[19a-79-5a(a)(3)(A)] · A written report shall be produced and maintained on the licensed premises, and for a period of not less than 2 years, documenting any injuries or accidents that result in an injury to a child, or illness of a child enrolled at the facility, an incident that is required to be reported to DCF. This report shall be available to the OEC upon request and a copy shall be provided to the parent no later than the next business day.

Corrected Corrected by Jan 6, 2026

Category: health medication. Marked corrected in the state record.

[19a-79-3a(d)(2)-(7)] · The operator shall implement and annually review specific written policies, plans and procedures that include, but not necessarily be limited to discipline, when a child is not picked up as planned, multi-hazard and medical emergencies, supervision of children, general operating policies, administrative oversight and personnel policies. The operator shall notify the parent(s), staff and the Office of Early Childhood within five (5) days of changes in these policies, plans and procedures.

Corrected Corrected by Jan 6, 2026

Category: supervision. Marked corrected in the state record.

[19a-79-3a(d)(2)-(7)] · The operator shall implement and annually review specific written policies, plans and procedures that include, but not necessarily be limited to discipline, when a child is not picked up as planned, multi-hazard and medical emergencies, supervision of children, general operating policies, administrative oversight and personnel policies. The operator shall notify the parent(s), staff and the Office of Early Childhood within five (5) days of changes in these policies, plans and procedures.

Corrected Corrected by Jan 14, 2026

Category: supervision. Marked corrected in the state record.

[-] · -

Corrected Corrected by Sep 29, 2025

Category: other. Marked corrected in the state record.

[-] · -

Corrected Corrected by Oct 2, 2025

Category: other. Marked corrected in the state record.

[19a-79-7a(g)(1)] · All equipment shall be of such design and material as to be readily cleaned and safe for children. Equipment shall not be colored or covered by any poisonous material. Equipment shall be sturdy, safely constructed and free from protruding nails, rust, toxic material and other hazards.

Corrected Corrected by Sep 29, 2025

Category: physical safety. Marked corrected in the state record.

[19a-79-7a(d)(7)] · There shall be an area available for the individual storage of each child's clothing and bedding.

Corrected Corrected by Sep 29, 2025

Category: other. Marked corrected in the state record.

[19a-79-10(g)(1-8)] · Infants under twelve months of age shall be placed in a supine (back) position for sleeping in a well-constructed, free standing crib or other piece of equipment designed for infant sleeping and appropriate for the particular child. A well-constructed, free standing crib or other piece of equipment shall be used designed for infant sleeping and appropriate for the particular child, with a snug fitting mattress covered by a tightly-fitted sheet. Infants under twelve months of age shall be placed in a supine (back) position for sleeping in a well-constructed, free standing crib or other piece of equipment designed for infant sleeping and appropriate for the particular child, with a snug fitting mattress covered by a tightly-fitted sheet unless the child has written documentation from a physician, physician assistant or advanced practice registered nurse specifying a medical reason for an alternative sleep position or alternate piece of equipment. When infants can easily turn over from the supine to the prone position, they shall be put down to sleep on their back, but allowed to adopt whatever position they prefer for sleep. No items including, but not limited to, pillows, soft bumpers, toys and blankets, including weighted blankets, weighted sleepers, and weighted swaddles, shall be placed with an infant in a crib or hung over the side of a crib or other piece of equipment designed for sleeping except for a pacifier without attachments unless the child has written documentation from a physician, physician assistant or advanced practice registered nurse specifying a medical reason for its use. Bibs and garments with ties or hoods shall be removed from infants that are placed to sleep. No toys or objects shall be attached to sleeping or rest equipment. No infant shall be put to sleep on a sofa, bed, couch, soft mattress, waterbed or other soft surface. No infant shall be put to sleep or allowed to remain asleep in a child restraint system intended for use in a vehicle, an infant carrier, a swing or any place that is not specifically designed to be an infant bed unless the child has written documentation from a physician, physician assistant or advanced practice registered nurse specifying a medical reason for their use. No infant shall be swaddled unless the child has written documentation from a physician, physician assistant or advanced practice registered nurse specifying instructions and a timeframe for swaddling the infant. Infants under twelve months of age shall be physically observed at least every fifteen minutes to assess the infants breathing, color, temperature and comfort. No child under three years of age shall have access to teething necklaces, teething bracelets or other jewelry that could present a choking or strangulation hazard. Written policies and procedures for sleep arrangements shall include the requirements of this subsection and shall be posted in a conspicuous place in the areas where infants under twelve months of age sleep. The operator shall document that the child’s parent(s) has been informed of the child care center or group child care home’s policies and procedures for sleep arrangements prior to enrollment and reviewed as needed during the period of the child’s enrollment.

