[19a-87b-9(d)(4)(D)] · Every stairway shall have a sturdy handrail with no areas in which a child may fall through, shall provide safe passageway and be maintained free of obstructions. There shall be a gate or other structure in place that may be hung, drawn or lowered at the entry of stairways accessible to children to prevent falls.

Corrected Corrected by Dec 13, 2024

Category: other. Marked corrected in the state record.

[19a-87b-9(d)(7)] · Family child care homes that utilize combustible fuel shall be equipped with at least one operable carbon monoxide (CO) detector on each occupied level of the home. CO detectors shall comply with the Underwriters Laboratories Standards for Safety and shall be operated in accordance with the manufacturer’s instructions.

Corrected Corrected by Dec 13, 2024

Category: other. Marked corrected in the state record.

[19a-87b-9(d)(8)] · The provider shall have easily accessible to the area of child care a minimum of one ABC multi-purpose fire extinguisher in operating condition that contains at least five pounds of fire extinguishing agent and shall have knowledge of its use and the ability to manage its use. Each fire extinguisher shall be installed according to the manufacturer’s instructions, at a height not to exceed five (5) feet above the floor. Extinguishers shall not be obstructed or obscured in order to allow for immediate access.

Corrected Corrected by Dec 13, 2024

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

[19a-87b-10(b)(2)(A)(v) and/or 19a-87b-10(l)] · For each child enrolled, the provider shall maintain on file a complete immunization record.

Corrected Corrected by Jun 24, 2024

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

[19a-87b-10(b)(2)] · The provider shall have a complete and current general health record on file when the child begins attending the family child care home, signed and dated by a physician, physician assistant or advanced practice registered nurse. These records shall be returned to the parent when the child is withdrawn from the family child care home.

Corrected Corrected by Jun 24, 2024

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

[19a-87b-8a(a)-(f)] · The applicant, provider, prospective employees, assistants, substitutes and each household member shall submit to a comprehensive background check. Such persons shall not have record that the Commissioner reasonably believes renders such person ineligible. The provider shall not employ program staff who have a record the commissioner reasonably believes renders such staff ineligible. The provider shall maintain at the family child care home evidence of compliance with the comprehensive background check requirements. The provider shall make available to the OEC any information obtained concerning comprehensive background checks upon request.

Corrected Corrected by Jun 24, 2024

Category: background checks. Marked corrected in the state record.

[19a-87b-9(h)] · The water temperature at the tap shall be within a range of sixty degrees Fahrenheit to one hundred twenty degrees Fahrenheit.

Corrected Corrected by Jun 24, 2024

Category: other. Marked corrected in the state record.

[19a-87b-10(c)(4)] · The provider shall develop and implement a written schedule that is flexible, with time for free choice play, outdoor play, snacks, meals and a rest period.

Corrected Corrected by May 13, 2024

Category: other. Marked corrected in the state record.

[19a-87b-10(c)(5)] · There shall be an individual bed, cot, mat or other provision intended for each child for napping or resting which is age appropriate, comfortable, clean, safe, and allows for minimal disturbance. Children shall nap or rest on such bed, cot, mat or other provision. All cribs shall comply with the United States Consumer Product Safety Commission crib standards.

Corrected Corrected by May 13, 2024

Category: other. Marked corrected in the state record.

[19a-87b-10(h)(10)] · The provider shall post a copy of the developmental milestones document developed by the Office of Early Childhood in a conspicuous place at the program.

Corrected Corrected by May 13, 2024

Category: other. Marked corrected in the state record.

[19a-87b-5(f)(2)] · The license shall be displayed conspicuously in a location visible to the Office of Early Childhood staff and to parents whose children are in care or who are considering placing their children in the provider's care.

Corrected Corrected by May 13, 2024

Category: other. Marked corrected in the state record.

[19a-87b-9(a)] · The facility and equipment shall be kept in a clean and sanitary condition and shall not pose a health hazard to children.

