children's car seats. 43 Y CA RE CENTERS COL ORA DO Car beds shall be anchored securely to the floor of the vehicle and infants shall be strapped in the car bed. Car seats shall be fastened securely to the seat or to the floor of the vehicle. Children shall be secured with safety belts anchored to the floor. Any child who has developed skill to sit alone safely shall use a car seat, not a car bed. There shall be no more than one child in each car bed or car seat. There shall be one adult in addition to the driver for each five (5) infants/toddlers being transported. Each adult shall have a current American Red Cross First Aid Certificate or its equivalent. An adult shall accompany each child to and from the vehicle to the child's home or home authorized by the parents to receive the child. 724. Safety Requirements for Equipment A- 7416.2 Program Equipment and Materials. uipment, materials and firnishings shall be of sturdy, safe, construction, easy to clean, and free of hazards which might be dangerous to the life or health of children. It shall be free of sharp points or comers, splinters, protruding nails, loose rusty parts or paint which contains lead or other poisonous materials. All play equipment shall be constructed with a safety factor of five. Safety Factor of five is the ratio of the ultimate (breaking) strength of the equipment to the actual working stress or to the maximum permissible safe load when in use. 44 2 DAY CA RE CENTERS COLORADO 725. Water Activities (Including Swimming) A-7418.2 Swimming Foul. When a swimming pool is provided, it shall meet the requirements of the State Department of Public Health safety precautions. An outdoor pool shall have protective fencing, winter cove age which shall exclude plastic or inflatable type domes, and a nonskid surface area of at least four- (4) feet adjoining pool sides. A certified Water Safety Instructor shall be in attendance at all times when the pool is in use. In addilion, the proper staff-child ratio shit!! be maintained. The use of permanent wading pools shall be prohibited. Only portable wading pools under close supervision shall be used. A water temperature of notless than 60 degrees F. shall be maintained. Pools shall be emptied and placed in storage when not in use. 726. Emergency Procedures A-7411.6 Communication A car or planned arrangement for use of a car shall be available to the center for emer ;envies. A-7415.4 Health Practices and Control of Communicable Diseases. Emergency telephone numbers shall be readily available. 727. First Aid SupplieN A-7415.4 Health Practices and Control of Communicable Diseases. At all time, at least one staff member on duty at the center shall have a current American Red Cross Standard First Aid Certificate or its equivalent and shall be reEponsille for administering first aid to children. Standard first aid equipmert de3eribed and recommended by the American Red Cross current edition or a comparable kit shall be maintained and stored in an area inaccessible to children. DAY CARE CENTERS COLORADO 810, ON 800. NUTRITION AND FOOD SERVICE 811 Nutritional Requirements A-7415.8 Food and Nutrition. Children who are in the child care center for more than four (4) hours, day or evening, shall receive a meal which shall not be less than one-third (1/3) of their daily food needs. Meals and nutritious snacks shall be served at suitable intervals and shall be in accordance with the recommended Dietary Allowance for Food and Nutrition Board, National Research Council, 1868. The size of servings shall be suitable for the child's acre and arrnetite and sufficient time shall be available for meals to be unhurried. Children shall not he subjected to coercion including forced feedirie or other punishment for refusal to eat. Staff members shall eat with the children and shall encourage children to accept a variety of food served. Drinking water shall eel/ available to children. A-7416.3 Night-time Care of Children. A nutritious evening meal shall be served to children and a be offered. 812. Waiver of Requirements Not specified 46 ime snack shall DAY CARE CENTERS COLORADO 820. FOOD PREPARATION 821. Food Preparation and Service Requirements A-7415.8 Food and Nutrition. All food shall be from sources approved or considered satisfactory by the health authority. All food shall be stored, prepared, rind served in such a manner as to be clean, wholesoime, free from spoilage, and safe for human consumption. Home-canned vegetables, fruits, meats, and artificial sweeteners shall not be served. Food service preparation areas, dish and utensil washing and storage shall be operated in compliance with the requirements of the State or local Department of Public Health. A-7417.6 Kitchen and Food Preparation Center. Food preparation shall be carried on in a kitchen with proper equipment and clean-up facilities appropriate to the size of the child care center. In a center licensed for seven (7) to twelve (12) children, a separate kitchen or family kitchen in good repair and separate from other rooms shall be provided. A mechanical dishwasher or adequate dishwashing system approved by the Health Department, shall i=oe provided. Where food is prepared on the pr- mises, in centers licensed for thirteen (13) or more children, there shall be adequate sized equipment, sufficient tabletop space, a mechanical dishwasher- or an adequate system for washing dishes, which is approved by the Health 1epartment. Adequate space for receiving, thrage, and refrigeration of food, shall be provided. Storage space shall be clean, well ventilated, and containers of food shall be covered and stored abovee the floor on shelves or other clean surfaces. 47 DAY CARE CENTERS CC=LORA DO Provision shall be made for daily disposal of garbage sud other r--efuse. If a foo . waste grinder is in use, it shall be installed in compliance wilt-71 applicable fle lth Department regulations. Sepanara ei storage of poisonous and toxic materials from food shall provided, Suer maiterials shall be labeled and used only in ways that 1.wevill neither contaminate food nor be hazardous to employees. Iiithen ventilation by means of an exhaust an and range rated may be necessary in operations that produce conditions of steam sod grease Harftd-washing and toilet facilities for use of kitchen §tiff shall e provided and shall be readily accessible. In child care centers without kitchen facilities, the focdsand dist-21es shall be tear ported by means acceptable to the Health Departraluut from ai.n approved food preparation source, and served within one-half hour of receipt. When single service utensils are used, they shall be stored and hr-andled in Et seal_ Lary manner and shall be discarded after a single use Chilidren under the age of two years shall be excluded frithe kiteiThen. Under any circumstances where children age two and over prepare food in the centery theEr activity shall be limited to use of equipment and appliance that do not presment a safety hazard. There shall be at least one adult in the - kitchen or fooc preparation area at all times to supervise children. Not specified 900. SOCIAL SERVICES 48 2 u F DAY CA RE CENTERS 1000. PARENT PARTICIPATION COLORADO A -7C1.2 Parent Part ci pat on. Provision shall be made for conferences with the parent(s) or guardian(s) with an appropriate staff member in order that the parent(s) or guard en(s) may he informed of the childs behavior, his progress, social and physical neeris. The center shall be open to visits by parent(s) or guardian(s) of the c The center shall notify the parent(s) or guardian(s) of significant changes in the service in order that they may decide whether the service continues to meet the needs of their children. lino. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES. A=7423 Activity ith Infants. No child shall be confined to cribs or playpens during the entire time at the center and each child shall have a protected area in which to move about safely. Nonweking children shall have opportunity during each day for freedom of movement, such as creeping or crawling in a safe, clean, open, uncluttered area. Each child shall have periodic individual personal contact and attention from an ticlult, such as being held, rocked, taken on walks inside and outside the center, talked to and sung to. Each child shall be allowed to form and ohsery i- his own pat tern of sleeping and waking periods. 49 231 DAY CARE CENTERS COLORADO There shall be no routine attempt to toilet train infants. All cries of infants shall be investigated. A-7424.3 Required Equipment. An adequate number of feeding tables equipped with a harness or high chairs with a broad base and a harness for securing the child, shall be provided. The Infant Nursery shall provide playpens, jump chairs and adult rocking chairs. The playpens shall be portable. Some play equipment from the following list shall be provided: Cradle g`-vms, mobiles, rubber washable toys, rattles, blocks, balls and a phonograph and radio. A-7429.2 Program. The toddler nursery shall carry out a planned, written program suitable to the needs of the children. This program shall be available for evaluation when requested by the State Department. Each child shall have individual personal contact and attention from an adult, such as being held, rocked, taken on walks inside and outside the center, talked to and sung to. There. should be no routine attempt to toilet train toddlers under the age 18 months. Each Child shall be allowed to form and observe his own pattern of sleep and waking periods. Special provision shall be made so that children still requiring a morning naptime shall have a separate area for their nap apart from space used for play. No harsh punishment nor any humiliating or friitening method of discipline shall be used with a toddler. Punishment shall not be associated with food, rest, or toileting. 5° 232 LAY CA RE CENTERS- COLORADO A -743 0.I Equipment, Materials, and Furnishings. Equipment, materials, and furnishing shall be provided for both indoor and outdoor play that are sufficiently varied and adequate to meet the development needs of the chiliten anet the number attending, and appropriate to their agm, size, and activities. If swings are used, they shall have seats made of a flexible material and shall kie separated from the play areas used by the other toddlers. A-7430.2 Toddler Play Equipment. Each nursery shall have some play materials from each of the following categorie Books; including some cloth boo -1-cs. Etall rubber or soft plastic of r!.2 et:hum size. Manipulative toys; color cons- , large poppit beads, large beads to str=ing, three and four-piece wcwoden inlay puzzles, mobiles, and cradle gyms. Blocks and accessories; lightweight blocks, assortment of s wheel toys, figures of animals arid people. ubber Washable, soft toys and washat1e stuffed animals and dolls without pin eyes. Large muscle equipment; refirtished packing boxes, sturdy plonks to walk on, rocking boat, jump chairs with safety features, polyethylene dish pars for water play. Push toys, pull toys. Musical instruments pianti,reet=srd player, drum. Playpens which are portable, htxve a washable mat. 2 1 DAY CARE CENTERS 1120. HEALTH AND SAFETY REQUIREM E_ NTS COL ORA DO A-7422.1 Health Examination. Each infant shall have a preadmission p1-3vsical within two weeks prior to admission including a statement by a physic _den concerning any special needs of the infant. Health examinations shall be repeated eat li three months during the infant's first yeatr, each six months during the L- nfant's second year and annually thereafter. The date and results of health examinations shall he submitted to the nursery. A-7422.2 Personal Hygiene - Infant and Staff, Each infant shall be provided with two (2) wash cloths. one for washing the infant prior to diapering, one for each wmist-Ng, and an individual towel. If disposable towels are used, they shall be soft absorbent type. All toilet &tides shall be identified and separated as to each infant and kept in a sanitary condition. Wet or soiled clothing shall be changed pm-tomptly. The Infant N ursery shall provide a sufficient supply of clean clothirlr for emergency use. A sufficient supply of clean, dry diapers shat.11 be available and diapers shall changed as frequently as needed on a surf aer--ie which ;s thoroughly cleaned after each diaper change. Safety pins shall be 1,cet out of the reach of infants. Soiled diapers shall be immediately rinsed end placed in plastic bags or plastic lined, covered containers. These containrs shall he emptied, cleaned and disinfected daily. Clothing worn by staff members to and r m work shall be covered by or replaced with dean, comfortable, nonirritating washable smock or similar clothing. 52 2 S DAY CARE CE lTERS COLORADO A-7422.3 Feeding the Infant. Hands shall be scrubbed with soap and running water before pre before feeding each infant. food and A-7424.1 Building Site. The required minimum temperature shall be 72 degrees at tie floor level. Infants shall be protected from direct light and draft. Pets in an Infant Nursery shall not be permi A-7424.2 Space Requirements. The outdoor activity area shall be a minimum of 400 square feet and shall be fenced and free of hazards which are dangerous to the health and life of infants. It shall be free from unprotected welN, poolt, cesspoolt, debris and flammable m 4........terial. No wading or swimming pools shall be permitted. The outdoor area sh be designed so that all parts are always visible to and easily supervised by staff. Adequate protection against insects shall be provided. Provision shall be made for both sunny and shady areas. The outdoor area shall not be used for any other group of children while being used for infants. A-7424.3 Required Equipment. Egquipment, materials and furnishings of the center shall be of sturdy, safe construcdon, easy to clean, and free from hazards which might be dangerous to the life or health of the chilcken, Whether for indoor or outdoor use; they shall be kept clean and in good conditat, free of sharp points or corners, splintert, protruding nails, loose rusty parts, or paint which contains lead or other poisonous materials. Adequate convenient storage of he provided for each infant. an diapers, clothing, and other items shall DAY CARE CENTERS .r) flush toilet or flush sink shall he-provided for rinsing soiled diapers. After rinsing, soiled diapers shall be placed in covered containers and removed daily for washing. Handwashing facilities for adults shall be conveniently located in, or adjoining areas used by infants, and attendants' hands shall be washed after caring for each infant. A-7426.4 First Aid Requirement. In the Toddler Nursery, there shall be one staff rnerriber at all times who has a current Standard First Aid Certificate. A-7428.1 Health Examination. Each child under 2 1/2 years shall have a health examination within two. weeks prior to admission to the center. Physical examinations shall he repeated each six months thereafter until the child reaches the age of 2 1/2 years. A-74?8.2 Personal Fygiene. The nursery shall include provision for personal hygiene, washing hands and face before meals, and hands after using toilet facilities. Each toddler shall be provided with a washcloth for washing prior to diapering, onother washcloth for face washing, and an individual towel. If disposablei--- dowels are used, they shall be the soft absorbent type. Each child's toilet articles shall be identified, kept separate, and he kept in a sanitary condition. Wet or soiled clothing shall be changed promptly. The Toddler Nursery sh provide a sufficient supply of clean clothing for emergency use. A sufficient supply of clean, dry diapers shall be available nd diapers shall be changed as frequently as needed on a surface, which is thoroughly cleaned after each diaper change, Safety pins shall be kept out of the reach of toddlers. 54 2SG DAY CARE CENTERS COLORADO Soiled diapers shall be immediately rinsed and placed in plastic hags or elastic lined, covered containers. These containers shall be emptied, cleaned, and disinfected daily. A-7430.3 Safety. Equipment, materials, and furnishings of the center shall he of sturdy, safe construction, easy to clean, and free from hazards which might he dangerous to the life or health of the children; whether for indoor or outdoor use, they shell be kept clean and in good safe condition, free of sharp points or corners, splinters, protruding nails, loose, rusty parts, or paint which contains lead or other poisonous materials. Toys made of brittle, easily breakable plastic shall not be permitted. 1130. INFANT NUTRITION A-7422..3 Feeding the Infant. An individualized diet and feeding schedule shall he provided according to a written plan submitted by the parents or by the chiles physician with the knowledge and consent of the parent. A change of diet and schedule shall be noted on each child's daily activity schedule and posted in an area clearly visible to the nursery staff. The Infant Nirsery shall provide all infant's food other than formula. Food shall be varied and include cereal, vegetables, fruit, eggs and meat. There shall be no formula preparation at the center. A day's supply of formula in unbreakable nursing bottles shall be provided by the parents or guardians. Bottles of formula shall be clearly labeled with each child's name. After use, bottles shall be rinsed thoroughly before return to the parent. Special dietary foods shall be prepared by parents or guardians if required by the child. 5 DAY CARE CENTERS COLORADO Adequate refrigeration for formula and solid foods shall be provided. Unused Infant foods shall be stored covered in the original container and kept separate from other foodstuffs. Dry cereal, cookies, crackers, breads, and similar foods shall be stored in clean covered containers. All young infants shall be held for bottle feeding. Older infants and toddlers shall be fed in safe high chairs, or at baby feeding tables. Older infants shall be provided suitable foods which encourage freedom in self-feeding. A-7429.1 Feeding. There shall be no forced feeding. Either depri permitted. or forcing food shall not be Staff members shall eat with the child-en whO eat at the table. Staff members shall either feed or supervise the feeding of other children. The use of bottle feeding for toddl - shall be in accordance with the individual needs of the child and shall follow the parent's direction. Formula in nursing bottles shall be prepared by the parent and shall be clearly labeled with the child's name. After use, bottles shall be rinsed thoroughly before retuning to parent. __cHrLDHEN wrrH HANDICAPPING G CONDITIONS . PROGRAM OF ACTIVITIES A-7415.3 Handicaps. The admission of children with handicaps shall be encouraged when the staff has skill in the understanding and management of the needs of children with special problems and when they can be interated in a group. 286 56 DAY CARE CENTERS COLORADO 1220. HEALTH AND SAFETY RgQUIREMENTS Not specified 1230. STAFFING Not specified 1300. Sa-100L AGE 11LDREN 1310. PROGRAM OF ACTIVITIES 4-7418.2 Program Equipment and Materials. If the facility serves "school. age, children, it shall have some materials equipment from each of th -follow! categories: Arts and Craf SeWing, knitting, weaving, jewelry, materials for costume and .puppetry,. drama and dancing Woodwork, and a variety of musical equipment, paper, paints, clay. Games: Table games, puzzles, cards. Sports: Regulation -size basketballs, softballs, bats, tetherballs, outdoor gym set. Sciences Gardening tools, nonpoisonous wing plantS, fish, urn, &y. batteries, magnet*, comp35, thermometer, rope and pulleys, magnifying Maga. Library; Book*, magazine*, posters. 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 57 DAY CARE CENTERS COLORADO 1400. FACILITY REi DIRE MENcS 1410. SPACE A-7415.4 Health Practices and Control of Communicable Diseases. V There shall be provided an isolation area where children too ill to remain in the group may be comfortably eared for and supervised mill they can be taken home or suitably cared for ehlewhere. All items including cot, beiding, utensils; toys, toilet and lavatory used by the ill child shall not be used by env other person until all items have been properly sanitized. A-7416.2 Program Equipment. and Materials. Sufficient space accessible to children shall be provided for each child to hang his own clothiss and to keep other personal items. Adequate storage space shall be provided for indoor and outdoor enulpment C and supplies. ,,,pace for reserve supplies shall '3e in addition to the desimated space allotment ftr children's play activities. A-7417.1 Building Site. Centers shell riot be located in a private residence unless that portion of the residence to which children have access is used exclusively for the children during the hours the center is in operation, or is separate from the living quarters of the family. No other business enterprises shrill be held in the same area as the child care center during the hours of child care Operation. A7417.7 Office Facilities. Office space separated from areas used by children, other than for isolation purpcses, shall bye provided for staff use in interviewing, conferences, and other accommodations as needed for administrative duties and responsibilities. 29u DAY CARE CENTERS COLORADO' There shill be provision _for maintenance and safe storage for records children and staff, and business records of the faculty. A7417.8 Isolation Area. An isolation area shall be provided for the temporary care of cpilcken who become ill. If the area is not a separate room, it shall be separated from space used by other children by a partition, screen or other suitable means. It shall be in close proximity to toilet and lavittary facilities, and where health and sanitation measures can-be carried out without interruption of activities of other childken and staff. A-7418.1 Space Requirements. mindoor play space shall provide thirty (30) square feet of floor space per child, including space for readily movable furniture and equipment. Indoor spaceishaU be exclusive of kitchen, toilet. rooms, isolation area, office, stiff rooms, hallways and stairways, closets, lockers, laundry, arnace rooms, and space occupied by permanent built-in cabinets and storage shelves. Child care.centers in operation prior to January 1, 1960, and which continue operatic, n wider the same governing body, shall provide open indos play space of twedty-five (25) squarefeet of floor space per child, including space with readily movable furniture and equipment, with the exclusions the same as noted above. No child of less than Third grade school level shall be cared for in areas above or below the floor of egress. The center shall provide an outdoor play area which is adjacent to or Safely accessible to the indoor facilities. When the area is not adjacent, staff members shall apeom'pany-children to and from the play area. 291 59 DAy CAltE °ENTERS COLORADO The outdoor play area shall provide a minimum of 75 square feet of space per child for a group ofpren using the4tOtal play area at any one time. In no. center shall the total play area be less than 15 square feet per child for at lean one-third of the licensed capacity of the center ar a minimum of icno- squas,e feet, whichever, itrogreater. The play lea shall be d supervised. that all pert are visie and essily A shaded area shall be provided by means of trees or other-cover to guard children a inst the hizardi of excessive sun and heat. ,1420. a LIGHTING_, yENTEL AT1ON, AND TE TIME A-7417.3 Heat, eight, Ventilation. All heating units, gat or electric, !Mall be trot:tiled and maintained with safety devices to prevent fire, explosions, and other hazards.. Na otlen-flame gas or. oil rtovea,"ppen fireplades, hot Oates or unvented, heaters shall be used for heating ptrpases. All heating elements, including hot, water pines, shall be Asp insulated or installed in such a way that children canr4t eame in contact with them. _Beating fedi' 72 degrees F. Shall be capab le of maintaining a ctaft-free_ temperature of oar level in ocCuoied rooms. -Each room of occupancy shall pe well -li hted and adequately ventilated by exterior3Vindows'or by an approved air conditioning svFtern. If win-abws are used for ventilation, the total window area in each occupied area shall be equivalent to at least 10% of the floor area. One-half of the reouirecT window area shall be openable and all exterior openings shall be screened, where necessary for insect exclusion, °with screening of not less than 16 mesh per square inch. If a mechanical ventilation system is provided, 't shall meet 60 DAY CARE CENTERS _requirements of the loco:, 17ire COLORADO continuously in operation du per 0., ()ccupant use. Electrical wiring systere1 the State. Electrical Boar for worn or otherwise de er outlets shall have protect, VP rDV shall conform to the requirements of ce', appliances shall be examined' frequeptly ing; in rooms, used by children, electrical Corridors, halls, stairs, .and porches shall be adequately lighted. Permanently installed baftery powered lights :shall be pro4ided In locations readily . accessible to'st4ff in the event of electric power failure. a 1430. EXI1 A-7418.1 Space Requirements. Egress from, each room shall be directly available without passage through another room to the exterior of the building or to a common hallway leading to the exterior. Each center shall Have at least two approved, alternate, remotely located means of 'pegs from each floor of the building or tb a common hallway leading to the exterior. 1440. TOILETS AND LAVATORIES A-7417.4 Plumbing and Toilet Facilities. The water supply, sewage disposal systems, toilet and lavatory fac *meet requirements of the Health Department authorities.- COLORADO .. , 0 - . Toilet ms shall be constructed of y cleanshie nonabsorbent materials. IP . Floors..., have an impermdable nonskid surface Walls shall have a finished- surface extending to a height of four (4) 'feet in toiAt rooms. All surfaces . s 1 be easily cleandble and Maintained'in good rpair. . - 1 . : valaable foi the staff and other adults shall be in separate . . com troents or. seimrated ply ition from ficIlities furnis children,: , 0 . .. excep in centers license for thi ty (30) children or less, and in centers ., with centers, programs of _four hours or less. Toilet rooms for childr2n shall be located in rooms separate from rooms used for other purposes and shall be located on the same floor as Inside play are A minimum of bne (1) laratt j and one (1) flush ... toilet shall be provided fors each fifteen (15) .chilcken. In new facilities, opening-after the prormfigation of these regulations, or in facilities installing lew equipment, tones with open-front seats shall be us Cd" Toilet facia . The same toilet facilities shall not be used simultaneously by 'soh children of opposite sex and toilets for schoolage children shall be separated by partitions. \ffi- 1500. OTHER STNITRE_t01ENTS- COMPLIANCE WITH OTHER LOCA STATE:AND REOIO= AL LAWS)ANLI REGULATIONS 1510. ZONING A-7403.1 Original Application: Child Care Center and Child Placement Agency. It is the responSibility of the applicant to secure approval from the local zoning and building departments, as well as health and fire departments. 294 I DAY CARE-CENTERS 1520. FIRE A-7417.2 Building Plans and Construct COLORADO Each licensed child care center shall meet the requirementi of the State fi 'Health Department or its local unit; the local, fire departrment or the Colorado Division of Labor, Safety- Section; and shall be inspected annually . for compliance with current sanitation and Life Safety Code Regulations. All health and life safety, hazards shall be corrected within the time specified by the appropriate department.. A-7418.3 Safety Requirements. The local fire department Or the Colorado Division of Labor shall deterinine the adequacy -of exits and other 'measures. for life safety in accordance with the requirements of the _ Uniform Building Code apt] the National Fire Protection Cades.4 In cases of 'practical difficulty or, unnecessary hardship, the local fire department or the Colorado Division of Labor may grant exceptions from the Uniform Building Codes or the National Fire Protection Codes, but .11 only when it is clearly evident that reasonable safety is thereby !secured. 1530. BUILDING I.-7417.2 Building Flews and Construction. Licensed child care centers shall comply with applicable state yand local building code regulations. ) 1540. HEALTH A-7403.1 Original Application: Child Care Center and Child. Placement Agency. Each child care center shall approved by the State or local departments of -public/issalth as conforming to the sanitary standards prescribed by departments of public health and shall conform to fire prevention and protection requirements of local fire departments in the locality of the facility, or in lieu thereof, the Department of Labor and Employment. 63 DAY CARE CENTERS t COLORATip. p 1550. SANITAnON See 1540. HEALTH 1560. NEW CONSTRIX ON 1-7417.2 Building Plans and Construction. Prior to construction, arctetectural plans for new buildings, or for extensive remodeling of existing building, shall be submitted for review and appiloval by the State Health Department or its local unit, the local fire department or the Colorado Division of Labor, Safety Sectfon; and the local building department. Plans shall be reviewed and approved. by the Stite Department of Social Services as to appropriateness: general adequacy, and suitability for the child care functions. 64 DAY CARE CENTERS 03NNECTICT.1T Except where otherwise noted, all 'citations are to the Connecticut Department of Health Servieee Public Health Code Regulations for Child Day Care Centers and Group Day Care Homes, November, 1979. 100. STATE LICENSING OF CHILD DAYCARE FACILITIES `110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS 111. Definitio CONN. GEN. STAT. 519-43b Child Day Care Services' Defined. "Child day care service;" shall inchide: A "'child day care center" which offers or provides a program of supplementary care to more than twelve unrelated children outside their own homes on a regular basis for a part of the twenty-four hours in one or more days in the week. A "group day care home" which offers ri provides a program of supplementary care to not Tess than five n more than twelve related or unrelate$ children on a regular basis for a part of the twenty-four hours in one or more da n the week. A "family. day care, home" which consists of a private, family home caring fbr not more thah four children not reptted to the provider where the children are cared for not less than -three nor more than twelve hours during a twenty-four' how period and where care is given on a --e- _arly reeuri _ Exclusions and Exemption CONN. GEI4-STAT:519-43b "Child,DAy Care Services Refined. ' For 'licensing rquirement purposes, child day care services shall not inc such services Which are (1) admini t)elned by a'public or private school system, 297 DAY CARE CE CDNNECTIC (2) recreation- bperatians uch as but not limited to boys' and girls' clubs, church-related eathities =scouting, camping or community-youth programs or (3) informal Arreingemento ammori g neighbors or relatives in their own homes. 113. HHS risyjeje Not specified 120. A =IBLE FOR LICENSING OF DAY CARE PROGRAMS priitloi of the Administrative Unit CoMmissioner DEPARTMENT OF HEALTH SERVICES COMMISSION ON HOSPITALS AND HEALTH CARE Deputy Commissioner ADMINISTRATION Bureau Chief BUREAU OP HEALTH PROIVIeTION AND DISEASE PREVEN(TIQN Director COMMUNITY HEALTH DIVISION Day Care Licensing Supervisor Day Care Program SpeciEmlis s in five regioits functioning under the diret'supervisiort- : the state ceritroloffice prform the day to day licensing functions for day care centers.' -2 9S 2 DAY CAl CENTERS either ii nse asa. contained in the General Statutes, as amended, and the regulations promulgated thereunder. CONNECTICUT CONN. GEL:N. STAT. 519-43e License Required for Center. No person, group of persons, association, organization, corporation, institution, or agency, _ public or private, shall. maintain a child day care center, or group day care he.rome without a license -issued. Applications for such license shall be made to One -commissioner of health on, forms provided by hirri and shall contain the information required by regulations adopted under said sections. Upon reeeWipt of an application for a license the commissioner of health shall issue such license if, upon,tnipection and investigation, he finds that the applicant, the facilities and the program meet the health, educational and social nee dUs of children likely to aflend the child day care center or group day care homee and 'comply with requirements established by regulations.' Each license except a temporary license shall be for a term of two years, shall be "." may be renewed upon terms tortconditions _established by ation end may.kie suspended or revoked after notice and hearing, as provided Irian ... the regulations a. 222. Fee Charged CON E=N. STAT. 519-43c License Required for Center. The eommatnissioner of . health shall colfect from the licensee a fee twenty-fivelwe dollars for each license issued or renewed for a term of two years and a fee c=)f fifteen dollars for each temporary license issued or renewed for a term of Si 7CPC months. 223. Aromas of Investization Not speeif*ed .293 5 DAY' CARE CENTERS 224. ce -e Renew CONNECTICUT, Sec. 19-13-D15 LicenstXe of Chip_. 3 Day Care Centers and Group Day Care Homes. Ninety days prior to- wplratio--i=ri of the term for which a license has been issu each operator vg.10 dolres --to renew the ,licertse shall make application to the commissioner or he* jIhfor sameid It shall be the sole respcnikiNIty ciSif the operator to insure that all ,application forms and all required Survtling rmiateriaLs are submitted to the commissioner 4- of health. Sec. 1943-D15 Licens' of H 0m es. A temporary license fur ether i eilhild day, care center or group day care home may be issued by the aunid1tonr of health for a term of six months, and renewable for another` Si 11011tri=t3 if, ill the commissioner's judginent,. requirements for A liQebowiay bey met within a reasonable time, the health and -safety of the childr.e will not be endangered and the requirements governing the issuafiee of Es lomparamry license have been met. Day Care Centers and Group Day Care suhstan Iva Not specified 230. ENFORCEM 231. ItES Sec. 19-13-D15 Licarla of ChiL_ Day Care Centers and Hornft. up Day Care The commissioner of herkli shAl- 1 make or cause to be made' at any time iropections or investivillAisof alEleensed child day care centei or group care home inclucling rfteteeroquirmed by the commissioner of health. DAY CARE CENTERS CONNECTICUT 232. Denial, S uspe 'en, Revocation of a License CONN. GEN. STAT. S19-43i Suspension or Revocation of License. When the commissioner of health has reason to believe any person licensed has failed substantially to comply with the regulations adopted under said sections, he may notify said licensee in writing of his intention to suspend or revoke the license. Such notice shall be served by certified mail stating the particular reasons for the proposed action and fixing 'a place, time and date, not lims than thirty daYs from the date of mailing of said notice, for a hearing on said action. . . . The commissioner, based upon findings of, and recommendatibn of the hearing officer, or after a hearing conducted by hirri, shall render his ecision in writing suspending, revoking or continuing said license. A copy of the decision shall be sent by certified -mail to the licensee. The decision revoking or suspending the license shel become effective thirty days after it is mailed by certified mail to the licensee unless the licensee jhall take an appeal. CONN. GEN. STAT. 19-43f Hearing on Denial of License. Any applicant denied a license to operate a child day care center or group day care home shall be given written notice by certified mail by the commissioner of health stating the reasons for such denial. The applicant may, ,within fifteen days of the date of the mailing of said notice, make a request in writing by certified mail directed to the commissioner of health for a hearing on said denial. l'he commissioner of health shall notify the applicant in writing within teri'days of the receipt of the reqi.14=4 of the place and date of hearing, which hJaring shall be held not less than thirty days from the date of mailing of the notice. The hearing may be conducted by the commissioner or by a hearing officer appointed by the commissioner in writing. The applicant shall be entitled to be represented by counsel and a transcript of the hearing shall be made. If the hearing is conducted by hearing officer, he, shall state -his findings and make a recommendation to the corngiissioner on' the issue of the denial of the license. 7 DAY CARE CENTERS CONNECTICUT The commissioner, based upon said findings and recommendation of the hearing officer, or after a hearing conducted by him, shall render a decision in writing denying the application ear the license or granting the license in accordance with the regulations adopted . . A copy of-such decision shall be sent by certified mail to the applicant. An applicant aggrieved by said decision may appeaL 233. Remedies and Sanctions 233.1 Hearings See 232. {Denial, Suspension, Revocation of a Li 233.2 Decisions See 232. Derdai Suspension, Revocat n of a License 233.3 Judicfal Review CONN. GEN. STAT. S19-43j Appeal. Any person aggrieved by a decision of the cornraimioner of health may appeal the decision of the commissioner except venue for such appeal shall be in Hartford County. Such appeal shall have precedence in the order of trial. CONN, GEN. STAT. 519-43k junction Against Illegal Operation. The commissioner may request the attorney general to bring an action in the superior court for Hartford Cownty to enjoin any person, group of persons, association, organization, corporation, institution, or agency, public or private, from maintaining a child day care center or group -day care home without a license or operating a child day care center or group day care home in violation of atioro. 302 DAY-CARE CENTERS CONNECTICUT CONN. GEN. STAT. S 19-431. Any person or officer of an association, organization or corporation who shall establish, conduct, maintain or operate a day care center or group day care home without a current and valid license inclusive, shall be -fined not more than one hundred dollars for each offense. 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Administrative Re uiremen Sec. 19-13-D15 Licensure of Child Day Care Centers and Group Day., Care Homes. The operator shall display in a prominent place in the facility the License to operate issued by the cornmission°r of health. Any license, including a temporary license, is limited to .the operator, the facility and its location specified on the application, and the services to be rendered as indicated on the application. Any operator shall notify the commissioner of health and the parent( or guardian of each child enrolled thirty days prior to the effective date of either (1) prospective change of location of facility or (2) a change in services.... Sec. 19-13-D16 Administration, Staff Services, Management. The operator of a child day care center or group day care home shall develop and maintain a written statement of the purpose and objectives of the program and the personnel and operating policies of said Operator which shall be available to all members of the staff and the consumers of the services offered. 303 9 DAY CARE CENTERS Sec. 19-13-1318 .Program. CONNECTICUT Responsibility for First Aid. At least one staff member of the center or grotip day care home who has been trained in a first aid course approved by the commissioner of health shall be present at all times in the center or group day care home.-- 312. Telephone Sec. 19-13-D17 Facility Requiremen ... There shall be a telephone in working order at the center or group day care home. 313. Proof of Operator Financial Capabilities CONN. GEL STAT. S19-43h Reports of Licers Each licensee shall file annually and each temporary licensee shall file semi-annually with the commissioner of health a report containing such information concerning its operation, program and finances as may be reoitirad by adopted regulations. 314. Not specified nee 320. PERSONNEL 321. Pub i ation of Personnel Policies Not specified 322. Constraints Against Employment Not specified 330. l DISCRIM INA ON 331. Requirements Prohibiting Discrimination Not specified So4 DAY CARE CENTERS 340. RECORDS REQUIREMENTS 341. Children CONNECTICUT Sec. 19-13-D16 Administration, Staff Services, Management. The Operator of a child day care center or group day care home shall be responsible for maintaining record which shall be kept current and be available on the premises of the center or group day care home. A complete health record of each child shall be' maintained in the center or group day care home which shall include the certification of admissi physical and dental examinations, immirtizationfdates, and other appropriate inform ation. The record shall also show the residence, business address and telephone number of the parent(s) or guardian, and the telephone number of another responsible person; it shall also show the child's physician and hospital- of choice to can in case of emergency. These phone numbers to be used in case of emergency shall be readily available and shall accompany the Children on trips away from the premises. DMly attendance rgcords sh11 be kept by the operator of he group day care home or center. Specific permission from the ,anent or guardian authorizing agency care for the child shall be obtained in writing and kept on file at the group day care home or center. Frio; written authorization from the parent or guardian shall be obtained by the operator permitting another person to remove the child from the center or group day care home. 1_1 DAY CARE CENTERS CONNECTICUT Written authorization from the parent or guardian shall he obtained for any activity away from the premises, with specific advance notification to the parent or guardian for trips where transportation is involved. 342 Staff Not specified fi 343. Child Eli -tv and Enro Not specified 344. Child Abuse Reporting Not specified ements 345. Confidentiality of Records Requirements Not specified 400. GROUP COMPOSITIONS OF CHILDREN 410. STAFF /CHILD RATIO REQUIREMENTS 411. Staff/Child Ratio as of Mareh,1981 Sec. 19-13-D16 Administration, Staff Services, Management. The operator shall maintain a staff,adequate for the number, ages and needs of the children to be accomodated. Such staff shall be suitably trained or experienced in growth and development of young children. At all times, there shall be a second person on the\premAses of the center or group day care home available to work with the children at needed. 412. Methods of Com uti Staff/Child Ratios Not specified fi DAY CARE CENTERS CONNECTICUT 420. GROUP -SIZE 421. Group Size as of March, 1981 Not specified 422. Methods of_ComElting Group Size Not specified 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. ./Nm Not specified 512. Health Sec. 19-13-D18 Program. Each staff member shall Amish a pre-employment ertificate of good health, physical and emotional, including a negative tuberculin test or normal chest x-ray. Thereafter, a certificate of good health shall be regui ed annually and a tuberculin test or chest x-ray at least every three years. T staff shall be free of disease or disability that would have a harmful effect on the children. 513. Education Sec. 1913 -DIG Administration, Staff Services, Management. Any person who has served as a program director, head teacher or assistant teacher for twenty years or more shall be considered as meeting the preparation requirement& Al. stiff of centers or group day care homes shall have the ability to relate to the parents and eornmimitios in which the children live and shall show evidence of active pursuit ci further preparation. r. DAY CARE CENTERS CONNECTICUT Minimum staff requirements for a child day care center. A program assistant shall have the personal qualities to work with young children and accept supervision. Preparation for such position shall consist of at least a high school diploma or its equivalent. A program aide shall have the personal qualities to work with young children and to work under supervision. urn staff requirements for a group day care home. AU other persons working in a. group day-care home shall have the personal qualities to work with children, and to relatee to pther adults. 514. Experience See 513. Education 520. PROGRAM DIRECTOR QUALIFICATIONS 1 521. Not specified 522. Health See 512. 523. Education Sec. 19-13-D16 Administration, Staff Services, Management. The director-teacher or head teacher for child day care center shall have the personal qualities needed to work with children, especially young children, and to supervise others. Preparation shall consist of a high schbol diploma or equivalency cettificate and at least one year of supervised experience:in an acceptable program worldng with young children. 14 DAY CARE CENTERS CqNNECTICUT The operator of a group day care home shall have the personal qualities needed to work with children, and to relate to other adults. Preparation shall consist of a high school diploma or equivalency certificate and at least one year of experience in an acceptable program working with young children. See also 513. Education 524. Experience Sew 523. Education 530. SUPPORT STAFF QUALIFICATIONS See 513. Education r- 540. POST EMPLOYMENT/IN -SERVICE: ORIENTATION AND TRAINING 54L ProgramDirec Sec. 19-A3-D16 Administration, Staff Services,-Management. The operator of a child day care center or group day care home shall develop and maintain a written plan for staff development to increase skills and comRetence through experience or training cinder supervision. The operator shall demonstrate to the satisfaction of the commissioner of health the implementation of such plan. 542. Child Caregiver -Staff See 541. Program Director 543. Sup rt Staff See 541. Pro rare Dir ctor 15 DAY CARE CENTERS 600. PROGRAM- OF ACTIV ES, rNCLUDIN G EDUCATION 610. PROGRAM REQUIREMENTS 611. Prograrti of Activities dONNE _;TICUT Sec. 19-13-D18 Pro-gram.. The operator of a center or group day care home shall develop and implement a written plan for a daily program which shall provide specific experiences which pro mote learning and healthy adjuAment, such as appropriate physical activity, problem solving experiences, creative activities, language learning experiences and opportunities to develop self reliance. As much opportunity as possible for individual development of the children should be allowed. 612. Program Equipment and Materials' Not specified 613. Nap Provision Sec. 19-13-1317 Facility Requirements, Adequate equipment for rest and food service shall be prizivided. An individual cot shall be provided for pre-school and kindergarten children- wherever they remain five hours or longer. In a group day care home, an individual mat of a type approved by the commissioner of health may be substituted for the individual cot. 614. Disci line and Guidance Not specified 16 31u DAY CA RE CENTERS CONNECTICUT 700. HEALTH AND SAFETY 710. HEALTH 711t -General Health Re re _ Not specified 712. Health Assessments Section 19-13-D18 Fro Each child admitted -to a center or group day care home shall be examined and have a health certificate of admission d an annual update signed by a limns d physician r or his authorized physician assistant or nurse-practitioner. Such c rtificate shall stiOw that the child has been successfully imchunized against diphtheria, pertussis tetanus, polio, measles and rubella. 1mm unizations See 712. Health Assessments 714. Sanitation Sec. 19 -13 -D17 Facility Requirements. The operator of the center or group, day care home shall meet the minimum requirements of and provisions of ang related focal code. Wherever water' is obtained from other than an approved public water supply, 4 it shall of a safe and sanitary quality approved by the commissioner of health; Drinking facilities. shall be provided. y drinking fountains or indiv inking cups cups DAY CAREENTERS 715. Da.ilv-111ness Screeni4 Sec. 10- 13 -P18 Program. Staff members shall be knowledgeable about symptoms of childhood illness and be responsible for initial observation of each child upon his daily arrival and continued. observation throughout,the day for signs of illness. )44 CONNECTICUT 716. Care of Sick Children Sec. 19-13-D18 Program. Any child showing suspicious signs of commtmi e dise e shall be returned home or placed In the isolation area and the parent or guardian called immediately. 717. Medication and Special Diet Provisions Not specified 718. W em Not specified 720. SAFETY 721. General Safety Roe irements See.-19-13-D17 Facility Requirements. It shall be the responsibility of the operator to insure that facilities to be used as a child day care center or group day care h9me are suitable or this purpose aerie maintained in a state of repair aid free from accident hazards. 18 DAY CARE CENTERS CONNECTICUT 722. Fire Safety Requirements Reg.= Of Conn. State Agencies - Conn. State Police Dept. Da Care Centers. Smoke detectors shall be installed on the ceiling of each story in front of tlie doors to the stairways and at no greater than 30 feet spacing in the corridors of all floors containing the center. Detectors shall ..also be installed in lounges and recreation areas in centers. The detectors may , be single station units with an integral alarm having a decibel rating of at least 85. Detectors are not required in centers housing children 6 years of age and older, if no sleeping facilities are provided. Reg of Conn. State Agencies - Conn. State Police Dept. S79-41-9,-6i-63 Group Day Care Homes. Where the floor ahove the floor of exit discharge is used for sleeping purposes there shall bora smoke detector at the top of the stairs in a building 3 stories or less in height or inside the dwelling unit used as a day care facility in a multiple-dwelling building. A portable fire extinguisher suitable for Class B fires shall be provided for the kitchen and cooking areas. C. Any heaters in spaces occupied by children shall be separated from the space by partitions, screens or other means. If solid partitions are used to provide the separation required, provision shall be made to Fissure adequAte air for combustion and ventilation for the heating equipment. Approved fire evacuation plan e executed not less than once per month. DAY CARE CENTERS 723. Transportation Not specified 724. Safety Requ irements for Equipment_ CONNECTI UT Sec. 19-13-D17 Facility Requirements. All equipment shall be of such chEracter and mateElal as to be readily cleaned. Equipment shall not be colored or covered by any material which is poisonous. AU solid constituents of paint for equihient and toys and pigment coloring in paints, pencils, crayons and inks, to be used by the children in a child day care center or group day care home, shall be non-hazardous. 725. iudn= Swim minr7) Sec. 19-13-D17 Facility Requirements. wimming and bathing racilities, if provided, shall comply with the p ovisiol 726. Sec. 19-13-D16 Adrainistration, Staff Services, Management. The operator of a qhild day care center or group day earn home shall develop a written plan for hfindling emergencies to be maintained on the premises and to include provision f transportation, if necessary, alternate staff coverage, and notification of eats and others. L State Police Dept, S29-414.37 Reg. of Conn. State Agencies Conn. S Emergency Ugh/ .tig. Means of egr in each day care center shall be provided with emergency lighting. ,26 31 DAY CARE CENTERS CONNECTICUT In Group Day Care Homes at least_orie operable flashlight shall be provided for each staff member in a location, accessible to the staff or use in the event of a power failure. 727. First Aid Supplies Sec. 19-13-D-17 Facility Requirements. A fully equipped first-aid kit shall be available at all times. 800. NUTRITION AND FOOD SERVICE 810. NUTRITION Nutritional Requirements Sec. 19-13-D18 Program. A nutritionally adequate meal shall be provided wherever child-en remain for five hours or more. A snack shall be provided for those children staying less than five hours; for those staying eight hours or more, one meal plus two, snacks or two meals plus one snack shall be provided. Menus shall be prepared at least one week in advance, dated, posted where the parent or guardian can see them, and a copy kept on file for three months. 