ED 237 219 PS 0la74771_,- DOCUMENT RESUME TITLE CoMparative Licensing Study: Profiles of State Day Care Licensing Requirements. Day Care Centers. Volume 2: Indiana - Nebraska. Revised Edition 19$1 INSTITUTION Johnson (Lawrence) and Associates, Inc.., Washington, D.C. SPONS AGENCY Administration for')Children, Youth and Families (DHHS), Washington, D.C. PUB DATE Noy 52 NOTE , 65p,; For related documents, see PS 01 PUB TYPE Lagal/Lagislative Rpgulatory Materials. EDRS PRICE MF03/PC27 Plus Postage, DESCRIPTORS Activities; *Certification; Child CaregiVers;, Comparative Analysis; *Day Care Centers; Disabilities; Early Childhood. Education; Facility-- Requkrements; *Federal Regulationv Food serOce; Health; *Local Legislation; National SurveySv Nutrition; Parent Participation; Professional Personnel; Safety; *State Legislation; Student Teacher Ratio IDENTIFIERS District of Columbia; Guam; Puerto RiCo; United States; Virgin Islands 970 75. 090) ABSTRACT Updating the Administration for Children, Youth and Families' .1978 "Comparative Licensing Study," a study was ssconducted to provide a common framework for assessing state activities in critical child care li- censing areas and to record the status bl child =care licensing_ as of March 1981 in the 50 states, the District of Columbia, Guam, Puerto Rico, and the Virgin islands. The updated, six-volume comparative licensing study improves the format of A the. original e.g., e gives greater prominence to group sizand infant care) and contains'datailed information on state laws and regulationS dealing with family child care homes, .group child care homes,,and.day care centers. The. format consists' of the following categoriesl '(1) state licensing of child day-.care facilities; (2) licensing process and enforcement procedurel; (3) administration; (4) grouP compositions of children; (5) staff qualifications and training -requirements; (6) program of activities, including education; (7) health and safety; (8) nutrition and food services; (9) social services; '(10) parent participation; (11) infants and, toddlers; (12) children with handicapping conditions; (13) school age children; (14) facility requirements; and (15) other state requirements compliance with other local, state, and regional laws and regulations. Volume 2 i profiles requirements of day care centers in Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, and Nebraska. In some profiles, some categories are not detailed. (RH) *************************** * ** * ** *** **** *** ****** ** Reproductions supplied by EDRS are the best that can be made from the original document. ************************************************ US, DEPAATNIENT OF EDUCATION NATIONAL INSTITUTE OF EDUCATION EDUCATIONAL-RESOURCES INFORMATION CENTER (ERIC) This docofnedt has been rdorodifood roshived from Ihr3 pOr50,1 at organizalion originating It JC to imprnvn repirred' L''taio"ngur:frahlaie've "" "."" COMPARATI inem do nof neceLsarilv reoreeent official NIE p ona etated.n paalon or policy ICENSING STUDY Profiles of State Day Care Licensing Requirements DAY CARE CENTERS Revised Edition 1981 Volume Indiana - Nebraska produced for Dr. Raymond C. Collins Government Project Officer The Office of Program Development Office of Developmental Services Administration for Children, Youth and Families Office of Human Development Services U.S. Department of Health and Human Services Lawrence Johnson & Associates, Inc. 4545 42nd Street, N.W. Washington, D.C. 20016 November, 1882 DAY CARE. CENTERS (Day Nurseries) INDIANA Except where otherwise noted, all citations are, from the Rules and Regulations of the Indiana Department of Public Welfare, Title 3 Child Welfare Services, Chapter 4 - Licensing Day Nurseries, October 18, 1979. 100. STATE I CENSINC OF CHELD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS 111. Definitions Regulation 3-401 Day Nursery, Definition. A day nursery is defined as any institution operated for the purpose of providing care and maintenance for children separated from their parents or guardian or person in loco parentis during a part of the twenty-four hour day for two or more consecutive weeks 'excepting a school or other bona fide educational institution. 112. Exclusions and Exem itions IND. CODE ANN. §12-32-12.7 Day nursery operated by religious organization; exemptions; registration; fees; inspection; notice to parents. --- A day nursery that is operated by a religious organization or religious organizations exempt frbm federal income taxation under Section 501 of the Internal Revenue Code, is exempt from licensing and the rules adopted under this chapter. 113. 11115 Day Care Compliance Not specified DAY CARE CENTERS .ir(Day Nurseries) INDIANA 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 12L Cr=ani zation of he Ad- inistrative Unit. STATE DEPARTMENT OF PUBLIC WELFA DIVISION OF CHILD WELFARE/SOCIAL SERVICE LICENSING UNIT In Indiana, all licenses are issued and revoked at the state central office level. The day to day licensing functions are carried out by state central office staff f or day care centers and by county staff for family day careAlomes. The state central office monitors the counties in this function and provides consultation to them. DAY CARE CENTERS (Day NurSerieS). 122. Responsible 01 All inquiries should be Administrator, Public Welfare 100 N. Senate Indianapolis, (317) 232-4703 200. LICENSE 210. C NSING PROCESS 211. Promulgation of -Regulations INDIANA SS- AND ENFORCEMENT PROCEDURES IND. CODE ANN. §12-3-2-I2 :43-1316) Development of standards of child care - Rules and regulations - Cooperation with child welfare agencies.' The state department public welfare shall be, . responsible for the development of adequate standards of child care, and after consultation with the state board of health and state fire marshal shall make, prescribe and publish such rules and regulations governing child welfare agencies and boarding-homes, as shall be deemed necessary or advisable to protect the best interests of children under eighteen (18) years of age, and to carry out the purpose of this chapter after such rules and regulations are approved and adopted according to law. In order to improve standards of child care, the state department of public welfare shall also cooperate with the governing bodies of child welfare agencies and institutions and assist, the staffs thereof through advice on progressive methods and procedures and suggestions for the improvement of services. 212. Advlisory Body and oniLcommtEIity_ Participation Not specified DAY CARE CENTERS (Day Nurseries) 220. LICENSING PROCEDURE 221. Application and Issuance INDIANA IND. CODE ANN. §.123-2-6 (42-1310) License; issurariee. The state department.of public welfare shall have the power to grant a liceise for one (1) year for the conduct of any boarding-home for children, day nursery, children's -home or child-caring institution or child-placing agency believes is needed and is for the public good, that his adequate equipme for the work and that is conducted by 'a reputable respon_sible person or organization. IND. CODE ANN. §12-3-2-8 (42-1312) Conditions to granting license. No such license shall be issued unless the premises of the boarding-home, day nursery or children's home is ini"a fit sanitary' condition and the application for license has been approved by the-state board of health. IRegulation 3-402 - Applicati'on for License/Application. ( Application for a license to operate a day nursery shall be submitted to the Indiana State Department of Public Welfare on the forms provided for that purpose by the Stake Department. 222. Fee Char Not specified 223. Areas of Investigation Not specified 224. License Renewal Regulation 3-402 - Application for License /Renewal. An application for a renewal license shall be submitted annually. DAY CARE CENTERS INDIANA (Day Nurseries) 225. 6onditional/P -ov onal Licenses IND. CODE ANN.. §12-3-2-7 (42-1311) Provisional license. A provisional license may be (issued to any boarding-home, day nursery, children's home or child-placing agency whose services are needed, but which is temporarily unable to conform to all. rules and regulations of the state department of public welfare. A provisional license may not be reissued for more than one (I) consecutive year 226. Substantial Compliance Regulation 3-456 - Exceptions and Variances. The State Department within its own right, or ypon the recommendation of the State. Board of Health, State Fire Marshal or Administrative Bui:ling Council where health or safety rules are concerned, shall have the authority to grant an exception or variance to the provisions of these rules and regulations upon application in writing to the State Department by the director of a nursery. Such application will be considered only when there are practical difficulties which preclude carry_ ing out the strict letter of these rules and regulations, and when there is substantial or equivalent compliance with them; and when such exception or variance in no way would create or perpetuate a condition or situation hazardous to the safety or well-being of a child. The nature of any exception or variance granted shall be described upon the face of the license issued to the nursery and also upon the record of the State Department as the licensing agency, and upon the record of the other state agency(ies) which recommended the granting of the exception or variance. DAY CARE CENTERS (Day Nurseries) 230. ENFORCEMENTPROCED1JRES 231. Facility Inspections INDIANA IND. CODE ANN. §12-3-211 (42 -1315) Inspection and supervision.-' The 'state department of public welfare' and state board of health shall annually and may at any time, visit and inspect or designate a person to visit and inspect the premises so licenSed. The State Department of Public Welfare shall have the authority at any time to investigate and examine into the conditions of any home or other place in which a licensee receives and maintains or places out children and shall have the authority at any time to examine and investigate the books and records of any license. The state board of health shall visit or designate a person to visit any licensee to advise on matters affecting the health of children, such as diet and medical care, and to _.- inspect the sanitation of the buildings used for their care. A county, city or town may employ a person or persons- to assist the state department bf public welfare or state board of health in performing inspection and investigation functions under subsection (a). Whenever requested by the county, city, or town, the state department of public welfare or the state board of health shall designate persons employed under this subsection to assist them. 232. Denial Sus-ension Revocation of a License IND. CODE ANN. §12 -3 °210',,(43 -1314) Revocation of license. The state department of public welfare may revoke such license in its discretion and shall note such revocation upon the face of the record thereof. It shall give written notice of §uch revocation to the licensee by delivering of notice to him in person or by leaving it on the licensed premises. DAY CARE CENTERS Way Nurseries) 1 Regulation 3-404 Automatic Termination of License. INDIANA A day nursery license is automatically terminated and a new application is .required whenever there is a change in the name of the licensee, the type of facility, the location of the day nursery, or when the number of children to be cared for at any one time is more than the number for whom the license is granted, or when the children to be cared for at any one time includes a child or children beneath the age of two (2) years unless a special license is held by the licensee to provide infant carer or when the day nursery discontinues its service. 233. Remedies and Sanctions 233.1 Hearin IN D. CODE ANN. §12-3-2-13 (42-1317) Appeals. Any person; firm, corporation or association whose license has been refused op revoked may appeal from the action of the state department of public welfare to the circuit or superior court of the county in which the residence or principal office is located; and shall give a good and satisfactory bond, in en amount to the fixed by the court, conditioned to pay all'costs of such appeal should the appeal be determined against him. 233.2 Decisions Not specified 233.3 Judicial Rev' IND. CODE ANN. §12-3-2-15 (42-1319) Penalty for violatic Any person who violates this chapter commits a Class B DAY CARE CENTERS INDIANA (Day Nurseries) 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 11. General Administrative Requirements Regulation 3-403 - ,Reporting Changes and Events. It shall be the responsibility of each day nursery to report promptly to the State DcpErtment,the following changes or events. Change in the name of licensee; Change in the type of facility; Change in the location of the day nursery prior to relocation; Change in the number of children to be cared for to exceed the number_ .authorized in the license prior to the. acceptance of such additional chlldren; Change in the ages of children to be cared for, when such change includes -care for children beneath the age of two (2) years if the licensee does not hold a special license to provide infant care, prior to the acceptance of a child or children beneath the a.e.of two (2) years; The fact of discontinuing day nursery service and the effective date of such discontnuance; Major alterations or changes in housing or in use of rooms malting suA alterations or changes; Employment of a new operator or head teacher; prior Major changes in the services offered, in the schedule of operating hours prior to making such changes; it, DAY CARE CENTERS (Day Nurseries) Changes in the schedule of fe Any damage caused by nursery; INDIANA which occurs on the premises of the day The serious injury or the death of -any' occurred while the child was on the premises'of the day nursery Or while in the dare of the day nursery personnel. Regulation 3-405 - Ope1ation Responsibility of the'Director. The director shall be responsible for the operation of the day nursery at all times. During necessary absence of the director, a responsible staff member shall be designated to be in charge. No day nursery shall operate at any time without a responsible- erson age wenty-one (21) years or over present on the premises of the nursery. No director shall permit other employment or activities, within or away from the day nursery, to interfere with the efficient and proper operation of the day nursery.. Regulation 3-425 7 Termination of Service. An age for termination of service shall be established for the day nursery, and advance plans for termination made and carried out individually for each child. 312. Telephone Regulation 3-448.- Office-And Staff Rooms. Telephone service shall be provided. DAY CARE CENTERS (Day Nurseries) proof of Operator Financial Ca b INDIANA Regulation 3-406 - Financing and Accounting/Financial Resources. The day nursery shall have sufficient funds at all times to assure continuous -operation in accordance with these rules and regLilations. A new day nurseer shall have sufficient assured, funds to Carry through at least two months operation with only limited dependence on fees. Budget An annual budget shall be 'prepared in detail 'showing income me according to sources, and expenditures classified according to, safari -es, services and supplies, food, fixed expenses, repairs, and replacements of furnishings and equipment.' Financial Records and Reports wss , An appropriate and adequate bookkeeping system shall be maintained and made available for examination by the State Department at any time upon request. udit of Accounts Any day nursery which_ solicits funds from the public, receives tax funds, obtains any support from a Community Chest,. United Fund, or any other' orgardzation to which the public subscribes, or from a church or fraternal group, shall have an annual audit of all 'accounts by a certified public accountant who is not associated with the day. nursery. Such audit shall be made available to the State Department upon request. The treasurer, director, and others handling the funds of such day nursery shall be bonded. DAY CARE CENTERS INDIANA (Day Nurseries) 314. romance Regulation 3-406 - Financing and A cco un ti ng5 ns ur an ce The day nursery:shall cony sufficient forms and amounts of insurance to give reasonable protection to assets and to &sire the personal and property liability risks involved in the provision of services. Such insurance shall include but not be limifed to public liability and workmen's compensation insurance, and automobile liability and property damage insurance when the day nursery uses an autobile, whether it is owned by the day nursery, an employee, or volunteers:- I 320. PERSONNEL 321. Publication of Personnel Policies Regulation 3 -410 = Personnel Policies. The day nursery shall have written personnel policies relating to employment, terms and conditions of work, salary ranges, and merit reviews. Policies-shall include information as to hours of work including,time off duty, rest periodS, sick leave, vacation, holidays, and resignation and dismissal. Ti statement of personnel policies sIiall be made available to each employee. 322. Constraints Against Empl yment Not specified 330. NON-DISCRIMINATION 331. Requirements Prohibiting Discrimination Not specified 11 DAY CARE CENTERS (Day Nurseries) INDIANA 340. RECORDS REQUIREMENT 341. Children Regulation 3-407 - Total Daily Attendance Record. 'A daily attendance record shall Be maintained of the total number of children = cared for at the day nursery. t Regulation 3-426 - Child's Record. The day nursery shall keep an adequate social and progress record, together withici_e_ntifying or responsibility data and information, on each child in care. Identifying and responsibility data and information shall include: Name and birth date of child; Name, address and home telephone number of parents; Places of employment of the parents, if employed, and the employers' addresses and telephone numbers; Name, address and telephone number of cian to call in emergencies; Written authorization from parents for emergency medical care; Name and telephone number of person(s) authorized to call for child; Name, telephone number and address of responsible person who may be called to come for the child in case of illness or other emergency if the parents cannot be reached; 14 DAY CARE CENTERS (Day Ntrseries) INDIANA Identification of person having legal custody of the child if custody, has been removed from one of both parents, and identification of any person(s)'who may be prohibited by court order to have contact with the child; Financial inforination on which the fee is financial agreement with parents; and copy of any Dates of admission and discharge, and name arid address of -on to whom discharged; Time of daily admission and discharge, and daily attendance ree H eaith record; Any other specific information r=equired by the State De ent or desired by the nursery. Regulation 3-438 - Child's Health Record. The day nursery shall maintain a current,he ith record on each child enrolled in the nursery. Such record shall include: ' Preadmission, annual and other health examination information and recommendations as furnished by the physician, including health history of child before and during care in the day nursery; -Physician's statement of health and immunizations; Parent's statement of norexpcsture prior to admission; child to communicable disease Physician's written instruction with regard to any special dietary or other special health care required for the child; DAY CARE CENTERS (Day Nurseries) Record of medication and INDIANA eatment given in the day nursery; Record of absences due to,illness or injury; A running record of observations and incidents regarding each child under care including accidents, minor injuries, emotional upsets, unusual sleepiness, lack of vitality, or any other unusual condition which may be associated with a possible health condon. This should be a daily assignment to appropriate personnel. 342. Staff Regulation 3-416 - Personnel and Volunteer Records. i. An individual record shall beiVestablished and maintained for member of the nursery. It shall Include the following information: Prior to Employment pplication; Name, address, a-nd telephone nun ber Health records (See Re alai -on 3-439); Training, ,education, experience and other qualifications; Clearances from references and reports from fortifier employers with evaluations of ability, character and suitability for working with children. After Employment Attendance record; Annual health report; 14 DAY CARE CENTERS (Day Nurseries Evaluatibn of employee's performance; INDIA NA Record of 'Workshops or training sessions attended, and of study successfully completed; ates of e termination. ent and termination with reasons An individual rec-brd shall be established and maintained for each' volunteer who works for the nursery which includes at a minimum sufficient information to assure that such volunteer meets all or the requirements necessary for the protection of the health and safety of the chAdreth' Regulation 3-429 - Health Records for Persons Performing,Services.-- The day nursery shall maintain a health record for each person performing any service in the nursery. Such record shall include pre-employment, annual and other health examinatiSn information as furnished by the physician and the name and telephone number of the person to be notified in event of emergency. 343. Child Eligibility and Enrollment Requirements Regulation 3-423 -Intake and Admission Policies. The day nursery shall accept only children -who are at a stage of growth and development which enables them to benefit from its program, and for whose age level the nursery is adequately staffed and equipped to provide care. The day nursery shall n admit aly child whose needs it obviously cannot .meet or whose behavior would be dangerous for other 'children in the nursery. No day nursery shall admit any child under the age of two (2) years without a special license from the State Department to care for such children. DAY CARE CENTERS (Day Nurseries) Intake and admission tiolieies shall be clearly, defined, formulated in writing, and made known to applidants. Such policies- shall be commensurate with the needs of the child and, with the purpose of the program, and shall include provision for: Preadmission social and child Itevelopm4 histories to be obtained through interviews with the parents and observation ofrthe ch tc determine whether the service will meet...the needs of the child a is parents; Family information pertinent to the provision of child ewe; I Plan for payment of fees; A plan for getting each child to the nursery and getting him home, including the name of the person(s) authorized to call for him; An agreement for time of arrival at the dad nursery and of departure for home; The plan for furnishing breakfast or supper, if such is appropriate. The introduction of each child into the day nursery shall be handled on an individual basis to _meet the special needs of the child as he begins this new experience. 344. Child Abuse Reporting Not specified 4 345 Confidentiality of Itecords Requirements IND. CODE ANN. §12- 3 -2 -14 (42-1318) Licensee's records - Records confidential. Every licensee shall keep such records regarding each child in its control and care as the state department of public welfare may prescribe and shall 18 16 DAY CARE CENTERS (Day Nurseries) DIANA report to said department, whenever called for, such facts as it may require with reference to such children upon blanks furnished by the department. All records regarding children and all facts learned about children and their parents or relatives shall be deemed confidential by the agency and by the state department of public welfare. 400. GROUP COMPOSITIONS OF CHILDREN 410. STAFF/CHMD RATIO REQUIREMENTS RATIO hild Rao March, 1981 Regulation 3-413 - Personnel Required. Proper provision shall be made for a sufficient number of staff members with appropriate qualifications to carry out the program of the day nursery according to at least minimum requirements, and to insure that the building'is maintained in a safe and clean manner. Assignments of maintenance and housekeeping duties shall not interfere with the direct care of children. In no instance shall a day nursery operate with less than two staff members, one of whom shall be free from housekeeping and cooking re.sponsibilities while in charge of children. The day nursery shall provide substitute staff to replace employees on sick leaVe, vacation or absent for other reasons. A responsible adult aged 18 or over shall always be readily available to substitute for a regularly assigned staff member in charge of a unit of children. Such person shall be on duty when the regularly assigned staff member is away from the group, for no matter how short a period of time, whether indoors or out. 17 DAY CARE-CENTERS (Day Nurseries) INDIA INDI iNA In a small day nursery one staff member may carat e res ibilities. The director and head teacher may be the same person provided that such 4rson meets the qualifications for both positions; When the group of children enrolled is small enough to require the `employment of only two persons to operate the. nursery, provision shall be made-for the person supervising the children to be able to, call the second staff member to assist in emergencies without =the necessity of leaving the- chilt±"en unattended. All child care staff work under the direct supervision of a teacher, head teacher; or the director. Regulation 3-414 - Child/Staff Ratios. The maximum number of children in the day, nursery per staff member superVising them shall not exceed ten if three years of Ei.ge,°twelve if four years of age, fifteen if five years of .age, and twenty if. six years of age or ethods of orn .utin eg adon 3-414 - Child/Staff Ratios. Where there is-a combination of ages within a group, the number of required staff shall be determined on the basis of the age df the.voungest child. 420. GROUP SI747.- 421. Group Size as of March;1981 See 411, Staff/Child Ratio as of March, 1981 422- -Methods of Computing Group Size See . Staff/ Ratio-as of March, 1981 2u 18. DAY CARE CENTERS (Day Nurseries) .500.. STAFF-QUAL. CATION S AND.T INDIA WA NG REc REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS Regulation 3411 Personal Qualificati mm of Pbrsonnel- The director shall be at least twenty-one =(21) years of age, and any other staff member who, at an§. time has full charge and responsibility for a unit of ctiildren shall be at least eighteen (18) years of age. 51; Health Regulation 3-437 - Health Examinations for Pexsons Perfprrning Services. No person Shall be permitted to 'Perform any services in the nursery until he has famished the nursery with a statement from a physician that he is free from all medical eonditionsyvhich might be harmful to children including venereal, tuberculcsis and other ,communicable diseases. Each such person is required .to have a health examination immediately prior to entering, the service of the-nursery.and annually thereafter or more frequently as required by the nursery physician. Volunteers, substitutes, student aids, any other personnel having direct contact with the children or providing food service are also subject to the same regulation. Health examinations shall include: History; A physical examination including such x-rays and laboratory procedures as are determined necessary by the examining physician; 19 DAY CARE. CENTERS. (Day Nurseries) 'INDIANA A "Mantoux. intradermil skin test for tuberculosis if the last such test is known to be negative, or- if there is no record of a test; such a test shall be done .,on each person. If the Mantoux test is pbsitive the person shall have a diagnostic chest x-ray and other indicated laboratory tests todetermine whether or not tha disease is in an infectious state. Persons who become ill or return to perform services, for the (lay nursery following illness shall not perform in a capacity which may transmit disease or be detrimental to the health of the children or other persons in the day nursery. All persons lull have an annual physical examination such,as the one required prior to, the time they were permitted to start performing services for the day nursery unless the day nursery physician recommenidrotherwise. 513; Education Regulation 3-411 - Personal Qualifications of Personnel. Each member of the staff shall be a competent and reliable person of good moral character and reputation, who is mentally, physically and emotionally able to assume assigned responsibilities for group care of children or the operation and maintenance of the day nursery according to Ihis specific assignments. Persons having direct contact with the children shall be equipped by education, training, skill and experience to provide for their proper training and development, and shall be of suitable age to give them competent' care. Re lion 3-412 - Education and Experience of Personnel/Head Teacher. In day nurseries licensed for more than thirty chilciien, the head teacher or other person eesponsible for planning andwsupervising the activities of the k,.2, 20 2,2 DAY CARE CENTERS May Nurseries) IN 7- children and promoting the development of teaching staff shall have successful completion of at least two years of training in an accredited College or university, including courses in early childhood education or related fields, and one year of expehence in a child care or child teaching facility or servicel or shall have had work experience or a combination of education and experience in the field of early childhood" education that provides preparation equivalent thereto. In day nurseries licensed for thirty children or less, the head teacher or other person responsitie for plahningland .supervising the activiiies of- the chil&en shall at a minimum be a high school graduate, and shall... have had work eFperience with children to qualify him for such responsibility. 4- In daffy nurseries where the person employed as director is responsible for only the administralivexecutive responsibilities the head ,teacher shall be a pdrsbn who meets the educatiolnand dxperience walificati ns as defined above according to the size of the day -nursery. A person who is employed as a head _teacher on the effective date of these rules and regulations is-exemptrom the specific educationia requirements ford his position provided such person can show evidence of continuing study, in child care. Teacher and Child Care Workers In day nurseries licensed for less than thirty children the teacher who plans and implements the daily activities ,program or in a larger center the teacher who assists the head teacher shall have a minimum of a high school education or shall have passed-an equiNalency test and be enrolled in a course of study in child care approved by the State Department; or shall have had work experience in successful practice as a part of a two-year accredited course of study in child care as approved by the State Department, or a minimum of one o 21 DAY CARE CENTERS 'INDIANA (Day Nurseries) year as a child care worker in preschool edweadonal facility. ed day care center or other-bona fide A child care worker shoul demonstrate the qualities needed for the position 1y tailing successfully car for own children, or non related children as ar boardjng home mother, or homemaker for a' bona fide social or health agency, or by experiZnceln a pre - school child care center' or nursery school. A-child care worker is not required to have a certain level of formal education but must be able to read,. write and count, and shall be encoira d to improve his position by completing high school or passing an equivalency test All teaching And child care staff' shall give evidence of continuing study and development in the field of early childhood education by attendance Ett workshops, by reading current literature, and by participation in the nursery's program of on-the-job training.' 514. See 5 S. Experience 520. ,PROGRAM DIRECTOR QUALIFICATIONS a 521. ./E See 511. .Lim 522. Health See 512. Health 523. Education Regulation 3-412 - Education and Experience of Personnel/Dector. In day nurseries licensed for more than thirty children, the director shall haVe successful completion of four years of training in an accredited college or university, including courses in early childhood education or related fields, and 24 22 'DAY CARE CENTERS (Day Nurseries) INDIANA Chilli care or child teaching facility or'-service;-or shall have Dad a cbtnbination of such education and experience that prolfides the equivalent. > In day nurseries licensed for thirty children or less, the director shall have successful completion of at least two years of training in an accredited college or university, including courses. in early childhood educatibn or related fields,- and at least one year of experience in a child care or child teaching facility or . service; or shall have had work 'experience or a combination of education and work experience in the field of early childhood education -that. provides the d equivalent thereto. The director shall be required to demonstrate. administrative ability and the ability to work effectively with adults as well as children, with staff, board members, parents and community. If the director of a day nursery setes only in the °Cepacit of an administrative executive carrying out responsibility for personnel, p chasing equipment and supplies, other fiscal matters, and supervision of maintenance, he need not meet the educational and experience requirements described above but must employ a -head teacher who does meet such requirements, according to the size of the day nursery. 524. Experience See 23. Education 530. III PORT STAFF TJA FICATIONS Regulation 3-415 - Voltmtee Volunteers shall meet all the requirements and qualifications of the positions to which they are wgigued. No volunteer shall be left in charge of a day nursery except in an extreme emergency. DAY CARE CENTERS (Day N urseii es) INDI NA 540. POST EIVIPLOYMENT/1N-SERVICE: 0 IENTATION AND -141-AINING 541. am Director . . -Regulation 3-41D - Personnel Policies. The day nursery shill provide each . new - . emplc yee m lia , 4 -orientation' to his job. " . . The day nursery-shall provide continuing on-the job training for each e part of the regular program of the nursery.. 542. Child CareOver Staff See 541. 'Program Director_ 543. Support Staff Sec 541. Pro am Director 600. PRO RAM OF A narrEs, INCLUDING EDUC TION 610.- PROGRAM REQUIREMENTS 611.. Program of A oyee Regulation 3-417 - The Program. The day nursery shall carry out .a planned written program - suitable to. the needs of the children. The program shall be designed with intervals of stimulation and relaxation, and a balance between periods of active. play and qUiet play or rest. A The program shall include outdoor play .ear,day, except" when the severity of weather makes a health hazard or when there is an individual reason for a child to remain indoors. 4 -- 24 DAY CARE CENTERS INDIANA (Day Ntzseries) 612. Prnram Equipment and Materials Regulation 3-422 = Play Equipment. Equipment, materials, and ftrnishings shall be provided for both indoor and outdoor play. They shall be of sufficient quantity for the number of children in attendance, and sufficiently vatted to meet the developmental needs of the children according to their age and size. Each day nursery shall have /safe, non-toxic play materials and eq each of the categories listed below: Paints (easel, poster 6: finger) crayons, scissors, paste, clay Large blocks, boats, of various sizes Picture and story books pment from figures of ple and animals Beds, dolls, toy stove, sink, refrigerator, cabinets, table, chairs, dishes, pots, pans; ironing board, iron, cleaning equipment room), dress-up clothes Boxes, boards, saw-ho , barrel., climbers, ladders, balance beams, work-bench, sand, water, wheel toys, swings, slides, balls, bean bags Pegs, beads, ot o, puzzi Piano, record player, &urns, cy ding boards, small building sets Fish, gardening tools, &y batteries, magnets, compass, thermometer, . and pulleys, magnifying glass 25 DAY CARE CENTERS INDIANA (Day Nurseries) Separate play facilities shall be provided for two-year-old children and their play materials and equipment shall be appropriate to their age, size, and stage of development, and shall include devices to aid in the typical activities of this age group including climbing, simple building, taking things apart And fitting the pieces together again, picking up objects, pushing, pulling, pounding, looking at pictures, listening to music, kicking or rolling a ball, and imitating sounds and actions. Separate play facilities shall be provided for school-age children as determined by the day nursery in consiiltation with the State Department. \ 613. Nap Provision Regulation 3-419 - Physical Care. An adequate supervised nap period shall be provided pre-school children after the no me A firm and sanitary cot shall be provided for each pre-school child, with clean, individually marked covering sufficient to maintain comfort. Cots shall be spaced at least two (2) feet apart on all sides except where they touch the wall. Children shall lie in such a way that direct face- to-face positions are avoided. Aisles between cots are to kept clear of all obstructions whle cots are occupied. When they arc not in use and the room provided for rest is used for play, the cots shall be stored in a clean, dry place. Adequate supervised rest or quiet periods shall be provided midmorning, before the no meal, and at other times as needed. 