Current through Register Vol. 51, No. 19, September 20, 2024
A. An operator may not admit a child for care unless the operator has:
(1) Met the applicable requirements of this Regulation; and
(2) Received the written records required by Regulation .04C- H of this chapter, unless the child is temporarily admitted or retained in care on a temporary basis pursuant to §F of this Regulation.
B. At or before the child's admission to care, the operator shall obtain written information from the parent about the child's individual needs.
C. As part of the admission process, the operator shall:
(1) Give the parent, or advise the parent how to obtain, information that is supplied by the office concerning:
(a) Consumer education on child care;
(b) How to file a complaint against the child care center; and
(2) Provide documentation that the requirements of §C(1) of this regulation have been met.
D. Upon admission of an infant or toddler, an operator shall determine with the parent:
(1) A schedule for feeding the child that includes:
(a) The amounts and kinds of food consumed daily;
(b) The sequence for introducing solid food when appropriate; and
(c) Any recommendations about feeding from the infant's physician;
(2) A written individual activity plan for the child; and
(3) If the child is a toddler or an infant who is 12 months old or older, the need for the child to use a crib for rest purposes.
E. If a child is younger than 6 years old at the time of admission, the operator may not allow the child to remain in care if the parent does not, in accordance with COMAR 10.11.04, submit evidence to the operator on a form supplied or approved by the office that the child has received an appropriate lead screening or test.
F. Temporary Admission to Care.
(1) An operator may temporarily admit or retain a child in care if:
(a) The child is homeless; or
(b) The child's parent is unable to provide the health-related records specified in Regulation .04D, E, G, or H of this chapter.
(2) For a child to be temporarily admitted or retained in care, the parent shall present evidence of the child's appointment with a health care provider or local health department to:
(a) Receive a medical evaluation to include, if applicable, a lead screening or test,
(b) Receive a required immunization;
(c) Acquire evidence of age-appropriate immunizations on a form approved by the office; or
(d) Reconstruct a lost health record.
(3) The date of the appointment required by §F(2) of this Regulation may not be later than 20 calendar days after the date the child was temporarily admitted or retained.
(4) An operator shall exclude from care a child who has been temporarily admitted or retained in care if the parent fails to provide evidence of the required health-related information within 3 business days after the date of the appointment made pursuant to §F(2) of this Regulation.