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 82L Po ation and Service Reqpirements Sec. 19-13-D18 Program. Food Service. -Meals shall be prepared in a kitchen, and if not on the premises, shall be prepared and transported under the minimum requirements specified. DAY CARE CENTERS CONNECTICUT The kitchen shall not be used as a play room, but may he used for a special program activity room under proper supervision. It shall be separated by a door or gate from the rooms used by the children in the center or group day care home to prevent them from entering the kitchen except under supervision. Children shall not be left unsupirvised during meal preparation. A kitchen which is used for the preparation and serving of food to children shall be clean, well lighted and ventilated, protected by window screening, and provided with hot and cold running water and refrigeration. Child day care centers shall meet the requirements specified. The group day care homes shall meet the specified requirements with the following substitutions: Separate handwashing facilities hall be ee convenient to the room where food is prepared. All multi -use eating and drinking utensils shall be thoroughly washed and rinsed and sanitized after each use by a method approved by the commissioner of health. (inn. SOCIAL SERVICES Sec. 19-13-DI6 Adm inistrati n, Staff Services, Marvagqment. The operator of a child day care center shall provide the foil consultation services: Centers without a director:teacher qualified in child development cr early childhood education shall present evidence of qualified educational consultation. A licensed physician, selected by "the child day care center operator or a hospital emergency service by pre-arrangement, shell tie available in case of emergency. 1 DAY CARE CENTERS CONNECTICUT A licensed physician or a public health nurse shall be on call for advice on problems relating to the health Of the child and the health program. A licensed dentist shall be available, when indicated, for advice relating to a dental health educational program for the center. A nutritionist shall be availabt, hen indicated, to the director and staff for advice on nutrition and servi The operator of a center without a qualified social worker on the staff shall arrange for qualified social service consultation as appropriate. Not specified 'e moo.. PARENT PARTICIPATION 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACT1V 13 -D19a Special Requilments. The operator of a pram caring for children under three years of age shall comply with general standards prescribed for all day care centers or group day care homes and the following additional requirements: Infants wider four week m of age shall not be admitted to a center or group day care home. Infants and toddlers shall not be cared for in groups of more than eight. If space permits, there may be more than one such group in a room or program. DAY CARE CENTERS CONNECTICUT The special equipment and supplies necessary for the care of infants and toddlers shall be available. There shall be at least one child care person for each four children under three years of age. The person responsible for the care of infests shall have the personal qualities needed to work with infants, have an i.nderstanding of the methods of nurturing which promote maximum growth and development of personality and the ability to relate to parents. Each infant shall be removed from his crib and held or placed in a chair for all feedings. Each infant and toddler shall be removed from his crib or play pen at other intervals during the day for individual cuddlin d for verbal communication and shall be allowed to crawl or toddle as age and development permit. R20. HEALT AND AFETY REQ REM NTS Sec. 19-13-D19a Special Requirements. The operator of a program caring for children under three years of age shall comply with-general standards prescribed for all day care centers or group day care homes and the following additional reqinre- Special safety precautions needed for infants and toddlers shall be observed. Where .a center does not have a staff nurse, a consultant nurse shall visit weekly. There shall be evidence of frequent consultation with the advisory physician. All persons who work with infants and toddlers shall, annually; present either a negative skin test for tuberceAncia or chest x-ray evidence of no active tuberculosis. t _-24 DAY CARE CENTERS 1130. INFANT NUTRITION Not specified CONNECTICUT 1200. CHILDREN WITH HANDICAPPING CONDITIONS 1210. PROGRAM OF AC Sec. 119-13-D19a Special Requirements. Centers or group day care homes serving these children shall seek consultation from the appropriate state agency. Upon request of such state agency, modifications of these regulations may be considered by the commissioner of health. 1220. HEALTH AND SAFETY REQUIREMENTS Not specified 1230. STAFFING Not specified 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACT1VrnEs Sec.19-13-D19a. Special Requiremments. The operator of a day care program for children of school age shall comply with the general standpds prescribed for all child day cafe centers or group day .care centers or group day care homes except for _fie re rem ents which follow: 'The day care program shall provide adequate opportunities Ice creative, recreational and restful activities as appropriate to meet the needs of the individual ementary to charge at each 1c child. It shall provide experience s mandated school day, and the person in May be called a "group leader." 25319 DAY CARE CENTERS Ol 1NEC'l'l C Mg Preparation of the person in charge at each location shall consist of trainirg or experience in the developmental needs of children, ages six to twelve, or in elementary education with additional experience in out-of-school programs. The operator of a day care center or group day care home. shall obtain consultation from agencies serving school-age children, as appropriate. 1320. HEALTH AND SAFETY REQUIREMENTS Sec. 19-13-D19a Special Requirernen The operator of a day care program for children of school age shall comply with the general standards prescribed for all child day care centers or/group day care centers or group day care homes except for specific requirements which follow: When a program for school -age children is located in a public or private schoOl- facility currently used as a school, the local health and safety regulations pertaining to school facilities shall apply. Information from the health records of school-age children may be obtained, with approval of parent or guardian, from school authorities and kept on file at the day care Amer or group day care home. 1400. FA TTY RE UIREMENTS 1410. SPACE Sec. 19-13-D17 Facility Requirements. Indoor space. The operator of a child day care center or group day care home shall provide a minimum of thirty square feet per child of indoor usable space, free of furniture, except that needed for the children's purpose exclusive of 32u DAY CARE CENTERS CONNECTICUT toilet rooms, bathrooms, coatrooms, halls, kitchen, isolation room and any other rooms which are used for other than activities of the children. Within the allowance of thirty square, feet per child of indoor usable space, a group day care home may contain furniture for use by other individuals as well as the children. There must always be adequate open program space available which allows for freedom of Movement by the children. A suitably equipped space shall be pr vided for the isolation of any child suspected of having any communicable ease, pending examination by a physician or removal of the child to his horn or both. Outdoor Space. There shall be access to a minimum of seventy-five square feet per child in outdoor play yard sck located and protected for safety as to avoid the possibility of receiving bodily injury from accident hazords 1420. LEI OH NG VENTILATION- AND TEMPERATURE Sec. 19-13-D17 Facility Requirements. All rooms used by the children shall be c lean, adequately heated, lighted and ventilated. Floors shall be free from dampness and any accumulation of water. 1430. Reg. of Conn. State Agencies - Conn. State Folic Details. pt 29-41-9.39 Exit Each floor occupied by children shall have not less than two remote exits. All --such exits shall discharge directly to the outside. Access to Exit. Travel distance (a) between any room door intended as exit access and an exit shall not exceed 100 feet; (b) between any point in a room and an exit shall not exceed 150 feet; (c) betCeen any point in apleeping,room or suite and an exit access doar of that room or suite shall not exceed 50 feet:) I DAY CARE CENTERS CONNECTICUT 1500. OTHER STATE REQUIREMENTS - COMPLIANCE wiTH OTHER LOCAL, STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Sec. 19- 13 -D17 Facility Requirements. The operator of a child day care center or group day care home shall comply with local zoning and building relations and shall obtain a certificate of approval from the local fire marshal_ 1520. FIRE Reg of Conn. State Agencies - Conn. State Police Dept. 529-41-17.31. Fire prevention inspections shall be conducted monthlrbrained member of the staff. A copy of the latest inspection form shall be pasted in a conspicuous place in the day care facility. 1530. BUILDING See 1510. ZONING 1540. HEALTH Not specified 1550. SANITATION Not specified 1560. NEW CONSTRUCTION Not specified 29 322 DAY CARE CENTERS DELAWARE Except where otherwise noted, all citations are to the Delaware Department of Health and Social Services, Requirements for Licensing Day Care Centers, July, 1978. All references to Section 1 of the revAation are enforced by the Division of Social Services. All references to the section of the-regulation entitled "Regulations Governing Day Care Centers" are enforced by the local health office. 100. STATE LICE11NG OF CHILD DAY CARE FA0 ITIES 110. TYPES OF FACILMES SUBJECT TO LICENSURE AS DEFINED RY STATE STATUTES AND REGULAtbONp AND/OR LOCAL ORDINANCES AND REGULATIONS 111. Definitions Introduction - Definition of a Day Care Center A day care center is any facility which is owned and/or operated by en individual, a group of persons, or an agency that provides a program for 12 children or more for four hours or more per day. Day Care includes facilities commonly called child care centers, day nurseries, and day care centers. After-school care and infant care are special forms of day care. Such care may be provided in a private home, in a rented or owned property converted to the purpose of day care. 5341 Definition of "boarding home." For the purpose of interpreting the meaning of the words "boarding home," by person, association, agency or organization is the keeper of a boarding home for children if, for hire, he or it: Advertises or hold himself or itself out as conducting such a boarding horne; DAY CARE CENTERS DELAWARE Has in custody or control 1 child or more under the age of 18 unattended by parent or guardian, for the purpose of providing such child or children with care, food or clothing for compensation. ace lizions and Exemptions Introduction - Definition of a Day Care Center. Day care specifically excludes: those institutions under supervision of the Department of Public Instruction, those owned and operated by governmental agencies or hospitals., 113. HFIS Day Care Compliance DEL. CODE ANN. tit. 31 Chapter 3 Licensing of Child Care Agencies and Boarding Hom es. Any facility receiving funding under Title XX must meet in addition Federal Interagency Day Care Requirements as amended by 45 C.P.R., Part 228, subsection 228.42. DAY CARE CE NTERS DELAWARE ,120. A7tENCY RESPONSIBLE FOR E _0 OF DAY CARE I FIOCRA 121. Organization of the Administrative Unit Secretary DEPARTMENT OF HEALTH AND SOCIAL SERVICES Director DIVISION OE SOCIAL SERVICES Adm ins trator CHILDREN AND YOUTH SERVICES Licenses are issued and revoked by state /central office staff, and the day to day monitoring functionsn, are conducted by staff in three regions under the direct supervision of the state/central office, except in one region here the family day care home lieerks6rs work under regional supervision. DAY CARE CENTERS DELAWARE 122. Responsible Official All iruplines should be addressed to Licensing Coordinator Children and Youth Services Division of Social Services Department of Health and S P.O. Box 309 Wilmington, Delaware 19899 al Services 200. LICENSING PROCESS ND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promulgation of Regulations DEL. CODE ANN. tit. 5342. Powers on w h respect tob ding homes for children, The Division of Social Services may prescribe reasonable standards for conduct_ of such boarding home, institutions, agencies, associations or organizations and may license such of these as conform to such standards. 212.. A Not specified and Other Communi Participation 220. LICENSING PROCEDURE 22L Application and Issuance Introduction - Statement of Policy. Any person, except a relative who receives _compensation for one or more children, under 18 years of age outside of the child's home must be licensed by the Divison of-gociai Services to provide this care. 32C DAY CARE CENTERS DELAWARE Any person or organization desiring to provide day care for chileten begins by obtajning an application from the county office. If the care is provided in a private home, information will be requested concerning the family and members of the household, their relation to each other, their personal and professional qualifications for care of children, factual information concerning the physical aspects of the home, the financial plan, reference, etc. Upon completion. of a study that indicates all requirements have been met, a report is made to the Director of the Division of Social Services with the recommendation that a license be issued. The license is issued for a period covering one year providing the standards are maintained. DEL. CODE ANN. ti. 3l, S343 Boarding home licenses; investigation; requirements. Any person conducting a boarding home for children end all such institutions, rom the agencies, associations or organizations must obtain licenses annually Division of Social Se es exce,t, however, those institutions, agencies, associations, or organizations under state ownership and control and maternity wards of general hospitals. In the case of a person conducting a boarding home for children, such licenses shall not be issued to such person until the Division 7" of Social Services had made a thorough investigation and has determined in accordance with reasonable standards: The good character of the person applying for the license; That the individual home meets the physical, social, moral, mental, educational and religious needs of the average child. In the case of institutions, 'agencies, associations or organizations, before such license is issued, the Division of Social Services shall make a thorough investigation and favorably pass upon: The good character and intention of the applicant or applicants; DAY CARE CENTERS DELAWARE the present and prospective need of he service rendered; The employment of capable, trained and experienced workers; Sufficient financial backing to insure effective work; The probability of the service being continued a reasonable period of time; __Whether the methods used and the disposition made of the children served will be to their best interests aid to that of society. 222. Fee Chimed Introduction Statement of Policy. No fee shall be charged for the licensing service. 223. Areas of Investigation Introduction - Required Procedures for Obtaining a License. If the care is provided in a community facility, church, or other institution, or in a place rented or owned by the operator of the facility which has been converted for the purpose of providing day care, information will be sought regarding the sponsorship,' the character (personal and professional) - qualifications of the owner, operator or director, the financial -backing and arrangements, as well as the physical plant. Upon receipt of he signed application for licensing, an accredited representative of the Division of Social Services will plan with the applicant fair a discussion of the requiremen and a field visit to inspect the facility. 323 6 DAY CARE CENTERS DELAWARE Persons caring for children at the time that an application for license is made, may, at the discretion of the Division, continue with the children while the application is being studied and evaluated. See also 22L Application and Issuance 224. License Renewal Introduction - Statement of Policy. No license shall expire due to default by the Division of Socal Services. A license shall be good for one year provided the requirements are maintained. Introduction - Required Procedure for Annual License - Renewaly, At least 90 days prior to relicensing, the Division must inform the Center of procedure and reports necessary for relicensing. At least thirty (30) days prior to relicensing, the Center must complete all proceduresiand sarmit all reports to the Division. At least ten (10) days prior to reliqprising, a written report of the evaluations must be given to the center. 225. Conditional /Provisi nal Licenses Not specified- 226. Substantial Compliance Not specified 3 279 DAY CARE CENTERS DELAWARE 230. ENFORCEMENT PROCEDURES 23L Facility Inspections DEL. CODE ANN. tit. 31, 5342 Powers of Division with respect to boarding homes for children. Any person or association conducting a boarding home for children and all institutions, agencies, associations, or organizations, receiving and placing or caring for dependent, neglected, or delinquent minors, including organizations providing care of children whether dependent or otherwise, in lieu of the care and supervision ordinarily provided by parents in their own homes, for periods of less than 24 hours a day, must accord the Division or its authorized agents, rights of entrance, privilege of inspection, and access to its accounts and reports. 232. Deni ion, Revsocation of a License Introduction Required Procedure for Revoking a License. Failure to meet or maintain the requirements or to give proper care to the children shall constitute cause for- refusal or revocation of license. Written notification, stating the specific reason for refusal or revocation, shall be made by the Director of the Division of Social Services. An appeal in writing may be made to the Director within ten days. A hearing shall be held within thirty days and a written decision rendered within ten days of the hearing. Any further al)peal shall be carried to the proper court having jurisdiction in such matters. When a license is revoked, the operator shall be required tb notify the parents, guardians, or other persons legally responsible for the children that the children must be removed within ten (10) days. Upon r evocation, the centers are required to return their license to the Division of Social Services. 33u DAY CARE CENTERS DELAWARE 233. Remedies annd Sanctions 233.1 Heart See 232. Denial, Suspension, Revocation of ce e 233.2 Decisions See 232. Denial, SuslensionjLevocation of a License 233.3 Judicial Review Introduction - Required Procedure for Revoking a License. Any personing to operate after license has been refused or revoked shall be subject to court action as provided by Section 344 of the statute related to licensing. DEL. CODE ANN. tit. 31, 5344 Penalties for violations of subchapter. Whoever violates a provision of this subchapter shall be fined not more than $100 or imprisoned not more than three months, or both. 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Administrative Requirements Introduction - Required Procedures for Obtaining a License. The Division requires all centers to display their license in a prominent place so that parents can see it. Introduction - Required Procedures for Maintaining License. Changes must be reported. to the Division of Social Services as they may have some bearing on the license./ 331 DAY CARE CENTERS Changes to reported include: Change in name of licensee. Change in type of facility. Change in location of day care facility. Major alterations or charms in housing nialine such alterations or chances. Major changes in services offered, or in the schedule of operating hours - prior to makinc such changes. Changes in the schedule of fe Any incidents of fire. Death or serious injury or any child while in the day care facility. Decision to terminate services. Commenicable diseases. DFL. ARE or in use of rooms prior to Expansion of the center must be approved by the Division of Social Services and a new license issued for the appropriate cavacity. Section I - Minimum Requirements for Licensing - Personnel. There shall be a person in charge responsible for the administration of the center. This person shall be an adult of good character and reputation with sufficient physical ability and emotional stability to provide and/or sunervise the care of the group of child-en. The person in charge must have sufficient administrative capacity to m taro efficient operation of the day care center. In the absence of the on in charge, there shall be designated someone capable of carrying these ponsibilities. At least two staff members, one of which is always on duty, should hawk completed First Aid Training at least eauivalent to the American Red Cross Basic Training Copse within the last five years. The center should always have available at least 2 copies of a first aid manual aooroved by the center's physician. DAY CARE CENTERS DELAWARE Introluction - Legal Basis for Division. A person or association conducting a boarding home for children and all institutions, agencies, associations, or organizations, caring for dependent, neglected and delinquent children shall make reports at such time as is required by the Division, as to conditions of such hoarding home, institution, agency, association, or organization, the manner and way in which children are taken care of, former addresses and such other information as will show the social status of the child, how and to whom dismissed, the extent and source of its income, the cgst of maintenance, and such other reasonable information as will enable the Division to promote the general welfare o the children and to work out a general program for their care and protection. 312. Telephone Section I - Minimum Requirements for Licensing - Physical Facilities. There shall be at least one (1) telephone in the center that is neither a pay station nor locked while the center is in operation. Proof of Operator Financial Capabilities ee 311. General Administrative Requirements 314. Insu de Section I - Minimum Requirements for Licensing - Reports. There must be consultation witems licensed insurance agent. Insurance carried must include liability coverages. Insurance also should include but is not limited to workmen's compensation, fire, and furnace coverage. 320. PERSONNEL 32L Publication of Personnel Policies Not specifi DAY CARE NTERS DELA WA RE 322. Constraints Against Employment Not specified 330. NON- DISCRI NATION 331. Requirements Prohibiting Discrimination Section I Minimum Requirements for Licensing - Civil Rights. Title VI of the Civil Right( requires of 1964 requir that service in pro ams licensed by the Division o Social Services are used apd available without discrimination on the basis of race, color or national origin. 340. CORDS 341. Children RE MR NTS Section I - Minimum Requirements for Licensing - Reports. There shall be maintained a record for each child cared for which shall include: Name and birthdate. Full names of both parents or guardians or resporsible relatives. Home addresses of parent, guardians or responsible relative. Work addresses and telephone numbers of parents, guard re3pobsible relatives. Name, address acrd telepilone number of the family physician. Name, address and telephone number of the person to be notified in case of an emergency when parents cannot be reached. Written consent of parents to contact the family physician, or a physician attached to the day care center in case ofanimergency. See also 712 Health Assessments DAY CARE CENTERS DELAWARE 342. Staff Introduction - Required Procedures for Obtaining a License. All persors who are expected to come in contact with the children cared for are required to submit a written statement from a competent physician certifying that they are free from illness or disease that m4,.ht be detrimental to the welfare of the children. Section I - Minimum Requirements for Licensing - Reports. There shall be maintained a record for each employee and volunteer worker which shall include-name, address, age, training, education, experience and other qualifications, report of physical examination at time of employment and subsequent annual examinations, and initial and terminal service dates. 343. Child Eli- °biity and Enrollment Re uiremen Section I - Minimum Requirements for Licensing Social Services. Centers will designate a person responsible for initial admission decision. This person will review with the or guardian whether the daycare program at the center is appropriate for the child. This decision will be reviewed by this person at least annually. Thee or guardian shall be informed at intake that the center is licensed by the > iv on and that any dissatisfaction regarding the care of children receive which cannot be resolved at the center may be brought to the attention of the Division. 2. Health Assessments 344. Child Abuse Reporting Not specified DAY CARE CENTERS DELAWARE 345. Confidentiality of Records Requirements Introduction - Statement of Policy. All information obtained by the Division of Social Services shall be held confidential. However, the Division may pu'Aish lists of facilities licensed by them. 400. GROUP COMPOSITIONS OF CHILDREN TAFF/CHILD RATIO REQUIREMENTS 411. Staff/Child Ratio __- of March,I981 Section I - Minimum Requirements for Licensing - Personnel. All groups during period of the educational program must be led by a teacher. Each group must have, in addition to the adult who must alWays be with it, an additional staff member immediately available within less than one minute. The staff rati r each age g _soup in the tables below are required: Child/Staff Ratio 0 to 1 year (or walking) 5 - 1 1 year (or walking) to 2 1/2 years 8 - 1 2 1/2 years to 4 years 15 -1 4 years to 6 years 20 -1 6 years to 18 years 2541 Methods of Comitim Staff /Child Retios Section I - Minimum Requirements for Licensing - Personnel. Maximum group sizes for the various ages of children are given in the table. Staff ratio will be determined by the predominant age of the children in the DAY CARE CENTERS DELAWARE group. Ordinarily children will be cared for in groups of children of their own age, but developmental age may determine the grouping, allowing flexible acement of the exceptional child at the dismetion of the director. Some latitude in age in placement in groups is reasonable if the center's program aims to enrich the experiences of children by association with those of other ages for limited periods of time. Where less than 5 infants are eared for in a facility, older children OD to 2 1/2 years may be included with the infantR in no case should the childstaff ratio exceed 51. Wherever more than 5 infants are cared for, an additional staff member must be assigned for any number in excess of a multiple of 5, thus for 6 - 10 children, 2 staff members; 11- 15 children, 3 staff members. 420. GROUP SIZE 421. Group Size as of Mwc-h_t_1981 S e 412. Methods of Computing Staff/Child Rados k 422. Metho Not specified Corn L UD Size 500. STAFF QUA FICATIONS AND TRAINING REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. Lijr_ Section .I - Minim um Reuirdments for Licensing - Personnel. Teachers must be at least 18 years of age, and aides must be at least 14 years old and reliable. 15 2 DAY CARE CENTERS DELAWARE 512. Health Section I - Minimum Re ements for Licensing - Personnel. AU staff members, whether 'd or regular volunteers: Shall be emotionally physically able to care for chitettn and shall' submit required personal information and character references. All paid and ar volunteer members of the staff 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 precede service or employment and reoccur annually. A tuberculin skin test and/or chest x-ray showing freedom from active tuberculosis prior to service or employment. Future tests are required only if there ia,exposure to tuberculosis or indilfiduals with symptoms of tuberculosis. 513. Education Section I - Minimum Requirementsklor Licensing - Personnel. Teachers must be high school graduates (or have an equivalence certificate) and have at least 1 year's employment' experience working with children of this age group! They must have successfully completed at least 2 courses in early childhood development or education, preferably one of which involved dir-gg. Contact with children of this age group. The eqtivalent of the formal course training requirement may be acquired by on-the-job training consisting of 60, hours of seminars, staff conferences, and assigned reading. If a teacher has successfully completed a 4-year college course in early childhood development or education, that teacher must have had 3 months full-time employment experience with children of this age group which may include full-time student teaching. 333 DAY CARE CENTERS DELAWARE 514 Experience Section I Minimum Requirements for Licer5ing - Personnel. All staff members, whether paid or regular volunteers: Should pave a genuine interest in, and a warm feeling for, children. They should have a sympathetic, intelligent under .eancling of the needs of children and their development. also 513. E 520. PROGRAM DIRECTOR QUAL CATIONS 52L Section I - Minimum Requirements for Licensing - Personnel. The Director, Head Teacher or Program Director must be at lea 522. Health See 512. Health education Section - Minimum Requirements for Licensing - Personnel. The Dia%ctor, Head Teacher Program Director inust: years old. Hold a four; -year college degree in early childhood development or its equivalent and have one year of practical experience, or- In the absence of a college degree, be a high school graduate, have some formal training in early childhood developmental or its equivalent, have three years practical experience in day care, and be at least 21 years old, or, 17 DAY CARE CENTERS DELAWARE If the director, who must be a high school graduate , is not qualified in the field of early childhood development, an educational supervisor or consultant must be available at least one-half day each week to plan and direct the children's program, to supervise the teachers in their work and to plan and carry out staff development activities for the teachers. When the director or head teacher meets requirements a) or (2) above, the services of an Educational Supervisor are no longer re quired. 524. Experience See 523. Education 530. SUPPORT STAFF QUALIFICATIONS Section I - Minimum Requirem s for Licensing - Personnel. The educational supervisor should be a graduate of an accredited college with work in child development or early childhood education. The educational supervisor must have had 2 or more years' experience teaching pre-school children. If an educational. supervisor with these qualifications is not available, one having the above educational qualifications and at least S months' teaching experience may be employe an a one-year interim basis, at which time full compliance is required. The educational sunervigor must know how to plan and direct the activities of a group of teachers, be capable of evaluating their performance and give the kind of help that will enable them to increase their skills. The educational supervisor must understand the overall goals of the center, the role of the teacher, and their implication in the deny activities of the chil'it.en. The educational supervisor should have maturity, objectivity, and the ability t es relate to many differehtkinds of people. DAY CARE CENTERS DELAWARE 540. POST EMPLOYMENT/IN-SERVICE: ORIENTATION AND TRAINING 54L Pr a Dir _-tor Not specified & 542. Child Car ivernizitaff Not specified 543. Support Staff Not specified 600. PROGRAM OF ACTI INCLUDING EDUCATION 610. PR_ RAM RAM REQUIREMENTS Program of Activities Section I Minimum Requirements for Licensing - Care of Children. The day care center shall prepaie and carry out at least a simple planned written program which is flexible and suitable to the needs of the children being served. The written program shall include a daily schedule which: Provides for intervals of. active play and qUiet play or rest. Provides for both small group and individual play. Includes outdoor play each day, exit when severeness of wdather could create a health hazard (or when there t; an individual reason for a child to remain indoors - at the decision of the director). Includes the following program- areas in some form such as: music, books,art (crayons and paper, scissors, paste, easel paint, finger paint, clay, playdoughs), science, doll corner, or dress-up play, blocks, water, table activities (puzzles, Unicer toys, building bricks, .Lincoln Logs, pegboards), outdoor activities (swings, Jungle -gyms, sliding boards, tricycles). 19 341 DAY CARE CENTERS 512. Program Not specified Equipment and n eri 613. Nap Provision DELA WARE Section I - Minimum Requirements for Licensing - Physical Fa-- vilifies, Sleeping space shall be provided for all children of pre-school age. There shall be individual fits, cats, beds, or approved sleeping mats provided with individual bedding sufficient to maintain warmth. These sleeping provisions must be placed at least 1 1/2 feet apart. Parents may be asked to supply bedding. Children shall not use beds of members of the household. 614. Discipline and Guidance Section I - Minimum Requirements for Licensing tare of Chilcken. Discipline, child care, and child guidance shall be handled with kindness a understanding within a program so planned ass to minimize the need for punishment or severe discipline. No child shall he Subjected to cruel, harsh, humiliating, petty, severe or provocative treatment.- Subjected ,to verbal abuse, threats, or derogatory remarks about him or his family. 'Deprived of Meals or any part of meals as punishment. Disciplinary measures shall be designed and adrnirdstered in such a way as to help the -individual child develop self control and to assume responsibility for his own acts. To accomplish this the center shall: Establish simple and understandable rules, for both children and staff, that set the limits of behavior required for-the protection of the group and individuals within the group. 20 DAY CARE CENTERS DELAWARE 700. HEALTH AND SAFETY HEALTH 711. General Health irements Not specified 712. Health Assesmants Section I - minimum Retirements for Licensing - Care of Chilcken. Every child shall have health examination by a licensed physician before admission, or within 3 dmays in case of emergency admission. This examination shall be repeated arnually. The examiner shall certify that the child is free from communicable clieases, including tuberculosis, or other conditions hazardous or potentially hazardous to the welfare of other children. A report of the eXam babas be kept on file by the operator of the nursery or day care center, Tn ease of afterschool care, a copy of the health m the public school in the centers is sufficient. Immistizatlors Section I - Minimum Retirements for Licensing - Care of Child-en. Each child prior to sc1mission must show evidence of all appropriate imrnunizatiors,either co-rrnplete, or in process. 714. Sanitation Section I - Minimum Ftegmuirements for Licensing - Phypies1 Facilities. AU aspects of sanitation are subject to the Division of Public Health regulations. 21343 173A Y CARE CENTERS DELAWARE' cod housekeeping stand rds shall be maintained throughout the center. Regulations Governing D.a.v Care Centers S 52.102 Building. strfaces must be of smooth, durable and cleanable material. Carpeting or oor covering, if used, m ust be in good repair and kept clean. regulations Governing Deay Care Centers S 542.301 Water Supply. Single service cups - A supply of paper or plastic cups story in a suitable aisperser are to be accessible. Cups must be discarded after each use. OR lek.n approved drinking fictiffitain (angle-jet mouth- guard type with anti-squirt device and jet, should not rise more than 4" vertically, nor its are extend more t ban 10" horizontally from orifice.) Regulations Governing nasty Care Centers S 52.303 Plumbing. The system shall conform to the requirements of the local plumbing code. 71 5. Daily Illness S ng Section I - Minimum Requirements for Licensing - Care of Children. Etch child shall be examined daily by a person capable of recognizing common wigns of communicable dense or other evidences of ill health. Care of Sick Children S.eetion I - Minimum Requirements for Licersing- Care of Children. Mach da. 'gre center must have definite and specific arrangements with a -.ceased phy . ian who will agree to provide both advice in areas of daily ealth maintenance as welt as servicas in case of emergency. 22 'ARE CENTERS DELAWARE Upon detection of disease, provision shall be made for an area suitable for temporary isolation of al children within the sight and hearing or an adult. Parents or other responsible relatives shall be notified immediately or their designated family physician called if there is evidence of illness that means the child cannot participate in the program and should be taken home for proper care. Written permission must be procured from parents to call the family physician or to refer the child for medical care in a hospital in case of an accident or an emergency. Treatment or medication shall he given to a- child only on the basis of a physician's order, except first aid. Where children have become ill during the day, they should he discharged to the care of their parents as promptly as possible. Where it seems advisable, parents should be instructed to consult their own doctor or referral made to appropriate sources or medical help_ . Where parents are not available for notification of illness, the day care center shall call a physician, preferably the family physician, should the situation seem to warrant it A child wtio has been absent five days or more due to illness or injiry shall not be readmitted except with a ehysiciares statement tht he is in a satisfactory physical condition to rejoin the group. For those who are dl due to communicable disease, the parent or guardian must on their return, furnish a written statement that he is now free from said disease. 717. Medication and Special Diet Provisions Section I - Minimum Requirements for Licensing - Care of Children. Treatment or medication shall be given to a child only on the basis of a physician's order except for first 718. Waiver of Health Requirements Not specified 2 DAY CARE CENTERS DELAWARE 720. SAFETY 721. General Safety Requirements Regulations Governing Day Care Centers S 52.202 Building. No surfaces containing lead paint shall be accessible to the children. 722. Fire Safety Requirements Section I - Minimum Requirements for Licensing - Physical Facilities. Each floor of a nursery or day care center shall be equipped with fire extinguishers as recommended by the Fire Marshall. Regulations Governing Day Care Centers S 52.402 Flammable Products. .All products that are classified as flammable by the State Fire Marshal's Office shall not be stored in the same building that is used as a center. 723. Transportation Not specified 724. 1-11Ltly-11squimrts for Equipment Section I - Minimum Requirements for Licensing - Care of Children. Equipment used for or by the children shall have no sharp edges, no splinters and must be sturdily built. Large equipment must be staitke and free of poisonousqlead base) paint and other characteristics which will be physically harmful to children. Any item' used which might be potentially dangerous tb children (such as heating appliance or sharp knives) must be used only under close adult supervision. When the activity in which the item is used is finished, the item must be put out or reach of children. 346 DAY CARE CENTER. DELAWARE 725; Water A Including Swimming) Regulations Governing Day Clue Centers S 59..312 Swimming Facilities. Swimming pools are to meet the State Board of Health Regulations governing swimming pools. No permanent wading pools shall be permitted. Only small inflatable wading pools under close, constant supervision, shall be used. The water temperature Pk. shall not be less than 60°F. Pools shall be emptied and cleaned every three hours during the time of use. Emergency Procedures Not specified 727. First Aid Supplies Section I - :Minimum Requirements for Licensing - Care of Children. There should be readily available out of the reach of children sufficient approved first aid kits. 810. NUTRMON ROO NUTRITION AND FOOD SERVICE 811. Nutritional Requirements Section I - Minimum Requirements for Licensing - Care of Children. For 'all children in the nursery or day care center for a period of 8 how minimum of ttree feedings shall be firrilshed. 0 eels shall be planned to provide a minimum of 2/3 of the child's total daily requfrements as set forth by the Food and Nutrition Board of the National Research Council. 25 3 4 DAY CARE CENTERS DELA WARE Consultation with a trained nutritionist is requined at least annually by the Division for lieen.si, 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 821. Food Preparation and Service Requirements Section I - Minimum Requirements for Licensing - Physical Facilitim. Food preparation facilities shall be kept in a sanitary ondition and proper, adequate space shall be provided for preparing, storing .(Including refrigeration of perishable foods) and serving. Regulations Governing Day Care Centers S 52.305 Food Service. All food in the center shall be from souces approved or considered satisfactory by the health authority, and shall be clean wholosome, free from spoilage, free from adulteration and misbranding, and safe for human consumption. All of f-dte food services used by the center must be approved by the Division of Public Health. All eating and drinidng utensils snail be thoroughly cleaned and sanitized after each usage, and stored in a clog be cleaned at least once a day. ace. Cooking surfaces of equipment shall 900. SOCIAL SERVICES Section I - Minimum Requiremehts for Licensing- Social Services. In the event of problems with the child or in the family, the center mu prepared to refer the family to the appropriate social agency. - 3 Is 26 DAY CARE CENTERS DELAWARE 1000. PARENT PARTICIPATION Section I - Minimum Requirements or Licensing - Social Servicm. Centers will designate qualified personnel to render periodic verbal or written reports on the child's progress to the parent or guardian and be prepared to deal cons ctively with problems. Opportunities must be provided for interested parents to assist in the center's program an a volunterr basis or to visit the center and ohserve at any time convenient to the parents. 1100. INFANTS AND TODDLERS MO. PROGRAM OF ACri'lV TES Section I - Minimum Requirements for Licensing - Care of Childr An infant is defined as a child under the age of 12 months and/or unable to The general Day Care Regulations shall apply to the day care for infants except where specifically altered by these regUlations for infant day care. In this care, the infant day care regulations shall take precedence. 7 Staff, both paid and volunteer, shall be asthgned exclusively to infant care and should give no other duties in a facility housing older chilcten. At least one .person over the age of 18 must be in charge of irdalt groups at all tirrras. AU staff members including volunteers must be shall halie experience and/or training in the care of least 16 veers of a nfants. DAY CARE CENTERS DELAWARE Playpers or approved mats shall be provided to em....ure that 01 infants above the age of 3 months may send part of time day outs de of the crib. 1 1120. HEALTH A D SAFETY REQUIREMTE Section I - Minimum Requirements for Licensing - Cater -e of Children. A physician, or emergency m services, mus-:-t be available during the entire period of day care. A public health nurse must requested to visit the center on a weekly basis, and more frequently if n = arsary, for consultation with the staff responsible for infant care. This requirement may be waived whe.e a register d nurse is a full-time or part-time member of the center staff on a regular bmesis. A sufficient supply of crib Ifnen shall be maintained to assure change of linen as often as dictated by soiling. Each infant's indoor clothing, diapers, toilet artier, medications, etc., shall be kept in individual crib-side stands, lockers or otkiser receptacles, and out of reach of children. All requirements of the Division of Fublir Health nth regard to infant care must be met. Infants found to be ill must be isolated and cared for by a single attendant until the infant can be removed from the center. A written and rehearsed plan of evacuation in tlitie event of fire or other emergency must be developed and instructions in Semame must be given, to the staff. Regular drily by the staff and the children in this procedure shall be held at least once a month. 3 DAY CARE CENTERS DELAWARE Infants shall be hous 1130. INFANT NUTRITION go's-id floor. Section Minimum Requirements for Licensing- Care of Ckaildren. Staff should follow a physician's or pareilfs prmcriptiora for formula and feeding of solid fools to infants. For all children in the nlasery or day. care center for a minimum of three feedings shall be furnished. 0 of 8 hours, a Meals shall be planned to provide a mininartrof 2/3 of ttt child's total daily requirements as set forth by the Food and Nutrition Board of the National R earch Council. Consultation with a trained nutrit=ionist is required at 1 annually by the Division for licensing. 1200. CHILD WITH HANIjI kTDIG CONEWFI0 L210, FROG'. Not specified CF ACTP/rms 1220. HEAL AND SAFETY REQUIREIVfENTS Not Speciffed 1230. STAFFING Not specified 29 DAY CARE CENTERS 1300. CM 1310. PROGRAM ACTIVITIES CHILDREN DELAWARE Section I - Min murn Requirements rror Licensing - Care of Children. Children who are 6 years old or eplriver may be cared for in lay care centers. Any center that admits these older children shall provide separate, appropriate facilities and progrartzsfor them if their presence reduces the effectiveness of the program for the youger childrew n. Children who spend trerlot at the center shall be supervised in nstru activities to avoid interferences 'wit =h younger children. Children who °have lunch at the center may be served with the younge children if their preseinee is compati_Kble with the day care center program. 1320. HEALTH A Not specie 1410. SPACE 1400. FA ma= REQUIREMENTS Section 1 - Minimum Iteguirementa for Licensing - Physical Facilities. Day care of childrer shall not false provided in the same location as .a convalescent or maternity home omer in conjunction' with a rooming house or boardin house for adults, Space des grated for use by chit children at the time thefaeRity calm in day care shall be available only for the 0-- pen for their care. 3 DAY CARE CENTERS DELAWARE Square footage: A minimum of thirty -five square feet or usable floor space shall be provided for each child, exclusive of corridors, kitchens, bathrooms, offices, isolation rooms, storage space, and permanent sleeping space. Minimum space may include area occupied by non-fixed children's chairs, tables, and play equipment. Regulations Governing Day Care Centers S 52.103 Area. An area of at lt.t thirtfive (35) square feet of floor s'ce shall be provided for each child. Corridors, kitchens, bathrooms, isolation rooms, offices, permanent bleeping space, outside play area and storage area shatttue-excluded in computing this area. Regulation Governing Day Centers § 52.204 Sleeping Space. Sleeping space is to include the following: Individual cribs, beds, cots or suitable sleeping mats of sufficient size so that = the child may be in a fully extended position. Mats and mattresses are to be covered with a non-absorbent washable material and sanitized at frequent intervals. Cots and cribs are to be of cleanable construction and in good repair. Household members' beds and furniture may not be used for day care center use and household use also. Sufficient individual clean bedding shall be provided and laundered frequentlycas needed to keep them clean. The minimum spacing between beds, cribs, cots or mats shall be 1 1/2 feet on all sides. Regulations Governing Day Care Centers 5 52.205 Isolation Area. This area is to be of cleanable constriction, separated from the other part of the center and have no alternate use involving food storage or handling. DAY CA RE CFNTFR S DELAWARE Regulations Governing Day Care Centers 5 52.207 Outdoor Play Area. AR parts of the area shall be visible from the Center of the play area and be easily supervised. There shall also be provisions made for both sunny and shady areas; this can be in the form of an awning. The area shall CI) have a minimum of 50 square feet per -chilct (2) be free from items that are not healthful to chilcrer4 and (3) be-fenced. 1420. LIGHTING VENTILATION AND TEMPERATURE Regulations Governing Day Care Centers 5 52.202 Building. t Any rooms that are used by the children shall be dry and have adequate heat and ventilation. Regulation Governing Day Care Centers 5 52.308 Lighting. A combined natiral and artificial light is to be provided to give an illumination of at least 20-foot candles of light on all working sirfaces. At lest 5-foot Jeandles of light at a distance 30 inches froM the floor shall be required in all other areas. Glare shall be kept at a minimum by using shades on windowgland lamps. Regulations Governing Day Care Centers S 52.209 V ion. AU rooms shall be well ventilated. The tail window area of each room for play activities shall be not less than 10% of the floor area with one-half of the window area to be openabie unless adequate ventilation is provided in another form. Regulations Governing Day Care Centers S 52.313 He Heat is to be adequate to maintain an even temperature of between 68° and 700F. at floor level when the outside temperature if 00F. 32 DAY CARE CENTERS DELAWARE 1430. EXITS Section I - Minimum Requirements for nsing Physical Faciliti es Only areas having at least 2 exits to the ground level shall be used for children. Basement rooms entirely below ground level may be used only for play periods and not for resting or sleeping. Exceptions may be made only with approval from the Building and Eire Inspector. 1440. TOILETS AND LAVATORIES Regulations Governing Day dare. Centers S 52.208 - Toilet and TTandwssh ing Facilities. Toilet rooms are to be provided inside the building and equipped with one co flush toilet and one (1) washbowl for each fifteen (15) or a fraction of that number that are wing the facilities. The washbowl is to be equipped with hot (less than 110° F.) and cold water under pressure, and is not be to equipped with drain stoppers These are to be an the same floor as the inside play wee. Nursery seats and steps or platforms shall be proi.dded for the use of small children if child-sized toilets and wash basins are not available. DAY CARE CENTERS DELAWARE 1500. OTHER STATE REQUIREMENTS - COMPLIANCE WITH OTHER LOCAL, STATE AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Section I = Minimum Requirements for Licensing- Physical Facilities. AU state and local health and safety regulations shall be met. This includes written certification from the appropriate authorities regarding fire inspection, safety inspection, sanitation, conformance with plumbing, building, zoning, and housing codes, including the approval of water and sewage systems. 1520. FIRE Introduction - Required Procedures or Obtaining a License. The Fire Department, Building Inspector, and the Division of Public Health are requested to visit in order to ascertain that the facilities conform to all State and local health and safety regulations. Forms are provided by the Division of Social Services to these agencies for submittal of their reports. 1530. BUILDING See also 1510. ZONING 1540. HEALTH See 1510. ZONING 1550. SANITATION See 1510. ZONING 1560. NEW CONSTRUCTION See 1510. ZONING 34 DAY CARE CENTERS DI _R :T OF COLUMBIA Except where otherwise noted, all citations are to the District of Columbia Regulation No. 74 - 34, Rules and Regulations - Child Development Facilities Regulation, December, 1974. 