26 DAY CARE CENTERS INDIANA (Day Nurseries) 614. Discipline and Guidance Regulation 3-419 - Physical Care. The director shall not use, nor permit an employee or volunteer to use, corporal or other harsh punishment, or any humiliating.or frightening method of discipline to control the actions of any child or group of children. Punishment shall not be associated with food, rest or toilet trairdng--- no. HEALTH 711. General Health Re 700. HEALTH AND SAFETY irements Regulation 3-427 Health Program. The day, nursery shall make definite and specific arrangements providing for the services of a physician to supervise and maintain an adequate' health program for the child-fn in the day nursery. Whenever the term "Physician" is in these regulations pertaining to the licensure of day nurseries, the term shall mean a person holding an unlimited license to practice medicine in the State of Indiana. The day nursery shall establish and maintain a health program that makes provision for all the requirements included in the cState Department regulations 3-427 through 3-438 inclusive. Such program shall be stated in the form of written dated policies. Prior to initial liceure and as often thereafter as requested by the State Department the written health program shall be submitted to the State Department on fonns provided for this purpose. Such policies are subject to review and approval by the State Board of Health prior to the issuance of a license. 27 DAY CARE CENTERS INDIANA (Day Nurseries) The health program shall be reviewed by the day nursery and the supervising physician every two years and any revisions shall be submitted to the State Department in writing for review and approval. 712. Health Assessments ation 3 -428 Pre-admission Health Procedures Examination. 's Health Each child shall receive a health examination by a physician within four weeks prior to admission to the day nursery, but no later than one week after admission. The examination shall include the following: History; Physical examination; An intradermal tuberculin skin es ; A written statement by the physician that the child is currently immunized against diphtheria, poliomyelitis, tetanus, measles, rubella, and if under age 6, also for whooping cough; A written statement from the physician that in his opinion there is no health condition that would be hazardous either to the child or to other children in the day nursery as a result of participation in the nursery's program of activities; A written statement from the physician regarding modification of plans of care for children who may require special attention because of medical conditions. Regulation 3-429 Periodic Health Examination. Health examinations of children, the same as required on admission, s ll be repeated annually and whenever here is reason to suspect that a child participating in' the program may have a condition hazardous or potentially hazardous to others or finds that the child's general condition indicates the need for such examination. 28 30 DAY CARE CRS INDIANA (Day Nurseries) If a child frequently requires seclusion and special observation for fatigue, illnesst or emotional upset, the nursery personnel should make available to the parents a complete report of their observations, and ask the rents to take him to a physician for a health evaluation. 713. Immtni See 712. Health Assessments 714, anitatlon Regulation 3-451 Water Supply and Plumbing. An adequate water supply of a safe, sanitary quality shall be obtained from a wafer soiree or system approved by the State Board of Health. Drinking fountains shall be of the sanitary type with guarded angular stream drinking fountain heads and shall be so constructed and located as to be accessible for use by the children at all times. If drinking fountains are not available, individual single service cups shall be provided in sanitary disperser, and used only once. A11 plumbing fixtures shall discharge to a public sanitary sewer whenever this type of public sewer is available. Any private sewage treatment system shall meet the requirements of the State Board of Health. New plumbing equipment shall meet the requirements of the Administrative Building Council and State Board of Health. Regulation 3-452 Maintenance and Housekeeping. The premises of the day nursery shall at all times be maintained in a neat and sanitary condition and in a good state of repair. Rooms shall not be swept or dusted h" e occupied by children. DAY CARE CENTERS . INDIANA (Day pl trseries) All garbage and trash shall be kept n easily' cleanable receptacles which are covered with close-fitting lids while pendng removal, and shall be removed from the premises on a daily basis. 715. Daily Illness Screening Not specified 716. Care of Sick Children Regulation,3-430 Control of Communicable Diseases. When a child is suspected of having a, mmunicable disease, the director shall notify the day nursery's physicianpr the al health officer, and the parents. When children in the day nursery are known to have been exposed to a cbinmunicable disease, prompt notice shall be given to the parents and to all staff members who also may have been eked. When a child is known to have been exposed to a comrnucable disease outside the day nursery, he shall be excluded from attendance at the day nursery for such time as is prescribed by the day nursery's physician or the local health officer. Regulation 3-431 Readmisgon of Children Following Illness. When a child returns to the day nursery follovting an absence, the nursery shall, before readmission, ascertain that, the child does not have a condition which would contraindicate his participation in nursery activities. Regulation 3-433 Care of Illness and Injury. The day nursery shall establish written policies regarding first -aid for the care of illness or injuries. Such policies shall be dated, signed as approved by the physician and posted in a conspicuous place in the day nursery. Such policies shall be reviewed annually and revised as recommended by the physician. DAY CARE CENTERS INDIANA (Day Nurseries) Such policies shall include but not be limited to the following provisions: A staff member who has basic knowledge of first-aid principles shall be present at all times. There shall be immediately available: A telephone and the telephone' numbers of the day nursery's physician, and of an emergency facility that is qualified and has agreed to accept cases from the day nursery. The telephone number for ambulance service and the local fire department shall be posted by the telephone; The Red Cross First Aid Manual or its equivalent; First aid supplies, as specified by the day nursery's p Children, upon arrival, shall be observed for signs of illness. For children who are ill upon arrival or who become-ill during the day, if they f cannot be suitably cared for by (the nursery, the nursery shall notify the parents or guardian in order to arrange for suitable care for the child. Children who are ill or injured shall be kept under observation by la staff member. 717. Medication and Special Diet Provisions Regulation 3-435 Medication. The giving or application of medication, providing dietary supplements, making special variations of diet, and carrying out special medical procedures, shall be done only on written order to prescription from a physician to the parents, or- day nursery with the knowledge of the parents. Medications prescribed for an individual child shall be kept in the original container bearing the original pharmacy label which shows the prescription number, date filled, physician's namel-directions for use, and the child's name. 31 DAY CARE CENTERS (Day Nurseries) INDIANA It shall be entered in the child's health record when medication is given and by whom administered. Each day nursery shall assure that all medication be kept in-a locked cabinet and stored in a safe place, not accessible to children. Each day nursery shall provide that no person except a duly authorized and responsible member of the staff administers Medications. An accurate entry shall be made on the child's record form of all- medications given. When nolonr needed, medication shall be returned to parents or destroyed. 718. Waiver of Health Requirements Regulation 3-428 Pm-adm fission Health Procedures. The requirements for a physical examination, immunizations and physician's statements shall be waived for chileten whose parents or guardians present the proper credentials to confirm that they, on behalf of themselves and their child(ren), rely in good faith upon spiritual means foruthe prevention or cure of illness and disease and remedial care of such child. Nothing in this provision precludes the nursery from using emergency measures to treat such child by first aid techniques as for any other child under care 6r to exclude a child where control of contagious disease may be necessary. DAY CARE CENTERS (Day Nurseries) 720. SAFETY 721. General afet R Regulation 3-443 Design and Co The day nursery shall be designe and staff. Walls and ceiling's shall_ be of paneling shall be treated and Flame Spread rate of 0-75, an 0-25. IN -NA uctkiL for the proteition and wellbeing of children hable materials and in light colors. An wood amply with the following: Rooms shall have a rridors shall have a Flame Spread Rate of Floors and steps shall be smooth and of washable, non - slippery materials. Small rugs shall not be used as floor coverings because of danger of Slipping and falling. Where carpeting or carpeting and padding are-used they shall have a Flame read Rate of 0-75. No furnishings or decorations of an explosive or highly flammable character shall be used. All. decorative materials including ctrtains and draperies shall be flame retardant. Plastic waste baskets or qther plastic containers are prohibited in the areas where children are located except for plastic bags used for sanitary disposal purposes. Regulation 3-454 Safety. Poisons and drugs or other harmful chemicals shall be kept under lock, and in a place inaccessible to children. Hazardous articles, materials, and equipment such as cleaning fluids, polishes, bleaches, detergents, matches, firearms, and tools shall be kept in a place inaccessible to children. First-aid supplies and medications shall be kept in a place inaccessible to children, but easily accessible to adtilts. Radiators, registers, steam and hot water pipes and electrical outlets shall have protective covering or insulation for the protection of children. DAY CARE CENTERS INDIANA (Day Nurseries) Open grate gas heaters, open fireplaces, portable electric heaters, or other portable heaters, shall not be used by the nursery. If combustion space heaters are used(\they shall be installed with permanent connections and protectors and vented directly to the outside. All windows and outside doors that are hazardous to children shall be equipped with screens or guards, which shall be attached in such a way that they may either be removed from the outside, or broken into from the outside in case of fire. Windows shall be readily openable from the inside without the use of tools. Stairways used by children shall be equipped with guards at both the top an bottom. All power equipment used by the day nursery shall be prate ted by adequate safety devices. .4 Plans shall be made for the protection of the children in the event of a natural disaster or enemy attack, in conformity with plans established for the locality by the Office of Civil Defense. There shall be written posted procedures for disaster evacuations in ease of fires and other emergencies which shall be taught to all staff as a part of their orientation. Fire drills shall be conducted monthly and noted in the records or reports of the nursery for review upon request ©f the fire inspector. Such fire drills should be planned with the help of the local fire department and periodically observed by such department. 722. Fire Safety Requirements Regulation 3-453 Fire Protection. All fire extinguishers shall be approved by the State Fire- Marshal. The extinguishirs shall be plainly visible and easily accessible at all times. The top of any extinguisher shall not be higher than five (5) feet above the floor, level. 36 34 DAY tA RE CENTERS INDIANA Way Nurseries) All 'hallways in the building shall be adequately and suitably lighted at all times and kept free of obstacles when children are present. All stairways in the building which are used by children shall be provided with handrails within reach of children and maintained free of all obstructions. An arrangement of treads known as winders, which is defined as a circular staircase, and utilized as required means of egress is prohibited. All wiring in the building shall comply with the provisions of the National Electrical Code as adopted by the Administrative Building Council and the State Fire Marshal and shall be approved by the State Fire Marshal. All gas equipment and appliances in the building occupied by the day nursery shall comply with the Rules and Regulations of the Administrative Building Council and shall be approved by the State Fire Marshal. Each nursery shall fully comply with the Rules and Regulations of the State Fire Marshal regarding liquified petroleum gas. All flammable liquid shall be kept in id gait or sealed containers when not in use,' and shall be stored on the premises only in such quantities and in such rooms as are approved by the State. Fire Marshal and in a place inaccessible to children. The installation of fire escapes on all existing buildings shall be determined and approved by the State Fire Marshal. Fire escapes for new buildings shall comply with the Rules and Regulations of the Adminiv 7ative Building Council. The need for exit lights and emergency lighting shall be determined and approved by the State Fire Marshal. 35 DAY CARE CENTERS INDIANA (Day Nurseries) The day nursery shall be kept free from fire hazards, and combust materials such as paper, rags, excelsior, and other combustibles shall not .permitted to accumulate upon the premises. Dust and grease shall not permitted to accumulate on hoods above stoves and other equipment, storage areas shall be kept clean and free-of any flammable substances. The need for a , fire, alarm system shall be determined b the State I Marshal. See also 721. General Safety Requirements 723. Transportation Regulation 3-455 Transportation. The nursery shall encourage parents to transport their children to and from nursery. If a nursery provides transportation, it shall assume responsibility for a 6 between the place where he is picked up and the nursery, and from the tim leaves the nursery until he is delivered to his parent or to the responsi person as designated by his parents. No child shall be permitted to remai any vehicle unattended. Any vehicle operated by a nursery shall be licensed in accordance with laws of the State of Indiana, and the operator thereof shall not be less t twenty-one (21) years of age and must hold a proper license to drive s vehicle. All nurseries which provide transportation shall carry liability insurance adequately cover any and all children riding in the vehicle. DAY CARE CENTERS (Day Nurseries) Vehicles operated by a nursery for the transportation of children shall be maintained.in safe operating condition and be clean and free of obstructions on the floors and seats of-the vehicle. Children shall not be 'ceded or unloaded except rorn the curb side of the . - vehicle and at the orb. Only thit number of children and adults for whom there is comfortable seating space shall be trarsporteel in one vehfcle. No child shall be permitted to stand in the vehicle when being transpOrted. No more than three (3) persons including the driver shall be permitted to-occupy the front seat of the vehicle. Vehicles used for the transportation of children shall be equipped with seat belts that shall bein use at all times when the vehicles are in-Cnodon. They shall also be provided with safety door locks and the doors kept locked at all times while vehicle is moving. The doors shall be onened and closed only by the operator of the vehicle orby another adult occupant. 724 Safety Re quirem en Regulation 3-422 Play q iiprpent. Equipment, materials and furnishings of the day nursery shall be of sturdy, safe construction, easy to dean, and free from hazards to the life or health of the crulcten, whether for indoor or outdoor use. They shall be kept clean and in good, safe condition, free of sharp points or jagged edges, splinters, protruding nails, loose parts, rusty parts, or paint which contains lead or other poisonous materials. 725. Water Activities (Including Swimming) Not specified 726. Emergency Procedures See 721. General Safety Requirements 3j 37 DAY CARg,CENTERS May Nirseries) - 727. First Aid Supplies Not specified INfIANA 800. NUTR ION AND FOOD SERVICE 5810. NUTRITION 811. Nutritional Requirements Regulation 3-440 Food Service. Prior to initial licerstre and as often thereafter as requested by the State Department a written Dian for food service shall be:submitted to the State Department on forms provided for this purpose, which plan will be subject to review and approved by the State Board,of Health prior to licersure. A written revised plan for food service shall be submitted to the Sta Department for such review and approval every two years, and each time the food service plan undergoes a major change by the nursery, or the day nursery changes ownership, or the nursery is requesting a change in license to include the care of children beneath the age of two (2) years. A written plan for food service shall include menus for four weeki for breakfast, lunch and supper, and morning, afternoon and evening snacks, according to the program operated b;the-\-day nursery. The menus shall specify food by name (orange juice rather than juice),= list method of preparation (baked perch or cod rather than fish), and indicate nortion size of each food item. Such plan shall also describe whether food shall be served family style (with the teacher serving the children's plates), or by preserved plates, how second helpings will be handled, the number of children and adults to be seated at each table, size of tables and chairs, the type of dishes and uteri is to be used, and the plan for presenting nutrition education to the children. 4v DAY CARE CENTERS (Day Nurseries) INDIANA Feeding of Two-Year-Old Children The same dietary allowanced used as the accepted guide for feeding children three to six ye'ars of age hall apply to two-year-olds. Only the amounts served shall vary. Two-year-71ds should not be expected to follow the same eating pattern as three-year7olds. 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 82L Food Pre aration and Service Requirements Regulation 3-440 Food Service. The jtchen, all other food preparation areas and all food service areas shall be operated in compliance with the requirements of State Board of tlealth Regtilation HFD-17, a copy of which shall be in the kitchen at all times for reference. Cleaning schedule and procedures shall be pasted and followed. Dish and utensil washing shall comply with the following instructions set out by State Board of Health Regulation HFD-17: Spray -type dishwashing machines in which the water temperature s'irfl.f- 180.oF shall be, provided and used wherever washing_ and sanitizing are conducted mechari"cally. In day nurseries for 35 children or less, home style dishwashers may be used provided the temperature of the final or fresh rinse water can be maintained at 180°F at the entrance of the manifold. DAY CARE CENTERS (Day Nurseries) INDIANA A three-compartment sink shall be provided and used whenever washing and sanitizing are conducted manually. Multi-use utensils and elnipment shall be thoroughly washed in a detergent solution in the first compartment of the sink which shall be kept clean, and then shall be rinsed free of such solutions in the second compartment of the sink.. An eating and drinking utensils and, where required, the food-contact surfaces of all other equipment and utensils are sanitized in the third compartment by one of the following two methods: Immersion for at least one-half (1/2) minute in clean hot water at a temperature of at least 170°F, which is maintained at such temperature in the third compartment by an automatically controlled water heater or other effective means (running hot water from a fixture to maintain this temperature is not considered satisfactorily meeting this requirement); or immeiii-on for at least one (1) minute in a sanitizing solution containing a chemical sanitizing agent which has been demonstrated to the satisfaction of the Health Officer to be effective and nontoxic under use conditions, and for which a suitable field test is available; Utensils and equipment are allowed to air dry prior to storing them in a clean and protective place; Proper storage facilities for utensils and dishes shall be provided which- will protect them from contamination. Responsibility for Day Nursery Contracting Food Service from Food Service Vendor Each day nursery which uses the services of a food service vendor shall continue to be responsible for its food service program including the quality and quantity of food which is served to each child under care, the submission to the State Department of the written plan for food service and meeting the requirements of this Regulation which relate to nutrition, meals and snacks, and menus; 42 40 DAY CARE CENTERS INDIANA (Day Nurseries) Each nursery using vendor service shall have a written contract with such vendor which describes the responsibilities of the vendor and which incorporates the assurances that the vendor's food service business, food handlers and all premises used therein have been inspected and approved by local health authorities or by the State Board of Health for the purpose of providing food for day nurseries. Such contract shall be reviewed and revised as often as the nursery director deems necessary to protect himself and the children under care. Such contract shill.' tiie on file in the nursery for inspection by State Department and State Board of Health personnel upon request. Menus prepared a week in advance and posted in the day'nursery for meals and snacks shall be followed by the vendor in supplying food service. The nursery shall have adequate refrigeration for food items requiring refrigeration which are delivered by the vendor to be served at a later time for snacks. Upon receiving the food from the vendor, the day nursery shall check the temperature of the food with a dial Hot foods are 140°F or above; Cold foods are 45°F or below; Frozen foods are zero degrees Fahrenheit or below. e thermometer to see that: The nursery shall be responsible for the serving of the food to the children and for performing food service tasks under the following conditions: Before employees handle and serve food they shall thoroughly wash their hands with soap and water and use individual towels for drying. DAY CARE CENTERS INDIANA (Day Ntraerias) Day ntraeries which do not h adequate and efficient facilities (commercial dishwasher) for Avashin and sanitizing utensils, shall obtain clean, sanitized glasses, chinaware, and flatware from the vendor; or use only single service articles (Plates, knives, forks, spoons, cups). These should be of suitable shape and size for small hands. Food shall be held at appropriate temperatures until served to children: hot food -- 140°F or above; cold food - 45°F or below; frozen food 0°F or below. Wet storrige of food is prohibited, e.g., cartons of milk in lee. Eating and serving surfaces shall be washed and sanitized before and after use. All food left over shall be discarded and garbage and trash shall be disposed of in such manner as to minimize odors and not attract rodents and insects. Cleaning schedules and procedures shall be posted and followed. Proper storage facilities for utensils and supplies (single service articles, napkins, straws, cups) shall be provided. These shall be stored in closed cartons dr containers which protect them from contamination. See that all facets of food service meet the recauirernents of IIFD-17. Feeding of Two-Year-Old Children Divided dishes that are heavy enough not to tip or sligle easily shall be furnished for children eating at the table. 44 DAY CARE CENTERS May NirserieS) INDIANA ghted cups which are not easily overturned shoullh be furnish astic glasses in a small size (4 ounces) are acceptable. but soft *-t Standard teaspoons or heavy plastic spoons shall be provided. Use of e a shall be taught in a relaxed and happy atmosphere. Staff shall eat with the children. There should be no mo each table. an six children at Staff shall encourage food eating habits and eruoyment of food, but should not expect performance to equal that of three-vear -olds. Finer foods are acceptable. A master menu shall be posted in the feeding area as well as in the kitchen with a notation of any special dietary prohibitions or substit.itions for each child for whom such instructions are necessary. Not specified A 9110. SOCIAL SERVICES 000. PARENT PARTICIPATION -424 Interviews with Parents and Their Involvement in Activities. While the child is attending the day nursery, interviews with the parents shall be held as often as necessary by an appropilate qualified member of the nursery staff in order that the parents may be kept advised of the child's progTeas, achievements, behavior, signs of physical or emotional prohlems. Visits by pa-ents to the nursery while it is in operation shall be en their participation in the classroom sought on occasion. A9 ;aged and DAY CARE CENTERS (Day Nurseries) -01 INDIANA Parents shall be encouraged to participate in ciritnmittee work, in planning and carrying out projects, in evaluating the programs, and in participating in social events. Parents shall be encouraged to participate in learning experiences relat family life, child caring and rearing', ancl homemaldng as planned parent-staff corn mittees. a Parents shall be invited to assist in transportaation for field trips and to give -other service to the nursery according to their ndividual skills and capacities. 1100, A AND TC3DDLERS 1110. PROGRAM OF ACTIVITIES See DAY CARE CENTERS (Infant - Toddler 1120. 'HEALTH AND A)AFETY REOUIREMENV-S See DAY CARE CENTERS (Infant - Toddler are) 1130. INFANT NUTRMON See DAY CARE CENTERS (Infant - Toddler 1200. CHILDREN HANDI PING CONDI'T'IONS 1210. 410GRAM OF ACTIVITIES Regulation 3-436 Handicapped Children. Day =series providing care for mentally or physically handicapped or emotionally disturbed children, shall avail. themselves of appropriate professional consultation in order to meet th individual needs of each such child, and shall report such cases to the State 1=D'epartment. 46 A A DAY CARE CENTERS I1t D3 NA (Day Nurseries) 1220. HEALTH AND SAFETY REQUIREMENTS Not specified 1230. STAFFING Not specified 1300. SCHOOL AGE CHILDREN 1310. PROGRAM OF AcTivirm Reguulation 3-418 The School Age Child. The day nursery program for school age children shall be determined by the nursery in consultation with the State Department and shall Inet the requirements of Regulation 3-414(6). 1320. HEALTH AND SAFETY REQUIREMENTS See 1310. PROGRAM -OF ACTIVITIES 1400. FACILITY REQUIR IVI 1410. SPACE Regulation 3-420 Indoor Play Area. Low open shelves for play materials in daily use shall be itrovided. An adequate number of tables and chairs shall be provided, of appropriate height and size for childten's comfort and reach. d 4- Sufficient clothes-hanging space shall be allotted provided with hooks placed low enough and far enough apart to permit eac-I child to haiw up his own clothes and keep them separated from those of cithe=- children, -DAY CARE CENTERS (DayNutseries)- NA C enient and adequate storage space ha 11 be provi ed for both playroom and outdoor play equipment and materials. Regulation 3-421 Outdoor Play Area. - The day nursery- shall provide an outdoor plAy area, di____rectly accessible from indoor facilities. In instances where the Stat.eDepartrant determines there is need for atday nursery in a locati where theautdoor pcday area is not directly accessible from indoor facilities, the nursery shall proviie a play area which is safely accessible. The play area sh be at least fifty (50) facer each child for whom the nursery is lice The play area shall be safely enclosed or vthefwise adequ_aa ely protected. The play area shall be free from hazards whichmight b dangerous to the life or health of the children. It shall be well - drained and kept free from broken glass and other debris, and flammable material. The play area shall be designed ao that allparts ire visible and easily supervised. A shaded area shall be provided by means of t ees or othr cover. Regulation 3-442 Location of the Day Nursery. No day nursery shall -be located where any condition exist that would be injurious to the physical or moral welfare of tliechildren No day nursery' shall. be located in a privEstie family residence unless that portion of the residence to which children Nave access ; is separate from the usual living quarters of the family. 18 4i DAY CARE CENTERS INDIANA (Day Nurseries) No day nursery shall house, care for, or maintain children on a floor other than grade level except in a building as defined by the Administrative Building \C2'uncil and the State Fire Marshal as a Type I structure. Children may be cared for on the second floor of Type H, III, or IV as defined by the Administrative Building Council and State Board of Health provided special requirements of the State Fire Marshal are complied with including the installation of a sprinkler system. Split level structures may be approved provided that there is an exit directly to grade level from the classroom area. These regiirements apply to all day nurseries, but nurseries holding a license at the time these requirements become effective may have up to a maximum of one year from their effective date to comply. Regulation 3-444 Play Rooms. The day care nursery shall provide at least thirty-five square feet of indoor play space for each child for whom the day nursery, is licensed. Such indoor play space shall be exclusive of kitchen, toilet rooms, isolation quarters, office, staff rooms, hallways and stairways, storage areas, lockers, laundry, firnace room, and floor space occupied by permanent built-in cabinets. Separate play rooms or separated areas in play rooms shall be provided for the various types of activities required by the day nursery program and for the separation of children as supervised accordinv to ekge and maturity. Separate play space shall be provided two - year -olds and for children of school age. Regulation 3-445 Kitchen. The kitchen and any other food preparation area shall be separate from areas used for any other purpose and shall be so located that the children and persons not assigned food handling responsibilities cart gain access to play, dining, bathing, toilet, hand-washing, or other areas in the nursery without gping into or through the kitchen. The kitchen shall not be used for children's `play activities or naps or for a dining or recreational area for adults. DAY CAR, CEN TERS IN DIANA (Day NT EiMri 05) 1- The Vitehexn and other food preparation area shall be constructed and equipped to provide for the safe storage, preparation, and service of food. Food prepetratiom areas shall be so located or equipped with temperature control equipment 'that food temperatures can be maintained that are suitable to the parti elder Foodbeing served. All such areas and equipment shall comply with the Nequirernents of State Board of Health RegWation HF D-17. Regulation 3-447 Isolation Quarters. Day pirseril es shall provide and use a room for the separation from the. group of any eha-cl having or suspected of having a communicable disease or any falinegs, This room shall not be used for any other purpose by the children while being used as isolation quarters and shall be closed off from other rooms. Toilet and Lavatory facilities shall be located within or near the room. Regulation 3-448 Office and Staff Rooms. Offiuespae separated from the areas used by the child-en shall be prOvided for iratervie wing, conferences, making and keeping records, and the handling of busiries. mace and equipment shall be adequate for the administrative and staff needs of the day nursery. Telephone service shall be provided. A room sepwarated from the areas used by the children sh use r)ithe taff during rest periods. ovided for the Regulation 3-449 Furnace Room. The firnaca room or room containing any central heating equipment shall be eonstruetesd in accordance with the rules and regulations of the Building CouriE11,an shall be subject to the State Fire Marshal's approval. DAY CARE CENTERS RNf7IiNA (Day Nurseries) 1420. LIGHTING VENTILATION AND TE Regulation 3-450 Heat, Light and Ventilation. Heating and ventilation shall comply with the heating ramd ventilation code of the Administrative Building Council and the State Hcard of Health. The heating system shall be approved by the Stile Fire Marshal in existing. facilities. All rooms used for eating, living or napp nit Purposes stt-iall be provided with light and ventilation by means of windows at Sufficient rr iurnber to adequately fulfill their function of providirk light eland air. In air conditioned and mechanically ventilated buildings the numbet. Of windows _ may be reduced but not to the extent children are unable to observe the =utside during indoor activities. When natural light is insufficient, it shall be 5 element ed by artificial light, properly diffused and distributed so that adequate light is available at all times in rooms, halls and stairways. Adjustable shades or curtains shall be provided and used _ for protection from gibe and to promote an atmosphere conducivQ tz,sleep at nap time. All windows, doors, ventilators, and other outside penin3=rs shall be protected against insects by securely fastened 16-mesh screening, as the season requires. Areas used by the children shall be heated the terr-_ Iperature falls below 68 , so that a temperature of 68 to 2 witini =-1 two (2) feet of the floor is maintained during seasons when heat isneeessary. DAY CARE CENTERS INDIANA (Day Nurseries) 1430. EXIT Regulation 3-443 Design and Construction. No day nursery shall be located in any building that is not provided with at least two exit doors which open in the dilection of exit travel directly to the outside from the first floor of the building. The aisle leading to these doors shall be kept free from obstacles at all times and shall be a minimun of 44 inches in. width. Such doors shall be provided with panic- release hardware when required by the }State Fire Marshal. Vertical sliding doors and rolling . shutters shall not be used in any opening leading to outside exit-doors. 