Current through Register Vol. 51, No. 19, September 20, 2024
The therapeutic nursery program director shall:
A. Ensure that a criminal background
investigation as required under Family Law Article, 5-560-----5-568, Annotated
Code of Maryland, has been completed and is on file in each staff member's
personnel record;
B. If a child is
involved in an accident or is injured while in attendance at a therapeutic
nursery program:
(1) Notify the primary
caretaker on the day that the accident or injury occurs;
(2) If the injury is serious, notify the
parent or guardian immediately;
(3)
Ensure that appropriate treatment is provided; and
(4) Document the incident according to the
requirements of the risk management policy of the therapeutic
nursery;
C. At all times
that children are participating in the therapeutic nursery program, ensure that
staff are present who hold current certificates indicating approved training
in:
(1) Infant and child cardiopulmonary
resuscitation (CPR);
(2) First aid;
and
(3) If wading or swimming are
therapeutic nursery activities, Red Cross water safety;
D. Prepare an emergency evacuation plan that:
(1) Is approved by the local fire
authority;
(2) Is posted in each
room of the therapeutic nursery;
(3) The staff and children practice at least
monthly, and the staff maintain a written record of the dates and times of the
practices; and
(4) Includes:
(a) Safe routes by which the staff and
children may exit each area in the event of fire or other emergency requiring
evacuation of the building,
(b) The
address of a location that can be used by the staff and children in the event
of fire or other emergency until the parents, guardians, or primary caretakers
of the children are notified, and
(c) The provisions that, during an evacuation
or a practice, a designated staff member take out of the building the record of
attendance for that date and verify the presence of each child in
attendance;
E. Provide telephones that are accessible to
the staff in each activity area in the therapeutic nursery, and post the
following information next to each telephone:
(1) 911 telephone number to summon fire,
police, and rescue services;
(2)
The name, address, and telephone number of the therapeutic nursery;
(3) Telephone number of the child protective
services unit of the local department of social services; and
(4) Telephone number of a poison control
center;
F. Release a
child:
(1) Only to the child's parent,
guardian, or primary caretaker; or
(2) If so directed by the child's parent,
guardian, or primary caretaker, to another individual whose identity is
verified;
G. As required
by COMAR 10.06.01:
(1) Report communicable
diseases; and
(2) Restrict
attendance by staff and children with communicable diseases;
H. Not permit anyone to use
alcohol or controlled dangerous substances on the premises or to smoke
cigarettes, cigars, or pipes in rooms or areas approved for use by a
child;
I. Implement measures to
prevent the spread of disease including requiring that staff wash hands and
ensure that a child's hands are washed thoroughly with soap and water after
toileting, before handling food, after outdoor activities, and at other times
necessary to prevent the spread of disease;
J. Provide for general cleanliness by
ensuring that:
(1) All surfaces, furnishings,
materials, and equipment are clean;
(2) Except for emergencies and clean-up
activities that are part of the daily program, cleaning is not conducted while
rooms are occupied by children;
(3)
Refuse containers in the building are:
(a)
Noncombustible, and
(b) If they
contain soiled diapers, lined with a disposable liner, covered with a lid, and
inaccessible to children; and
(4) Refuse containers outside the building
meet the standards required by local code; and
K. Provide written notification to each staff
member and documentation that each staff member has read and understood the
notification regarding:
(1) The location of
the telephone and the emergency telephone numbers specified in §E of this
regulation;
(2) The location of
each child's emergency form;
(3)
Emergency evacuation procedures;
(4) Identity of the staff members who have
appropriate first aid, CPR, and Red Cross water safety training;
(5) Signs and symptoms of abuse and
neglect;
(6) The requirements and
procedures for reporting suspected child:
(a)
Abuse directly to the local department of social services or law enforcement
agency, and
(b) Neglect directly to
the local department of social services;
(7) Risk management; and
(8) The contents of this chapter.
