Current through Vol. 42, No. 1, September 16, 2024
(a)
Hygiene. The hygiene
requirements listed in (1) through (5) of this subsection are met.
(1)
Meet needs. Personnel attend
promptly to children's personal hygiene needs.
(2)
Hand hygiene. Personnel and
children wash their hands with soap and warm, running water or use hand
sanitizer as required per Oklahoma Administrative Code (OAC) 340 Appendix HH -
Hand Hygiene.
(A) Hand washing:
(i) supplies are maintained as required per
OAC
340:110-3-300(n);
(ii) procedures are posted as required per
OAC 340:110-3-281.1(g). Personnel and children are encouraged to follow the
procedures; and
(iii) is not
required for infants provided a moist, disposable towelette is used.
(B) Hand sanitizer:
(i) is non-expired;
(ii) is at least 60 percent
alcohol-based;
(iii) use by
children is monitored by personnel; and
(iv) is not used on 1-year-olds and
younger.
(3)
Hygiene articles. Hygiene articles, such as wash cloths, towels,
hair brushes, combs, and toothbrushes are individually assigned and stored and
used by only one child.
(4)
Food service personnel. Health and hygiene requirements are met
per OAC
340:110-3-299(m).
(5)
Overnight care. Personal
hygiene arrangements are made, such as for bathing and tooth brushing. Privacy
is ensured when bathing and changing clothes.
(b)
Immunizations. Children have
or are in the process of obtaining immunizations at the medically appropriate
time or have an exemption per OAC 340 Appendix II - Immunizations. Records are
maintained per OAC
340:110-3-281.4(b).
(c)
Health monitoring. Each
child is observed initially and throughout the hours of care for symptoms of an
illness or poison exposure and obvious signs of infestation or physical
injuries.
(d)
Temperature. A child's temperature is taken when there is a
concern.
(1)
Method. A child's
temperature is not taken:
(A) rectally at any
age; or
(B) orally with 4-year-olds
or younger.
(2)
Thermometer. The appropriate thermometer is used depending on the
method used.
(e)
Illness and infestations, other than head lice. The program
maintains health inclusion, separation, and exclusion criteria and reporting
policy per OAC
340:110-3-278(d).
(1)
Children - separation.
Children showing symptoms of a communicable disease or infestation, other than
head lice, are separated from well children.
(2)
Children - exclusion.
Children are excluded from the program when required per OAC 340 Appendix JJ -
Exclusion Criteria for Children Who Are Ill.
(3)
Parent notification. Parents
are notified per OAC 340:110-3-280(d).
(4)
Personnel - exclusion.
Personnel are prohibited when required per OAC 340:110-3-283(d) and
(e).
(f)
Head
lice. The program maintains head lice inclusion, separation, and
exclusion criteria and reporting policy per OAC
340:110-3-278(d).
(1)
Separation and exclusion.
The program determines whether children and personnel with head lice remain:
(A) with the group or are separated from the
group; and
(B) in the program or
are sent home early.
(2)
Treatment. Regardless of the separation and exclusion decisions,
head lice treatment is required before the child or personnel returns to the
program.
(3)
Exposure.
The program determines whether parents are notified of potential head lice
exposure.
(g)
Health protection. The health protection requirements listed in
(1) through (5) of this subsection are met.
(1)
Allergies. Known child
allergies are posted per OAC 340:110-3-281.1(e) and (i).
(2)
First aid kits. First aid
kits are maintained per OAC
340:110-3-279(d).
(3)
Injuries and poison
exposure. Injuries, including animal bites, and poison exposures are:
(A) reported per OAC 340:110-3-280(a) and
(d); and
(B) documented per OAC
340:110-3-281.2(c)
and
340:110-3-281.4(b).
(4)
Sun safety and
sunscreen. Sun safety procedures, such as sunscreen procedures, are
followed according to program policy per OAC
340:110-3-278(d).
(5)
Tobacco-free. Tobacco use
includes simulated tobacco use.
(A) Tobacco
use is prohibited in:
(i) the presence and
sight of children during the hours of operation, including off-site;
(ii) facility buildings and outdoor play
areas, at all times, including when children are not in care. However, tobacco
use in family residences is only prohibited during the hours of
operation;
(iii) program vehicles
at all times, including when children are not in care; and
(iv) private vehicles when children are being
transported in the vehicle.
(B) When allowed on the premises, tobacco use
is limited to a designated outdoor area, located:
(i) out of children's sight;
(ii) at least 15 feet from the building
entrances. When the program is in a shared facility, the area is at least 15
feet from the program entrances; and
(iii) in a manner that prevents smoke from
entering the building and outdoor play area.
(C) Tobacco use is:
(i) reported per OAC 340:110-3-280(d);
and
(ii) posted per OAC
340:110-3-281.1(b).
