Elba Nelly Ramirez De Castillo

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).

Immunizations: For each child enrolled, the provider shall maintain on file a complete immunization record.

Rule 19a-87b-10(b)(2)(A)(v) and/or 19a-87b-10(l).

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).

Enrollment Form: For each child enrolled, the provider shall maintain on file a current and complete enrollment form. This form shall be kept for one year after a child ceases to be enrolled in the family child care home.

Rule 19a-87b-10(b)(1).

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).

Field Trip and Transportation Permission: For each child enrolled, the provider shall have on file and shall keep updated the parent’s written permission and instructions specifying any activity away from the family child care home, including days and times, and transportation for children leaving the family child care home by the provider or staff.

Rule 19a-87b-10(b)(3)(C) and/or 19a-87b-10(b)(3)(D).

Crib or other Provision Free from Observable Hazards: No potentially hazardous items shall be placed with an infant in a crib or hung over the side of a crib or other piece of equipment designed for sleeping except for a pacifier without attachments. Bibs and garments with ties or hooks shall be removed from infants that are placed to sleep. No toys or objects shall be attached to sleeping or rest equipment. No child under three years of age shall have access to teething necklaces, teething bracelets or other jewelry that could present a choking or strangulation hazard.

Rule 19a-87b-10(f)(3) and/or 19a-87b-10(f)(7).

Capacity: The provider shall maintain the family child care home within the registered capacity.

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

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).

Immunizations: For each child enrolled, the provider shall maintain on file a complete immunization record.

Rule 19a-87b-10(b)(2)(A)(v) and/or 19a-87b-10(l).

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).

Field Trip and Transportation Permission: For each child enrolled, the provider shall have on file and shall keep updated the parent’s written permission and instructions specifying any activity away from the family child care home, including days and times, and transportation for children leaving the family child care home by the provider or staff.

Rule 19a-87b-10(b)(3)(C) and/or 19a-87b-10(b)(3)(D).

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).

Supervision-At All Times, Indoors/Outdoors: The provider shall be responsible for the supervision of the children at all times indoors, outdoors or on excursions. The provider shall be either indoors or outdoors with all children in care unless an approved staff is present to supervise.

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

Substitute Care: The provider shall not leave the presence of the children in care unless and until the substitute or emergency caregiver has assumed the provider’s responsibilities and is actually present with the children in care.

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

Access: The provider, assistant, emergency caregiver or substitute shall allow the Office of Early Childhood immediate access during customary hours to the facility named on the license whenever the Office of Early Childhood seeks to perform an inspection. The provider or substitute shall allow the Office of Early Childhood to inspect, upon request, any records required to be maintained.

Rule 19a-87b-13.

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).

Prescription Meds Stored/Labeled: Medication shall be stored in the original child-resistant safety container and appropriately labeled. Except for nonprescription topical medications and emergency medications, medication shall be stored in a locked area or a locked container, in a refrigerator in keeping with the label directions away from food and inaccessible to children and unauthorized personnel. Controlled medication shall be stored as required by statute. Emergency medications shall be stored in a safe manner, inaccessible to other children, to allow for quick access in an emergency.

Rule 19a-87b-17(b)(5).

Freedom of Hazards: The facility and equipment shall be in good repair, and reasonably free from anything that may be potentially dangerous to children.

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

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).

Working Telephone/Emergency Numbers Posted: The provider shall have a working telephone at the family child care home, with emergency numbers posted in a readily accessible location in an area where family child care services are provided which is known to the provider and all staff.

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

Enrollment Form: For each child enrolled, the provider shall maintain on file a current and complete enrollment form. This form shall be kept for one year after a child ceases to be enrolled in the family child care home.

Rule 19a-87b-10(b)(1).

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).

Immunizations: For each child enrolled, the provider shall maintain on file a complete immunization record.

Rule 19a-87b-10(b)(2)(A)(v) and/or 19a-87b-10(l).

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).

Freedom of Hazards: The facility and equipment shall be in good repair, and reasonably free from anything that may be potentially dangerous to children.

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

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

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