100. STATE LICENSING OF CI LD DAY CARE FACILITIES 110. TYPFS OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS Definitions Section 103. Child Development Facility: location where a child development program is provided for infants or children away from home for less than 24 hours per day for each infant or child. Such facility may be known as a child development center, child development home, or infant care center, but does not include a public or private elementary or secondary school engaged in legally required educational and related functions. Child Development Cent a child development facility for more than 5 children or infants, which provides a full day (more than 4 but less than 24 hours per day), part day (up to 4 hours per day) or before and after school child development program, including such programs provided during school vacations. Child Development Home: a child development program provided in a private residence for up to a total of 5 children and infants, with no more than 2 infants in the group. The total of 5 children and infants shall include those of the caregiver. DAY CARE CENTERS DISTRICT OF COLUMBIA 112. Exclusions and Exem Lions Section 102. This regulation shall not apply to occasional babysitting in the babysitter's home for infants or children of one family. informal parent-supervised neighborhood playgroups. care furnished in places of worship during religious services. child development centers providing only a before or after school child development program. 113. HHS Da-- Care Compliance Not specified 2 DAY CARE CENTERS DISTRICT OF COLUMBIA 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 12L Ori-anizationof the Administrative Unit Director DEPARTMENT OF HUMAN SERVICES Assistant Director OFFICE OF STATE AGENCY AFFAIRS Deputy Director LICENSING AND CERTIFICATION DIVISION Chief SOCIAL SERVICES BRANCH All licenses are issued and revoked from the central ce. 122. nsible Official All inquiries should be addressed to Chief Social Services Branch Licensing and certification Division Office of State Agency Affairs Department of Human Services 1406 L Street, N.W., 2nd Floor Washington, D.C. 20005 (202) 727-0672 DAY CARE CENTERS 210. DISTRICT OF COLUMBIA 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES LICENSING PR CESS 21L Promul Not specified Regylati ons 212. Advisory Body and Other Community Pa Section 501 There shall be established by the District of Columbia Council an Advisory Commission on Child Development Facilities which shall review for and propose to the District of Columbia Council regulations related to child development facilities in the District. Section 502 The Advisory Commission on Child Development shall have twelve members, appointed by the Chairman of the District of Columbia Cowell. Three members of the Commission shall be operators of licensed child development facilities in the District. Six members of the Commission shall tblierents of infants or children enrolled in child development facilities in the District. One member shall be a specialist in early childhood education. Two member* shall be District residents who hiye demonstrated an interest in child development programs. A representative from the Distffct Department of Human Resources, the District Department of Recreation and the District public schools shall participate as ex-officio non - voting members in the deliberations of the Commission. 4 DAY CARE CENTERS DISTRICT OF COLUMBIA 220. LICENSING PROCEDURE 22L Application and Issuance Section 203 Application for License. Any person proposing to operate a child development facility in the District shall, prior to the commencement of operation, make application to the Commissioner for a child development facility license. The application shall contain the following information, all of which shall be a matter of public record available for inspeCtion upon request during regular business hours: The name, age, address and occupation of the person making application or in the case of a corporation or association, the ,ThAmes, ages, addresses, and occupations of the officers and directors thereof. The name, age, address and occupation of the individual designated by the applicant as the director of the child development facility and any additional information concerning that individual which the Commissioner may require. The address of the premises which are to constitute the child development facility, together with a description of all structures and facilities forming a part thereof in such detail as the Commissioner J:* may require. The name by which the facility is to be known. The name and address of the owner of the building or buildings in which the child development facility is 'mated. The number of hours per day child development programs to be offered and the age groups of the nfants or children to be served. 5 DAY CARE CENTERS DISTRICT OF (77 U M13IA A rogram statement describing tte programs and services to be pr ded inclutling contractual and staff resources. All contractual services to be provided shall comply with the requirements of this regulation, and with all other applicable District laws and regulator's. Proof that the premises are in conformity with all applicable Federal and District health, fire, safety, and zoning regulations, and building codes, and that any necessary permits for occupancy have been issued by the appropriate authorities and are in full force. Other reasonable information which the Commissioner may require in order to permit him to ascertain whether the applicant is in a position to operate a child development facility in conformity with the provisions of this rertlation. An applicant for a child development facility license shall sign the license application, and shill affirm that all statements therein are true. The applicant's signature shall be in the case of an individual that of the indilfidual, in the case of a partnership that of all partners, and in the case of a corporation that of two of 'the officers thereof, one of whom shall be the president. Each applicant shall inform the Commissioner within 10 business days of any change in the facts stated in the license application. Section 204 Issuance of License and Notification of Change in Circumstance. The Commissioner shall issue a license after having determined that the representations made in the application are correct and sufficient to show that the applicant has complied with the requirements of this regulation. A license issued by the Commissioner shall expire one year from the date of issuance. 362 DAY CARE CENTERS DISTRICT OF COLUMBIA The licensee of a child development facility shall inform the Commissioner of any change in the operation, program, or services of a child development facility of a degree or character which may affect its licensure. 222. Fee Charged Section 202 Fees. The Commissioner shall fix, and may adjust om time to time, child development facility license fees. 223. Areas of Invest4ration Not specified 224. Li _e Renewal Section 205 License Denial, Renewal, Suspension and Revocation. Application for renewal of a child development facility license shall be submitted to the Commissioner on a form provided by him not later than ninety days prior to the expiration date of this license. Notwithstanding anv other provision of this regulaton, a child development facility holding a valid license at the date of application for renewal of such license may continue in operation until the Commissioner has taken action on the renewal application. The Commissioner shall be required to renew a chili. development facility license when he has determined that the licensee has complied with the provisions of this regulation. 225. Conditional/P visional Licenses Not specified 228. Substanti i Corn Aiance Not specified DAY CARE CENTERS 230. ENFORCEMENT PROCEDURES 231. Facility Inspections DISTRICT OF COLUMBIA Section 302 Right of Entry, Inspection and S bpoena Powers. The Commissioner and any other duly authori_ official of the District having jurisdiction over, or responsibilities pertaining to any child development facility, after presenting offiqfal credentials of identification and authority issued by the District, shall have the either with or without prior notice to enter upon and hto the premises of any child development facility licensed pursuant to this regulation or for which an application for license has been made, in order to determine compliance and to facilitate verification of information submitted on or in connection with an application. for licenstre pursuant to provision of this regulation. 232. Denial, mion, Revocation of a Section 205 License Denial, Renewal, Suspension and Revication. The Commissioner shall be required, after providing notice and opportmity for hearing, to deny, refuse to renew, or to suspend or revoke any license if he finds any of the following: A faillre to comply with the provisions of this re A failure to comply with any other Federal or District law or regulation applicable to child development facilities. That any licensee, or person in charge of the facility, has committal, aided, abetted, or permitted to be committed, any acts of dishonesty, fraud, gross negligence, abuse, assault, battery or other illegal acts in the operation of the facility. DAY CARE CENTERS DISTRICT OF COT, ti The Commissioner shall suspend a license whenever he finds that the failure of a child development facility-to comply with any proVision of this regulation or with any other4Federal or District law or regulation ap;loicable.to such facility is of such a serious nature and magnitude that there is an imminent danger to the health, safety or welfare of the infants or children. Such suspension' shall continue until the Commissioner has determined that the imminent danger has been corrected. dr ..ne Commissioner finds that the immediate interests of the infahts or children in a child development friciity world be best served by affording such facility an opportunity to correct a condition which would otherwise constitute a basis for suspension, revocation of or refusal to renew a license under subsection (c) of this section, he may afford the licensee the opportunity to correct the violation within 3Q days after receipt of a notice to correct. When a licensee has been cited for a violation of this or other applicable regulation relating to the condition of the building or property in which the child development facility is located, and when such building or property is owned by someone other than the licensee, the Commissioner may request that the licensee and the owner of the building or property meet with the Commissioner for the purpose of settling any dispute regarding the correction of such violation. 233. Rem 233.1 1-1 eari San: Section 206 Hearings. When the Commissioner proposes to deny issuance of a license or to suspend or revoke a license issued pursuant to this regulation for failure to comply with or for a violation of this r e he shall first issue a notice to the applicant or licensee, specifying the ation and reasons for the proposed 9 DAY CARE CENTERS DISTRICT OF COLUMBIA action. Such notice shall also inform the applicant or licensee that he has five days from the date of service of the notice in which to request a hearing.. If no hearing is requested, the Commissioner may then deny, suspend or revoke the license. In each case the Commissioner shall maintain an official record, shall serve upon the applicant or the licensee a proposed decision including , the findings of fact and conclusions of law and shall render the final deci- wTiting to the applicant or licensee accompanied by findings of conclusions of law. Each case shall be determined in accordance with the provisions of the District of Columbia Administrative Procedure Act. and Upon suspension of a license, the Commissioner shall immediately notify the censee that the licensee may, within 24 hours following the suspension, request a hearing. Such hearing shall be 6ondieted by the Commissioner within two calendar ays-following receipt of the request. 233.2 Decisions See 233.1 Heari 233.3 Judicial Review Not specified 300. ADMINISTRATION GENERAL ADMINISTRATION General A clm ?istrative Requirements Section 401 Child Devel Centers. Child development centers shall require a director who is physically present during the week for at least one-third of the time tha, children are at the center. 10 36 DAY CARE CENTERS DISTRICT OF COLUMBIA The director shall be responsible for the supervision and administration of the child development center, including: Selection of qualified staff and supervision of that staff e that a child development program is provided. Compliance with health requirements and maintenance of records ed by this regulation. Compliance with applicable District Designatic director. and egWations. of a- teacher to be responsiUe in the absence of the The duties of a teacher shall include but not be limited to the following: Initiating daily activities related to the child development program. Maintaining an attractive, clean room.. Supervising the assistant teacher, when a The duties of an assistant teacher shall include but not limited to the following: Assisting the teacher and participating in the planning of the daily program. In the absence of e - assuming r in the group. Aides shall assist the teachers and assistant teache y for the children DAY CARE CENTERS DISTRICT OF COLUMBIA 312. Tele one Section 405 Physical Requirements of the 1 ac All child development facilities shall be equipped with at least one non -coin operated telephone for use by staff in emergencies and readily accessible during the hours of operation of such facility. 313. Prof of Operator Financiel capabilities Not specified 314. Not specified tr awe 320. P ONNEL 321. b "on of Personnel Policies Not spec 322. Cortraints A Employment Not specified 330. NON - DISCRIMINATION 33L Requiretnents Prohibiting Discrimination Not specified 340. RECORDS QUIRE NIE NTS 34L Children Section 404 Reci,rdkeeping. The following records shall be maintained for 3 years by the caregiver or director of a child development facility and shall be forwarded to or made available to the Commissioner for inspection as described: 12 363 DAY CARE CENTERS DISTRICT OF COLU BIA Register. Information on where parents or guardians of each infant or child may be eached at .11 times shall be accurate and current. The register s contain the following information: Infan 's or child's name in full Date of admission Sex Birthdate Home address Home telephone number Parents' names in full Parents' business addresses Parents' telephone numbers Designation of individuals authorized to receive infant or child at end of session Name of individual to be contacted in an emergency when, parent not available Date of child's withdrawal Reason for withdrawal Infant's or child's health record. A health record shall be maintained for each infant or child enrolled in a child development facility which shalicontain the following information: Infant's or child's name in full Sex Birthdate Home address Date of examinatio physician's opinion concerning general physical condition of infant or child History of illnesses and diseases including allergies and specific communicable diseases Recent expoeture to commtmicable diseases Specific immunizatibns received, with dates Result of tuberculin testing DAY CARE CENTERS DISTRICT OF COLD IA Correctable defects, recommendations and other remarks of examining physician Physician's signature Physician's address and phone number Parents' health insurance information Parent's_signed authorization for treatment of infant or child in an emergency 342. S Section 404 Recordkeeping. Employee record. A record containing the following Tr formation shall be maintained by the child development facility for each of its employees. Name and address of employing facility Employee's name in full Sex Birthdate Home address Title of position Duti es Qualifications (attach copy of curriculum vitae) Date of appointment to present position Date of health exam Employee's health record including physician's opinion concerning employee's general physical condition, freedom from disease in a communicable form and ability to work closely with or care for infants or children without danger to such infants or children; date of Chest x-rays; when indicated, date of laboratory tests for communicable disease; physician's signature, address and telephone number; and health insurance information. Employee appointment, promotion or withdrawal notification. A record of personnel actions shall be maintained by the child development facility which shall contain the following information: 14 DAY CARE 0 ENTERS DISTRI 34:1, Name 4,_rbd address of employing facility Emplos-ree's name in full. Date o promotion to or withdrawal from present position Name (=)f staff member being replaced, if applicable Reason'. for withdrawal SlgnatLwe of employee Signatx-e of employer and Enrollment Requirements Section 403 F-Xealth Requirements. No infant or 4child shall be admitted to a child develOpreent facility without having first cpitatained a complete health examination by a licensed physician. The results or such examination shall\ be submitted to the caregiver or director of the ch0dd velopment facility on a form approved by TheCommissioner. No infant or thild shall be admitted to a child development facility without having first cr 1=tained all immunizations appropriate to Meagre of such infant or child,as re ezpaired by the District Department of flumar)Resources. 344- Child .ft..buse Reporting Not specified 345. of Records Requirements Not specified 4 OF COLUMBIA rL 15 DAY CARE CENTERS DISTRICT OF COLUMBIA 4nn. GROUP COMPOSITIONS OF rHILDVFN 410. STAFF/CHILD RATIO RE UIREMEN 411. Staff /Child Ratio as of March, 1981 Section 405 Child Development Centers. The size of any one group of children shall not exceed that specified below for each age group. There shall be a teacher, who may also be the director, and an assistant teacher or aide for each group at all times, except that in pert-day programs (up to 4 hours per day), a volunteer may be substituted lor- an assistant teacher or aide, and during non-peak hours (before c1:1(1 R.M. and after 4:30 p.mJ an assistant teacher may substitute for a teacher. Age 2 years to 2 1/2 years 2 1/2 years through 3 years 4 years 5 years 6 years awough 14 years Maximum size of group 16 211 25 30 412. Methods of Como, Staff /Child Ratios Child-adult ratio 4 to I 8 to I 10 to 1 15 to 1 15 to 1 Section 405 Child Development Centers. When children of different ages are placed in one group, the ratio shall be adjusted, subject to the approval of the Commissioner, so as to protect the welfare of the younger children in the group. A change in chilrl-achAt ratios shall be made only with the approval of the Commissioner when he find that such change will not result in decreasing the effectiveness of the child development program. 16 DAY CARE CENTERS 420. GROUP SIZE 421. crla pi Size as of March 1981 See 411. Staff/Child Ratios as of ch 1981 422. Methods of Computing_ Group Size See 411. Staff/Child Ratios as of March, 1981 DISTRICT OF COLUMBIA 500. STAFF QUALIFICAIIONS AND TRAINING REQU RE ENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. Age Section 401 Child Development Homes. Each child development home shall have at least one c between 18 and 70 years of age. 512. Health iver who shall be Section 403 Health Requirements. Staff shall be trained to administer emergency first aid including sntro bleeding and administration of artificial respiration. 513. Education Section 401 Child Development Centers. Staffing requirements: Teachers shall be qualified by meeting the requirements of one of the following: Bachelor's degree in early childhood education or related field, with a minimum of f teen (15) hours in early childhood education courses. 17 DAY CARE CENTERS DISTRICT OF COLUMBIA Two or snore years of college including at least 15 hours of early childhood education courses and one year of experience in a child development facility. A high school diploma or its equivalent and 3 years of experience as a teacher or assistant teacher in a child development center, plus, within Lwo years after the effective date of this regulation, 9 college credit hours in early childhood education from an act:edited college or uni versify. A. n assistant teacher shall be Qualified by meeting the requirements of one of the following: Two or more years of college and demonstration, to the satisfaction of the director, of skill and competence with children. A high school diploma and certificate in child development from an accredited vocational high school or, in lieu of such certificate, one year of experience in a child development center. 51 4. Experience Sim.e 513. Education 5MO. PROGRAM DIRECTOR QUALM CATIONS 5 =I. A_1 rot specified 5M2. Health Sie,e 512. Health 18 DAY CARE CENTERS DISTRICT OF COLUMBIA 523. Education Section 401 Child Development Centers. The director shall be qualified by meeting the requirements of one of the following: Master's degree, from an accredited college, in early childhood education or a related field, social work, home economics, or psychology., and one year of experience in a child development facility. Bachelor's degree, from an accredited college, in early childhood education or a related field, social work, home economics, or psychology., and at least twelve credit hours of advanced study in early childhood education and one year of experience in a child development facility. Bachelor's degree, from an accredited college, in early childhood education, and two years of experience in a child development facility or a bachelor's degree in a related field, social work, home economics, or psychology, and three years of experience in a child development facility. Two or more years of college with course work in early chldhc education or in a related field, social work, home economies, or psychology, and five years of experience in a child development facility. Experience as director of a licensed child development center in the District in operation before the effective date of this regulation: Provided, within three years after the effective date of this regulation such director completed nine college credit hours in early chileiood education from an accredited college or university. 19 DAY CARE CENTERS DISTRICT OF COLUMBIA 524. Experience See 523. Education 530. SUPPORT STAFF QUALIFICATIONS Section 401 Chil Development Centers. An aide shall demonstrate, to the satisfa work well with children. of the director, the ability to 540. POST E PLOYIVIENTAN-SERV CE: ORIENTATION A D TRAINING 541. Program Director Section on Child Development Centers. The director shall be responsible for the supervision and administration of the child development center, including the provision of in- service t'aining for staff and volunteers. 542. Child Caregiver Staff Section 401 Child Development Centers. The duties of a teacher and assistant teacher shall include but not to attending in-service training programs when offered. 543. Suprt Staff Section 401 Child Development Centers. The duties of an aide shall include, but nc training programs when offered. 20 im ited be limited o attending irr.Tendce DAY CARE CENTERS DISTRICT OF COLUMBIA 600. PROGRAM OF ArmIVITIES INCLUDING EDUCATIO SUL PROGRAM REQU REME Program_of Acti Section 401 Child Development Centers. The daily child development program of a center shall:. Reflect knowledge and understanding of the fundamental needs and development of children. Have continuity and flexibility so the needs of indiAdual children as well as the needs of the group are met. Protride a balance between pert of active play and quiet activities. For infants over 3 months of a this shall include play periods outside of the crib. Full day programs or infants and children under siix years of age shall plt-cvide for rest during the day, the length of which will vary with the age of the child, but shall not exceed a total of three hours. Provide daily activities for each child designed to: Influence a positive concept of self. Stimulate motivation. Enhance his physical, social, cognitive, and communication skills by giving him opportunities to learn about himself and others, about social relationships, and about the world around him. Help him to deal with reality through undertaking re/EA tasks and learning to masts them. 3 7 7 DAY CARE CE DISTRICT OF COLUM13IA Provide yea hetic exoeri ences. Help hire to develop skills in both large and small muscle acti vities. Help him to take responsibility for his bodily needs and encourage good health habits. Include at least two hours of outdoor play every day in a full day program and at least thirty minutes in a pert day program, except in extreme weather conditions. Section 402 Child Development Homes. The daily child development program of a child development home shall: Reflect knowledge and understanding of the fundamental needs, growth and development of children. Have continuity and flexibility so the needs of individual infants and children as well as the needs of the group are met, Provide a balance between periods of active play and quiet activities. For infants over 3 months of age this shall include play periods outside of the crib. Full day programs for infants and child-en under six years of age shall provide for rest during the day, the length of wtach will vary with the age of the child, but shall not exceed a total-of three hours. Provide daily activities for each infant child designed to Influence a positive Stimulate motivation. ept of self. 22 DAY CA a=tE CENTERS INSTRIr7T OF r_70I,12 ,A Enhance his physical, social, cognitive, and communication skills by giving him opportunities to learn about himself and r,thers, about social relationships, and about the world around him. Help him to deal with reality through underta "ng real tastcsRnd learning to master them. Pr e creative and aesthetic experiences. Help him to develop skills in both large and small e activities. Help him to take responsibility for his bodircneeds encouare goad health habits. Influde at least two hours of o play every day in a fl day program and at least thirty minu in a part day program, except in e)=treme weather Iralude activities for children between the ages of nd 15 which sh prwmvide opportunitem.for playing with Deers, for solitary occunatlers, fog study, for active play, for rest and relaxation, for learning new SIcls, for attending group after school programs, and for talking with ar being listened to by a supportive adult. 612, gram Equipment and Materials Section 4-01 Child Development Centers. Each cen -ter shall have a sufficient number, for the size of the enrollment of the cent r, of toys, games, equipment, including outdoor play equipment,raw material, and books which are safe for use by children and adeauate for the requirem fwnts of the child development pro gm. 23 3 DAY CARE CENTERS DISTRIrT Individual eating and drinking equi rnent, including, but notilmited plate and cup for each hill shall be provided by tie appropriate, when meals or snacks served. An emergency supply of cloths be available, and wetand sole eralarl clothe shall be changed promptly. In full day programs, there shall b a clean cot for each child under six years of age. The cots all be stacks...El or Jolded when not in use, so atoms not to infringe on play space. Ighen in use, there shall be a minimum cif 2 fed between each cot and aisle space c=a.f not less than 2 feet between rov...ovs. E ech child shall be supplied a clean blaraket by the chills family or,when rhadecestetY1 by the center. Section 402 Child Development Hones. There shall be sufficient indoor fantod outdoor play materials, toys, s equipment suitable to the ages cf the infants and children to creative play. and Ste Playthings and toys (including parts of toys that come apert) for irifina its oiatt be large enough so that they cannot be swallowed; sturdy enough that they 01 not splinter or break; shall not haetve sharp points or rough edges; call bane paint or finishes that are safe if cl-ewed or lickeit shall not contain bets that can come loose, such as buttia s on stuffed animal.% and shall t sanitary and easily washable. Toys shall be kept clean and in good repair. Eah child in a full day program o> each infant in a full or part riiIN Dr0 as shall have an individual bed, cot with adequate bedding previciffled by the child development home, kept in el gan and sanitary condition at all tine arl es- 24 DAY CARE CENTERS DISTRICT OF COLUMBIA 1 s\ Each infant or child shall be provided with space for his own clothing and belongings. Small children shall have at least one chair suitable to their needs and comfort. 613. Nap Provision Section 401 Child Development Centers. Full day programs for children under 6 years of age shall provide for rest during the day, the length of which will vary with the age of the child, but shall not exceed a total of three hours. 614. Discipline and Guidance Not specified 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Requirements Not specified 712. Health Assessments Section 403 Health Requirements. After admission to a child development facility each infant child shall be required to obtain an annual physical examination, the results of which shall be submitted to the caregiver or director of the child development facility on a form approved by the Commissioner. All child development facility employees shall be in good health. They shall have an annual health examination by a licensed physician. A written report stating that the person is free from tuberculosis and other disease in a communicable form shall be submitted by the physician to the facility caregiver or director. 3 25 DAY CARE CENTERS 713. Immulizations See 343. Child Eli - bility and Enrollment R DIETRIC T OF COLUMBIA 714. Sanitation Not specified 715. Daily Illness Screenin Section 403 Health Requirements. In every child development lac ity a daily inspection of each infant or child for giro of illness shall be made-prior to each infant's or child's admission. Any infant or child showing any sign of illness shall be excluded from the group. 716. Care of Sick Children Section 403 Health Requirements. Provision shall be made for isolation of an infant or child who becomes sick or a child suspected of being sick. Parents or gaiardians shall be promptly advised of any. illness or disability found in the infant or child. The temperature of an infant or child may be taken en indicated. The thermometer shall be cleaned and disinfected before and er each use. The parent or guardian of each infant or child admitted to a child development. facility shall submit to the caregiver or director of the facility, on a form approved by the Commissioner, authorization for emergency medical treatment for the infant or child. 16 DAY CARE CENTERS DISTRICT OF COLUMBIA 717. Meddreation and Special Diet Provions Section 403 Health Requirements. No medicine or treatment, except emeriency first aid, shall be given to any infant or child without a medical ordr or prescription from a licensed ysician and the written consent of the parent or guardian. Any medicine so ordered or proscribed shall be clearly labmi.elecl as to the name of the infant or child, the name of the medicine, the -image, and the name and telephone number of the infant's or child's physician_ 718. Waiver of Healtlits Not specifi ed 720. SAFETY 721. General Safet Re ire_ a is Section 405 Physical Re wirer nents of the Facilities. Safety precautions such as triers, gate~ and screens shall be provided at all windows, doorways and stairways. Irtset screens shall be installed on all outside doors and openable windows. Worches, walkways, play areas, -low windows and stairways which are elevated shall be equipped with barriers to prevent falls by children and infants. In child development centers all requires exits shall be equipped h panic release hardware or with knolrtype .hemrdware that cannot lock from the inside. No other type of securing harc.Vaie may be used as supplemental to or in conjunction with this required type of hardware. Doors shall swing in the direction of euess. Child development homes and child deveh.appment centers located in residential buildings shall provide at least one operat=al.e flashlight for each member. Such flashlights shall be stored in a location ac--cessible to staff use in the event of a power failure. 27 DAY CARE CENTERS DISTRICT OF COLUMBIA Pres cription or other drugs and any household cleansers chemicals or other substances or devices, including thermometers, that might be harmful to children or infants shall be stored out of reach of children in cabinets with doors that close securely. 722. Fire Safety Re x921/.ements Section 616.4 Residential L2 Occupancies Protective Applicances. Child development homes and child development centers located in one-or two-family dwellings shall provide one fire extinguisher per floor, including the basement, and shall provide one extinguisher in the kitchen. Centers shall be equipped with a manual fire alarm system, except in those facilities equipped with either an automatic sprinkler system or an approved automatic fire detection system. All child development homes and child d t.11opment centers shall have a fire exit drill plan. The plan shall be submitted to the Fire Chief of the Dirtrict of Columbia, for review, and receive the approval of the Fire Chief before it is put into operation. 723. Transportation See 612. Fri, m E and Mater]. a 724. Safety Requirements for Equipment Not specified 725. Water Acti Not specified S 726. Emergency P cedures Not specified 727. First Aid Supplies Section 403 Health F. 71 quirements. Basic first aid equipment and supplies shall be v.-ailable at all 28 DAY CARE CENTERS DISTRICT OF COLUMBIA times and staff be trained to administer emergency first aid in eluding control of bleeding and administration of artificial respiration. c Section 405 Physical Requirements of Facilities. First aid supplies shall be stored in a location beyond' the reach of children or infants but in a place readily accessible and ;down to all the staff. 800. NUTRITION AND FOOD SERVICE 810. NUTRITION 811. Nutritional Requirements Secilon 401 Child Development Centers. According to the program offered, food suitable to the ages of the children shall be provided whichshall be nutritionally equivalent to-the following: Breakfast: 1 serving of fruit or vegetable juice Eggs or protein-rich food 2 or 3 tines a week 1/2 cup of cooked cereal or 3/4 cup cry cereal or 1 slice of enriched bread Mornhig snack: I serving of fruit or vegetable juice 1 serving of enriched bread, crackers, or cereal Lund 2 oz. of meat or other food containing e ivalent amount of protein 2 or more servings of vegetables or fruit 1 serving of bread 1 serving of butter 1/2 cup of whole milk Afternoon snack: 1 serving of fruit or vegetable juice or 1/2 cup of whole milk 1 serving of enriched bread, rolls, or cereal All child development centers shall seek nutritjonal consultation from an appropriate community resource. DA y CARE CENTERS .DISTRICT OF CO U To the extent possible, information provided by parents concerninc the chiles nutritional needs should be considered in day care feeding schedules and menus. To the extent possible, cultural and ethnic foods appropriate to he children and the program and locality shall.be part of the meal planning. Menus shall be planned and posted, and kept on file for six (0 months so they can be reviewed by District officials as needed. 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 821. Food Preparation and service Reciuirements Section 401 Child Development Centers Food shall be protected and stored iti accordance with District of Columbia Health Regulations (General Food Regulations): . Notrspecified Not specified 600. SOCIAL SERVICES 1000. PARENT PARTICIPA ON'\ 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES See 611. Prograrn'of Actlyitits and 612. Program Equipment and Materials 30 DISTRICT OF COLUMBIA 1120. HEAL AND SAFETY REQUIREMENTS Not specified jNANT NUTRITION Not specified 1200. -CHILDREN WITH HANDIGAPPINNG co NDITIONS 1210. PROGRAM OFACTWITIRS Ncit specified 1220. - HEALTH AND SAFETY REQUIREYENTS Not speeified 1230. .STAFFING Notspecified 1300. SCHOOL AGE !LOREN 1310. PROGRAM OF A curry ilMS See El. Program of Astivities 1320. -HEALTH AND SAFETY REQUIREMENTS c Not specified 3 DAY CARE CENTERS DISTRICT OF COLUMBIA 1400. FACILITY REQUIREMENTS 1410. SPACE Section 405 Physical Requirements f the Facilities. Suitable sppe for outdoor play shall be provided. from coticlitons which are or may be hazarddus. to children or infants. A minimum of 60_,square feet child or infant per session shall be -provided in o premises or in a nearby park 'dr playground, or on a facility, approved by the Commissioner. -Adequate indoor space suitable for the minimum of 35 square feet per child per session, exclusive of bathrooms, / closets, halls, kitchen and stbrage_places, shall be provided. Play space shall be clear of cots except at nap time. This space shall be ,free the life or health of the of outdoor ,play area per an enclosed yard on the properly safeguarded -roof y program shall be provided. A 1420. LIMITING VENTILA N AND TEMPERATURE '7 Section 405 Physical Requirements of Facilities. Proper heating shall be provided. A minimum temperature of Fahrenheit shall be maintained in all rooms at all times. Natural li all child -1430. EX 050 ntilation requirements of the Building shall be Met in pm ent facilities. S Section 617.8 of the Building Code of the District of Columbia. Foe child dsyelopment centers 1?cated in apartment buildings if the two means of egress from the facility discharge into the same eoiricior, the means of ess shall be separated in the corridor than a 'one-hour fire resistance ra . 32 , smoke stop' partition having not. The door in the smoke stop DAY CARE CENTERS 'RICT OF COLUMBIA partitiolsha be less tl-'r" The door aspernbly shall have a fire resistance rsting of 20 rn es an NOW, be equipPed with a _self-closing device, a latch and an :1 -open device approved by the Commissioner. Section 616.2(1) 2 of the Buildiw oil the District of Columbia. All habitable rooms in child developcment enters for fewer than thitteen (13) children and child development homes in unprotected wood-frame construction shall have access to two (2) separate means of exit at least one of which shall consist of an enclosed interior stair, or exterior stairway, or fire escape or a horizontal exll so arranged as to provide a safe path of travel to the outside of the building without traversing any corridor orspace expose to an unprotected vertical opening. TOILETS A_ D LAV TORIES Stetion 405 Physical R ernents of Facilities. At least one flush toilet and one lavgtory shall be provided for every ten (10) occupants of the facility, including staff. Adult facilities shall be provided \ th separately rom those for the children,or infarfts. When toilets and lavatories are not of,a ight to be used by the children without assistance, a block or step shall be provided. Training chairs shall be provided by the facility for use by children who require them. Training potties shell be emptied promptly and sanitized after each use. OTHER STATE RE ME - COMPLIANCE WITH OTHER LO AL STATE, AND RE IONAL LAWS AND REGULATIONS 1510. ZONING Not specified 1520. FIRE Not specified 33 DAY CARE CENTERS 1530. BUILD' G A DISTRICT OF COLUMBIA Section 405 Physical Requirements of Facilities., All child development facilities shall conform with the Building Code of the District of Columbia, the Health Regulations of- the District of Columbia and all other applicable District of Cgolumbia rules and regulaticms. 1540. HEALTH See 1530.. BUILDING 1550. SA A ON See 1530. 'Butt IHG I 1560. NEW CONSTRUC TI ON Not spkified DAY CARE-CENTERS FLORIDA. Except where otherwise noted, all citations are from the Florida Department of Health and Rehtiillitative Services, Chapter 10C-10.22, Child 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 REGULATIONS Defin Definitions. Child give Facility - includes any child care center or child care arrangement that provides child care for mere than five (5) children unrelated to the operator and which receives a payment, fee, or grant for any of the children ng care, wherever operated, and whether or not operated for profit.... 112. Exclusions. and Exemptions Definitions.. The following are not included as a Child, Care Facility; public schools and nonpublic schools which are in compliance with' the compulsory school attendance law; summer camps having children' in full-time residence; summer day camps; and Bible schools normally conducted during vacation periods. ) The provisions of this act shall not apply to a child care facility which is an integral part of church or parochial schools conducting regularly scheduled classes, courses of Study, or educational programs. accredited by or a Member of an organization which publishes and requires compliance with its stafidaids for health, safety, and sanitation; provided, however, that such facilities shall .neet minimum requiretents of the applicable local governing body as 'to health, sanitation, and safety. 39 DAY CARE CENTERS FLORIDA Any counties or cities with state or local child care licensing programs ill existence on the effective date of this act-will continue to license the child care facilities a covered by such programs; notwithstanding the provisions of subsection (1), until and unless the licensing agency n2akes a determination to _ . exempt them. Any child care facility covered by the- exemption orovisions of subsectioh (1), but desiring to be included in this act, is authorized to do so by submitting notification to the department. Once licensed, such facility 'cannot withdraw from the act ana continue to operate. 113. FIRS Day Care Compliance Not specified DAY CARE CENTERS - 120. AGENCY EESPONSIEL,E FOR LICENSING OF AY CARE PROGRAMS 121. Organization of the Administrative Unit Secretary DEPARTMENT OF SIOCIAL AND REHABILITATION SERVICES Deputy Secretary Deputy Assistant Secretary for Operations istrict Administrators DISTRICT OFFICES X Assistant Seeretau---v for Program Plannix-Rg and Developm ent Deputy Assistant Secratitry foivProgram Plarinin;W -gram Staff Director- CI-WAREN, YOUTH, & FAVIILIES PROGRAM OP CE SAY ARE CENTERS :FL RIDA Liceing is carried out by 38 bounties under state district administration, and by 26.--z independent counties which have their own regulations separate and apart from the State regulations. In the 11 districts where the state adrnimeisters the licensing program, the district administrators are responsible for a=ministering the licensing program with consultation from and monitoring by the state cential office. State law does not require the licensing of family day r=9.r.6 homes, Find 'therefore, each county commission determines whether that t we of care will be regulited. 122. risible OfficiE All inamquiriesshould be addressed to: Day Care Cons tant Chilj,ren, Youth, arid Families Program Office Department of Social and Rehabilitation. Services 1317 Winewood Boulevard 4 Tallahassee, Florida 32301 (904) 488'1850 200 LICEtiSING PROCESS AND ENFO REEIURn 210, IICENSING PROCESS 211. Promulgation of Relations Liceix=ing Procedures - Designation of Licensing Agency. Any county whose licensing standards meet or exceed state minimum atanclamerds may: Designite a local lice county; or ency to license child care faciii es in the Contract with the department to dele e e' administration pf imum standards in the county to die department:, 4 S94 DAY CARE CENTERS p *OVA A Child day care facilities in any county whose standards Mot rriemeet or exceed state minimum standards shall be subject to licensing by the dePernwtment under state minimum standards. Approval of Licensing Agency. Within thirty (30) days after the promulgation o,f state mlhirrItirrurn standards, each county shall provide the department with a copy ofIl9 starrb-dards if they differ from the state minimum standards. At"the seine time, sath n county shall_ provide the department with the administrative procedures it ifiliatends to use for the licensing of child care facilities. The depart nient shall have the authority to deterrhine if local sfsffindards meet or exceed state minimum standards. Within sixty (80) dye aftetur the county has submitted its standards and procedures, the department shOLLI, upon being satisfied that standards required by this act have_ n. met, aptlfacmove the local licensing agency. ( 212. Advisory Community Parti ipr tic Not specified 220. LICENSING PROCEDURE 221. Application and Issuance Licensing Procedures - IssUance of License. State Administration of Licensing- In any county in whichttio [:4 par ment has the authority to issue licenses, the following procedures shall be splinplied: Application for a license or for a renewal of license to creerate a child care facility shall be made in the manner kricl (attire forInurals prescribed by the department. 5 4 DAY CARE CENTERS FLORIDA The license certificate for a child care facility must meet any local regulations which apply and is issued for a specific address and for operation by specific individuals or a designated qrganization. It shall specify the ag range and maximum number of children who can be enrolled. A license is no erable. When there is a change in the operator of a child care facility, a new license will be required. All standards established under this act shall be in accordance with 'the appropriate minimum standards used by the State Fire Marshal for child care facilities. The department shall issue or renew a license upon being satisfied dud all Standards required by the act and local _regulations and ordinanc9s have been met. The license shall be displayed In a conspicuous place in the 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 child . care facilityeshall be made in the manner and on the forms "prescribed by the local licensing agency. The license certificate for a child care facility is issued by the local licensing agency. It is issued for a specific address and for operation by specific individuals or a desi ated organization. 39G DAY CARE CENTERS FLORIDA A license is also issued on the basis of an arrangement between the facility and the local licensing agency as to the age range and maximum number of children who can be enrolled. A license is not transferable. When there is a change in the operator of a child care facility, a new licierme will be . required. All standards established under this act shall be in accordance with the appropriate minimum standards used by the State Fire Marshal for child care facilites. The local licensing agency shall issue a license or renew a license upon being satisfied that all standards required toy this act have been met. The license shall be displayed in ta the building. 222. Fee Char Not specified 223. Areas of inirestjgation See 221. ApplicatiOn and Issuance 224. License Renewal Licensing Procedures - Issuance of License. Prior to the renewal of a license, the department shall mine the child care facility, including in that process the examination the premises and those record; of the facility as required under Section 5, Chapter 74113, Laws of Florid& to deternilne that minimum standards for licensing continue to be met. picuous place in the main part of 39 7 DAY CARE CENTERS FLORIDA 225. Conditional/Provisional Licenses Licensing Procedures - Provisional License. The local licensing agency or the department, whichever is authorized to license child care facilities in a county, may issue a provisional license to applicants for a license or to licensees who are unable to conform to all the standards as provided for in this act. No provisional licen.se may be issued unless the operator makes adequate provisions for the health and safety of the child and unless the local licensing agency or the department finds that a need exists for the services offered by the child care facility. The provisional license shall in no event be issued for a period in excess of one (1) year and shall not be subject to renewal. The provisional license may be suspended if periodic inspection made by the local licensing agency or the department indicates that insufficient progress has been made toward compliance. 226. Substanti al Compliance Not specified 230. ENFORCEMENT PROCEDURES 231. Facility Inspections Licensing Procedures - Issuance of License. The department shall coordinate all inspections of child care centers. A child care facility is not required to implement a recommendation of one agency that is in conflict with a recommendation of another agency if such conflict arises due to uncoordinated inspections. Any conflict in recommendations shall be resolved by the secretary of the department within fifteen (15) days after written notice that such conflict exists. 393 8 DAY CARE CENTERS FLORIDA Inspection. A licensed child care facility shall accord to the department or the local licensing agency, whichever is applicable, the privilege of inspection, including access to facilities, staff, and required records, at reasonable times during regular business hours, to insure compliance with the provisions of this gel.. If the time selected for inspection by the inspector proves to interfere with the normal operation Of the facility, the inspection may take place, but the Director of the facility may have the option of requesting an appointment at another time for discussion of possible deficiency, and inspection of records. 232. Denial SusperistonRevocation of a License Hearings upon Denial or Revocation of License. When the department or local licensing agency, whichever is applicable, has reasonable cause to believe that grounds for the denial or revocation of a license exists, it shall notify the applicant or the licensee. in writing stating the grounds upon which the license is being denied or revoked. If the applicant or Licensee makes no written request for a hearing t6 the local licensing agency or the department, (vhichever is applicable, within fifteen (15) days from receipt of such notice, the license shall be deemed denied or revoked. 233. Remedies and Sanctions 233.1 Hearings Licensing Procedures. An applicant or licensee shall have the right to appeal a decision of the local licensing agency or the department to a representative of the department. A hearing shall be held in the county in which the child care facility is being operated or is to be establL4hed. 39j DAY CARE CENTERS FLORIDA Hearings upon Denial or Revocation of License. If a request for a hearing is made to the local licensing agency, a hearing shill be held within thirty (30) days and shall '3e conducted by an individual designated by the county commission. 233.2 Decisions Not specified 23 Judicial Review Licensing Procedures - License Required, After July 1, 1975, the operation of a cIild care facility without a license is prohibited. The department or the local licensing agency is empowered to seek an injunction in the circuit court where the facility is located-against the continuing operation of a child care facil.ty for the following reasons: -When there is any violation of the standards applied under which threatens harm to any child in the child care facility. When a licensee has repeatedly violated the standards provided for under this act. If a child care facility continues to have children in attendance after the closing date established by the department or the local nsing agency. 4 ti u 10 DAY CARE CENTERS FLORIDA 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Administrativirements Admission and Record Keeping - Other Records. A written record of unusual incidents affecting the program of the facility as well as accidental injuries to children/ employees/volunteers must be kept on. file. A written record must be kept of ch monthly fire drill showing date, number of children in attendance, and time taken to evacuate the premises. Records of menus served shall be placed on file and kept for a minimum of one month. 312. Telephone Physical Facilities Fare Safety. There shall be a working telephone which is neither locked nor a pay station in the child care facility. 