Corrected Corrected by Sep 29, 2025

Category: physical safety. Marked corrected in the state record.

[19a-79-4a(d)(4)(D)] · Children shall be supervised at all times while at the facility, indoors or outdoors, or on field trips. At no time shall a child be left unsupervised.

Corrected Corrected by Sep 29, 2025

Category: supervision. Marked corrected in the state record.

[19a-79-5a(2)(C) · The operator of a child care center or group child care home is responsible for maintaining on the licensed premises a current record for each child enrolled. A copy of the record shall be available and provided upon request to the Office of Early Childhood, the child's parent(s) and the local health director. It shall include a health record that shall include date of birth, a physical examination form, an immunization record, and information regarding disabilities or special health care needs.

Corrected Corrected by Sep 29, 2025

Category: health medication. Marked corrected in the state record.

[19a-79-5a(a)(2)(A)-(E)] · The operator of a child care center or group child care home is responsible for maintaining on the licensed premises a current record for each child enrolled. A copy of the record shall be available and provided upon request to the Office of Early Childhood, the child's parent(s) and the local health director. It shall include a health record that shall include date of birth, a signed physical examination form including the child's date of birth, a statement about the child's general health and the presence of any known medical or emotional illness or disorder that would currently pose a risk to other children or which would currently affect this child’s functional ability to participate safely in a child care setting.

Corrected Corrected by Sep 29, 2025

Category: health medication. Marked corrected in the state record.

[19a-79-7a(h)(1-9)] · There shall be access to a minimum of seventy-five (75) square feet per child of outdoor space for the number of children using the space at any one time. The outdoor area shall be fenced or protected for safety. Outdoor play equipment shall have a shock absorbing surface, under and around, that shall effectively cushion the fall of a child, except where the child is sitting or standing at ground level. The shock absorbing surface shall be maintained at a depth of at least eight inches, be free of water and not allowed to become compacted. Acceptable shock absorbing surfaces may include mulch, sand, and wood chips. Synthetic material that is less than eight inches in depth, including but not limited to, rubber mats or tiles may be acceptable surfaces provided the operator maintains documentation on the licensed premises that the synthetic material is manufactured for this purpose, installed in accordance with the manufacturer’s specifications and sufficient to cushion the fall of a child. Concrete, asphalt, grass and dirt shall not be considered a shock absorbing surface. The playground shall be free of glass, debris, holes and other hazards. Nuts, bolts and screws shall be tight; and those that protrude shall be covered or protected. Outside equipment shall be anchored for stability when recommended by the manufacturer. Anchors shall be buried below ground level. The operator shall provide documentation to the Office, upon request, by a certified playground safety inspector that newly constructed playgrounds and all newly installed playground equipment that are set in position and anchored in such a way to last indefinitely are designed and installed in accordance with U.S. Consumer Product Safety Commission and the American Society for Testing and Materials Standards. Drinking water shall be available and accessible to children. Outdoor equipment shall be arranged in such a way as to avoid accidents. All play equipment, fences, and structures shall not pose a hazard.

Corrected Corrected by Sep 29, 2025

Category: physical safety. Marked corrected in the state record.

[19a-79-9a(b)(3)(A-B)] · Except for nonprescription topical medications, no medication shall be administered to a child without the written order of an authorized prescriber and the written permission of the child's parent(s) which shall be on file at the facility. Individual written medication administration records for each child shall be written in ink, reviewed prior to administering each dose of medication and kept on file at the facility for at least three years after the child is no longer attending the program.

