Current through Register Vol. 63, No. 9, September 1, 2024
(1) A provider
shall not admit, or retain in care, a child who:
(a) Is diagnosed as having or being a carrier
of a child care-restrictable disease, as defined in Oregon Health Authority
administrative rules, OAR 333-019-0010; or
(b) Has one of the following symptoms, or
combination of symptoms, of illness:
(A)
Diarrhea (more than one abnormally loose, runny, watery or bloody
stool);
(B) Vomiting;
(C) Fever over 100 degrees F taken under the
arm;
(D) Severe cough;
(E) Unusual yellow color to skin or
eyes;
(F) Skin or eye lesions or
rashes that are severe, weeping, or pus-filled;
(G) Stiff neck and headache with one or more
of the symptoms listed above;
(H)
Difficult breathing or abnormal wheezing; or
(I) Complaints of severe pain.
(2) A child who, after
being admitted, shows signs of illness, as defined in subsection (1) of this
rule, shall be isolated and the parent(s) notified and asked to remove the
child from the home as soon as possible.
(3) If a child has mild cold symptoms that do
not impair his/her functioning, the child may remain in the home and the
parent(s) notified when they pick up the child.
(4) A specific place for isolating a child
who becomes ill shall be provided. The isolation area shall be:
(a) Located where the child can be seen and
heard by a caregiver; and
(b)
Equipped with a cot, mat, or bed for each sick child.
(5) All caregivers shall take appropriate
precautions to prevent shaken baby syndrome and abusive head trauma.
(6) The provider shall identify a licensed
physician, hospital, or clinic to be used for emergency medical care:
(a) The provider shall have written
procedures for taking a child to emergency medical care;
(b) In the event of an illness or injury
which requires immediate medical care, the provider is responsible for securing
such care and notifying the parent(s).
(7) First aid supplies and a chart or
handbook of first aid instructions shall be maintained in one identified place
but kept out of reach of children:
(a) The
first aid supplies shall include bandaids, adhesive tape, sterile gauze pads,
soap or sealed antiseptic towelettes or solution to be used as a wound cleaning
agent, scissors, disposable plastic gloves for handling blood spills, chlorine
bleach for sanitizing after a blood spill, a sanitary temperature taking
device, and CPR mouthguards; and
(b) First aid supplies shall be taken on all
field trips.
(8) Injuries
or accidents shall be reported to the child's parent(s) on the day of
occurrence:
(a) A written report of the injury
or accident shall be maintained on file;
(b) The report shall include the date,
child's full name, nature of the injury, witnesses, action taken, and the
signatures of the provider and parent(s); and
(c) The injury to or death of a child shall
be reported to CCLD in accordance with OAR 414-350-0050(11)(a) and
(c).
(9) No prescription
or non-prescription medication, including, but not limited to, pain relievers,
sunscreen, cough syrup, diapering and first aid ointments or nose drops, shall
be given to a child except under the following conditions:
(a) A signed, dated, written authorization
from the parent(s) is on file;
(b)
Prescription medication is in the original container and labeled with the
child's name, the name of the drug, dosage, directions for administering, date
and physician's name;
(c)
Non-prescription medication is in the original container, labeled with the
child's name, the dosage, and directions for administering;
(d) A written record of all medications
administered, listing, as a minimum, the name of the child, type of medication,
the signature of the caregiver administering the medication, date, time, and
dosage given, shall be kept;
(e)
All medications shall be secured in a tightly-covered container with a
child-proof lock or latch and stored so that they are not accessible to
children;
(f) Medications requiring
refrigeration shall be kept in the refrigerator in a separate, tightly-covered
container, with a child-proof lock or latch, clearly marked "medication";
and
(g) Parent(s) shall be informed
daily of medication administered to their child.
(10) Sunscreen is considered a
non-prescription medication and may be used for child care children under the
following conditions:
(a) Providers must
obtain written parental authorization prior to using sunscreen.
(b) One container of sunscreen may be used
for child care children unless a parent supplies an individual container for
their child. The sunscreen shall be applied in a manner that prevents
contaminating the container.
(A) Parents must
be informed of the type of product and the sun protective factor
(SPF).
(B) Parents must be given
the opportunity to inspect the product and active ingredients.
(c) If sunscreen is supplied for
an individual child care child, the sunscreen must be labeled with the child's
first and last name and must be used for only that child.
(d) Providers must reapply sunscreen every
two hours while the child care children are exposed to the sun.
(e) Providers shall use a sunscreen with an
SPF of 15 or higher and must be labeled as "Broad Spectrum".
(f) Providers shall not use aerosol
sunscreens on child care children.
(g) Sunscreen shall not be used on child care
children younger than six months.
(h) Child care children over six years of age
may apply sunscreen to themselves under the direct supervision of the provider
or staff member.
(11)
Parents of all children enrolled in the certified family child care home shall
be informed of any outbreak of communicable disease within the
facility.
(12) A written care plan
must be developed at the time of enrollment, or when an allergy is identified
for each enrolled child who has an allergy that poses a threat to the child's
health, safety, and well-being. The plan must include instructions regarding
the allergen and steps to be taken to avoid the allergen; signs and symptoms of
an allergic reaction; and a detailed treatment plan including the names, doses,
and methods of prompt administration of any medication in response to allergic
reactions.
(a) The parent must be notified
immediately of any suspected allergic reactions or if the child consumed or
came in contact with the allergen, even if a reaction did not occur.
(b) If epinephrine is administered, emergency
medical services must be contacted immediately, and Child Care Licensing
Division must be notified within five calendar days of the
occurrence.
(c) All staff involved
in care of the child must be trained on the written care plan.
(d) Specific food allergies must be shared
with all staff that prepare and serve food.
(e) A list of each child's allergies should
be easily accessible for staff but not visible to those who are not parents or
guardians of the enrolled child.
Statutory/Other Authority: ORS
329A.260
Statutes/Other Implemented: ORS
329A.260, ORS
329A.280 & ORS
329A.290