314. Instrance Not specified 320. PERSONNEL 321. Prli Not specified of Personnel Poll 322. constraints Against Employment 401 DAY CARE CENTERS -4. FLORIDA Personnel - General Requirements. No person shall be an operator of nor be erriployed in a child care facility 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 othe, impairing drigs, or who exhibits behavior that may be injurious to children. fe 330. NON7DISCRIMINATIO _ 331, Requirements Prohibiting Not specified 340. RECORDS REQUIREMENTS Children Admission and Record Keeping - Health Examinations and Health Maintenance. Within thirty (30) days of enrollment, each child must have a written statement on file from a licensed physician or authorized agent of a Florida County Health Department stating thin The child is in good health, or, that any ialOWT1 irregular condition is under treatment. Immimizations appropriate to the child's age are up to date or are in the process of being brought up to date. Immunization reeo must be kept current. Aritten proof of physical examination must be filed with the facility every two (2) years after the admission examination. xemptions: Any child shall be exempt from medical or physical examination, or medical or surgical treatment upon written request of the parent of such child who objects to the examination and treatmen provided, however, that the laws, Arules, and diseases and sanitary m ations relating to contagious or communicable hall not be violated. 12 402 DAY CARE CENTERS FLORIDA 342. Admission and Record Keeping Personnel Records. Personnel records shall be maintained for the owner/operator, each employee of the facility, regular volunteers, and household members in a child care facility being operated in a private house. These shall include: Name, address and telephone number. Reports of the required health examinations and tes Person to contact in an emergency. Position and date of employPnent. 343. Child Eli bait: and EnronrientRe-uirenlems Admission and Record Keeping - Enrollment Information. The operator shall obtain and keep current the foliowi enrollment information from the child's parent: The child's full legal name, birth date current add. ess, and preferred name(s). The name. and address of ents. Telephone numbers or instructions as to how the parent(s) may be reached during the hours the child is in the facility. Names, addresses, and telephone numbers of person(s who tian assume responsibility for the child if for some reason the parents cannot be reached in an emergency. 44sw Names and addresses of persons authorized take the child from the child care facility. The name, address, telephone number of.a physician or health resource that can be called in case of 'emergency and the parents written permission to consult that physician or health resource if the parent canne't be reached'. 40 3 DAY CARE CENTERS FLORIDA Written agreement to provide the bag lunch or the child's food shall be signed tithe parent and kept on file. 344. Child Abuse Reporting Not specified 345.. Confidentiality of Records Reluirements Not specified 400. GROUP COMPOSITIONS .OF CHILDREN 410. STAFF CHR,D RATIO REQUIREMENTS 411. Sta /Child Ratio as of March, 1981 Personnel - Ratios of, Personnel to Children. General The following staff ratio is direct supervision of children: Age of Children Under 1 year of age 1 year of age 2 years of age 3 years of age 4 years of age 5 years of age or older b on primary responsibility for the Ratio 1 person for 6 children 1 person for 8 children 1 person for 12 children 1 person for 15 children 1 person for 20 children 1 perstin for 25 children There sh&1l be an arrangement for another adult to be substitute for the adult in charge in case of emergency. readily available If both nn- handicapped and handicapped children are served, it may be necessary for the operator to make an adjustment in the staff ratio to insure adequate and proper care of the handicapped children. Substi 4 04 DAY CARE CENTERS FLORIDA in the absence of regular staff members, there shall be similarly. qualified substitutes except in actual emergencies of a temporary, non-recurring nature. A person may serve as a temporary replacement for a staff member for not more than three (3) days on a non-recurrint basis- without meeting the requirements of periodic health 'examinations and training in firSt aid. 412. Methods of Computing Staff/Chad Ra See 4U. Staff/Child Ratios as of March, 1981 4204' GROUP srzE Gro Size as of March, 1981 Personnel - Ratios of Persormel to Children. The groups of mixed age ranges, where infants under one year are included, one (1) person shall not be responsible for more than six (6) children of any age group. Where infants over pne (1) year are included, one (1) person shall not be responsible for more than eight (8) children of any age group. Where infants are not included; the staff ratio shall be based on the age of the majority of children, in the group. 422. Methods of Computing Group Size See 421. Group Size as of March, 1981 500. STAFF QUALIFICATIONS AND TRAINING REQUIREM1 NTS CHILD CAREGIVER STAFF QUALIFICATIONS 5U. Age Personnel - Minimum Age Requirements. Stiff - Other staff must be at least sixteen (16) years of age. 15 405 DAY CARE CENTERS FLORIDA 512. Health Personnel = Health Examinations - Staff. Within thirty (30) days after employment a statement must be on file from a_ licensed physiciiin or autho_rized agent of a Florida County Health Department attesting that the staff member is physically qualified to care for -children.. Physical examinations shall be renewed every two years. Al staff shall be screened for tuberculosis on initial employment by tuberculin skin testing. Personnel currently employed uld be tested if there is no record of previous test. Reactors should be ex mined by a 14 x 7 chest x-ray and should consult with their physician regarding the advisability of isoniazid preventive therapy. If preventive therapy is completed no further screening is required; if not completed, a chest x-ray should required at least annually. Non-reactors need no-further screening except when circumstances indicate a higher risk of acquiring infection such as known exposure and in certain high risk areas. This policy applies to teachers, administrative staff, bus drivers, food service, custodial personnel and others employed or regularly volunteering in child care facillties. If the child care program is conducted in a private home, each member of the household shall be subject to the same health- requirements as staff and volunteers. Reports of such examination shall be on file at the facility. 513. Education Not specified 514. Experience Not specified 16 DAY CARE CENTERS FLORIDA a 520. PROGRAM DIRECTOR QUALIFICATIONS ,521. Personnels Minimum Age Requirements. Operator - the operator,of a child care facility must be at least eighteen (18) years of age. In the absence of the operator there must be .a person of legal age in charge of the facility and on the premises at all times. 522. Health See 512, Health 523. Edue Lion Not specified 524. -Experience Not specified 530. SUPPORT STAFF QUALIFICATION Personnel - Volunteers. Volunteers who assist on a re (weekly) basis and who have direct physical contact with children must meet the tuberculin examination requirements of staff members. Volunteers who meet the health and age requirements of staff .members may be counted in the staff ratio. 40; 17 DAY CARE CENTERS FLORIDA 540. POST EMPLOYMENT ERVICE. ORIENTATION AND TRAINING 541. Program Director See 542. Child Caregiver Staff 542. Child Care plyTI!19`f Personnel - Training in First Aid. At least one (0 adult staff member, who has a valid certificate of completion of a Red Cross Standard First-Aid-Multi-media Course or a course equivalent to those previously approved by the department for Pinellas and Orange Counties specifically directed to child care needs or is currently receiving such training, shall be on the premises at all times that ch en are pr.esent in the facility. 543. Support Staff See 542. Child Caregiver Staff 600. PROGRA OF ACTIVITI ES, INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Pr lam of Aetivitic Not specified 612. Program 1cui ment and Materials Physical Fa es. A child ow facility shy have equipment and toys which are safe and can be maintained in a sanitary condition. 18 DAY CARE CENTERS FLORIDA 613. Nap Provision Physical Facilities - Napping Space. Bach facility must include a designated area where a child can sit quietly or lie down to rest or nap. Napping space and play area may be used interchangeably. All bedding such as cots, beds, cribs, or floor pads (mats) shall be maintained in a safe and unitary manner. Towels are not acceptable as mats. A minimum distance of eighteen (15) inches must be maintained be individual napping spaces. No double or multi ecked cribs, co s, or beds may be used. ween Infants up to one (1) year of age must be in cribs or playpens with sides. Cribs must meet the construction regulations as outlined in Title 16, Code of Federal Regulations, Subchapter C-Hazardous Sut stances. sery cots may be used for childgen of one (1) year of age and above. 614. Discipline and Guidande Not specified DAB' CA RE CENTERS FLORIDA 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Re iraments Physical Facilid(s.- Drinking water shall be freely available to children of all ages. If drinking fountains are provided, they shall be slant type, protected fountains and shall be sufficient for the child's needs. If dispoffable cups are used, they must be discarded after each use When infants are in care, there s. all be an adequate supply of clean diapers, clothing, and sheets at M1 times. Soiled items shall be placed in covered containers which shall be ern- ptied, cleaned, and disinfected daily. Children's wet or soiled clothing and crib sheets shall be changed promptly. 712. Health Assessments See 34k Children 713. Immunizations Not specified 714. Sanitation Physical Facilities - Health and Sanitation. AU child care facilities shall conform to state and local water and sewage disposal standards. All other buildings unless air conditioned must be adequately screened to prevent entrance of insects and rodents. Open-air classrooms and picnic areas are permitted. 715. Daily Illness Screening Not specified 4 DAY CARE CENTERS FLORIDA 716. Care of Sick Childs Physical Faciliti Isolation Area. Each facility must include a designated area for a child who becomes ill at the center. Such space shall be adequately ventilated and heated, and equioberl with a bed or cot and materials that can be sanitized- easily. 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 4 such time as the facility and his perents can make plans for his care elsewhere or until he is ready to return to his group. Any child suspected of having a communicable disease shall be isolated immediately and the condition reported to the parent. 717. Medication and S ecial Diet Provisions Nutrition. Arrangement shall be made between the operator and parent for a child's special diet when prescribed by a physician. The physician's order an a copy of the diet and sample meal plan for the special diets shall be i 'child's record. Admission a d Record Keeping - Medication Reco If prescript medication is to be dispensed by the child care facility, the name of the doctor, child, and medication directions for administration n-shall be written o the label. A written request signed by the parent(s) shall accompany th medication to b given the child. The child care facility shall record the na e of the child, medication, date, time, and amount o dispensed. Th record shall be initialed by the adult who dispens medication. 21 4L DAY CARE CENTERS 718. Waiver of Health Re uire_ ents Not specified 720. SAFETY 721. General Safety Requirements FLORIDA Physical Facilities - General. During the hours that the center is in operation, no portion of the building shall be used for any pirpose which endangers the health and safety of the children. All surfaces or items accessible to children shall be free of tonic materi Lead base paint is prohibited. Medicines, cleaning supplies, flammables and other potentially poisonous or cancerous supplies shall be sto- out of a child's reach, and in such manner as to insure the safety of childr No firearms shall be kept on the preen es unless unloaded and in a cabinet. Staff -members may smoke only in areas designated by the operator. Designated areas shall not include any areas in which children are present. The outdoor play area shall be clean, free of litter, nails, glass, and other obvious hazards. All stationary equipment shall be firmly anchored. All equipment and fences shall be free of sharp and jagged edges. 722. Fire Safety Requirements See 721. Genera Safety Requirements 22 DAY CARE CENTERS FLORIDA 723. 'Transportation General. When private passenger ,automobiles or station wagons are used for transportation of children by a child care facility, the driver must be at least eighteen (18) years of age and have passed an annual physical examination.- When transportation is provided by a child care facility, all motor vehicles shall comply with the provision of Section 316.288 and Chapter 234, Florida Statutes. 724. Safety Re uirements Equipment ui See 721. General and 612. Program Equipment and ater- 725. Water A es (Including Swimming) NI Facilities Physical F - Outdoor Play Space. - / 1 All water hazards such as swimming pools, iding pools, ditches, fish ponds, etc., shall be adequately fenced in accordance with accepted safety practices. Any swimming pool or wading pool used by a child care facility must be constructed and operated in compliance with Chapter 10D-5, Florida Administrative Code, Swimming Pods and Bathing Places. 726. Emergen First-Aid Treatment and Emergency Procedures. Parents shall be notified immediately of any illness or injury to the child in the center and their specific instructions regarding action to be taken shall be obtained. 23 '41 DAY CARE CENTERS FLORIDA If the parents or persons designated to be called in case of an emergency, serious illness or injury cannot be reached, the operator contact those sources designated on the record of child accepted for care. The facility shall have written instructions from parents for staff o follow in arranging for immediate treatment in emergencies. = 227. First Aid Supplies 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 a designated location in a covered container and labeled "First Aid." 810. NUTRITION 811. 800. NUTRFFION AND FOOD SERVICE Nutrition. Facilities shall provide meals and snacks of a quantity and quality to supplement food served at home so that daily nutritional needs of the children are net according to recognized nutritional standards. (The standards most widely accepted Eire the National Research Council's Recommended Dietary Allowances). Recommended meal patterns to meet these standards are to be furnished by the licensing agency as a suggested guide for the operator. 4 24 DAY CARE CENTERS FLORIDA Alternate Nutrition Plan. If meals, snacks, and/or formulas are furnished by the child's parents, there shall be a written agreement signed by the parent and kept on file at the facility with a copy given to the parent. The agreement shall define the responsibilities of the parent and the operator in meeting the child's nutritional needs. All facilities shall assize that each child is provided with a mid-moming and mid-afternoon snack in addition to the number of meals necessary to meet the child's nutritional needs as stated above. 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 821. Food Preparation and Service Requirements Nutrition. Menus shall be planned, written, and posted at the beginning of each week.. Menus shall be dated and posted in the food service area and in areas where they are accessible to parents. Any menu substitution shall be posted and entered on a log book used for this purpose. Food Preparation and Food Service Requirements. Sanitary Facilities and Cor.croLs. All rooms where food or drink is stored, prepared; or served or where utensils are washed shell be protected from dust, flies, vermin, rodents, and other contamination. The floor's, walls, shelves, tables, utensils, and equipment in these rooms a be of such construction as to be easily cleaned and shall be kept clec good repair. Stored food shall be placed in such a manner as to be free from dust, dirt, and splEoh. 4L 25 DAY CARE CENTERS FLORIDA The walls shall be finished in a light color and shall have a smooth, washable surface up to the level reached by splash or spray. These rooms shall be well lighted and ventilated and openings shall be effectively screened. All multi-use eating and drinking utensils shall be thoroughly cleansed with hot water and an effective detergent, then shall be rinse$ free of such solution, then effectively subjected to an approved bactericidal process after each use. All food and drink shall be clean, wholesome, free from spoilage and prepared as to be safe for human eonsumptio Ice cream and other frozen desserts shall be from approved sources. All milk and fluid milk products for drinking purppses shall be pasteurized and shall be purchased and served from the original containers in which they were packaged at the milk plant. All readily perishable food and drink shall be kept at or below 40 degre except when being prepared or served. All employessshall wear clean garments and shall keep their hands clean at all times while engaged in preparing and serving food and drink. At least one management person from eael child care facility serving food shall complete the Environmental Health Food Service Management Training Course or other equivalent course approved by the department and local licensing agency modified to meet child care facility needs and possess valid certification thereof. 26 DAY CARE CENTERS Not specified Not s _cified 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION 1100., ThTFANTS AND TODDLERS 1110. PROGRAM OF ACTIVrFIES Not specified 1120. HEALTH AND'SAFETY REQUIREMENTS Not specified 1130. INFANT NUTRiTION Nutrition. Irdants sh be individually fed, or supervised at feeding and offered oath app riate for t teir age. Formula -shall be refrigerated and handed in a sanitw manner by the child care facility. FLORIDA 1200. CHILDREN WITH HANDICAPPING CONDITIONS PROGRAM OF ACTIVMES Personnel - Ratios of Personnel to Chfictren. Facilities serving only children wt are handicapped or disabled: The following staff ratio is based on direct superviiion of children:. Age of Cididren Ratio Under 2 years of age 2 years of age 3 years of age 1 person for 4 children 1 person for a chilcpen 1 person for 8 children 41 87 f DAY CARE CENTERS FLORIDA 4 years of age 1 person for 10 children 5 years of age or older 1 person for 14 children Depending on the severity of the handicaps or disabling conditions of the children in care, additional staff shall be required to assess the safety of children at all times. In groups of mixed age ranges, where infants are included, one (1) person shall not be responsible for more than four (4) children of any age grou9. Where infants are not included, the staff ratio shall be based on the age of the majority of children in the group. There shall be an arrangement for another adult to be readily available to substitute for the adult in charge in case of emergency. 1220. HEALTH AND SAFETY REQUIRE Admission and Record Keeping - Enrollment Information. If the child's condition requires it, a written4plan must be on file at the child care facility. This plan will be developed as a cooperative effort between the child's parent, the operator, and supervising physician and/or other specialists. This plan shall specify the handicapping condition and the special provisions which will be made to meet the needs of the handicapped child in compliance with state and federal re ations. 1230. STAFFING Not specified .413 DAY CARE CENTERS = FLORIDA ,130 1310. PROGRAM OF ACTlY Not specified. SCHOOL GE CHILDREN 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 1400. FACILITY REQ EMENTS 1410. SPACE Physical Facilities - Indoor Play Space. There shall be a minimum of twenty (20) square feet of usable floor space per chat Shelves or storage for toys and other materials shall be considered as usable floor space if accessible to children. Where infants are incare, they shall have open play space outside of cribs and playpens. If cribs and playpens are stored out of the way during play time, the spade used for play may be interchangeable with space used for cribs and play Pe Outdoor Play Space. There shall be a minimum of forty -five (45) square feet of usable, safe, and sanitary outdoor play area per child. Play area shall be calculated at the rate of forty-five145) square feet per child in any group using the play area at one time. A minimum play area shall be provided for one-half (1/2) of the licensed capacity. Outdoor play area shall provide both sun and shade. The outdoor play area shall have safe and adequate fencing or wall at a minimum of four (4) feet in hei 29 413 DAY CARE CENTERS FLORIDA 1420. LIGHTING VENTIL ATION, AND TEMPERATURE Physical Facilities - Rooms Occupied by Children. Must have a minimum of twenty (20) foot candles of natural or artificial An inside minimal temperature of 650F must be maintained when the outside temperature is less than 650F. 1430. EXITS Not specified 1440. TOILET'S AND LAVATORrEB Physical Facilities - Toilet and Bath Facilities. Eaclinbild care facility shall be provided with conveniently located toilet and bath facilities. There shall be one (1) toilet with seat and one (1) wash basin for the first fifteen (15) children. There shall be one (1) toilet and one (1) basin for every thirty (30) children thereafter. If only diaper babies are cared for in the facility, ere need be only one (1) toilet seat plus two (2) basins for each thirty ( infants. If potty chairs are used these shall in addition to the above toilet No toilet facility shall open directly into an area where food is premred. Where the indoor play space also serves as the dining area, and thk children are closely supervised while using toilet and bath facilities, a toilet facility may open directly into areas where food is served. 42 30 DAY CARE CENTERS FLORIDA Toilets and wash basins shall be constructed at such a level as to allow the children to conveniently use them. If toilets or wash =basins are not installed at this level, a platform shall be constructed. Platforms must be of safe construction, non-porous covering, and easily cleanable. Children must be continuously supervised while bathing. At least one (1) portable or permanent bath facility shall be available for bathing children. Running water must be available. 1500. OTHER STATE REQUIREMENTS - COMPLIANCE WITH OTHER. LOCAL, STATEL AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 1520. FIR Physical Facilities - Fire Safety. All child care facilities shall conform to state standards prepared by the State Fire Marshal: Chapter 4A-36, Florida Administrative Code, Min4Mum -"Standards for Life Safety and Fire Prevention in Child Care Facilities. 1530. BUILDING Not specified 1540. HEALTH Not specified = 421 DAY CARE CENTERS 1550. SANITATION Not specified 1560. NE W CONSTRUCTION Not specified FLORIDA DAY CARE CENTERS GEORGIA Except where otherwise noted, all citations are to the Rules of the Georgia Department of Human Resources, Office of Regulatory Services, Minimum Requirements for Da Care Centers, June. 1974. 100. STATE LICENSING OF CHILD DAY CARE FACILIT 110. TYPES OF FACILITIES SUBJECT TO UCENSITRE AS DEFINED BY STATE STATUTFS AND REGULATIONS AND/OR LOCAL ORIINAI CES AND REGULATIONS 111. Definiti GA. CODE ANN. Chapter 9-203 Definitions. "Child welfare agency," as used in section 99-214 of this Chapter, shall mean: "child- caring institution," "child-placing agency," "rnaterrf4v home," "family boarding home," "family day-care home," and "day-care center." "Day-care center" shall mean any place operated by a person, society, agency, corporation or institution, or any group wherein are received for pay seven or more children under 18 years of age for group care, without transfer of custody, for less than 24 hours per day. 112. F.xclt iorts and Exemptions GA. CODE ANN. Chapter 99-214 Placement of chilcten; licensing and risRection of child welfare agendas. Child welfare agencies and other facilities and institutions wherein children and youth are detained operated by any department or agency of State, county or municipal government shall not be subject to license under the provisions of this section, but the division may, through its authorized agents, make periodic inspections of such agencies, facilities and institutions. 423 DAY CARE CENTERS 113. HHS Day Care Compliance GEORGIA GA. CODE ANN. Chapter 99-202.1 Private Day Care Centers. Nothing in this Chapter or any rules and regulations adopted hereunder shall be construed to require that private day care centers 'maintain an adult to child under care ratio commensurate with any Federal requirement concerning such adult to child under care ratio. 120. AGENCY RESPONSIBLE FOR LICEN SENG OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit DEPARTMENT OF HUMAN SERVICES OFFICE OF REGULATORY SERVICES CHILD CARE LICENSING SECTION REGIONAL LICENSING STAFF In Georgia, all licenses are issued and revoked at the state central office level, while the day to day licengng fuhcdons are carried' out at the regional level under the direct supervision of the state central office. 42.1 ,2 DAY CARE CENTERS GEORGIA 122. Responsible Official All inquiries should be addressed to: Director of Child Care Licensing Child Care Licensing Section Office of Regulatory Services Department of Human Services 618 Ponce de Leon Avenue, N.E. Atlanta, Georgia 30308 (404) 8944142 2n0. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promulgation of GA. CODE ANN. Chapter 99-214 Placement of thucten; inspection of child welfare agencies. All child welfare agencies, as (defined in section 99-203, subparagraph (r), shall be licensed annually by the Division for Children and Youth in accordance with procedures, standards, rules and regulations to be established by the board. The bowl Alan develop and publish -standards for licensing of child welfare agencies. A license issued to a child welfare agency shall be deemed approval of all family boarding homes, foster family homes, and family day-care homes approVed, supervised and used by the licensed agency as a part of its work, subject to provisions of this Chapter and rules and regulations of the board. DAY CARE CENTERS GEOEG 212. Advisory Body and Other ommunit1Participation GA. CODE. ANN. Chapter 99-204 Establishment of division and bo composition, organization, meetings and compensation of board. To effectuate the purpose of this Chapter, there is hereby created within the Department of Human Resources a division to be known as the Division for Children and Youth. The division shall be under the supervision and direction of a State Board for Children and Youth. The State Board for Children and Youth, hereby created, shall be composed of 15 members, 14 of whom shall be appointed by the Governor by and with the advice and consent of the Senate and one of whom shall be the Director of the Department of Family and Children Services who shall serve as chairman of the board and preside at all meetings of the board; There shall be at lewt one member of the board from each of the 10 congressionkl districts. Appointive members of the board shall be influential and respected citizens in their respective communibes who are recognized for their demonstrated interest in children and youth and in all matters pertaining to the betterm'ent of family life in Georgia. The term of office of appointive members of the board shall be for six years, except that initially five members shall be appointed for six-year terms five members for fouNvear term and four members for two -year terms, each of said initial terms to date from July 1, 1963. Appointive members of the board shall hold office for the term of their office and mill their successors are appointed and qualify, and shall be eligible for reappointment. The Director of the Department of Public Health, the State Superintendent of Schools, the Commissioner of Labo the Director of Corrections, the Commissioner of Agriculture, the Dir of the Georgia Forest Commission, the Director of Probation, and the executive secretary to the Governor shall serve as ex-officio members of the State Board for Children and Youth. They shall attend meetings of the board whenever possible, but shall not have a vote. They shall, whenever the dudes of their office permit and upon request 426 DAY CARE CENTERS GEORGIA by the board, serve as ex-officio members of committees appointed by the board. They shall provide advice and counsel to the board and to the Director of the Division for Children and Youth. 220. LICENSING PROCEDURE 221.. Application and Issuance GA. CODE ANN. Chapter 99-214 Placement of children; licensing d impection of child welfare agencies. All child welfare agencies, as defined in section 99-203, subparagraph (r), shall be licensed annually by the Division for Children and Youth in accordance with procedures, standards, rules and regulations to be established by the board. The division shall assist applicants or licensees in meeting standards of the division, and if a licensee is, for any reason, denied renewal of a license, or if a license is revoked, or if any applicant for license cannot meet division standards, the division shall assist in planning the placetnent of children, if any, in the custody of such child welfare agency in some other licensed child welfare agency, or assist in returning, them to their own homes, or in making any other plans or provisions as may be necessary and advisable to meet the particular needs of the children involved. Application for license shall be made to the division upon forms furnished by the division. Upon receipt of an application for license, and upon presentation by the applicant of evidence that the child welfare agency meets the standards prescribed by the division, the division shall issue such child welfare agency a license for a one-year period. I General Policies. Each agency, group or individual planning the operation of a day care program shall file an application for a license at least 30 days prior to the anticipated date of opening and commencement of operation, and shall not begin operation until a license is issued. 5 427 DAY CARE CENTERS GEORGIA 222. Fee Charged Not specified 223. Areas of Investiion Not specified 224. Licerse Rene Not specified 225. Conditional Provisional Lioerses GA. CODE ANN. Chapter 99-214 Placement of child-en; inspection of child welfare agencies. icing and If the division find that any child welfare agency applicant does not meet standards prescribed by the division but is attempting to meet such standards, the division may, in its discretion, issue a temporary license to such child welfare agency, but such temporary license shall not be issued for more than a one-year period. Upon presentation of satisfactory evidence that such agency is mating progress toward meeting prescribed standards of the division, the division may, in its discretion, reissue such temporary license for one additional period not to exceed one veer. 226.ubstntial omOiance Not specified 230. ENFORCEMENT PROCEDURES 231. Facility Irepectiors Not specified 6 DAY CARE CENTERS GEORGIA 232. Denial Suspension, Revocation of a i e GA. CODE ANN. Chapter 99-214 Placement of children; licensing and inspection of child welfare agencies. Licenses may be revoked at any time before the expiration date thereof upon "90 days' notice in writing by the director to the licensee. Such notice shall giontain a statement of causes for revocation and shall he mailed to the licensee by registered mail, return receipt requested. The licensee may, within 10 days of receipt of such notice, request in writing a hearing before the board. The board shall grant such licensee a hearing within 90 days of the date J of receipt of such request by the division. 233. Remedies and Sanctions 233. GA. CODE ANN. Chapter 99 -214 Placement of children; licensing and inspection of child welfare agencies. Upon written notice that an application for a license has been denied, such notice to be provided the applicant therefor by registered mail, return receipt request'ed, the applicant requesting such licensee may within 10 days of receipt of such notice request in writing a hearing before the board. The board shall grant such applicant a hearing within 90 days of the date of receipt of such request by the division. Hearings provided for in this section may be held at any place designated by the board. The board shall provide by regulation for notice, conduct of hearings before the board, and for the presentation of evidence to the board. . Hearings shall be open to the public. The board is hereby authorized to visit and inspect the premises, record; and children and youth of any child welfare agency involved in 'any hearing and congder such facts and findings as may thereby be developed by the board in reaching a final determination in the matte- before the board. The board may appoint a committee to consist of 423 DAY CARE CENTERS GEORGIA not less than 10 of the members and ex-officio members of the board for the purpose of hearing and determining matters provided for in this section, Provided, however, that at least eight- members. of such committee shall in each case be present at and particpate in the hearing and in the determination of the matter before the committee. The board or the committee, if such a committee be appointed, Shall within 45 days after termination of such hearing, or within 45 days after rehearing or reargument, should the board or committee grant the same, enter up an order covering the matters involved in the hearing, rehearing or 'rearg-ument, and provide copies of same to the persons entitled thereto. 233.2 Decisions See 233.1 liearit 233.3 Judicial Review GA. CODE ANN. Chapter 99-214 Placement of children; li inspection of child welfare agencies. Any applicant or licensee aggrieved by the decision of the board or the decision of the committee, as the case may be, may obtain Judicial review thereof by filing a petition in the superior court of the county where the child welfare agency concerned is located. The petition shall plainly specify the action complained of set forth the relief sought, and facts and circumstances supporting the petitioner's right to such relief. Any child welfare agency that shall operate without a license issued by. the division shall be guilty of a misdemeanor and shall be fined not less than $50, nor more than $200 fog each such offense. Each day of operation without a license shall constitute a separate offense. 43u DAY CARE CENTERS GEORGIA The Department of Human Resources may, without regard to the availability of other remedies, including administrative remedies, seek an injunction agairst the continued operation of a child welfare agency without a license for the continued operation of a child welfare agency in willful violation of this Chapter or of any regulation of the department or in violation of any order of the Board of Human Resources. 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Administrative Requirements II Administration. Licensing of a day care center shall be othtingent upon the center meeting all laws, relations, rules and ordinances of State and local governments which apply to its operation. The legal responsibility for the director of the center and the care of the children shall be clearly defined and the person or persons to whom this responsibility may be delegated clearly defined in writing. There shall be at all times a responsible person on the premises who, by definition 'of job or delegated authority, is responsible for the administration of the day care center. to e. respribi ties of the director and /or owner shall be to state clearly the purpose of the program, to develop the policies of the day care center, establish and maintain an adequate financial structure, and to implement° the policies of the center. The day care center shall have available to the parent or person legally 0 r onSible for a child enrolled in the center, a copy of the State Minimum Requirements for Day Care Centers. 4 431 DAY CARE CENTERS GEORGIA The day care center shall have in writing and available to all parents description of the services offered. This description shall in6lude: Policy and procedure. Chikten served (maximum and minimum age, etc.). The days and hours the center is open, holidays observed and dates center is closed. Children's program including nutrition, health and activities. All day care centers shall report to the local Licensing Unit, Department of Human Resources, in twenty-four hours, the following: Change of directorship or closing of center. Death or serious injury to any person while in the center's care. Any fire, explosion or natural disaster. Since the license is not transferable, a potential change in ownership shall be reported at lust two weeks prior to the change. License and other permits shall be posted at some point near the en part of the facility that is open to view by the public. All day care centers sponsored by corn thunity organizations and/or all non - profit day care centers shall have a governing board responsible for its proper function in accordance with its purposes. 312. Telephone VIII Equipment. There shall be a telephone in the day care center. 313. Proof of Operator Pin Ca abilities Not specified 10 43 DAY CARE CENTERS 314. Insurance Not specified 320. PERSONNEL 321. Pub 'estir of Personnel Policies Not specified 322. Constraints Against Employment Not specified 330. NON - DISCRIMINATION 331. Requirements Prohibiting Prohibitin ination Not specified 340. fLECO DS REQUIREMENTS Chil&en GEORGIA W Records. The day care center shall keep the following records on file in an organized and accessible manner in the center: j Daily attendance records. Recor "dual children including: Identifying information (child's name, birthdate, parent's or an's name, home and business address, telephone numbers). Name, actresi and telephone number of p ons to contact in emergencies incl family physician. 11 4433 DAY ARE CENTERS 342. Staff GEORGIA Evidence of an annual review of the health status of each child (including preadmission evaluation) by a responsible health source (i.e., physician, health agency or other qualified provider of health servi ces). Evidence of current required immunizations - appropriate to the child's age (D.P.T., polio, measles, and rubella). Description of accidents or illnesses occurring while child is in the center's care, including date, time and conditions under which it occurred and action taken. Parental agreement. IV Records. The day care center shall keep the following records of individual on file in an organized and accessible manner in the center: lent fying information. Qualifications. References. Employment history. Employfnent date. Medical statement from health agency. Appointment statement employment). employe ysician, health consultant or community or employment contract (conditions of 4 .4 DAY CARE CENTERS GEORGIA 343.: Child Eligibility and Enrollment Retirements II Administration. The day care center shall develop a written plan and follow it for enrollment of children. This plan shall include an interview in person with the parent or- guardian of the child for the purpose of discussing policies and procedures and for securing from the parent the following information: Age and physical condition of the child. Name, address and telephone number at home and at work for parent or guardian. -Signed agreement between parent and day care Center which includes name, address and telephone number of person or persona to be called in an emergency when parent cannot be reached; permission for the day care center to secure medical hell in time of emergeney; plan for payment of fees; name, address and telephone number of person(s) to w rn.- the child may be released. Signed parental agreement for children) to participate in water activities (wading and swimming), field trips and other activities away from the center. Responsibility for escorting child to d transportation is provided. 344. ChUdAbuSe Reporting Not specified 13 porrtation vehicle if DAY CARE CENTERS GEORGIA 345. Confident of Records Requirements U Administration. Information pertaining to an individual child shall not be disclosed to persons other than the center staff or other authorized personnel unless the parent(s) of the child has granted written permission or in an emergency. 400. GROUP COMPOSITIONS OF CHILDREN 4.3. STAFF/CHILD RATIO REQUIREMENTS 411. Stafi/Child Ratio as of March 1981 Ul Staff. The minimum teacher child ratio in centers and on playgrounds shall be as follows: Group #ge No. of Adults No. of Children Infancy 18 mos. 18 mos. 3 3 4 years 4 5 years 5 6 years 7 & older 1 1 5= 8 10 15 15. 20 -7 -10 15 -18 = 20 - 25 Directors shall make provisi or absence of regular staff. 412. Methods of Corn Not specified 420. GROUP SIZE maintaining these ratios in case of illness Staff /Child Ratios 43 42L Group Size as of March, 1981 See 411. Staff /Child Ratio as of March, 1981 14 DAY CARE CENTERS 422. Method Not specified of orn utin Grow Size GEORGIA 500. STAFF QUALIFICATIONS AND TRAINING REQUIRE E 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. M Staff. Persons under 18 years of age shall not assume sole respor ibility for fora group of children. 512. Health M Staff. There shall be evidence of preemployment and annual review of the health status of each adult in the center by a responsible health soiree (e.g., personal physician, health consultant or community health agency). 513. Education Ill Staff. All directors and staff members who have responsibility for planning and supervising children's programs or who are working with children shall present evidence of completing recent training (within three years) in the field of child care. Training course curriculums other than those provided by accredited schools shall have prior written approval of the _Licensing Unit. Persons children under three years of age shall have special knowled shout their care and shall participate in courses, workshops and institutes related to the child under three when such training is available. 1 5. DAY CARE CENTERS 514. e ience III Staff. GEORGIA All staff members shall show evidence of good character, present evidence of good physical, mental and emotional health; sho4 an understanding of children; be adaptable to a variety of situations; and be willing to grow in knowledge about children through participation in regular. in-service training. VII Health and Safety. Staff shall have knowledge of basic health needs and health problems children such as mental health, physical health, nutritional health. 520. PROGRAM DIRE TOR QUALIFICATIONS 52L See 511. 522. Health See 512. Health 523. Education See 513. Education 524. E erience U Administration. The director and/or owner of the day care center shall be a person who has evidence of good charactei. The person shall denionstrate knowledge of the growth and developmental needs of children through experience and recent training and shall show an understanding of the role of day care in meeting the needs of children and families. '4 3 1 -5 DAY CARE CENTERS GEORGIA 530. SUPPORT STAFFQIJApFICATIONS III Staff. If volunteers are used, the responsibilities assigned to them and their qualifications shall be in accord with the personnel policies of the day care center and at no time shall a volunteer regularly replace a staff worker in order to maintain minimum standards of adult-child ratio. 540. POST EMPLOYMENT/IN-SERVICE: ORIENTATION AND TRAINING 541. Program Director See 513. Education 542. Child Caregiver Staff See 513. Education 543. Support Staff See 513. Education 600. PROGRAM OF ACTIVITIES, INCLUDING EDUCATION I 610. PROGRAM REQUIREMENTS 611. Program of Acti V Children's Program. Program planning shall consider the age and developmental level of the children, the needs of individual children, the experience offered children in their home and goals which children's families have for them. A flexible daily schedule for each shall be posted in their area. 17433 DAY CARE CENTERS GEORGIA When planning the program, the staffs shall make provision for: or special attention for children who need it (new children, emotionally upset children, etc.). A variety of materials and activities which permit children to make choices. Daily activities with music, science, literature, dramatics, art, language, manipulative activities, large muscle activities, etc. Regularity in the schedule and a routine fo washing up. s, snacks, naps, Quiet activities which are teacher directed in the late afternoon when children are waiting to go home and are tired from the long day in the center. Opportunities for children to play alone as well as in groups. Nap time for all pre-school age children and a rest period for all school children who spend the day in the center. Length of time for rest period shall be kept flexible in order to meet individual needs. Quiet activities for children who do not sleep. Children who do not fall asleep shall remain on cots no more than one hour. When operatic the program the staff shall: Assist and encourage the child in becoming independent. Assist, where needed, in the development of self-help skills such as washing hands and face, dressing, eating and toilet ing. 44u 18 DAY CARE CENTERS GEORGIA Provide time so that each child may proceed at his own rate of speed. Al loiv children to move from one activity to Another. Permit children to go to the toilet and get water as they feel the need. Insure that performance standards are set at a level within the range of the children's abilities and encourage children to meet these standards. Insure that the length of time which children spend in any one group activity is determined by the developmental level of the children; usually the younger child has a shorter attention span. Make provision for active and vigorous play such as water play, pounding, molding clay, digging, etc., and provide suitable space and equipment. When operating the program, staff shall avoid: Long hours of unnecessarily rigorous practice for special events, etc. _ -ram_ (recitals, als, Keeping children waiting in lines or assembled in large groups in the interval between activities. Formal instruction in academic subjects beyond the developmental level of the children. Loud, profane or abusive language. 19 441 DAY CARE CENTERS GEORGIA 612. Pro 25p:LIent and Materials VIII Equipment. There shall be in the day care center the equipment necessary to facilitate the program and such furnishings and equipment shall be sufficient in quantity to insure that each child shall have opportunity to participate in many kinds of activities appropriate for the developmental level of children in care. Play equipment shall be stored in low open shelves, easily accessible tb children. Furnishings shall include appropriate sized tables, chairs and storage space sufficient for all children served and the program planned. There shall be available one cot, a sheet, a lightweight cover, and one chair for each child enrolled. There shall be sufficient outdoor equipment to provide a varied program for children. 613. vision V Children's Program. When planning the program, the staffs s make provision f Alternate periods of active play and quiet periods. There should be quiet periods before lunch, before unusually stimulating experiences, after vigorous play. Nap time for all pre-school age children and a rest period for all school children who spend the day in the center. Length of time for rest period shall be kept flexible in order to meet individual needs. 20 DAY CARE CENTERS GEORGIA When operating the progra the stiff :hall: Set up a quiet, dim area for naps. Cots shall be placed withone foot of space from cot to cot and children placed on cots with a distance of four feet from bea,0 to head. Children shall be supervised by a responsible adult throughout the nap period. Cots shall be large enough to permit children freedom of movement. There shall be an aide of at least two feet between rows of cots. VIII . Equipment. Cots, sheets and eight covers shall be marked for individual use. The day care center shall provide for each infant an individual crib, a waterproof mattress, and linens. Crib size shall be determined by the size and age of the child. 614. Discipline and Guidance V Children's Program. Staff shall avoid using any disciplinary techniques which are hurtful, frightening, mentally or physically injurious, or humiliating to the child, and associating punishment with food, rest, isolation because of illness, or toilet training. VI Nutrition and Food Service. No child shall be deprived of meals and snacks or forced to eat as a punishment, nor shall meals and snacks be used as a reward. 21 44, DAY CARE CENTERS GEORGIA 700. HEALTH AND SAEETY 710. HEALTH 711. General Health Requirements VII Health and Safety. No staff person or volunteer who is suffering from a contagious disease or illness shall be present in the center. a Parents or guardians of all children enrolled and local health officials shall be notified when a communicable disease has been introduced into the center. 712. Health Assessments VII Health and Safety. For every child admitted for regular care or frequent "drop-in care there shall be on flea recent statement from a physician or health agency that the child is ood health and that any known-special condition is under treatment. 713. Immunizations See 341.- Children 714. Sanitation VII Health and Safety. In order- to protect and promote the health and safety of children, the center shah maintain the- roorn in which the children are housed clean and odor free d comfortable. B&I and require that the staff keep the children clean, linens shall be kept clean and Diaper changing, soiled linens and diapers shall be handled in a sanitary manner. 444 22 DAY CARE CENTERS GEORGIA Staff members shall practice adequate personal hygiene such as washing hands thoroughly at meal time and between diaper changes. Separate equipment for diapering each child shall be used. VIII Equipment. Individual washcloths and towels shall be provided for all children. Paper towels may be substituted for groups other than the infant and toddler groups. h child shall be provided a single service drinking cup when approved drinking fountains are not available. Cups shall be discarded after each use. IX Building and Grounds. The grounds shall be kept clean and free from litter. 715. Daily Illness Scree Not specified 716. Care of Sick Children VII Health and Safety. Every center shall clearly define its pok y on care of children with communicable disease or acute illness. Any child showing symptoms of illness during the day shall be removed from the group to the quiet area where he shall receive necessary attention until such-time as the center- and. his parents can make plans for his care elsewhere, or until he is ready to return to the group. Parents shall be notified immediitely of any illness or injury to the child in the center and their specific instructions regarding action to be taken shall. be obtained. 23 445 LAY -ARE CENTERS GEORGIA The center shall have a written arrangement with a nearby physician, clinic or hospital so that immediate treatment can be obtained in emergencies. 717. Medication and Specie VII Health and Safety. Prov No medication shall be given by the staff except in special circumstances arranged by the Center Administrator at which time a signed note from parent or guardian giving permission must be on file in the center. 718. Waiver of Health Requirements Not specified 720. SAFETY 721. General Safety Requirements IX Building and Grounds. Hazardous maintenance and construction work shall take place only during hours children are not in the center. Climbing equipment and swings shall have a resilient surface beneath and shall be securely stationed. The outdoor play Space shall have a surfers suitable for varied activities. Hard surfaces, such as gravel or paving shall be kept to a minimum. Some shade shall be provided. 722. Fire Safety Requirements X Fire Safety Requirements. An approved fire evacuation drill shall be executed not less than once per month. Records of drills shall be maintained for review by Fire Safety IrspeCtors. The record shall include the date and time of the drill as well as any problems encountered and action taken to correct problems. 