Corrected Corrected by May 13, 2024

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

[19a-87b-9(b)] · The facility and equipment shall be in good repair, and reasonably free from anything that may be potentially dangerous to children.

Corrected Corrected by May 13, 2024

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

[19a-87b-9(d)(2)] · Fasteners for doors to cupboards, closets and rooms shall be designed so that it is impossible for a child to become locked in the enclosed area. Every room used for child care or capable of access by children, when provided with a door latch or lock, shall be of a type that children can open from the inside and each lock shall be designed to permit opening of the locked door from the outside in an emergency. The opening device shall be readily accessible to the provider and staff.

Corrected Corrected by May 13, 2024

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

[19a-87b-9(d)(4)(D)] · Every stairway shall have a sturdy handrail with no areas in which a child may fall through, shall provide safe passageway and be maintained free of obstructions. There shall be a gate or other structure in place that may be hung, drawn or lowered at the entry of stairways accessible to children to prevent falls.

Corrected Corrected by May 13, 2024

Category: other. Marked corrected in the state record.

[19a-87b-9(d)(4)(E)-(5)] · The provider shall develop a written plan for the protection of children and staff in the event of emergencies.

Corrected Corrected by May 13, 2024

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

[19a-87b-9(d)(8)] · The provider shall have easily accessible to the area of child care a minimum of one ABC multi-purpose fire extinguisher in operating condition that contains at least five pounds of fire extinguishing agent and shall have knowledge of its use and the ability to manage its use. Each fire extinguisher shall be installed according to the manufacturer’s instructions, at a height not to exceed five (5) feet above the floor. Extinguishers shall not be obstructed or obscured in order to allow for immediate access.

Corrected Corrected by May 13, 2024

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

[19a-87b-9(f)(1-2)] · There shall be sufficient indoor and outdoor play space to ensure appropriate activities, safety and comfort for the children at the facility. When outdoor play space does not exist at the facility, the provider shall identify alternate outdoor play space and develop a written plan that ensures the safe transportation of children to and from the alternate outdoor play space. The outdoor play space shall be protected from traffic, bodies of water, gullies, and other hazards by barriers, which effectively bar access in a manner safe for children.

Corrected Corrected by May 13, 2024

Category: transportation. Marked corrected in the state record.

[19a-87b-9(g)] · The ventilation, light and temperature of the facility shall ensure the health and comfort of the children in care. When the temperature exceeds eighty degrees Fahrenheit, the provider shall provide more fluids and increase ventilation. The room temperature where children are present at the family child care home shall not be lower than 65 degrees Fahrenheit when measured three feet from the floor.

Corrected Corrected by May 13, 2024

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

[19a-87b-9(k)] · The provider shall have a working telephone at the family child care home, with emergency numbers posted in a readily accessible location in an area where family child care services are provided which is known to the provider and all staff.

Corrected Corrected by May 13, 2024

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

[19a-87b-9(m) and/or 19a-87b-9(n)] · The provider shall have at least one portable, readily accessible first aid kit where children are in care, including field trips. Each kit shall be a closed container for storing first aid supplies, accessible to the provider and substitute at all times but out of the reach of children. First aid kits shall contain required supplies and shall be restocked after use.

Corrected Corrected by May 13, 2024

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

[-] · -

Corrected Corrected by Jul 27, 2023

Category: other. Marked corrected in the state record.

Violation

Corrected Corrected by Oct 17, 2022

Category: other. Marked corrected in the state record.

[19a-87b-10(b)(1)] · For each child enrolled, the provider shall maintain on file a current and complete enrollment form. This form shall be kept for one year after a child ceases to be enrolled in the family child care home.

Corrected Corrected by Oct 17, 2022

Category: other. Marked corrected in the state record.

[19a-87b-10(b)(2)(A)(v) and/or 19a-87b-10(l)] · For each child enrolled, the provider shall maintain on file a complete immunization record.

