Current through Register Vol. 47, No. 17, September 10, 2024
A. The
center must accept and care only for children of the ages for which it has been
licensed. At no time shall the number of children in attendance exceed the
number for which the center has been licensed.
B. Admission procedures must be completed
prior to the child's attendance at the center and must include:
1. A pre-admission interview with the child's
parent(s)/guardian(s) to determine whether the services offered by the center
will meet the needs of the child and the parent(s)/ guardian(s);
2. Completion of the registration information
required for inclusion in the child's record as required in rule section 2.209;
and
3. If applicable, a
Department-approved health care plan authorized by the child's health care
provider and parent(s)/guardian(s) defining the interventions needed to care
for a child who has an identified health or developmental condition or concern
including, but not limited to seizures, asthma, diabetes, severe allergies,
heart or respiratory conditions, and physical disabilities. Any applicable
medications, supplies, and/or medical equipment must be available to the staff
prior to the child's first day of care. The staff working with a child with a
health care plan must be informed, trained, and delegated responsibility for
carrying out the health care plan by the Department-approved child care health
consultant; supervision of the plan and interventions must be
documented.
C. Children
with Special Needs
1. The admission of
children who have special health care needs, disabilities, or developmental
delays which includes children with social emotional and behavioral needs must
be in alignment with the training and ability of staff and in compliance with
the Americans with Disabilities Act. Services offered must show that a
reasonable effort is made to accommodate the child's needs and to integrate the
child with other children. (See rule section 2.119 of the General Rules
Regulating Child Care Facilities)
2. The center must inform its
Department-approved child care health consultant prior to the first day of care
of the enrollment of a child with special health care needs, if known, so staff
receive training, delegation and supervision by the Department-approved child
care health consultant as indicated by the child's individualized health care
plan.
3. For a child with special
health care needs requiring intervention and/or medication, the center must
obtain written instructions for providing services from the child's
parent(s)/guardian(s), and the health care provider. If an existing
individualized health care plan is provided for the child, it must be reviewed
and followed by the center staff when caring for the child. If the child does
not have an existing individualized health care plan, the individualized health
care plan must be obtained by the child's first day of care.
4. For an enrolled child with a newly
identified special health care need, the center must obtain written
instructions for providing services from the child's parent(s)/guardian(s) and
the health care provider. If the child with special health care needs does not
have an existing individualized health care plan, the individualized health
care plan and all associated medication(s) and/or equipment must be provided
within thirty (30) calendar days of the child's identified need.
5. The individual health care plan must be
updated at least every twelve (12) months from the date of the initial plan and
as changes occur. The plan must include all information needed to care for the
child, must be signed by the health care provider, parent(s)/guardian(s) and
must include, but not be limited to, the following:
a. Medication and dosing schedule;
b. Nutrition and feeding
instructions;
c. Medical equipment
or adaptive devices, including instructions;
d. Medical emergency instructions;
e. Toileting and personal hygiene
instructions;
f. Behavioral
interventions; and
g. Medical
procedure/intervention orders.
D. If the parent(s)/guardian(s) agree(s) that
the center should care for a child in the infant program who is eighteen (18)
months or older, the center must have on file a written statement from a health
care provider confirming that care for the child is appropriate in the infant
program.
E. If the
parent(s)/guardian(s) agree(s) that the center should care for a child in the
toddler program who is twelve (12) months old but not walking independently, or
is over thirty-six (36) months old, the center must have on file a written
statement from a health care provider confirming that care for the child is
appropriate in the toddler program.