1440. TOILETS AND LAVATORIES Regulation 3-446 Toilet Facilities. The tlay nursery shall provide inside toilet _rooms equipped with securely fastened and supported wash basins with hot and cold running water and with flush toilets. Toilet rooms shall be located on the same floor as inside play areas and in close proximity to inside and outdoor play areas. The nursery shall provide a .minimum of one (1) wash basin and one (1) flush toilet for each fifteen (15) children for which the nursery is licensed. The same toilet facilities shall not be used by school -age childre of opposite sex, and toilets for school-age children shall be separated by part tions. When new facilities are being installed, child-size toilets and child-size wash basins shall be used. If child-size toilets and wash basins are not available, steps or platforms shall be provided for small children to encourage self -help and independence. If a class of two - year -old children is included in the center, toilet-training chairs or nursery seats shall be provided with approved sanitizing procedures observed after each use. 50 DAY CARE CENTERS INDIANA (Day_Nurseries) Toilet facilities shall be furnished for the staff and other adults separate and apart from those furnished for the children. All handwashing facilities shall be provided with automatic hot water control valves that will not permit the hot water tem erature at the point of use to exceed 1200F. 1500. OTHER STATE REQUIREMENTS - COMPLIANCE WITH OTHER LOCAL STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING IND. C ANN. S12-3-2-12-(42--1316b)-Day nursery zoning. For, zoning purposes, classification for a church shall be deemed adequate zoning for providing day-care services. 1520. FIRE Regulation 3-441 Conformity with State and Local Housing Requirements. Any structure in which a day nursery is located shall meet the requirements of the State Board of Health, State Fire Marshal, and Administrative Building Council. 1530. BUILDING See 1520. FIRE 1540. HEALTH see1520. FIRE .1550. SANITATION See 1520. FmE 1560. NEW CONSTRUCTION See 1520. mg 51 DAY CARE CENTERS (Infant- Toddler Care) INDIANA to Except where otherwise noted, all citations are from the Rules and Regulations of the Indiana Department of Public Welfare, Title 3 - Child Welfare Services, Chapter 4 - Licensing Day Nurseries Infant-Toddler Care, October 18, 19/9. 100. STATE LICENSING OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS De initid Regulation 3-460 Definition of Infant-Toddler Care. For the purpose of these regulations infant-toddler care in a day nursery is defined to be the program of child care planned specifically to meet the needs of children from the age of six (6) weeks to two (2) years, and which, although provided in a group care environment, is individual care for each child, planned especially for him according to his specific needs, and which provides for the care, protection and comfort of his body, for: the growth of his mind, and for his social and emotional development. For the purpose of these rules and regulations an infant is defined to be a child from six (6) weeks of age to the time he is beginning to walk, and a toddler is defined to be a child from the time he is beginning to walk to age -two (2) years. 112. Exclusions and Exemptions See DAY CARE CENTERS (Day Nurseries) 113. I-IHS Day Care Compliance Not specified DAY CARE CENTERS (Infant-Toddler Care) .INDIANA 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit See DAY CARE CENTERS (Day Nurseries) 122. Responsible Official See DAY CARE CENTERS (Day Nurseries) 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promulgation of Regulations See DAY CARE CENTERS (Day Nurseries) 212. Advisory-Body and Other Community Participation Not specified 220. LICENSING PROCEDURE 221. Application and Issuance Regulation 3-461 License for Infant-Toddler Care. In order for a nursery to provide infant-toddler care it shall meet the requirements of State Department Day Nursery Regulations inclusive of those numbered from 3-401 through 3-456 and 3-460 through 3-472. Whenever there is any conflict in requirements, the requirements contained in Regulations 3-460 through 3-472 which relate to the requirement shall prevail. DAY CARE CENTERS INDIANA {Infant - Toddler ,Care) A license issued to a nursery approved to provide infant-toddler care shall haVe entered on its face that the nursery is licensed to care for infants and toddlers, and shall show the maximum number of each age group for whom the nursery is permitted to provide care. Day nurseries which meet requirements for a license to provide infant-toddler care may elect to include a group of two-year-olds as a separate unit within the infant-toddler section; if this arrangement is approved by the State Department the face of the license shall so indicate and give the maximum number of two-year-old children for whom the nursery can provide care in the infant-toddler section. Subject to the prior approval of the State Department, a nursery licensed to care for toddlers may continue caring for a particular toddler in his child care group for a reasonable length of time beyond his second birthday if the child has a special need for uninterrupted care. Such care shall not be continued beyond sixty days at which time the child must be transferred to the nursery's two- year -old group if he continues in the nursery's care. 222. Fee Charged Not specified 223. Areas of Investigation See DAY CARE CENTERS (Day Nurseries) 224. License Renewal Regulation 3-451 License for Infant-Toddler Care. The license issued for infant-toddler care is subject to annual renewal and may be revoked for of the reasons any other day nursery license may be "MID revoked. DAY CARE CENTERS INDIANA (Infant - Toddler Care) 225. Co_nditicnal/Prcvisinnal Licenses See DAY CARE CENTERS (Day Nurseries) 226. Substantial Compliance See DAY CARE CENTERS (Day Nurseries) 230. ENFORCEMENT PROCEDURES 231. Facility Inspections See DAY CARE CENTERS (Day Nurseries) 232. Denial, Sus n Revocation of a License See DAY CARE CENTERS (Day Nurseries) 233 Remedies and Sanctions 233.1 Hearings See DAY CARE CENTERS (Day Nurseries) 233.2 Decisions See DAY CARE CENTERS (Day Nurseries) 233.3 Judicial Review See DAY CARE CENTERS (Day Nurseries) DAY CARE CENTERS INDIANA (Infant - Toddler Care) 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Administrative Rewirements Not specified 312. Telephone See DAY CARE CENTERS (Day Nurseries) 313. Proof Operator Financial Capabilities See DAY CARE CENTERS (Day Nurseries) 314. Iruran See DAY CARE CENTERS (Day Nurseries) 320. PERSONNEL 321. Publication of Personnel See DAY CARE CENTERS (Day Nurseries) 322. Constraints Aire Employment Not specified 330. NON-DISCRIMINATION 331. Requirements P ohibiting Discrimination Not specified DAY CARE CENTERS INDIANA (Infant-Todd' er Care) 340. RECORDS REQUIREMENT 341. Children Regulation 3-466 Program of Infant-Toddler Care - Charts and Records. Each day nursery shall devise a daily child care chart to be posted on the wall in a conspicuous place in each infant and toddler room for the purpose of reminding child care staff of individual and special health needs of children" in the group. This chart shall be amended as often as necessary to keep it current, and shall have sufficient space for child care staff to note or to check information which is important to record for each child, such as medication which has been given, diarrhea, vomiting, continuous hunger, refusal of feeding, nose bleeds, injuries, skin rash or elevated temperature. Each day nursery shall devise a plan for periodic recording of observations by the child care personnel of changes in each child's behavior and responses as an indication of intellectual, physical, emotional and social development or needs. The person in charge-, of the infant-toddler section shall be responsible for implementation of the plans for keeping charts and records, and for use of such records to plan interviews with parents and to evaluate,program goals. Regulation 3-468 Health Program. Parents shall be required to furnish the nursery with confirmation of immunizations, health examinations, and other care provided by the child's physician which will have a bearing on the child's care by the nursery, and the information shall become a part of the child's record. 5D DAY CARE CENTERS (Infant-Toddler Care, 342. Staff See DAY CARE CENTERS (Day Nurseries) INDIANA 343. Child Eligibility and Enrollment Requirements I See DAY CARE CENTERS (Day Nurseries) 344. Child Abuse Reporting See DAY CARE CENTERS (Day Nurseries) 345. Confidentiality of Records Requirements See DAY CARE CENTERS (Day Nurseries) 400. GROUP OMFOSITIONS OF CHILDREN 410. STAFF/CHILD RATIO REQUIREMENTS _ENTS 411. /Child Ratio as of March l9 Regulation 3=463 Staff Ratios. Insofar as it is passiblet, each infant shall be cared for by the same staff member, especially for feeding and diape rig and during the periods when he is falling to sleep and is awakening The maximum number of infants per staff member providing direct care of children shall not exceed four. The maximum number of toddlers per staff member providing direct care of children shall not exceed five. In no instance shall a group of infants or toddlers have less than two staff members responsible for them, one of whom shall be free of all other responsibilities while caring for the children. 7 Go DAY CAltE-CENTERS (Infabt-Toddler Care) 412. Methods of Computing Staff/ChnotRatios See 411. Staff /Child Ratios as of March, 1981 GROUP SIZE 421. Group Size as of March, 1981 See 411. Staff/Child Ratios as of March, 1981 422. Methods of Computing Group Size See 41L Staff/Child Ratios as of March, 1981 INDIANA 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. Age Regulation' 3-462 Personal Qualifications' of Child Care Staff. The staff person in charge of an infant-toddler group shall be at least 21 years of age, and those working under such person who have not yet attained that age shall at no time be alone with the children and responsible for them. 512. Health See DAY CARE CENTERS (Day Nurseries) Education elation 3-462 Personal Qualifications of Child Care Staff. Infant-toddler care personnel shall have the same educational qualifications as those designated for the respective day nursery personnel positions as provided in Regulations 3-411 and 3-412, except that successful completion of training as a registered nurse or licensed practical nurse and experience in a nursery or 61 DAY CARE CENTERS INDIANA (Infant - Toddler Care) pediatric ward of a licensed general or special hospital may be substituted on a year for year basis for the education and experience required in such regulations. See also DAY CARE CENTERS 514. Experience Regulation 3-462 - Personal Qualifications of Child Care Staff. Persons caring for infants and toddlers shall be competent and reliable and in good physical and mental health; shall give evidence of an understanding of the physical, emotional and social characteristics and needs typical of each stage of growth and development of children through the age . of two; and shall demonstrate the capacity for patience and warmth in their relationship with this age group. 520. PROGRAM DIRECTOR QUALIFICATIONS 521. Age See DAY CARE-CENTERS (Day Nurseries) 522. Health .See DAY CARE CENTERS (Day Nurseries) 523. Edatiri See pAf CARE CENTERS (Day Nurseries) 524. Experience See DAY CARE CENTERS (Day Nurseries) DAY CARE CENTERS (Infant-Toddler Care) 530. SUPPORT STAFF QUALIFICATIONS See DAY CARE CENTERS (Day Nurseries) INDIANA 540. POST EMPLOYMENT -SERVICt CRIi ORIENTATION AND TRAINING 54L Program Director See DAY CARE CENTERS (Day Nurseries) 542. Child Caregiver Staff See DAY CARE CENTERS (Day Nurseries) 543. orp11!aff See DAY CARE CENTERS (Day Nurseries) 600. PROGRAM OF ACTIVITIES INCLUDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities Regulation 3-466 Program of Child Care. -Toddler Care - Individual Program of The program of care for each child shall be planned prior to his admission by the nursery director or person in charge of the infant-toddler section, in cooperation with an experienced child care worker on the staff of the nursery and the parent in order to assure consistency of care between the child's home and nursery and that each child's daily nutrition, physical, developmental and special needs will be met. All special instructions regarding the child's plan of care shall be recorded and become a part of his record and a copy shall be given to child care staff as a guide in caring for the child. 1 63 .DAY CARE CENTERS . {Infant- Toddler Care) INDIANA elationship of Child Care Personnel to Each Child. It shall be the duty of the child care personnel to carry out the detail of each child's daily program of care. Each child shall be under the direc at all times. ervision of a responsible staff e b Child care personnel shall give each child a. sufficient amount of time attention to fully meet the child's individual needs. Child care personnel shall handle each child in a manner that will promote his growth and development, shall speak in pleasant tones in the nursery, and shall teach children in a gentle, firm and consistent manner about dangers. Daily Activities for Infants and Toddlers. Each child shall be provided experiences which help him to develop his capacity to relate to people and his awareness of his environment and of himself as a person. Activities offered the child shall be based on his physical maturity, individual sensitivities and strengths, individual need for periods of rest and stimulation, individual need to interact with adults and children, and individual ability to cope with stress. The daily activities for infants and toddlers shall be planned ahead and shall consist of but not be limited to activities from each of the following categories, according to the child's maturity and developmental needs: Gross motor and fine motor activities; Visual-rn6tor coordination activities; Language development activities; Development of other communication skills; Direct experience with materials; Activities which foster social and personal growth through individualized care by consistent mothering figures; 11 DAY CARE CENTERS INDIANA (Infant-Toddler Care) Experiences which encour the development of exploration and satisfaction of curiosity; Activities which help to develop organizing and categorizing skills. Both infants and toddlers shall be taken out of doors daily when the weather permits. Among their activities should be watching older, children at play, observing and listening to surroundings, and engaging in whatever play is appropriate and safe for their age. f"- ation 3-467 Physical Care - Toileting and Care and Diapers. A d shall be handled gently and spoken to lovingly while being changed. Time of bowel 411lovements shall be entered on the daily chart, as well as other significant observations such as signs of constipation or diarrhea. Toilet Learning for Toddlers. Planning how to help the child to use the toilet for bowel and bladder control shall be done with the child's mother. The nursery shall discourage the mother in any effort to start this learning process until the child shows a readiness for and interest in keeping dry and clean, and demonstrates the ability to respond to teaching efforts. This learning shall never be forced, and shall be handled with consistency within the nursery, and so far as feasible, between the nursery and the home. The child's responses to such learning shall be discussed with the mother so there will be coordination between the learning procedures at the nursery and at home. 12 DAY CARE CENTERS INDIANA (Infant - Toddler Care) Learning toilet habits= shall take place in, a pleasant, relaxed atm Child shad never be forced to remain on the toilet fora prolonged period of time. There shall never be punishment given for failure to conform or for wet or soiled clothing. There shall be provided a sufficient supply of clothing to keep children dry and clean during the training process. If parents provide the extra clothing, each d shall have a separate container for his clean personal items and a parate container for his soiled clothing. 612. program Equipment and Materials Regulation 3-464 Infant - Toddler Section, Space 6: Furnishings - Space & Furnishings for Infant Care Each infant room shall be equipped with a crib with a firm mattress and individual bedclothes for each infant; a sufficient number of swings, walkers, play per and high chairs to meet the needs of the infants; a rocking chair for each child care worker; and a lavatory. Space & Furnishings for Toddler Care. Each toddler activity room shall be equipped with stabilized low, open shelves for toys; a sufficient supply of toys, child-size tables and chairs, high chairs and other play equipment to meet the activity needs of each toddler; at least one rocking chair for child care workers; and a lavatory if feasible. Furnishings for Feeding. An adequate number of tables and chairs, high chairs with a broad base and harness for securing the child, or feeling tables with harness shall be provided according to the age and development of the child. Tables and chairs shall be of an appropriate height and size for the children's comfort and reach. DAY CARE CENTERS (Infant - Toddler Care) INDIANA Regulation -465 Environment and Equipment for Activities. The indoor and outdoor environment shall be such to invite physical activ learning and experimentation according to the child's age, and shall include play objects that the child can use independently and that respond to his actions. The nursery room for infants shall be so decorated and equipped as to create an environment that is quiet and restful, yet colorful with curtains, pictures and play objects. Play equipment for infants shall include articles to handle and play with which are washable and there shall be a sufficient number for each infant to be given four or five different articles during the day. Play equipment for toddlers shall include a variety of toys and materials, sufficient in number to allow each child a selection of two or more at any one time. Play materials and equipment shall be proilided from each of the following categories :. Art sup lies: Paper, large crayons Blocks: Light weight, sturdy blocks of a size easy to handle Books: Cloth picture books Manipulative Toys: Pounding boards, push and pull toys, stacking toys Music: Child record player and child records, toy xylophone, bells, other musical toys Washable cuddly toys Equipment for use outdoors shall include: Strollers, jumping chairs, play pens, and infant carriers as necessary to provide"a- safe and comfortable place for each infant, according to his age and degree of physical activity, and small riding toys, safe swings, low climbing structures, slides, push and pull toys, and balls for toddlers. 14 DAY CARE CENTERS INDIANA (Infant - Toddler Care) 613. Nap Provision Regulation 3-464 Infant, Toddler Section, Space and Furnishings - Space Sc Furnishings for Toddler Care. Each toddler shall have a separate cot with individual bedclothes. Toddlers may sleep in their activity room or in a separate room not used b3Vany other group of child-en. There shall be at least two (2) feet of space between cots. If the activities room is used for sleeping, cots shall be stored in a separate room or in a closet when not in use. A nursery 'may elect to use cribs for toddlers. If cribs are used, the space taken by the cribs shall be in addition to the 35 square feet of play space required for each child, with three (3) feet of space allowed between cribs. Regulation 3-467 Physical Care = Sleeping and Care of Bedding. Sleeping periods shall be scheduled according to the i; age and needs of individual children. When children are sleeping there shall be reasonable quiet and subdued light. An adult caretaker shall be present in the infant room at all times, even if all the infants are asleep, to observe them and give them the attention and protection they need. An adult caretaker shall be present in or sufficiently close to the room where toddlers are sleeping, to observe them at all times and to give them the attention and protection they need. During nap time if only one adult caretaker is with Eif =group of children, there shall be at least one other available staff member within calling distance so that no child will be left unattended at any time. DAY CARE CENTERS INDIANA (Infant - Toddler Care) 614. Discipline and Guidance. See DAY CARE CENTERS (Day Nurseries) 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Retirements See DAY CARE CENTERS (Day Nurseries) 712. Health Assessments Regulation 3-468 .Health Frogram. Each infant and toddler accepted for care shall have a written statement fr')rn a physician including current immunization status, and formula and food requirements. An intradermal skin test sh and yearly thereafter. aired for each child at one-year of age, Immunizations required in Regulation 3-428.1(d), booster immunizations and periodic health examinations, shall be required in accordance with the recommendations of the child's physician. See also DAY CARE CENTERS 713. Immunizations See 712. Health Assessments DAY CARE CENTERS INDIANA (Inf 'Int-Toddler Care) 714. Sanitation Regulation 3-464 Infant-Toddler Section, Space Sc Furnishing = Floor Covering. The floor covering in infant and toddler rooms shall be easily cleanable and safe for crawling, creeping, waking, --d playing. Throw rugs are not permitted. Carpeting and padding shall a flame spread rating of between 0-75 and shall be vacuumed daily whin children are not present, and shampooed as frequently as necessary to keep them clean. Regulation 3-467 Physical Care. Each child shall have prompt and adequate physical care. There shall be adequate hygienic care given each child, including hand and face washing and body cleansing as necessary to assure that each child is kept clean. An adequate supply of soft washcloths and towels shall be provided and each washing of a child shall be done with a clean cloth and towel. Soiled cloth washcloths and towels shall be laundered in the same manner as bedding. Disposable towels are preferred. All child care personnel shall practice good personal hygiene and shall wash their hands before and after each child care duty including individual feedings, bathing, and diapering, and there shall be adequate facilities and supplies for this. Sleeping and Care of Bedding. All bed clothing shall be changed immediately when wet or soiled, and otherwise once each day. Bedclothing shall be laundered before being used again. All bedding shall be laundered in water- above 160 F for at e-:t 25 minutes. DAY CARE CENTERS (Infant-Toddler Care) INDIANA A Soiled bedding shall not be allowed to accumulate for longer than 24 hours before laundering. If commercial laundry service is used, an adequate supply of bedding shall be in reserve at all times to allow for delays in laundry pick-up and delivery. Toileting and Care and Diapers. If a child is changed in his crib, a clean pad shall be used during the changing to protect bedding or a fresh sheet shall be provided after each changing. If a common changing table is used, there shall be a soft washable padding on the table with a clean strip of waterproof, disposable paper to cover it. A fresh protective strip shall be placed on the pad after each diaper change. The child's body shall be properly cleansed when changed. The supervising physician shall approve skin care procedures used by the nursery, and care shall be taken to prevent contamination of common supplies. There shall be a sufficient supply of diapers available at all times so that each child can be kept clean and dry. Disposable diapers are preferred. If disposable diapers are used, soil shall be immediately rinsed from them in a flush stool and they shall be stored in a tightly covered sanitary container in a plastic bag. The bags shall be tied tightly and removed from the nursery premises at the close of each day. If there is an approved incinerator available bags shall be burned. If an incinerator is not available the bags shall be disposed of daily in the same manner as used to dispose of unburnable trash. 18 DAY CARE CENTERS INDIANA (Infant-Toddler Care) If the parent furnishes disposable diapers the supply shall be brought to the" nursery in unbroken packages, stored separately, and desiknated as the diaper supply for the individual child. If cloth diapers e used, soil shall be immediately rinsed from them in a flush stool. If cloth diapers are furnished by the nursery they shall be laundered by a laundry service and shall be washed separately from other nursery linen. Between pick-ups they shall be stored in tight a condition which Meets other requirements covered sanitary containers in the laundry service. Special care shall be taken in the washing so that diapers will remain soft and free from any substance such as strong soaps or chemicals or harmful bacteria that might irritate or be absorbed through the infant's skin. If cloth diapers are furnished by the parents, the supply for each child shall be kept separate from diapers used for other children. The soiled ones shall be stored through the day in a lightly closed container after proper rinsing and shall be returned to the parent daily. A deodorizing solution or granules should be used in diaper containers, and when emptied such containers shall be cleaned and disinfected. 715. flatly illness Screenin See DAY CARE CENTERS (Day Nurseries) 716. Care of Sick Children See DAY CARE CENTERS (Day Nurseries) 19 DAY CARE CENTERS INDIANA (Infant - Toddler Care) 717. Medication and Special Diet Provisions See DAY CARE CENTERS (Day Nurseries) 718. Waiver of Health Requirements See DAY CARE CENTERS (Day Nurseries) 720. SAFETY 721. General Safety Requirements Regulation 3-465 Environment and Equipment for Activities. All articles which the infant toddler is given to handle shall be non-toxic, safe to put in the mouth, large enough that they cannot be swallowed, and shall be without sharp edges or corners. Regulation 3-471 Safety. In addition to the requirements of Regulation 3-454, there shall be sufficient staff on duty at all times, who have been trained by local fire officials in evacuating infants and toddlers from the nursery, to evacuate the number of such children under care at any time a fire might occur. Furniture a u d t e pulled over by toddlers shall not be accessible to them. All areas, surfaces and items including toys, cribs, jumpers and play pens with which infants, including crawlers and toddlers, will come in contact shall be free of any residual pesticides and paint containing lead or other harmful materials or finishes. 722. Fire Safety Requirements See DAY CARE CENTERS (Day NurSeries) See also 721. General Safety Requirements 20 DAY CARE CENTERS INDIANA ant-Toddler Caie) 723. Transportation See DAY CARE CENTERS (bay Nurseries) 724. Safety Requirements for uipment See 721. General Safety Requirements 725. Water Activities (Includin Swimming) Not specified 726. Emergency ocedures Regulation 3-489 Accidents and Sudden Illness. All staff members who have direct contact with infants and toddlers shall have basic knowledge of current first aid procedures, particularly control of bleeding, treatment for shock, and artificial respiration. See also 721. General Safety Requirements 72 7 First Aid Supplies See DAY CARE CENTERS (Day Nurseries) 810. N UTRITION 811. Not specified Nutritiona 800. NUTRUION AND FOOD SERVICE Reouirements 812. Waiver of Requirements Not specified 21 DAY CARE CENTERS INDIANA (Infant- Toddler Care) 820. FOOD PREPARATION. 821. Food Preparation and Service Re Regulation 3470 Food Service. Food service requirements of Regulation 3-440. shall be observed, except that food vendor service shall not be used for infant feeding. Individual Feeding Plan. Prior to toddler is 'on, a .feeding plan shall be established for each infant or toddler in consul ation with his parent and based on the recommendations of the child's pediat clan or family physician. When a parent does not have the child under the supervision of a pediatrician or family physician, the feeding plan shall be established in consultation with the parent and the nursery's supervising physician. During bottle feedings, infants shall be held in the arms of adults familiar to them in a quiet relaxed environment that will make feeding time a pleasant experience. Formulas and Care of Bottles. The nursery shall not use fortnula prepared by a child's parents. Unopened commercial formula may be provided to the nursery by the parents. Commercially prepared formula, pre-mixed and ready-to-feed, shall he provided. This formula shall be stored at the temperature recommended on the container. It shall be stored only in a designated food storage area which meets regulation RFD 17 and shall not be used beyond the expiration date on the container. The day nursery shall use one of the following plan for serving commercial formula: 22 DAY CARE CENTERS INDIANA (Infant- Toddler Care) Commercially pre-filled, individuEil disposable nursers with attached pre-sterilized disposable nipples may be used. Cans of commercially 'prepared formula, pre-mixed and ready-to-feed, may be us(ed, from which the formula shall be poured directly into a sanitized Bottle, or into a sanitized nurser hull with a sterile disposable liner, to which a sanitized nipple shall be affixed. Remaining portions of formula that have never been poured from the original containers may be stored at 40 Fahrenheit in a refrigerator located in the infant food preparation room for no longer than 24 hours. If a day's supply of bottles is prepared at one time, each bottle sell be covered and labeled, and shall be stored at 40 Fahrenheit in a refrigerator located in the infant food preparation room for no longer than 24 ho'Ts. Any formula remaining in a nurser after a feeding shall be discarded. All permanent ware bottles and reusable nipples shall be washed and sanitized after each use. Milk. When the physician indicates that an infant is to receive cow's milk, he shall indicate whether to use whole or half-skim (2%) milk which has been homogenized, pasteurized and vitamin D fortified. Use of powdered dry milk is not allowed. Milk shall be poured from the original container at feeding time directly into the sanitized bottle or training cup, and all mused portions of an individual feeding shall be discarded. 23 DAY CARE CENTERS (Infant - Toddler Care), INDIANA Milk shall be stored a 40 F enheit in a refrigerator located in the infant food preparation room A clean sanitized tra fling cup shall be provided for each child who is old enough and ready to ink from Sanitizing Procedures. Sanitizing of nursery hulls, training cups, plates, trays, silverware and other utensils shall follow procedures of Regulation 3- 442(10). ithel ition al care shall be given permanent ware bottles, nipples, collars, caps, ,xpanders and tongs as follows: /.7 Pre-wash in hot detergent water. Scrub bottles and nipples inside and out with bottle and nipple brush. Squeeze water through nipple hole during washing. Rinse well with clean, hot water. Boil in clear water: bottles for five minutes; nipples and caps, collars, expanders and tongs for three minutes; air dry. Store in clean, advered container. Hands shall be clean and care taken in handling techniques to prevent contamination of clean bottles aiid nipples. All procedures relating to infant feeding by the day nursery shall be established ace:). rding to the recommendations of the nursery's supervising ysician, taking into account the ages and needs of the individual children in care. Water. If the physician indicates that sterile water shall be offered the infant it addition to his formula, a home sterilizer may be used to sterilize water, bottles and nipples in one procedure. 24 DAY CARE CENTERS INDIANA (Infant - Toddler Care) Solid Foods. Foods, coin only known as "baby food,' (cereals, strained or chopped meats, vegetables and fruits) shall be commercial products purchased by the nursery from an approved source. In certain situations equivalent foods may be prepared in the nursery, or brought to the nursery by the parent in the form of unopened commercial products. After commerical containers have been opened, 'e jars shall be covered, dated and refrigerated. Contents of opened jars shall be used within 24 hours or shall be discarded. If a child is fed directly from the jar, no other child shall be fed from the same jar and any such jar shall be labeled with the child's name if stored for next- feeding. Only unopened commercia=l products may be furnished by the parents. Food prepared at the center shall be used within 24 hours of its preparation and shall be stored in the refrigerator in covered, sanitized containers. The feeding plan for each child as required in Regulation 3-470(2) shall be updated periodically by the physician in consultation with the parent. This plan shall include: The kind and amount of food to-be offered; The appropriate time food is to be offered, and the schedule for supplements such as juice, cereal, sterilized water; The limitation on vitamins or any other type of food supplement or medication which shall be given only on the written order of a child's physician. The feeding plan for each child shall be kept in the child's file, and a copy shall be posted for the use of food service persons res ible for that child's feeding. 25 DAY CARE CENTEMS INDIANA (Infant-Toddler Cat.) A variety of foocla to lor aced texture shall be offered each Transition to Table >Il oOds for T dlers. A master menu for Meals and snaal=ls shall be prepared one week in advance, and planned to in.ltide all the dietary needs of children who are being introduced to table ''oc)cl.s,and shall b kept on file as served for one year. The menu shall be p=osted in the kitcftnen where the food is prepared, as well as in the area where lithe children are ad, and where it can be reviewed by the parents. There shall be a sp=ige ci l menu postd for each individual child who does not partake of the total_ rn &as planned ...or who has special dietary needs. The growing ehild s hoUld be eneoursged to learn to feed himself with a spoon, but should also be am llolved finger foelot. Protective covering for the flair and child shall be suppl_ied and the chil=ffs hands and face shall be washed before and after meals. Appropriate ftrnituvimee and eating Utensils shall be provided so that each child has his own _comfortahle place for feding at the time he should be fed. When a child is able and seerns ready to iicljust to eating with others at a tabla,, he may be placed at a clads table wit1-1 no More than three other children'under the supervision of n adult. At all eals, one adult shall be seated at the table to supervise no roor--- e then four children. There shall be a ecr----ntilytiing exchange of information between parent and child care worker reggung how the chili is eating, his new eating skills, end the new foods he enjoy. DAY CARE CENTERS (Infant- Toddler. Care) INDIANA See DAY CARE CENTERS (Day Nurseries) - 821. Food Pre ation and Service Requirements Not specified 900. SOCIA SERVICES 1000. PARENT PARTICIPATION Regulation 3-472 Interviews with Parents. The nursery shall devise a plan for daily contact, and planned periodic interviews with the child's parents in which there is interchange of information about the child to assure continuing consistency of child care and mutual awareness of the child's progress, development, and problems. This plan shall be supervised by the person in charge of the infant-toddler program. Child care workers shall actively participate in the parent-nursery daily contacts and in the planned interviews. 1110. PROGRAM OF Not applicable 1100. INFANTSA D TODDLERS TIVIT ES 1120. HEALTH AND SAFETY RE UIRE ENTS Not applicable 1130. INFANT.NUTRITION Not applicable 27 DAY CAll CENTERS (infant-T© CUIdler Care) INDIANA 12,00. CHILDREN WITH HANDICA P1NC CONDITIONS 1210. P GRANT F ACTIVITIES See DA ARE CENTERS (Day NUrSri es) 1220. SAFETY REQUIREMEN Not s 1230. SFFIN Not Sped t ed CCIf AG1 CF-71-111, DREN 1310, Not appli c=.a.ble CRAM -0 1320. 1-1g-ALTH AND SAFETY REQUIREME Not appli ez-- able 1400./ FACILIT EN 1410, S12,e.CE RegulatioN.ra 3-464 In nt-Tothiler Section, space Ec Furnishings In a Toddler 5 e tion. The prorreEaam of care for Infants and toddlers 5-17 ball be conducted in a section-of the sUrser which is separated from areas used for older children. The infart-toddler section may consist of as many separate groups of no more than eight (8) infants sndseparate groups of n, :,o more than ten (10) toddlers as the nurser` --y has sufficient available space, eq--=uipment, lavatories, toilets, and staff as clterminedDy the requirements of the se regulations. 