Corrected Corrected by Sep 29, 2025

Category: ratio. Marked corrected in the state record.

[19a-79-9a(b)(5)(D)] · All unused or expired medication, except for controlled substances, shall be returned to the parent(s) or disposed of if it is not picked up within one week following the termination of the order, in the presence of at least one witness. The facility shall keep a written record of the medications destroyed for three years which shall be signed by both parties.

Corrected Corrected by Sep 29, 2025

Category: health medication. Marked corrected in the state record.

[19a-79-4a(d)(4)(D)] · Children shall be supervised at all times while at the facility, indoors or outdoors, or on field trips. At no time shall a child be left unsupervised.

Corrected Corrected by Nov 3, 2025

Category: supervision. Marked corrected in the state record.

[19a-79-3a(b)(7)(A)] · The operator and program staff shall manage child behavior using techniques based on developmentally appropriate practice, including positive guidance, redirection and setting clear limits that encourage children to develop self-control, self-discipline and positive self-esteem and communicate acceptable techniques to all staff.

Corrected Corrected by Jul 15, 2025

Category: other. Marked corrected in the state record.

[19a-79-3a(d)(2)-(7)] · The operator shall implement and annually review specific written policies, plans and procedures that include, but not necessarily be limited to discipline, when a child is not picked up as planned, multi-hazard and medical emergencies, supervision of children, general operating policies, administrative oversight and personnel policies. The operator shall notify the parent(s), staff and the Office of Early Childhood within five (5) days of changes in these policies, plans and procedures.

Corrected Corrected by Jul 15, 2025

Category: supervision. Marked corrected in the state record.

[-] · -

Corrected Corrected by Sep 27, 2024

Category: other. Marked corrected in the state record.

[19a-6a(c) and/or 19a-6a(d)] · The facility shall maintain at least one (1) portable, readily available first aid kit wherever children are in care, including field trips, outdoor play areas and one to remain at the facility if all the children do not attend the field trip. Each kit shall be a closed container for storing first aid supplies, accessible to staff at all times but out of the reach of children. The first aid kit shall contain specified items and be restocked after use, and an inventory shall be conducted at least monthly.

Corrected Corrected by Sep 27, 2024

Category: health medication. Marked corrected in the state record.

[19a-79-10(i)] · A health consultant shall visit the program on the days and times children under the age of three (3) are present. The health consultant shall prepare and maintain signed documentation of visits which shall be kept on the licensed premises. The health consultant shall visit the program according to the following schedule: (A) once a week for children up to twenty-four (24) months of age, (B) once a week for children two (2) to three (3) years of age attending a full day, and (C) once a month for children two (2) to three (3) years of age attending part day programs.

Corrected Corrected by Sep 27, 2024

Category: health medication. Marked corrected in the state record.

[19a-79-10(l)(1)] · All infant toddler outdoor play space shall be fenced.

Corrected Corrected by Sep 27, 2024

Category: other. Marked corrected in the state record.

[19a-79-6a and/or 19a-79-7a] · The building, equipment and services shall be maintained in a good state of repair. A maintenance program shall be established that ensures that the interior, exterior and grounds of the building are maintained, kept clean and orderly, free from accumulations of refuse, dampness, stagnant water, dilapidated structures and other health and safety hazards.

Corrected Corrected by Sep 27, 2024

Category: health medication. Marked corrected in the state record.

[19a-79-7a(e)(5)] · Rugs, if used, shall be secured to the floor.

Corrected Corrected by Sep 27, 2024

Category: other. Marked corrected in the state record.

[19a-79-9a(b)(5)] · Medication shall be stored in the original child-resistant safety container and appropriately labeled. Medication shall be stored in a locked area or a locked container in a refrigerator in keeping with the label directions away from food and inaccessible to children. Controlled drugs shall be stored in accordance with state law. Equipment and medications prescribed to treat asthma, administer glucagons, or as an emergent first line of defense medication against an allergic response shall be stored in a safe manner, inaccessible to other children, to allow for quick access in an emergency.

