Current through Register No. 40, October 3, 2024
(a) Child care staff shall observe each
child, each day upon arrival and throughout the day for injuries and symptoms
of illness which:
(1) Impair or prohibit the
child's participation in the regular child care activities; or
(2) Require more care than child care staff
are able to provide without compromising the health and safety of the ill, or
injured child, or the other children in their care.
(b) Unless a program is following guidance
issued by the department's division of public health as a result of a disease
outbreak or public health emergency, the program shall not deny admission or
dismiss a child due to illness, unless one of the following conditions exist:
(1) An oral or forehead temperature of 101
degrees Fahrenheit or greater, or 100 degrees Fahrenheit or greater when taken
via the armpit, accompanied by behavior changes or signs or symptoms of illness
until medical evaluation indicates inclusion in the program;
(2) Symptoms and signs of possible severe
illness such as unusual lethargy, uncontrolled coughing, irritability,
persistent crying, difficult breathing, wheezing, or other unusual signs until
medical evaluation allows inclusion;
(3) Uncontrolled diarrhea, that is, increased
number of stools, increased stool water, and/or decreased form that is not
contained by the diaper, until diarrhea stops;
(4) Vomiting illness, including two or more
episodes of vomiting in the previous 24 hours, until vomiting resolves or until
healthcare provider determines illness to be non-communicable, and the child is
not in danger of dehydration;
(5)
Rash with fever or behavior change, until a healthcare provider determines that
these symptoms do not indicate a communicable disease; or
(6) The conditions in (a)(1) or (a)(2) are
met.
(c) Child care
staff shall provide any child who is ill an opportunity to rest or an
opportunity to do a quiet activity in a comfortable, private, supervised area,
including areas not regularly considered child care space, such as offices,
provided the space is safe for children to occupy, until parents arrive to
remove the child from the program.
(d) The family child care provider, center
director, site director, or designee shall contact the bureau of disease
control and prevention for instructions in accordance with the following:
(1) When child care staff or children in the
program have symptoms of or are known to have a communicable disease to
determine whether the ill individual is required to be excluded from the
program; and
(2) To determine
reporting requirements in accordance with
RSA
141-C:7,
He-P
301.03(c) and (d), and
He-P
301.03(h).
(e) When any child care staff or children in
the program have symptoms of or are known to have a communicable disease:
(1) Any spills of bodily fluids shall be
immediately cleaned and sanitized;
(2) Persons involved in cleaning surfaces
contaminated with bodily fluids shall:
a. Wear
protective disposable gloves while cleaning, disinfecting, and sanitizing the
contaminated surface; and
b.
Immediately wash their hands with soap and running water after discarding the
gloves; and
(3) Any
materials, including disposable gloves and diapers contaminated by bodily
fluids, shall be immediately disposed of in a plastic bag with a secure tie or
in a covered, plastic bag-lined, hands-free receptacle.
#2664, eff 3-30-84; amd by #4157, eff 11-3-86; amd by
#4228, eff 2-23-87; ss by #4871, eff 7-24-90; ss by #5203, eff 8-16-91; ss by
#6558, INTERIM, eff 8-16-97, EXPIRED: 12-14-97
New. #6719, eff 3-25-98; ss by
#7294, eff 5-26-00; ss by #9160, INTERIM, eff 5-26-08, EXPIRES: 11-22-08; ss by
#9310, eff 11-23-08 (from
He-C
4002.12)