8 DAY CARE CENTERS INDIANA (Irdant-Toddler Care) Space ac Furnishings for Infant Care. No more than one group of eight (8) infants may be cared for in the same room. The room shall be of a size to pre vide no less than 35 square-feet of floor space per infant with sufficient additional space as required for necessary equipment and for staff to coz=rnfortably perform. child care duties. space for a crib for each infant i included in the 35 square feet of ?.r aired space per irdant. There shall be r....at least three (3) feet between cribs. Adequate storage space for Infant supply and the personal belongings of each infant shall be furnished and shall be in or easily accessible to the infant room. Space & Furnishings for Toddle Care. No more than one group of ten (10) t filers may be" cared for in the same room. Such room, referred to as toddler's activity room in these regulations, shall provide a miiiimum of thirty-five (35) square feet of play space for e ch toddler. Outdoor Activity_ Area. Anoutdoorlactilfity area shell be providd which is appropriate and sufficient in size for infants and toddlers. This stitll be enclosed to _assure safety, and shall be separate from space used by olcir children. If the enclosed play areas must be shared with older children, a schedule shall be arranged for= its use for infants, and toddlers at separate times. 1420. LIdliTING, VENTILATION, AN "I'-.1%4PERATURE See DAY CARE CENTERS (Day Nurseries) 1430. Exns See DAY CARE CENTERS (Day Nurseries) DAY CARE CENTERS INDIANA (Infant-Toddler Care) 1440. TOILETS AND LAVATORIES Regulation 3-464 Infant - Toddler Section, Space & Furnishings - Lavatory and Toilet Facilities. The infant-toddler section shall have its own lavatory and toilet facilities. There shall be a Minimum of one changing table, one flush toilet one lavatory for each group of infants and for each group of toddlers, and these shall be easily accessible to the child care staff. Nursery seats or toilet chairs shall beprovided for children learning toilet habits. A nursery may elect, to change infiints in their individual cPibs. If so, a changing table is not required. Sanitizing procedures shall be observed for toilets, toilet chairs, nursery seats and lavatories. Soiled clothing shall be kept in tightly closed, individually marked plastic bags. All soiled clothing shall be handled such a way that clean clothing is not contaminated. 1500. OTHER STATE REQUIREMENTS COMPLIANCE WITH OTHER LOCAL STATE- AND REGIONAL LAWS AND REGULATIONS 1510. ZONING See DAY CARE CENTERS (Day Nurseries) 1520. FIRE- See DAY GARE CENTERS (Day Nurseries) 30 DAY CARE CENTERS INDIANA ant ant-Toddler Care) 1530. B un, DING See DAY CARE CENTERS (Day Nurseries) 1540. HEALTH See DAY CARE CENTERS (Day Nurseries) 1550. SANITATION See DAY CARE CENTERS (Day Nurseri 1560. NEW CONSTRUCTION See DAY CARE CENTERS (Day Nurseries) DAY CARE CENTERS IOWA Except where otherwise noted, all citations are to the Iowa Department of Social Service Handbook, Chapter 109 - Child Care Centers, July, 1975. 100. STATE LICENSING OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS,AND/OR LOCAL ORDINANCES AND REGULATIONS W. De IOWA CODE S237A.1 Definitions. "Child day care" means the care, superVision, or guidance of a child by a person other than the parent, guardian, relative or custodian for periods of two hours or more and less than twenty-four hourS per day per child on a regular basis in a place other than the child's home. "Child care center" or "center" means a facility providing child day care for seven or more children. "Child day care facility" or "facility" means a child care center or registered family day care home. "Licensed cents" means a center issued a full or provisional license by the department under the provisions of this chapter or a center for which a license is being processed. 112. Exclusions and Exemptions IOWA CODE §237A.1 Definitions. "Child day care" dogs not include an instructional program administered by a public `or nonpublic school system approved by the department of public instruction or the st= aoard of regents, a church-related 'Instructional program of not m Ere than one day per week. or short-term classes held between school term DAY CARE CENTERS IOWA 113. MIS Day Care Compliance Not specified 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit COMMISSIONER IOWA DEPARTMENT OF SOCIAL SERVICES DIVISION OF Ct MMUNITY SERVICES CI ILDREN'S BUREAU (Licensing) DISTRICT OFFICES Day Care (Licensing) Consultants -.: In Iowa, day care center licenses are issued and revoked at the state central office level, while registrations for family day care homes are issued at the district level. The day to day monitoring hacoons for day care centers are carried out by district staff in 16 districts, and family day care home follow-ups are handled by county staff. 2 DAY CARE CENTERS IOWA 122. Res onsible Official All inquiries should be addressed to: Program Manager Day Care Services and Licensing Children's Bureau Division of Community Services Department of Social Services 3619 1/2 Douglass Avenue Des Moines, Iowa 50310 (515) 231-5581 200. LICENSING PROCESS AND ENFORCE ENi-PROCftaiRES 210. LICENS NG PROC 211. Promulgation of Rulations IOWA CODE §237A.12 Rules. The diiector shall promulgate rules setting minimum" standards to provide quality child day care in the operation and maintenance of child care centers and registered family day care homes relating to The number and -qualifications of personnel necessary to au e the health, safety, and welfare of children in the facilities. Physical faciliti The adequacy of activity programs and food services available children. Policies established by the center for parental participation. Programs for education and in-service training of a o the DAY Ce, CRITTERS 10 WA Records kept by trie facilities. Administration. Health, safety, and medical policies for children. Rules promulgated by the state fire marshal for buildings used as child care centers as an adjunct to the primary purpose of the building shall take into consideration that children are received for temporary care only and shall not differ from rules promulgated for these buildings when they are used by groups of persons congregating from time to time in the primary use and occupancy of the buildings. However, the rules may require a fire-rated separation from the remaining portion of the building if the fire marshal determines that the separation is necessary for the protection of children from a specific flammable hazard. Rules relating to fire safety and sanitation shall be promulgated under this chapter by the state fire marshal and the commissioner of public health respectively, in consultation with the department, and all rules shall be developed in consultation with the state day care advisory committee. The state fire marshal shall inspect the facilities. 212. Advisory Body nd Other Community Participation IOWA CODE §237A.21 State Day Care Advisory Committee. There is established a state day care advisory committee to consist of not less than nine and not more than fifteen members& from urban and rural areas across the state. The membership shall consist of one-third providers of services, one-thf n interested citizens, and one-third parents of children served. Members shall be appointed by the commissioner from a list of names submitted by a norpinating committee to consist of one member of the state day care advisory committee established pursuant, to this section, one member of the day care unit of the department, and one member of a professional ITO 4 DAY CARE CENTERS IOWA child care organization. Two names shall be submitted for each appointment. Members shall be appointed for terms of three years but no member shall be appointed to more than two consecutive terms. The state day care advisory committee shall' write its own operational policies with departmental approval. The member of the state day care advisory committee who submits names of nominees for initial membership on the committee shall be a member of the state .day care advisory committee established by regulation 220.4 of the Social Security Act of 1967. IOWA CODE §237A.22 Duties of the State Day Care Advisory Committee. The state day care advisory committee shall: Consult with and make recommendations to the department in the promulgation of rules under this chapter. Recommend improvements in the licensing and registration of facilities. Advise the department on licensing policy, planning, and priorities. 770-109.1(237A) Administration. A nonprofit child care center shall have a governing board which meets at least quarterly and hasyarent representation. The board or operating body shall formulate administrative rules and policies within the objectives and purposes of the center. The board or operating body of a nonprofit child care center shall provide for the operation of the center with staff which meets the minimum requirements established by the department of social services, shall provide for revenue for financing of the center, job descriptions, and shall- develop personnel policies and benefits. DAY CARE CENTERS IOWA See also 1000, PARENT PARTICIPATION 220. LICENSING PROCEDURE 221. Application and Issuance IOWA CODE 5237A.2 Licensing of Child Care Centers. A person shall not establish or operate a child care center without obtaining a license under the provisions of this chapter. A center may operate for a specified period of time, to be established by. rule of the department, if application for a license has been made. The department shall issue a license if it determines that the following conditions have been met: An application for a license or a renewal has been filed with the director on forms provided by the department. The center is maintained to comply with state health and fire laws. The center is maintained mply with promulgated rules. A facility which is not a child care center by reason of the definition of child day care but which provides care, supervision or guidance to a child may be issued a license if the facility complies with all the provisions of-this chapter. A record of the license shall be kept by the department. The licevise shall be posted in a conspicuous place in the center and shall otate the particular premises in which child day care may be offered and the number of individuals who may be received for care at any one time. No greater number of children than is authorized by the license shall be kept in the center at any one time. DAY CARE CENTERS IOWA 222. Fee Charg Not specified 223. Areas of Investigation See 231. Facility Inspections 224. License Renewal Not specified 225. Conditional/Provisional Licenses IOWA CODE S237A.2- Licensing of Child Care Centers. The director may issue a provisional license for a period of time not to exceed one year if the center does not meet standards required under this section. A provisional license shall be posted in a conspicuous place in the center as provided in this section. If written plans to bring the center up to standards, giving specific dates for completion of work, are submitted to and apprcived by the department promulgating the regulations, the provisional license shall be renewable. 226. Substantial Compliance Not specified 230. ENFORCEMENT PROCEDURES 231. Facility IOWA CODE 5237A.4 Inspection and Evaluation. The local boards of health shall make periodic i pections of licensed centers to insure compliance with licensing requirements provided in this chapter. In those instances where no local board of health exists then the director may make periodic inspections of licensed centers as necessary to carry out the provisions of this chapter. The director may inspect re rds maintained by a licensed center and may inquire into matters concerning ese centers and the persons in char. DAY CARE CENTERS See also 1520. FIRE 232. Denial, Suspension, Revocation of a License IOWA CODE S237A.2 Licensing of Child Care Centers. A person denied a license under the provisions of this section shall receive written notice of the denial stating the reasons for denial and shall be provided with an opportunity for an evidentiary hearing. Licenses granted under this chapter shall be valid for one year from the date of issuance unless revoked or suspended in accordance with the provisions of section 237A.8. IOWA IOWA CODE S237A.8 Suspension and Revoca 0 The director, after notice and opportunity _for an evidentiary hearing, may suspend or revoke a license or certificate of registration issued under the provisions of this chapter if the person to whom a license or certificate is issued violates any provision of this chapter or if a person makes false reports regarding the operation of the child day care facility to the director or a designee. 233. Remedies and Sanctions 233.1 Hearings See 232. Denial, Suspension, Revocation of a License 233.2 Decisions Not specified 233.3 Judicial Review Not specified 8 DAY CARE CENTERS IOWA 300. ADMINISTRATION 310. GENERAL ADMINISTRATION General Administrative Requirements 770-109.1(237A) Administra 'on. When a child care center is incorporated, a copy of the Certificate of Incorporation and bylaws relating to the child care center shall be submitted to the Iowa department of social services. In the event any amendments to the original bylaws are adopted, a copy of said amendment or amendments shall be transmitted to the department of social services. Incorporated centers shall submit a statement of purpose and objectives. The plan and practices of operation shall be consistent with this statement. Unincorporated child care centers shall submit a written statement of purposes and objectives to the department of social services. The plans and practices of operation shall be consistent with this statement. The child care center admission, intake, discharge and health policies shall be defined, formulated and commensurate with the needs of the children and with the purpose of the program. The child care center operator or executive shall be responsible for the center's administration and programs, and be concerned for the child's development. Centers licensed for twelve or fewer children need not comply with administrative requirements except those for operator responsibilities and reporting of child abuse and neglect. 9 DAY CARE CENTERS IOWA. 770-109.2(237A) Records. The child care center shall keep records and reports on the staff, including all those persons counted in the child/staff ratio; the children; center finance and attendance. 312. Telephone 770-109.5(237A) Physical Facilities. A telephone in working order shall be available in the center with emergency phone numbers posted~ adjacent to the phone. 313. Proof of Operator Financial Capabilitit Not specified 314. Insurance Not specified 320. = PERSONNEL 321. Publication of Personnel Polidies Not spe 322. Constraints A Employment IOWA CODE §237A.5 Personnel. sta members of a licensed center or registered home with direct _,porisib. ity for child care shall have a conviction by any law of any state involving eivious acts with a child, child neglect or child abuse. See -also 342. Records 10 DAY CARE CENTERS IOWA NON-DISCRIMINATION 331. Requirements Prohibiting Discrimination Not specified 340. RECORDS REQUIRE ME N'TS 341. Children 770-109.2(2) Records. An individual file for each child shall be maintained in the center and shn.11 contain: Enrollment information including an emergency telephone number, next of ldn, and who has permission to pick up the child. Name, address, and telephone number of the childs regular source of health care. Physical examination repo condifions. which shall include allergies and restrictive ed immunization cards from the state department of health. Parent permission for center-sponsored field visits. Permission to secure emergency care and written plan of Procedure signed by the parent. Accident and incident reports for the child. Any professionally prescribed treatment. General Health lireouirernen DAY CARE CENTERS IOWA 342. Staff 770-109.2(237A) Records. Personnel records shall contain information on: Employment application, including age, education, and evious work history. A statement signed by each individual that there has been no conviction by any law of any state involving lascivious acts with a child, child neglect, or child abuse. The status of any current treatment of alcr holism, drug abuse, or child abuse. Physical examination report or religious exemption waiver. .t Professional- growth and development showing a minimum attendance -of six hours of in-service training anpually for each child care staff person, and minimum attendance of one staff -person annually at a workshop, conference, or coll curse fon outside professional training. Salary and benefit recur 343. Child Eligibility and Enroll Not specified 344. Child Abuse Reporting ent Requirements 770-1091(237A) Administration.. Requirements and procedures for mandatory reporting of suspected child abuse and neglect shall be posted where they can be read by staff. Methods of identifying and reporting suspected child abuse and neelect shall be discussed with all staff. 12 DAY CARE CENTERS 345. Confidentialit of Records Re uire ents IOWA CODE §237A.7 Confidential Information. ------ Anyone who acquires through the administration of this chapte information: the relative to an individual in a child day care facility or to a' relative of individual shall not, directly or indirectly, disclose the information except upon inquiry before a court of law or with the written consent of the individu41 or, in the case of a child, the written consent of the parent or guardian Or as otherwise specifically required or allowed by law. This section shall not prohibit the disclosure of information relative to the structure and operation of a facility nor shall it prohibit the statistical analysis by duly authorized persons of data collected by virtue of this chapter, or the publication of the results of the analysis in a manner which does not disclose information identifying individual persons. 400. GROUP COMPOSITIONS_ OF CHILDREN 410. STAFF /CHILD RATIO REQUIREMENTS 411- Staff /Child Ratiolis of March 1981 770-109.4(237A) Personnel. Staff ratio shall be as follows Age of children Two weeks to two years Two years Three years Four years Five years to ten years Ten years and over Minimum ratio of staff to children 13 One to every four children One to every six children One to every eight chll _n One to every =twelve children One to every fifteen children One to every twenty children DAY ARE CENTERS IO l A Regardless of the staff ratio when seven or more children five years of age or younger are present, basic minimum qualified child care staff shall consist of two people on duty. Combinations of age grouping shall have staff determined on the age of the youngest child in a group. Every child-occupied program and nap room shall have adult supervision present in the room. The minimum staff ratio shall be maintained in the center during nap time. Any child care center sponsored preschool aged program activity conducted away from the licensed facility shall provide a minimum of one additional - responsible person over the ,r a equired staff ratio for the protection of the children. Centers licensed for twelve or fewer children need not comply with the adult supervision requirement for 'child-occupied program and nap rooms. 412. Methods of Computing Staff/Child Ra See 411. Staff /Child Ratio as of arch 198 420. ,GROUP SIZE 421. Group Size as of March, 1981 See 411. Staff /Child Ratio as of March l9 422. Not specified lethods o Group Size 14 DAY CARE CENTERS 500. STAFF QUALIFICATIONS ANFD TRAINING REQUIREMENTS 510. CHILD CAREGIVER STAFF QUAL1F= ATIONS 511. Age IOWA 770-109.4(237A) Personnel. In these rules qualified staff shall mean 0= ,director or administrator or person considered part of the staff ratio. Persons counted as part of the staff ratio, including the irectbr or administrator, shall be at least sixteen y6ar---s of age. 512. Health See 342. Staff 513, Education Not specified 514. erience 770-109.4(237A) Personnel. Persou counted as part of the staff ratio, including the director or administrator, must be involved with chillren in programming activities and shall meet the following requirements: Demonstrate competence in working independently with children. At least one staff member on dut- y shall have a valid certificate in standard first aid or documentation e f equivalent training. 15 DAY CARE CENTERS 520. PROGRAM DIRECTOR QUAL1FICAT 521, Age 770-109.4(237A) Personnel. The on site director or administrator shall be at least. eighteen. years of age. IO WA 522. Health See 342. Staff 523. Education 770-109.4(237A) Personnel. The on site director or administrator shall have co nipleted high school or an equivalent program. Persons who do not mzeet this educational requirement, and who possess unusual qualifications or experien,7- fie in the child age group with which they will be working, could be employer with the approval of the department of,social services. 5241 Eerience 770-109.4(237A) Personnel., The on site director or administrator shall have two years of administrative. or program experience in a child care- center, or ties able to demonstrate an equivalent amount of other child development relatd experience, employment or educational experience. 530. SC: ORT STAFF QUAL IFICATIONS Not specified 16 DAY CARE CENTERS 'IOWA 540. P T EMPLOYT RIENTATION AND -TRAINING 541. P-ogram Direr 770-109.1(237A), Adrr The chit_ d care cent an ongoi7-ig plan for 542. C mild Carey See 342. Staff 543. Stiport Staff Not app=cabic 'lave or board shall proVide and carry out dhvelopment. S INCLUDING 610. P _TaOGRAM REQU,_ 611. Program of Activities 770 -109.= 237A). Administration. The chiL d care Center's presQhooi age program shall be appr-Driate to the developr= ental lever,of the' childrind the defined' purpose of-- the program shall not be a duplicaton of the elerratary school curr,icalura. 770-109. '237A) Activity Program 21cquirements. The prpg-l-am conductd daily in a childcare center shall prcividak E.-7---rperiences which prornote the individual child's physt.c.---Ll; emotional, so cial and intellectual zroWthend well-being and shall pr--=vide for both gr- 6st and fine motor develop mt. . - 17 DAY CARE CErlITEgS- 10%.A A schedule of activities wi-ath -suff dent flexibilL____ty to respond to the needs of the individual MIR& -7en. Both active artd quiet learning ciperiencea which promote t he development of skills, sz=cial competence, pelf- esteem, positive self -identity= and creative eression. Experiences in harmony w children. 612. Program the ethnic and cultural backgrounds of he 770-109.7(237A) ActivityPrograrn E7Requirenents. Play material and cqtaipment far boili indoor and outoor play shah be in sufficient variety and quantity tz-La meet the interess and needs of t_he children. Equipment and Inaterials-- shall besuitable for the age range sere -ed and shall be selected acQoNing to lie type, ofsupervision required. Materials and equiprnemt shall be_ provided to eneourk7-7e muscular activitY9 social and dramatic playintellecttel growth, creative e=-__-xpression and'snall- be of safe construction and material that are easily elea=7-ned When a child is eating or parti-ipating inproararnE ring activities at thr--, rtabke' there shall be eighteen or e inches of table s,,ozaee per child. 613. Hap_ ProvisiQrt 770-109.7(237A) AetivttyProgrant Eequirernents. The program shall provide for et nap or quiet time For all preschool children pres6nt at the cote' r for fi eve 0- morchours, A clean washable 1 ndiv :dud' cot, b wed, or erIG and heddi=ig to cover both at, bed, or crib and child Stollhe prpv-t-rided for each child wEno naps. Mats may be substituted for physiealLyhandicappled- chilcItco, DAY C ENTE IOWA - Thert -shall beat lest two 'feet of space on all sides of the co ree t Where the cot .=, bed, or crib touches the wall. Utl. iaciplie and Guidance. .7(237M Act=vity Progriim Requirements. CorprEil P shment including spanking, shaking and slapping shall not be used or crib Pails-J-7, merit Pitnis=±-1n1 e or lack purist e Moll is, humiliating or frightening shall 1 not he used shall not = be administered because of a child's illness, or progress -ztogress in toilet training, -nor shall punishment , or threat of tteossoci aced with food or rest. No cl fld stAllbe st jected. to verbal abuse, threats, or derogatory remarks about such ehildor si._=c11 child's family. NOthi this shall preclude the use of professionally prescObed treater e zihe se Jerely retarded 'or handicapped; The treatment plan shall be re ordeal filthe record, 700. I HEALTH ND SAFETY 711 111. erIHeult Re iiirements IOWA ed:3 Sn7A.5 Personnel. ill prsc:flitaieL to lice nsed centers shall have good health as evidenced by a report f()L-19voihg a ire employment physical examination taken within six months prior to'begit-_ filing employment, including communicable disease' tes by a LlieWl-wc: piffiCI _an, at the time of initial employMent and every three years hereof-1er, JDAY CARE CENTERS t IOWA 770-109.3(237A) Health and Safety Policies. The child care center shall require each preschool age child to have an admission physical examination report signed by a licensed physician or descignee in a clinic supervised by a licensed physician. This report shall include an immunization record that is in compliance with the Iowa state - hea=lth department _regulations. This written report shall include past health history, status of present health and recommendations for continued care when necessary. A new physical examination and report shall be Obtained annually. For the school age child, a copy of the most recent school physical examination and immunization record shall be acceptable. 712. Health Assessments Not specified 713. Immunizations -See 711. General Health- Requirements 714. Sanitation 770-109.3(237A) Health and Safety Policies. Individual towels, paper or cloth, and facilities for keeping them Shall be provided. If individual toilet articles are provided, they shall be kept in a sanitary manner. 170-109.5(237A) Physical Facilities. ) The facility and premises shall be maintained -in a clean, sanitary, and safe -Manner, 715. Daily Illness Screening 770-109. (237A) Health and Safety Policies. Each child shall have direct contact with a staff person upon his arrival for the early detection of apparent illness, communicable disease, or unusual condition or behavior which may adversely affect the child or the group. --' 1v. 20 'DAY CARE CENTERS IO WA 716. Care of Sick Children 770-109.3(237A) Health and Safety Policies. A quiet area under supervision shall be provided for a child who appears to be ll- or injured. The parents or a eldsignated person shall he notified of the child's health status. 717. Medication and S = eeial Diet Provisions 770-109.3(237A) Health and Safety Policies. The child care center,shall administer no medication including nonprescription drugs to any child without the parents or guardian's written, authorization. Parent authorization shall be on file for each prescribed medication. Each prescription drug shall be accompanied 13y a physician's/pharmacist's direction. The director or administrator shall designate one person at one time in each assigned group to administer all medications. When medications are adniinistered, it shall be recorded and retained on file. Medications shall be stored under proper conditions of sanitation, temperature, light, moisture, ventilation, segregation, and security. All medication shall be kept under lock and key, or stored in a refrigerator in a separate compartment with proper security. 718. Waiver of Health Requirements 770-109.3(237A) lic,:alth and Safety Policies. Nothing in this rule shall be construed to require rvdi, treatment or immunization for staff or the minor child of any person .' member of a church or religious organization which is against medical treatment for disease. In such instances, an official statement from the organization shall be incorporated fn the record. 21 DAY CARE CENTERS 720. SAFETY 721. General Safe re uire ents IOWA 770-109.5(237A) Physical Facilities. All stairways used by childten shall be poYided with 1-nand rails within reach of the children and maintained free of all obstteles, 770-i05.5 (237A) Physical Facilities. Premises used _for outdoor play by vier shales be maintained in good condition throughout the year; shall be fenced off when located on a busy . thoroughfare or near a hazard which ill ELY be,ihjurius to a child; and shall provide both sunshine and shade areas. 'Thepremises shall be kept free from litter, rubbish and flammable materials, at, all times ; and shall be free from contamination by drainage or ponding of sewage, he usehold waste, or 'Storm water. 722. Fire SES9tyjit...9Aft ir e men t s Not specified 723. Transportation 770-109.4(237A) Personnel. In transporting seven or more preschool en, ant--- child care vehicle shall have a minimum of two staff members or ottcradults- -present. 724. Sp. f et era 770-109.7(237A) Activity Program Re All equipment shall be kept in good- coaditi oa, free 07 f sharp, loose, or pointed parts, and, if painted, only lead free paint shall be u _sed. Permanent outdoor play equipment must be firmly anchored. 725. Water Activities Not specified DAY CARE CENTERS 726. Erpszene -. Procedures IOWA 770-109_3(237A) Health and Safety Policies. The child care center shall have a written plan for medical emergencies and written consent of the parent or guardian for enlergency care Of the children. Disaster, such as tornado, flood and fire, escape procedures shall be developed, posted, and practiced a minimum of monthly. 727. First- Aid Su Not specified 800. NUTRITION AND FOOD SERVICE 810. NUTRITION 811. Nutritional R uiremen 770-109.6(237A) Food Services. Children at the center during regular meal times shall have available to them a fult. balanced .meal which provides at least one-third of tM child's daily nutritive allowances, except breakfast which shall provide at least one-fourth. Each noon or evening meal menu shall include a bread or cereal type food, a meat or meat substitute, a vegetable, a fruit and milk. Children remaining at the center two hours or longer shad receive niidmorning and midafternoon nourishment. s shall consist of a variety of foods each day based on the following: Breakfast - 1/2 cup of milk; 1/4, cup of juice or fruit; 1/2 sliCe of bread or 1/4 cup of cereal or,equivalent. 23 DAY CARE CENTERS IOW ff Lunch or supper 1/2 cup of milk; 1 ounce (edible portion as served) of lean meat or an equivalent quantity of a protein food; 1/4 cup Of vegetable ;. 1/4 cup of fruit; 1/2 slice of bread or equivalent; 1/2 teaspoon, of butter, or fortified margarine. --- 812. ,Waiver of Requirements Not specified 820. FOOD PREPARATION . 821, Food Preiaration and Service Requirements 770-109.6(2371) Food Services. . A staff member shall sit with the children at meal e_ snacks are served. Menus shall be planned at least one week- in advance. Such menus shall be-. dated, posted, and kept on file at the center. Notations shall be Made for special dietary needs Of the children. Menu planning shall include a variety of foods and varying textures; flavors and colors that will provide children a with many different food experiences, and.., help stimulate their interests in foods. Sufficient refrigeration space shall be provjded for.Polding perishable foods at a maximum of 40 degrees F., and thermometers shall be maintained in the refrigerator. chens shall be clean, well lighted and ventilated, and free of rodents and insects. Aseptic techniques shall be used in the preparation of all milk mixtureh and other foods prephred in the center. 24 , 1 DAY CA tE CENTERS IOWA rood ser4ce personnel Must maintain good personal hygiene and appropriately covered hair while preparing and serving food. Food shall not be handled by of with open sores or bandages on their hands unless wearing protective oyes. A sufficient number of flytight, watertight garbage and rubbish containers shall be provided to properly store all ',1haterial,-between collections. Containers must be maintained in a sanitary condition,outside the building and away from the play area. No chipped or cracked dishes shall be used. Nondisposable dishes and silverware shall be properly cleaned by prerinsing or scraping, washing, sterilizing and Airdrying. A dishwashing machine must provide a minimum wash temperature of 140 degrees F. For hand dishwashing at least p two coMpartment sink or comparable facility must be available. Tableware shall be either rinsed in water of a minimum of 180 degrees F. or rinsed in a chemical sanitizing agent and aft* dried. No tableware shall be towel dried. Water for drinking d culinary purposes shall be from a p lie water system when available. Drinking fountains shall be maintained in a clean and sanitary manner and shall be so constructed and located as to be accessible for use by the children at all times. If drinldng fountains are not available, individual single service cups shall be provided in a sanitary dispenser and used only once. When individual drinking cups are used they shall be kept in a sanitary manner. 25 DAY CARE CENTERS Not specified 900. SOCIAL SERVICES IOWA 770-109.8(237A) Parental Participation. Opportunity shall be provided for parents at :times convenient to them to observe their children in the child care center and whenever possible to work with the rogram., Whenever a nonprofit child care center provides day care or forty or more children, there shall be a/policy advisory committee or its equivalent at the ' policy making level. Committee membership shall include not less than fifty percent parents or parent representatiVet; selected by the parents themselves in a democratic fashion. The committee shall perform productive functions which may include, but are not limited to: Initiating suggestions and ideas for program improvements. Assisting in organizing activities for parents. Encouraging parental participation in the progr 1100. INFANTS AND TODDLERS 1110. PROGRAM OF ACTIVITIES 770-109.5(237A) Physical Facilities. An area shall be provided properly and .safely equipped 4for the use of the infants and free from the intrusion of children over two years of age. 28 DAY CARE CENTERS IOWA 770-109.7(237A) Activity Program Requirements. A child care- center serving children two weeks to two=years old must provide an environment `which protects the children from physical harm; but is not so restrictive as to inhibit physical, intellectual, emotional and social development. Stimulation shall be provided through being held, rocked, played with and talked with individually several times each day. Insofar as possible, the same adult should care foethe same child. This includes care during feeding and toileting. When play pens are provided, no more than one child shall be placed in one at any time. Centers licensed for twelve or fewer children may substitute a playpen for a crib providing all other requirements are met. 1120. HEALTH AND SAFETY RE UIREMENTS 770-109;7(237A) Activity Program Requirements. Each infant's diaper shall be changed as frequently as needed in his own crib or on a surface which cleaned and sanitized between each infant change. When changing diapers the infant shall be washed and dried, using his individual toilet accessories. There shall be a covered, waterproof container for the storage of soiled diapers and clothing. Highchairs shall be eqpipped with a safety strap and shall be constructed so the chair will not topple. Washable toys, large enough so they cannot be swallowed, shall be provided. Toys shall have no sharp edges or removable parts. 27 DAY CARE CENTERS IOWA A crib shall be provided for each infant. Each crib shall be of sturdy ip construction- with bars closely spaced so a child's-head cannot be caught, and have -clean, .individual bedding, including sheets and blankets._ Crib railings shall be fully raised and secured when the child is in the crib. Each mattress shall, be completely and securely covered with waterproof material. When plastic materials are used, they shall be heavy, durable and not dangerous to children. A child shall not be placed directly on the waterproof cover. A- crib shall be provided for the number of children present at any one time and, shall be kept in a clean and sanitary manner and always cleaned and changed upon the change can occupant. There shall be- no restraining devices of any type used in cribs. The minimum, spacing between cribs shall be two feet on any side except that which is next to the wall. 1130. INFANT NUTRITION 770-109.6(237A) Food Services. All children under six months of, age are to be held durin are to be propped for children of_ age. No bottl Single service ready -to -feed fo4nulas shall be used for children for the child who has a feeding problem. Spoon feeding shall be adapted tc the developmental need of the child. 