Current through Register Vol. 48, No. 38, September 20, 2024
a) The caregiver shall conduct a daily,
pre-admissions screening to determine if the child has obvious symptoms of
illness. If symptoms of illness are present, the caregiver shall determine
whether to provide care for the child, depending upon the apparent degree of
illness, other children present, and facilities available to provide care for
the ill child.
b) Children with
diarrhea and those with a rash combined with fever (oral temperature of 101
degrees Fahrenheit or higher or under the arm temperature of 100 degrees
Fahrenheit or higher) shall not be admitted to the day care home while these
symptoms persist, and shall be removed as soon as possible should these
symptoms develop while the child is in care.
c) A medical report, on forms prescribed by
the Department, shall be on file for each child, on the first day of care, and
shall be dated no earlier than 6 months prior to enrollment.
1) The medical report shall be valid for 2
years, except that subsequent examinations for school-age children shall be in
accordance with the requirements of Section 27-8.1 of the School Code [105 ILCS
5/27-8.1] provided copies of the exam are on file at the facility.
2) If the child is in a high risk group, as
determined by the examining physician, a tuberculin skin test by the Mantoux
method and the results of that test shall be included in the initial
examination for all children who have attained one year of age, or at the age
of one year for children who are enrolled before their first birthday. The
tuberculin skin test by the Mantoux method shall be repeated when the children
in high-risk groups begin elementary and secondary school.
3) The initial examination shall show that
children from 6 months through 6 years of age have been screened for lead
poisoning for children residing in an area defined as high risk by the Illinois
Department of Public Health in its Lead Poisoning Prevention Code (77 Ill. Adm.
Code 845) or that a lead risk assessment has been completed for children
residing in an area defined as low risk by the Illinois Department of Public
Health.
4) The report shall
indicate that the child has been immunized as required by the rules of the
Illinois Department of Public Health for immunizations (77 Ill. Adm. Code 695).
These required immunizations are poliomyelitis, measles, rubella, diphtheria,
mumps, pertussis, tetanus, hepatitis B, haemophilus influenza B, and varicella
(chickenpox) or provide proof of immunity according to requirements in Part
695.50
of the Department of Public Health.
5) In accordance with the Child Care Act of
1969, a parent may request that immunizations, physical examinations, and/or
medical treatment be waived on religious grounds. A request for such waiver
shall be in writing, signed by the parent, and kept in the child's
record.
6) Exceptions made for
children who for medical reasons should not be subjected to immunizations or
tuberculin tests shall be so indicated by the physician on the child's medical
form.
d) A child
suspected of having or diagnosed as having a reportable infectious, contagious,
or communicable disease for which isolation is required by the Illinois
Department of Public Health's General Procedures for the Control of
Communicable Diseases (77 Ill. Adm. Code
690.1000
) shall be excluded from the home until the Illinois Department of Public
Health or local health department authorized by it states, in writing, that the
communicable, contagious or infectious stage of the disease has passed and that
the child may be re-admitted to the day care home.
e) Necessary medications shall be
administered according to specific written instructions provided by the child's
parents or guardians.
1) Prescription
medicine labels must bear the child's name, the physician's name, the name of
the drug store or pharmacy, prescription number, date of the prescription, and
directions for administering.
2)
Non-prescription medication may be administered upon written parental
permission that specifies the duration and frequency of medication. Such
medication shall be administered in accordance with package instructions, and,
except for aspirin and aspirin substitutes, shall be labeled with the child's
name and dated.
3) There shall be a
signed statement by the child's parent or guardian giving permission to the
caregiver to administer medication to the child.
4) The caregiver shall maintain a record of
the dates, hours and dosages that are given.
5) Medication shall be returned to the
parents when it is no longer required. Additionally, medication provided for a
child no longer cared for in the facility and medication that has reached its
expiration date shall be destroyed.
6) Medical services, such as direct medical
care to the child, shall be administered as required by a physician, subject to
the receipt of appropriate releases from parents.
f) In order to reduce the risk of infection
or contagion to others, space must be provided in the day care home for the
isolation and observation of a child who becomes ill. An ill child shall be
provided a bed or cot away from other children and a caregiver or assistant
shall supervise the child at all times he/she is in the home.
g) When a day care home admits ill or injured
children, a plan for the care of such children must be agreed upon with the
parents to assure that the needs of the children for rest, attention, personal
care and administration of prescribed medication are met. No child requiring
exclusion from the home in accordance with 77 Ill. Adm. Code 690 may be
admitted.
h) Personal hygiene
standards, such as the following, shall be observed:
1) Each child shall be provided with an
individual towel, washcloth, and drinking cup. Single-use, disposable articles
are acceptable.
2) A separate
sleeping arrangement, such as a bed, cot, crib, or playpen, with individual
bedding, shall be provided for each child who naps or sleeps while in care. A
twin size bed may be used for 2 children under age 4, provided each child shall
have individual sheets.
A) The bed shall be
kept in a clean and sanitary condition at all times, and bedding shall be
suitable for the season.
B) Family
beds may be used for children if separate linens are used.
C) Rubber sheets shall be used when
necessary.
3) The
caregiver shall require parents to supply clothing suitable to weather
conditions, as well as a complete change of clothing in case of need.
4) Caregivers and children shall use soap and
running water to wash their hands before meals, after toileting, after diaper
changing, and after contact with respiratory secretions. Hand sanitizers or
diaper wipes are not an acceptable substitute for soap and running water.
Caregivers shall always supervise children's handwashing to ensure that
children are not scalded by hot water.
5) Open cuts, sores or lesions on caregivers
or children shall be covered.
6)
Caregivers shall wash their hands with soap and water prior to food preparation
and after any physical contact with a child during food preparation. Hands
shall be dried using single-use towels.
7) Sheets shall be changed when soiled and at
least weekly.
8) Clothing soiled
due to toilet accidents shall be changed immediately.
i) Caregivers shall take reasonable measures
to reduce the spread of communicable disease among children in the facility by
observing such procedures as:
1) Using only
washable toys with diapered children;
2) Washing washable toys at least once per
day;
3) Cleaning facility-provided
stuffed toys;
4) Washing toys
mouthed by one child before they are used by another child; and
5) Washing pacifiers and other items placed
in the mouth if dropped to the floor or ground.
j) There shall be an emergency plan for each
child in case of accident or sudden illness.
1) The caregiver shall have available at all
times the name, address, and telephone number where the child's parents or
guardian, relative, friend, or physician, and the Department can be
reached.
2) There shall be a
planned source of readily available emergency medical care: a hospital
emergency medical room, clinic, or the child's physician.
3) When the caregiver accompanies a child to
the source of emergency care, an adult who meets the standards prescribed by
Section
406.11 must assume
supervision of other children in the home.
4) In case of illness or accident, the
parent, guardian, or supervising agency responsible for the child shall be
notified immediately, and the child shall be removed from the home as soon as
possible.
k) Children
shall be supervised at all times. All children in the home shall be protected
from exploitation, neglect, and abuse.