Corrected Corrected by Oct 17, 2022

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

[19a-87b-5(d) and/or 10(a)] · The provider shall maintain the family child care home within the licensed capacity, as indicated on the license.

Corrected Corrected by Oct 17, 2022

Category: other. Marked corrected in the state record.

[19a-87b-6(c)(1)] · The provider shall maintain a current certificate from an approved course in basic first aid appropriate for child care providers and shall maintain verification of such training on file at the family child care home.

Corrected Corrected by Oct 17, 2022

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

[19a-87b-10(b)(2)] · The provider shall have a complete and current general health record on file when the child begins attending the family child care home, signed and dated by a physician, physician assistant or advanced practice registered nurse. These records shall be returned to the parent when the child is withdrawn from the family child care home.

Corrected Corrected by Oct 17, 2022

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

[19a-87b-10(b)(3)(A)] · For each child enrolled, the provider shall have on file and shall keep updated the parent's written permission and instructions specifying the name, address and telephone numbers of persons permitted to remove the child from the family child care home on behalf of the parent.

Corrected Corrected by Oct 17, 2022

Category: other. Marked corrected in the state record.

[19a-87b-10(b)(3)(B)] · For each child enrolled, the provider shall have on file and shall keep updated the parent's written permission and instructions specifying name, address and telephone numbers of emergency medical care provider for the children.

Corrected Corrected by Oct 17, 2022

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

[19a-87b-6(c)(2)] · The provider shall maintain a current certificate from an approved course in CPR for child care providers and shall maintain verification of such training on file at the family child care home.

Corrected Corrected by Oct 17, 2022

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

[19a-87b-9(b)] · The facility and equipment shall be in good repair, and reasonably free from anything that may be potentially dangerous to children.

Corrected Corrected by Oct 17, 2022

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

[19a-87b-9(d)(1)] · Flammable and combustible materials shall be properly stored and out of reach of children.

Corrected Corrected by Oct 17, 2022

Category: other. Marked corrected in the state record.

[19a-87b-9(d)(5)] · The provider and staff shall be periodically instructed and kept informed of their duties under the plan and shall practice at least quarterly an emergency evacuation drill. A written log of the practiced drills shall be maintained at the family child care home for one year.

Corrected Corrected by Oct 17, 2022

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

[19a-87b-9(f)(2) and/or 19a-87b-9(f)(4)] · When there is a swimming pool or any other bodies of water at the facility or near enough to the facility to attract or be accessible to children at any time of the year, there shall be a sturdy fence or barrier, four (4) feet high or higher, which totally and effectively bars access to the water by the children. All entries and exits through such fence or barrier shall have self-closing, self-latching devices or locks. When an outside wall of the facility that serves as one side of the fence or barrier to the body of water has a doorway, such doorway shall remain locked. Shallow wading pools that are not fenced shall be emptied after each use and shall not collect water. Decorative ponds, fish ponds, fountains or similar bodies of water that do not have a fence or barrier, shall be completely covered with childproofing grate or other barrier to prevent access to children.

Corrected Corrected by Oct 17, 2022

Category: other. Marked corrected in the state record.

[19a-87b-10(b)(2)(A)(v) and/or 19a-87b-10(l)] · For each child enrolled, the provider shall maintain on file a complete immunization record.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-10(b)(3)(A)] · For each child enrolled, the provider shall have on file and shall keep updated the parent's written permission and instructions specifying the name, address and telephone numbers of persons permitted to remove the child from the family child care home on behalf of the parent.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-10(c)] · The provider is responsible for ensuring that the physical needs of the children are adequately met while receiving family child care services.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-10(f)(3) and/or 19a-87b-10(f)(7)] · No potentially hazardous items 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. Bibs and garments with ties or hooks shall be removed from infants that are placed to sleep. No toys or objects shall be attached to sleeping or rest equipment. 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.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-17(a)(2)] · The written permission of the parent(s) shall be required prior to the administration of the nonprescription topical medication and shall be kept on file at the family child care home for each child administered a nonprescription topical medication. The medication shall be administered only in accordance with the written permission of the parent(s).