24 446 DAY CARE CENTERS GEORGIA The center shall be kept free of unnecessary combustible materiai and fire hazards. Wastebaskets and other waste containers shall be of metal r non-combustible material approved by the State Fire Marshal's office. Closet doo s shall be such that children can open the door from inside the closet. Bathroom and other iris e door locks shall be designed to permit opening of the locked room from the ou. "de o room in an emergency and the opening device shall be readily access o the staff. Use of floors above the floor of exit discharge (ground floor) shall be approved only in accordance with the type of construction as liste. d in the 1973 Life Safety Code.. The center shall formulate and post in each room in a place clearly visible a plan for evacuation of the building in case of fire. Al employees shall be instructed and kept informed respecting their duties under the plan.' outlets within reach of -eh dren shall be plugged vered. Fleeting systems, to be approved, shall have adequate protective coverings or guards to insure that children corning into contact with them shall not be burned. All fuel heating equipment shall be properly vented to the outside air. Gas fired heating equipment shall be provided. with approved automatic safety pilots. Fiiel of fired heating equipm4;nt shall be in a room segregated from occupied spaces by one hour fire rated construction 25 44-4 DAY CARE CENTERS GEORGIA Portable fire extinguishers shall be provided so that at least one 2Z rated fire extinguisher is provided for each 3,000 square feet of floor space with not less . than one per floor. In addition, at least one 10 pound CO2 or 5- pound dry chemical gxtinguisher shall be provided for kitchens. A multipurpose ABC extinguisher per floor or each 3,000 square feet with at least a 2A rating may be used in lieu of the extinguishers noted above. Extinguishers shall be readily accessible to the staff. Extinguishers shall be serviced annually in accordance with NFPA Standard 10A. They shall. be hydrostatically tested in accordance with the noted standard every five years. All staff members shall be trained to use portable fire extinguishers. Recep cl)s and outlets services by extension cord type wiring are prohiblted. 723. Transportation II Administration. Each day care center shall have a safe vehicle and a licensed driver unable" at the center at all times. XI Transportation. Each day care center shall have in writing a plan for transportatic which shall Include the following information: A current list of the children transported. The distance each child is transported. The name of each driver. The year, make and the model of each vehicle used. The name, address of the insurance company or agent. A signed agreement with parents which insures that parents or parent substitutes will supervise the children until they are on board the transporting vehicle and will be available to assume responsi4illty for children when they are returned home. 26 DAY CARE C ---LATER S GEORGIA The pick up and delivery times of each child transported. Procedure to be follow ed when parent is'not at home to receive child. Transporting vehicles shall be parked so that no child will have to cross the street in order to meet it or in order to arrive at a destination. Unless accompanied by his parents, no child shall be required to travel more than 45 minutes on each trip between his home and the day care center. Vehicles used for transporting children shall be ke in safe .optecating condition, licensed in acc rdance with state laws, and bear a current inspection sticker as require bythe0 Pia Departmen of rublic Safety. Any vehicle used for a transportation of children shall be provid safety door looks or equipped so children cannot \Open the doors. h The number of children occupying or the loading limit for any vehicle used for transporting children shall not exceed 20 percent above the manufacturer's rated seating capacity of the vehicle. It is the responsibility of the center to obtain the manufacturer's rated seating.capacity and adhere to it at all times. Children shall be seated in a comfortable, safe and adequate space at all times when the vehicle is in motion. Chilrr under 19 months of age shall _either be held in the arms of the no adult or be provided with approved infant seats or carriers. No more than two infants shall be the responsibility of any one nonliving adult while children are being transported. 27 DAY CARE CENTERS GEORGIA Each vehicle used for trio porting children shall' be uncluttered, thoroughly clean and free of hazardous c=mbjects at all times. Children shall not beleft tinemeittended in a vehicle. The motor shall be turns leaves the bus. key removed and brakes set any time the driver Every vehicle shall be elcp_a_zipped with at least a four pound CO2 or four pound dry chemical type fire extinguisher (suitable for Class B fire). Children in transportation vehicles shall have at least one adult supervisor at all times. A minimum of two adults (the driver and non-driver) is required when children under three are transported, when handicapped children are transported, and when more than six children occupy the vehicle. There stta no more than s three persons in the front seat including the driver. Children shall not beperrn t-=ted to ride in the ront seat unless each such child be secured with an eutornonirTle seat belt. Windows in the tr o on vehicle shall not be more than 50 percent open at any time. Drivers of transportation ye II have a valid drivers license. Drivers shall meet the same general qua a members of the daycare staff. Drivers shall have trafhing ir-=-1 first aid or medical self-help. The vehicle shall be'equippert with a first aid kit. 45u 28 a hose set forth for other DAY CARE CENTERS GEORGIA 724. Safety Requirements for Equipment VIII Equipment All equipment shall be safe, shall be kept clean and in usable condition, Special sanitary care shall be given to equipment and materials mouthed by infants and'toddlers. 725. Water Activities (IncludiAg Swimming) V Ch4ldren's Program. For program activities in evading and swimming): There shall be continuous supervision by a minimum of two adults. At least one person with the equivalent of a senior Life Saving Certificate shall be on duty when swimming areas are used. At least one person trained in water safety procedures shall be on duty when wading pools are used. Staff shall be appropriately dressed for entering the water emergency. The number and ages of the children using either swimming or wading areas shall be limited at any one time to allow appropriate supervision. A staff/child ratio of at least 1 `- 4 shall be maintained when non-swimmers are using the swimming area. IX Building and Groun Swimming and wading pools shall be treated and kept cic inaccessible to children when not supervised. 4 391 and shall be DAY CA ENTERS GEORGIA 726. t r erkancy Frocedaa t-es VII Health and Safety. Emergency plans for fir each raorri. 727.ir Supplies h derstorms, tornadoes, etc., shall be pasted in VII Reel hand Safety. A first &Whit equipped mwArith soap, bandaids, sterile gauze squares, adhesive tape, thermometer, and tv.eezers shall be maintained. 800. 7 UTR ON AND FOOD SERVICE 810. NUTRITION 811. NWIrltional R_ e ents VI Nu rition and Food Service. Meals served in the day cimtre center shall be planned with the child's daffy food_ needs in rrind and shall cownplement the meals served in the child's own home. Children who tee in car-4e five or more hours shall receive a minimum of one-third of their nutrients in the center; a nutritious snack or breakfast, a hot noonday meal, and a micisafternoon snack. Children shall be served a minimum of 8 outeesof milk per Childrec in care ten logs or more shall have an additional meal, either breakfist or supper, depa-ading upon hours of care. Milk shall be available at this west Fruits and fruit juices dull be included in snacks. Soft drinks, fruit flavored drinks such Koolaide az-49 not considered to he adequate snacks. 30 DAY CARE CENTERS GEORGIA A nutritious afternoon snack shall be served school age children. Snacks shall be served at least 1-11/2 hours prior to meals. Mealtime shall be a significant learning experience; _e., children learn what things are made of; shapes, textures, etc. Sufficient time and a chance to enjoy learning to eat with others shall be provided. Current menus including snacks shall be posted (and followefT in the center and be available to parents. 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 821. Food Preparation and Service Requirements VI Nutrition and Food Service. Furniture and utensils shall be of a size appropriate for children. There shall be enough utensils to serve adequately all the children enrolled. Food service facilities and program shall meet the Rul Food Service, Georgia Department of Human Resources. 900. SOCIAL SERVICES Not spc d Rewulations for DAY CARE CENTERS GEORGIA 1000. PARENT PARTICIPATION II Administration. The director shall seek to establish open communication with the parents, such as establishing routine visitation times in the center, parent- teacher consultations and other means of parent involvement. The parent or person legally responsible for a child enrolled in the center shall, at any time the child is in attendance, be permitted access to all parts of the center. 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES V Children's Program. For children under three years of age: The staff shall plan for times each day when children are given individual attention and stimulation and shall provide opportunity for children to play outside cribs and playpens. When weather and the child's health permit, each child shall spend some time outdoors daily. 1120- HEALTH AND SAFETY REQUIREMENTS Not specified 1130. INFANT NUTRITION VI Nutrition and Food Service. For infants under one year of age, the center shall secure from the parents a formula and feeding plan; this plan shall be on file in the center and followed in detail. Formulas shall be clearly marked. 32 DAY CARE CENTERS GEORGIA Premodified formula shall be available in case a formula preparation is spilled. Unused formula shall be thrown away and not offered at the next feeding. In planning diet, the introduction of solid foods, etc., for infants, the day care center shall follow the directions of the parent or pediatrician. In lieu of these, "The Infants Feeding Booklet" shall be followed. Infants shall be fed individually and those unable to sit alone shall be held while being fed. 1200. CHILDREN WITH HANDICAPPING CONDITIONS 1210. PROGRAM OF ACTIVITIES Not specified 122 0 HEALTH AND SAFETY REQ . AND SAFETY Not specified 1230. STAFFING Not specified 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF A -TIV: V Children's Program. Day care centers which provide care for children enrolled in grade school shall plan a program which is appropriate for and meets the needs of the children including snacks, outside play, and quiet time for homework and games. DAY CARE CENTERS GEORGIA 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 1400. FACILITY REQUIREMENTS 1410: SPACE VIII Equipment. Each child shall be assigned an individual hook, and shelf space or (cubbie) which is within the child's reach. IX Building and Grounds. The building or portion of the building to which children have access shall be used only for program of child care during the hours that the center is in operation. Children under three years of age shall be housed in separate rooms from older children. Rooms lower than three feet below ground level on all sides shall not be used for the children's activity program. Basement areas in excess of 25 linear feet of wall space from a window shall not be used for housing of children. The indoor areas, room or fooms, used for the Play, rest and eating activities of the children shall provide at least thirty-five square feet of usable space for each child present in the Center. There shall be space provided utside the children's play area, for storage of cots and equipment. The outdoor play space shall be safe, easily supervised and located adjacent to the day care center, or which can be reached by a safe route or method approved by the Licensing Staff. It shall contain af least 100 square feet of usable play space per child in any group using the play area at one time and shall provide opportunity for many kinds of experience. 34 4 DAY CARE CENTERS GEORGIA The playground area shall be fenced or otherwise protected ( 7 h approved barriers) from traffic or other outside hazards. 1420. LI GHTING, VENTILATION, AND TEMPERATURE IX Building and Grounds. An evenly distributed temperature of approximately 70 degrees maintained at a level twenty-four inches above the floor. be There shall be artificial -lighting to provide a minimum of twenty-five to thirty-five candle power in play areas where natural light fail to provide this intensity. The children's playroom shall have outside windows which equal not less than 10 percent of the floor area in each room. Windows shall be so low that children can see out. Fifty percent of required windows shall be operational with approved screens. All floor level windows shall have protective devices. 1430. EXITS IX Building and Grounds. Hallways shall be adequately lighted, provide a clear passage free from obstructions., and terminate with approved exits. X Fire Safety Requirements. There shall be at least two approved means of egress from each floor, occupied for day care or related occupancy. Exit access s lead to at least two exits remote from each other so that no single fire c n block the use of more than one means of egress. 1440. TOILETS AND LAVATORIES IX Building and Grounds. The following ratios of toilet and lavatory facilities 11 be provided: 35 DAY CARE CENTERS GEORGIA Number of Chil en Toilets and Lavatories 1 - 12 1 13 - 25 2 26 50 3 51 - 75 4 76 100 5 101 125 6 126 - 150 7 151 - 175 8 For toddlers, one flush toilet must be available. Two nursery chairs may foe substituted for each subsequent required toilet for the toddler group. 1500. OTHER STATE REQUIREMENTS - COMPLIANCE_ WITH OTHER LOCAL, STATE AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 1520. FIRE X Fire Safety Requirements. All day care centers shall comply with the 1973 Life Safety Code of the National Fire Protection Association, 470 Atlantic Avenue, Boston, Massachusetts 02210, except as modified by the Board of Human Resources. Any such modification of the 1973 Life Safety Code shall be adopted by the Board of Human Resources as standards and copies shall be available from the Georgia Department of Human Resources. Fire prevention inspections shall be conducted monthly by a trained senior member of the staff. A copy of the latest inspection form shall be posted in a conspicuous place in the center. 1530. BUILDING Not specified 36 DAY CARE CENTERS GEORGIA 1540. HEALTH Not specified 1550. SANITATION Not specified 1560. NEW CONSTRUCTION IX Building and Grounds. The individual or agency planning the construction of a new center, remodeling, or adding to an existing structure shall first have the plans approved by local building authorities. In those areas where there is no local building code the Southern Standard Building Code shall apply. Plans for construction or renovation shall be submitted to the Licensing Unit for approval. Location of facility shall be approved by the local zoning authority. The fire safety requirements specified in these Rules and RevAations shall apply where thire is conflict with local standards unless the latter are more restrictive. 4 37 DAY CARE CENTERS GUAM Except where otherwise noted, all citations are from the Guam/ Department of Public Health and Social Services, Standards for Child Care, 172. 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 Definilo Section I General Provisions. Child Care Facilities means any person or place which receives or arranges placement of one or more children who are not related to such person, whether for gain or otherwise, apart from the parents or guardian, with or without the transfer of the right of custody, for the purpose of providing regular care or training for such child or children during the day or night, or both. Day Care Center. A group care facility operated under public or private auspices serving twelve or more children for a portion of a 24- hour day. Planned activities are determined by the child's age, development, special needs, family situation, and hours of care. 112. Exclusiors and Exempt ons Section I General Provisions. No license is reqtgred for the following: care of a relative, friends, or neighbor's child(ren), with or without compensation, where the person furnishing such care does not regularly engage in such activity and does not advertise or hold himself out as conducting a child care facility. 46u DAY CARE CENTERS GUAM parents who, on a mutually cooperative basis, exchange of one another's chil&en. care of children in their own home. a hospital, clinic, or educational institution. kindergarten or nursery schools operated by public or private elementary or secondary level school systems. facilities operated in, connection with a shopping center where children are received while parents are on the premises. facilities operated in connection with a church where children are received while parents are on the premises, 113. HHS Day Care Compliance Not specified 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit DEPARTMENT OF PUBLIC HEALTH AND SOCIAL SERVICES DIVISION OF SOCIAL SERVICES CHILD WELFARE UNIT LICENSING STAFF 4G1 DAY CARE ,ENTERS GUAM Guam has only one licensing worker, and all licenses are issued and revoked at the territorial level. 122. Responsible Official All inquiriE should he addrellsed to Administrator, DivisiPi: of Social Services Department of Public Health and Social Services P. O. Box 2 816 Aga_na,,Guam 96910 (671) 734-9912 200. LI LICENSING PROCESS AND _NE OR EMENT PROC DURES 210. LICENSING PROCESS 211. Promulgation of Re Section I General Provisiors. The Government Code of Guam authorizes the Departmentff Public Health and Social Services to adopt standards for licensing all child care facilities, to issue licenses, and to &stye that all provisions of Public Law 11-99 regarding licensing are carried out. The Department may et home, center, institution, or place of the performance of any such service. 212. Advisory Body and Other Community Participation Not specified 3 462 DAY CARE CENTERS GUAM 22fl. LICENSING PROCEDURE 221. Application and Issuance Section I General Provisions - License. No person, association, or corporation shall, without first having obtained a license from the Division, operate or conduct a chili care facility, either with or without compensation. r 222. FftsIar Charged Section I General Provisions - Application - License Fee. Application for license or renewal of license of day care facilities shall include the payment of a non-refundable fee according to the following schedule: Family Day Care $5.00 Group Day Care 10.00 Day Care Center 25.00 223. Areas of Investigation Section I General Provisions - Application - Issuance of License. If, upon examination, the Division is satisfied that the applicant and the facility reasonably meet the qualifications and standards prescribed for the type of facility for which application for license is made, it shall issue to the applicant a non-transferable license designating the type of facility provided for;-the number of children to be served, the period for which the license is effective, and any other conditions or limitations (such as age or sex of the children). The license will be valid only with respect to the person and places specified. It shall be also subject to review when there is a change in operating policies. The license to operate a child care acility shall be prominently displayed at the facility. 4 4 I?AY CARE CENTERS GUAM 224. License Renewal Section I General Provisions Application{ Renewal of License. Application for renewal of a license shall be filed 20 days prior to its expiration each year. If, upon review, the Division is satisfied that the facility continues to maintain adequate standards prescribed in these regulations, it shall renew the license. 225. Con i -onal/Provisional Licenses Section I General Provisions Application - Provisional License. A Provisional License may be issued to a newly established facility or to an existing facility which is out of conformity for child care for a period not to exceed six months to allow such facility reasonable time,. to become eligible for full license. Renewal of a provisional license shall be left to the Department's discretion. 226. Substantial Compliance Not specified 230. ENFORCEMENT PROCEDURES 231. Facility ,Inspections See 211. Promulgation of Rega 232. Denial, Su Revocation of a License Section I General Provisions - Application - Denial of License. If the application study indicates that the operator or the facility does not meet applicable standards, the license. shall be denied. If an applicant is denied a license, a letter shall be written to the applicant stating the reasons for denial. 4 DAY CARE CENTERS GUAM Failure to corn ply with any rule or regulation, or refusal to renew the license of any child care facility is reason for revocation or suspension of a permit or license by the Division. 233. Remedies and Sane 233.1 Hearings Section I General Provisions - Application = Heari Any person whose permit or license is denied, revoked, or suspended shall have the- right to a hearing with the Director of the Department or his designate, provided such Appeal is made in writing not later than twenty days after receipt of the notice of denial, suspension, or revocation. 233.2 Decisions Not speCified 233.3 Judicial Review Not specified 300. ADMINISTRATION GENERAL ADMINISTRATION General Administrative Requirements Section II. Day Care Centers - Organization and Administration. The organization of a center shall be such that legal responsibility is clearly defined and administrative authority specifically placed. Administrative responsibility shall belong to the owner/operator. In the case of a group sponsored center, responsibility shall belorig to a board of directors. Decisions DAY CARE CENTERS GUAM pertaining to the policies and procedures of a child care, staff employment, finances, and the total organization of the service shall be made by the -ner/operator or the group sponsored center the board of directors. Eh -11 center shall have a written statement of operating policies and procedures. The statement shall include name of the owner, purpose and goals of center, ages of children accepted, hours of operation, information regarding meals, maximum number of children, fees and plan of payment, regulations regarding illness of children, enrollment procedures, and staff-child ratios. In addition, operators are urged to develop and record policies pertaining to personnel practices. There shall be at least two adults on duty at all times. No staff person shall be on duty with the children for more than 8 continuous hours Each center shall keep the following records: Statement of operational policies, List of current staff, including ages, training, experience, and health records, Daily schedule, Daily menu, Emergency information, Where parents can be located Name of family physic! -n Written consent to call another physician if necessary Roster of enrolled children, Daily attendance record by name and age, Completed application form for each child, Child's health record showing date of last physical examination, list and dates of inoculations and vaccinations, and Sanitation, building, and fire permits. 4 6 6 DAY CARE CENTERS GUAM The director shall be responsible for: The overall administration of the center, Setting up written personnel policies for all staff, Hiring of staff, Designating staff responsibilities, and Arranging for health supervision of children. 312. Telephone Section II Day Care Centers - Physical Plant - Health, Cleanliness and Safety. Telephone or other suitable means of transportation or communication for emergency purposes shall be provided. 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 Not specified 330. NON- DISCRIMI IATION 331. Re uiremen s Prohibiting Discrimination Not specified 8 DAY CARE CENTERS GUAM 340. RECORDS REQUIREMENTS 341. Children See 311. General Administrative e uirements 342. Staff Section II Day Care Centers - Personnel - Staff Members. All employees shall have a valid health certificate.' Operators of child care centers mu5 obtain a valid health permit. Volunteers also must have valid health certificates when providing services. 343. Child _y and Enrollment Re= uirements Section II Day Care Centers - Admissions. The Center shall require a report of a physical examination of each child by a licensed physician. Such examination shall be current within 90 days prior to admission. The center shall require verification of the child's birthdate and shall keep on file evidence that the date of birth has been verified. At least one parent or guardian shall be interviewed prior to the child's admission to the center.. The personal interview is to secure pertinent information on the child's overall behavior and to acquaint the parents with the center's policies. Each center shall secure written permission from parents or guardians before taking children on excursions. 344. Child Abuse Repo Not specified 345. Confidentialit of Records l e uiremen Not specified DAY CARE CENTERS GUAM 400. G OUP COMPOSmoNs OF CHILDREN 410. STAFF/ HELD RATIO REQUIREMENTS 411. Staff /Child Ratio as of Marchz1981 Section Day Care Centers - Organization and Administration Administration. The number of children per staff member, excluding staff o cooking and maintenarce, shall not exceed: 5 children under 1 years of age 8 children age 1 to 2 10 children age 2 to 3 15 children age 3 to 4 20 children age 4 to 5 25 children age 5 and up In any combination of two or more age groups, the maximum number shall be that of the youngest age group. 412. Methods of Computing Staff/Child Ratios See 411. Staff/Child Ratio as ofMarch, 1981 420. GROUP SIZE 421. Group Size as of March, 1981 See 411. Staff/Child Ratio as of March 1981 422. Methods_of Computing Group Size No specified 46 10 DAY TARE CENTERS 5110. TAFF U AI,IFI ONS APED TRAI 510. rH1LD ARE VLR STAFF QUALIFICATIONS 511. GUAM Section II Day Car? Centers - Personnel - Staff Members Each center shall have at least one regular staff member who is a mature, responsible per7.Jri, 18 to 55, capable of handling ernerrencies, and trained in first aid. 512. Health Section II Day Care Centers - Personnel - Staff Member In employment of all staff members, consideration shall be given to Ability to work with children objectively. Ability to understand and care for children and a lilting for cltdren. Knowledge of the needs and feelings of children. Good moral character. Good physical and mental heal Operators and members of the household or staff shall ,e free from disease which may be transmissible to others. 513. Education Not specified 514. Experience Not specified 520. PROGRAM DIRECTOR C QUALIFICATIONS 521. Age Not specified 4 7o DAY CARE CENTERS GUAM 522. Health See 342. Staff and 512. Health 523. Educe Not specified 524. Experience Not specified 530. SUPPORT STAFF UALIFICATIt NS Not specified 540. POST E PLOY ENT/IN-SE VICE ORIENTATION AND TRAINING 541. Program Director Not specified 42. Child Caregiver S Not specified 543. Support Staff Not specified 600. PROGRAM OF ACTIVITIES,_ INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities Section II Day Care Centers - Care of Children - Program. There shall be a well-balanced daily program appropriate to each child's age. Sufficient equipment and individual supplies shall -.be available to assure the heal p sical, mental, and spiritual development of the child. 12 4 DAY CARE CENTERS G IJA M Centers shall have a framework for activities that is predictable but not rigid. Program should be well planned but opportunity must be presented for the child to do some things on his own initiative. Children must be supervised at all times whether their activity is planned or optional. 612. Program Equipment and Materials Section II Day Care Centers - Care of Children - Program. Play materials and equipment shall be carefully selected and presented to stimulate interest and learning and to enhance different aspects of the childs developmentlanguage, coordination, imagination, cooperation. 613. Nap Provision Section II Day Care Centers - Physical Plant - Capacity and Occupancy. Separate cots shall be provided or, in lieu thereof, if floor is carpeted either mats or pads may be used. Cots, mats, or pads shall be placed at least two feet apart. 614. Discipline and Guidance Not specified 70a. HEALTH AND SAFETY 710. HEALTH 711. General H ealth Re uirem ents Section II Day Care Centers - Care of Children - Health. Operators of child care facilities shall provide good physical care and help a child grow and develop physically, mentally, emotionally, and spiritually at his own pace. DAY CARE CENTERS GUAM 712. Health Assessments Section II Day Care Centers - Care of Children - Health. Written medical reports and health information shall be on file for each child, including report of a physical examination, immunization records, pertinent information regarding any particular health problems, or any specific instructions regarding care or feeding for the child. 713. Imm unizations See 712. Health Assessments 714. Sanitation Section II Day Care Centers - Physical Plant - Location and Premises. Centers shall be clean and sanitary with proper means of refuse disposal. Centers shall have proper disposal of sewage with all plumbing outlets connected o an approved sub-surface sewage disposal system or a sewer system. Soap and individual towels shall be provided. The water supply shall be adequate and of a safe sanitary quality. Adequate and appr :ye I winking facilities shall be provided. Separate towels, w h o , and drinking cups shall be provided for each child. Both indoor and outdoor areas shall be adequately protected and maintained against flies, roaches, mosquitoes, and rodents. All areas, facilities, and equipment shall be kept in a neat, clean, and sanitary condition. 47 ' 14 DAY CARE CENTERS GUAM Cots and mats shall be cleaned, disinfected, and aired daily. Toilet, lavatory, and bathing facilities including floor areas, and kitchen floors, shall be scrubbed. 715. 12a ily_Illness ScreeninE Not specified 716. Care of Sick Children Section II Day Care Centers - Care of Children - Health. Any child showing signs of illness must be isolated from other children until arrangement can be made for his care. The regulations of the Department of Public Health on communicable disease shall be followed where children show symptoms of communicable disease. 717. Medication and Special Diet Provisions Section 11 Day Care Centers = Care of Children - Health. No medication shall be given without the signed consent of a parent and special drugs shall be given only when prescribed for a child by a physician. 718. Not spec of Health Re -L.ernents 720. SAFETY 721. General Safety Requirements Section II Day Care Centers - P Centers - Electrical Circuits. _ant = Buildings Used for Day Care Electrical circuits shall be maintained with proper fuse protection and shall be installed in accordance with the National Electrical Code. 15 DAY CARE CENTERS GUAM Extension cords shall not exceed 10 feet in length and shall not extend from one room to another, nor shall they be stapled or nailed or otherwise permanently fastened to walls, floors, ceilings, or be run under rugs. Gates at the head of stairs and handrails on stairways shall be provided. All poisons and dangerous chemicals shall be stored in a safe location and out of reach of children. Cleaning equiirr,ent and supplies shall be stored in locked closets or cabinets. No other enterprise shall be conducted on the premises during hours while the child care center is in operation. 722. Fire Safety Requirements Section II Day Care Centers = Physical Plant. Fire Extinguishers CO2, #l5 must be provided in each center 723. Transportation Not specified 724. Safety Requirements for Equipment Not specified 725. Water Activities (Including Swimming) Not specified 726. Emergency Procedures Not specified DAY CA RE CENTERS GUAM 727. First Aid Supplies Section II Day Care Centers Care of Chiloten - Health. First aid supplies shall be kept on hand. 800. NUTRITION AND FOOD SERVICE 810. NUTR ON 811. Nutritional Requirements Section II Day Care Centers - Care of Children - Health. Centers caring for children through mealtime shall provide adequate nutritious food appropriate to the age of the child at normal mealtime intervals. 812. Waiver of Re irements Not specified 820. FOOD PREPARATION 821. Food Preparation and Service Requirements Not specified Not specified Not specified 900. S0 AL SERVICES 1000. PARENT PARTICIPATION 17 DA Y CARE CENTERS GUAM 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES Not specified- 1120. HEALTH AND SAFETY REQUIREMENTS Not specified 1130. INFANT NUTRITION Not specified 1200. CHILDREN WITH HANDICAPPING CONDITIONS 1210. PROGRAM OF AcTrvirms Not specified 1220. HEALTH AND SAFETY RETIIRE1lNTS Not specified 1230. STAFFIN Not specified 1300. SCHOOL AGE CHIIIDREN 1310. PR ©GRAM OF ACTIVITIES Not specified 1320. HEALTH AND SAFETY RE UIREMEN Not specified 18 4 e , DAY CARE CENTERS GUAM 1400. FAC Y REQUIREMENTS 1410. SPACE. Section II Day Care Centers - Physical Plant. There shall be adequate outdoor space available. The play area shall be free of litter, glass, nails, and other ob.ioms hazards. The play area shall be on the premises adjacent to the indoor area. It shall be fenced or protected with the entire area easily supervised. It shall be fenced if adjacent to a street or other hazard. A space equal to at least 75 square feet per child is recom mended. It shall be the responsibility of the operator to meet the following standards which conform to the construction standards of the current local ordinances. The latest edition Uniform Building Code takes precedence. For daytime care, there shall be a minimum of 35 snuare feet per child of indoor area, excluding bathroom, kitchen, cupboard space, and hallways. For nighttime care, there shall be a minimum of 50-square feet per child of indoor area, excluding bathroom, kitchen, cupboard space, and hallways. A lanai which haz a roof, protected from rain, and provides for safe activity, may be counted as indoor or outdoor space. 1420. LIGHT! VENTILATION, AND TE PERATUR Section II Day Care Centers - Physical Plant - Buildings Usecl for flay Care Centers - Health, Cleanlines_ and Safety. Adequate artificial lighting shall be provided in all indoor areas. 19 7.) DAY CARE CENTERS GLIA'N'T 1430. EXITS Section II Day Care Centers - Physical Plante Buildings Used for Day Care Centers - Existing Buildings. Corridors with dead ends are permitted when the dead end does not exceed 20 feet in length. Stairways serving an occupant load of more than fifty shall be not less in width than 44 inches. Stairways serving an occupant load of 50 or less may be 18 inches wide. The rise of each step in a stairway shall not exceed seven and one half inches (7-1/2") and the run shall not be less than ten inches (10"). In every building, four or more stories in height, one stairway shall extend to the roof surface, unless the roof has a slope greater than four in twelve. The slope of a ramp shall not exceed in 8 feet. A ramp with slope exceeding 1 foot in 10 ee_ shall have handrails; as required for stairways. The strface of ramps shall be roughened or shall he of nonslip materials. Exit doors shall swing in the direction of exit travel when serving any hazardous hazard©us area or when serving an occupant load of fifty. Every required exit doorway shall be of a size as to permit the installation of a door not less than three feet (3') in width and not less than six feet, eight inches (6'8") in height. _ 20 DAY CARE CF., TERS qUAM Revolving, sliding and overhead doors shall not be used as reouired exJts. Exits shall be so arranged that it is possinle to go in either direction from any point in a corridor to a separate exit 1440 . TOILETS AND LAVATORIES Section II Day Care Centers - Physical Plant - Euilc ings Buildings Used for Day Care Centers - Tdilet Facilities. There shall be a minimum of one toilet and one basin conveniently located for every fifteen children. Facilites shall he separated for each sex. Water closets and wash basin shall be of suitable height and size and so' equipped as to be readily accessible to the children. 1500. ER STATE REQUIREMENTS - COMPLIANCE WITH OTHER LOCAL STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Section II Day Cart -Cente Physical Plant - Buildings Used -or Day C- Centers - Existing Ruildin Setbacks of building shall conform tp the zoning law. 1520. FIRE Not specified 1530. BUILDING Not specified 1540 . HEALTH Not specified 21 DAY CARE CENTERS 1550. SANITATION Not specified 1560. NEW CONSTRUCTION GUAM Section II bay Care Centers e Ph -_cal Plant - Buildings Used for Day Care Centers - Pew Construction. Plai for any new building's and alterations ofisting buildings of day care_ centers shall be submitted to the Department of Public Wqrks, nuilding Permit Sectionand Department of Public Health and Social Services, Bureau of Environmental Health and Consumer Piotection before any work is carried out. 22 D4Y CARE CENTERS HAWAII Except where otherwise noted,- 1 citations are from the Hawaii Department of Social Services; Rules and R lations GoVernin Da Care Centers April, 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-- 11L Definitions Section I - Definitions. A group day care center (hereinafter referred to as cent .A place maintained by any individual, organization, or agency for the purpose of providing group care for 6 or more children with or without charging a fee during any part of a twenty-four hour day, regardless of the duration of operation. The term group day care center shall include day Nurseries, nursery school groups, pre-school, child play groups, _parent cooperatives, or othe similar units operating under any name whatsoever. U2. Exclusions and Exemptions Not specified HIS Day Care Com -_ce ecified 'DA y- CARE CENTE Nita, 120. AGENCY R HAWAII PONS LE FOR LICENSING OF AY CARE ROGRA.1VI S 121. Organization of the Administrative Unit DEPARTMENT OF SOCIAL 'SERVICES-AND HOUSING PUBLIC WELFARE DIVISION I PROGRAM DEVELOPMENT SOCIAL SERVICES OFFICE FAMILY AND CHILDREN'S SERVICES STAFF BRANCHES BRANCH SOCIAL SERVICES SECTION !I' e Public Watfake Division of the Hawaii Department of &wird Services and Housing is divided" into brinches which are .like regions ;or. districts. Al] licenses gre issued and revoked and all day to day. Hemming funeVorLsl are, carried out at, the branch level. The state central office monitors and provides consultation to the branches. 2 DAY CA RE'CE HAWhII 122. Responsible 0 All.inciiiries'should be addressed to Asst. Program Administrator Day Care Public Welfare DiVisi Department of SocCa.1 Service and Housing P. O. Bo 9 Honofulu, Hawaii 96809 (808) 548-2302 2001. LICENSING PROCESS AND ENFORCEMENT DROCED RSS 210. LICENSING PROCESS 211. -Promulgation of Regulations -' HAWAII REV. _STAT. 5108-11.3 Rules and regulatiors; minimum standar The department oepuPlic welfare (department of real services) after c!r_gE.31 tion with the departnient of health, the departmefit-vot- public instruction, (dipartment of- education) and the 'fire marshal ;hall make, prescribe, and pUblish such rules and regtdations as shall be deemed necessary to protect the best interests of minor children and to carry out the Dur noses of this Act: The rules and regulatiorm when'approved by the crovernor shall have the force and effect law, and shall be administered by the denarfment of public welfare (department of social services). 212. Advisor Body and Other Community Participation Not specified 484 3 DAY CARE i TT "17.17 220. LICENSPN 221. Applicartior Section II - Any person, otgram center 'shall stuorr approval. The app Ti A WAIT uance A077rova1- Application. ion, or agency desirihg to operate a emu day care n Npplication to the Department for A certificate of v,a shall include: Written statement of operating policies of the center. Statement of legal authority. Number of staff members anticipated and their duties. copies of the floor plan of the building, indicating its location on the property (not applicable on renewals). Issuance of Certificate of Approval. When the inspection reports indicate- that the center is in comnliance 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 name and address of the center to which it is issued, the .maximum number and ages of children for whom it is licefised to give care. The certificate: of approval is non- tr-ansf erable when the organization to whom it is issued ceases to gperate the center. Thecertificate of approval is subject to review when: There is a change in location. There is a change in operating The certificate of approval shall be conspicuously posted at the center. 222. Fee Char d Not specified.. 4 mils) or DAY CARE CENTERS' 223. Areas of Investigation Not specified 224. License Renewal AW4,II Section H = Certificate of Approval - Renewal of Certificate `of Approval. At least thirty .days days prior to the expiration, of the current certificate, the center shell apply for renewsl of its Geri fieate. An inspection shall conducted upon the receipt of the renewal annliention, and a certificate of approval shall be i uecl if the applicant conforms to all regiul ail am. 225. Conditional /Provisional Licenses Section II - Certificate of Approval -Ternporary Permit. The Department may issue a temporary permit for a period to six months to any applicant who is temporarily unable to conform to all of the reczulations. Renewal of such El permit shal 226. Substantial Compliance o the Department's discretion. Section VIII - Exceptions. Exceptions to the regulations may be made at the' discretion of the Department, 230. ENFORCEMENT PROCEDURES 231. Pacilitzlnspectiors. Section VIII - Exceptions - Inspection of Center. -# The Department shall arrange for appraisal and inspection determine whether the center meets established,iezulatlons; 486 of the center to DAY CARE CENTERS HAWAII Reports of the inspection shall be kept on file by the Department. 232. Denial, Suspension, Revocation of a License Section VILE Exceptions - Denial of certificate of= Approval. A certificate of approval shall not be-issued when the inspection indicates to the Department that the center does not meet the requirements of t_ heae regulations. The Department shall send a written statement to the center, giving reason(s) for denial of a certificate of approval. Any center -denied a certificate of approval may "request, and shall be granted, an opportunity to discuss with the Department cthe reason(s) for the denial or shall have the right to a hearing with the Direetor of the Department. Suspension and Revocation.' Whenever a center fails to take any action to meet the 'conditions under which the certificate of approval was granted, the Departrnent shell notify the center, stating specific violation(s) and giving the center a minimum of thirty days' notice to effect necessary corrections. If a center fails to make the necessary corrections within the stated time limit after such notice is give', the certificate of approval may beAuvended or revoked by the Department. 233. Remedies and Sanctions 233.1 Hearings Section VIII - Exceptions- Hearing. Any center whose certificate of approval is to be suspended or revoked, shall have the right of a 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 or revocation. 45, DAY CARE CENTERS liAWAII Upon receipt of an appeal, the Director of the Department sha hear the center's appeal. L The final suspension or revocation may, at the discretion of the Director of the Department, be stayed. e 233.2 Decisions Not specified 233.3 Judicial Review and Sanctions Section IX - Penalty.. Any person wilfully making any false statement or violating these regulations shall be guilty of a misdemeanor and be punishable by a fine not exceeding two hundred dollars. 300.1 ADMINISTRATION 310. ,GENERAL ADMINISTRATION MI. General Adininistrative Requirements Section Ell - Organization and Administration - Organization. The organization of a center shall be such that legal responsibility i clearly defined and administrative authority specifically placed. - The owneV and/or operator of a center shall be legally respor ible for e administration and payment of debts and obligations. All corporations shall establish a governing body which shall be legally responsible for administrative control and delegation of apthority. When the center's charter, articles of incorporation, constitution and/or by-laws proviae for en advisory board, such a group shall be established. 488 DAY CA RE CENTERS NA WAIT' Each center shall have a director responsible for the total center. Adam inistration. Each center shall have a. written statement of operating noiicies. The Statement nail include the following information: Name and address of center. Name of owner or sponsoring agericy (privately owned, church or agency the .Owned, etc.). Ages of children accepted by the center. Maximum number of children for whom center is eauloped. Specifie.hotrs of day and night operation and whether meals are served. Whether transportation of children is provided. Pees charged by the center, including fees for cliffei.ent t'voes of service. Policy and plan for emergency medical Care. The center shall have a responsible staff member to receive all children noon their arrival at the center each day. 4 Personnel - Staff Members. No staff member shall work more eight hours a day with chilfiren. Provision shall, trade for rest periods and lunch houis. The director shall be defined as that individual hose prime responsibility is to administer-' the center and. develop the total program. The director, unless other provisions are made, shed' he responsible for:. The overall administration of-the center. Setting up written personnel policies for all s Hiring of staff. DAY ARE CENTERS *TA WAII Designating' a perSon to be responsib_ in his absence, even if . absence is for.any part of the day. Arranging for adequate heiilth supervision for children under care. The. teacher his prime respobsibility for planning and carrying out the educational program to which s e is assigned. The teacher shall be respobsible for: Planning and continuing contcts with parents. Working cooperatively with the director, other teachers and sta planning and carrying out the total center program. Keeping appropriate records of each of the children. Observing and evaluating the childs growth and development. . The assistant teacher shall he defined as an assistant to the teacher,and she . may be re5ponsible for the group during the absence of the tesicher. Section yr - Care of Children --- Program. Children and staff are not exploited in fund raising Cam pal 6, of the children and other aspects of the program. 312. Telephone Not specified 313. Proof of rator Financial Capabilities Not specified Durance he detriment Section DI - Or zation and Administration - Administration. Each center shall subscribe,to a policy of liability insurance for bodily injury in the minimum amount of five thousand dol per child and ten thousand dollars per accident. 4-9u 9 DAY CARE CENTERS 320. PERSONNEL 321. Publication of Personnel Policies HAWAII Section III - Organization and Administration - Administration. Each center shall keep a statement of operational policies. 322. f Constraints Against Employment Not specified 330. NON - DISCRIMINATION 331. Requirements Prohibiting_Discrimination Not specified 340. RECORDS REQUIREMENTS 34L Children tit Section III - Organization and AcIminkdration - Administration. Each% center shall keep the following records: Emergency information. Where parents can be located. Name of family physician. Written consent to call another physician when the family physician cannot be con cted. R6ster of enrolled children. Daily attendance record by names of children and ages. Completed application form for each child. Child's health record. Section IV - Admissions - Admission Information. Each child's application form for admission to the center shall includs: Name of child, home addresS, birthdate, sex. Business address and telephone number of parents and any other person rb,sponsible for the child's care. fp. 9 1 9 DAY CARE CE ERS HA Ali . Family Physician who may he called,. Specific hours of day and/or night child is under care. . Adm fission Policies. The center shall require a report of a physical examination illy a licensee:I physician. Such examination shall have taken place within 90 days orior.-to the chiles admission to the center. The center shall require verification of the child's rirthdate and shall keep on file evidence that the date of birth has been verified. Each center shall secure written premissibn from parents or diary s hefo taking children on excursions. Section VI - Care of Children- Health. Health records should be maintained for each child and kept reesnnahlv up-to-date at all times. Individual notes of staff observations shout signifitant developments should be included. When the child leaves the renter, the health records may be turned over to the gent or the child's school. 342. Staff Section III = Organization and Administration - Organization. Each center shall keep a list of current staff members,, including areci, training, experience, and health records 343. Child Eligibility and Enrollment Requirements Section IV - Adinissions - Admission Policies. At least me parent or guardian shall be interviewed prior to the child's admission to the center; the child shall be interviewed, when possible. erhe personal interview is to secure pertinent information on the child's over all behavior and to acquaint the parents with the center's policies. n 492 DAY CARE CENTERS T-TA 7 IT 344. Child Abuse Reporting Not specified 345. Confidentiality of Records HAWAII REV. STAT. qln8-.117 Every licensee shall keep Act' records and shall file with the Department of Public Welfare (Department of Social servioes) such reports as the rules and recrulations may reouire. All reorils any information obtained concerning children and their parents or relatives shall be kept confidential by the licensee and by mem"ers of the Penartment herein named. 400. GROUP COMPOSTTIONS OF rfilLDRFN 410. TAFFY HILD RATIO REQUIREMENTS 411. Staff/Child Ratio es of Mareh,19S1 Section 111 - Organization and Administration - Organization. The number of child-en per staff member shall not exceed: 10 children are 2 to .3 years its children age 3 to 4 years 20 children of 4 to 5 years 5 children 5 years and older In any combination of two or more age groups, the ma:dnium nurnher shall he that of the youngest age group. Children under 2 years of age shall-no cepted for bare. 412. Methods of Computing Staff/Child Ratios See 411, Staff/Child Ratios cp of March,1981 4-3 DAY CARE CENTERS HAWAII 420. GROUP SIZE 421. Croup Size as of March, 10 422. Methods of Computing Group Size See 411. C d Ratios as of h 19 500. STAFF QUALIFICATIONS AND TRAINING REOUIREMENIN 510. CI LLD CAREGIVER STAFF QUALIFICATIONS 511. ..A.m Section III = Organization and Administration - Personnel - Staff members. Ea h center shall have at lqast-on-regular staff member who is a mature, responsible person, between-18 and R5 years of age, capable of handling emergencies and accidents and trained in first 512. Health Section Ili - Or nization and Administration Personnel - Staff Mernhers. At the time of employment and annually thereafter, all staff shall have a compete health examination including a chest x-ray or tuberculin test in accordance with The current Department of Health's recommendation, except that a volunteer Vibr r reed have only a chest x-ray or tuberculin test. DAY CARE CENTERS 4 A WAIT 513. Education Section III - Organization and Administration - Personnel Teacher. The teacher shall have the following qualifications: A bachelor's degree from an accredited colleLt or uni'ers t -courses in early childhood development, childhood education and related Or, a hachelo's degree from an accredited college or universit, supplemented by successful and supervised teaching experience in nursery-aged group. Or, two years of accredited college work supplemented by or including professional training in preschool or early childhood education and supervised teaching experience. Or, the teacher shall have successfully completed an in-service training program-4n preschool and early childhood education offered by a legally recognized sponsor, including supervised teaching experience in a 'N's--nisirsery-aged group. Exception: An individual serving as a teacher of a center on the effective date of these rules and regulations i exempt from the foregoing qualification,e. The assistant teacher shall have the following qualifications: Graduation from high school or education preferably in health, child development and family relations or Maturity and rience in working with children. 