Current through September 17, 2024
All Child Care Development Fund providers and staff must
agree to all the terms found in the provider enrollment and must complete and
maintain the following health and safety standards:
(A) Prevention and control of infectious
diseases, including immunizations:
(i)
Infection control practices; and
(ii) Each child's immunization record must
include:
(1) Documentation of age-appropriate
immunization;
(2) Certification by
a physician, advanced practice registered nurse, or physician assistant that
immunization is not appropriate for a stated medical reason; or
(3) A written statement that the parent or
guardian does not wish to have the child immunized and the reasons for that
decision.
(B)
Prevention of sudden infant death syndrome and use of safe sleeping practices:
(i) Providers must practice and ensure
safety for nap or sleep times:
(1) Infants
must sleep on their back unless there is a medical reason and written note from
a physician; and
(2) Providers must
have appropriate sleeping surfaces for all children: and
(ii) The following must not be used as
sleeping surfaces:
(1) The top level of a bunk
bed for children age five and under:
(2) Stackable cribs:
(3) Waterbeds for children age three and
under: and
(4) Cots, cushions,
futons, mats, or pillows for infants 12 months or under.
(C) Administration of medication:
(i) Providers who give or apply medication
must follow the Five Rights:
(1)
The right drug;
(2) The right
recipient:
(3) In the right
dose:
(4) By the right route;
and
(5) At the right
time.
(D) Prevention and
response to emergencies due to food or allergic reaction.
(i) Providers must keep records that include
but are not limited to, the following: list of child's allergies and
intolerance to food, or other factors that result in a medical reaction, and
clear instructions in the event of an exposure to the factor.
(E) Building and physical premises
safety.
(i) Physical environment standards
must be designed, constructed, and maintained in a manner that is safe, clean,
and functional for child care.
(F) Prevention of abusive head trauma.
(i) Providers must be trained in recognizing
and immediately reporting any signs of abusive head trauma.
(1) Reports must be made to the Nebraska
Child Abuse and Neglect Hotline.
(G) Emergency preparedness:
(i) Providers are required to create an
emergency preparedness plan in each of the following areas:
(1) Evacuation;
(2) Relocating;
(3) Shelter-in-place;
(4) Lockdown;
(5) Reunification with families;
(6) Continuity of operations;
(7) Accommodations of infants and
toddlers;
(8) Accommodations of
children with disabilities;
(9)
Completing fire drills; and
(10)
Completing tornados drills.
(H) Handling and storage of hazardous
materials.
(i) Poisonous materials and
medications must be stored in a safe and locked area to prevent access to
children. Waterproof storage must be used for soiled or wet clothing. Providers
must follow sewer requirements to maintain sanitation and must properly dispose
of garbage and rubbish.
(I) Appropriate precautions in transporting
children.
(i) No child(ren) left alone in a
vehicle;
(ii) Proper vehicle
insurance and registration;
(iii)
Appropriate car seat;
(iv) Written
permission from parents; and
(v)
First aid kit in vehicle.
(J) Pediatric first aid and cardiopulmonary
resuscitation.
(i) Training completion
required prior to approval and maintain current certification during approval
period.
(K) Recognition
and reporting child abuse and neglect.
(i)
Providers must practice and have an understanding of recognizing and
immediately reporting any signs of child abuse or neglect,
(ii) Reports must be made to the Nebraska
Child Abuse and Neglect Hotline.
(L) Child development.
(i) Providers must have an understanding of
child development which includes physical, intellectual, social, and emotional
changes in children.
