Rhode Island Code of Regulations
Title 214 - DEPARTMENT OF CHILDREN, YOUTH AND FAMILIES
Chapter 40 - Licensing
Subchapter 00 - N/A
Part 7 - Group Family Child Care Home Regulations for Licensure (214-RICR-40-00-7)
Section 214-RICR-40-00-7.3 - LICENSING STANDARDS

1. Children ages 0 - 18 months - 1 staff for 4 children

2. Children ages 18 months and older - 1 staff for 6 children

1. Children under six (6) years of age who live in the home shall be counted in determining the maximum number for licensure.

2. More than two (2) children between six (6) and twelve (12) years of age who live in the home and are present for four (4) consecutive hours or more during the period that child care is provided shall be counted in determining the maximum number for licensure. Exceptions may be made for snow days, sick days, holidays and one (1) week school vacations.

3. To determine the adult/child ratio, children of assistants who are in care in the home shall be counted in the appropriate age groups.

1. Provider may be out of the home 20% of the total work week, (20% of 40 hours equals 8 hours per week), not to exceed fifteen (15) hours, leaving the children under the direct supervision of approved assistants.

2. Provider may be out of the home due to health related appointments or classes/training related to child care which cannot be scheduled when child care is not being provided. The provider shall have the appropriate number of assistants to meet the required adult/child ratios as stated in §§7.3.1(A) through (D) of this Part above.

3. When a provider will be out of the home, the parents/guardians of the children in care shall be notified and provided with the names of the approved assistants who will be caring for the children.

1. If a provider utilizes another provider as an emergency assistant, the adult/child ratios as stated in §§7.3.1(A) through (D) of this Part above shall be maintained.

2. An emergency is defined as being an unplanned absence from the home because of illness or accident. It is meant to be of short duration, generally lasting no more than a few hours, but shall not extend beyond three (3) consecutive working days.

3. Provider shall notify the Department of any change in emergency assistants.

4. Provider shall inform the parents/guardians of the children in care of the names of the emergency assistants.

1. Children shall not be under the care or supervision of family members who have not been approved as assistants or emergency assistants.

2. Children shall not be under the care or supervision of a visitor nor shall they be left alone with a visitor.

1. Provider shall be at least twenty-one (21) years of age and shall show evidence of meeting one of the following criteria:

2. Provider shall show evidence of having successfully completed the following:

3. Provider shall complete a minimum of fifteen (15) hours of training every year.

1. Assistant shall show evidence of having current certification in CPR and First Aid and shall be:

2. Provider shall orient a new assistant within the first week of work in the group family child care home. The orientation shall include a review of:

3. Assistant shall complete a minimum of eight (8) hours of training every year.

1. Provider, assistants and emergency assistants shall be in good physical, mental, and emotional health.

2. The physical, mental and emotional health of household members shall not interfere with the provider's child caring responsibilities.

1. At the time of application and upon renewal, the provider, assistants and emergency assistants shall file statements from licensed physicians that they have had medical examinations within the past six months, are in good health and are able to care for children.

2. Female providers of child bearing age shall have a rubella (German measles) susceptibility blood test or show proof of immunity by previous testing or produce a record of having received rubella vaccine.

1. Provider, assistants and emergency assistants shall not drink alcoholic beverages or take illegal or tranquilizing drugs while providing child care, nor shall they be in an intoxicated or drugged condition while providing child care.

2. Household members shall not drink alcoholic beverages in the presence of children in care.

1. No person shall smoke, or otherwise use tobacco products within the household or outdoor play area of a group family child care home or within twenty-five (25) feet of the home or outdoor play area, while children are in care. Smoking shall not occur in any area on the grounds or premises within the children's view during the time that child care is being provided.

2. Smoking may be permitted when child care is not being provided. If smoking occurs in the home when children are not in care, the provider shall notify the parent/guardian of each child that smoking routinely occurs in the home during hours when the child care program is not in operation.

1. The home shall be maintained in compliance with all applicable state and local codes.

2. The home shall be maintained in good repair and in a clean, neat, hazard-free condition.

3. Trash must be covered and properly stored.

4. The home shall be kept free from rodent and insect infestation.

1. Provider shall show evidence that the home has been tested for radon and has been found to be radon safe.

2. Retesting shall be done every three (3) years in accordance with the "Rules and Regulations for Radon Control" issued by the Rhode Island Department of Health.

