Current through Register Vol. 48, No. 12, March 22, 2024
a) 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 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.
b) 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 Disease (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 group day care home.
c) Necessary medications shall be
administered according to specific written instructions from 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)
Nonprescription medication provided by the parents 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 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.
d) 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 sleeps or naps 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 supervise children's hand-washing 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.
e) In order to reduce the risk of
infection or contagion to others, there must be space provided in the group 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.
f) When a group 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.
g) 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.
h) 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
408.55 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.
i)
Children shall be supervised at all times. All children in the group day care
home shall be protected from exploitation, neglect, and abuse.