1200. CHILDREN WITH HANDICAPPING CONDI'T'IONS 1210. PROGRAM OF ACTIVITIES Not specified 1220. HEALTH AND SAFETY REQ Not specified 28 DAY CARE CENTERS 1230. STAFFIN Not specified 1300. SCHOOL AGE CHILREN 1310. PROGRAM OF ACTTYITIES Not speCified 1320. HEALTH AND SAFETY REQUIREMENTS Not specified 1400. FACILITY REQ EN 1410. SPACE IOWA 770-109.5(237A) Physical Facilities. The minimum program room size shall be eighty square feet. The child icare -center shall have thirty-five square feet per child of usable indoor flcior space maintained in a clean and sanitary manner. When floor space ocCirpied by cribs is counted as usable floor space, there shall be forty A, square feet of floor space in those rooms: There shall be seventy-five square feet in outdoor recreation area per child using the space at any given time. Kitchens, bathrOoms and halls may not be counted in the square footage per child or used as regular program space. Cooking stoves- shall not be placed in the program area For grams f two on one-half hours or less, outdoor space may be waived with the approval of the department providing there is suitable space and equipment. In all centers, the following minimum requirements must be met: Ceiling height shall be a minimum of seven feet, six inches for rooms above ground level and a minimum of seven feet for rooms below ground level. 29 1 L) DAY CARE CENTERS -IOWA 1420. LIGHTING VENTILATION AND TEMPERATURE 770-109.5(237.2W Physical Facilities. Buildings not having air conditioners shall have a ratio of window area to floor area of eight percent or more and all openable windows and doors shall be screened with sixteen mesh wire. Areas used by the children shall be heated, when the temperature falls below 68 degrees so a temperature of 6141111wes to 72 degrees is maintained at the floqr level. Lighting with a (E8pacity to produce a light intensity of twenty foot candles in the program area ghall be provided. All rooms shall be ventilated, without drafts, by means of windows which can be opened or by an air-conditioning or vent' ting system. 1430. EXITS Not specified 1440. TOILETS AND LAVATORIES 770-109.5(237A) Physical Facilities. One functioning toilet and one lavatory for each fifteen children or fraction thereof, shall be provided in 'a room with natural or artificial ventilation. Training seats or chairs shall be allowed for children wider two years of age.' - There shall be handwashing facilities with hot and cold running water for child care personnel in rooms where infants are housed or in an adjacent area. 1500. OTHER STATE REQUIREMENTS - COMPLIANCE WITH OTHER LOCAL, STATE AND _EGIONAL LAWS AND REGULATIONS 1510. ZONING Not specified 30 DAY CARE CENTEI S IOWA 1520. FIRE IOWA CODE 5237A.4 Inspbetion and Evaluation. The director shall require that the center be- ihspected: by ths.state fire_ marshal or a designee for compliance with rules relating to fire afety befdit -a license is granted or renewed. e See also 211. Promulgation Regulations 1530. BUILDING Not specified 1540. HEALTH _770-109.6(2371) ,Food Services. Private water supplies for drinking, and culinary purposes shall be located and constructed in accordance with recommendations outlined in the Iowa state department of health bulletin, "Sanitary Standards for Water Wells". Water shall be of satisfactory bacteriological quality as show_ n by an ual laporatory analysis. When the facility provides care for children under tw&years of age, a nitrate analysis shall also be 'obtained. 1550. SANITATION' See 211. Promulgation of Regulations and 1540. HEALTH. 1560. NEW CONSTRUCTION Not specified 31 DAY CARE CENTERS KANSAS Except where otherwise indicated,-all citations e to the Kansas Department of 'Health and Environment, Regulations for Licensing - Child dare Ce ters, May, 1979 (corrected February, 1980.) 100. STATE LICE G OF cHIt.,p DAY -CARE FAC-iurFIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR LOCAL ORDINANCES AND REGULATIONS Defim - 28-4-300 Definitions.' "Child care center" means a day nursery providing care foeseven (7$ or more children, for part of all of a' ay or night, away from the home of the- otirent or legal guardian; and includes full day child care,. nursery schools, play groups, head start,- centers git.dng emphasis to programming, for special children, -e kindergartens- not operated by the public schools, and otherk esiablishrrients offering,careto grOups of children for part or all of the day or night. Centers for infants and toddlers or for handicapped children may have fewer than seven (7) children but be licensed as a center because the program meets child care center regulations. KAN. STAT. A Art. 5,585-503. Section-1. Bo g home defined. -The term boarding home for children as used in this act means: (a)(l) A place maintained by anyone- who has in his or her control or custody one or more children under sixteen (la) years bf age unattended by parent or guardian for the purpose of providing such children with food or lodging, or both, except children related to him or her by blood, marriage or legal adoption; or (2) a children's home, orphanage or any day niwsery or other institution of a type' determined by the secretary to require regulation under the provisions of this act; or (S) an association, organization or individual engaged in receiving, caring for or incing homes for orphans or, deprived children or children needing day care who are under DAY CARE CENTE sixteen (16)i years o KANSAS' or a place maintained by such associ on, organization or individual for the purpose of caring for .children under sixteen. (lA) years of age; or (4) any receiving or detentici home for children under sixteen 0.6) years of ,sage provided or 'maintained by, or receiving aid from any city or county or the state. (b) The term boarding home for children shall not include a family day care home as defihed in section 3. 112. }Exclusions and Exemptions 28-4-200 Definitions. Mother's day out ?i Other programs meeting three (3) consecutive hours or less per week shall be exempt from licerksing. HHS Day Care o iplianee Not specified 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS nization o the Administrative Unit Secretary DEPARTMENT OF SOCIAL AND REHABILITATION SERVICES Director DWI ION OF CHILDREN. YOUTH Secretary DEPARTMENT OF HEALTH AND ENVIRONMENT BUREAU OF MATERNAL AND CHILD HEALTH County Staff DAY CARE CENTERS KANSAS Licenses are issued and revoked by the Kansas Department of Health and Environment; in the licensing process, the Kansas Departibent of Social and Rehabilitation Services is responsible for evaluation of staff, programs, and adnuinistratiom L health departments are responsible for facility inspections, health programs, and nutritional services. A 12 Responsible Official All inquiries should.be addressed to Director, Bureau of Maternal and Child Department of Heilth and Environment Building 740, Forbes AFB Topeka, Kansas- 66620 (913) 862-9360 th 200. LICENSTC PROCESS A D ENFORCEMENT PROCEDURES 210. LICENSING PROCESS q 211. Promul ion of R.e= tilation.s KAN. STAT. ANN., Art. 5, §65-508. Equipment, Supplies and Accommodations. The secretary shall adopt rules and regulations-to 'implement the registration provisions of sections 2 to 8, inclusive. The secretary of health and environment with the cooperation of the secretary of social and rehabilitation services shall develop and adopt rules and regulations for the operation and ,maintenance of maternity hospitals or homes or homes for children and for the granting, suspending or revoldng of licenses. Therules and regulations for operating and maintaining maternity hospitals or homes or homes for children shit_ be designed to promote the health, safety and welfare of the residents who are to be served in sfich facilities by assuring DAY CARE CENTERS KANSAS safe and adequate physical sirroundings, healthful food, supervision and care . - Of the residents by capable, qualified persons of sufficient number, an adequate program of activities and kervicesand such appropriate parental participation as may be feasible Under the circumstances. The rules and regulations with respect to granting, suspending and revolcing_licenses shall be designed to promote the proper and efficient processing of matters relating to icense to assize applicants and licensees. fair and. expeditious treatment under the law. 212. Advisory Body and Other Community Participation 28-4-206 Organization. A cornmunity-sponsored child care center' shall be incorporated as a non-profit corporation under the laws of Kansas and shall operate in accordance with an established constitution and by-laws. A community-sponsored non - profit child care center shall be governed by an administrative board, one-third (1/3) to one-half (1/2) of whose members shall be parents or parent representatives of children enrolled in the center elected by the total parent membership of the center. 220. LICENSING PROCEDURE 221. Application and Nuance 28-4-201 Eligibility for license. Applicant shall be eighteen 08) years of age at time of initial application. Applicant shall provide evidence of his or her character and ability to are for children. iJ 4 DAY CARE CENTERS KANSAS 28-4-202 Statement of services offered. "/". When maldng application to the bateau of:maternal and d health division of the Kansas department of health and environment for a license to conduct a child care center,- the applicant shall pregisely what services are intended to be offered to children. Advertisements shall conform to the written statement of services as required by K.A.R. 28-4 -207 (a) M.' Under no circumstances shall claims as to, specialized services be. made unims'the child, care center is staffed and equipped offer such services. No general claim as to "state approval" shall be made unless the child care center has obtained a full license issued by the Kansas department of health and environment with approval of the division of children and youth, of the Kansas state department of social and rehabilitation services. r 28-4-203 Licensing procedures. Any person or corporation desiring to conduct a child care center, shall apply for a license to do so on Kansks department of health and environment forms. No person shall conduct, a child care center unless ed to do so by the Kansas department of health and environment. Children shall not bb enrolled for care trail an application for license has been processed by the Kansas department of health and environment, and a letter of acknowledgment has been received by the applicant. 28-4-204 Terms of license. The number of children specified on the license shall be the maximum nuinber of children authorized to be in the center at any one time. The 'maximum number and age range of children who may be cared for in a child care center at any one time shall be specified on each license. 5 DAY CARE CENTERS KANSAS Any child care center license issued shall be valid only for th'e- person, sponsor, . . or address appeariig on the lidense.I A new application and fee are required, for each change of 'ownership, sponsor or address of the center Application may be. withdrawn at any time upon request by applicant Should the applicant wish tc resume the care of chil&ieri, a new application shall be required by the state department of health and environment. IRAN. STAT. ANN, Art. 5, S65-501 license required. shall be unlawful for any person, firm, corporation or association to conduct or maintain a maternity hoipital or, home, or a boarding, receiving or detention home for children- under sixteen a6) years of age without having a license therefore from the secretary of health and environment: Nothing in this act shall apply to any state institution maintained. and operated by the state. KAN. STAT. ANN.., -Art. 5, temporary license refusal to procedure. 5-504. Licenses; terhis and regulations; ant license; revocation, notices; appeals; The secretary of health and environment shall have the power to grant a license to a person, firm, corporation or association to maintain a maternity ospital or horne,°or a boarding home for children under sixteen (16) years of age. The license shall state the name of the licensee, describe the particular premises in or at which the business shall be carried on, whether it shall receive and care for women or children, and the number of women or children 1 that may be treated, maintained, boarded or pared for at any one time. No greater number of women or children than is authorized in the license shall be kept or disposed of in a building or place not designated in the license. The,,, license shall be kept posted in a conspicuous place in the hospital or house in which the business is conducted. No lice'rse shall be granted for a term ' exceeding one year. The secretary of health and environment shall grant no license in any'''case until careful inspection of the maternity' hospital or home, DAY CA CENTERS . or home- for children shall have been-Made accoriiing to the terms of this act; and.until such maternity hospital' -or.home; or home-for children has complied with all-the requirements of this act. No license shalt.be granted without the . -approval of the secretary of social and rehabilitation services. 222, Fee Ch 24-4-203 Licenng Procedures. A fee shall be requested when the applican 4E' is notified that the.aPplicatiorl for license -has been approved. The applicant shah hen forward to the Kansas department of health and environment the license fee.. 223. Areas of lnvesti KAN. STAT. ANN., Art. 5, .565-504 Licenses; terms and regidatiom; temporary licenses; refusal to grant licens revocation; notice -appeals; procedure. In all cases where the secretary of social.and rehabilitation services.,d4ems it necessary, an investigation of the home shall be made under the supervisign of the secretary of social and rehabilitation services or other designated qualified agents. For that purpose and for any subseque investigations they shall have_ the right of entry and access to the pr-em' es of the hOme and to any information deemed necessary to the Compton of the. investigation. In all cases where an investigation is made, a report of the investigatioqi of such home shall be filed with the secretary- of health and environment. In cases where neither approval or disapproval can be given within a period of 'thirty (3O) 'days follwingtormal request for such a study, the secretary of health.and environment may issue a temporary license without fee pending final approval or disapproval- of the home or facility. 224. License Renewal Not specified DAY CARE CE-14TERS KANSAS 225. Condit Not specified P rovisiona 226. 5ubstantal Compliance 28-4-220 Cornpoliance with regulations. excep..lions to the revised regulations may be allowed by the joint licensing eornimittee where it is found that such exception would not violate the existing ap-plicable statutory requirements, nor discriminate against other existing licenses holders. The nature of the exception, the conditions attached to it, and its .duration shall be in writing', and written notification shall be given to the chid care center licensee. 230. ENFOR=EMENT PROCEDURES 231. Facility Inspections KAN. STAT. Ainz-N., Art. 5, S65-512 Inspections. It is hereby n ade the duty of the division of health of the department of health and envF_I-oriment to inspect or cause to be inspected at least once every six (6) months every maternity hospital or home, or home for children, and for that purpose i t shall have the right of entry and access thereto in every department ark to every place in the premises and shall call for and examine the records wlxich are rewired to be kept by the provisions of this act and shall make and preserve a record of every inspection. The licensee shall give all reasonable information to the airkhorized agent of the secretary of health ® and envirorane=rt and shall afford every reasonable facility for viewing the premises and s=eing the patients therein. No patient without her consent shall be required te, be interviewed by any agent unless the agent shall be an authorized per= on or a licensed physician. 123 DAY CA RE CENTERS 232. Denial, Stisperrsion, Revocation of a License KANSAS KAN. STAT. ANN., Art. 5, 565-504 Licenses; terms and regulations; temporary licenses; refusal to grant license; revocation, not EJ--es; appea procedure. Whenever the secretary of health and environment shall refuse to grant a license to an applicant, he or she shall issue an order to that effet stating the reasons for such denial; and within five (5) days after the issuim.nce of such order shall notify the applicant by certified mail of such refusal bpy forwarding to such applicant a certified copy of the order- When the secretary of health and environment finds upon invest=igation or is advised by the secretary of social and rehabilitation services the any of the provisions of this act are being violated, or such maternity hospital or home, or home for children is maintained without due regard to the heith, comfort or morality of the residents, the secretary of health and envirnnment shall after reasonable notice issue an order revoldng such license; as such order shall clearly state the reason for such revocation. Such revoca-tion shall be noted upon the face of e record and the secretary of health and environment shall give notice in writing of such revocation by forwarding a ertified copy of the order to the licensee by registered or certified mail. KAN. STAT. ANN., Art. 5, 565 -506 Unlicensed hospitals or homes- The secretary of health and environment shall serve written rt atice to the secretary of social and rehabilitation sery... and to the judge of the district court and to the county, city- county and rn ulti- county department of health in every city and county in which a maternity hospital or home, czn- home for child-en is located, of the issuance of a license to conduct suclfri hospital or home, or the revocation of such license; and the secretary of social and rehabilitation services, the judge of the district court or other o-fficir or any person shall not place or cause to be placed any maternity pataent or child under sixteen 00 years of age in any maternity hospital or home, or home for children not licensed by the secretary of health and environment. 9 DAY CARE CENTERS KANSAS KAN. STAT. ANN., Art. 5, S65 -510 Type of patientsnot _rmit revocation of license. It shall be unlawful for any home for chil&en to receive or care for any aid or indigent adult; or a person afflicted with any dangerous communical=ble disease, or anyone over twenty-one (21) under the sineillance of the pall lee power of the state, or of any county or city in the state; and the presence of such person in the home for children shall be cause fora refusal of the licerwme and shall require immediate revocation of a license in force. 233. Remedies and Sanctions 233.1 ll earin KAN. STAT. ANN., Art. 5, S6 5-5 04 Lice es; terms and regulations; temporary licenses refusal to grant license; revocation, notices appea_als; procedure. Any applicant or licensee aggrieved by the order of the secretary of health and environment in denying or revoking a license may appeal therefrom by fill a petition specifying the action of the secretary Lot health and envirc3nrntmant appealed from, in the district court of the county in which the applicant or licensee resides, within thirty (30) days after receipt of a copy of the order of the secretary of health and environment; and the court shall have the jurisdiction to affirm, reverse, modify or vacate the order complained of if the court is pf the opinion that the order was arbitrary, unlawful or unreasonab;A=Ile. Within seven (7) days after the petition has been filed in the district evict:art, notice of the appeal shall be given to the secretary of health and environrnnt and to the secretary of sociaLand rehabilitation services by mailing certifilded copies of the petition, by certified mail, to the secretary of health amend environment and to the secretary of social and rehabilitation services. Up=on receipt of such notice the secretary of health` and environment and tithe secretary of social and rehabilitation services shall, forthwith make available, for examination and inspection; to the applicant and the attorney of tithe applicant all their records pertaining to such matter. 125 10 DAY CABE CENTERS KANSAS From the judgrnent of the cp-clistrict court, appeal may be taken to the court of appeals as in other civil a._ctions. An appeal to the distriCt court or to the court of appeals shall noM operate to stay the effect ;Of an order of the secretary of health and a environment; unless the judge or the court shall specifically allow such a steamy. 233.2 DecOOrs See 233.1 Hear 233.2 Judicial Review RAN. STAT. ANN., Art. 5, S65-514 Penalties for violations of 605-515, 501 to Any person, firm, corporati on or association who shall violate the provisions of any section of this act shaliEll be guilty of a misdemeanor and upon conviction shall ha fined not less that um five dollars ($5) nor more than fifty dollars ($50). Each and every day that hurte or it shall fail or refuse so to comply shall be deemed a separate offense under the provisio\s of this act. If for thirty (30) days after any final convicion for such violation or revocation of license he or it shall still fail or refuse 2-to comply with the orders in the above notice, upon five days' notice from the earetary of health and environment the building-or premises where such home is conducted may be closed until all proNdsions of this act shall have been corr-nplied with. KAN. STAT. ANN., Art. 5, 65-515 Prosecutions. The county attorney of each county in this state is hereby authorized and required, upon complaint c=vf any authorized agent of the secretary of health and environment, to file cor-zmplaint and prosecute to the final determination all actiorsor proceedings agair=ist any person under the provisions of this act. p ,; --- CENTERS 300. ADMINISTI AnoN =ENERAL ADMINISTRATION 311. =eneral Administrative Requirements ISILNSAS 28-4-207.7 Administration. A child care center shall have a written description of the type and extent of services to be offered to children and their families. Parents and the licensing agencies shall be notified of substantial changes in staff or services of the center. 28-21) general staff requirements. Centers shall establish employment and recruitment policies which recognize the irriortance of including males, various racial and ethnic groups and neigh 41:rom:rhood residents as staff or volunteers. Centers with enrollment requiring only one (1) .a 'all have two (2). addition- -al adults on call in case of illness or emerge Names and phone number of these adults shall be posted at the center, and their health certifictes shall be on file. Staffing and grouping patterns shall be developed to provide children with an intimates and consistent relationship with an adult and an opportunity for close friendsk _ips with other children. (1) A plan shall be presented to the licensing represeiitative which indicates the center's plan for staff and grouping of children When v-w-olunteers and part-time employed staff are used, they shall be rponsi tie to the program director. Appropriate staff time shall be planned for odevtation and supervision of volunteers. Single om, multi-unit centers shall have adequate janitor service to keep center clean daily. y. Center shall be left in clean condition at the end of each session. 127 12 DAY CARE CEIVIRS KANA_ S All employed staff rnerribers shall provide personal and work references, college transcriptsand cr tificates of training to the owner or corpcwraticn at time of application for rriploym-ent. These records are to be retainoed in the employee's file at the ceraat et's administration office. 28-4-220 Cornplianee Witter, Regulations. The child care center's 1 icense shall be prominently displayed as rewired by law. A copy of the "Regulati cans for Licensing Child Care Centers for ihildren" shall be kept on the prerainises at all times. SuCh copies shall be furmished by the bureau of maternal t.rid child health of.the Kansas department f health "47 and environment. 312. Telephone 28-4-208 Environmental standards. There shall be a telephome located on the premises and readily mvailable. Emergency numbers such as fire, police, hospital, and poison contra=4. center and ambulance shall be pted by the phone. 313. proof of Operator _-.Inancial Capabilities 28-4-202 Statement bf Srvices Offered. The center shall maintain the following general records for eview by licensing staff: Record of payr=lents. Financial records in community-sponsored or nary - profit centers including an annual audit by an independent public accou=ntant or commit tee authori=ecl by the board. 13 DAY CARE CENTE 314 ante 28-4-207 Administration Insurance. Liability and accident kinstrance shall center. 320. PERSONNEL 321. Publi of Personnel Policies KANSAS ri Children and staff at the 28-4-207 Administration. The center shall have written personnel policies, procedur-e8, and personnel practices. Personnel policies shall be reviewed annually by staff or administrative board. 322. Constraints Against m ployment 28-4-201 Eligibility for LiceTe. A 'license shall not be issued to a child care center when an adult member of the staff is under investigation by law enforcement agencies, or known to have a confirmed incident of child abuse or neglect, or sexual offense. 330. NON-D C KI NATION 331. Requirements Prohibiting Discrimination 28-4-207 Administration. Admission policies shall The non-discriminatory in regard to race, color, religion, national origin, ancestry, or sex, in accordance with Kansas civil rI ts statute K.S.A 44-1009. 14 DAY CARE CENTERS KANSAS 340. RECORDS RE QUIREMENTS Children 284-207 Administration. Th center shall maintain the followring f: Attendance record for children and staff or review by licer ing ,Children's records. (1) Identification and emergency information for each child shall be readily accessible to the telephone. This information shall include date of birth, and sex of child.: Scheduled hours oP are. Names, homes ai leii guardian. business address ai Name, address, and telephone nu to notify in case of emergency. one numbers of parents or ysiciah, hospital, person Persons authorized to call for child or mode of Irans from center. A file shall be maintained for each child which includes: Application for enrollment. Developmental history of child. ed permission of the parent Field fri he following: 13o to and DAY CARE CENTERS KANSAS Each Medical, developmental or psychological evaluation after compete information is provided to the parent. Child to be sutJect for research. Pictures for publicity pu poses. Trade! of rec School-age child to walk to and m center and to atten activities away from the center. .Accident reports. 342. Staff 28-4-2b7 Administration. The center shall maintain attendance records for chil&en a by licensing staff. 343. Child Eligibility and Enrollment Requirements 28-4-205 Children receiving care. Children receiving care in child care centers shall be between the (2) weeks and sixteen ao years. or review Centers may enroll children for irregular care as follows: Children enrolled at an irregular basis shall not cause the center to exceed its licerse limit at any one Cl) time. Children under six (6) years who e enrolled for irregular care shall remain at the center at least two (2) consecutive hours. A health record as defined by K.A.R. 28-4-213 shall be presented to the center at the time of the child's admission. - l6 1 DAY CARE CENTERS KANSAS 28-4-211 Admission policies. Arrangements for the admission of chilcten shall be made prior to the day on which child enters the center. The child shall be given the opportunity to visit with his parent until he is ready to stay all or part of the day. Parents shall be infoined when religious training a program of the center. 344.-- Child Abuse Re Not specified 345. Confidentiality of Records Requiremen .Not specified 400. GROUP OOMPOSrrIONS OF CHILDREN- STAFF/CHILD RATIO REQUIREMENTS Child Ratio as of Marrdt 28210 General staff requirements. The ratio between teaching staff and children shall be determined e age of children and services prol.dded. Only persors who spend at least seventy-five percent (75%) of their time when at the center in providing direct care for children shall be counted in the following adult-child ratios: the child care 13 17 DAY CARE CENTERS KANSAS programs providing LE and part -day care: Age of Children Adult Rata Maximum Per Unit Infants (2 weeks to 18 months) 1 to 3 9 To_ dders (18 months to 2 1/2 years) 1 to 5 10 3 to 4 years 1 to 10 20 4 to kindergarten entrance 1 to 10 full-day care 20 1 to 12 part-day care 24 Kindergarten enrollees 1 to 14 28 Mixed age, group: Infants to 6 years 1 to 4 (max. 2 infants) 8 (max. 4 infants 2 1/2 years to 16 years 1 to 9 18 3 years to 16 years 1 to 10 20 Programs providing evening and night-time care: Day time adult-child ratio shall be followed during mil, and dressing hours. Two adults shall be present at all tinier, one of whom shall be awake. Not more than one adult shall sleep in room with children. 412. Methods of Computing Staff /Child Reim Not specified- 420. GROUP S1 E 421. Group Size as of March. 198 28-4-205 Children receiving care. Children shall be given care in self-contained units with the maximum enrollment of the center to be not more than one 'hundred (100) children per session. Centers which cannot develop self-contained units shall present a plan for space use to the state licensing staff for approval. 133 18 DAY CARE CENTERS KANSAS `Permission shall be granted to exceed the maximun 000) children under the following conditions: provided during the summer for school-age child-en. Separate indoor space and outdoor play area sh 422. Methods of Computing Group Sipe See 421. Group Size as of March, 1981 enrollment of one hundred The program shall be 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS CHILD CAREGIVER STAFF QUALIFICATIONS 511. Not specified 512. Health 28-4-213 Health Care Policies. All staff mist be free of communicable diseases and of such a state of health and freedom from physical handicaps as is necessary for them to adequately and successfully care for child-en in a child care center. All staff who will have contact with the children shall have a health assessment conducted by a licensed physician_ or by a nurse practitioner, prior to employment and every three (3) years th eafter. Results of the assessment shall be recorded on fprms supplied by the Masses department of health and environment and kept on file at the center or the local health department. 19 1,3.1 DAY_ CARE-CENTE KANSAS The trriti al health rmissessment fir persons over sixteen am shall include a record (of tilberculinu_ test or x-ray obtained vvithita ri. the past two (2) years. AU reactors and those wvith history of previous reaction shall have a chest X-ray. Teat or X-ray, results shall be recorded on the j person's -health record. The Karatat$ deportment of health and environment shill be notified when tests are positi, ve . Should significant ixposure to an open easajo tuberculcsis occur or should symptorra earn palitiMe with tuberculosis develop arbetweeri health assessments, the Per4onshall be retested. tuberculin or Xrayed as appropriate and he proper treatment or prophylaxis instituted. liesul-_ts of such follow-up shall be recorded In the per-ort's health record and the hemmtlth department shall be kept infortneed. All ferntymembers residing in tli,esame location as the child care center shall obtain halth asse!ss=ents as described above. An adult who is ovi-----4er sixty-ft (130 years of age, or an adult who has been under regular treatment of a physician for partEa cular medical problem shall secure a yearly wri teen staternent from his or h.- ier personal source of health care thathlsor her :physical and Mental- health sufficient' to care for young hildrerk, This stater. dent shall_be }opt with the remquired health certificate. 513. t due Not specified 514. xperience 28-210 General stall requirements, Every (tenter or sel.-contained rite shall have at least one staff person on duty at all times wlio is between the ages of eigi--oteen 08) and sixty-five (65), has a Minimum of a high serool diploma or its eou _ivalerrt, andje lmowledgeable about ctogdevelop methods of guidance a.nLd educe_ tioi of childrem who is sensitive\to the ree of . childretuzrq who has skills in human relationsnecessary to relate to other staff, parerits, and community; and who is of goodrnoral et -aster. 20 DAY CA I- NTH a KANSAS Centers approved as demonstration or training centers shall have staff meeting qualifications listed in 28-4-210 (k) and shall be recommended by local or district licensing staff. 