1. There shall not be any peeling or damaged paint or plaster in any area of the Group Family Child Care Home, either interior or exterior.

2. A Group Family Child Care Home serving children under the age of six (6) years shall comply with Lead Poisoning Prevention (216-RICR- 50-15-3) promulgated by the Rhode Island Department of Health pursuant to R.I. Gen. Laws § 23-24.6-14 (Lead Poisoning Prevention Act) and shall comply with recommendations resulting from lead inspections conducted pursuant to the above referenced statute and regulations.

1. There shall be sufficient indoor space to allow for thirty-five (35) square feet of usable space per child in care.

2. This space shall be on the first floor, ground level of the home. Any furniture in the area shall be appropriate for children's use.

3. This space shall be exclusive of bathrooms, hallways, kitchen and any rooms that are used for activities other than child care.

4. There shall be adequate open space available to allow for program activities and freedom of movement by the children

5. Provisions for sleeping/napping shall be made on the first floor of the home.

1. Children shall not be cared for in the cellar or basement area of a home unless there are two (2) exits from the area, one of which shall be a door leading directly to the outside. Bulkheads and overhead garage doors are not acceptable exits.

2. Basements shall not be used for sleeping unless the boiler/furnace room is constructed to provide a one (1) hour fire rating. This would include fire-rated sheet rock on the walls and ceiling and a fire rated door. Enclosures shall be provided with an air vent to the outside sufficient for proper combustion and exhaust.

3. The term basement includes all areas that are more than 50% below ground level.

1. Provider shall identify an area or areas for outdoor play which shall be safe, protected and free from hazards such as access to the street, debris, broken glass, animal waste, peeling paint, tools and construction materials, open drainage ditches, wells, holes and bodies of water. A fence or barrier shall be required for outdoor play area.

2. Outdoor porches above the first floor shall not be used as play areas unless they are fully enclosed and structurally sound.

3. Outdoor porches and decks at the first floor level, used as play areas, shall be enclosed with a minimum of a four (4) foot railing and the slats shall be no more than 3 1/2 inches apart. There shall be a gate that is kept securely fastened at the entry to any steps or stairways.

4. Provider or assistant(s) shall directly supervise outdoor play at all times.

1. The group family child care home shall have a minimum of one (1) toilet and hand washing sink located in the bathroom. The bathroom shall be located in an area that is readily available to the children in care. Locks on bathroom doors should not be within the reach of children or, if they are, the provider shall have a key readily accessible.

2. When training chairs are used for toilet training, they shall be emptied and sanitized after each use. Training chairs shall not be considered a substitute for the required toilet.

3. Toilets and training chairs shall be located in rooms separate from those used for cooking and/or eating.

1. All staff, volunteers and children shall wash their hands with liquid soap and warm running water.

2. Hands shall be dried with disposable towels or individual hand towels that are laundered daily.

3. Hands shall be washed upon arrival for the day or when moving from one child care group to another.

4. Hands shall be washed before and after:

5. Hands shall be washed after:

1. There shall be a diaper changing area that is separate and apart from kitchen counters and dining tables.

2. A sink with hot and cold running water for hand washing shall be accessible to the diaper changing area. Hands shall be washed with liquid soap and warm running water before and after each diaper change. Non-latex vinyl gloves shall be used for personal protection during diaper changing, but shall not take the place of hand washing.

3. The diaper changing area shall be cleaned and sanitized after each use. A disinfectant solution of 1/4 cup of bleach to one (1) gallon of water or an EPA approved sanitizing agent shall be kept readily available in a spray bottle for this purpose. The bottle shall be clearly labeled and kept out of reach of children. In order to be effective, the disinfectant solution should be allowed to air dry or at least sit on the surface for two (2) minutes before wiping. If a bleach solution is used, it shall be changed daily as it only remains effective for twenty-four (24) hours.

4. Soiled diapers shall be placed in a closed container lined with a leak proof disposable lining. The container must be emptied daily and kept clean.

1. There shall be hot and cold running water available for the care of the children.

2. The home's domestic hot water system and hand washing sinks shall be set no higher than 120 degrees F.

3. If the water supply is not from a public source, it shall be tested for portability. Water testing shall be done at time of licensing and upon renewal.

1. The group family child care home shall have a heating system capable of maintaining a minimum temperature of sixty-five (65) degrees in all areas accessible to the children.