514. Experience ) Section III - Organization and Administration - Personnel - Staff embers. In the employment of all staff members, consideration shall he given to the following: 14 9 DAY CARE CENTERS HAWAII Ability to understand and care for children, and a liking for children. Good moral character. Good physical and mental health. 520 PROGRAM DIRECTOR QUA FICATIONS 521. /la See 511. Age 522. Health See 512. Health 520. Edu a Section III - Organization and Administraticl - Personnel Director. The director shall have the following qualifications: A bachelor's degree from an accredited college or,university preferably h courses in early childhood education, child development or related fie ds and 2 years of experience in working with children, or shall have had a combination of 2 years of college education and 4 years of experience in work with children. An individual serving as a Director of a center on the effective date of these rules and regulations is exempt from the foregoing qualifications. 524. Experience See 514. Education 530. SUPPORT STAFF QUADIFIG ONS See 510. CHILD CAREGIVER STAFF A UALIFICATIONS l49 DAB' CAItk CENTERS t 54Q. POST EMPLOYMENT/IN-SERVICE: RrENTATION ANT) THArs:Ivn 541. Prb earn Director Not specified 542. Child Caregiver Staff Not specified C ( 541. Support Staff Not specified 600. PROGRAM CE A TES,INCLUDING EDUCATION 610 FROG M REQI IRENiEN 611. P am of Activities Section VI Care of Children = Program. A schedule of activities shall be planned with the following guiding 'principle: Tbere is reasonable regularity with a similar seauence of events for the children from day to day; e.g., eating, resting, toileting, washing. .fir dEdIv provision for playing, There is time for free, spontaneous, active play by the children, with opportunity to choose activities,-according to their desires and interest and, within limitations, to move from one activity to another. There is dance of indoor land outdoor activity which provides for development of large and small muscular coordination. There is time allowed for the children to do things for teems ves And to take responsibility for their own care as they are able. 49 DAY CARE CENTERS ,HAWAII Rest periods shall be provided as appropriate to the age of children under care. Program and school space shall be flexible enough to allow for special interests or abilities and maturity level and emotional climate of the children. There is use of cornmuni v resources supplementing the program. ever possible in Administrative details are cared for without neglect of children. 612. program Eq*pment and Materials Section,VII - Physical Plant - Equipment. Grass or other soft media shall be used under swings, slides, jungle gyms, and similar outdoor play equipment, or other protective measures shall be taken.. All equZpyient and material shall be of sufficient quantity and variety suited to the size, needs and abilities of the children. There shall be at least one chair per child and sufficient table space per child scaled to the size and needs of the group to be served, for mealtime and table play activities. Provision shall be made for equipment for both indoor and outdoor play, for opportunity for children to use small and large muscles, for imaginative play, and creative activities. 613. .Nap Provision Section VI.- tare Children - Program. Rest periods shali be provided as appropriate to the age of children under care. 498 DAY CARE CENTERS HAWAII Section VII Physical Plant - Equipment. The following sleeping eauioment shall he provided: Individual cots or adequately insulated and proteettAd bending for all children who rest. Individual beds for children who are at tie center during the nig Cribs and be beds used by children during the night shall he at least All pis and sheets or covers for cots shall be orovided n an individual hasis. 614. Discipline and Guidance Section VI Care of Children r Program. ConsiTuctive methods letrling to development of self-disciline are used maintaining group control. Staff shall not use any technique which is humiliating or frightening to the child-en. 700. HEALTH AND SAFETY no. H EAL TH 711. General Health Ree rem ents Not specified 712. Health Assessments Section VI - Care of Children = Health. Children shall have a physical examination at least once a year after admission to the center. Ste also 341. Children 18 49J DAY CARE CENTERS HAWAII 713. Irranimizations See 341. Children 714. Sanitation Section VI - Care of Children - Program'. There are plans for keeping the plant and equipment clear and in order without undesirably interfering with the cten's activities or endangering. their health or safety. Section VII - Physical Plant - Location and Premises. The center shall: Be located in a safe and sanitary area and shall conform to laws and regulations of the State, City and County, and county governments. Be clean and sanitary with proper mean o refuse Have proper disposal of sewage with all niumhing outlets nne cesspool or a sewer system. Pets. Housing of all pets, anion sanitary manner at all times. f owl shall in" a safe and No vicious animals or any insects that are dangerous to health and safety shall be kept on the premises, SectionNI Carekof Children - Health. There shall be a health inspection each day by a nerson instructed on inspection of each child upon his arrival at the center for any indication of illness. 19 JUL) DAY CARE CENTERS HAWAII There shall he continued observation of all c.hildren througho-ut their stay in the center so that any illnesses will be detected and handled aporopritite1y. 716. Care of k Children Section VI -Care of Children - Health. A child who becomes it after he is admitted to the center shall Se isolated from the pest of the group, but within call of an adult, until the parent can call for him. The regulations of the Department of Health on communicable disease shall he followed where children show symptoms of communicable disease. 717. Medication and Spec' st Provisions Section VI - Care of Children -Health. pecific instructions obtsined from a physician -for the feeding and care children with special problems shall he en on their records and followed. Medication may be administered at the discretion of the 'irector of the center. Midication shall be kept in the original container hearing' the pription label which shows the date filled physician's name, physician's directions for use, and the chiles name.WMe cations shall be kept out of the reach of °children and returned to the parents when no longer needed. Under no circumstances should a staff member give medication of any kind unless prescribed by a physician. 718. Waiver of h Requirements Not specified 211 501 DAY CARE CENTERS RA WAD 720. SA PET Y 721. General Requirements Section VII = Physical Plants - Buildings used for Pay Centers - Flectrical Circuits. Electrical circuits shall be-maintained with proper fuse protection and shall he installed ip accordance with the National Electrical Code. Extension cards shall not exceed 10 feet in ,ienth and shall not extend from one room to another, nor shall they he stanled or nailed or otherwise permanently fastened to walls, floors, ceilings, or be run under rugs. Herath and safety. There shall be a gate at the head of stairs and handrails on stairways. Windows shall be properly protected by a suitable barrier for the safety of .4 children. Storage of combustible material shall be confined to essential articles in line with operations of the center. There shall he no unnecessary storage of combustible material or flammable liquids or other explosive material within the building or on the premises. Burning of rubbish where necessary shall be confined to an isolat area in approved-type domestic incinerator with suitable stack. AU poisons and dangerous chemicals, such as matches shall be stored in a safe location and out of reach of children. Facilities for washing and rinsing of mops shall or pose. 502 21 ded exclusively for his DAY CARE CENTERS Where la tends 1-tA WAIT dry is done, Proper fec ii ti shall he provided for llundry services. No poisonous plants as described in the Department of wealth's informational lesaflet, may be planted on the premises. 722. Fire Safety Requirements Section VII - Ph ical Nan Ruildings Used for Day (are Centers - "Existing. Buildings. Exterior walls must be of I-hour fire resistance construction if less than In feet from property line. Openings shall not be ed less than 5 feet from nroperty line. Roof covering must be fire retardent. Classroom shall fropt on one public street or Yard space not less than 2n feet in which front shalebe located one reauired Evacuation plan in time of fire: The director or operator shall formulate -a plan for the protection and evacuation to areas of ref uee. This plan shall include training of all personnel and of all persons in event of fire. This plan shall be submitted to the Fire Department for approval. Fire drills shall be staged at least once a month in which all occupants and staff members must participate. 'Flowever,- in cases where occupants are infants, staff shall be required to stimulate drill nlars. The staff at the day care center shall be trained In properly reporting. a fires in extinguishing a small fire, and in escaping from a fire. DAY CARE CENTERS ItA WAII There shall be an alarm system approved hv the Office of the Fire Marshal to notify occupants in case of fire. Smoking by staff members may be permitted in uitable area and when proper facilities are provided. An adequate number of approved fire extinguishers, as approved by the Fire Department, shall be installed for first-aid extinguishment protection. They shall be inspected at least once a year and kept charged and filled at all times. An approved heat-activated fire alarm system conforming to the provisions of the Fire Marshal's Rules and Regulations shall be installed at all ftro tin care centers giving care to children during the night. See also 721. General Safety Requirements 723. Transportation Section V - Transportation. When transportation is provided by the center, rules and regulations of the Public Utilities Commission and the Police Department shall he met. 724. Safety Requirements for Equipment Section VII - Physical Plant - Eqtdpment. -Equipment shall be of safe construction and material; easily cleaned; kept in condition; sturdy; free from sharp, loose, pointed part% and, where paint of safe quality. 725. Water Activities (Includin Swimming) Not specified 5 23 DAY CARE CENTERS HAWAII 726. Emergency Procedures Section VII - Physical Plant - Other Disasters and Evacuation. Centers located in areas subject to tsunami action, flooding, or like disasters, shall have a an for evacuation to a place of refuge, according to local civil defense reoidations. 727. First Aid Supplies Section VI - Care of Children Health. First-aid supplies shall be kept on hand. 8 O. NUTRITION Nutrition 800. NUTRITION AND FOOD SERV CF eql_iirements Section VI - Care of Children - Health. Centers caring for children through mealtime shall provide a balanced meal approximating Federal lunch standards Type A lunch containing at least one-half pint of whole or reconstituted milk, and snack consisting of juice or milk between meals. 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 82L Food Pre ice R uirements Section VII - Physical Plant - Buildings Used for Day Care Centers - Kitchen facilities. Adequate facilities and proper methods for the preparation, serving, refrigeration, and storage of food shall be provided according to public health tions of Department of Health, Chapter One. 24 .5u5 DAY CA RE CENTERS PAW. A separate kitchen, properly screened, insect and rodent proof, provided for preparing food at a group care center. There shall be adequate number of sinks with hot and col and paper towels. -_ning water, SORD, Adequate facilities and proper methods shall be provided for zarbase disposal and for the washing, sanitizing, and storage of cooking, eating, and drintdncr utensils. .1 Kitche stoves or commercial types of heating anoliances requiring stacks or hoods shall be located at a safe distance from the wall, ceiling, roof, or o'zher combustible material and shall conform to requirements of the Fire marshal's Rules and Ft egulatorts. Not specified 900. SOCIAL SERVICES 1000. PARENT PARTICIT,A- Section VI - Care of Children - Program. Time should be provided for consultation with parents individually or in 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES Not specified cr 1120. HEALT1-1 AND SAFETY RE d IREMENT Not specified 506 DAY CARE CENTERS 1130. INFANT NUTRITION Not specified HAWAII 1200. CHILDREN WITH HANDICAPPING; CONDIT 1200. PROGRAM OF ACTIVITIES Not specified 1220. HEALTH AND SAFETY RE UIREMENTS, Not specified 1230. STAFFING Not specified 1300. SCHOOL AGE CH R,DREI 1300. PROGRAM OF ACTIVIliES Not specified 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 1410. SPACE 1400. FACILITY REQUIREMENTS Section VII = Physical Plante Outdoor Space. There shall be a minimum of IS soma* feet outdoor space available per child. The outdoor space shall be fenced or protected, with the _entire area easily supervised. It shall be well drained, with both sunny and shaded areas. Lii 26 DAY CARE CENTERS iA HAWAII Exception: Centers that are in actual operation on the effective d ate of these regulations are exempt from the foregoing- rezulations orovided that the Department is satisfied that the lack of sufficient outdoor space is not detrimental to the health, safety, and hest interest of the children concerned. Buildings Used for Day Care Centers - Capacity and panel/. For day-time care, there shall he a minimum of 35 sauare feet per chit indoor area, excluding bathroom, kitchen, cupboard space, and hallways. For night-time care, there shall be a minimum of 51) scuare feet Der 'hill of indoor area, excluding bathroom, kitchen, cupboard space, and hallways. A lanai which has a roof, is protected from rain, and provides safe activity, may be counted as indoor or outdoor space. Equipment. Suitable provision shall he made for in and personal belongings. 1 storage of children's clothing There shall be adequate storage space readily available to children in the Play area for play material and equipment used by children. 1420. LIGHTING, VENTILATION, AND TErvPERATURE Section VII - Physical Plant - Location and Premises. The building Mira' have a sunny exposure, he well lighted, airy, and well vehtilated. Buildings Used for Day Care Centers - Health and Safety. There shall be good artificial lighting in all indoor areas. 27 DAY CARE CENTERS 141 WAII 1430. EXITS Section VII - Physical Plant - nuildings Used for Day Care r'enters - exits. Exits shall be of the following- types or combinations thereof: Doors leading directly outside the buildings (without stairs Ramps. Stairways. Doors opening into stairways shall open on a landing. within 9 inches of the floor level. At least two exits of the above type remote from each other shall he Drovidwi for every floor or section of the huildin, in cling basements. Faits shall be) of such number and so located that the distance of travel from the door of any occupied room to an exit from that floor shall not exceed 50 feet in builOings having one-hour fire-resistive rating or "5 feet in buildings of fire resistive construction. minimum exit door width shall be not less than /6 inch be less than 6 feet 6 inches in height. or shoulA not Exit doors shall be equipped with panic hardware or other types of Dicks which do not require use of a key from the inside. Exit doors shall swing of Y. All stairways and other ways of exit and the corridors or passarrewaYs appirtenant thereto shall he properly illuminated at all time to facilitate egress. "EXIT" signs where necessary shall conform with requirements of the current edition of the Uniform Building Code. Hallways, passageways, or corridors shall be free and clear of o and not lead to dead ends for occupants to be trapped in ease of fire. (i) 28 Dikly CA RE CENTERS EwuipMent. Fu=a-nittre and equipmint shall he arranged so as not to interfere with s. 14-40. TOILETS ANT) LAVATORIES Suction VII - Physical Plant - Buitdings Used for Day Cue Centers - oilel Fcili ti es. TI---lere shall be minimum of one toilet and one wash basin conveniently loc fa r every 15 ch dren. T=ilet facilities ° school chilcVen shall child size, or step platforms sh _all be provided wfiichare properly constructed and maintained. Ficilitfes for school-age children in olio care shall be separated T Het seats for 'roue care shall be "Ir shaped. Filet facilities shall be kept clean at all time. S= lap and individual towels shall he provided. each sex. 15 -00. OTHER STATE REOUIREMENTS - COMPLIANCE WITH OTHER L © CAL, STATE, AND REGIONAL LAWS AND REGULATIONS 15:---10. ZONING Nit specified 15.20. FIRE, Siction VII = Physical Plant - Buildings Used for Day Care Centers. It shall 4 the responsibility of the center to meet the following standards. wiEhich conform to the construction standards of the current local city and 29 51u DAY CARE CENTERS county building ordinances; States Statutes; and Rules and Regulations of the State Fire Marshal, Department of Health, and other royernment agencies having jurisdiction. The, Uriform -1ding Code takes precedence except wt-ren county standards are higher. 1530. BUILDING See 1520. FIRE 1540. HEALTH See 15? 0. FIRE 1550. SANITATION See 1520. FIRE 1560. NEW CONSTRUCTI01:1 Section VII - Physical Plant - Ruil.dln U for Day Fare Cenlera - New Constructdon. Plans for any new buildings and alterations of existing' /-ittilcl "ngs of day care centers shall be snbmitted to the Department for apprer-Asa 'efore any work is carried out. 1 30 DAY CARE CENTERS IDAHO Except where otherwise noted, all citations are to the Idaho Department of Health and Welfare, Rules and Regulations for Implementation and Enforcement of Standards for Licensing under the ChildCare Licensing Act: Day Care Centers, October, 1q72. 100. STATE LICENSING OF CHILD DAY CARE PACIIATIES BO, TYPES OF FACILMES S TO LICENSUII.E AS DEFINED BY STATE STATUTES AND REGULATIONS AND /OR LOC&I, ORDINANCES AND ATIONS ions IDAHO CODE 339-1209 Definitions. "Day care home" means a home or place in which any child or children not related by blood or marriage to the person or persons op.erating such home are regularly received and cared for airing any part of the twenty-four (24) hour day. "Day care center" means a home or place providing care to a group of five or more children for all or part of the twenty-four (24) hatw day. "Day care" means foster care provided only during the day, or certain s during the day. 112. Not a 113. HITS-Day Care Compliance Not specified DAY CAME CENTERS 120, AI Y RESPONSniBLE FOR IDAHO OF DAY CAILIPRO G R 121. 41ftzillia2f thu Atiristrative Unit Director IDAHO DEPARTMENT OF HEA.LTR AND WELFARE BUR AltI OF SOCIAL SEriVI=135 Line Sta Licensea Are bad d re-evoked and the day to day monitoring tune or e carried cm:put at the r giorralal level. The licensing functions' ate handled by generic schocitellervieekstistilrf. The State/central office provides monitoring and oonst.dtatLion to the regiona.z. 2 DAY CAME CENTERS IDAHO 122. It Lmss po ible Official All inquDries should be addressed to Coordinator - Child Care Bureau of Social Services Ibivision of Welfare Idaho Department of Health and Welfare Statehouse Boise, Idaho 83 72 0 (208) 334-4076 20100. LICENSI T PROCE AND ENFORCEMENT PROCEDURES llo. LI I ENSINC PROCESS Pm-omulga on of Re IDAHO CICODE S39 -1211 Standards for foster homes, day care homes and day core eerilkters Board authorized to implement and enforce. The board of health and welfare shall have the power, and it shall be its duty to pronfl appropriate rules and regulations necessary to implement and enforce 7 the following standards for licensing private foster homes, day care homes aMicl day care centers, pissuaht to this act. Bewequire evidence of income and source hire and the services offered. ito..equire such record-keeping and repo fficient to maintain the as may deemetl_necessery. Apure the safety and adequate physical aie of children under care. Itusequire that falter parenti be physically and emotionallksulted to care fir trirelated children and to deal with problems prwented by children areaway from their oiler' homes and own parents. 3 514 DAY CARE CENTERS IDAHO Provided, however, nothing in this act shall construed to quecover the occasional or irregular care of a neighbor's, r %Ives or friend's child or children by a person not ordinarily engLgeil irk child care. 212. Advisory Body and Other Community Pacii co See 211. Promulgation of Regulations 220. LICE PROCEDURE 22L Application and Issuance Rules and Regulations,for the Implementation of Stet sr An application for a license shall be filed with the Depertment of f1 r7e h and Welfare in such manner and on such forms es the Depeptment recruire Each license shall be issued for a revoked for cause. one yew bill may be US -pended or The license shall specify whether it is for full-ti e orday-care. rinhe license shall also specify the maximum allowable number of children to recimeive care, and this number shall not be exceeded at any time. Villee applicablwe, the age range and sex of the children to receive care wal be peined anti t shall be the responsibility of the licensee to conform at all tints to the ter`-rns of the license. (A license may be issued for the care of a specific chat, only in a home which may not meet the requirements for a lime proviclec that the child is already in the home and has formed strong emotional tlet continued care in the home would be more conducive to bis 'ochre than removal to nother home.) 222. Fee Char Not specified 223. Areas of Investigation Not specified 4 DAY CARE CENTERS 224. License Renewal IDAHO Rules and Regulations for the Implementation of Standards. An application for renewal of a license shall be made by the licensee on a form furnished by the Department and shall Ile filed sixty claw prior to the expiration date of the license in force. The licensee responsible for knowing the standards and rules and regulations applying to the type of facility covered by the license and shall conform to them at all times. 225. Conditional/Provisional Licenses Rules and Regulations for the Implementation of Standards. A provisional license may be issued for a period not to exceed six months when an applicant is ternp3rarily unable to meet the standard, and not more than one provisional license may be issued to the same child-care facility within any twelve-month period. 226. Substantial Compliance Not specified 230. ENFORCEMENT PROCEDURES 231. Facility IDAHO CODE 139-1217 Visitation. The Department shall visit each child -care facility as often as it deems necessary or desirable, but in any event at intervals not to exceed six - month, _for the purpose of determining whether the facility consistently maintains conformity with the standards, rules and regul lions, for such purpose shall given access to the prem. 516 DAY CARE CENTERS IDAHO Rules and Regulation for thelmplenie - rotation of Standards. The license applies only to the peron and the premises designated on the license. Any change of nanagement z or address renders the license null and void. The licensee shall irnmediatey notify the Department of any such change and return the license to the Departm era. 232. Denial, Susperston, Dyne Rules and Regulations for the of a License n ation of Standards. A license may be clenie4,suspentle, revoked, or not renewed by notice in writing by the Administratiph or his authorized representative if upon investigation it is found that the ax=4Lication or licensee has failed or refused to comply with any of the provisions of the Child-Care Licensing Act or With any rules, regulations or standards established pursuant to the Act. Such notice in writing shall include notice f right to a hearing. The license -shall be returned to .IMhe Department of ,Health and Welfare immediately upon suspenston or rinnevocation of the license or when the operation of the facility iediseountecti volizitarily IDAHO CODE S39 -1218 License Nonrenewal Hearing. -- Suspension Revocation Any license issued pursuant to this Eremet may be denied, suspended, revoked, or not renewed, by notice in writing by the director of the department of health and welfare or his authorized Air- -esentati ye served upon the applicant or licensee by registered or certified Inman, setting, forth the reasons therefor, if upon investigation it is found that th.e licensee has failed or refused to comply with any of the provision' of this es-t or with any of the rules, regulations or standards established pursuant to this act. Within fifteen 05) days from receipt of notice of pounds for deniaal, suspension, revocation or nonrenewal, the application or lioensee may sa.rve upon the director by regtered or certified mail, a written request for tr,earing. 6 DAY CARE RE CENTERS IDAHO Upon receipt f such request, the director shall fix a dste for hearing, which date shall not be more than thirty (30) days from receipt of the request and shall give the applicant or licensee at least fifteen a5) days notice of said hearing date. If no request for hearing is made within the time specified, the license shall be deemed denied, suspended or revoked. The director shall notify the applicant or licensee of the director's decision within thirty (30) days after conclusion of the healing. 233. Remedies and Sanctions Hearin IDAHO CODE §39-1219 Appeal from decision of director. If an applicant or licensee feels aggrieved by a decision rendered as a result of a hearing, appeal may be taken to the district court of the county in which the institution is located, in the manner and form as provided in 539-1212, Idaho Coda, provided, however, the filing of notice of appeal shall not, unless otherwise ordered, stay the proceedings of the director. 233.2 Decisions See 233.1 Hearing 233.3 Judicial Review IDAHO CODE S39 -1220 Operating without license r -demeanor. Any person. or persons who operate a foster home, children's agency or children's institution, within this state, without first obtaining a license as provided in this chapter shall be guilty of a misdem nor. DAY CARE CENTERS 300. A DMINISTRATION 310. GENERAL ADMINISTRATION 311. General AdministratiRewireinents Rules and Regulations for the Implementation of Stiindards. The license shall be posted conspicuously in the centers at all times. IDAHO The licensee is responsible for knowing the standards and rules and regulations applying to the type of facility covered by the license and shall conform to them at all times. The licensee shall immediately notify the Department of any changes circumstances which may affect the licensee's continued eligibility for a license. The license applies only to the person and the premises designated on the license. Any change of management or address renders the license null and void. The licensee shall immediatey notify the Department of any such change and return the license to the Department. Standard 3 Assure the safety and adequate physical care of child-en under care - Physical Care of Child. Day care of child-en shall not be combined with care of the a convalescent or maternity patients. 312. Telone Not specified DAY CARE CENTERS IDAHO 313. Proof of Operator Financial Capabilities Standard 1 Require evidence of income and resources sufficient to maintain the home and the services offered. The operator shall have sufficient income and resources to comply with all requirements of the local Fire Department, District Health Department, the city building inspector concerning construction, equipment, and maintenance of the center, and with all requirements of the Department of Health and Welfare for licensing. The operator shall have sufficient reserve funds and "resources to maintain the center and the services offered during periods of dickened income as a result of lower attendance or inability to collect all payment for care. 314. Insurance Not specified 320. PERSONNEL 321. Publication of Personnel Policies Not specified 322. Corstraints Against_ Employment Not sNcified 330. NON-DISCRIMINATION 331- Requirements Prohibiting D Ls cri mi na d on Not specified DAY CARE CENTERS IDAHO 340. RECORDS REQUIREMENTS 341. Children Standard 2 Require such recorcHcceping and reporting as may be deemed necessary. A permanent record shall be kept for each child to identify him, to enable the \M\ operator to corn unicate with the parents either in their home or at their place of employment, and, in an emergency, with the physician designated by them. The record shall include the child's full name, month, day and year of birth; full names and address of parents, guardian, or agency which placed him; the date accepted for care; and the date the child left the center. 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. Complete records shall be maintained by the =center showing children given care and these records shall be made available to a representative of the Department upon request, to be reviewed to determine compliance with the. .terms of the license. 342. Staff Not specified 343. Child Eligibility and Enrollment Requirements Not specified 344. Child Abuse Reporting Not specified 521 DAY CARE CENTERS IDAHO 345. Confidentiality of Records Requirements Not specified 400. GROUP COMPOSITIONS OF CI U DREN STAFF /CI R,D RATIO REQUIREMENTS 411. Staff/Child Ratio as of March, 14481 Standard 3 Assure the safety and adequate physical care of children under care - Number of Children. In groups of pre-school child-en, there shall be at least one adult for every ten children, and, if possible, a minimum of two adults for any group. 412. Methods of Computing Staff /Child Ratios Standard 3 Assure the safety and adequate physical care of children under care = Number of Children. The maadmum number and the age group +wed for shall be determined by the physical facilities and staffing together with the experience and skill of the operator in providing care for children. Teen-age children of the operator need not be included in the total number receiving care. Child-en of different ages have different interests and require different types of care. They should be ditdded into groups of interest range and the program adjusted to the group interest. Children should generally be grouped into no leas than four groups such as under 30 months, pre-school, intary, and older. 420. GROUP SIZE 1 522 DAY CARE CENTERS IDAHO 422. Methods of Computing Group Size Not specified 500. STAFF QUA F CATIO1 S AND TRAINING REQUIRE 510. CHILD CAREGIVER STAFF UALIFI CATIONS 511. Age Standard 4 Require that faster parents be physically and emotionally suited to care. for unrelated children and to deal with problems presented by children away from their own homes and own parents. She shall be of suitable age and temperament to care for children. She must be caPable ihg an emergency situation promptly arid-intelligently. 512. Health Standard 4 Require that faster parents be physically and emotionally suited to care for unrelated children and to deal with problems presented by children away from their own homes and own parents. She must be of sound mental and physical health, with no mental or physical. defects which will disqualify her for the care of children. A report of good health from et regularly licensed physician may be required if these seem necessary or advisable. 513. Education Not specified 12 523 DAY CARE CENTERS IDAHO 514. Experience Standard 4 Require that foster parents be physically and emotionally suited to care for unrelated children and to deal with problems presented by children away from their own homes and own parents. The individual in charge must have understanding of" the problems of childhood and sympathy for them. She must understand what can he expected of children of different age levels and recognize_ the physical, mental and emotional needs of the individual child. She must be willing to consider the varying home backgrounds of the children and to cooperate fully with the child's own parents in meeting his needs and in providing continuity and consistency in the care of the child. 5 be a person of good character and habiti. (Three: sati- factory e erences, including the family physicians, will be required) 520. FROG R M DIRECTOR QUALIFICATIONS 521. See 5li. Age 522. Health See 512. Health 523. Education See 513. Education 524. xperience See 514, Experience 13 5 2,- DAY CARE CENTERS IDAHO 530. SUPPORT STAFF QUALIFICATIONS Not specified 540. POST EMPLOYMENT ER VICE ORIENTATION AND TRAINING 54L Program Director Not specified 542. Child Caregiver Staff Not specified 543. Support_Staff Not specified 600. PR GRAM OF ACTIVITIES, INCLUDING EDUCATION 610. PROGRAM REQUMEMENTS 6 PrL2mtkctivities Standard 3 Assure the safety and adequate physical care of children under care Prim. There shall be a schedule of daily activities so planned that there is reasonable r arity, with a similar sequence of events from day to day, such as regular daily provision for play, eating, sleeping, and toileting. There shall be directed group activities and also opportunity for spontaneous free activity so that the child can play alone or with other children. There shall be ample outdoor activity, the amount dep conditions. weather Activities shall be planned to be of value to the child in his growth and development. (He should have the opportunity to learn good habits, to do thihgs for himself, and to develop good social relationships with other children.) 14 DAY CARE CENTERS 612. Pro ram Equipment and Materials IDAHO Standard 3 Assure the safety and ariecTtlate physical care of children under care - The Center and Its Environs. Equipment shall be safe and accessible to the child-en and shall allow for activities appropriate to the stage of development of the children. (For pre-school child-en this should include swings, pull and push toys; materials for creative activity such as sand, clay, paints, paper, blocks, dolts, dishes, toy ftrnittre, trains, airplanes, books and pictures.) 613. Nap Provision Standard 3 Assure the safety and adequate phcal care of child-en under care 4 The Center and Its Environs. There shall be a sleeping room used for no other purpose during rest periods with separate low cots for each child. Pads may be substituted for the cots providing they are of sufficient thickness to that they are placed where they are not in warm to avoid ehil e comfort on hard floors, and, that the floors are There shall be provision for adequate daily rest from one to two hotrs Gf the time spent in the group is longer that three), suited to the age and particular needs of the child with sanitary equipment and under conditions conducive to sleectproper clothing and covering, quiet, ventilation, etc. 614. Discipline and Guidance Standard 3 Assize the safety and adequate physical care of children under care - Physical Care of Child. Discipline shall meet the needs of each child and shall humane. Authority to punish shall not be dale o older children. 15 526 DAY CARE CENTERS IDAHO No child shall be placed alone in a room, put to bed for punishment or deprived of rleals as punishment. No child shall be subject to cruel, severe, unusual or unnecessary punishment inflicted upon the body or to verbal abuse, threats, or derogatory remarks about the child or his family. 700. HEALTH 'AND SAFETY 710. HEALTH 711. General Health Re irements Not specified 712. Health Assessments Not specified 713. Immunizations Not specified 714. Sanitation Standard 3 Assure the safety and adequate physical cue of children under ere - The Center and Its Environs. The building shall be so constructed that it is dry, that screening is provided in the fly season, and that the floor is free from splinters, is warm, and is easily cleaned. Sanitation must be adequate and must meet standards of the District Department of Health. If the water supply is obtained from a source other than a city water system, it must be approved by the District Health Department. (All day care centers must pass inspection'bv a sanitation of the District Health DepartmentJ DAY CARE CENTERS IDAHO 715. Daily Illness Screening Standard 3 Assure the safety and adequate physical care of children under care - Physical Care of Child. There shall bErdany inspection of each child before the child enters the group. If there are indications of illness, cold symptoms, or skin diseases, the child shall not be accepted for care. 718. Care of Sick Children Standard 3 Assure the safety and adequate physical care of children. under care - Physical Care of Child. Any child showing signs of illness must be isolated promptly from the other _childrenizttilwrangements can be made for his care. The individual in charge must have ctrrent information as to where arid how the parent or guardian may be reached in the event of illness or accident requiring immediate attention. There shall be provision of Mediae attention in the event of emergency. The operator shall also have the name and address of the physician to be called in an err ergency. Materials shall be in the center for rendering emergency first aid. 717. Medication and Special Diet Provisions Not specified 718. Waiver of Health uRe ements Not specified 720. SAFETY 721. Goner Not specified y Requirements 722. Fire Safety Requirements Not specified 17 528 DAY CARE CENTERS IDAHO 723. Not specified 724. Safety for quiprnent See 612. Prowam Equipment and Materials 725. Water Activities (including Swimming) Not specified 72 6. Emergency Procedures Not specified 727. --Ffrst Aid Supplies See =7 6. c 810. NUTR ON 800. NUTRITION AND FOOD SERVICE onal Resiire-- en_ Standard 3 Assure the safety and adequate physical care of children under care - Physical Care of Child. . The diet shall be well balanced and adequate to meet the nutritional needs of children and shall be served at regular hours. (This shall include a substantial noon meal and mid - morning and mid-afternoon snacks.) 812. Waiver of Re uirements Not specified r 18 523 DAY CARE CENTERS IDAHO 820, FOOD PREPARATION 821._ Food Preparation and Service Requirements Standard 3 Assure the safety and adequate physical care of children under care - The Center and Its Environs. There shall be proper equipment for preparation, storage, and serving of food in accordance with the standards of the Depertment of Health and Welfare. If the milk used is from the operator's cows, there must be continued assurance that the milk is handled in a sanitary way and that the COHS are free from tuberculosis and Bangs disease. If milk is purchased, it shall be nasteurized =shall come from a licensed raw milk dairy. Not Not specified 800. SOCIA L SERVICES 1000. PARENT PARTICIPATION 1100. IIdI ANT AND TODDLERS 1110. PROGRAM OF ACTIV Standard 3 Assize. the safety and adequate physical care of children under care - Provisions Concerning Care of Children Under Thirty Montlls. There shall be cribs for all who are not yet able to "pull up" but no infant shall be left alone in the crib when awake unless thel'k is adult supervision within visual range and there are adequate toys and materials provided for his learning experience. DAY CARE CENTERS IDAHO At no time shall the infant be left alone in the crib while awake longer than 1/2 hour. Infants shouls-rbe allowed some time for privacy and quiet when they can learn and explore on their own. Adults and teenagers shall talk to the infant and not at or above him and there shall be frequent verbal communication between the infant and the adult. Infants and toddlers shall be provided with a diversity of visual, auditory and tactile experience (e.g. toys of different texture, pots and pans, low climbing bars and furniture, soft carpets, records and singing books to look at.) When possible, the same adult should care for the same infant each day. This gives the infant a chance to establish a recognition with one person whom he can trust-and rely on in place-of a mother -dui tiey. In providing care for children under thirty months, centers will assure adult supervision under the following child -adult ratio: 0 to 18 months - 1 adult to each six children Children 18 months o 30 months -1 adult to each eight children In those centers where it is necessary to combine two or more age groups of children under 20 months because of lack of sufficient children* there shall be no more than six children under thirty months to each adult supervisor. In those centers combining care of children under 30 months with those over 30 months under one supervisor, the child under 30 months shall be equivalent to- two children over 30 months in determining staff ratio and staffing needs. ... 20 DAY CARE CENTERS IDAHO 1120. HEALTH AND SAFETY REQUIREMENTS Standard 3 Assure the safety and adequate physical care of children under care - Provisions Concerning Care of Children Under Thirty Months. Infants and toddlers who have learned to pull up shall be changed to a low cot for naps to avoid the danger of falling from the cribs. Provisions should be made for the separate care of diapers of each child and a container provided marked for each child to store soiled diapers. Soiled diapers should be taken home each day by the parents to be laundered or laundered daily at the facility. Soiled diapers will not be rinsed in the nursery area. Use of disposable diapers is suggested but because of cost, this is not a requirement. Changing of diapers should be St cribside and not at a common table. When potty chairs are used for toilet training, they will be emptied after each use-and washed with soap and water. 1130. INFANT NUTRITION Standard 3 Assure the safety and adequate physical care of children, under care - Provisions Concerning Care of Children Under Thirty Months. Infants will be held during feeding time and not have a bottle propped up in the crib. When the infant is admitted, there shall be arrangements as to special -the infant may require, and it is recommended that the parents provide food or formula for the infant so he is receiving a consistent diet. The parents shall provide, at the beginning of elach day, the bottles the in ant may require. These will be marked for use by the individual child. 21 DAY CARE CENTERS 1200. CHILDREN WITH HANDICAPPING CONDITIONS 1210. PROGRAM OF 'ACTIVITIES Not specified 1220. HEALTH AND SAFETY REQUIREMENTS Not specified 1230. STAFFING Nqt specified 1300. ILDREN 1310. PROGRAM ACT1V riEs Not specified' 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 1400. FACILITY REQUIREMENTS 1410. SPACE IDAHO Standard 3 Assize the safety and de e physical care of children under care -The Center and Its Environs. There than be a suitable isolation room, adequately heated, lighted and ventilated, for the complete isolation of any child suspected of having a communicable disease, until arrangements can be made to send the child home. There shall be sufficient indoor and outdoor play space to allow children to carry on activities suitable to their age in all types of weather without being in each others way or being constantly.forced into crowded groups. 22 DAY CARE CENTERS IDAHO This will require indoors wentv-five square feet of available floor space per child exclusive of halls, isolation room, bath and toilet, and kitchen, and outdoors a minimum of seventy-five square feet for each child six years of age or over. Outdoor play space must be safe from traffic and other hazard to safety from which a child must be, protected. Provision shall be made for maximum sunlight and for shade, and the play space shall be suitably strraced and have good crainage. There shall be an area protected rom general walkways within the facility where crawling infants can be on t floor at least part of the day to explore. There shall be a sleeping area for infants and toddlers separate from other children, but infants should be allowed to be with the older children during part of the day, under close supervision. 1420. UGHTING, VENTILATION, AND TEMPERATURE Standard 3 Assize the safety and ade sate physical care of chilcten under care - The Center and Its Envirors. Light, ventilation, and heat shall be adequate in the rooms used by chil.dren for play and sleeping. 1430. as Standard 3 Assure the safety and. adequate care - The Center and Its Environs. re of children under The center must be in a safe and convenient place. This should us th ground floor. If above the first floor, there must be adequate pro fire escape. Basement rooms must be dry, adequately heated, lighted ventilated, have adequate floor covering, be free from fire hazards, and have adequate exits. (All day care centers must pass inspection by the local Fire Department.) DAY CARE CENTERS IDAHO 1440. TOILETS AND LAVATORIES Standard 3- Assure the safety and adequate physical care of et&ldren under care - The Center and Its Environs. There shall be adequate and easily accessible toilet facilities, including washstands and toilets. There shall be a minimum of one washstand and one toilet to each 15 children. Facilities that provide overnight care shall offer the folio Facilities for bathing. 1500. OTHER STATE REQUIREMENTS COMPLIANCE WITH OTHER LO STATE, AND REGIONAL LAWS AN-0 REGULATIONS 1510. ZONING Not specified 1520, FIRE Not specified 1530. BUILDING Not specified 1540. HEALT1I Not specified 1550. SANITATION Not specified-. 1560. NEW CONSTRUCTION Not specified 24 DAY CARE CENTERS ILLINOIS Except where otherwise noted, all citations are from the Illinois Department of Children and Family Services, Regulation 5:13, Licensing Standards for Day and Night Care Centers, December, l 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 ORD NANC94S AND REGULATIONS III. Definitions ILL REV. STAT., Ch. 23, 52.05. "Facility for child care" or "child care facility" means any person, group of persons, agency, association or organizations, whether established for gain or otherwise, who or which received or arranges for care or placement of one or more children, unrelated to the operator of the facility, apart from the parents, with or without the transfer of the right of custody in any facility as defined in this Act, established and maintained for the care of children. ILL REV. STAT., Ch. 23, 52.09. "Day care center" means any ch for daytime care during all or includes facilities commonly "nursery schools", Idndergar t e , e facility receiving more than 8 children of a day. The term "day care center" "child care centers", "day mrseries", ay groups" and "centers or workshops for mentally or physically handicapped" with or without stated educational purposes. 53j DAY CARE CENTERS ILLINOIS 112. Exclusions and Exemptions ILL REV. STAT., Ch. 23, 52.09. The term does not include: kindergartens or nursery schools or other daytime programs operated by public or private elementary school systems or secondary level school units or institutions of higher learning which serve children 5 years of age and older; child care centers which exclusively serve or that portion of the center which serves handicapped children between the age of 3 and 21 and which are registered and approved as meeting standards of the Illinois Office of Education and applicable fire marshal standards; facilities operated in connection with a shopping center or service, or- other similar facility, where transient children are cared for temporarily while parents or custodians of the children are occupied on the premises, or are in the immediate vicinity and readily available; any type of day care center a is conducted on federal vernment premises or special activities programs, including atyiletics, crafts instruction and similar activities conducted on an organized and periodic basis by civic, charitable and governmental organizations. A day care center which is exempt from licensing may apply for licensing if licensing is a condition for receiving federal funds. 113. HHS Day Care Compliance Not specified DAY CARE CENTERS ILLINOIS 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit DIRECTOR ILLINOIS DEPT. OF CHILDREN AND FAMILY SERVICES DEPUTY DIRECTOR DIVISION OF PROGRAM OPERATIONS ASST. DEPUTY DIRECTOR CHIEF OF LICENSING REGIONAL ADMINISTRATOR /REGIONAL LICENSING STAFF There are eight regions in Illinois. The Chief of Licensing has functional direct line supervision of licensing staff regarding issuance and revocation of licenses and the day to day monitoring activities. Regional administrators carry personnel responsibility for the Vile licensing staff. 5 3 DAY CARE CENTERS 122. lieps onsible Official All jnquiries should be addressed to: Chief of Licensing Division of Program Operations Deputmerit of Children and Family services 1 North Old State Capitol Plaza Springfield, Illinois 62706 (217) 785-2598 200. LICENSING PROCESS A 210. LICENSING PROCESS 211. Promulgation of e ations ILLINOIS D Era- FORCE ENT PROCEDURES ILL REV. STAT., Ch.. 23,97. The Dep&rtment must prescribe and publih minimum standards for licensing that apply to the various types of facilltis for child care defined in this Act and that are equally applicable to like irmstitutions under the control of the Department and to foster homes used by -aand under the direct superirision of the Department. The Department shall seek the advice and assistance of persons representative of the various hypes of child care facilities in establishing such standards. The standard= prescribed and published under this act take effect as provided in "An Act_ concerning administrative rules," approved June 14, 1951, as amended, ta.nd are restricted to regulation pertaining to: The operation and conduct of the facility and responsibility it assumes for child care; The character, suitability and quali_ications of the applicant an0 other persons directly responsible for the mare and welfare of children served; 3j DAY CARE CENTERS ILLINOIS The general financial ability acrid competence of the applicant to provide necessary care for c14-iildren and to maintain prescribed standards; The number of individuals or = staff required supervision and care of the ch dr-en received. e adequate The appropriateness, safety, clanliness and general adequacy of the premises, including maintenance of adequate fire prevention and health standards conforming to State lbws and municipal codes to provide for the physical comfort, care and 4/11-being of children received. Provision for food, clothing, educational o2ortimities, program, equipment and individual supple; to assure the healthy physical, mental and spiritual development of chBezren served; Provisions_ to safeguard the legal righ Maintenance of records p and discharge of children; children served; inEing to the admission, process, h Filing or reports with the Departurnent; Discipline of; children; and Protection and fostering of the articular religious faith of the children served. 212. Advisory 1 odv and the Cornet Pity Participation Not specified 51, DAY CARE CENTERS LICENSING PROCEDURE n_a. Amp- Issuance ILIINCIS Application For The License Shall Be Filed With The Departmeraust. et="mpliance Requirements: Application shall be made on forms provided by the Department =. The application shall be signed by the pers;Drt as defined in StanCiard 9. The applicant shall provide character references for the pi..:_trpose of determining the suitability for being responsible for the facare and welfare of the children to be served. The license shall be issued when applicable standards have been met. A night care facility using the same facilities as a licensed day care facility shall apply for a license for night cue. If a 'facility has made application for license to conduct a c-_i.mhild care facility and is proceeding, in good faith, to meet standards fcbszir license or permit, it is within the intent of the law for the applicant two publish announcements and advertisements about the services it prpos to offer. 