520. PROGRAM DIRECTOR QUALIFICATIONS 521. Not specified 522. Health See 512. Health 523. Education 28-4-210 General Staff Requirements. Single or multi-unit C4nters licensed for ten (10) or fever children under six (6) years of age (or twelve 012) four (4) and five (5) year olds in pant-day session) shall have a staff person who meets the requirements included in K.A.R. 28-4-210 (f) in one of the following ways: (1) Six (6) months teaching experience in a licensed center with children` Of same developmental age as being served in present center, clic Five (5) sessions of observation for not less than 2 1/2 consecutive hours per observation in approved child care center serving children of same developmental age as being served in present center. Applicants- for-full day care shall plan their observation so that all daily activities (morning lunch, nap, late afternoon) can be observed, and Attendance at one RAE Yeor state-approved workshop and one statewide professional meeting; or an approved two (2) day workshop, or 21 13, DAY CARE CENTERS KANSAS A minimum, of three (3) semester hours of academic study or equivalent training courses in child development and curriculum resources; and supervised student observations in high school or college, or 3 months work experience, with children of_same developmental age as being served in present center, or Child development associate credential. Single or multi-unit centers licensed for eleven ill) to twenty (20) children under six (6) years (or twenty-four (24) four (4) and five (5) year olds in part-day session) shel have a program director who meets the requirements included in K.A.R. 28-4-210 (f) in one of the following ways: a) (A) Five (5) sessions of observation for not less than two and one-half (2 1/2) consecutive hours per observation in approved centers serving children of same developmental age as being served in present center. Applicants for full day care shall plan their observations so that all:daily activities (morning, lunch,_ nap, late afternoon) can be observed; and One a) year of teaching experience in a licensed center with children of same developmental age as being served in present center, or Seven (7) to nine (9) semester hours of academic study or equivalent training courses in child, development, curriculum resources, nutrition, guidance and education for young childrerg and three (3) months teaching experience in a licensed center with children of same developmental age as being served in present center, or Child development associate credential. Multi-unit centers licensed for more than twenty (20) children (or more than twenty-four (24) four (4) and five (5) year olds in part-day session) shall have a program director who meets the requirements included in K.A.R. 28-4-210 (1) i-n one a) of the following ways: (1) Twelve 02) semester hours of academic study or equivalent training courses in i hild development, 22 DAY CARE CENTERS ICANS4 curriculum resources,, guidance of young chil&en, human relations, child care center administration, and parent education and practcum; three (3) years teaching experience in a licensed center with children of same developmental age as being served in present center, or Child development associate credential, and two (2) years teaching experience in a licensed center with children of same developmental age as being served in a present center, or Associate of arts degree or two (2) year certificate in child developn4nt and two years teaching experience in a licensed center with children of same developmental age as being served in present center, or A.B. or B.S. degree in child development or early childhood education, and three (3) months teaching experience in a_licensed center with children of _ same developmental age as being served in present center, or A.B. or B.S. degree in related field, and twelve ci.2) hours of academic study or equivalent training courses in human relations, child development, curriculum resources, parent education, practicum, and administration of programs for children of same developmental age being served in present center; and three (3) months teaching experience in a licensed center serving same developmental age as being served in present center. Multi-unit centers shall employ one adult per unit who meets requirements described in 28-4-210 (i) or (j), depending on the size of the unit. DAY CARE CENTERS 524. KANSAS 28-4-210 General Staff Requirements. - Centers serving. over twenty (20) children shall have a part pr full-time administrator who may be the owner, a volunteer, a paid employee, or a teacher utilized not more than twenty -five percent (25%) of his or her time as administrator. The administrator small have: Knowledge of the needs of programs for young children, Human relators skills to relate to the board of directors, parents, and the community; Training or experience in administrative skills (budgeting, bookkeeping, record keeping, etc.). Centers serving three (3) or more units of child-en shall have a program director separate from the classroom teaching staff who meets the requirements of K.A.R. 28-4-210 (k). Centers serving more than five (5) units shall designate an r.ssistant director hormeets training requirements in K.A.R. 28-4-210 (J). The program director of child care centers shall spend a minimum number of hours per week in the center while the children are in attendance, as follows: Full day careeight (8) hours per week, four (4) hours of which shall be between nine o'clock (9:00) a.m. and one o'clock (1:00) p.m. Part day (5) hours week. A program director meeting training requirements, in K.A.R. 28-4-210 (k) may serve as program director for a maximum of three (3) separate centers if K.A.R. 28-210 (0(4) is met. 24 DAY CARE CENTERS KANSAS 530. SUPPORT STAFF QUALIFICATIONS 28-4-210 General Staff Requirements. Single or multiunit centers may employ additional persons as assistant teachers who meet the following minimum requirements: Are sixteen Cl6) years or older. Have hi school or college academic study in child development or equivalent training courses. Volmute rs may serve as additional staff in single and multi-unit centers if they are fourteen (14) years of age or older and agree to participate in in-service training programs under the direction of the program director.. Single or multi-unit centers serving a meal prepared at the center to more than ten (10) children shall employ a staff person who meets the following requirements Has knowledge of nutritional needs of childen. Understands quantity food_ pre tion and service. Practices nitary methods of food handling and storage. Is sensi ve to individual and cultural food tastes of children. Is willing to work with program director in planning learning experiences for children relative to nutrition. Volunteers shall present written proof of freedom from active tuberculosis before serving in a child care center See also 523. Education 251-1 DAY CARE CENTERS KANSAS 540. POST EMPLOYMENT/1N-SERVICE: ORIENTATION AND TRAINING 541. Program Director 28-4-210 General Staff Requirements. The program director shall attend one in-service training event or workshop each year, separate from the in-service training conducted at his or her center. 542. Child Caregiver Staff 28-4-210 General Staff Requirements. ,Single or multi-unit centers licensed for ten GO) or fewer children under six (A) years of age (or twelve (12) four (4) and five (5) year this in part= day session) shall have a staff person who meets the requirements included in K.A.R. 28-4-210 (f) in one of the following ways: Six (6) months teaching experience in a licensed center with children of same developmental age as being served in present center, or Five (5) sessions of observation for not less than 2 1/2 consecutive hours per observation in approved child care center serving children of same developments age as being served in present center. Applicants for full day care shall plan their observation so that all daily activities (morning, lunch, nap, late afternoon) can be observed, and Attendance at one KAE YC or state approved workshop and one statewide professional meeting; or an approved two (2) day workshop, or A minimum of three (3) semester hours of academic study or ectavalent training courses in child development and curriculum resources; and supervised student observations in high school or college, or 3 months work experience with children of same developmental age as being served in present center, or Child development associate credential. 4 26 DAY CARE CENTERS 543. Support Staff Not specified KANSAS 600. P tOGRAM OF A IVITIES 1NCLUDING EDUCATION -610. PROGRAM REQUIREMENT Ell. Program of Activities 28-4-212 Program content. The program shall meet the basic developmental needs of children enrolled. ELM s 1 encourage each child to develop self -care skills. There shall be a written plan of daily activities and familiar routines in addition to free play for each unit of children with similar developmental needs. The child shall have freedom to move from group to solitary activities a from vigorous ysical to passive quiet activities. Unless extreme weather conditions prevail children shall have a daily period of outdoor play under the supervision of an adult. The duration of outdoor play shall be at least one a) hour for children spending more than four (4) consecutive hours at the center. To meet the developmental needs of chilcken, alternating periods of active play and quiet and restful periods shall be provided. A child who remains at the center more than four (4) hours shall be encouraged to nap or rest according to her or his individual needs, Children shall allowed to go to the bathroom individually needed. 27 DAY CARE CENTERS KANSAS Special attention shall be given by the center and the transition into evening and nighttime care appropriate needs. ents to provide for a the child's emotional Activities and program provided for chilcken in evening care shall be appropriate for age level, and time of day and reeds of individual children. 612. Program Equipment and aterials 28-4-212 Program content. The center .shall provide an adequate amomt and variety of materials and equipment to meet the developmental, educational, and cultural nets of children in care. Every center for children under two and one-h (2 1/2) years shall have an adult size rocking chair. 613. Nap Provision 28-4 -208 Environmental standards. Centers providing full day care shall have cribs, youth beds and cots of adequate size for the comfort of the children. Foam pads three inches (3") by twenty-four inches (24") by five feet (5') witl- waterproof covers may be used for children between two and one-half (2 1/2) and six (6) years of age if area is carpeted. For children under two and one-half (2 1/2) years, a separate sleeping area shall be provided with cribs or youth beds separated by at least three feet (31, except when bordering on the wail. Crib sides shall be up while the child is in the crib. For children over two and one -half (2 1/2) years, youth beds or cots shall be separated from each other by at least two feet (2') in all directions except when bordering on a wall. DAY CARE CENTERS KANSAS Each cribp, youth bed, cot or pad shall be ewipped with a bottom sheet and ridividually label ed cover. Rest and sleep facilities night -time care. Bathing facilities shall be provided. Cf. Comfortable individual bedS, complete bedding, and n available. Btrik bedszhall be prohibited. Movable screens shall be available to insure pri needed. clothes shall be Separate sleeping areas shall be provided for boys and girls over 6 years of age. Fifty (50) cubie,feet of space per child shall be provided in sleeping areas. There shall be ,two feet (2') of space between beds except when bordering on a wall. 614. Disci _one and Guidance 28-4-212 Program Content. Discipline which is humiliating or frightening, or physically harmful to .the child, shall not be used at any time. Napping, toilet training, or eating shall not be associated with punishment. Corporal punishment shall be strictly avoided even though parents approve. 29 DAY CARE CENTERS KANSAS 700. HEALTH AND SAFETY ne. HEALTH General Health Requirements 28-4-213 Health care policies. A record shall be kept on each child which includes pertinent information about the child's health status, the child's developmental progress and any special needs, with appropriate plans to meet these needs. A The staff shall update the health information as determined by the programs's specific health policies and shall use such information as a basis for review and evaluation of the child's health status. When a child is absent, the child care staff shall be informed of the reasons and such information shall be provided to other parents when appropriate. The child care center staff shall develop dental health policies including plans for dental health consultation and education for parents and children in the practice of good oral hygiene. 712. Health Assessments 28-4-213 Health care policies. A pre-entrance health assessment conducted by a nurse practitioner or by a licensed physician shall be required for each day care child and kept on file at the center. Health assessments shall be conducted yearly for children to age six years of age, and every three (3) years for children over the age of six (6). 1 30 DAY CARE CENTERS KANSAS Additional tuberculin testing shall be r quired only if the child becomes in contact of a new, active or reactivat case of tuberculosis. The results of these examinations shall become part of the child's health record. Results of the health assessment shall be recorded on forms supplied by the Kansas deptartinent of health and environment. Immunizatiorrs 28-4-213 Health care policies. Immunizations shall be current or in process at time of licensing for all children to age sixteen a6). Where a safe level of immunization has not been attained, the staff of the center shall refer the parent to a resource for obtaining the necessary immunizations. 714. Sanitation 28-4-208. Environmental Standards. The water supply shall be from a source approved by the health authority, so certified ark shall be under pressure. Water coming into the premises shall come frona- a public or municipal source, and the plumbing shall have been installed and be maintained in a manner approved by local or state plumbing codes, or A private water supply shall have been investigated and approved by the responsible health authority and the plumbing shall have been installed in an approved manner as above. Nitrate content of water for children under one (1) year of age shall not exceed forty-five hundredths (.45) milligrams per liter as nitrate (NO3). 31 DAY CARE CENTERS KANSAS Sanitary drinking facilities shall be provided for the children while either . indoors or outdoors. The following methods are acceptable: Paper cups and appropriate water dispenser available to the children. A fountain of approved design so arranged that a child can get a drink of water withoUt assistance. If laundry is done at the center, laundry fixtures shall be located in an area separate from food preparation areas and shall be installed and used in such a manner as to safeguard the health and safety of the chfleken. The type of diapers and diaper service used shall be determined by the center director with approvalof the health nurse. Separate areas shall provided for soiled and clean linens. In centers constructed after January 1, 1973, separate handwashing facilities shall be provided in the laundry room. A written policy regarding illness care shall be prepared in consultation with a licensed physician and signed by the physician. The terms of this policy shall be posted in a prominent place in the center, and be presented to parents at the time of enrollment of the child. A quiet area shall provided for sick children.; 715. Da y Inness Screening 28-4-213 He Jth Care Policies. All staff members shall be trained in observation of symptoms of illness and shall observe each child's health status daily. 1 4 , 32 DAY CARE CENTERS KANSAS All staff members shall be trained in elementary principles of first aid by a registered nurse, red cross staff or a center staff member who has completed the red cross course. 715. Care of Sick Children 28-4-217 relating to illness and accident. If care of sick children is to be provided, the following regulations shall be met: A written policy regarding illness care shall be prepared in consultation with a licensed physician and signed by the physician. The terms of this policy shall be posted in a prominent place in the center, and be presented to parents at the time of enrollment of the child. A quiet grea shall be provided for sick ch en. Arrangements for emergency care shall be made as follows: The child care center shall have in writing the name, address, and telephone number of a physician to be called 1-A case of emergency. Provisions shall be made at a hospital or clinic away from the day care setting for emergency care of children requiring emergency medical treat ment. Written permission of the parent or such emergency care shall be according to the requirements of the hospital or clinic where emergency care will be given. p When a staff member accompanies a child to the source of emergency cage, that person shall remain with the child until the parent or the parent's designee assumes responsibility for the child's care. Such an arrangement shall not compromise the supervision of the other children in the program. DAY CARE CENTERS 717. Medication and Special Diet Provisions KANSAS 28 -4=217 Policies relating to illness and accident. No non-prescription medications shall be administered to any child except on written order of the parent or guardian. Orders shall be renewed yearly. Such medication shall be adminiitered by one (1) designated staff member. Prescription medication shall be administered by one (1) designated staff member from a container labeled with the childs name, name of medication, dosage, dosage intervals, and name of physician and date prescription was filled. The label shall be considered the order from the physician. A record shall be kept in the child's file as to who gave the medication and when it was given. 718. Waiver of Health Requirements 28-4-213 Health care policies. Exemptions to health assessments and immunizations shall be permitted as follows: Certification from a licensed physician stating the physical condition of the child to be such the immunization would seriously endanger the child's life or health. A written statement signed by a parent or guardian that he or she is an adherent of a _religious denomination whose religious teachings are opposed to such assessment and immunization. 720. SAFETY 721. General Safety Re iremen s 28-4-208 Environmental standards. 4 4 L-.) AU stairs shall be provided with sturdy handrails. 34 DAY CARE CENTERS KANSAS Landings or gates shall be provided beyond each exterior door, and any interior 9 door opening onto a full-length stairway. Grounds. The outdoor play area shall be adjacent to or within safe walking distance of the center, and shall be free of physical hazards to the children. There shall be bathroom facilities readily accessible to the play area. The play area shall. so arranged that attendants can' provide close supervision at all times,. Fencing environmental barriers-shall be provided, and shall be of such construction or extent that the children are protected. The outdoor play area shall provide both' sunshine and shade. Hard-surfaced (Including gravel) area shall not be used under anchored play equipment. A rooftop used as a play area shall be enclosed with a flat board fence or a chain link fence angled toward the play area and not less than six (6) feet high. An approved tire escape shall lead from the roof to the ground. The building shall be clean at all times, feed from accumulated dirt and any evidence of vermin or rodent infestation. Low windows which present a hazard to children shall be effectively screened or guarded. Floors shall be smooth and free from a. acks, easily cleanable and shall net be slippery. Floor covering shall be required over concrete slabs in contact with ground. New carpeting shall meet fire safety requirements of the state fire marshal (K.A.R. 28-15-5 (3 )-fire safety regulations for child care f aciliti es). Walls shall be smooth, easily cleanable and in sound condition. All painted surfaces shall be tree of toxic a eri DAY CARE CENTERS KANSAS Windows and doors shall he S eened as needed. Garbage shall be placed in covered containers away from reach of he children and removed frequently. Medicines, household poisons firearms, and other dangerous substances nd instruments shall be in locked orage. Electrical outlets within the reach of children under six (8 )years shall be covered with receptacle covers. 722 Fire Safety Requirements 28-4-208 Environmental Standards. Centers in which children sleep for more than three (3) consecutive hours shall be provided with a smoke detector adjacent to sleeping areas. Tem porary classroom units shall be securely anchored to the ground and shall meet all requirements for permanent structures as stated in K.A.R. 28-4-208, (a) (1) through (9). Curtains shall be flame retarded. (Retardants approved by the state fire marshal shall be used.) See also 721. General Safety Re irements 723. Transportation 28 -4209 Transportation. Any child care center that provides transportation between the chips home and the center or between a public school and the center shall meet the following requirements: Pr The driver of a vehicle with a passenger limit of more than 10 shall obtain a class B driver license from the Kansas state motor vehicle department. 6 1 51 DAY CARE CENTERS KANSAS The ckiver of a car transporting five or fewer chileten, a station wagon transporting 8 or fewer children, or a van transporting 10 or fewer children, shall have a current class C driver's license. car, station wagon, or bus shall not transport more children than the capacity of the vehicle as stated by the manufacturer. Campers shall not be used for tFarspOrtation. A second adult shall ride in rear seat of vehicle when: More than five children under five years, or one or more infants are being transported. Bus routes exceed 30 minutes. The vehicle for transportation shall be covered by medical and liability insurance as required by state statutes. The transporting vehicle shall have a yearly mechanical safety check of tires, lights, windshield wipers, horn, steering, signal lightt, suspension, glass, brakes, and tail lights, and a record of the date of the safety check and corrections made shall be kept on file at the center or in fhe vehicle. Each vehicle shall be equipped with a 4:BC rated fire extinguisher mounted under the dashboard or under the front seat of the vehicle. Each child shall be provided with an appropriate individual rc follows: Inf monthsinfant care bed or infant carrier. saint as Children 8 or 9 months up to 2 yearschild care seat or child harness. Children 2 to 5 yearsvehicle lap belt. Children at least 55 inches in heightvehicle shoulder belt ( o with lap pelt). 37 17- DAY CARE CENTERS KANSAS The driver shall deliver the child to a responsible person designated by the parent. 724. Safety 1 equirements for Equipment 28-4-208 Environmental Standards. Outdoor play equipment shall be safely constructed and of a size suitable to the ages of the children in care. All swings shall have chair or sling seats and shall be safely situated or guarded so that children cannot run in the path of the swing. Teeter-totters and merry-go-rounds designed for school-age children shall not be used for children tinder six (6) years. Climbing equipment and swings shall be anchored in the ground with metal straps or pins, or shall be set`in cement. Ftrniture, equipment, and toys shall be appropriate to the ages of the cbildren, sturdily constructed without sharp edges, and shall not present hazards to children. Water A udinuSwimmin 28-4-208 Environmental Standards. If swimming pools (any enclosed body of water more than twelve inches (12 ") deep) or wading pools are part of the facilities or program, they shall be constructed, maintained, and used in such a manner as to safeguard the lives and health of the children. A life guard with a current red cross senior life saving certificate shall be on duty at all times when swimming pools are in use. One (1) life guard shall be responsible for not more than twenty-five (25) children. Swimming pools shall be fenced in accordance with accepted safety practices to prevent chance access by children. Wading pools shall be used only when an adult staff mem water safety procedures is present. 153 38. informed about DAY CARE CENTERS KANSAS The number and ages of children using either swimming or wading pools shall be limited at any one (1) time to allow appropriate supervision by the adult staff member or life guard. Licensing regulation for staff-to-child ratio shall be maintained at the pool at all times. The water in the swimming pool shall be maintained at pH 7.2 to 7.6, and the chlorine content to .4 to .6. The pool shall be cleaned daily. Water in wading pools shall be emptied daily. Legible safety rules for the use of pools shall be posted in a conspicuous location and shall be read and reviewed at regular intervals by all staff mem be'rs responsible for the care of children. Natural bodies of water shall be used only for children over six (6) years of age and shall be approved for swimming by the appropriate health authority. A qualified life guard shall be on duty. 726. Emergency Procedures 28-4-218 Accident prevention policies. Each child care center shall in consultation with the = inspector or other appropriate resources, develop a disaster plan to pre for the saf iv of children in emergencies. Plans shall be developed for the care of children in disasters such as fire, tornacloet, storms, floods, and civil disorders, as well as occurrences of serious illness or inj try to adults and children. Evacuation drills shall be conducted for tornadoes and fires at random monthly intervals and the date recorded. The parents of children in the center shall be informed of the disaster plan, and the plan shall be posted in the child care center. 1 DAY CARE CENTERS KANSAS Education about accident prevention shell be included in staff aining. 727. First Aid upplies Not specified 800. NUTRITION AND FOOD SERVICE 810. NUTR ON 811. Nutritional Requirements 28-4-207 Administration. The center shall maintain sample menus and number of meals served daily or reviewing by licensing staff 28-4-215 Nutrition Centers shall serve meals and snacks appropriate to the nutritional needs of children in care. At least two meals shall be provided or a child in ere for more than eleven consecutive hours. Breakfast shall be provided as needed or children between four and eleven consecutive hours. At least one meal shall be provided for a child in care for five consecutive hours. Nutritious snacks shall be provided in all child care centers. Menus shell be posted where parents can see them. Sample shall be kept on file for review by the public health nurse. Adults shall be seated at the tables with the children at meal Ime. 40 155 DAY CARE CENTERS KANSAS 812. Waiver of Requirements Not specified 820. FOOD PREPARATION 821. Food Preparation and Service Requirements 28-4-208 Environmental Standards. In centers in which meals are prepared, the kitchen shall be separate from the play area and shall not be used as a passageway while food is being prepared. It shall be adequately equipped for the sanitary preparation and storage of food, and washing of dishes. Centers constructed after January 1, 1973, shall 0 'provide separate handwashing facilities in the kitchen. Dishes, kitchen utensils and feeding equipment shall maintained in a sanitary condition using one of the following methods: Disposable utensils and dishes. A three (3) compartment sink supplied with hot and cold running water and a drainboard. A mechancal dishwasher. Dishes shall have smooth, hard - glazed strfaces and be entirely free from cracks or chi If kitchen facilities are not available,'policies for bringing food into the center shall reflect the accepted practices of the local sanitary codes and shall be adapted to fit the needs of the program: Food shall be obtained from sources approved by the health department. Food shall be transported in covered -and tern perature -contra .e containers and not allowed to stand. Dairy products shall be grade -A pasteurized. 41 DAY CARE CENTERS KANSAS Meat shell be from government- inspected sources. Children over two and one-half (2 1/2) years shall have appropriately-sized tables and chairs which are smooth-surfaced, of sturdy construction, and easily cleaned. Children not held for feeding shall have low chairs and tables, infant seats with trays, or high chairs with/ wide base and safety strap. The terminal method of erilization shall be used for o _a prepared at the center. 900. SOCIAL SERVICES 28-4-214 Mental health policies. The child care program shall supplement and support the family -child rela "onshirr. The views of parents concerning those factors important to them in the emotional development of their child shall be considered by the staff in planning the child care program. The cultural heritage of the chid shall be recognized and respected. 1000. PARENT PARTICIPATION 28-210 General staff requirements. Full-day center shall provide staff release lime for -,ontact with manner which will not detract from attention to children. 42 ents in a DAY CARE CENTERS KANSAS There shall be frequent exchange of information between the staff and parents regarding the child's development and the child care center program. 1100. INFANTS AND TODDLERS 1110. FROG RAM OF ACTIVITIES 28-210 General staff requirements. Single or multi-unit centers serving infants and toddlers may employ teaching staff who meet the requirements in one (1) of the following ways: Same as 28-4-210 (i), or L.P.N. degree and six (6) months work experience in pediatrics or in licensed child care center serving infants and toddlers. The following additional regulations shall be met in those centers serving special age groupings or time schedules, as follows: Infants and toddlers. Daily activities shall include: Gross motor and fine motor activities. Visual-motor coordination activities. Language and development activities. Activities which foster social and personal growth thrc individualized care by consistent nurt---,rit figures. At no time shall a child be left in a crib or other confinement while awake for longer than 1/2 hour. The units for infants and toddlers shall be separate from facilities for older children, and shall not be used by other groups. DAY CARE CENTERS KANSAS 1120. HEALTH AND SAFETY REQUIREMENTS 28-4-218 Health policies relating to infants and toddlers. A child care center which provides care for infants and toddlers shall consultation with the public health nurse, develop written health policies including the following aspects: Type of feeding, storage of formula, provision of adequate changes of clothing, care of diapers, provision of a clean area for diaper changing, provision for bathing of infants when soiled, the type of bed to be used and care of bed linen, care and cleaning of training chairs, and special safety precautions. The staff shall consult with parents about the application of health policies to the needs of individual children. Each infant shy supplies. sed and diapered in his own crib using Each infant shall be held when bottle fed. There shall be periodic communication between the home and the care-giver about the child's development. 1130. INFANT NUTRITION 28-4-215 Nutrition policies. Formula and introduction of solid foods for infants shall be prescribed by the child's individual physician or a registered nurse. 1200. CHILDREN WITH HANDICAPPING CONDITIONS 1210. F RO GRA M OF ACTIVITIES Not specified 44 DAY CARE CENTERS KANSAS 1220. HEALTH AND SAFETY REQUIREMENTS 28-4-208 Environmental standards. Programs which include physically handicapped non-ambulatory children shall be conducted an the ground floor only. AU exits and steps shall have ramps properly equipped with cross-treads. In centers serving developmentally dicsabled children, toilets and washbasins shall be designed to accommodate the physically handicapped child. 28-4-213 Health care policies. Each center serving children with developmental disabilities shall have on file a written plari from the child's physician listing recommendations to cover special needs and to define participation in the program. 1230. STAFFING 28-210 General staff requirements. Programs serving handicapped children: Age of Chlicten Under 3 years 3 to 8 8'to 16 Adult-Child Ratio (mild dis) (Severe dis.) 1 to 3 1 to 7 1 to 9 1 to 2 1 to 4 1 to 5 Single or multi-unit centers providing programs for handicapped children shall have staff who meet the requirements listed in 28-4-210 plus the following: Teacher shall not be the parent of a child enrolled in the unit.' Teacher shaft have additional academic course work or equivalent training courses in the understanding of handicapped children and the knowledge to develop a specialized program to meet the needs of individual children enrolled in present center. 45 DAY CARE CENTERS KANSAS Consultants shall meet the professional requirements of specialized service (speech, psychological, etc). 1300. SCHOOL At CHMDREN 1310. PROGRAM OF A crry MES 28-210 General staff reqiiirements. Sine or multi-unit centers providing programs for school -age children may envoy teaching staff who meet the requirements in one (1) of the following ways: Same as 28-4-210 or A.B. or B.S. degree, and three (3) months experience working with school-age children. Centers providing a kindergarten shall have a teacher who is certi by the Kansas department of education as an early childhood teach r or as a kindergarten teacher. 28-4-212 Program content. Full year careEducational and recreational activities shall be provided in ,accordance with their ages and ability levels, as follows: Opportunity to take resposibility, consistent with their age, for planning their own activities. Opportunitylo acquire skills in arts, crafts, and music. Opportunity for physical education to develop skills in movement and group ga Mes. Opportunity to engage in solitary or coin munit; a desired. Parent's permission or participation in activities away from the center. 1E1 46 DAY CARE CENTERS KANSAS 1320. HEALTH __AND SAFETY REQUIREMENTS a.QL_ 28-4-212 Program Content. Summer camps for school-age children shall meet all lieerng regulations. Exceplions may be granted to food service regidatiorm K.A.R. 28-4-207 (5A); 28-4-208 (e) and nutrition regulations K.A.R. 2'8-4-215 (a) (d) if meals are not served at the center. The following regulations are to be met in lieu of the above: A record of information to be used in case of emergency (See K.A.R. 28-4-207 (e) (1); K.AR. 28-4-217 (b) (1) shall be immediately available to the staff in attendance with the children (on bus, at campsite, etc.). If sack lunches are provided by the children, the lunches shall not be unrefrigerated for more than three hours. Refrigerated storage shall be provided for beverages. Summer programs using full-year centers fcir pick-up points for school-age children shall not cause the full-year center to exceed its license limit et any time. 1400. FACILITY REQUIREMENTS 1410. SPACE 28-4-208 Environmental standards. Programs for children under two and one-half (2 1/2) shall be conducted on the ground floor only. For children 2 1/2 years and over a warm, dry, well ventilated and lighted basement may be used for part day sessions only. (A basement means an area in which all four (4) outside walls are more than two- thirds (2/3) below ground 47 1 ') DAY CA RE CENTERS KANSAS level.) The basement area used must have twb (2) approved exits located at opposite ends of the play area with one (1) exit leading directly to the outside. Second floors may be or child-en two and one-half (2 1/2) years and over when entered from enclOsed stairways with safety rails, have guards across windows and at top of stairs and have two (2) approved exits. Hom es in which a family is living shall not be used for a child care center for more than ten am children, with the following exceptions: Basements may be used for part-day care for one a unit of children if space permits. Ground level recreation rooms may be used o or full day care for one unit of children if space permits. The outdoor play area shall be adjacent to or within safe walking distance of the center, and shall,be free of physical hazards to the children. There shall be bathroom facilitieireadily accessible to the play area. The outdoor play area shall contain the following usable play space per cfiild: Children under two and one-half (2 1/2) yearsthe minimum size of the play area shall be one thousand three hundred fifty (1,350) square feet to accommodate up to eighteen as) children. Each additional child shall be provided with seventy -five (75) square feet of play space. Children over two and one half (2 1/2) yearsthe minimum size of the play area shall be two thousand (2,000) square feet, to accommodate up to twenty (20) children. Each additional child shall be provided with one hundred (1aa) square feet of play space. I fit; 48 DAY CARE CENTERS KANSAS Centers enrolling more than two (2) units of chilcten shall provide separate play arew, adequately equipped, to serve onlialf (1/2) of the children in attendance. The play area shall be so arranged that attendants can provide close supervision at all times. Fencing or environmental barriers shall be providaa, and shall be of such consVucti/on or extent that the children are,.protected. The outdoor play area shall provide both sunshine and shade. Hard - surfaced lincluding gravel) area shall not be used under anchored play eqtdpment. A rooftop used as a play area shall be encicsed with a flat board fence or a chain link fence angled toward the play area and not less than six (6) feet high. An approved fire escape shall lead from the roof to the ground. The indoor area for play of the group receiving care shall contain a minimum of thirty-five (35) square feet of usable floor space per child, exclusive` of kitcheh, passageways, room dividers, shelves, lockers, bathrooms, and other space not primarily designated as play area. Centers enrolling children who use walkers or wheelchairs shall have fifty (50) square feet of space for each disabled child. Each child shall be provided with individual space for her or his garments, clothing, and possesons. This space shall be marked in such a way that the child can recognize it and think of it as her or his own. 1420. LIGHTING, VENTILATION, AND T MPERATU E 28-4-208 Environmental standar All quarters occupied by the children shall be adequately heated, ventilated, and cooled. Open faced heaters shall be prohibited. Gas heaters shall be vented and installed with permanent connections and protectors. 49 DAY CARE CENTERS KANSAS All heating elements including hot water pipes shall be insulated or installed in such a way that children cannot come in contact with them. Doors and windows shall be properly weatherstripped to reduce draft to a minimum. Fireplaces, floor furnaces and hot radiators shall be protected by screens or guards. Floor ftrnances shall not be used in centers caring for children under two and one-half (2 1/2) years of age. All quarters occupied by the children shall have lighting of a miniulurr twenty (20) foot candles in all parts of room. Centers serving school-age children shall have lighting of a minimum of thirty-five (35) foot candles in areas used for reading, study or other close work. 1430. E S 28-4-208 Environmental standards. All child care centers shall have two approved exits, one of which shall lead directly to the outside. 