2. All heating equipment shall have the proper controls for controlling the temperature, ignition and safety. Also an auxiliary switch wired to a position that is remote from the boiler/furnace area is required in order to shut off the boiler/furnace without entering a danger area in the event of a fire.

3. All heating elements, including hot water pipes, wood stoves, electric space heaters and radiators in areas used by children shall be insulated, protected or barricaded so that they will not be a danger to the children and will not be a fire hazard. Asbestos insulation covering any pipes or heating elements shall be intact and properly sealed.

4. Fireplaces shall be securely screened or equipped with protective guards at all times.

1. The group family child care home shall have approved smoke detectors located outside sleeping areas in the immediate vicinity of bedrooms. Bedrooms or sleeping rooms, separated by other use areas, such as kitchen or living rooms, but not bathrooms, shall require a separate detector. In basements or cellars, smoke detectors shall be located at the top of the stairway.

2. The home shall be equipped with a carbon monoxide detector.

3. There shall be a five (5) pound, ABC fire extinguisher located in the kitchen area.

1. Humidifiers, dehumidifiers and vaporizers shall be kept out of reach of children and used and maintained according to manufacturers' directions.

2. Parents/guardians shall be notified when such appliances are used in the group family child care home.

1. Every electrical outlet within the children's reach shall be covered with a choke proof, child resistant device while not in use.

2. Electrical cords shall be taped or fastened so that they are not a hazard to children.

3. Electrical cords shall not be frayed or damaged.

4. Electrical outlets shall not be overloaded.

5. The use of electrical extension cords is prohibited.

1. The provider shall have a flashlight, in working condition, readily available for use in the event of a power failure or other emergency situation.

2. In emergency situations, candles and oil lamps shall not be used as a lighting source.

3. Candles burned for other purposes shall be kept out of reach of children, used in a safe manner and not be left unattended.

1. Providers and household members who have possession of firearms shall obtain the proper licenses or permits to the extent required by law.

2. Firearms shall be stored, unloaded and under lock, in a place which is inaccessible to children during the hours that child care is provided in the home.

3. Ammunition shall be stored separately under lock during the hours that child care is provided in the home.

1. Swimming pools shall be securely fenced to prevent access by the children.

2. Pools, including wading and inflatable pools, shall only be used under the supervision of the provider or assistant(s).

3. Pools without a filtration system must be emptied and disinfected after each use.

4. The provider shall obtain written permission from parent/guardian prior to taking a child into a pool.

1. There shall be a working telephone, other than a pay phone or cell phone, in the child care area. The phone shall be kept in working order and shall be readily available for use in case of an emergency.

2. Emergency phone numbers, including 911, local fire and police departments, emergency room or hospital, family physician and poison center shall be posted in a conspicuous place, adjacent to each phone in the child care area.

3. The names and phone numbers of parents/guardians and emergency contact persons for all children in care shall be kept adjacent to each phone in the child care area.

1. The provider shall have written instructions relating to first aid and communicable diseases readily available in the child care area.

2. There shall be a first aid kit in the home that shall be located out of reach of the children, but shall be readily accessible to the provider and assistant(s) in the event of an emergency.

3. The first aid kit shall contain no less than:

4. Syrup of Ipecac shall not be used to induce vomiting and shall not be included in a first aid kit or available for use by a group family child care home provider.

5. The first aid kit shall be restocked after use.

6. The first aid kit shall be taken on field trips and outings away from the home.

1. The provider shall have an emergency plan for evacuating the children from the home in case of fire or other disaster.

2. Parents must be provided with a written copy of the emergency plan.

3. Practice evacuation drills shall take place once a month. Both obstructed and unobstructed drills shall be conducted. A record of such drills shall be maintained.

4. When children under the age of eighteen (18) months are in care, there shall be at least one (1) crib which is equipped with wheels for ease of evacuation in case of an emergency. This crib shall be able to fit through any doorway leading to the outside.

1. Drugs and medicines shall be stored in their original containers in a clean, dry area out of reach of children or in a locked cabinet. Storage shall be separate from any items that attract children such as food or candy.

2. Cleaning materials, detergents, aerosol cans, matches and other substances that could be a danger to children shall be stored in their original containers out of reach of children or in a locked cabinet and used in such a way that shall not contaminate play surfaces, food or food preparation areas or generally constitute a hazard to children.

1. Food shall be properly stored, covered and/or refrigerated.

2. The refrigerator temperature shall be maintained at forty-one (41) degrees F or less and the freezer temperature at zero (0) degrees F or less.

