Maria V Ortiz

Notification of Change: The applicant or provider shall notify the Commissioner in writing within five (5) working days of any change in circumstances which alters or affects the provision of family child care services.

Rule 19a-87b-5(j).

Harmful Substances and Materials Inaccessible: All potentially harmful substances and materials shall be inaccessible to children.

Rule 19a-87b-9(c).

Stairways: Protected/Handrails: Every stairway shall have a sturdy handrail with no areas in which a child may fall through, shall provide safe passageway and be maintained free of obstructions. There shall be a gate or other structure in place that may be hung, drawn or lowered at the entry of stairways accessible to children to prevent falls.

Rule 19a-87b-9(d)(4)(D).

Child Health Record: The provider shall have a complete and current general health record on file when the child begins attending the family child care home, signed and dated by a physician, physician assistant or advanced practice registered nurse. These records shall be returned to the parent when the child is withdrawn from the family child care home.

Rule 19a-87b-10(b)(2).

Authorized Release: For each child enrolled, the provider shall have on file and shall keep updated the parent’s written permission and instructions specifying the name, address and telephone numbers of persons permitted to remove the child from the family child care home on behalf of the parent.

Rule 19a-87b-10(b)(3)(A).

Emergency Permission Form: For each child enrolled, the provider shall have on file and shall keep updated the parent’s written permission and instructions specifying name, address and telephone numbers of emergency medical care provider for the children.

Rule 19a-87b-10(b)(3)(B).

Incident Log: The provider shall have on file an incident log for each enrolled child to record accidents, incidents that shall be reported to the Department of Children and Families, injuries, illnesses or unusual behaviors that occur and observations of the child made by the provider during business hours. The incident log shall be complete and be available upon request to the Office of Early Childhood and shared with the parent(s) no later than the next business day.

Rule 19a-87b-10(b)(4).

Flexible and Balanced Schedule: The provider shall develop and implement a written schedule that is flexible, with time for free choice play, outdoor play, snacks, meals and a rest period.

Rule 19a-87b-10(c)(4).

Individual Plan of Care: The provider shall maintain in the family child care home a written individual plan of care for each child with disabilities or special health care needs who requires special care be taken or provided while the child is at the family child care home. Such plan shall be developed with the child�s parent(s) and health care provider at intake, implemented and updated as necessary. Such plan shall include appropriate care of the child in the event of a medical or other emergency and shall be signed by the provider, parent(s) and any approved staff members responsible for the care of the child.

Rule 19a-87b-10(d)(3).

Documented Med Trained Staff: Prior to the administration of any medication other than nonprescription topical medications, the provider and any substitute(s) who are responsible for administering the medications shall be trained in the methods of administration of medications and in the specific route by which the medication will be administered and shall receive written approval from the trainer indicating that the trainee has successfully completed such training. A provider or substitute trained and approved to administer medication shall be present whenever a child who has orders to receive medication is enrolled and present at the family child care home. Training approval documents and outline shall be maintained on site at the family child care home.

Rule 19a-87b-17(b)(1) and/or 19a-87b-17(b)(2).

Written Authorized Prescriber/Parent Permission: Except for nonprescription topical medications, no medication, prescription or nonprescription, shall be administered to a child without the written order of an authorized prescriber and the written permission of the child�s parent(s) which shall be on file at the family child care home. The medication shall be administered only in accordance with the written order of the authorized prescriber and shall not administer the first dose of any medication, except in an emergency.

Rule 19a-87b-17(b)(3).

Body of Water: When there is a swimming pool or any other bodies of water at the facility or near enough to the facility to attract or be accessible to children at any time of the year, there shall be a sturdy fence or barrier, four (4) feet high or higher, which totally and effectively bars access to the water by the children. All entries and exits through such fence or barrier shall have self-closing, self-latching devices or locks. When an outside wall of the facility that serves as one side of the fence or barrier to the body of water has a doorway, such doorway shall remain locked. Shallow wading pools that are not fenced shall be emptied after each use and shall not collect water. Decorative ponds, fish ponds, fountains or similar bodies of water that do not have a fence or barrier, shall be completely covered with childproofing grate or other barrier to prevent access to children.

Rule 19a-87b-9(f)(2) and/or 19a-87b-9(f)(4).

Individual Plan of Care: The provider shall maintain in the family child care home a written individual plan of care for each child with disabilities or special health care needs who requires special care be taken or provided while the child is at the family child care home. Such plan shall be developed with the child�s parent(s) and health care provider at intake, implemented and updated as necessary. Such plan shall include appropriate care of the child in the event of a medical or other emergency and shall be signed by the provider, parent(s) and any approved staff members responsible for the care of the child.

Rule 19a-87b-10(d)(3).

Written Authorized Prescriber/Parent Permission: Except for nonprescription topical medications, no medication, prescription or nonprescription, shall be administered to a child without the written order of an authorized prescriber and the written permission of the child�s parent(s) which shall be on file at the family child care home. The medication shall be administered only in accordance with the written order of the authorized prescriber and shall not administer the first dose of any medication, except in an emergency.

Rule 19a-87b-17(b)(3).