1440. TOILETS AND LAVATORIES 28-4-208 Environmental standards. All plumbing fixtures and building sewers shall be connected to public sewers where available. Where a public sewer is not available, a private sewage disposal system meeting requirements of the health authority and installed and connected to all plumbing fixtures and building sewers shall be used. Bathroom facilities shall be separate from areas used o cooking, sleeping or eating, and readily accessible to the play areas. 16 50 DAY CA RE CENTERS KANSAS All plumbing facilities shall be in good condition. They shall be placed low to facilitate their use or be provided with safety steps. There shall be one (1) toilet and r-ie washbasin for each twelve 02) children receiving care. Potty chairs shall be washed with soap and water and sanitized after each use. The wastes shall be disposed of in a sanitary manner. Bathroom facilities shall be planned to assure privacy for staff. Cold water and hot water not exceeding one hundred twenty degrees fahrenheit (1200 F.) shall be supplied under pressure to lavatory fixtures accessible to children. Haniwashing facilities shall be readily accessible to the sleeping area in centers caring for children two (2) eeks to two and one-half (2 1/2) years. Supplies for personal care shall be provided as follows: Individual towels, washclothes, and burp cloths for infants and toddle Soft paper towels-for children over two and one-half (2 1/2) years. In centers serving meals, individually labeled toothbrushes stored out of reach of children shall be provided and shall be used daily. 1 6 t, 51 DAY CA RE CENTERS KANSAS 1500. OTHER STATE REQUIREMENTS - COMPLIANCE WITH OTHER LOCAL STATE, AND REGIONAL LAWS AND REGULATIONS 1510. ZONING 28-4-208 Environmental standards. The building shall meet the legal requirem4nts of the community as to zoning, fire protection, water supply, and sewage disposal. The child care center shall use public water and sewage disposal. The child care center shall use public water and sewage systems having approval and permits as required by K.S.A. 65-163 and K.S.A. 65-165. Where local fire regulations do not exist, K.A.R. 22-15-1 through 22-15-6 shall apply. In instances of conflict the more stringent shall prevail. Buildings shall be maintained in good condition. 1520. FIRE See 1510. ZONING 1530. BUILDING See 1510. ZONING 1540. HEALTH See I510. ZONING 1550. SANITATION See 1510. ZONING 1560. NEW CONSTRUCTION See 1510. ZONING 52 DAY CARE CENTERS KENTUCKY Except where otherwise noted, all citations are from the Kentucky Department for Human Resources, (905 KAR 2:020) Type I Facility Standards, July, 1975. 100. STATE LICENSING OF CHILD DAY CARE F FACILITIES 110. TYPES OF FACILITIES SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND OR LOCAL ORDINANCES AND REGULATIONS 111. Definitions KY. REV. STAT. S 199.894 Definitions for KRS 199.891 to 199.896. "Day-Care center" means any child-care facility, other than those set out in KRS 158.300, which provides full or part -time care, day or night, to at least four (4) children not related to the operator of the child-care facility by blood, marriage or adoption. 905 KAR 2:010 Standards For All Facilities Section 1 Definitions. "Day Care" mearo care of a child away from his own home and is designed to supplement, but not substitute for, the parent's responsibility for the child's protection, development and supervision, when it is necessary or desirable for the parent or child to be out of the home for all or part of the day or night. Day care includes: "Type I day care facility" means (1) any facility other than a dwelling unit which regularly receives four or more children day care; (2) any facility, including a dwelling unit, which regularly provides day care for thirteen or more children. If pre-school children of day care staff receive care in the facility, they shall be included in the number for which the facility is licensed. DAY CARE CENTERS KENTUCKY e II day care facility" means any home or dwelling unit which regularly provides care apart from parents for four, but not more than twelve children. The director's own pre-school children shall be included in the number for which the home is licensed. "Facility" shall include both Type I and Type II day care facilities. "Regularly" means the provision of day care services at a facility on more than one day in any one week. U2. Exclusions and Exemotio KY. REV. STAT. 5 199.894 Definitions for KRS 199.891 to 199.896. Day-care center shall not include any child-care facility operated by a religious organization while religious services are being conducted. 905 KAR 2:010 Standards for All Facilities - Section 1 Definitions. The term "Day Care" shall not include kindergarten or nursery schools which have as their primary function educational instruction. In those instances where there is a question as to whether the facility should be licensed by the State Department of Education, the determination will be made by the two state departments. Full-time boarding care shall not be permitted in a day care facility. 113. HHS Day Care Compliance Not specified DAY CARE CENTERS KENTUCKY 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS 121. Organization of the Administrative Unit Secretary DEPARTMENT FOR HUMAN RESORCES Inspector General OFFICE OF THE INSPECTOR GENERAL Director DIVISION OF LICENSING AND REGULATION Y Manageto FIELD OPERATIONS BRANCH Region Supervisors Regional Licensing Staff DAY CARE CENTERS KENTUCKY Regional licensing staff in four regions) carry out the day to day licensing functions under direct supervision of the state central office. Licenses are issued and revoked at the state central office division leveL 122. Responsible Official All inquiries should be addressed to: Director of the Division For Licensing and Regulation Office of the Inspector General Department for Human Resources Fourth Floor East 275 East Main Street Frankfort, Kentucky 40601 (502) 564-2800 200. LICENSING PROCESS AND ENFORCEMENT PROCEDURES 210. LICENSING PROCESS 211. Promu 'gation of Relations KY. REV. STAT. S 199.896 License required; application; fee; receipts; advertisement; unannounced inspections; penalty. The secretary may adopt regulations relating to license fees and disposition of may establish standards of care and service for the day-care center and procedures for enforcement of penalties. 212. Advisory Body and Other Comm- Not specified 4 Y P cipation DAY CARE CENTERS 220. LICENSING PROCEDURE 221. Application and Issuance KENTUCKY KY. REV. STAT. 5 199.896 License required; application; fee;. disposition of receipts; advertisement; unannounced inspections; penalty. No person, association or organization shall conduct, operate, maintain or advertise any day-care center or home without obtaining a license as provid in KRS 199.892 to 199.896. 905 KAR 2:010 Standards For All Families - Section 3 Licensing Issuance. The license shall be issued for a specified physical location and for operation by a designated director and sponsor or owner, for specific hours of operation, and for a specified maximum number of children on the premises at any one time. The number for which the facility is licensed shall be determined by available space, adequacy of program, equipment and staff. Section 5 Licensing Procedure. Prior to application, a prospective director contacts the Department for Human Resources to obtain a copy of Standards and Regulations. A representative from the Department will be assigned to work with the prospective operator. After conferring with the representative, the applicant applies for license; completes three copies of the application provided by the representative; sends two completed applications, and fee to Department for Human Resources, Division for Licensing and Regulation, or its successor, Frankfort, Kentucky. 5 1 DAY CARE CENTERS KENTUCKY Section 6 Permission to Ope No facility subject o 'licensing shall begin operation without permission to open from the De ment for Human Resources. In order to open, the facility shall have: Approval of Office of the State Fire Marshal or his designee. Approval of the Department, Bureau for Health Services, or its designee as to adequate health and sanitation standards. Adequate equipment, supplies, and staff serve initial enrollment of children. Once a facility is serving children, a license evaluation study will be made by a' representative of the Department for Human Resources to determine if the facility qualifies for licensing, based on the regulations. 222. FeeCharts_d KY. REV. STAT. 5199.896 License required; application; fee; disposition of receipts; advertisement; unannounced inspections; penalty. Each initial application for a license shall be made to the department and shall be accompanied by a fee of not more than thirty-five dollars ($35.00) and shall, excepting provisional licenses, be renewable upon expiration and reapplication when accompanied by a fee of not more thn ten dollars ($10.00). Regular licenses and renewals thereof shall expire one (1) year from their effective date. "7 71 DAY CARE CENTERS KENTUCKY 905 KAR 2:010 .Standards _ or All Paeilitiei - Section-4 Licensing Fee. Licensing fee shall be $25 for all ew facilities $10 annual renewal fee for all facilities A check or money order payable to the Kentucky State Treasurer shall be attached to the license application. 223. Areas of Investigation See 221. Application and Issuance 224. License Renewal 905 KAR 2:010 Standards for All Fee ies - Section 7 License Rgnewal Procedure. Facilities shall be relicensed annually from the date of suance of the original license. The Department for Human Resources shall notify the facility when a renewal application shall be filed. Renewal application shall' mailed to a facility at least six weeks prior to expiration date. Health and safety inspections shall be requested by the Department. A licensing representative shall make recommendations or relicensing. 7 DAY CARE CENTERS KENTUCKY 225. Conditional/Provisional Licenses KY. REV. STAT. S 199.896 *cense required; application; disposition of receipts; advertisement; unannounced inspections; penalty. If the day-care center does not meet the standards prescribed for licensing by the secretary, a provisional license may be issued and remain in effect for a period of six (6) months. 905 KAR 2:010 Standards for All Facilities s Section 2 Responsibilities of the Department for Humaratesources - Types of Licenses. A provisional license shall be issued when the facility does not meet the requirements for a regular license but there sufficient reason for belief that the facility will comply with minimum regulations within the time perlod designated by the licensing authority. A provisional license shall be issued for a period not to exceed one year and shall not be renewable. 226. Substantial Compliance Not specified 230. E FORCEMENT PROCEDURES 23L Facili iot 905 KAR 2:010 Standards for All Facilities - Section 2 Responsibilities of the DepartMent of Human Resources. Licensing Authority... Authorized representatives of the Department for Human Resources shall at all times have the right to inspect premises, records required by this regulation, and programs of day care facilities. The office of the State Fire Marshal, or his designee, shall have the right to inspect premises, records, and programs insofar as such inspections relate to fire safety requirements. DAY CARE CENTERS KENTUCKY 232. Denial- Suspension, evocation of a License Section 8 Basis for Revocatin or Denial. The Secretary for Human Resources may deny, suspend, or revoke a license at any time the day care facility fails to meet the minimum standards as set forth in the regulations. KY. REV. STAT. S 199.896 License required; application; fee; disposition of receipts; advertisement; unannounced inspecti,ons; penalty. No day-care center shall be refused a license or have its license revoked for failure to meet standards sei by the secretary until after the expiration of a period not to exceed six (6) months from the date of the first official notice that the standards have not been met. 233. Remedies and Sanctions 233.1 He 905 KAR 2:010 Standards for All Facilities - Section 9 Right of Appeal. When a license has been denied, suspended, or revoked, the director, owner, or president of the governing board, shall be notified in writing of the right to appeal to the Secretary or his authorized representative for a hearing. The request for a heari.._ shall be made in writing within fifteen days after receiving the notice of action of the Secretary. Upon receipt of the request for a hearing, the Secretary or his representative shall notify the director, owner, or-president of the governing board in writing within fifteen days of the time and place of the hearing. 233.2 Decisions See 233.1. Hear 9 DAY CARE CENTERS 233.3 Judicial Review KENTUCKY KY. REV. STAT. S 199.896 License required; application; fee, disposition of, receipts; advertisemot; unannounced inspections; penalty. Any person who operates a day care center or home without proper licensing shall be fined not less than one thousand dollars ($1,000) or imprisoned for not more than twelve (12) months, or be fined and imprisoned, at the discretion of the court. KY. REV. STAT. 5 199.990 Penalties. Any person who violates any of the provisions of KRS 199.896 shall be fined not less then twenty dollars ($20.00) nor more than two hundred dollars ($200) or imprisoned for not more than thirty (30) days, or both. 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311. General Administrative Requirements - 905 KAR 2:010 Standards for All Facilities - Section 3 Licensing Issuance. A license is not transferable. A change in ownership of a facility requires a new application and fee. When circumstances covered by the license change (i.e., number of children to be served, location, director, hours of operation, when the difference is over one hour), notification shall be made to the Department so that a revised license can be issued. This does not require an additional fee. In' all cases except change of director, notification shall be made in advance. The license shall be posted in a conspicuous place. DAY CARE CENTERS 'KENTUCKY' Section 10 Administrative Responsibilities. General: The person, corporation, partnership, voluntary association, or other public or private organization ultimately responsible for the overall operation of a child ay care facility must be sufficiently familiar with the provisions of the day are regulations to ensure continuing compliance. One person designated as director shall have primary responsibility to the Department for maintaining adequate standards of operation irt- accordance with th.e Child day care regulations. Staff shall be instructed in the requirements for operation minimum standards must be available for their use. a copy of the Services: The services to be provided within the day care facility shall be clearly stated at the time of the application. The Department shall be notified of any change in services. A written statement of services and policies shall be shared with parents: Section 11 Records of the following shall be maintained at the facility: 'Records of monthly fire drills. Section 12 Reports of the following shall be made to the Department. y serious occurrences involving children including accident or injury requiring extensive medical care and/oF bisnitalization; or death; or any form of child- abuse; or fire or other emergency situations; or any incident which results in legal action by or against the center which affects any child or children or personnel - within 24 hours. Change of ownership, sponsorship or director - within one week. Change of location - sufficiently in advance to allow for , approval of he facility. DAY CARE CENTERS KENTUCKY Change of hoUrs of operation in advance. Change hin two weeks. 905 KAR 2:040 Nighttime Care - Section 3 Services. Hours of operation shall be stated on license application. The facility\shall operate only during specified hours. No child in care is permitted to spend more than sixteen (16) hours in the facility during one (1) twenty -four (24) hour period or day. Where school-age children are served, time spent in school shall be included in the sixteen (16)' hour limit. 312. Telephone Section 2 Physical Facilities - Building. The center shall be equipped with a telephone accessi to the rooms used by the children. 313. Proof of Operator Financial Capabilities .77 905 KAR 2:010 Standards For All Facilities Section 10 Administrative Responsibilities - General., Sufficient funds shall be available and utilized to ensure adequate care of the children in accordance with these regulations. No child shall be exploited in fund raising or advertising campaigns. the facility. Liability insurance shall be carried by 314. Insurance See 311 Proof of Operator Finan ial Capabili 320. PERSONNEL 321. Publication of Personnel Policies Not specified 12 DAY CARE CENTERS KENTUCKY 322. Constrain Not specified st Employment 330. NON- DISCRIMINATION 331. Requirements Prohibiting Discrimination Not specified 340. RECORDS REQUIREMENTS 341. Children 905 KAR 2:010 Standards for All Facilities - Section 1L Records of the following shall be maintained at the facility: Sufficient records to identify the individual children and to enable the person in charge to communicate with the parents or persons designated as being responsible for the child either at their home or place of employment, and in a medical emergency, with the family physician. Each child's medical history, along with authorization for emergency medical care, signed by the parent or guardian and left with the center director at the time of enrollment. Permission for child to be toilet trained, signed by the parent or guardian. Permission for trips off he premises, signed by the parent or guardian. Records of non-center sponsored activities attended by school -age children, signed by the parent. Daily attendance records of children 13 DAY CARE CENTERS KENTUCKY 342. Staff 905 KAR 2:010 Standards for All Facilities - Section 11. Records of the following shall be maintained at the facility: Health records of all staff. A written schedule of staff working hours. Records of staff training. A written plan for staff training. 343. Child Eli and Enrollment Requirements Not specified 344. Child Abuse Reporti 905 KAR 2:010 Standards for All Facilities - Sectiton 12. Reports of the following shall be made to the Department: Any serious occurrences involving children including accident or injury requiring extensive medical care and/or hospitalization; or death; or any form of child abuse; or fire or other emergency situations; or any incident which results in legal action by or against the center which affects any child or children or personnel - within 24 hours. 345. Confidentialt of Records Requirements 905 KAR 2:010 Standards for All Facilities - Section 10 Administrative Responsibilities - General. All information concerning children, their parents, elatives or guardian shall be kept in strict confidence by the staff, except for sharing information with individuals who are personally or professionally responsible for the well- being, 4f the child. I 14 DAY CARE:CENTERS GROUP FOS ONS OF CHILDREN 410. STAFF/CHILD RATIO REQUIREMENTS 411. Staff /Child Rats as of March, 1981 KENTUCKY 905 KAR 2:010 'Standards for All Facilities - Section 10 Administrative Responsibilities. Minimum staff-child ratios for all facilities shall be times that a facility is in operation, as follows: Age of Children Under one year 1 to 2 years 2 to 3 years 3 to 4 years 4 to 5 years 5 to 7 years 8 or older In facilities where more than one sta Mixed age groupings including children under two years Mixed age groups children ages 2 to 6 Mixed age groups children age 6 and older maintained throughout the Ratio 1 staff for 6 children 1 staff for 6 children 1 staff for 8 children 1 staff for 10 children 1 staff for 12 children 1 staff for 15 children 1 staff for 20 children f member is present, the following apply: 1 staff for 6 children 1 staff or 10 children 1 staff for 15 children 412. Methods of Computing Staff/Child Ratios 905 KAR 2:010 Standards for All Facilities - Section 1 Staff. At all times one adult shall be designated as being in charge. At no time shall children be left without adult supervision. A minimum of two qualified substitutes with current health certificates shall be available in case of need. Additional staff shall be employed during cooking and necessary to ensure adequate supervision of the children. 15 cleaning periods if DAY CARE CENTERS KENTUCKY The total child care staff shall be sufficient to provide the services for which the facility is licensed considering the hours of care given, the program offered, the size of the facility, and the number and ages of children under care. Section 10 Administrative Responsibilities - S Child Ratios. When only one staff member is present in the facility, the age of the youngest child determines the staff-child ratio. In no case may one adult alone provide care for more than ten pre-school children, or for more than fifteen school-age children. Children under care shall never be left without competent adult supervision. Additional staff shall be employed during cooking and cleaning periods if necessary to insure adequate supervision of the children. 6 905 KAR 2:040 Nighttime Care - Section 4. Responsibility. A nighttime director who is also a day care director shall employ additional staff to work in the facility at night. Section 5 Staff. Staff members shall remain awake while on duty. At least one staff member shall be stationed in an area on the same floor with children, either in or adjacent to each sleeping room. The total child care staff shall be sufficient to provide the services for which the facility is licensed considering the hours of care given, the p;ogram offered, the size of the facility, and the number and ages of children under care. The adult/child ratio shall not be less than set out in the general requirements. Additional staff shall be-employed during cooking and cleaning periods if necessary to insure adequate supervision of the children. 16 DAY CARE CENTERS KENTUCKY 420. GROUP SIZE 421. Group Size as of ch, 1981 Not specified 422. Methods zoLqErz.w22iti Group Size Not specified 500. STAFF QUALIFICATIONS AND TRAINING REQUIREMENTS 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. Age Section 1 Staff. The number of adult workers in a center shall be sufficient to ensure that minors and trainees are at all times under direct supervision. No staff person under age of sixteen (16) shall be counted as part of the staff-child ratio. 512. Health Section 1 Staff. All members of the child care staff shall be mentally and physically able to provide good care, maintain responsible supervision, and stimulate normal development. A certificate stating that ch staff member is free from any illness which might conflict with the children's interest and including results of VDRL and a tuberculin test shall be a prerequisite to employment or volunteer service. Tuberculin test reports shall be obtained and maintained on file annually thereafter. Additional health examinations may be required where fr appropriate. All adult household members shall have in annual TB test. 17 DAY CARE CENTERS 513. Education Not specified 514. Experience KENTUCKY Section 1 Staff. Staff members shall have a suitable personality for work with children. Personal qualities must include patience, flexibility, and imagination. Staff shall have interest in, respect for and acceptance of children. Staff shall have practical knowledge of first aid. 520. FROGRAI DIRECTOR QUALIFICATIONS 521. See 511. Age 522. Health See 342. Staff and 512. 523. Education cified 524. Experience Section 1 Staff. The director shall be a mature, literate adult who is r knowledge and understanding of the needs of children. risible and who has The director shall have the ability to relate effectively to parents and to assume responsibility for supervision and conduct of staff. The director shall have the ability and willingness to provide a chil program which meets the regulations set forth, 1 18 care DAY CARE CENTERS 530. SUPPORT STAFF QUALIFICATIONS Not specified 540. POST E KENTUCKY N= ERVICE: ORIENTATION AND TRAINING 541. Program Director Section 1 Staff. The director shall cooperate with the licensing and other appropriate agencies to improvd the quality of care and competency of staff. This includes attendance by the director and staff at workshops and training sessions. Department-sponsored aining is appropriate where accessible; courses or workshops sponsored--by other groups may be substituted where appropriate. 542. Child Caregiver Staff See 541. Program Director 543. Support Staff See 541. Program Director 600. f ROGRAM OF ACTIViTIES INCLUDING EDUCATION 610.- PROGRAM REQUIREMENTS 611. Program of Activities Section 3. Care of the Children - Program. The day care center shall prpvide a planned program of well-balanced and constructive activities geared to the individual needs and developmental levels of the children served. These activities shall provide experiences which promote the individual child's physical, emotional, social and intelle'ctual growth and well-being. The daily program shall be under adult supervision and shall provide: 19 DAY CARE CENTERS KENTUCKY A variety of creative activities including the following: art, music, dramatic play, stories and books, science, and block building. Indoor and outdoor play in which the children make use of both small and large muscles. A balance of active and quiet play, including group and individual activities, both indoors and outdoors. Opportunities for a child to have some free choice of activities and to play alone, if he desires, or with others. OppbrttmitieJ to practice self-help procedures in respect to clothii toileting, hand-washing, and feeding. Activity areas, equipment, and materials so arranged that the child's activities are visible to the superving staff. Regularity of physi routines to afford the child the security of knowing what is coming next. Sufficient time for activities and routines so that children can progress at their own developmental rate. No long waiting periods between activities or prolonged periods during which children must stand or sit. 905 KAR 2:040 Nighttime Care = Section 8 Program. A nighttime care facility, if children are present for extended periods of time during their waking hours, shall provide a basis: program of well-balanced and constructive activities geared to the age 1 els and developmental needs of the children served. Appropriate quiet activities shall be provided before bedtime. .441' 20 18 7 DAY CARE CENTERS KENTUCKY 612. Program Equipment and Materials Section 2 Physical Facilities Equipment. There shall be adequate and safe play equipment in good repair, both indoors and outdoors, to meet the physical and other developmental needs and interests of children of different age groups. Each center shall have enough toys and play apparatus to provide each child with a variety of activities during the day as specified in Section 3, Care of the Children. Tables and chairs shall be of a suitable size for children. An individual cot or crib shall be provided for each child with a sheet and cover which shall be laundered as needed and always upon change of occupancy. Cots and all other equipment and furnishings shall be properly spaced so as to allow free and safe movement by children and adults. 613; Nap Provision Section 3 Care of the Children - Health. The children in attendance shall have sufficient supervised rest for their age and for the number of hours spent at the facility. 905 KAR 2:040 Nighttime Care - Section 7 Equipment., Cots, cribs, or beds, all with good firm mattresses, protected wth waterproof materials, kept clean at all times, shall be provided for each child if his sleeping period is more than three (3) hours. A sheet and cover, laundered as needed and always upon change of occupancy, shall be used on each bed. There shall be at st two feet of space between each bed. 21 DAY CARE CENTERS KENTUCKY 614; Discipline and Guidance Section 3 Care of the Children - Discipline. Disciplinary methods shall he designed and implemented through positive guidance to help the individual child develop self-control and assume responsibility for his acts. The center shall: Establish simple and consistent rules both for children and staff that set the limits of behavior. Not subject children to harsh or physical discipline, nor, shall any method of discipline be used that is humiliating, threatening, shaming or frightening; loud, profane or abusive language shall not be used. Not associate discipline with rest, toile ng, or food. 700. HEALTH AND SAFETY 710. HEALTH 7111. General Health Requirements Section 3 Care of the Children - Health. Toilet articles such as combs, brushes, toothbrushes, towels and washcloths used by children shall be individual and plainly marked. 712. Health Assessments Section 3 Care the Children Health. A current record of each child's medical history and immunization information shall be on file. 713. lm munizations See 712. Health Assessments 22 DAY CARE CENTERS 714. Sanitation KENTUCKY Section 2 Physical Facilities - Building. The facility shall conform to health and sanitation standards of the Department and to fire safety standards as set,out by the Office of the State Fire Marshal. Section 3 Care of the Children - Health. The water supply shall be approved by the local health department. Drinking water shall be freely available an individual drinking cups provided. 905 KAR 2:040 - Night-time Care - Section 6 Building. Adequate facilities shall be available for individual bathing, toileting, and toothbrushing. Section 9 Health. Toilet articles shall be individual and identified for each child. Bathing and toothbrushing schedules shall be arranged with parents. Children sleeping three (3) hours or more shall sleep in pajamas or nightgowns, not in daytime clothes. School children shall receive breakfast if they go to school from the center, and they shall be groomed and dressed appropriately. 715. Daily IB to Screenin Section 3 Care of he Children - Health. Each child shall be given a daily health inspection upon -arrival. Any child showing any signs of ilthess shall not be admitted. If a child becomes ill during the day, he shall be placed in a supervised area isolated from the rest of the children, until arrangements can be made for him to be taken home. 716. Care of Sick Children See 715. Daily Illness Screening 23 ,DAY CARE CENTERS 717. Medication and Special Diet Provisions KENTUCKY Section 3 Care of the Children - Health. No medication shall be given to a child except as prescribed by a duly licensed physician or on daily written request of the parent or guardian. 718. Waiver of Health Re uire___ents Not specifiecl 720. SAFETY 721. General Safety Requirements Not specified 722. Fire Safety e uirements Not specified 723. Transportation 905 KAR 2:060 Transportation Standards - Section L When transportation is provided or arranged-by a day care (facility, children shall be protected, by adequate provision for staff supervisi,&1 as specified in 905 KAR 2:010, Section lo, subsection (3), and safety precautions. There shall be conformance to state laws pertaining to vehicles, drivers, and insurance. 7 Section 2. The following requirements shall be met when a day care facility provides or arranges transportation: Any center providing transportation service shall have an individualized written plan and statement of transportation policies and procedures. Each child shall have a seat and remain seated while the vehicle is in motion. 24 DAY CARE CENTERS' KENT T CKY On any vehicle equipped h seat belts, these shall be used to secure indivIclual children. I No vehicle shall be used to transport more individuals an its rated capacity. A vehicle containing children shall never be left unattended. The maximum number of children under the age of six (6) a driver shall supervise is five (5), including a maximum of.two' (2) under age two (2). A child under age six (6) shall not be lett unattended at he time of delivery. If the parent,' or a person authorized by the parent to accept thv child, is not present upon delivery of the child, a note shall be left explaining where the child Can be picked up. If anyone other than the authorized person is ceive the' child, such arrangements shall be made in person, by the parent or guardian... Any vehicle other than those covered under Kentucky school:-bus ations for Type I or Type II vehicles, shall not pick up and deliver children to a location which would require the child to cross the street or 'highway unless accompanied by a responsible,person. Section 3. The following regulations shall be met when transportation is provided by any means other than licensed public transportation: The vehicle shall Be maintained in excellent condition at all times. 25 DAY CARE CENTERS KENTUCKY The vehicle used for 'transportation shall be covered by passenger liability thstzance. A thorough inspection of the vehicle shall be made and documented by a qualified mechanic at least every six months. The vehicle shall be checked, every day it i used for transporting. children, by the day care director or a delegated adult. Special attention shall be given to the steering mechanism, brakes, tires, and exhaust system, to assure that the vehicle is in good operating condition. Any defects in the vehicle shall be reported immediately to the day care director. The vehicle shall not be used for transporting children until all defects are corrected. Vehicles used to transport children, which require other traffic to stop while loading rid uploading children at their various homes along public highways, shall meet the Kentucky school bus regulations for Type I and Type II vehicles. The driver of the vehicle transporting children shall meet the same, general qualifications as those set forth for other members of the day care staff. The dri,Ter shall hold an appro iriate license to transport children. The driver shall drive safely and defensively at all times. The motor shall be turned off, keys removed, and brakes et anytime the driver is not in the seat. 724. Safet Re i uirernents for E went See 721. GeneratrSafeequirements 26, DAY CARE CENTERS KENTUCKY., 725. Water Activities (Including Swimming) Not specified 726. Emergency Procedures Section 3 Care of the Children - Health. Provisions shall be made for_obtaining emergency medical care. 727; First Aid Supplies Section 3 Care of the Children - Health. Sufficient first aid supplies -shall be available to provide prompt and proper first aid treatment. NUTRITION A D FOOD SERVICE 810. NUTRITION Nutritional Requirements Section 3 Care of the. Children Health. All children present at meal time shall be served a nutritious meal which includes a food from each of the four basic food groups.. Adequate amounts of food shall be available. The center shall provide a nourishing Mid-morning and mid-afternoon snack. 812. 'Waiver of Requirements =specified 27 194 DAYCARE CENTERS 820. FOOD PREPARATION'. 821. Food prep ation and Service Requirements KENTUCKY Section 2 Physical Facilities - Building. The kitchen shall be .clean and equipped for the proper preservation, storage, preparation, and serving of food, and shall not be used for any other activities of the center. Section 3 Care of the Children - Health. Children shall be-seated comfortably at eating time with sufficient room to manage food and implements. Individual eating utensils shall be of size and design that hi dren can handle easily. Weekly menus shall be prepared, dated and posted in advance,in a conspicuous place. 