1. Stairways that are used by children shall have a railing at the children's height.

2. Stairways shall be well lighted and kept clear of obstructions.

3. In homes where children under three (3) years of age are in care, there shall be a gate which is kept securely fastened at the entry to any stairway accessible to children.

1. Each room used by children shall have sufficient ventilation and lighting.

2. Clear glass doors shall be clearly marked at children's eye level.

3. All doors and windows which are used for ventilation shall be securely screened.

4. If windows above the first floor are used for ventilation, they shall be opened from the top or secured with safety guards.

1. All pets, including dogs, cats and other domestic animals, shall be kept in a safe and sanitary manner and in accordance with state and local requirements.

2. All animals maintained on the premises shall have up-to-date rabies and other vaccinations as required.

3. Children shall, according to their ages and functioning levels, be protected from pets which are potentially dangerous to their health or safety.

4. Pets shall not be abused or threatened in the presence of children.

5. The provider shall notify parents/guardians of the presence of any pets in the home.

1. Physical Examination Form - Prior to enrollment and annually thereafter, the Group Family Child Care Home Provider shall obtain from the parent/guardian a statement that the child has had a physical examination signed by a licensed health care provider (physician, physician assistant, certified registered nurse practitioner, other licensed practitioner acting within his/her scope of practice) that the child has had an age appropriate history and physical examination, assessing the health and well-being of the child and indicating any allergies, conditions, or handicaps affecting the child's general health that might require special care.

2. Immunizations - The physical examination form shall include evidence that the child is age appropriately immunized against diphtheria, tetanus, pertussis, poliomyelitis, measles, mumps, rubella, Haemophilus influenzae type B, hepatitis B, varicella (chickenpox), and pneumococcal disease, in accordance with rules and regulations promulgated by the Rhode Island Department of Health relating to immunization and testing for communicable disease.

3. Exemptions to Immunization Requirements - A child may only be permanently exempt from the immunization requirements for either of the two (2) reasons stated below:

4. Lead Screening - The physical examination form shall include evidence that the child has been screened for lead poisoning in accordance with the Lead Poisoning Prevention (216-RICR- 50-15-3) promulgated by the Rhode Island Department of Health pursuant to R.I. Gen. Laws § 23-24.6 (Lead Poisoning Prevention Act).

5. Exemption to the Lead Screening Requirement - The lead screening requirements shall not apply if the child's parent/guardian signs a sworn statement indicating that lead screening is contrary to his/her religious tenets and practices.

1. Provider shall have an Emergency Treatment Form for each child in care that is signed by parent/guardian and notarized. This form shall be kept on file for use in the event of an emergency. It shall be taken on field trips and outings away from the home.

2. Parent/guardian shall identify two persons who can be contacted in the event of an emergency if parent/guardian is unreachable. This information shall be reviewed with parent/guardian every three (3) months in order to update any changes.

1. Provider shall not administer medication to a child without written authorization from parent/guardian.

2. Prescription medication shall not be administered to a child without the written order of a physician. A labeled prescription bottle with the child's name, current date and dosage shall be considered acceptable.

3. Non-prescription or homeopathic medication shall not be administered to a child under two (2) years of age unless prescribed by a physician.

4. Non-prescription or homeopathic medication shall not be administered to a child over two (2) years of age for longer than three (3) days without the written authorization of a physician.

5. The provider shall maintain a written record of every medication administered, both prescription and non-prescription. This record shall include:

1. A child exhibiting any of the following symptoms or signs of illness shall be excluded from child care until an assessment has been completed by a physician or health care provider:

2. Documentation of the health assessment shall be maintained on file in the child's record. A note signed by the child's parent/guardian that includes the date, time and results of the assessment and name of the health care provider consulted shall be considered acceptable documentation.

3. The provider shall not re-admit a child who has been placed on an antibiotic or other prescription medication until the child has been on the medication for at least twenty-four (24) hours. The decision to care for a child who is ill or to re- admit an ill child shall be made by the provider after evaluating the child's history, symptoms and general condition.

1. A child exhibiting signs of a parasite infection, such as scabies or head lice, shall be excluded from the home until treated.

2. The provider shall notify parents/guardians of all the children in care of possible parasite infestation.

3. The provider shall disinfect the home by cleaning all articles that may contain lice or nits such as clothes, towels, and bed linens. These should be washed in hot water and detergent, or dry cleaned. Rugs, carpeting and upholstery shall be vacuumed.

