[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 Mar 25, 2026

Category: supervision. Marked corrected in the state record.

[19a-79-6a(c)] · The facility shall maintain at least one portable, readily accessible first aid kit wherever children are in care, including field trips. A first aid kit shall be located outside and readily accessible wherever and whenever children are outside. A first aid kit shall be located indoors and readily accessible wherever and whenever children are indoors. Each first aid 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 at least the following items assorted sizes of non medicated adhesive strips; sterile, individually wrapped, three or four inch gauze squares; two inch gauze roller bandage; one roll of adhesive tape (hypoallergenic); scissors; tweezers; two instant cold packs; a non-glass thermometer to measure a child’s temperature; disposable, nonporous gloves; and a cardiopulmonary resuscitation mouth barrier. First aid supplies for field trips shall also include water, if water is not readily accessible at the field trip location; reliable communication device; liquid soap, if liquid soap is not readily accessible at the field trip location; emergency contact numbers for each child; medications, as needed, if the child care center or group child care home administers medications and any items needed to administer medications; and plastic bags, for storage.

Corrected Corrected by Mar 25, 2026

Category: health medication. 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 Mar 25, 2026

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

[19a-79-8a-(a)] · Each child care center and group child care home that serves children younger than school age shall develop and implement a written daily or weekly plan that is developmentally appropriate and shall be available to parent(s) and program staff. Such plans shall reflect the learning and developmental needs of the diverse population of children in the setting, which includes children with cultural, language and developmental differences, and shall incorporate skills across multiple domains, including but not limited to, social and emotional development, cognition, physical development and health, language and literacy, mathematics, creative arts, science and social studies. (a) The written plan shall include: (1) The use of a variety of indoor and outdoor environments based on the children’s interest, individual needs and the learning to be addressed; (2) A flexible schedule that allows time for children to make choices, continue projects over time, and transition from one activity to another; (3) Learning experiences that are relevant to the children’s lives and cultural context. (4) A balance of child-initiated and teacher-initiated experiences; (5) Exploration and discovery; (6) The use of a variety of materials that support active engagement and promote skills across areas of learning and development; (7) Rest, sleep or quiet activities; (8) Nutritious meals and snacks; (9) Toileting and clean up; (10) Individual and small group activities; and (11) Moderate and vigorous physical activity for children three years of age and older unless a child has a disability or is experiencing a developmental delay. Such activity shall take place outdoors. (b) No child care center or group child care home shall provide access to mobile cellular telephones, laptops and desktop computers or equipment that is capable of playing a video game or digital video disk to children under two years of age. Each child care center and group child care home shall restrict access to mobile cellular telephones, laptop and desktop computers or equipment that is capable of playing a video game or digital video disk by children two years of age and older except for educational or physical activity purposes.

Corrected Corrected by Mar 25, 2026

Category: ratio. Marked corrected in the state record.

[19a-79-9a] · Group child care homes and child care centers that administer medications of any kind shall comply with all requirements of this section and shall have written policies and procedures at the facility governing the administration of medications which shall include, but not be limited to, the types of medication that shall be administered, parental responsibilities, program staff responsibilities, proper storage of medication and record keeping. Such policies and procedures shall be available for review by the Office during inspections or upon demand and shall reflect best practice.

Corrected Corrected by Mar 25, 2026

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