Alaska Administrative Code
Title 7 - Health and Social Services
Part 3 - Public Assistance and Medical Assistance
Chapter 41 - Child Care Assistance Program
Article 2 - Provisions for Providers
7 AAC 41.215 - General health, safety, medication, and nutrition requirements
Universal Citation: 7 AK Admin Code 41.215
Current through August 30, 2024
(a) A licensed child care provider described in 7 AAC 41.200(a)(1) shall meet the applicable health and safety requirements of 7 AAC 10.1000- AAC 10.1095 and 7 AAC 57. A provider described in 7 AAC 41.200(a)(2), (3), or (4) shall meet the applicable general health and safety requirements of the accrediting, certifying, or approving agency
(b) A provider described in 7 AAC 41.200(a)(5) shall meet the health and safety requirements of this chapter and the general health, medication, and nutrition requirements of this section.
(c) A provider described in 7 AAC 41.200(a)(5) shall
(1) take precautions against the spread of
infectious disease by ensuring that each person in contact with children washes
that person's hands for at least 10 seconds with soap and water and rinses them
with water
(A) before food handling,
preparation, serving, eating, or table setting;
(B) after toileting or assisting a child with
toileting or diapering;
(C) after
handling an animal, animal waste, or an animal cage;
(D) before and after giving
medication;
(E) before and after
participation in moist play, including painting, cooking, or molding clay;
and
(F) if hands are contaminated
with a body fluid, including from nose wiping;
(2) encourage children to wash their hands at
similar times described in (1) of this subsection;
(3) ensure that children in care have been
immunized as required under
7 AAC 57.550(a) - (e), except that
children identified as homeless or in protective services or foster care may be
enrolled for up to 30 days without a valid immunization record;
(4) ensure that care of other children is not
compromised by admitting or allowing a mildly ill child to be in
attendance;
(5) ensure that a
provider caring for a mildly ill child arranges a plan of care with the parent
and provides a place where, under supervision, the child may rest or play
quietly, apart from other children, if warranted;
(6) ensure that a child who shows definite
signs of a serious illness or of a highly communicable disease is not admitted
or allowed to remain in attendance unless a medical provider approves the
child's attendance; and
(7) ensure
that an opportunity for a supervised rest or sleep period is provided for each
child under five years of age who is in care more than five hours, and tor any
other child, if desired by the child; for a child who is unable to sleep, the
provider shall provide supervised time and space for quiet play; the provider
may place in a crib only
(A) an infant
described in
7 AAC 41.025(b);
(B) a nonclimbing toddler described in
7 AAC 41.025(b); or
(C) a child identified as having special
needs, if appropriate.
(d) A provider described in 7 AAC 41.200(a)(5) shall meet the following requirements tor the administration and storage of medication:
(1) a provider may administer medication only
as follows:
(A) upon admission or when a new
medication is prescribed, the provider shall obtain from the parent of a child
in care written permission for the administration of prescription
medication
(B) the provider shall
administer prescription medication and special medical procedures only in the
dosage, at the intervals, or in the manner prescribed by a physician or other
person legally authorized to prescribe medication or medical procedures, and
shall document in a medication log the date and time each dose is administered
and the provider's initials;
(C) if
written permission has not been obtained from the child's parent for the
administration of a commonly used nonprescription medication or medication
contained in the first-aid kit required under
7 AAC 10.1075 and
7 AAC 41.230(b), the provider shall
document telephone permission to administer that medication;
(D) the provider shall document in a
medication log, including the date and time each dose is administered and the
provider's initials, the use of any commonly used nonprescription medication
for oral or topical use kept on hand by the provider for the communal use of
any child;
(E) the provider shall
ensure that prescription medicine is kept in
(i) the original container showing the date
filled, the expiration date, instructions, and the physician's or other medical
professional's name; or
(ii) medic
me sets filled by a pharmacist or a licensed medical professional; the
prescription date tilled, the expiration date, instructions, and the
physician's or other medical professional's name must be affixed to or stored
with each medicine set;
(F) the provider shall ensure that all unused
medication is returned to the parent of a child in care when the medication is
no longer needed.
(2) a
provider shall ensure that
(A) each stored
medication, including each nonprescription medication, is in its original
container and properly labeled with the name of the child for whom it is
intended, the name of the medication, the dosage, the expiration date, and
directions for administration;
(B)
medications are stored in a manner that prevents access by unauthorized
persons;
(C) medications, including
controlled substances, are stored in accordance with the manufacturer's
recommendations; in this subparagraph, "controlled substance" means a drug,
substance, or immediate precursor included in the schedules set out in
AS
11.71.140-
11.71.190;
(D) nonprescription medications and health
products, including nonaspirin fever reducers, naturopathic remedies, vitamin
and mineral supplements, diaper ointments and powders, sunscreen, and insect
repellent, are used only at the dose, duration, or method of administration
specified on the manufacturer's label; and
(E) medication requiring refrigeration is
grouped together, stored in a manner to prevent contamination of food, and
labeled as required by this section,
(e) A provider described in 7 AAC 41.200(a)(5) shall meet the following nutrition requirements:
(1) the
provider shall ensure that snacks and meals meet tire child care food program
requirements of 7 C.F.R.
226.20;
(2) the provider shall allow food for a
child's meals and snacks to be provided by the child's parent if they are
labeled with the child's name and the date;
(3) the provider shall maintain sanitary
facilities for the proper care, storage, refrigeration, and preparation of
food; the provider shall ensure that
(A) food
served is not altered to contain harmful substances; and
(B) fruits and vegetables are thoroughly
washed with potable water before use;
(4) the provider shall observe the following
requirements for bottle feedings if caring for infants as described in
7 AAC 41.025(b):
(A) bottle feedings may be prepared by the
parent or the provider; if the provider prepares the bottle feedings, the
provider shall consult with the parent to ensure consistency with the bottle
feedings given at home;
(B) an
infant shall be fed on demand;
(C)
a child on bottle feedings
(i) shall either
be held or fed sitting up or, if unable to sit up, always be held by a
caregiver during the feeding; bottles may not be propped for a child;
and
(ii) may not be permitted to
hold or carry its bottle at times other than the
feeding;
(5)
the provider shall obtain information concerning any food allergies or special
dietary needs of each child and shall plan that child's meals accordingly;
and
(6) except for medical reasons,
the provider may not deny a meal or snack to a child force-feed a child, or
otherwise coerce a child to eat against the child's will; mere encouragement
without any element of compulsion is not
prohibited.
A copy of the child care food program referred to in 7 AAC 41.215(e)-(1) may be obtained from the Department of Health and Social Services, Division of Public Health, P.O. Box 110610, 350 Main Street, Room 503, Juneau, Alaska 99811-0610 or any other office of that division in the state.
Authority:AS 47.05.300
AS 47.05.310
AS 47.25.001
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