4. Nti Facility Shall Expand Its Services Or Increase The Licensed Capacity Unless The Existing Facility Is In Compliance With S rtindards. Fee Charged Ncsr.t speafied DAY CARE CENTERS ILL INOIS 223. Arms of Investi ILL REV, STAT., Ch. 23, t4. The Department may require thateaet-trl faster family home applicantos part of the application process, authorize an investigation to determine if the applicant has ever been charged with a crime and if so, the disposition of those Charges; this authorization shall indieaeate the scone of the inquiry and the agencies which may be ceoleeted. Upon this authorization, the Director may request and receive information and Issistance from any federal, State or- local governmental agencies part =If the authorized investigation. The Department of Law Enfc)rcement sh _I provide information concerning any criminal charges, and their dispositio.ri, brought against an applicant upon request of the Departmehtaf Children and Family Services when the request is made in the form mid manner r=equired by the DiPartment of Law Enforcement. The infortrtadon derived from this invtAligation, Including the source of this informatiorland any Inclusions or recommendations derived from this irformation by tteDepartmeit shall be provided to the applicant, or his designee upon request lathe Department, prior to any final action by the Department on the appliee3tion, The ottly physical identity materials which the applicant can be requir&d to provide-- the Department are photographs or fingerprints; these shall re returned 1Mo the applicant upon request to the Department, after the ithrellgation he.. been completed and no copy of those materials may be kept by theDepartmerint or any agency to which such identity materials were transmittied. Only information and standards which bear a reasonable and rational reiallon to the performance of a foster family home shall be used by the Department. DAY 224. ARE CENTERS ease ttenewa ILLINOIS Changes In Information On A Valid License Require Reapplication And/Or Approval Of The Department. Compliance Requirements: Re-application is the process by which a license is obtained when there is a change of the specifications on the existing liceniL Re-application shall be made when it affects any one of the following items which are information on the licensing documents: Name of,facility Address itesponsible persons Type of care Department approval is required for.tie following changes: Ages of children served Area of care Capacity 7. Application Por Renewal Of A License Shall Be Made To The Department On Forms Provided By the Department. 225. ConditionalfProvisional Licen es 5. New Centerg May Be Issued One S Month Permit To Operate Under The Following Conditions: Compliance Requirements: A permit is a legal sanction to operate for a period not to exceed six months. A permit shall not be issued if the deviations from the standards threaten the health and safety of the children. 8 6 DAY CARE CENTERS ILLINOIS 226. Substantial Compliance Not specified 230. ENFORCEMENT PROCEDURES 231. Facil t ections Authorized Representatives Of The Department Shall Be Admitted To The Facility At Any Reasonable Time For The Purpose Of Investigation. 232. Denial., Suspension, Revocation of a License ILL REV. STAT., Ch. 23, S 8. The Department may revoke or refuse to renew the license of any child care facility or refuse to issue full license to the holder of a permit should the censee or holder of a permit: consistently fail to maintainAandards prescribed and published by the Department; substantially violate any of the provisions of the licensed issued; furnish or make any misleading or any false statement or report 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 facility for licensing purposes; fail or refuse to submit to an investigation by the Department; faL or refuse to admit authorized representatives ;of the Department at any re-asonable time for the purpose of investigation; 10 DAY CARE CENTERS ILLINOIS There shall be a written statement of purpose and written policies regarding the operation of the faeiilty., References and medical reports for ll staff shall be on file. Required records shall be set up and forms ready to establish necess records for children and staff. Them- shall be an acceptable plan for emergency medical care. There shal an acceptable plan for preparation and service. r Y There shall be a sAaff plan, designating responsibilities for program planning, su rvision,. of children, feffid service, eleEining, and maintenance, and finances. Clearance applicable. etter for fire and sanitation shall be on file, where Character and financial references shall be on file with the Department. Furnishings and equipments shall be on hand for the specified number of children. The facility_ shall be examined by the Department and planning for its use both inside and outside complete. A plan shall be on file with the Department that indicates standards licersure can be met within the six month period. Proof of insurance (Standard 8) shall be on file. A DAY CARE CENTERS ILLINOIS If no request for a hearing is made within 10 days after notification, or if the Department determines, upon holding a hearing that the license should be revoked or renewal denied, then the license shall be revoked or renewal denied. When the Department expressly finds that the continued operation of a child care facility violates any minimum standard prescribed by the Department, as authorized by this Act, or otherwise jeopardizes the health, safety, morals, or welfare of children served by the facility, the Department shall include in its-order revoking or refusing to renew the license an order of closure directing that the operation of the facility terminate immediately. In this event, the facility may not operate during the pendency of any proceeding for the judicial review of the decision of the Department revoking or refusing to renew the license, except tinder court order. 233. remedies and Sanction 233.1 Hearin ILL REV. STAT., Ch. 23, S 9. Upon the hearing of proceedings in which the license is revoked, renewal of licenses f 3, refused or full aicense is' denied, the Director of the Department, or any officer or employee duly authorized by him in writing, may administer oaths and the Department may procure, by its subpoena, the attendance of witness and the production of relevant books and papers. At the time and place designated, the Director of the Department or the ' officer or employee authorized by him in writing, shall hear the charges, and both the Department and the licensee shall be allowed to present in person or by counsel such statements, testimony and evidence as may be pertinent to the charges or to the defense thereto. The hearing officer may continue such hearing from time to tune, but not to exceed a single period of 30 days, unless special extenuating circumstances make further continuance. feasible. DAY CARE CENTERS rLLINOIS fail to provide, maintain, equip and keep in safe and sepitary condition premises 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 the location of such facility; refuse to display its license or nerrnit, or fail to maintain financial resources adequate for the satisfactory care of children served in regard topkeep of Premises, and provisions for personal care, medical services, clothing, education and other essentials - - in the proper care, rearing, and training of children. ILL REV. STAT., Ch. 23, §9. Prior to revocation or refusal to renew a license, the Department shell notify the licensee by registered mail with postage prepaid, at the address specified on the license, or at the address of the ranking or presiding officer of a board of directors, or any equivalent body conducting a child care facility, of the contemplated action and that the licensee may, within In days of such notification, dating from the postmark of the registered mail, request in writing a public hearing before the Department, and, at the same time, may request a written statement of charges from the Department. Upon written request by the licensee, the Department shall furnish such written statement of charges, and, at the same time, shall set the date and place for the hearing. The charges and notice of the hearing shall be delivered by registered mail with postage prepaid, and the hearing must be held within 30 days, dating from the date of the peetmark of the registered mail, except that notification must be made at least 15 days in advance of the date set for the hearing. 4 DAY CARE CENTERS ILLINOIS ILL REV. STAT., Ch. 23, §10. Any judge of the circuit court, upon application either of the person requesting a hearing or of the Department, may require the attendance of witnesses and the production of relevant books and, papers before the Department in any hearing relating to the refusal or revocation of licenses. The refusal or neglect to obey the order of the court compelling the attendance or production, is punishable as in other cases of contempt. 233.2 Decisions Not specified 233.3 Judicial Review Not specified 300. ADMII ISTRATION 310. GENERAL ADMINISTRATION 311. General Administrative Re -uirements 9. There Shall Be A Person Legally Responsible To The Department For Compliance With Requirements Set Forth In The Standards. Compliance RequirementT A PERSON is any individual, group of persons, agency, association, or organization legally responsible for the operation of the facility. The person shall comply with all the standards. 54s 13 DAY CARE CENTERS ILLINOIS The person shall file with the Department, if applicable: Names, addresses, and telephone numbers of current board members, identifying its officers; An organizational chart of board committees and staffing patterns; Written policies outlining the delegation of responsibilities and clear Lines of communication between hoard members, facility staff, and parents. The person may designate responsibility for compliance with the standards. This shall be made known to the Department. 10. There Shall Be 'Current Written Statements, Publicly Available, Covering The Sponsorship, Purposes, And Goals Of The Service, A Description Of The Program And Operating Policies, Procedures And Forms. Compliance Requirements: The following information shall be made available in writing, understood by each caregiver, and given to and discussed with the parent(s) at the time of the child's enrollment: Statement of services, - purposes and goals, and child care philosophy; Description of the daily program; Fees and plan for payment; Policies regarding delinquency of fees; Types of insurance coverage for children, applicable; Admission, enrollment, and discharge policies and procedures; DAY CARE CENTERS ILLINOIS Hours of operation; Information regarding par ime enrollment, if applicable; and Holiday and vacation se ecules. Arrangements for arrival and departure of children (time, location, transportation). Provision for emergency medical care, treatment of illness and accident, which includes: Written consent of parent or guardian for emergency care in the event that the child's parent, own physician, or certified practitioner cannot be reached. A plan to obtain prompt services of physician and hospitalization, if needed. A plan for any illness, a ediately notifying the parent or guardiar4of dent or injury to the child. A plan to acquire services of a certified practitioner for a child exempt from edical care on constitutional grounds. Any formal religious observance or instruction; Visits, trips, or excursions off the premises; Use of photographs for publicity purposes; Procedures concerniri zonal belongings brought to the center; DAY CARE CENTERS ILLINOIS Policy-regarding release of personal information on the child. Planned means of communication between the center and the parent(s). Involvement f chfl&en or the center in research. 11. The Board, Sponsor, Or Others Officially Designated Shall Be Responsible For Maintaining The Standards. Compliance Requirement: The staff and board shell have a working knowledge of the standards for their particular areas of operation or areas which affect their particular functions and responsibilities. 12. The Board Or Others Officially Designated To Represent The Facility Shall Immediately Notify The Department Of Any Major Current Or Anticipated Changes. 18. Child Development Directors Shall Have Responsibilities Assigned. Compliance Requirements: The Child Development Director shall be responsible for the planning /- and supervision of the program and activities of the children. The Child Development Director shall be responsible for supplying continuous staff development, in-service training, and supervision of all staff. 16 DAY CARE CENTERS ILLINOIS The Child Development Director or at least one designated employee who has equivalent administrative responsibilities and who is qualified to be in charge of a group shall be at the facility at all times and must be at least 21 years of age. 103. The Facility Shall Comply With The Regulations Of The Illinois Department Of Public Health Pertaining To The Control Of ,l'' Communicable Diseases, Which Carries The Duty To promptly Re ort A Known Or Suspected Case Or Carrier Of Communicab Disease The Local Health Authorities. 104. All Required Reports And Records And Any Other Data Nece_sary To Determine Eligibility For Licensure Shall Be Available For Examination By Authorized Department representatives. 20. Child Care Workers Shall Have Responsibilities Assigned. Compliance Requirements: A perion, designated as the child care worker, shall be responsible for the immediate planning and supervision of the activities of the children, including scheduling and arranging of nighttime care. Duties of the person or persons serving in the capacities of director and child care worker may be combined or varied to some extent, according to the type, size and sponsorship of the, center. The person or persons designated to serve in these capacities shall be able to handle the over-ail administrative responsibilities of the facility and assume immediate responsibility for planning and supervising the activities of a group of children. DAY CARE CENTERS ILLINOIS 312. Telephone 99. A telephone shall be on the premise, easily accessible for use in an emergency and other communications. 313. Proof of Operator Financial Capabilities 104. The Facility Shall Maintain Financial And Other Business Records Essential To The Operation Of The Facility. Such Records Shall Be Made Available To Authorized Representatives Of The Department Upon Request. 314 Insurance Public Liability Insurance Shall Be Carried By The Peen- Compliance Requirements: Insurance shall be in the single limit minimum amount of $100,000 per occurrence. The insurance shall be in force for he duration of the license or permit period. Centers shall provide proof of such insurance prior to the issuance of a license or permit. A record of such insurance shall be on file at the facility or otherwise readily accessible to the Department. 320. PERSONNEL 321. Publication of Personnel Policies 14. Working Conditions Shall Be Supported By Written Personnel Policies And Practices Except For Centers With Four Or Fewer Employees. JLj 18 DAY CARE CENTERS ILLINOIS Compliance Requirements: Work assignments shall e such that sible for an employee to fulfill the responsibilities of the job. Centers having more than four ehtployees shall have written personnel policies available to staff at all times. These may include, but are not limited to, job description, salary, wages, pay dates, fringe benefits, social security, workman's compensation, unemployment insurance, holidays, sick time, vacations, probationary periods, grievance procedures, promotions, termination of employment, and performance evaluation. 322. Constraints Ajainst Employment 28. No Individual Known To Be Charged Or Convicted Of Child Abuse, Neglect, Sexual Abuse Or Who Is Awaiting Trial On Such Charges Shall Be Employed In Day Care Or Night Care Centers. Compliance Requirements: No persons will be employed in any day care center or night _ care center who has a police record of such conviction or is awaiting trial on such charges. A person who has been charged for such offenses shall take a leave of absence pending the outcome of the trial. 330. NON-DISCRIMINATION 331. Re uiriements Prohibiting imination Not specified DAY CARE CENTERS ILLINOIS 340. RECORDS REQUIREMENTS 341. Children 30. The Center Staff Shall insure That Admission Procedures Provide Sufficient Information To Enable The Parent And The Child Development Staff To Make Decisions Or Act On Behalf Of The Child 4 With Regard To His Or Her Life At The Facility. Compliance Requirements: Admission data obtained shall be on file at the facility and include: Identifying information and sufficient social and personal information to describe the child, recorded as prescribed in Records and Reports. Reports of health examinations. Appropriate professional evaluations required for admission of children with special needs. Signed consent forms from parent, guardian, or persons designated by the parents in writing, including: Health care and treatment, including emergency first aid. Emergency medical trea nt if the parent not readily available. Formal religious ins n, if applicable. Use of photographs for publicity purposes. Visits, trips, or excursions off the premises. 20 DAY CARE CENTERS ILLINOIS Child's involvement in research. Daily release of the child. The center shall admit only those children eligible under the facility's wr n admission policies. 95. A Facility Shall Maintain A Record File On The Children Enrolled. Compliance Requirements: A _written application for admission of each child shall e on file with the signatures of the parent or guardian. An alphabetic card or register on each child shall he maintain shall include: Name,.date, place of birth, sex Date of admission and discharge;. Scheduled days and hours of care; Name(s) of parent(s) or guardian(s), home and business address and telephone number, marital status, and the working hours of the parent(s) or guardian(s); fi Child's physician, address and telephone number (or, if applicable, certified Christian Science Practitionpr);. Name(s), addresses and telephone numbers of persons authorized to pick up the child; and Name(s), addresses, and telephone numbers of others to contact. within the immediate area if parents or guardian cannot be contacted in case of emergency. 5 5 DAY CARE CENTERS ILLINOIS Accidents or 'llnesseg which have occurred to the child at the facility shall be recorded in the file. When a child is not permitted to attend the facility Lecause of an accident or illness, the date of re-admission to the facility shall be recorded. The medical report shall be on file at the facility dated not longer than 6 months prior to enrollment and signed by the examining physician or certified by a recogrfized health facility. The medical report shall be valid for two years. The report shall indicate that the child was found free of communicable disease with a tuberculin te:t to be included in the initial exam only. The report shall indicate that the child has been immunized as required by current State regulations. These required immunizations are poliomyelitis, measles,. rubella, diphtheria, pertussis, and tetanus. If immunization waiver on constitutional ground is requested, a written, signed statement by parent(s) or guardian(s) shall be in the child's file. A center admitting such a child shall do so upon its sole responsibility. . Exceptions are made for children who for clinical reaso should not be subjected to immunizations. Written agreements and consents shall be in the child's record ffle. Necessary medications may be administered to a child at the facility, provided that: 22 DAY CARE CENTERS ILLINOIS -The facility shall maintain a record of the dates, hours, and the name of the person administering them; Th-e medication shall be a personal prescription from a physician, and the label must beams the child's name, directions for administering the medication, and the date and physician's name and the prescription number and drug store or pharmacy if applicable; 71turP Medication shall be administered as required by a physian, subject to the receipt of appropriate releases from parents and these shall be on file for each child for the administration of any and all prescribed medicines; and Medications are to be kept in locked cabinets or containers which are in an area well-lighted and out of reach of children even if medications must be refrigerated. 96. A Facility Shall Keep Continuous And Accurate Daily Attendance Records On Each Child Enrolled. Compliance Requirements: Attendance records for each group within the facility shall be kept by the person responsible for that group. If children attend on a part-time or irre recorded in the attendance record. A total attendance record of all children shall be Attendance records shall be retained for a period 23 r basis, this shall be maintained. of three years. DAY CARE CENTERS ILLINOIS 101, The Facility Shall Maintain And Submit When Requested By The Department Accurate 'nformation And Statistics On Children Enrolled In The Facility. Compliance Requirements: The Department shall be notified immediately by telephone, and in writing within one week if any of the following, involving children, happen at the facility: Accident or injury resulting in death or requiring emergency medical care; Fires, or other incidents leading to structural damage; or neidents which result in legal action by or against the facility. ,Reports of child abuse, neglect, or injury shall be made in accordance with the procedures outlined in the Abused and Neglected Child Reporting Act. Special reports shall be made as requested by the Department. 342. Staff 97. Personnel Records Shall Be Maintained At The Center On Each Individual Employee And Volunteer. Compliance Requirements: The records shall include name, address, telephone number, training, education, previous employment dates, and other related experiences and qualifications. Verifi er references shall be in each file. Verification of educational achievement shall e on file. DAY CARE. CENTERS ILLINOIS Reports of medical examinations sand tests shall be. in the file. Medical reports shall be valid for two years. Date and reason for termination shall be recorded and placed in the file. Records Of Student Participants Shall Be Maintained. Compliance Requirements: The record shall include, name, address, telephone number, and date of last medical exam from the school. Name of the school, name of the faculty member responsible for each student, faculty members' telephone numbers, the course in which the student is enrolled, and who at the facility is responsible for the student are all items to be included in the record. 102. The Facility Shall Maintain And Submit Reports On Staff And Volunteers. Compliance Requirements: The reports shall be made to the Department on forms provided by the Department. An individual report on each new employee (including owner, operator, or director) shall be filed with the Department; a copy of this report shall be kept at the facility. All staff ges shall be reported to the Department mm ely. Medical information, character, and other references of employees shall be provided upon special request by the Department. 56o 25 DAY CARE CENTERS ILLINOIS 343. Child Eligibility and Enrollment Requirements 32. Children Shall Be Admitted And Disch rged Under Circumstances Which Insure rotection Of Their Own nd Other Children's Physical And Emotional Well-Being. Compliance Requirements: The staff . shall be alerted to the child's arrival and given the information necessary to help make the child's initial adjustment as comfortable as possible. The staff shall understand and consider the child's individual background and needs. The staff directly responsible for the child shall be alerted to any personal circumstances which may require special handling. Any child who, after attempts have been made to meet the child's individual needs, demonstrates inability to benefit from the type of care offered by the facility, or whose presence is detrimental to the group, shall be dis harged from the facility. In all instances, wh6n a facility_ decides that it is in the best interest of the child to terminate enrollment, the child's and parent's needs shall be considered by planning with the parent(s) to meet the child's needs when he or she leaves the facility, including referrals to other agencies or facilities. 344. Child Abuse Reporting 32. Children Shall Be Admitted And Discharged Under Circumstances Which Insure Protection Of Their Own And Other Children's Physical And Emotional Well-Being. 26 DAY CARE CENTERS ILLINOIS Compliance Requirements: Evidence of child abuse shall be reported immediately to authorities as required by the Abused and Neglected Child Reporting Act. 345. Confidentiality of Records Requirements 31. Information Pertaining To The Admission, Progress, Health, Or Discharge Of An Individual Child Shall Be Confidential And Limited To Facility Staff Unless The Parent(s) Of the Child Has Granted Written Permission Or In The Case Where There Is Evidence Of Child Abuse. Compliance Requirements: The facility shall have confidentiality release forms -signed by the parent(s) on file at the facility, prior to release of information. information is requested by outside persons or agencies a specific tten request signed by the person rea'iesting the information shall be obtained and on file at the facility. Evidence of child abuse shall be reported mediately to authorities as required by the Abused and Neglected Child Reporting Act. 100. The Facility Personnel Shall Respect The Confiden 'al Nature Of The Child And Personnel Records. DAY CARE CENTERS ILLINOIS 400. GROUP COMPOSITIONS OE CHILDREN DREN 410. STAFF/CHILD RATIO UIREMENTS -N 4U. Staff /Child Ratio as of March, 1981 46. The Facility Shall Provide Staff To Insure The Care And Safety Of The Children At All Times. Compliance Requirements: The maximum numbers of children grouped according to ages, and minimum staff required, are as follows: Age Infants under two years of age Maximum Group Size 6 2) Two-year olds S Three-year olds 20 Four-year olds 20 Full Day 20 Half Day or less 5) Five-year olds and older 25 6) Mixed ages between three and six Mixed ages between two and six -linimum No. of Staff 2 2 20 2 15 2 A substitute shall be provided for an absent staff member. The small center, operating with only one. regular staff member, shall arrange for a responsible person to assist with the children when needed. This must be a person, or persons, who can respond immediately to a call without the adult in charge leaving the children unattended. 5 6 .3 28 DAY CARE CENTERS NOIS 47. The Facility Shall Have Developed A Ste_ f fing Plan Wh eh Organizes The Staff And Enables Them To Give Cont m nuity Of CarF And Supervision To The Children On A Day-By-Day Basis_ Compliance Requirements: Staff changes shall be minimized so consistent relationships with as few adu that the chi' can e cperience is as possible. Staff shall be aware of the presence atic activitie of the children under their care. A staff coverage and children's activit-ties plan shall. be explained to staff and substitutes. Substitutes shall visit the facility to'beome general] familiar with the program in advance of the time they maw." be called. Responsible adults in the ratio as definoved shall be on duty in the room or in close proximity to children's sleeping ars and shall be immediately available to children in need of attntion during nap periods. Childs n shall not be left unattended at ist.ny time. 412. Methods of Com'u Staff /Child R See 411. Staff /Child Ratio as 420. GROUP SIZE 421. Group Size as of March 1981 46. The Facility Shall Provide Staff To lastz_are The Care end Safety Of The Children At All Times. 29 DAY CARE CF NTERS ILLINOIS Compliance Requirements: Children under two years of age shall not he included in groups v older children. There shall be a minimum of two staff members to supervise any qr.rou exceeding ten (10) children under four years of age, or any mixed ade between two and six. No more than six two-year olds or nine three -year olds shall includec-1 in a Troup of children of mixed epee. A second person shall be readily available to assist regularly simer-1 staff with any group when needed. 422. Methods of Computing Group Size See 412. Group Size as of March, 1981 500. STAFF QUALIFICATIONS AND TRAINING DIRE -E TS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. Child Care Workers Shall Be Qualified. Compliance Requirements: A newly employed or designated child care worker shall at least a years of age. 21. Assistants To Child Care Workers Shall Be Qualified. Compliance Requirements: Assistants to child care workers shall be at least 8 years of age. DAY CARE CENTERS ILLINOIS 23. Student Helpers Shall Be Qualified. Compliance Requirements: Student helpers shall be at least 14 years of age and at least five years older than the oldest child with whom they work. 512. Health 29. Each Iember Of The Staff Shall Have A Physical Examination Prior To Emrsloyment. Compliance Requirements: Staff are defined as all individuals who are in contact with children in a day care facility. Staff shall present evidence of physical examination which took place no longer than six months prior to employment with a tuberculin test to he included in initial exam only. Subsequent physic examinations shall take place every two years. Staff shall not be employed if there is evidence of communicable disease. Food handlers shall make their positions known to the examining physician and meet state regulator pertaining to food handlers. DAY CARE CENTERS ILLINOIS 513. Education 19. Child Care Workers Shall Be Qualified. A newly employed or designated child care worker, shall have achieved a minimum of two years of college credits from an accredited college or university; or, shall have achieved a high school diploma or a high school equivalency certificate, plus three years of successful experience as child care worker of a licensed child care facility, or other social, educational, or related fields of service involving children. A newly employed or designated child care worker with a high school diploma or a high school equivalency certificate, but less than three years of experience in a related child care field, shall provide proof of enrollment in an accredited university or college with a plan to acquire two years of college credit, including courses concentrating on early childhood developmen In a night-time center, a newly employed or designated child care worker, shall have achieved a high school diploma or a high school equivalency certificate, plus two years' of successful experience in working with groups of children. 21. Assistants To Child Care Workers Shall Be Qualified, Compliance Requirements: Assistants to child care workers shall have a high school diploma or a high school equivalency certificate, or certificate showing successful completion of an approved course of study and training in child care. Assistants to child care workers shall have the personal qualifications required of other staff. 32 DAY CARE CENTERS ILLINOI Assistants to child care workers shall work under the direct supervision oeli qualified director or child care worker. 514. Experience 15. Staff Shall Generally Have The Skill And Competence Necessary To Cetitribute To Each Child's Physical, Intellectual, Personal, Emotional, And Social Development. Factors Contributing To The Attainment Of This Standard Should Include: Emotional maturity when working with children. Willingness to cooperate with the aims of the fee Flexibility and patience. Physical and mental heal- responsibilities. Good personal hygiene. which do not interfere with child care 16. Child Development Staff, In Addition To Meeting The Requirements Of Standard 15, Shall Generally Demonstrate Skill And Competence Necessary To Assume Direct Responsibility For Child Care. Compliance Requirements: Child Development staff shall demonstrate the skills to help children meet their develop.lental and emotional needs. Child Development directors and child care workers shall demonstrate". skill in planning, directing, and conducting programs that meet the children's basic needs. Child Development directors and child care workers shall be willing to participate in activities leading to professional growth in Early Childhood Development. 33 56 DAY CA_ E CENTERS INOIS 520. PROGRAM DIRECTOR QUALIFICATIONS 521. tifie 17. A Qualified Individual Shall Be Designated As Director Of The Fa Compliance Requirements: The Child Development Director shall be at least 21 years of age. 522. Health See 512. Health 523. Education 17. A Qualified Individual Shall Be Designated As Director Of The Facility. Compliance Requirements: Th6 Child Development Director shall have a high school diploma or equivalency certificate. The newly employed Child Development Director shall have achieved in addition to Standards 15 and 16: Two years of college credit from an accredited college or university with 18 semester hours or equivalent quarter hours in courses related directly to child care and/or child development; 566 ) DAY CARE CENTERS ILLINOIS Or two years of full - me child development experience in a nursery school, kindergrten, or licensed day care center, one year of college credits with IC) semester 'hours or equivalent quarter hours in courses related directly to child care and/or child development, andproof - of enrollment in an accredited college or university until two yea's of college credits have been achieved. A total of 18 houts.IO cowarses related directly to child care and/or child developmentis req-vired to be obtained within the total two years of collegecredits. Persons who are currently effu=tloyed as a director and who meet the full qualifications of the oositiczenn at the time of their most recent employment are considered qualified. Persons who are currently employed as directors and area working toward becoming fully qualified for the position of director urrider the standards in force at the time of their most recent egnploymermat must continue to work to meet those qualifications until completed.. 524. Experience See 523. Education 525. General Pr am Dhou-tcA9iseJElifications 530. SUPPORT STAFF QUALIFI IONS '22. Persons Assisting In The Day Care Program, Who Do Not Qualify As A Child Care Worker, Shell blot Have Full Responsibility For the SupervisiorOf The Children Dim. For The Program. 23. Student Helpers Shall Sc Quialfied., 57 35 DAY CARE CENTERS ILLIN OIS Compliance Requirements: Student helpers shall be under the direct supervision of a qualified director or child care worker and shall not substitute for regularly employed staff. Employment or use of student helpers shall not e in violation of any child labor laws. 25. Service Staff Shall Be Qualified. Compliance Requirements: Service staf'!, such as driver, cook, janitor, and clerical workers, shall have the same personal qualifications required of other staff. Ages and other conditions of employment shall conform to vehicular and child labor laws. There shall be sufficient staff so that assignment of service duties shall not interfere with the child care staff's responsibility for the direct care of the children. 4 26. Substitutes, In Any Staff Position, Shall Have The Same Personal, Educational, And Professional Qualifications Required Of Staff For Whom They Substitute. 27. Volunteers, Including Mothers Assisting In Program, Shall Have The Same Personal Qualifications As Employed Staff, And Their Interests And Skills Shall Determine Their .Assignments Within A Center. They May Be Assigned To Assist In Any Capacity, If They Meet The Qualifications Required For The Position. 5 DAY CARE CENTERS 540. POST E PLOYME T IN-SERVICE: ORIENTATION AND TRAINING ILLINOIS 541. Program Director Not specified 542. Child Caregiver Not specified 543. Sirpport Staff Not specified 600. PROGRAM OF ACTIV 610. PROGRAM REQUIREMENTS 611. Prorrn of Activities The Center's Program Shall Complement The Child's Home Experiences. rTiEs- INC UDING EDUCATION Compliance Requirements: The facility shall maintain records that demonstrate ongoing dialogue with parents in order to ensure harmony with the life5tyle and cultural background of the family and development and modification of program goals. The staff of the facility shall demonstrate that the parents are encouraged to visit the facility and observe and participate in the experiences of their children. The staff of the facility shall demonstrate that both caregivers' and parents' concern about the health; development, or behavior of any child are communicated promptly. DAY CARE NTERS Each c.T. hild's cultural, ethnic, and religious balcground shall be respect d by the staff. The Fax=goility Shall Provide A Basic Program Of 'crVell-Balameed And Construvi-ctive Activities Geared To The Age Levels end Devloprnental Needs lasof the Children Served. Compliance Ilquirements: The day shall be scheduled to provide: Regularity of such routines as eating, napping, and tolieting with Su_ if ficient flexibility to respond to the needs of individual hemildren. An outline of the daily schedules shall beposted; A good balance of active and quiet 6tauffieient time for activities and routines, s- that tile children caman manage them and progress at their own dev.elopmerital rate; ogram planning so that the children are not always required to irra < _ove from one activity to anothererra total group; A program that avoids long waiting periods beLween -vities and Pt-=olonged periods during which the_chIldren moot stan far sit; oily periods of outdoor activity; and A supervised nap period for chi en under sic years of age who re-=-nnain five or mire hours. This nap period fieDr the g-x-oup should nezxbt normally exceed two and one-half hour. ChilcIren's shoes be removed during nap or rest periods. children who remain ic=n* as long as four consecutive hours shall halh.re a suprvised rest pftemeriod. 38 DAY CARE CENTERS P.LINOIS The program shall include: Opportunities for a child to have free choice of activities to play alone, if desired, or with one of several chosen peers; Opportunities to visit with children other than those in their own group or their own age or developmental level; A variety of choice in activities on the child's developmental level; Daily indoor and outdoor activities in which children make use of both large and small muscles; Sufficient materials and equipment to avoid excessive competition and long waits; and Provision for privacy through arranging a small, quiet area that is inviting to children and easily accessible to the child who seeks or need, time to be alone. The program shall be modified as needed, when there are adverse environmental conditions caused by weather, heating or cooling difficulties, or other such problems. When one large area houses more than one group, an attempt shall be made to program so that the noise level and its rest ting impact on the Child and staff is reduced. This may be done through such things as: Arrangement of room with specially protected quiet areas and defined traffic patterns; Scheduling so as to reduce the number of children engaged in high noise level activities. 39 DAY CARE CENTERS ILLINOIS 39. The Daily Program Of The Facility Shall Provide Experiences Which Promote The Individual Child's Growth And Well --Being And The Development Of Skills, Social Competence, And Positive Self-Identity. Compliance Requirements: Each child shall pe recognized as an individual; his choice of activities personal privacy, and background shall be respected. The daily program shall include firsthand experiences through which children learn about: THE SELF: through mastery of experience, the development of self-help skills, and interaction with other children and adults who appreciate them as children and help them deal with their world. SOCIAL RELATIONSHIPS: through direct experience with other children in such a way that there are opportunities to develop consideration for other individuals, to develop responsibility to the group, and to defend their rights and privileges. THE WORLD IN WHICH THEY LIVE: through such experiences as:. Daily participation in it variety of activities such as art, music, literature, dramatic play, and science which lead to intellectual mastery and creative expression; Daily experiences with self-help tasks and routine chores such as king out and putting away materials, caring for equipment and their own clothing; and Occasional trips out into the community. 40 DAY CARE CENTERS ILLINOIS Meal times shall be planned to meet the socialization needs of children by Helping children participate in the setting of tables, the serving of food, and cleanup activities; Helping children learn to eat food with standard table without embarrassment in front of others; Helping children learn to extend their enjoyment of different foods through participation in food preparation and encouraging tasting; Helping children learn to find meal times pleasurable through encouraging conversation; and Sitting with the chIldren during meals. 40. The Program Shall Take Into Account The Stress And Eatigue That Result From Constant -Pressures And Sti.....ilation Of Long Hours In A. Group Living Situation. Compliance Requirements: Staff assignments shall be such that children experience comfortable. ongoing relationships with adults; every attempt shall be made to establish a primary relationship between each child and one adult. The activities shall cousist of a well-balanced program, capturing sorne of the ease and freedom of movement of home life. Children shall be cared for in such a way that respects individual differences in interest, attention span, physical and intellectual maturity, with appropriate expectations and stimulation. 1 DAY CARE CENTERS ILLINOIS The noise level and the amount of visual stimulation impinging on` the child throughout the day shall. be controlled. Special consideration shall be given to planning early ntoining and afternoon activities to help children cope with possible unhappiness over separation from parents and the usual end-of-the-day fatigue. 41. The Activities Shall Be Conduced At All Times In A Setting Designed And Arranged For Safety And Superviiion Of The Children. Compliance Requirements: Activity-areas, equipment, and materials shall be arranged so that aff can be easily aware of the child's presence and activity at all times. Protected- areas shall be provided where equipmen be Used with minimum interference or interruption. 54. %A Center Receiving Children For Night Care Shall Comply With All General Standards For Child Care Facilities Except When Inconsistent With The Special Requirements Prescribed Herein. d materials can 55. The MaxiMum Capacjty In a Night Care enter Is 20 Children. 56. Children Served In A Night-Care Program Shall Not Remain On The Premises For More Than 12 Hours In Any 24-Bour Period On A R Basis. 58. The Night Care Program Shall Facilitate A Relaxed Atmosphere . Characterized By Informal Quiet Activities. 42 DAY CARE CENTERS ILLINOIS Compliance Requirements: Schiduling shall reflect the need for regularity in meeting basic needs such as relaxation, meals, seif-care, and sleep. Evening activities shall be primarily self-selected by individuals. Selections shall be chosen from activities such as, but not limited to,-7 outdoor play, reading, lounging, study, table games, group games, conversation, listening to music, watching television, dramatic play, and art. Self-care routines shall include: Brushing teeth at bedtime or upon rising; Brushir the hair upon rising; and A routine for toileting schedtiled at bedtime and upon D. Sleeping arrangements shall be so arranged that the stay all night are not disturbed by the departure of th a portion of the night. 612. Program Equipment and Materials en who who stay 42. 'Equipment Shall Be Arranged "In Orderly, Clearly Defined Areas Of Interest, With Sufficient Space In Each Area For The Children To See carious Activities Available To Them. Compliance RUquirements: Available areas shall include creative arts, books, table games, block building, science, music, housekeeping, and dramatic play. 4. -) The arrangement of areas shall take into consideration the traffic pattern in the room so that the quiet areas are out of the flow of traffic. Quiet activities shall be separated from noisier activti 578 43 DAY -CARE CEN Nato ILLINOIS Outdoor Equipment Shall Be Available And Provide Safe Opportunities For Bdth Large And Small Motor Skills A-nd Shall Meet The Age Level And Needs Of The Children. c Compliance Requirements: Basic outdoor equipment shall elude items such as, but not limited to sandbox, climbing apparatus, wh 1 toys, water play materials, and balls. Outdoor storage shall be available for equipment not permanently, secured to the ground unless indoor storage space is available. 44. Indoor Equipment Shall Be Available So As To Provide For Active And Quiet Play Appropriate To The Age Level And Developmental Needs Of The Children. Compliance Requirements: 6 Building materials such as, but not limited to, 131 construction activities shall be available. Tr ion and wheel toys shall be av ble. and boards Dramatic play materials such as, but not limits to, housekeeping items, toys, dress-up clothes and role-play materials and equipment shall be available. Manipulative play mate pegboards, lotto, and nesting h as, but not limited to, puzz ocks shall be available. Creative materials such as, but not limited to, easels, paints, finger i paint, clay, and crayons shall be available. Literature and other language developmental materials such as, but not limited to, books, flannel joard stories, §md_poetry-shall be available. 5 DAY CARE CENTERS ILLINOIS Music eiuipthent such as, but nod limited to, records and rhythm instruments shall be available. The number and variety of toys shall be such that. there is not constant quitrkeling over or waiting for the use%of toys; each child shall have time to use the toys Without fearof losing them to another child. 94. Furnishings-And Equipment Shall Be Durable, Safe And -3.-Faled To The Size Of The Children, Compliance Requirements: Child gz.e'chairs shall be use Tables shall be of appropriate height and of- a dze to accommodate comfortably &small group of not more than 8-10 children, Individual lockers, cubicles, or separate hookti and shelvf provided for h4 children's personal belongings. be LoW, open shelves for play Materials and books shall be provided and within easy reach, of the children. Storage for surplus toys and supplies not rently in provided. 57. The Ficility. Shall. Provide Equipment And Space Appropriate. For Children Who Are Enrolled In Night Care. Compliance Requirements: ReqUirements: Outdoor play ;pace and equipment shall be available when the times of children's attendance coincidg.withedaylight hours. 5Su 45 DAY CARE CENTERS ILLINOIS Each child shal eve ivid l cat, bed, or crib equipped with comfortable brtql- sanitary and SNP,- Prie ste to the saItson and maintained in Each child shwl 3ve li al washcloth, towel, toothbrush, comb or brush, and iveewelr imirshed by the center or the Child's parent(s). 613. Nap Provislon 94. Furnishings And Equipment Shall Be Durable, Safe And Scaled To The Size Of The Children. Compliane Requirements: A cot must be proyided for each child in an all-day pro ra See also 611. ram of Activities 614. Discipline and Guidance 34. The Facility Staff Shall Use Discipline Measures Designed And Carried Out In Such A Way As To Help-Individual Children Develop Self-Control "Nt And To Assume Responsibility For Their Own Acts. Compliance Requirem'nts: Simple, understandable rules shall be established in writing for both 4 children and staff. These rules shall set the limits of behavior required for .the protectiOn of the group and individuals within it. Discipline shall be delegated to adults who l ave an ongoing relationship with a child. DAY CARE CENTERS ILLINOIS Discipline shall be developmesiially related to the child's act and shall not be out of proportion to the particular inappropriate behavior. toiscipline shall be handled without prolonged delay. Removal from the group as means of helping 'a child gain con be ft:* reasonable periods of time. If there an assessment of a chiles pattern- of unacceptable behavior, the entire staff should be aware of it and cooperate in carrying out the specific plan developed for him or her. No Child Sim Be Subjected Under Any Circumstances To Corporal Punishment Inflicted In Any Manner Upon The Body Or To Verbal Abuse, Deprived Of Regularly Scheduled Meals Or Any Part Of,Meals As Purihment, Or Punished For Toilet Accidents. 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Rcguirerrents-- Not specified 712. Health Asseissments See 341. Children 713. Immmizations See 41. Children DAY CARE CENTERS 4, ILLINOIS . 714. Sanitation 37. ,Childrbn In The Facility Shall Be Helped With _Their Personel Care And Cleanline9 Compliance Requirements: Wet. or soiled clothing shall be changed imndiately. The hands shall be wished before and after meals..., Children's hands shall be washe after toileting. n Children shall. have shower, tub or sponge baths to, ensure bodily cleanliness when necessarY. 6- Toilet articles such comb, brush, toothbrush, towels, and washcloths used by children shall be' individually pro4ided by parent(s) or facility, plainly marked, mind stored in a sanitai'y mariner.. Disposable articles, are Acceptable. 87. A Safe And Sanitary Water Supply Shall Be in . Compliance Requirements: Water shalPbe 'provided to the facilty from an approved public water supply, when available. -WO When a private water supply is used, a, monthly sample shall be Submitted to the Illinois Department of Public Herilth, Division a Pub c idalth. Lab reports of water analysis shall give appcoal for dri . If children under one year of age are served in the fficility, th nitrate content shall be acdeptable for their consumption. ID AY CARE CENTERS ILLINOIS NI* S9. All Gszbige And lifuse Within The Center-- Shall Be Collected Daily And Stored In A Wisariner That Will Not Pewrrnit The Transmission, Of Disease, Create A Nuisance Or A Fire Hazaseard, Or Provide Harborage For Insects, Rodents,. Or Other Pests. *Compliance Requirement: An adequate numbmr of covered, durable, water-tight, inse proof garbage and refuse containers shall be per rovided for dse. SO. Insect And Rodent n ol Shall Be Maintain: +Compliance Requirements: All outside doors, operable windows, an other openings shall be screened during seam.ons requiring insect cometrol. Doors with operable self- closing &vices do not have to be screenid. Chemicals for Inset and 'rodent control shms.34 not be applied in areas accessible to childrem whenIchadren are presnt in the facility. The Fag lity Shall Me Cleaned Daily And Kept In Ai, Sanitary Condition At All Ames. +Compliance Requirem en The facility s equipment. provide necc ni aintena e Toys, table tops, furniture, and other si _ Milar equipment used by children shall be washed when they become msoiled or contaminated with matters such as fooci, body secretions, and/or excrement. g Cleaning equipment, cleaning agents, aerosol and other hazardous chemical substances shall be stored in a designated solely for this purpose and shall be Inaccessible to children. 49584 DAY CARE CENTERS ILLINOIS Exit areas shall be kept clear of equipment and debris times, 92. Both Day Care Facilities And Night Care Facilities Shall 'Provide A Separate Crib, Bed, Or Cot And Individual Sheets And Other Bedding. .7 Compliance Requirements: - Cots, - cribs, or beds used by children in a day care facility may be used for other children at night if separate sets of clear' sheets and other bedding are provided each user, and if cots, cribs, or beds have been well aired and freshened. . Clean sheets or blankets shall be provided at least once a week or as frequently as needed when, wet or soiled. Waterproof mattress covers or undersheets for cribs, beds, or canvas cots shall be provided for all children who are bedwetters. Each cot, bed, orb crib shall be identified h the name of thelchi Sheetston. beds s be ghtl)i fitting. 715. D Iy Il.lne-ss_Screeninz 32. Children Shall Be Admitted, And Discharged Under Circumstances Which Irure Protection Of Their Own And Other Children's Physical And Emotional Well-,Be Compliance Requiremen A daily, pre-admission screening of Bach child shall be made for v symptoms'of illness which may prevent admission. 50 DAY CARE CEItTEn A Mind who dbes not appear tom, be fully recovered from an illness shall not be readriiitted'io the center unless there is a statement by an attending physiciso that the a hild is able to return ohdparticinete in the activities bf 716. Car of 51e 3 - Any Child In Attendance WhciD Becomes Ill Or Who Is Suspect...ed Of Illness Shear Re iMmediately Msolated From The Grotty And Shamll Be Removed Prbrn ThePacility As Soon As Posiible. Space Shall lie Med For A child Who Becomes Ill At The Cent r. Compliance Requirecne Such -space sh14.11 heade,guateIy ventilated and heated aridequippeimi with a cot and rna.terielsthat can be easily sanitized. The child,shall not be lhftunattvncle 6P 717. Metli eation aucl See 341. Children mid Nutritiontil Requirements 718. Waiver 'er See 341. Children 720. SAFETY 731. V 45. Small e Animals May tote Permitted Qn The -Premises IFULInless Prohibited y . }Leith Regulitmtions. A Qualified Veterinarian Shall Certify That The Animals Ila-m-ve Been Inoculated, When Requird, Or Are Otherwise Plea Of Di eiles That Could Endanger The thOntdren's Health. 