Corrected Corrected by Sep 27, 2024

Category: health medication. Marked corrected in the state record.

[-] · -

Corrected Corrected by Jun 12, 2024

Category: other. Marked corrected in the state record.

- · -

Corrected Corrected by Mar 12, 2024

Category: other. Marked corrected in the state record.

[19a-79-10(c)(2) and/or 19a-79-4a(c)(6)] · For children under three years of age, there shall be at least one (1) program staff for every four (4) children or fraction thereof in attendance. During nap time, when all of the children in the group are sleeping, the overall staff child ratios shall be maintained on the licensed premises. At no time shall a group of children be left unsupervised.

Corrected Corrected by Mar 12, 2024

Category: ratio. Marked corrected in the state record.

[19a-79-3a(b)(7) &/or 19a-79-4a(3)] · The operator shall be responsible for the overall management and operation of the child care center or group child care home in accordance with applicable state and local laws and regulations and shall assure annual training for all current staff on the child care center or group child care home policies, plans and procedures. A file shall be kept on the licensed premises for each employee of the child care center or group child care home which shall include documentation of professional development for each program staff person who cares for the children, including documentation of annual training for current staff on the child care center or group child care home policies, plans and procedures.

Corrected Corrected by Mar 12, 2024

Category: recordkeeping. Marked corrected in the state record.

[19a-79-3a(d)(2) thru (8) &/or19a-79-7a(d)(11)(A)] · The operator shall implement and annually review specific written policies, plans and procedures that include, but not necessarily be limited to discipline, when a child is not picked up as planned, emergencies, supervision of children, general operating policies, and personnel policies. The operator shall notify the parent(s), staff and the Office of Early Childhood within five (5) days of changes in these policies, plans and procedures. Where toilets and sinks are shared by children and adults, a written policy shall be developed and implemented that requires supervision of children when using the shared toilet room.

Corrected Corrected by Mar 12, 2024

Category: supervision. Marked corrected in the state record.

[19a-79-4a(c)(4)(A) thru (C) &/or 19a-79-4a(c)(6)] · There shall be at least one (1) program staff person for every ten (10) children, or fraction thereof in attendance at all times. When there is a mixed age group, the lower required ratio for the age of the youngest child shall prevail. During nap time, when all of the children in the group are sleeping, the overall staff child ratios shall be maintained on the licensed premises. At no time shall a group of children be left unsupervised.

Corrected Corrected by Mar 12, 2024

Category: ratio. Marked corrected in the state record.

[-] · -

Corrected Corrected by Aug 7, 2023

Category: other. Marked corrected in the state record.

[19a-79-3a(c)] · The operator shall notify the Office of Early Childhood, the parent(s) and staff of any changes in programs or services. Notification of personnel changes shall be made within five (5) business days after the change. If the change is for a head teacher, a plan for interim head teacher coverage shall be submitted to the Office of Early Childhood. A qualified head teacher or a plan approved by the commissioner shall be in place within thirty (30) days of change of a qualified head teacher. Notification of changes related to the licensed capacity, fees, services or voluntary closing shall be made at least thirty (30) days prior to the effective date of the proposed change. A change of location, change of operator or a change of ownership requires a new initial application.

Corrected Corrected by Aug 7, 2023

Category: other. Marked corrected in the state record.

[19a-79-10(g)(3) and/or 19a-79-7a(g)(1)] · Soft surfaces and gas-trapping objects such as pillows, quilts, sheepskins, soft bumpers or stuffed toys shall not be placed under or with an infant for sleeping and shall be kept out of the infant's crib or bed.

Corrected Corrected by Aug 7, 2023

Category: other. Marked corrected in the state record.

[19a-79-10(h)(2)] · Toys and other objects with a diameter of less than one and one-quarter (1 1/4) inches, objects with removable parts that have a diameter of less than one and one-quarter (1 1/4) inches shall not be accessible to children under three (3) years of age.

Corrected Corrected by Aug 7, 2023

Category: other. Marked corrected in the state record.

