Margarita Batista Torres

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).

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.

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).

Awareness of/Understanding of Regulations: The provider shall have a copy of the regulations at the facility and shall have read and understood the family child care standards set forth in these regulations.

Rule 19a-87b-6(a).

Judgment: The applicant and provider shall demonstrate the personal qualities appropriate for working and communicating with children and their families and other adults.

Rule 19a-87b-6(e).

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 These records shall be returned to the parent when the child is withdrawn from the family child care home.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).

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).

Sick Child Care: A family child care provider may choose to continue caring for a mildly ill child provided the child does not have a fever exceeding 101 degrees F, the child does not have more than one undiagnosed episode of diarrhea or vomiting, or an undiagnosed skin rash, and the child attends the facility on a regular basis. Standard precautions and sanitary practices are used to prevent the spread of infection. No child shall be accepted for sick child care on a drop in basis.

Rule 19a-87b-11(a)(1) to (a)(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).

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).

Unused/Expired Prescription Meds: All unused or expired medication, except for controlled drugs, shall be returned to the parent(s) or disposed of if it is not picked up within one week following the termination of the order in the presence of at least one witness. The family child care home shall keep a written record of the medications disposed of for three years which shall be signed by both parties.

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

Infant/Toddler Restriction: The provider shall care for no more than two (2) children under the age of eighteen months at one time, including the provider�s own children, except that the provider may care for up to six (6) children under the age of eighteen months when an approved assistant is present and assisting the provider.

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

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).

Medical Statement: Household members shall be free from any mental, emotional or physical health problems that might adversely affect children receiving family child care services.

Rule 19a-87b-7(a).

Emergency Evacuation Drills-Quarterly: The provider and staff shall be periodically instructed and kept informed of their duties under the plan and shall practice at least quarterly an emergency evacuation drill. A written log of the practiced drills shall be maintained at the family child care home for one year.

Rule 19a-87b-9(d)(5).

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).

Meeting the Child’s Needs: The provider is responsible for ensuring that the physical needs of the children are adequately met while receiving family child care services.

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

Parent Permission for Nonprescription Topical Meds: The written permission of the parent(s) shall be required prior to the administration of the nonprescription topical medication and shall be kept on file at the family child care home for each child administered a nonprescription topical medication. The medication shall be administered only in accordance with the written permission of the parent(s).

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

Smoke Detectors: The provider shall have smoke detectors, in operating condition, placed in the home so as to protect day care children’s sleeping areas, play areas and the basement. There shall be at least one smoke detector on each level of the facility.

Rule 19a-87b-9(d)(6).

Carbon Monoxide Detector: Family child care homes that utilize combustible fuel shall be equipped with at least one operable carbon monoxide (CO) detector on each occupied level of the home. CO detectors shall comply with the Underwriters Laboratories Standards for Safety and shall be operated in accordance with the manufacturer�s instructions.

Rule 19a-87b-9(d)(7).