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Revised 10-1-07
(a) Cleanliness. Requirements pertaining to cleanliness are listed in this subsection.
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(1) Caregivers attend promptly to children's personal hygiene needs.
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(2) Caregivers thoroughly wash their hands with soap and warm, running water:
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(A) before handling food;
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(B) before feeding children or eating;
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(C) after diapering or toileting;
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(D) after touching or cleaning up body fluids, including wiping noses;
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(E) after handling or feeding pets;
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(F) after playing outdoors or in sand or water; and
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(G) before medication is dispensed.
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(3) Staff ensure that children wash their hands with soap and warm, running water:
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(4) When a child older than three years of age in diapers is cared for in a room without a diaper-changing area, arrangements are made for sanitary diaper changing, hand‑washing, and privacy.
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(5) A child's wet or soiled clothing is changed immediately, and placed in a labeled, sealed, moisture-proof bag to be sent home. A supply of clean clothing is available.
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(6) Toys and items that are in contact with children's mouths are washed and sanitized after each child's use or as needed; and if contaminated by other body fluids, toys, and equipment are set aside to be washed and sanitized.
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(7) Each toilet article, for example, wash cloth, towel, comb, or toothbrush, is individually assigned and stored and is not used jointly by or on children.
(b) Health records. Upon admission of a child, parents are required to submit the child's immunization record, a listing of special health needs, and the name of the child's physician.
(c) Immunizations. Children have or are in the process of obtaining all required immunizations at the medically appropriate time. If a child is accepted for whom an exemption is claimed, documentation of the exemption is kept on file at the center.
(d) Disease control. At the time of enrollment, parents are informed of the center's policy regarding ill children.
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(1) Each child is carefully observed by staff members for symptoms of illness or infestation.
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(2) Any child showing symptoms of illness or infestation is separated from the group and parents are notified as needed.
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(3) The local or state health department is notified upon discovery of any case of hepatitis, meningitis, Shigellosis, Giardiasis, measles, rubella, whooping cough, tuberculosis, E coli 0157:H7, Salmonellosis, or any Haemophilus influenza invasive disease in any person associated with the center. If a center has concerns about the health of a child, the local or state health department may be contacted.
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(4) Cots, cribs, bedding, and play equipment are cleaned and sanitized after use by an ill child.
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(5) Disposable, nonporous gloves are used to clean up blood, vomit, or body fluids that may contain blood. Disposable gloves are discarded in a closed container immediately after use, and staff wash their hands.
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(6) A commercial sanitizer or a bleach solution of one tablespoon of bleach to one gallon of warm water, made fresh daily, is used to sanitize surfaces whenever needed.
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(7) For diaper-changing surfaces, the solution used is:
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(A) one-fourth cup of bleach to one gallon of water;
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(B) two tablespoons of bleach to one-half gallon of water;
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(C) one tablespoon bleach to one quart of water; or
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(D) two teaspoons of bleach to one pint of water.
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(8) Parents are notified as soon as possible of children's exposure to a contagious illness or infestation.
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(9) Staff with symptoms of a communicable disease or illness are not permitted in the center.
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(10) A child's temperature is not taken orally or rectally.
(e) Medication. The requirements pertaining to administering medication are contained in this subsection.
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(1) The parent signs an authorization for center staff to administer each medication. Directions are recorded for the proper amount (dosage), including time and days medication is to be administered.
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(2) If a child has a chronic medical problem, the parent may sign a medication authorization for up to a nine-month period for prescribed medication to be administered by staff as needed. The child's parents are notified whenever medication is administered.
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(3) Prescription medication is not administered unless the medication is a part of a prescribed therapeutic treatment.
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(4) Medication is provided by the parent in the original container and labeled with the child's full name.
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(5) Staff administers medication according to the label or written doctor's directions and only to the child for whom it is intended.
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(6) To avoid duplication, each dosage administered is recorded on individual medication logs by designated staff. Medication logs are readily available to parents.
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(7) All medications are inaccessible to children and stored in a manner which prevents contamination of food.
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(8) Medication is either returned to the parent or disposed of properly when it is out‑of-date or the child has withdrawn from the center.
(f) Injuries. The center:
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(1) contacts poison control with any suspected child poisonings;
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(2) notifies parents as soon as possible of any known cuts, burns, animal bites, or injuries that may need evaluation by a physician; and
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(3) maintains a log or report of all injuries that occur at the program.
(g) Emergency procedures. A written emergency procedure for severe injury or acute illness is prominently displayed at the child care center. The emergency procedure includes:
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(1) administration of first aid and location of the first aid kit;
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(2) name and telephone number of the emergency service, physician and/or clinic;
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(3) notification of parent; and
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(4) notification of Division of Child Care Licensing Services regarding the death of a child while in care or any injury to a child that requires emergency medical attention, in accordance with OAC 340:110-3-5(c)(5)(G) and (H).
(h) First aid kits. Readily available first aid kits are maintained in the center and are taken on each field trip.
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(1) Each kit is a closed container for storing first aid supplies which is accessible to staff at all times but inaccessible to children.
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(2) First aid kits are restocked as needed.
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(3) At a minimum, the first aid kit contains:
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(A) disposable nonporous gloves;
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(B) blunt-tipped scissors;
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(C) tweezers;
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(D) a thermometer;
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(E) bandage tape;
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(F) sterile gauze pads;
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(G) rolled flexible or stretch gauze;
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(H) non-medicated adhesive strips; and
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(I) current standard first aid text or equivalent first aid guide.
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(4) First aid kits taken on field trips also include:
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(A) liquid soap and water or individually packaged towelettes;
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(B) pen or pencil and note pad;
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(C) cold pack;
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(D) coins for use in a pay phone;
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(E) the poison control center telephone number, 1-800-222-1222; and
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(F) plastic bags for disposal of items contaminated with blood and/or body fluids.
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