1. Group Family Child Care Home Provider shall report communicable diseases in accordance with the Department of Health Reporting and Testing of Infectious, Environmental, and Occupational Diseases (216-RICR- 30-05-1).

2. It is particularly important to report clusters or outbreaks of infectious diseases as outlined in the reporting regulations.

3. Provider shall notify all parents/guardians whenever a reportable communicable disease has been introduced into the home.

1. Provider shall notify the parent/guardian immediately when a child becomes ill while in care.

2. Provider shall furnish special care for an ill child, including a comfortable resting space in a quiet area away from other children, within sight of the provider or assistant.

1. When a child with a handicapping condition or special needs is accepted for care, the provider shall obtain from the parent/guardian written recommendations for any specialized care that the child may require. These recommendations shall come from or be endorsed by the child's physician or other authorized professional who has evaluated or treated the child.

2. Care provided to children with special needs shall be in accordance with the child's Individualized Educational Plan (IEP) or the Individualized Family Service Plan (IFSP).

1. Provider shall serve nutritious mid-morning and mid-afternoon snacks and nutritious meals to the children in care in accordance with the child care component of the USDA Child and Adult Care Food Programs (CACFP).

2. When parents/guardians provide snacks or other meals, the provider shall monitor the food to ensure nutritious value. Provider shall provide parents/guardians with written guidelines for meals and snacks and suggest how they can assist the provider in meeting these guidelines.

3. Whenever possible, the provider shall sit and eat with the children.

1. Infants (birth through twelve (12) months)

2. Toddlers twelve (12) months through twenty-four (24) months

3. Children two (2) years and older

1. Provider shall spend time directly involved in activities that center on the developmental needs, interests and strengths of the children in care.

2. The focus shall be toward developmentally appropriate and culturally competent practices, incorporating child-centered, child-initiated and provider-guided play activities.

1. The provider shall have a written plan of activities and routines that meets the developmental, cultural, and individual needs of the children in care.

2. The daily routine shall include all of the following:

1. The provider shall have available an adequate variety of materials for indoor and outdoor play, such as art supplies (paints, crayons, paste, scissors), blocks and block accessories, books, large muscle equipment (wheel toys, climbers, balls), manipulative toys (busy-boxes, puzzles, small building sets), musical equipment (rattles, instruments, audiotapes) and dramatic play materials (dress-up clothes and puppets). Play materials must be culturally inclusive and appropriate to the age, number, growth and developmental needs of the children in care.

2. A variety of materials shall be accessible to the children to promote exploration. Materials that require supervision shall be stored out of reach of children.

3. Television/video viewing shall be limited, and, when utilized, shall be appropriate for the age and developmental level of the children in care.

4. All equipment and materials shall be free from hazards such as lead paint, insects, protruding nails or rust which may be dangerous to children and shall be kept clean and in good repair.

5. Infants and toddlers shall be protected from objects that could be swallowed.

6. The use of walkers with wheels is prohibited.

7. Toys that explode or shoot, such as caps, guns and darts, shall not be allowed.

8. Balloons shall only be allowed for special occasions, such as birthdays, and their use shall be under close adult supervision.

9. All outdoor sandboxes shall be kept covered when not in use.

10. Outdoor climbing equipment five (5) feet high or over shall have adequate cushioning underneath.

11. The use of trampolines is prohibited.

12. All equipment used for child care that is covered by federal regulations shall meet such regulations.

13. If children are taken to a public playground, the provider shall be alert and aware of safety dangers such as peeling paint, uncovered sandboxes, debris and animal waste.

1. There shall be regular periods of quiet activity or resting/sleeping appropriate to the needs of the children. There shall be an opportunity for children to rest for at least thirty (30) minutes, but no child shall be forced to sleep. For children who do not require sleep, time and space shall be provided for quiet play.

2. While resting or sleeping, children shall be directly supervised by the provider or an assistant who is on the same floor where the children are sleeping. Monitors shall not take the place of in-person supervision.

3. Lighting to permit appropriate supervision shall be provided in sleeping areas when children are sleeping, napping or resting.

4. Children under the age of one (1) year napping in cribs shall be monitored by in- person checks at least every ten (10) minutes. The provider shall maintain a written record of crib checks for each child under the age of one (1) year.

5. To reduce the risk of Sudden Infant Death Syndrome, infants shall be placed on their backs to sleep unless there are medical orders or a written statement from the parent/guardian requiring alternative positioning.