905 KAR 0:40 Nighttime Care Section 6 Building. A kitchen shall be available if meals are to be served. Not specified Not specified 900. SOCIAL SERVICES 1000. PARENT PARTICIPATION 28 DAY CARE CENTERS 1100 INFANTS AND TODDLERS '1110d PROGRAM OF ACTIVIT1MS KENTUCKY 905 KAR 2:035 Infant/Toddler Care. Section I. Minimum standards as prescribed for child day care facil- apply to all infant/toddler care. Section 2. An infant /toddler shall be considered to be age. shy cwo' -2 y2a.rs of Section 4 Equipment. Comfortable 'chairs shall be provided for staff to use when feeding, hold-rig or playing with children. There sh- ipment that encourages creeping, walking, and climbing. Section 5 Staff Qualifications and Duties. Caregivers for -ant/toddlers shall meet all staff qualifications as IN quired inder minimum standards. Caregivers shall have the ability to implement a well - balanced daily program to meet the child's total developmental needs. Caregivers shall have high energy level, as infants/toddlers require qpnstant attention. Caregivers shall have. tolerance for by ways" and be sensitive to the changing needs of the chid. \ Caregivers shall have a special awareness of their impa4ct on the infant/toddler, and enjoy giving care and providing growth experiences for very 'yoimg children. DAY CARE CENTERS KENTUCKY Section 6 Daily Sc SchedUling shall r regularity of slee each child.' Schedules shall I Section 7 Fro[ The program s experimentation should be planned, to allow for some Ames, based on the individual needs of ,g to the, rate of development of each child. a Pia, environment that invites learning , and in the chileYdaily 'experiences. Infants/toddlers shall not be left in a crib or playpen for long periods of time while awake. Infants /toddlers shall be Oven the stimulation of physical holding. Infants/toddlers shall liave the opportunity to play n an atmosphere of loving attention and alert supervision. Infants/toddlers shall have opportunities to move aboUt safely, to explore, look, listen, and manipulate, but also must be protected from over-stimulation. The caregiver shall set firm limits on actions that Eke dangerous objectionable while never resorting to any method of harsh punishment. Section 8 Diapering and Toilet Training. Diapering and toilet training shall be a relaxed, pleasant activity. Written parent permission shall be obtained before toilet training is begun. 30 DAY CARE CENTERS 1120. HEALTH AND SAFETY REQUIREMENTS KENTUCKY 905 KAR 2:035 Infant/Toddler Care - Section 3 Physical Facilities. Indoor areas for infant/toddiers shall be separated from areas used by older children. There shall' be adequate crawling space protected from older children away from general traffic patterms of the center. The area shall be well-ventilated, appropriately heated or cooled, free from s odors, and direct drafts on children. , Each area used for infants shall have direct access to han cashing facilities. A protected ouSdoor area, with sun and shade and out of the traffic attern of older children, shall be provided. SecOon'4 Equipment. There- stroll be an individual crib or baby bed, appropriate to the age of the child, with waterproof firm mattress and an adequate supply of individual sheets and blankets. Tiered cribs shall not be allowed. This regulation does not apply to those in use prior to the effective date of this regulation. There shall be adequate space for storage of individual child's bedding and clothing. Supplies shall be stored so that` the adult may reach them Without leaving the child unattended. There shall be a variety of safe washable toys; appropriate to the age leveli and number of children present. Toys shall be too large to swallow; durable, and without sharp points or edges. DAY CARE, CENTERS KENTUCKY Section 5 Staff Qualifications and Duties. Oaregivers shall provide safe and supervised environment which will pro the child from hazards. Caregivers shall hay,_the ability to safeguard health through provision of good sanitation, adequate rest, food and exercise. Section 8 DliOering and Toilet Training. Adequate quantities Of freshly laundered or disposable diapers and clean clothing shall be always on hand. The infants /toddlers shall be kept clean, dry and comfortable throughout the -day. 'Diapers and/or wet clothing shall be changed promptly. Soiled diapers shall be stored in covered containers temporarily and shall bd washed at least of Ace-a day. fi When changing table is used, each child shall lie on a- washable -or disposable covering. Individual washcloths and towels shall be used to thoroughly dry the. child's buttocks. When training chairs are used, they shall be emptied -ompt y and sanitized at least once a day. Caregivers shall wash hands after diapering or toileting each child. Section 10 Sleeping. , Each child shall have a separate crib or cot for sleeping located in a-quiet area Each child's bedding shall be used for him/her only, and replaced when wet or soiled. 9;) 32 DAY CARE CENTERS . KENTUCKY When the caregiver not actually in the sleeping room, doors Shall be left open and a staff member shall \be stationed on the same floor in the area adjacent to the sleeping room. Infants/toddlers' shoes and restrictive. clothing shall be removed or sleep periods. Section II Health and Safety. Efforts shall be masintained to protect infants/toddlers from special dangers. An infant/toddler who has a communicable infection shall be promptly isolated with supervision until the parents pick him/her up. Section 12 Records. Records required by 90 KAR 2.010, Section 'II, shall be maintained. In addition, parents shall s py a record of the child's usual daily schedule at home, when child is entered in the center. 1130. INFANT NUTRITION 905 KAR 2:035 Infant/Toddler Care - Section 9 Feeding. The infant's formula shall be prepared and provided by the parent. Bottles shall be individually labeled and promptly refrigerated. Bottles, nipples, and all other feeding equipment shall be properly sterilized before use. aregivers shall wash hands im mediately before feeding children. At no time shall a child be placed in bed with a pipped bottle. "ti At no time shall a child be allowed to carry a bottle around with him. 33 DAY CARE CENTERS KENTUCKY Infants /toddlers shall be introduced gradually to new foods and new skills; e.g. cup feeding, and shall be allowed to help feed themselves. 1200. CHILDREN WITH HANDICAPPING -ONDITIONS 1210. PROGRAM OF ACTIVITIES Not specified 1220. HEALTH AND SAFETY REQUIREMENTS. Not specified 1230. STAFFING Not specified 1300. SCHOOL AGE CHILDREN 1310. PROGRAM ACTIVITIES 905 KAR 2:030 School Age Children. Section L A Type I or Type II day, care facility receiving school-age children shall comply with standards prescribed when not inconsistent with special reiquirem 'ts or exceptions as noted below. Section '2. A school-age child shall be conside attending first grade or above. Day dare for school:age children shall L ,e care given before, after, and/or at times when school is not in session. 1320. HEALTH AND SAFETY REQU E ENTS 905 KAR 2:030 School Age Children -Section 3. Physical Facilities. A separate area or room shall be provided for school-age children. 34 2u1 I. DAY CARE CENTERS DAY KENTUCKY .Separate toilet facilities for males and females; or a plan whereby the same facilities are used at separate times, shall be provided. If the only food served by the center E an art afternoon snack for the sahool-age children, a kitchen is not required if adequate rbfOgerati'm is available. An outdoor play area shall be provided for active play. There shall be provision made for rest and quiet. here are other provisions made Section 4 Care of the Children. All school-age children shall be provided a snack after school. A day care facility which admits school-ao-e children shall provide activities for them, according to their ages and individual needs. The presence of school-age children shall not interfere with or detract from the care of younger childrien. The schedule of activities for the school-age children shall at no time call for their supervising themselves or younger children. The program or schedule shall be flexible enough to enable a child participate in desirable, nonacademic activities Provision shall be made for active play. In addition to records required by 905' MAR 2.010, Section 11, each child's personal weekday schedule of non-center spAsored activities shall be provided by the parent to the center in writing. Written permission of the parent shall be obtained for scheduled changes. 35 4 DAY CARE CENTERS 1400. FACILITY REQUIREMENTS 1410. SPACE 4. Section 2 Physical Facilities Building. The building shall be suitable for the purpose intended with a minimum of 35 square feet of space, per ,child used for rylay, exchiSive, of the kitchen, bathrooth, and storage ateas If all or any portion of the building is used for p rposes other than day care, necessary provisions shall be made to avoid iterference with the day care program. Grounds There shall be an outdoor play area free from Litter, glass, rubbish, and inflammable materials and adequate in size to accommodate the, number of children using the area at a particular time. The outdoor area shall be §uitably surfaced and drained. All facilities shall be fenced Unless the Department determines that fencing is not necessary for the protection of the children. 1420. LIGHTING VENTILATION, AND TEMPERATURE Section 2 Physical Facilities - The building shall be so constructed that is dry, adequately heated, ventilated, lighted; that windows, doors, stoves, heaters, furnaces, pipes, and stirs are protected; that -scretning is provided on windows and doors ,which are left open; and that floors.are free from splinters and easily cleaned. 1430. EXITS of specified le DAY CARE CENTERS - KENTUCKY 1440. TOILETS AND LAVATORIES Section 2' Physical Facilities - Building. There shall be a minimum of one toilet and rash basin for each 20 children. Toilet facilities shall be cleaned and sanitized daily.. 1500. OTHER STATE REQUIREMENTS COMPLIANCE WITH OTHER LOCAL STATE, AND REGIONAL LAWS AND REGULATIONS' 1510. ZONING Not specified 1520. FIRE Section 2 Physical Facilities - The facility shall conform to health and sanitation standards of the Department and to fire safety standards as set out by the Office'of the State - Fire .MarshAL Plans and specifications for new buildings and/or additions which are to be constructed for day care facilities shall be approved prior to construction by health and fie safety officials having jurLsdiction., 1530. BUILDING See 15 0.--IFIRE 1540. HEALTH See 1520. FIRE 1 50. SANITATION Not. specified 1560. NEW-CONSTRUCTION See 1520. FIRE 37 DAY CARE CENTERS LOUIS Except. where otherwise noted, all citations are to the Louisiana Department of Health and Human Resources, Minimum Standards for Licensure of Child Day Care Centers February, 1981. 10Q. STATE LICENSEdG OF CHILD DAY CARE FACILITIES 110. TYPES OF FACILITIES _SUBJECT TO LICENSURE AS DEFINED BY STATE STATUTES AND REGULATIONS AND/OR -LOCAL ORDINANCES AND REGULATIONS 111. Definitions LA. REV. STAT. ANN. 51401 Definitions. As used in this Chapter, the term child welfare agency shall include child-caring institution, child-plaging agency-, maternity home, family boarding home and day care. "Day care center" shall mean any place or facility, operated by any person for the primary purpose of providing care, supervision and guidaiee of seven or more children under the age of thirteen years, not related to the caregiver and unaccompanied by pirent or guardian, on a regular basis, fpr less thEth twenty-four hours a day,- in a place/Other than the children's home. 112. Exclusions and Exemptions LA. REV. STAT. ANN. 51401 Definitions. This definition shall not include those agencies exempted from licensing standards by the department, pursuant to 46:1402, nor shall it include''any institution, society, agency, corporation, facility or other grokip which is classified as a Montessori school whether or not certified under the provisions of Chapter,27 of Title 17. 2u DAY CARE CENTERS LOUISIANA LA. REV. ST-AT. ANN. $1404 Agencies Subject to. Regtdation; Exceptiofi Any child welfare agency, is defined in -R.S. 46:1401, which is under direct management of an administrative departMent of the state shall not be subject to the provisions of this Chapter. Any child welfare agency as defined in R.S. 46:1401, which is under the direct management of any parish, municipality, or private organization or person, except the Louisiana Masonic Home for Children at Alexandria, shall be subject to the provisions of this Chapter. 113. HHS Day .Care Compliance, Not specified 120. AGENCY RESPONSIBLE FOR LICENSING OF DAY CARE PROGRAMS ) 12L Or ±anization of the Administrative Unit DEPARTMENT OF HEALTH AND HUMAN RESOURCES OFFICE OF LICENSING REGULATIONS DIVISION OF LICENSING AND CERTIFICATION, Day care center licenses are issued and revoked at the state central office level, and the day to day monitoring functions are also carried out at that level. Louisiana does not regulate family day care, and day care center licensing is voluntary. 2 DAY CARE CENTERS- 122. Responsible Official All inquiries should be addressed to ervisor of Licensing and Certification Division of Licensing and'Certification office of Licensing -Regulation Department of Health and Human Respurces Box 3767 Baton Roue, Louisiana 70821 (504) 342-6446 LOUISIANA 200. LICENSLNG PROCESS AND ENFORCEMENT PRO EDURES 210. LICENSINQ PROCESS 211. Pro ulga on of Regulations LA. REY. STAT. ANN. §1402 Standards for Licenses. The department shall develop and publish standards for license for each type- of child welfare agency defined in R.S. 46:1401 with due regard for the welfare of children. The department may also provide for exemptions from the licensing requirements for any types of agencies which, in the public interest, should not be subject to such licensing standards. Such exemptions shall be in the form of administrative regulations, duly promulgated according to law. 212. Advisory Body arid Other Community Participation Not specified 3 DAY CARE CENTERS LOUJ IANA. 220. LICENSING PROCEDURE 22L Application and Issuance I Organization and Administrative Plan - Application for Licenstre. Application shall be in writing on the application forms furnished by the Office of Licensing and Regulation and shall be submitted to the Office of Licensing and Regulation, Division of Licensing and Certification. LA. REV. STAT. ANN. 51403 Licenses. All parish, municipal and private child welfare agencies shall be licensed by the department, sad license to be based on standards developed by the department with due regard for tthe welfare of children; provided, however, tt; that a license issued to a childq4acing agency shall also include all family -. boarding homes approved, supervkse dand used by the licensed agency as a part of its work. Application for license shall be made by the child welfare agency to the department upon blanks furnished by it. Upon receipt of the application for license, and upon establishment of the fact that such child welfare_ Y is suitable and properly managed as such and that minimum requirements for license as determined by the department are met, the department shall issue such child welfare agency a license for such period as may be provided for in the published standards of the department. LA. REV. STAT. ANN. 51405 Time for Maldng License Application. Any existing child welfare agency, which is not licensed under the provisions of R.S. 46:1 et seq. must make application for license within one hundred and twenty days following the August 1, 1956. 222. Fee Charged Not specified 223. Areas of Investigation Not specified SAY CARE CENTERS 224. License Renewal Not specified 225. _Conditional/Provisional Licenses LA. REV. STAT. ANN. 51403 Licenses. If the department finds that any child welfare agency does not meet the standards established by the department for license,.butis attempting to meet these said standards, the department at-its dcretion may issue a temporary license to said ch11 welfare agency; provided, however, that 'no temporary '11 license shall be issued to any privately owned and operated day care center to be operated as a business for profit, and_ no sUch day care center shall be LOUISIANA operated itnless it meets the standards of the department and holds ,a valid regular license issued by the department. 226. Substantial Compliance Not specified 230. ENFORCEMENT PROCEDURES 231. Facility Impections LA. REV. STAT. ANN. S14l0 Inspections. ..r It shall be the duty of the department, through its duly authorized agents, to inspect at regular intervals without previous notice an child welfare agencies. 232. Denial, pension,_; ocatio a Lictihse LA. REV. STAT. ANN. 5I403 Licenses. The license may be revoked or suspended at any time after due notice to the licensee if that agency fails to maintain minimum requirements for license. 233. Remedies and Sanctions 233.1 Hearings 5 2 DAY CARE CENTERS LOUISIANA LA. REV. STAT. ANN. 51407 Refusal or,Revocntion of License; Appeal Procedure. Upon the refusal of the department to grant a license as provided in this- ter, or upon the revocation of a license,_ the agency, institution, individual having been refused a license or having had the license revok have the right to appeal suph action by submitting a written regu assistant secretary of the office of family services within thirty days of the date of such refusal or revocation. The conduct of appeal hearings shall be in -.accordance with applicable regulations of the department and the provisions of R.S. 46:107. This provision shall in no way preclude the right of the party to seek relief through the right of mandamus suit against the commissioner, as provided by existing la or.. 233.2 Decisions Not specified 233.3 Judicial Review LA. REV. STAT. ANN. 51406 Operating Without License; Penalty. Any child welfare agency operating without being so licenSed by the department or without having made proper application for a license shall be guilty of a misdemeapor and shall be fined not less than twenty-five dollars nor more than two hundred dollars for each such offense. Each day of operation without a license or without lidense having been applied for as provided for herein shall constitute a separate offense. LA. REV. STAT. ANN $1408 Written Notice of Violatio- Appearance before Grand Jury. The department shall have the responsibility of giving written notice of any known violation of this Chapter to the district attorney of any parish in which said violation occurs vdthin ninety days of e date of which said violation becomes known to the department. The right to appear before the grand jury of the parish shall be retained as provided br existing law for the violation of other criminal statutes. 21 (,) DA.Y" CARE CENTERS IANA 300. ADMINISTRATION 310. GENERAL ADMINISTRATION 311.. General Administrative Requirements I Organization, and Administrative Plan. The responsibility of raising funds shall not interfere with the director's administrative duties in conducting the program. Children shall not be involved in written consent of the parent. or publicity efforts without the The Office of s Licensing and Regrilation, Division of Licensing and Certifiation shall be notified before changes are made which might have an effect upon the license (for example, changes in age range of children to be served, changes in space). Arrangements for the child's return to the parent shall not include third parties or other child care facilities unless written agreement between the day care facility and the parent is on file with the Center. Required records include: Current written reports from the Department of State Fire Marshal and (+" Office of Health. Occupational license (when applicable). Current day care license on display. II Personnel. If the /lumber of-children exceeds forty-two (42), the director or operator shall give full-time to administration. The director or operator shall be on duty:a minimum of eight (8) hours a day at the center. DAY CARE CENTERS If ,day LOUISIANA care -are offered, there must separate shifts. If the director or operator is respensible for more than one center, there must t . . be an individual designated as responsible for the operation Of each center. 1 he director or any regular` -- - There shall be provisions for substitute help, employee is absent from-the center. e I organization and AdrrimistrationPlan - Governing Body. There shall be a responsible `governing body which shall be= one of the following: A board of local citizens elected-or appointed for that purpose; or A board or committee .comprised of Tembers from a religious, ....- charitable, or educational organization, etc.- or A public authority. The governing body shall exercise sufficient authority so can be held reasonably responAble for the center's practice. The governing body shall have the power to ap of the center. and to dismiss the director The governing body shall eleuly define the duties and responsibilities of the director and determine who has authority to employ and dismiss personnel. The governing body shall maintain records regarding qualifications and references of the director. DAY CARE CENTERS' 312: -Telephone -- ill Plant uipment. LO IANA -There shell be. a telephone at the center. Apprppriate emergency numbers, should be posted, such as fire department, police department, and medical facility. 313. Proof of ator Financial. C ab- LA. REV. STAT. ANN. 51411 Day Care Centers Are Not Required to Furnish Financial Statements. The department shall not require Emy privately owned and operated day care center to, fu-rnish any profit or loss or other financial statement either before or after licensing by the department. 314. Insurance t Not specified 320. PERSONNEL 321. Publication of Personnel Policies Not specified 322. Constraints st Em 10--rnent Not specified 330. NON-DI SCRI AT1ON 33L Requirements Prohibiiing Discrimination Not specified 9 7) DAY CARE CENTERS 340. RECORDS REQUIREMENTS, Children I Organization and Administrative Plan; The center shall have an file and available at all ti for eaci--Cchild in care: NA, following records All information required on the Master Card (Form 94-B). (If a center has enrollffient forms which contain all the information included on the Master Card, they may be used.) All medical information required on the Health Card (Form 94-C). (Children's health records need not be held after the date of withdrawal and should be returned to the parents.) Prior to admission, a p ysiciants statement that the child is free from corn mi;riicable diseases is required (Physician's card, Form 94-C). The day care director shall insure that the record on each child is available verifying the child has had or is in the process of receiving all imniunizations appropriate to herfhis' age. These documents shall be part of the child's records. When the child leaves the day care facility, these documents shill be retimped to the parent. 342. Staff I Organization and Administrative Plan - Required Records. There shall be on file at the center for each regularly employed and substitute member of the staff a record including the following information: Name, age, address, telephone- number. Health records. Previous work experience and training, including education. Accidents, resulting in personal injury while on duty. A written staff plan for the director and staff member which includes the duties to be 6erformed, the hours of work, and the person to whom each is responsible. .` 21.i 10 DAY CARE CENTERS- LOUISIANA Personnel records should be kept for one year 'after the emplo yee leav th records may be returned to the staff member upon request. 343. Child EljAtLility and Enrollment Requirements W. Admission of Children, Admission. of children shall involve an interview with the parent to secure necessary information about the child and to complete Form 94-B (master card). Prior to admission, a physician's statement that the child is fre e from communicable diseases is required (Physician's card, Form 94-G). The day care director shall ensure that the record on each child is ava able verifying the child has had or is in the process of receiving all immunization% appropriate to her/his age. These documents shall be part of the child's records. When the child leaves the day care facility, these documents shall be returned to the parent. See also M. General Health Requirements 344. Child Abuse Reporti Not specified 345. Confident yof Records Re irements Not specified 400. GROUP COMPOSITIONS OF CHMDREN 410. STAFF /CHAD RATIO- REQUIREMENTS 411. Child Ratio as of March- 1981 II Personnel - Required Child Care Staff. Required child care staff for centers serving ten (la) or fewer children (including the operator's and/or staff's own preschool children): 11 DAY CARE CENTERS NUMBER 10 (if no more than two children are under a two) 10 (if three or more children are under age two) LOUISIANA STAFF, Required child care staff fOr centers serving eleven (11) or more children: CHILDREN 'Non= walkers and toddlers under 12. NUMBER STAFF months 6 1 Toddlers (over 12 menths) 8 1 Two ye/sr olds 12 TIree year olds 14 1 Fotu year olds 16 'Five year olds 20 School age 25 When the center serves children of mixed ages, excluding children under two years, an avenge of the staff ratio may be applied. 412. M4thods of Computing StA f/Child Ratios Ii Perionnelt Required Child Carp Staff. Only those staff members directly involved it child care and supervision sh be considered in assessing staff/child ratio. 420. GROUP SIZE 421. Group Size as of March, 1981 Not specified 422. Methods of Computing Group Size Not specified 12 DAY CARE CENTERS LANA 500. STAFF QUALIFICATIONS AND TRAINING REQUIRE MENT 510. CHILD CAREGIVER STAFF QUALIFICATIONS 511. II Personnel - Child Care Staff. Child Care Staff. Should be at least eighteen (18) years of age. Persons between the age of sixteen (16) and eighteen (18) enrolled in training programs approve d by the Department of Education, may be employed provided the number does not exceed one-fourth (1/4) of the child care staff, 512.,, Health II Personnel - Health Requirements. All center staff shall be required to obtain, within two (2) wee].) before beginning work, and at least every twelve (12) months thereafter, a written statement from a physician certifying that the individual: Is in good health and is physically able to care for children. Is free from infectious and contagious diseases. Has no evidence of fictive tuberculosis. At the time of employment, a hegative skin test or a negative chest X-ray is required. . - w The director or operator or any center staff h not remain at work if heh any sign of a contagious- disease. any staff member has been treateli for a psychiatric disorder, a license shall not be granted until there is sufficient evidence that the staff person has recovered and is able to perform his duties. A written statement from thi treating psychiatrist or his designated successor may be required by a licensing worker. 2 Ij DAY CARE CENPERS 513. Education Not specified 514. Experience AS, II Personnel Child Care Staff. Child Care Staff must have . the sidlis and capOility necessarPio work with children in order, to provide an environment conducive to the ysical,- t emotional, and sbcial growth of children. Eacfi staff member (includes the director, operator, child other einployees of the- center such as the cook, housek be known in the community to be of mod reputation. 52,0. PROGRAM DIRECTOR ,QUALIFICATIONS 521. , aff, and any uffeur ) must II Personnel - Qualifications. Director or-Operator must be at leas twenty-one (21) years of age: Durin the director's absence from the center staff member Must be degnated to assume the director's responsibiliti This staff member must be . at least twentone (21) years of age. 522. Health See 512. Health 523. Not specified ration 14 A DAY CARE CENTERS 524. Experience II Personnel - Qualifications. Director- or Operator must be a mature, competent person who can combine the duties of administration with the duties of providing an environment conducive to the physical, emotional, and social growth of children. T- his shall be documented by two or more unrelated references who have knowledge of the director or operator's competence. If a director or operator or member of his immediate family has had a previous license revoked or refused, upon reapplication, applicant shall provide satisfactory evidence that the reason_ for such revocation no longer exists. 530. SUPPORT STAFF QUALIFICATIONS II PersonneL Substitute workers and volunteer workers shall meet the me medical requirements as regularly employed staff. A. half-time cook/housekeeper shall be required every day in centers caring for twenty-one (21) but less than twenty-nine (29) children. A full-time cook/housekeeper shall be required every day in centers caring for twenty-nine (29) or more children. 540. - POST EIVIPLOYMENTAN7SERVICE: ORIENTATION AND TRAINING 54L Pro --__m Director Not specified 542.. Child__ ar -iver Staff Not specified, 543. Support Staff Not specified 15 DAY CARE CENTERS 600. PROGRAM OF ACTIVITIES, 1N I,UDING EDUCATION 610. PROGRAM REQUIREMENTS 611. Program of Activities V Care of Children. Children shall not be cared for in a day care center for more than ten (10) hours per day. . There shall be a schedule of the day's plan of activities, providing for flexibility and changes, as seem necessary. The program of activities shall be adhered to with reasonable closeness but shall accommodate and have due regard for .individual differences among the children. The program shall provide time and materials for both vigorous and quiet activity for children to share or to be alone, indoor and outdoor play and rest. Regular time should be allowed for routines such as washing, lunch, rest, snacks and putting away. toys. Active and quiet periods should be alternated so as to guard against overstimulation of the child. Quiet play such as storytelling or music should precede the lunch hour, which then should be followed by a rest period. Children shall be supervised at all times. Preschool children shall never be left alone in any room or outdoors at any time without an adult present. While on duty with a group of ehilen, child care staff members shall devote their entire time in supervision of the children in participating with them in theft. activities. DAY CARE CENTERS LOUISIANA 612. Program Equipment and Materials lIl Plant Equipment - Furnishings and Play equipment of sufficient quantity and variety for indoor and outdoor use shall be provided which is appropriate to the needs of the children. The equipment shall be maintained in good repair and shall include equipment which encourages active physical play (for example, climbing apparatus, swings, wheeltoys); and equipment which encourages quiet play or activity (for example, sand, clay, crayon, paints, story and picture books, dolls, puzzles, music). uipment. There shall be low, open shelves within easy reach of he children for the qtorage of play materials in each play area. There shag be individual space for each child's clothing, such as lockers or low hooks. Chairs of a suitable size and table space m years or older. 613. Nap vision be available each child two Ill Plant Equipment Furnishings and Equipment. Individual and appropriate sleeping arrangements must be provided for each child. (State and local health requirements regarding sleephig arrangements must be met.) Each child shall be provided with a cot or crib of appropriate size, height, and material, sufficient to insure his health and safety. Mats may be used under certain circumstances. If the area used for napping is carpeted, or if the facility is centrally heated and cooled, the operator may . - request an exception to the requirement for cots. The request for an exception shall be made prior to the use of the mats. If mats are permitted, they must' be at least one inch thick and also of adequate size and material to provide for the health and safety of the child. 17 2 2 i DAY CARE CENTERS Each child's sleeping accommodations shall be basis and labeled. LOI IANA o him a permanent Sheets shall be provided by either the center or the parent, unless the cots or mats are- covered with vinyl or another washable surface. A sheet or blanket shall also be available for covering the child. Cribs, cot use. . or mats shall be spaced at least eighteen (18) inches apart when in I. V Care of Children. Pre - school, children shall have a rest period of at least one hour. 61l prIlarrd'As.Livities, and 1340. Health 614. Discipline and Guidance V Care of Children_- Discipline. Each center shall establish policy an regard to methods of discipline. This statement of policy Must be prominently posted. 0 No child shall be subject to physical punishment, verbal abuse or threats. Cruel, severe, unusual or unnecessary'punishment shall not be inflicted upon children. Derogatory remarks shall not be made in the presence of children about family members of children, in care or about the children themselves. No child or group of chil dren shall be allowed to discipline another child. When a child is removed from the group disciplinary reasons, he should never be out of sight of a staff member. No child shall be deprived of meals or any part of meals for disciplinary reasons. 18 2 DAY CARE CE1 LO ANA Reports of mistreatment of children coming to the attention of the Office of Licensing and.Regulation will be investigated. 700. HEALTH AND SAFETY 710. HEALTH 711. General Health Requirements -i Organization and Administrative Plan Required Records. , Faith information regarding the persons living in a private residence, part of which is used as a day care center. H Personnel - Qualification. Each person living in a private residence, part of which is used as a day care facility, shall meet the same medical requiriments as employed personnel and children enrplled. so 34L Children 712. Health Assessments V Care of "Children - Health Service to the Child. Each child in the center shall have an annual physical examination and medical statement that the child is in gobd health and free from infectious or contagious diseases. See also 341. Children 713. Immunizations See 341. Children DAY BARE CENTERS LOUISIANA 714. Sanitation IR Plant Equipment - Furnishings and Equipment. Staff smoking is allowed only when the center has a designated smoking area Health regulations prohibit this designated area from being a food service area. also 50. Sanitation 715. Daily Illness Screening V Care of Chiliiren - Health Services to the Child. Each child shall be observed for possible respiratory infections or skin disease and shall not be permitted to attend the center until he is free from fever or on prescribed medication forr24 hours. 716. Care of Sick Children 131 Plant Equipment Space Required. There shall be provision for isolating temporarily a child having or suspected of having a communicable disease so he can be removed, from the other children. Movable partitions are permissible so that the space may be used for play when not needed for isolating an ill chilF1. V Care of Children - Health Services to the Child. If symptoms of contagious or infectious diseases develop while the child is in care, he shall be placed, in isolation until a parent or designated person has been consulted. Any child who bps had a 101 degree temperature reading in the last twelve (12) hours is suspect. If a child has had a highly contagious disease, such as chicken pox, measles, etc., the child shall not be allowed to return to the center-'until symptoms have subsided or until he is free.from fever. 20 DAY CARE CENTERS LO SIANA The parent or designated person shall be notified as soon as possible if a child develops symptoms of illness or suffers an accident while in care. 717. Medication and Special. Diet Provisions V. Care of Children - Health Services to the Child. No drugs of any type, including aspirin, should be given by the center personnel unless prescribed by the child's physician or authorized by the parent. 718. Waiver of Health Requirements Notlspecified 720. SAFETY 721. General Safety Requirements ffi Plant'Equipment - Safety Requirements. Drugs, poisons, harmful chemicals, equipment and tools shall be locked away from the children. Secure railing shall be provided for flights of more than three steps and for porches more than three (3) feet from the ground. Gates -shall be provided at the head or foot of each flight of stairs to which children have access when children under two (2) years of age are in care. fences shall be provided where there are open cisterns, wells, ditches, fish ponds, and swimming pools. The center and yard must be clean and free from hazards. 722. Fire Safety Requirem en See 1510. Fire 21 0 0 4. 4. L.) DAY CARE CENTERS 723. Transportation LOUISIANA VI Transportation. The center which provides transportation of children assumes additional responsibility for the safety of children. The center's- transportition plan must be posted. The director or operator shall ensure transportation transportat