[19a-79-5a(a)(2)(E)] · The operator of a child care center or group child care home is responsible for maintaining on the licensed premises a current record for each child enrolled. A copy of the record shall be available and provided upon request to the Office of Early Childhood, the child's parent(s) and the local health director. It shall include an individual plan of care for any child with special health care needs or disabilities, developed with the child's parent(s) and health care provider and updated, as necessary.

Corrected Corrected by Aug 7, 2023

Category: health medication. Marked corrected in the state record.

[19a-79-6a and/or 19a-79-7a] · The building, equipment and services shall be maintained in a good state of repair. A maintenance program shall be established that ensures that the interior, exterior and grounds of the building are maintained, kept clean and orderly, free from accumulations of refuse, dampness, stagnant water, dilapidated structures and other health and safety hazards.

Corrected Corrected by Aug 7, 2023

Category: health medication. Marked corrected in the state record.

[19a-79-9a(b)(5)(D) and/or 19a-79-9a(b)(5)(E)] · All unused or expired medication shall be returned to the parent(s) or disposed of if it is not picked up within one (1) week following the termination of the order, in the presence of at least one witness. The facility shall keep a written record of the medications destroyed which shall be signed by both parties. The facility shall require the parent(s) of a child who has a prescription for an automatic prefilled cartridge injector, or similar automatic injectable equipment used to treat an allergic reaction or injectable equipment used to administer glucagon or inhalant medication to treat asthma, to provide the injector or equipment labeled with the information from the prescriber upon enrollment and attendance of such child at the facility, and replace such medication and equipment prior to its expiration date.

Corrected Corrected by Aug 7, 2023

Category: health medication. Marked corrected in the state record.

[19a-79-9a(b)(7)] · The operator of a child care center or group child care home shall have petitioned and obtained approval from the Office of Early Childhood to administer medications to a child cared for at the child care center or group child care home by a modality which is not specifically permitted under the regulations.

Corrected Corrected by Aug 7, 2023

Category: health medication. Marked corrected in the state record.

[19-79-6a(a)(6);19a-79-7a(d)(4)];19a-79-7a(e)(16) · The kitchen in child care centers or group child care homes that is used for the preparation and serving of food to children shall be ventilated and protected by window screening. All windows that open to the outside and are used for ventilation shall be equipped with 16 mesh screening...and to prevent the entrance of vectors. There shall be effective measures taken to prevent vermin from entering or breeding in the facility.

Corrected Corrected by Jun 27, 2022

Category: ratio. Marked corrected in the state record.

[19a-79-5a(a)(2)(A) through (E)and/or19a-79-6a(e)] · The operator of a child care center or group child care home is responsible for maintaining on the licensed premises a current record for each child enrolled. A copy of the record shall be available and provided upon request to the Office of Early Childhood, the child's parent(s) and the local health director. It shall include a health record that shall include date of birth, a physical examination form, an immunization record, and information regarding disabilities or special health care needs.

Corrected Corrected by Jun 27, 2022

Category: health medication. Marked corrected in the state record.

[19a-79-6a and/or 19a-79-7a] · The building, equipment and services shall be maintained in a good state of repair. A maintenance program shall be established that ensures that the interior, exterior and grounds of the building are maintained, kept clean and orderly, free from accumulations of refuse, dampness, stagnant water, dilapidated structures and other health and safety hazards.

Corrected Corrected by Jun 27, 2022

Category: health medication. Marked corrected in the state record.

[19a-79-7a(d)(11)(F) &/or19a-79-7a(d)(11)(G)] · Each toilet room shall be ventilated to the outside atmosphere. In child care centers constructed or renovated after January 1, 1994, all toilet facilities shall be mechanically ventilated to the outside atmosphere.

Corrected Corrected by Jun 27, 2022

Category: other. Marked corrected in the state record.

[19a-79-7a(e)(5)] · Walls, ceilings, floors and rugs shall be maintained in a state of good repair and be washable or easily cleanable.

Corrected Corrected by Jun 27, 2022

Category: other. Marked corrected in the state record.