6. Cribs shall have firm, well-fitting mattresses and crib sheets. Sheepskins, beanbags, waterbeds, comforters and pillows shall not be used.

7. Children shall have their own bedding and it shall be stored separately to prevent contamination.

8. Spaces between the upright slats in cribs shall not exceed 2 3/8 inches. There shall be no cutouts in crib headboards.

9. Children shall not be in cribs with bottles.

10. Children shall sleep or rest on cots, mats that are at least two (2) inches thick, couches or beds. Children shall not sleep or rest directly on the floor.

11. When mats are used for sleeping, they shall be cleaned weekly if not shared by children. If children share mats, they shall be cleaned between each use.

1. Toilet training shall be an individual plan, based on the child's readiness and carried out in conjunction with parent/guardian.

2. There shall be no routine attempt to toilet train children under the age of twenty- four (24) months without consent of parent/guardian.

1. Provider and assistant shall be positive role models for the children in care.

2. Provider and assistants shall use positive consistent methods in guiding children back on task, shall encourage appropriate behavior and set clear limits and rules that children can understand.

3. Provider and assistants shall match their expectations with the developing abilities and capabilities of the children.

4. Provider and assistants shall praise the accomplishments of the children and encourage their attempts at tasks.

5. Provider and assistants shall use positive, firm limit setting in situations where a child's safety is at stake.

6. Provider and assistants shall assist children by redirecting them from inappropriate actions to activities that are more favorable.

1. Provider and assistants shall not hit the children or engage in any form of corporal punishment.

2. Children shall not be subjected to cruel or severe punishment, humiliation or verbal abuse.

3. Children shall not be deprived of meals or snacks as a form of discipline.

4. Children shall not be punished for toileting accidents or for soiling, wetting or not using the toilet during toilet training.

5. Children shall not be subjected to excessive time out. Time out may not exceed one (1) minute for each year of the child's age and shall take place within the view of provider or assistant.

1. Provider shall develop a written discipline policy that is consistent with the regulations.

2. This policy shall be shared with the parent/guardian when the child is enrolled.

1. Child's full name, address and verified date of birth

2. Name, address and phone number of the parents/guardians

3. Address and phone number where the parents/guardians can be reached during the hours that the child is in care

4. Names, addresses and phone numbers of two relatives or friends who can be contacted in any emergency if parent/guardian cannot be reached.

5. Permission for the provider to act in an emergency (refer to §7.3.4(B) of this Part)

6. Names and addresses of all persons who are authorized to take the child from the group child care home

7. Copies of any pertinent custody information or restraining orders

8. Child's eating and sleeping habits, food preferences, allergies and any special medical or emotional problems

9. Name of any health insurance plan and policy number under which the child is covered

1. Provider shall have a plan for communicating with parents/guardians. The plan may include means of communication such as conferences, handbooks, newsletters, bulletin boards and notes.

2. When children under the age of eighteen (18) months are in care, there shall be written daily communication that shall include references to the child's mood, health, feeding, sleeping, toileting and activities. Daily communication for children over eighteen (18) months may be verbal and should cover the same areas.

1. Transportation of the children by the provider and/or the assistants, including requirements for child restraint systems, shall follow the state laws and regulations of the Rhode Island Department of Transportation, Registry of Motor Vehicles and shall be covered by liability insurance.

2. Children shall not be left unattended in a vehicle.

3. Station wagon tailgates and rear windows shall be kept closed at all times when children are being transported.

1. The file shall contain all information gathered on the child, including medical forms, emergency treatment forms, child care agreement with parent/guardian and permission forms.

2. All information about a child in care shall be kept confidential and shall not be released to any person without the written permission of the parent/guardian.

3. Files for all children in care shall be kept together in a place where they are readily accessible.

1. Provider shall keep a written record of any accident or illness that occurs while the child is in care and shall include the record in the child's file.

2. Provider shall notify the parent/guardian immediately in the event of an accident or other emergency requiring the child to have medical attention.

3. Provider shall notify the parent/guardian of any accident occurring while the child is in care. Notification shall be given on the same day that the accident occurs.

1. Provider shall post the Group Family Child Care Home License in a prominent place in the home where it is visible to parents/guardians.

2. Provider shall make the Group Family Child Care Home Regulations for Licensure available to prospective parents/guardians and the parents/guardians of the children in care.