51 586 DAY CARE CENTERS ILLINOIS Compliance Requirements: All animals shall be physically separated from children both i doors and outdoors except as a portion of a specifically planned pogran) activity under the direct supervision of a staff member. There shall be careful supervision of children who are permIlted to handle and care for the animals. Immediate treatment for any child who sustai an animal shall be available. a bite er 82: The Condition Of The Indoor Spaces Shall Frov Environment or The Children. Compliance Requirements: The floors and floor coverings shall be washable and , splinteq, and dampness. _e alt from ?mfortab rn drafts, Any thermal hazards (radiators, hot water pipes, steam piPes, heaters) in the space occupied by children stall_ be out of the rea8n of children or be separated from the space by partitions, screens, or other means. 93. Facilities And Equipment Shall Be Kept In Safe Repair So As Not To Expose Children To Hazardous Situations. Compliance Requirements:. Any interior or exterior painted surface including w otyrkeeilings, equipment, toys, furnishings, and cribs shall be maintained good order free of lead paint. Electrical outlets within the reach of chldren shall bared or be otherwise shoe proof. 52 DAt .CAREICENTERS 722. Ete Safe unts Not specified 723. Transportation ILL! 69. A Center Provid rtg Direct Transportation Se.rvi That Standards For vers And Upkeep Of The Vehicles In - Transporting dhildren Are Maintafaed. Compliance Requiremen There shall be eonft,rman ce to state laws perta fl regarding drivers, vehicles, and insurance. Evidence of mPlianee with vehionier laws shall be p dumEd for xamination by the Department represehtatives. The Driver Or A Vehicle Transpor qg Children Shall e At Least Twenty -One Years Or Age And Not Ovet Sixty-Five Year; Of Age. The Driver Shall'ideat The Personal Anti Health Q Staff. 72. The Driver She 73. The Driver Transporting Childs An Appropriate Leave The Vehiel Unattend 1. t At)y While 74., The Driver Shall See That Each Kid Boards find Leaves T Prom The Curb Side Of The Street NotI/Oris tel The Streit. Conducted Across 75. The Driver, Shall See Thai A Responkible Person is Present Tp T Charge Of A Child When Delivered To Ekis Home Or To The Center, 53 DAY CARE CENTERS ILLINOIS 76. The Driver Shill See That Good Order Is Maintained In The Vehicle For Safety Of The Children In Transit. 77. The Capacity Of The Vehicle Shall Conform To The Manufacturer's. Specifications. y An Attendant Shall Be Assigned To Assist With Children While Being Transported When The Size Of The Group And/Or liandiCapped Children Require This For Their Safety. 79. The Vehicle Shall Be Maintained In Excellent Condition At All Times. Compliance Requirements: The vehicles shall be thoroughly inspected, at least every six months, for mechanical flaws which, if found, shall be corrected immediately.- The vel1e shall be equipped with safety locking devices on The vehicle shall be equipped with a mounted space tire, service, and a jack. 724. Safeti Requirements for Equipment 43. Outdoor Equipment Shall Be Available And Provide Safe Opportunities or Both Large And Small Motor Skills And Shall- Meet The Age Level. And Needs Of The Children. Compliance Requirements: 'Outdoor equipment shall be placed so as to avoid collisions accidents while still permitting freedom of action by the children. 54' DAY CARE CENTERS ILLINOIS Supports for climbing apparatus and large equipment shall be securely fastened to the ground. There shall be a soft, 'resilient surface or a equipment from which children might fall. 725. Water Activ Includi Swimming Not -specified under all climbing 726. Emergency_Frocedures Not specified 727. First Aid Supplies 94. Furnishings And Equipment Shall Be Durable, Safe And Scaled To The Size Of The Children. Compliance Requirements: A first-aid kit and a chart or n ook of aid instructions shall be available for staff use. 800. NUTRITION AND FOOD SERVICE 810. NUTRITION 8U. Nutritional Requirements 48. All Facilities Shall Provide Ls And Snacks Of A Quality And Quantity To Supplement Food Served At Home So That The Daily Nutritional Needs Of The 'Child Are Met. Food Shah Be Served In Accordance With The Time The Child Spends At The Facility; Cultural, Ethnic, and Regional Food Preferences Shall Be Considered In Planning Meals. 59U 55 DAY CARE CENTERS ILLINOIS Compliance Requirements: Daily food requirements! a child of one to six years requires 1300- 1800 calories daily. Food requirements for children between birth and the age of eating table food shall be geared to the needs of the individual child and determined by constflt6tion of parents with a physician. The facility shall provide 1/3 to 2/3 of the daily calories, depending on the length of time of the child's stay. Daily food requirements shall be determined according o the length of stay in the facility. Children in attendance for more than two but less than five hours per day shall be served a mid-session snack consisting of 1/2 cup of a citrus fruit juice or a fortified juice containing 30 mg. of Vitamin C per serving, or pne serving of fruit with equivalent Vitamin C content, or six oz. of Grade A pasteurized fortified milk. If the child's hours at the facility coincide with any meals and snacks that are provided by the facility, the child shall be served the meals and snacks. Children in attendance five to ten hours shall be served a quantity of food that will supply 1/3 to 1/2 of their recommended dietary allowances as described above. This shall include a nutritious hot meal, a mid-morning snack, and a mid-afternoon snack. Menu Requirements: Menus shall be planned, dated, and posted for one week in advance, and corrected as served. Corrected menus shall be on file and subject to review. Current nt3,enus shall be posted. Menus shall be planned with consideration for cultural and ethnic patterns, but rhust also be nutritionally equivalent to the above requi rem ents. 1 56 DAY CARE CENTERS Catered foods shall meet the above requirements. ILLINOIS Sandwich lunches shall not be brought from home as a substitute for _a hot meal provided by the facility. Picnic lunches may be served occasionally. _Diet patterns (special diets provided if wa- tten approval other than those described may be obtained by a physician. Medically prescribed diets for children enrolled in the facility shall be provided as ordered by a physician. Su diets shall be on file at the facility and adhered to in preparation and service. Records of food intake shall be mairmined when indicated. Food ervice Reqt9ements Children-Shall be served small servings of bite-size pieces with second helpings always available. Variations in size of servings allow for adaptation to the age and needs of each child, small and big appetites, etc. All meals shall be suitable for children and shall be prepared by a methods designed to conserve nutritive value, flavor, and appearance. Introduce only one new. food at a time. Serve in very small amounts with familiar food.' Adults shall sit at the tables with the children during at least part of the meal. Avoid dela rs in food service so that children uu not have to sit and wait. 592 57 DAY CARE CENTERS s shall be relaxed and unhurried. Children shall not be creed to eat. Tables, chairs, dishes, glasses, and eating utensils shall be design and size suitable for use-by younger children. 49. Drinking Water Shall Be Freely Available To Children Of All Ages. Compliance Requirements: The facility rail have drinking water available to all children and'-the staff. Water shall be offered at intervals to infants and toddlers. Approved drinking fountains and/or disposable cups for individual use shall be provided. 59. The Nutritional Needs Of The Night Care Children Shall Be Fulfilled. Compliance Requirements: An evening meta_ shall be served at a regulaf time each evening to all children then in attendance, and shall be available to other children who may arrive without having first eaten. A bedtime snack shall_ be served to each child. Breakfast shall be provided facility throughout the night 812. Waiver of Requirements Not specified children who' have been at the d/or are present between 6:30. and 8:30 58 'DAY CARE CENTERS -INOIS 820. FOOD PREPARATION 821. Food Preparation and Service Ruirements 88. Kitchen Areas Shall Meet The Following Re-uire CoMpliance Requirements: The kitchen shall be clean and equipped for pmServation, storage, preparation, and serving of food. Provision shall be made for the cleaning and sanitation of dishes. Not specified Not so- 900. SO IA SERVICES 1000. PARENT PARTICIPATION 1100. INFANTS AND TOD ERS 1110. PROGRAM OF ACTIVITIES See DAY CARE CENTERS - (Infant Day Care Centers) 1120. HEALTH AND SAFETY REQUIREMENTS See DAY CARE CENTERS - (Infant Day Care Centers) M30. INFANT NUTRIT1 SeeetyLY CARE CENTERS - ( -fent Day Care Centers) 594 09 DAY CARE CENTERS 1200. CHILI RE WITH HANDICAPPING CONDITION 1210. PROGRAM OF ACTIVITIES ILLINOIS 60, The Standards And Regulations Stated In Other Divisions Of This Publication Shall Apply To Facilities Caring For Children With Special Needs Unless Indicated Otherwise In This Division By Substitution And/Or Additions. The Facility Shall Provide Activities To Meet The Assessed Needs Of Each Child Served Within The Definitions Of This Section- Compliance Requirements: Children identified as having special needs shall be provided with planned program activities designed to. relate to those needs. There must, be written evidence on file that resource personnel with appropriate expertise have been consulted and their recommendations followed. , Recommendations made by the resource personnel antLeclesigned into a prcgram plan by the resource team far the child with speeial needs shall be implemented. The Resource team shall consist of the director, direct child development staff, and registered, licergied, and/or certified resource personnel such as physicians, psychologists, social workers, speech thetapists, physical and occupational therapists, educators, and other kechnieal and prof Tonal 'personnel, as indicate by the child's special needs. All program recommendations from resource persons related to a child's special needs shall be evaluated and reviewed at least semi-annually. 60 DAY CARE CENTERS ILLINOIS Parents should be fully informed and in agreement with all procedures undertaken in relation to the child's needs. 62. When A Facility Agrees To Accept A Child With Special Needs Who Attends Another' School There Shall Be Communication With That School As Well As The Parent. Compliance Requirements: Individual records shall be obtained by the fac y. Communication with the school personnel and parents regarding the child's special needs and progress shall be maintained. 67. Individual Records Shall Be Made Available To Parents And Shall Include Information Needed To Assist The Staff In Planning Effectively To Meet Each Child's Needs, And Shall Be Kept Confidential.. No Rec4;wd Or Portion Thereof Shall Be Transferred WitboUit-AVritten Parental Permission. Compliance R ements; The indvidual record shall include: All assessments; Program recommendations; Program provisions to meet recommendations; Program evaluations; aiid_ A Program adjustmepts as idicated by the evaluations. Facilities shall make known to the parents that ords are available. 68. The Requirements For Providing Program, Space, Equipment, And Plan Shall Be Based Upon Procedures As Described In This Section Even When Individuals Over The Age Of 11:1 Are Also Served In The Facility. 61 596 -CARE CENTERS 1220, HEALTH AND SAFETY REe U RE ENTS ILLINOIS 63. Building And Equipment Shall Be Designed So That Every Child Can Make Maximum Use Of The Facility As Safely And As Independently As Possible. Complittnag Requirements: The facility area to be utilized by a child with special needs shall be adapted as necessary to accommodate spec al devices which he may require to function independently. Minimum space requirements per child with special need(s) shall be 3.5( square feet. In determining space needs, however, more space per child may be required when considering the age or -Size of the child, activity recommendations, ambulation problems, special equipment, or other factors. A special area shall be maintained for the purpose of providing privacy for diapering, dressing, and other personal care procedures. 66. 'Medical Consultation And Direction Shall Be Available ToStaff. Other Medical Services, Such As Direct Medias]. Care To The Child, Shall Be 0/V1-ministered As Required By A Physi Subject To Receipt Of Apqropriate Releases From Parents. Thre Shall Be On File For Each Child For Administration Of Any And All P escribed Medicine. 1230. STAFFING 64. In Addition To The Personnel Qualifications Stated Previously In The Standards, Staff To Serve Children With Special Needs Shalt Have An Additional Background Of Training And Experience Such That May Provide An Appropriate Environment To Serve These Children. 59, 62 DAY CARE CENTERS ILLINOIS' Compliance Requirements: Persons rendering spe-.ial professional services to these children must be registered according to State registration and/or certification laws currently in effect, ii applicable, or must,be functioning \O der the 7 direction of a person so qualified. When a facility serves eight or more children with special needs, -the identified staff person or persons directly responsible for planning and coordinating activities for these children shall have achieved training at the college and/or university level which includes: A course that deals with normal child developm A course that deals h problems a children. reatment of exceptional The staff serving children who require special program services shall receive in-service training that relates to the specific needs of the children served. 65. The Child/Staff Ratio Must Be Such That Each Child Has Available Individual Assistance And Guidance As Determined By The Severity Of His Needs. Compliance Requirements: The ratio o staff involved in direct child care to the, number children s shall be I:41. Adult persons who are served in the program or student helpers under LS years of age shall not be counted as staff. 593 6S DAY CARE CENTERS . ILLINOIS 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACTIVITIES 50. The Facility Shg11- Provide A Designated Area So. That The Older Children's Presence Shall Not Interfdre With The Needs And Care Of Younger Children. 51. The Facility Shall Provide A Program And Activities That Recognize The Developmental And Educational Needs Of School-Age Chrdren Who Need Group Care Before And After School. Compliance Requirements Nutrition: Food shall be offered if the children have not had breakfast at home or are not regularly receiving breakfast at school. A snack shall be served when children arrivr:- at the facUity after Children who come to e facility from school for a lunch program shall be served a nutritionally balanced meal conforming to Type A School Lunch Regulations. School-age children shall be served alone or with the younger children if they can be handled without disruption to the ongoing program. 84 / DAY CARE CENTERS ILLINOIS Program activities: Before school, quiet activities such as, but not limited to, puzzles, small games, reading books, simple art or special projects, and opportunities to do homework shall be accessible on a free choice basis to children waiting in the facility to leave for school during the morning hours. After school: Outdoor and i#Idoor activities shall be provvda Children who have been in school all day shall have time set aside for relaxation and recreation immediately upon arrival from school. Large motor activities, indoors an tdoors, shall be provided. Opportunity for development of skills eas such as sports, music, art, e c. shall be available. Special projeks outside the confines of the facility shall be provided, such as trips to the library, etc., when appropriate. to. The program shall be flexible to allow-44_ children to participate in after-school activities sponsored by: the school. 52. School-Age Children Who Are At A Facility For An. Entire Day EiecaZNie of School Holidays Or During Summers When They Are Not In School Shall Have' An All-Day grogram Planned Especially To Meet Their Needs. 05 DAY CARE CENTERS ILLINOIS 53. Clear Deliiiitiont Of Legal Responsibility and Procedures Shall .Be Established Between Parent, Facility And School When Children Move To And From School. Compliance Requirements: A parent shall be legally responsible for the child enroute unless transportation is provided by the facility or by the school. r Procedures shall be established and agreed to in writing by the parents, the school and the facility including, but not restricted to: Children leaving the facility to go to school; Children leaving the school to go to the facility; Children leaving the facility; and/or Children leaving school for regular school activities or visiting friends. 1320. HEALTH ANI SAFETY RE U REMEI Not specified 1410. SPACE 1400. FACILITY RE Th UIREMENTS 80. The Phys LcaLl Facilities ,Provided Roth Indoors And Outdoors Shall Protect The Health And Safety Of Children. Compliance Retirements. The Wilding or portion of the building to which chile en from the center have access shalkbe used on for a m of child care during the hours that the center is in operation. This shall not be construed to mean that the Space used for the program cannot be shared by other groups or persons when th children enrolled are not present. 6 fi 66 DAY CARE CENTERS ILLINOIS There Shall Be Sufficient Indoor Space To Conduct The Program. Compliance Requirements: There shall be a minimum of 35 square feet of activity area per child in centers for normal children two years of age and over. This space is exclusive of exit passages and fire escapes, which must clear. This space is exclusive of administrative space, storage areas, 1. bathroom, kitchen, and, other space required for equipment that is not used for direct activities with children. During nap time, there shall be at least two feet of space on at least two sides between cots. Storage space shall be provided for cots, bedding, and other equipment. One room, no matter how large, shall commodate only one group unless room dividers at least 3'6" in height are used to define and separate the space for each group. All rooms or spaces accommodating more than one group shall be provided with an acoustical ceiling or its equivalent in carpeting-or wall covering. If carpeting is used to control noise, it shall not be required in water play, painting, and similar areas. ,Outside Play Area Shall Be Provided. Compliance Requirements: The total play area shall accommodate at least 25% of tl licensed capacity at one time. DAY CARE CENTERS ILLINOIS There shall be a minimum of 75 square feet of safe outdoor play area per child for the total number of children using the area at any one time. Play space shall be safely enclosed or otherwise protocted from traf and other hazards. Protective surface, such as, but not limited to, grass, P-gravel, and mulching shall be provided in areas where climbing apparatus is used. There shall,be provided a surface that is suitable for dirA&enes wheeled vehicles and pal lays. There shall be open and sheltered areas to permit children to enjoy activities in either sun or shade and to protect them from excessive exposure. If an area not connected with the facility, such as a public Park or 'playground, is used for play or recreation, the children shall be- closely supervised both during play and while traveling to and from the area. 1420. Li li NG VENTILATION AND TEMPERATURE 82. The Condition Of The Indoor Space Shall Pvi4e A Comfortable Environment For The Children. Compliance Requirements: Adjustable window shades, drapes, or venetian blinds shall be provided. During the heating season and during periods of occupancy by children, the room temperature shall not be less than 680 and not more than 740 measured 3 feet above the floor. 60 68 DAY CARE CENTERS ILLINOIS Natural or mechanical ventilation shall be provided within the facility. Areas where children read, paint, or participate in other activities requiring close eye work shall be provided with a minimum of 30 foot candles measured 2 feet above the floor. Artificial light sources shall be protected from hazards of breakage by installation of covers or shields. Other area:, may be provided with foot candles of varying intensity, depending on the usage; the average foot candles for the entire classroom area shall be at least 20 foot candles measured 2 feet above the floor. 1430. EXITS 94. Furnishings And Equipment Shall Be Durable, Safe And Sealed To The Size Of The Children. Compliance Requirements: Facilities operating on two or more floors shall have some means of formal communications between floors. 1440. TOILETS AND LAVATORIES 84. Toilets And Lavatories Shall Be Readily Accessible To The Childrei Compliance Requirements: If toilets and lavatories are not child size provided. Hot and cold running water shall be provided. safely usable steps shall be Mild soap and individual owels shall be available and used. Towels-may be disposabl DAY CARE CENTERS ILLINOIS Hot water supplied to lavatories, bathing facilities, and other plumbing fixtures used by children shall be tempered or thermostatically controlled to less than 120 degrees F. The following ratios of lavatories and toilet facilities shall be provided: Number of Children in Day Care Facility Toilets Lavatories 1 to 10 1 1 11 to 25 2 2 26 to 50 3 3 51 to 75 4 4 76 to 100 5 5 101 to 125 6 6 126 to 150 7 7 151 to 175 8 8 Toilets shall be within close proximity to the children's activity areas. If this is not possible in existing facilities, an adult shall accompany children four years of age and younger. 85. Toilet And Lavatories Shall Be)Readily Accessible To The Ste Compliance Requirements: Toilets with privacy measures and lavato of 1:15. shall be provided in a ratio Kitchen sinks used for food preparation shall neither be used as handwashing lavatories, nor included in the total number of handwashing lavatories required. Mild soap and individual towels shall be supplied. 70 DAY CARE CENTERS RS ILLINOIS 1500. OTHER STATE REQUIREMENTS 7 COMPLIANCE WITH OTHER LOCAL STATE AND REGIONAL AWS AND REGULATIONS 1510. ZONING Not specified 1520. FIRE The Physical Facilities Provided Both Indoors And Outdoors Shall Protect The Health And Safety Of Children. Compliance Requirements: The building housing a center shall be approved prior to occupancy by the proper health and fire authorities. Thereafter, inspection and approval shall be in accordance with the regulations of the proper health and fire authorities. 1530. BUILDING wee 1520. FIRE 1540. HEALTH See 1520. FIRE 1550. SANITATION See 1520. FIRE 1560. NEW CONSTRUCTION Not specified 606 71 DAY CARE CENTERS ILLINOIS 1500. OTHER STATE REQUIREMENTS - COMPLIANCE WITH OTHER LOCAL, STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING Noi specified/ 1520. FIRE-- 80. The Physical Facilities Provided Both Indoors And Outdoors Shall Protect The Health And Safety Of Children. Compliance Requirements: The building housing a center shall be approved prior to occupancy by the proper health and fire authorities. Thereafter, inspection and approval shall be in accordance with the regulations of the proper health and fire authorities. 1530. BUILDING See 1520. FtRE 1540. HEALTH See 1520. FIRE 1550. SANITATION See 1520. ME 158D. NEW CONSTRUCTION Not specified 6u; DAY CARE CENTERS (Infant Day Care Centers ILLINOIS Except as otherwise noted, all citations are from the Illinois Department of Children and Family Services, Regulation 5.13A, Lincensing Standards for Infant and Toddler Da Care Centers, January, 1978. 100. STATE LICENSLNG OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTE AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS 111. Definitions See DAYCARE CENTERS 12. Exclusions and Exemptions See DAY CARE CENTERS NHS Day Care Compliance See DAY CARE CENTERS 120. AGENCY RESPONSIBLE FOR LICENSI1dG OF DAY CARE PROGRAMS 121. Or anization of the Administrative Unit See DAY CARE CENTERS 122. Responsible 0 See DAY CARE CENTERS 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promul tiotons See DAY CARE.CENTERS DAY CARE CENTERS ILLINOIS (Infant Day Care Centers) 212. Advisory Bo and Other Community Participation See DAY CARE CENTERS 220. L10ENSLNG PROCEDURE 22L Application and Issuance See DAY CARE CENTERS 222. Fee Charged See DAY CARE CENTERS 223. Areas of Invas ti at See DAY CARE CENTERS 224. License Renewal See DAY CARE CENTERS 225. C See DAY CARE CENT 226. SubstantialCompliance See DAY, CARE CENTERS 230. ENFORCEMENT PROCEDURES 231. Facility Ins See DAY CARE CENTERS 232. Denialt Suspension, Revocation of a License See DAY CARE CENTERS 233. Remedies S See DAY CARE CENTER 233.1 Rearim See DAY CARE CENTERS 2 6;1) '"V DAY CARE CENTERS (Infant Day Care Centers) 233.2 Decisiore See DAY CARE CENTERS 233.3 Judicial Review See DAY CARE CENTERS 300. ADMINISTRATION GENERAL ADMINISTRATION General Administrative Rec uirements 1. A Center Receiving Children Within The Infant And Toddler Age Range Shall Comply With The General Standards Prescribed For Care Of All Children, Except When Inconsistent With The Special Requirements For Infants And Toddlers rescribed Below. Care Of The Children Shall Be Given In Such A Manner As To Insure That The Health And Safety Needs, As Well As The Nurturing Requirements Of The Children, Are Met. Conplianee Requirement. Records aid Procedures A copy of these standards shall be pas 312. 3. Indoor And Outdoor Play aterials And Equi anent Suitable For Staff To Use With. Infants And Toddlers To Stimulate Learning, Growth, Health;And Development %all Be Provided. 61u 3 DAY CARE CENTERS ILLINOIS (Infant Day Care Centers) Compliance Requirements: Telephone or intercom service shall be readily accessible. 313. Proof of Operator Financial Capabilities See DAY CARE CENTERS 314. Insurance See DAY CARE CENTERS 320. PERSOI 321. Publication of Personnel Policies See DAY CARE CENTERS 322. Constraints Against Employment. See DAY CARE CENTERS 330. NON-DISCRIMINATION 331. Requirements Prohibiting Discrimination Not specified 340. RECORDS REQUIREMENTS 341. Children See DAY CARE CENTERS 342. Staff See DitY CARE CENTERS 343. Child El gib itp and Enrollment Requirements See DAY CARE CENTERS 6 DAY CARE CENTERS (Infant Day Care Centers) 344. Child A se Reportjjai ILLINOIS 4. Care Of The Children Shall Be Given In Such A Manner As To Insure That The Health And Safety Needs, As Well As The Nurturing Requirements Of The Children, Are Met. Compliance Requirements: c Records and Procedures Suspected child abuse shall be reported to the Department of Children and Family Services immediately. 345. Confidentiallt of Records Re irements See DAY CARE CENTERS 400. GROUP CDMPOSITIONS OF CHILDREN S'T'AFF /CHILD RATIO REQUIREMENTS 4. Care Of The Children Shall Be Given In Such A Mannel As To Insure That The Health And Safety Needs, As Well As/ The Nurturing Requirements Of The Children, Are Met. Come fiance Requirements: Supervision and Discipline The caregiver who i in charge of a group of four children shan--e in constant -spervision of the children. If the caregiver is to leave the area for a break, or for any other reason, another qualified parson shall be called into the area. 612 DAY CARE CENTERS (Infant Day Care Centers) ILLINOIS Staff Who Work With Infants And Toddlers Shall Umlerrstancl The Developmental Needs Of Children Of This Age, Act In A Warm And Parenting Manner, And Provide Nurturing Care And Developmental Stimulation. Compliance Requirements: There shall, be one adult or every four infants and one adult or every -.. five toddlers. ' A trained subst- be `available and used when a regular staff member unable to be at work. 412. Methods of Computing Staff/ChUd.Ratios See 4U. Staff/Child Ratios as of ,March 1981 420. GROUP SIZE 421. Croup Size as of arch 1981 8. Staff Who Work .With Infants And Toddlers Shall Understand The Developmental Needs Of Children Of This Age, Act In A lVartn And Parenting Manner, And Provide Nurturing Care And Developmental Stimulation. Compliance Requirements: There shall be small groups of infsints and toddlers and sufficient numbers of qualified staff to provide for each child's physzieid care and safety and to \offer such individual attention to children as may bye needed. The maximum number of infants in any one group shall not exceed 2. The maximum number of e in any one group shall,not ekceed IS. 613 DAY CARE CENTERS ILLINOIS (Infant Day Care Centers The maximum number of combined infants and toddlers in any one group shall not exceed 14. 422. Methods of Computing Group Size See 421. Groin Size as of March 1981 500. STAFF QUALIFICATIONS AND TRAINING RE UIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 51L See DAY CARE CENTERS 512. Health Staff Who Work With Infants d Toddlers Shall Understand The Developmental Needs Of Children O This Age, Act In ..it Warm And Parenting Manlier, And Provide Nur tiring Care And Developmental Stimulation. Compliance -ements: All pe worldng with children shall be in - physical health. No person shall be allowed to work inInn or toddler group until after passing a physical examine. evidencing physical health and freedom from infectious d is to be updated every two years. ease. The physical Staff members sha not remain on. duty in an infant or toddler unit if they have a fever or sore throat or are experiencing the effects of vomiting or diarrhea. Evidence of current freedom from infectious disease may be required at any time. 614 7 DAY CARE CENTERS (infant Day Care Centers) 513. Education See DAY CARE CENTERS 514. See DAY CARE CENTERS 520. PROGRAM IRECT OR QUA ALIT ICATIDNS 521. 4.! See DAY CARE CENTERS 522.: Health See DAY CARE CENTERS 523. Education See DAY CARE CE 524. See DAY CARE CE 5 530. SUPPORT STAFF (2 CATIONS See DAY' CARE CENTERS OIS 540. POST E M -WEB:VICE: OR NTATICN AND TRAINING 541- See 542. C1Vad 542. Child gaIzsgulataff Staff Who Work Witb Iramfants And Toddle Shall Understand The DeveloprnCntal Needs Of C Children Of This Age, Act In A Warm And Parenting Manner, And Provide Nurturing Care And Developmen Stimulation. 615. 8 )A' CAIIECENTERS I ILLINOIS infar--r-st DelCare Cnters) on-ip=liarsee liequirm en There shall e a professionally qualified per Son available tt to supervise the care of ,--7Infants and to instruct other staff members iftri the probe hallit care techniques and procedures necessary to inStxrefa_ the ihealth and welfare of the children. The individual shall be preesk erit at least °ilea week during the hours of operation and spend a rnirli:.irreuni of one hourin observing the child care techniques of the staff, Vieisita shall be made as oft - en as and to whatever length is required to tissue that proper care c=sf the children is maintained. At least one staff member on duty shall be ttshed rega itlirtg first aid procedures fir infants and toddlers. ;ea X42. -Child ?ft GRAM OF AcTIV IllOEDUC 310, PliOG A I >ITI EMENTS Infants And Toddlers Shall Be Provided A Daly Pto r r8rt That I= Desired To Meet The Developmental Needs Ot Children Cif This Age: is celleqUirmentse Titre sarrie ot-_m.aff member shall feed, diaper, and play v ith a ehUdeverYw cloy s° as Am& establish warm interaction and to establish .mrontinulty iraK the chiles as`lationshp with adults at the facility, etdren armall be fre o creep, ddle, and sv they priyelcally ogle. pi6 DAY CARE CENTERS (Infant Day Care Centers) ILLINOIS When a staff member is interacting with an infant, that staff member shall seek to establish eye contact with that infant. Children shall be taken outdoors or a portion of every day, weather permitting. Toys shall be accessible on low open shelves for the children to use and shall be rotated with stored toys. For those infants who cannot move about the room, the staff shall frequently change the place and position of the child and the selection of toys available. Information shall be kept and made available to parents when the child is picked up at the end of the day. This shall include information important for parents to know, such as facts of feeding and elimination. Opportunities for interaction with pp ." cants, brothers and sisters, other relatives, and older children in the facility shall be provided for and encouraged on a continuing basis. The Daily Program For Infants And Toddlers Shall Provide Experiences Which Promote The Individual Child's Growth And Well-Being In The Development Of Gross And Fine Motor Skills, Sensory Learning- Language, Cognition, And Positive Self-Concept. t. Compliance Requirements: Gross and fine motor activity The staff member shall encourage the progression of gross and fine motor skills, such as following colorful objects with the eyes, finding objects under clothes and boxes, reaching out and,pasping _ objects, picking up and letting go of objects, rolling over, sitting up,- creeping,- crawling, walking, rolling balls, running, kicking, jumping, and dancing. 0 61 *4. DAY CARE CENTERS (Infant Day Care Centers) ILLINOIS Small infants who are awake shall be moved to different itions at least every 30 minutes and shall be held, rocked, and carried about. Sensory learning Opportunities to handle objects with different textur water, sand, play dough, grass, and toys shall be provided. Opportunities to hear pleasing sounds such as wind chimes and music shall be arranged. New and different foods with varying smells, colors, and textures shall be presented to the infant. Language Each staff member shall repeat vocal sounds made by infants, such as cooing and babbling, in games in which the infants are encouraged to repeat the sounds in "conversation," such as sou r.is Like "ba=ba" and "mum-mum." As infants progress in age and ability to imitate sounds, adults shall present sound increasingly similar to words for the infants to repeat. For example, "str--sh," "meow," "moo," and "buss." Staff members shall pronounce the names of objects to infants and toddlers, associating words with objects. Infants and toddlers shall be able to hear meaningful conversation between' adults and between adults and other children. When names for objects have come to be understood by the infants and toddlers, adults shall use those words in simple commands like "Get the ball." 618 11 DAY CARE CENTERS (Infant Day Care Centers) LINOIS Adults shall describe what is ha 7ening to the - infant during the day, such as "Let's zip up your pajamas," or _"Here is your warm bottle." The staff member might sing about what is ha pening, look at simple picture books, and play games like pat-a ake or peek-a-boo. Adults shall use language to expand the infant's and toddler's learning. If a child approaches a ball and says "Be," the adult might say, "Do you want the ball?" Cognition There shall be opportunities for problem solving, such as a toy to which a string has been, attached so the child can pull it.' There shall be opportunities to make choices, such as choosing between a book and a toy. There shall be opportunities to manipulate objects, such as slm puzzles large beads, stacking toys, shape box, and toys of graded. sizes. In everyday situations, the adult shall point out the concepts of ntimber, color, shape, and size. There shall be opportunities for the child to hunt for small "hidden" objects, such as hiding a small object under a cloth or box well within the range of the infant's vision. Self-concept The adult shall show warm, positive feelings toward each infant, demonstrating these through actions such as hugging, patting, smiling, and cuddling. 61) 12 DAY CARE CENTERS ILLINOIS (Want Day Care Centers) Each infant's name shall be used frequently to h develop an identity. him or her to The adult shall informally explain to the infant the parts of the body by pointing and naming them. Simple nging games about each infant, his or her body parts, and types of clothing shall be played. Self-care such as washing, dressing, toileting, brushing, and combing shall be encouraged as each child shows evidence of ability to do so, in order to enhance feelings of self - competence. 7. The Program Shall Take Into Account The Possible Stress And Fatigue Retulfing From The Stimulation And Activity Of Long Hodrs In A Group Living Situation. Compliance Requirements: Staff members shall observe each infant to decide how much stimulatidn is enough at a particular time. Activities in the center shall capture the ease and freedom of movement of home life. A primary relationship for each child with a "mothering" staff person shall be insured. 612. Pram Equipment and Materials Indoor And Outdoor Play Materials And Equipment Suitable For Staff To Use With Infants And Toddlers To Stimulate Learning, Growth, Health,.And Development Shall Be Provided. Compliance Re ementsu A refrigerator shall be available and easily acce b e to the chit en's room. 13 62u DAY CARE CENTERS ILLINOIS (Infant Day Care Centers) Conveniently located, washable, plastic-lin be provided for soiled diapers and linens. vered receptacles shall Indoor and outdoor play materials shall include toys for large and small motor development, for sensory stimulation, for language development, for cognitive development, and for development of self-concept. Duplicate play materials (such as puzzles ©r blocks) shall be available to facilitate parallel play. A heating unit for warming adults only. shall easily accessible to Trairdng chairs shall be provided for infants, toddlers, and handicapped children who require them. Training "potties" will be promptly cleaned and sanitized after each use. Potties or portable toilets shall be 'provided at a ratio of one for each three children. The Daily Program For Infants And Waddlers Shall Provide Experiences Which Promote The Individual Child's Growth Add Well-Being In The Development Of Gross And Fine Motor Skills, Sensory Learning, Language, Cognition, And Positive Self-Concept. Compliance Requirements: Gross and fine motor activity There shall be a variety of toys, art materials, and finger foods for infants and toddlers to grasp, pick up and manipulate. These shall be changed frequently. There shall be small- sized outdoor equipment such as infant swings, tunnels, and climbers for the use of infants and toddlers. 14 DAY CARE CENTERS ILLINOIS Infant Day Csme Centers) Sensory learning There shall be colorful mobiles and wall decorations for the children ta look, at within their range of visis; these shall be rearranged periodically. Cognition There shall be a variety of colorful 'toys for the infant to look at, suck, mouth, hit, bang, shake, drop, row, and examine. °Week which respond to the infant's actions, demonstrating to the infant that he or she can make interesting things happen, shall be provided. Nap Provision Care Of The Children Shall Be Given In Such A Manner As To Insure That The Health And Safety Needs, As Well As The Nurturing Requirements Of The Children, Are Met. 7.om ance Re Sleeping Each child shall be placed in a separate bed that name visible. Very young infants -ho cannot turn over shall be placed on th abdomen for their naps and immediately after a feeding unless counter- indicated by a physician. Sheets shall be changed when soiled. All sheets shall routinely two times per week. All beds shall be wiped clean often as necessary. All be shall b.theivughly cleaned when each child is no longer enrolled in the nursery_ At no time wi4 two children be allowed to share the same. bed during their time of enrollment, unless it is fully gleaned between each child's use. DAY CARE. CENTERS (Infant Day Care Centers) ILLINOIS Routines such as naps and feedings shall take into consideration parents' information% and wishes about the routines followed in the home. 614. Discipline and Guidance 4. Care Of The Children Shad Be Given In Such A Manner As To Insure That The Health And Safety Needs, As Well As The Nurturing Requirements Of The Children, Are Met. Compliande Requirements: Supervision and Discipline Firm positive statements about or redirection of infants' behaviors shall be the effective controlling techniques used No child shall be subjected under any circumslifinc humiliating or corporal punishment inflicted in any manner upon the body or to verbal abuse, deprived of regularly scheduled meals or any part of meals as punishment, or punished for toilet accidents, in addttion to Licensing' Standards for Day and Night Care Centers Regulation 39. 700. HEALTH AND SAFETY 710. HEALTH 71L *General H Requirements, Not specified 712. Health Assessments Not specified 16 62 DAY CARE CENTERS ILLINOIS (Infant Day Care Centers) 713. Immunizations Not specified 714. Sanitation A Facility For Infants And Toddlers Shall Have Stiff dent Indoor And Outdoor Space And Appropriate Furniture To Provide For Support Functions Necessary To The Program And To Provide For The Reasonable Comfort And Convenience Of Staff And Parent(s). Compliance Requirements: Walls and flooring shall be washable mate be of nontoxic paints. all painted surfaces shall 3. t Indoor And Outdoor Play Materials And Equi?ment Suitable For Staff To Use With Infants And Toddlers To Stimulate Learning, Growth, Health, And Development Shag Be Provided. Compliance Requirement= Bed linens used on the cots, cribs, or and washable. shall be tightly fitting Care Of The Children Shall Be Given In Such A Manner As ro Insure That The Health And Safety New, As Well As The Nurturing Requfrements Of The Children, Are Met. Compliance Requirement s: Diapering and tofleting Infants and tars shall be diapered: In their own individual cribs Or at a central diapering area On a surface that is sanitized after each diapering. DAY CARE CENTERS (Infant Day Care Centers) ILLINOIS Or on a disposable paper sheet which is disposed of after each diapering. If there has been defecation or if irritation is present, the child's hands are to be washed prior to the anal area with a clean, damp, soapy cloth, then rinsed with a second clean cloth in the me order. The fecal contents of the diaper shall be disposed of into a flushing toilet, with the diaper then being wrung out and placed in a diaper pail. Adults shall wash hands vigorously for at least 15 seconds with soap and running water after each diaper change. There shall be a parent -staff consultation prior to toilet traini Children shall never be punished for toilet accidents. Bathroom odors shall be c6ntrolled. Sanitary Procedure All utensils shall be washed after each use. Toys and equipment shall be kept clean. A child's toilet seat or potty shall be cleaned and sanitized after each use. 715. Daily Illness Scree See DAY CARE CENTERS 716. Care Of Sic* Ctuldren See DAY CARE CENTERS 625 DAY CARE CENTERS (Infant Day Care Centers 717. Medication and Special Diet Provisions 40 ILLINOIS 4, Care Of The Children §hall Be Given In Such A Manner As T_ o Insure That The Health And Safety Needs, As Well As The Nurturing 'Requirements Of The Children, Are Met. Compliance Requirements: Health and Medical Care The following procedures shall be followed, in addition to Licensing Standards for Day and Night Cove Centers Regulation 100: Medication shall be administered to a child only upon written request of the parents or guardian. The following procedures shall be followed: A bulletin board shall be placed in a visible position with the child's name, medication times, and prescription number listed on the board. Also listed shall be the name of the person administering he medication. Each time the/ medication is given, i atio time shall be crossed off the board. The same person on a shift shall always be responsible for administering medication. 718. Waiver Health Requirements Not specified 720. SAFETY 721. General Safety Requirements 2. A Facility For Infants- And Toddlers Shall Have Sufficient Indoor And Outdoor Space And Appropriate Furniture To Provide For Support Functions Necessary To The Program And To Provide For The Reasonable Comfort And Convenience Of Staff And Parent(s). 19 626 DAY CARE CENTERS ILLINOIS (Infant Day are Centers) CompLiEnce Requirements: Electrical outlets accessible to the children shall have protective covering. No extension p.ords shall be used in areas acdessible to children. All electrical cords not in use with supervision of an adult tlhall be iplugged and thee outlets covered. 722k e Safety Rtguirements Care Of The Children Shall Be Given In Such A Manner As To Insure That The Health And Safety Needs, As Well As The Nurturing Requirements Of The Children, Are Met. Compliance Requirements: Safety There shall be a posted emergency plan for evacuation and periodic fire drills shall be conducted at the center for the purpose of remo rom the center as soon as possible. 723. Tranaportation See DAY CARE CENTERS 724. Safety p.5 E m_ en t Indoor And Outdoor Play Materials And Equipment Suitable For Staff To Use With Infants And Toddlers To Stimulate Learning, Growth, Health, And Development Shall Be Provided. Compliance Requirements: Equipment and play materials Wien be durable and free from characteristics that may be hazardous or injurious to infants and toddlers. Hazardous or injurious characteristics include sharp, rough toxic pain and objects small enough to be swallowed. 62 , DAY CARE CENTERS (Infant Day Care Centers) IL 0 Equipment and play materials shall be maintained in sound, clean condition at all times. Safe, sturdy, well-constructed individual cribs, portable gibs, or play pens used for sleeping shall be equipped with good, firm, fitting mattresses made of waterproof materials that can be washed. Stacking cots constructed of washable materials or full-size cribs shall be provided for toddlers. There shall be no more than 1 -1/2 inches of space between the mattress and bedframe when the mattress is pushed flush to one corner of the crib. 725.- Water Activities Swimming) Not specified 726. Emergency Procedures Care Of The Children Shall Be biven In Such A Manner As To Insure That The Health And Safety Needs, As Well As The Nurturing Requirements Of The Children, Are Met. Compliance Requirements: Records and Procedures An accide report shall be made and filed at the facility by a . witness to an accident that has occurred to a Child while at the 727. facility. Aiid Supplies Indoor And Outdoor Play Materials And EqT4pment Suitable For Staff To Use With Infants And Toddlers To Stimulate Learning, Growth, Health, And Development Shall Be Provided. DAY CARE CENTERS (Infant Day Care Centers) ILLINOIS Compliance Requirements: First aid supplies with infant and toddler supplies shall be available easily accessible for use. 800 NUTRrrioN AND FOOD SERVICE 810. NUTRr ION 811. Nutritional Requirements See DAY CARE CENTERS 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 821. Food preparation eind Service Requirements 4. Care Of The Children Shall Be Given In Such A Manner As To Insure That The Health And Safety Needs, As Well A4 The Nurturing Requfrements ot The Children, Are Met. Compliance Requirements: Feeding Hands shall be washed and dried h individual or disposable towels before each feeding of individual children. Flexible feeding schedule of infants shall be established to coordinate with parents' schedules at home and to allow or nursing infants. 9 Infants shall be held or placed in a.chairsfor feeding. Bottles stall not be propped.- When infants are old enough to hold their own - bottles, they may feed themselves part of-the time without being_ held. 621) 22 DAY CARE CENTERS (Infant Day Care Centers) a, LINOIS If the child's formula is brought in by the parent at the beginning of each day, it shall be identified and placed in the refrigerator. All opened f shall be dated and used within 24 bows. Food should be served in separate dishes for eaath infant and not in jars. Leftovers from children's dishes should be thrown away. Chilcken shall be allowed and encouraged to feed themselves. Supportive help to the child frown the staff shall be maintained for as long as the child nee such help. Safe finger foods shall be provided; foods that dissolve or become pulpy in the mouth are appropriate finger food. Not specified 900. SOCIAL SERVICES 1000. FAINT PA wrr CIPA'TION 1100. INFANTS AND TODDL 1110. PROGRAM OF ACTIVITIES See 600. PROGRAM OF ACTIVITIES, 1 CLUDING CATION 820. HEALTR AND SAFETY REQUIREMENTS See 700. REALM AND SAFETY Not specified 23 DAY CARE CENTERS ILLINOIS (Infant Day Care Centers) 1130. INFANT NUTRITION See 800. NUTRITION AND FOOD SERVICE 1200. CHILDREN WITHHANDICAPpING CONDITIONS 1210. PROGRAM OF ACTIVITIES See DAY CARE CENTERS 1220, HEALTH AND SAFETY .REQUIREMEIZTS- See DAY CARE CENTERS 1230. STAFFING See DAY CARE CENTERS 0. SCHOOL AGE CHILDREN 1310. PROGRAM OF ACTIVITIES Not applicable 1320. HEALTH AND SAFETY_ REQUIREMENTS Not aPplicable 1400. FACILITY REQUIREMENTS 1410. SPACE 2. A Facility For Infants And Toddlers Shall Have Sufficient Indoor And Outdoor Space And Appropriate Furniture To Provide For Support Functions Necessary To The Program And To Provide For The Reasonable Comfort And Convenience Of Staff And Parent(s). 631 24 DAY CARE CENTERS (Infant Day Care Centers) NOIS Compliance Requirements: Infants and toddlers shall be housed and cared for either at grade level or one flight of stairs above or below grade level and the rooms shall be easily accessible. Separate spaces for infants and toddlers shall be available away from older children except in facilities enrolling 10 or fewer children. Infants six weeks to 15 months that: Play and sleep in the same room shall have a minimum of 25 square feet of space per child for play area plus a minimum of 30 square feet of-space per child for sleeping area with at least two feet between each crib or cot. Play in separate rooms shall have a minimum of 25 square feet of play space per child. Sleep in separate rooms shall have a minimum of 30 square feet of space per child for sleeping area with at least two feet between each crib. Toddlers 15 months to 24 months that: Play and sleep in the same room Using stackable cots: shall have 35 square feet of space per child. U sp.. shall have a minimum of 55 square feet of per child. However, when the children are in their cribs, there must be a minimum of two feet between the cribs. Play in separate rooms shall have a minimum of 35 square feet of space per child. 632 DAY CARE CENTERS ILLINOIS (Infant Day Care Centers Sleep paste rooms shall have a minimum of 30 square feet of space per child with at least two feet between each crib or cot. An easily accessib area for writing and maintaining records kept the staff shall be provided. Indoor And Outdoor Play Materials And, Equipment Suitable For Staff To Use With Infants And Toddlers To Stimulate Learning, Growth, Health, And Development Shall Be Provided. Compliance Requirements: Locked cabinets shall be provide children may not use. storage of items which the Storage space for each child's belongings shall be available. 1420. LIGHTING VENT A ON AND TEMPERATURE 2. A Facility For Infants And Toddlers Shall Have Sufficient Indoor And Outdoor Space And Appropriate Furniture To Provide For Support Functions Necessary To The Program And To Provide For The Reasonable Comfort And Convenience Of Staff And Parent(s). Compliance Requirements: A center shall be well ventilated and furnished with temperature and humidity gauges to assure maintenance of a constant minimum temperature of 68 degrees Fahrenheit and relative humidity of 35 to 60 percent. 1430. EXITS See DAY CARE CENTERS 26 633 DAY CARE CENTERS (Infant Day Care Centers) 1440. TOILETS A D LAVATO ILLINOIS A Facility For Infants And Toddlers Shall Have Sufficient Indoor And Outdoor Space And Appropriate Furniture To Provide For Support Functions Necessary To The Program And To Provide For The Reasonable Comfort And Convenience Of Staff And Parent(s). Compliance Requirements: A sink or lavatory shall be easily accessible for the use of staff for hand-washing and for use by the children, A toilet shall be easily accessible so that the contents of cloth diapers, if used, may be disposed of before placing diapers in the diaper pail. One toilet or potty chair for every three toddlers being toilet trained shall be provided. 1500. OTHER STATE RE U EMENTS - COMPLIANCE W17.11.-OTHER LOCAL, STATE, AND REGIONAL LAWS AND REGUT"A JNS 1510. ZONING Not specified 1520. FIRE, See DAY CARE CENTERS 1530. BUILDING See DAY CARE CENTERS 1540. HEALTH See DAY CARE CEN'T'ERS 27 DAY CARE CENTERS ILLINOIS (Infant Day Care Centers) 1550 SANITATION See DAY CARE CENTERS 1560. NEW CONSTRUCTION Not specified