The Children’s Center

Medications: The center shall have written procedures for dispensing, storage, and authorization, and recording of all prescription and non-prescription medications. •Staff must be over 18 to administer medication. •All medications shall be stored in original containers with physician or pharmacist directions. Labels should be intact and stored so they are inaccessible to children and public. Nonprescription medications shall be labeled with the child’s name. •For every day an authorization for medication is in effect and child is in attendance, there shall be a notation of administration including the name of medicine, date, time, dosage, given or applied, and the initials of the person administering the medication or the reason the medication was not given. •For ongoing, long term medications, authorization shall be obtained for a period not to exceed the duration of prescription. •Staff shall not provide medications to a child if pre-service/orientation training for medication management has not been completed.

Rule 109.10(1).

Emergency instructions, phone numbers, and diagrams for fire, tornado, and flood shall be visibly posted and documented at least once a month for fire and tornado. Records shall be maintained for current and previous year.

Rule 109.10(13)b.

Centers built before 1978: Assessment and plan for remedy of lead paint hazard is conducted.

Rule 109.11(8)a.

All staff (within first three months of employment): •Iowa’s training for the mandatory reporting of child abuse. •At least one hour of training regarding universal precautions. •Certification in First Aid infant, child, and adult cardiopulmonary resuscitation (CPR) or equivalent certification approved by the Department. A valid certificate indicating the date of training and expiration date shall be maintained. •Certification in infant, child, and adult first aid that uses a nationally recognized curriculum or is received from a nationally recognized training organization including the American Red Cross, American Heart Association, American Safety and Health Institute, or MEDIC First Aid or an equivalent certification approved by the Department. A valid certificate indicating the date of training and expiration date shall be maintained. •Minimum health and safety trainings, (Essentials) approved by the Department. If significant changes occur to content, the Department may require the training be renewed.

Rule 109.7(1).

All files contain documentation to indicate that ongoing staff training requirements are met, including current certifications in first aid/CPR and mandatory child abuse training.

Rule 109.9(1)c.

Preschool (for children five years and younger not enrolled in school): Physical exam report submitted within 30 days of admission, was obtained no more than 12 months prior to admission, is signed by a licensed MD, DO, Chiropractor, PA, or ARNP, and contains health history; present health status including allergies, medications, and acute/chronic conditions; and recommendations for continued care if necessary.

Rule 109.9(2)i.

School-age (for children five years and older and enrolled in school): Annual statement of health status signed by parent is submitted prior to admission, certifies that the child is free of communicable disease, and lists allergies, medications and acute/chronic conditions.

Rule 109.9(2)j.

Emergency instructions, phone numbers, and diagrams for fire, tornado, and flood shall be visibly posted and documented at least once a month for fire and tornado. Records shall be maintained for current and previous year.

Rule 109.10(15)b.

For ongoing, long term medications, authorization shall be obtained for a period not to exceed the duration of prescription.

Rule 109.10(3)c.

Center shall ensure that: 1.Facility and premises are sanitary, safe, and hazard free. 2.Adequate indoor and outdoor space is provided. The outdoor area shall include safe play equipment and area of shade. 3.Sufficient space provided for dining. 4.Sufficient lighting shall be provided. 5.Sufficient ventilation. 6.Sufficient heating. 7.sufficient cooling. 8.Sufficient bathroom and diapering facilities. 9.Equipment, including kitchen appliances, are maintained so as not to result in burns, shock, or injury to children. 10.Sanitation and safety procedures for the center are developed and implemented to reduce risk or injury or harm to children and reduce transmission of disease.

Rule 109.11(3)a.

•Program structure that uses developmentally appropriate practices and written program of activities planned to the developmental needs of children served. •Program complements but does not duplicate school curriculum. •Schedule of program is posted in a place visible to parents.

Rule 109.12(1).

•Sufficient toilet articles are provided for handwashing. •Sufficient and safe indoor play equipment, materials, and furniture that conforms with CPSC or ASTM. •Play equipment, materials, and furniture meet the developmental, activity, and special needs of the children. •Room’s arrangement does not obstruct the direct observation of children. •Individual covered mats, beds, or cots, and appropriate bedding is provided for all children who nap. •Procedures are developed and implemented to maintain equipment and materials in a sanitary manner. •Sufficient spacing is maintained between equipment to reduce transmission of disease and allow ease of movement by children and staff to respond to activities and care needs. •Sanitary procedures are followed for use and storage of personal hygiene articles.

Rule 109.12(4).

All files contain: 1.A signed copy of DHS criminal history record check or any other permission form approved by the Department of public Safety for conducting an Iowa or national criminal history check. 2.A copy of Request for Child Abuse Information. 3.Copies of the results of Iowa records checks conducted. 4.Copies of national criminal history check results. 5.Any Department-issued documents sent to the center related to records check.

Rule 109.9(1)b.

All files are updated at least annually and when a change occurs.

Rule 109.9(2).

All files contain information regarding the specific health and medical needs of a child including information regarding any prescribed treatment. For school-age programs in the child’s school, all files include a statement signed by the parent that the immunization information is available in the school file.

Rule 109.9(2)c.

All files contain parent authorization for attendance at center-sponsored field trips and non- center activities. If an inclusive authorization form for activities is used, a copy is kept on file at the center.

Rule 109.9(2)f.

Emergency instructions, phone numbers, and diagrams for fire, tornado, and flood shall be visibly posted and documented at least once a month for fire and tornado. Records shall be maintained for current and previous year.

Rule 109.10(15)b.

For ongoing, long term medications, authorization shall be obtained for a period not to exceed the duration of prescription.

Rule 109.10(3)c.

Center shall ensure that: 1.Facility and premises are sanitary, safe, and hazard free. 2.Adequate indoor and outdoor space is provided. The outdoor area shall include safe play equipment and area of shade. 3.Sufficient space provided for dining. 4.Sufficient lighting shall be provided. 5.Sufficient ventilation. 6.Sufficient heating. 7.sufficient cooling. 8.Sufficient bathroom and diapering facilities. 9.Equipment, including kitchen appliances, are maintained so as not to result in burns, shock, or injury to children. 10.Sanitation and safety procedures for the center are developed and implemented to reduce risk or injury or harm to children and reduce transmission of disease.

Rule 109.11(3)a.

All files are updated at least annually and when a change occurs.

Rule 109.9(2).

All files contain information regarding the specific health and medical needs of a child including information regarding any prescribed treatment. For school-age programs in the child’s school, all files include a statement signed by the parent that the immunization information is available in the school file.

Rule 109.9(2)c.