Corrected Corrected by Feb 28, 2022

Category: ratio. Marked corrected in the state record.

[19a-87b-17(a)(3)(A) and/or 19a-87b-17(a)(3)(B)] · The medication shall be stored in the original container and shall be appropriately labeled. The medication shall be stored away from food and inaccessible to children.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-17] · If the provider administers medications of any kind, they shall have written policies and procedures at the family child care home governing the administration of medications.

Corrected Corrected by Feb 28, 2022

Category: ratio. Marked corrected in the state record.

[19a-87b-9(b)] · The facility and equipment shall be in good repair, and reasonably free from anything that may be potentially dangerous to children.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-9(d)(5)] · The provider and staff shall be periodically instructed and kept informed of their duties under the plan and shall practice at least quarterly an emergency evacuation drill. A written log of the practiced drills shall be maintained at the family child care home for one year.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-17(a)(3)(A) and/or 19a-87b-17(a)(3)(B)] · The medication shall be stored in the original container and shall be appropriately labeled. The medication shall be stored away from food and inaccessible to children.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-17] · If the provider administers medications of any kind, they shall have written policies and procedures at the family child care home governing the administration of medications.

Corrected Corrected by Feb 28, 2022

Category: ratio. Marked corrected in the state record.

[19a-87b-9(b)] · The facility and equipment shall be in good repair, and reasonably free from anything that may be potentially dangerous to children.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-10(b)(3)(A)] · For each child enrolled, the provider shall have on file and shall keep updated the parent's written permission and instructions specifying the name, address and telephone numbers of persons permitted to remove the child from the family child care home on behalf of the parent.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-10(c)] · The provider is responsible for ensuring that the physical needs of the children are adequately met while receiving family child care services.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-10(f)(3) and/or 19a-87b-10(f)(7)] · No potentially hazardous items 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. Bibs and garments with ties or hooks shall be removed from infants that are placed to sleep. No toys or objects shall be attached to sleeping or rest equipment. 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.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-17(a)(2)] · The written permission of the parent(s) shall be required prior to the administration of the nonprescription topical medication and shall be kept on file at the family child care home for each child administered a nonprescription topical medication. The medication shall be administered only in accordance with the written permission of the parent(s).

Corrected Corrected by Feb 28, 2022

Category: ratio. Marked corrected in the state record.

[19a-87b-9(d)(5)] · The provider and staff shall be periodically instructed and kept informed of their duties under the plan and shall practice at least quarterly an emergency evacuation drill. A written log of the practiced drills shall be maintained at the family child care home for one year.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-9(f)(2) and/or 19a-87b-9(f)(4)] · When there is a swimming pool or any other bodies of water at the facility or near enough to the facility to attract or be accessible to children at any time of the year, there shall be a sturdy fence or barrier, four (4) feet high or higher, which totally and effectively bars access to the water by the children. All entries and exits through such fence or barrier shall have self-closing, self-latching devices or locks. When an outside wall of the facility that serves as one side of the fence or barrier to the body of water has a doorway, such doorway shall remain locked. Shallow wading pools that are not fenced shall be emptied after each use and shall not collect water. Decorative ponds, fish ponds, fountains or similar bodies of water that do not have a fence or barrier, shall be completely covered with childproofing grate or other barrier to prevent access to children.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-9(f)(2) and/or 19a-87b-9(f)(4)] · When there is a swimming pool or any other bodies of water at the facility or near enough to the facility to attract or be accessible to children at any time of the year, there shall be a sturdy fence or barrier, four (4) feet high or higher, which totally and effectively bars access to the water by the children. All entries and exits through such fence or barrier shall have self-closing, self-latching devices or locks. When an outside wall of the facility that serves as one side of the fence or barrier to the body of water has a doorway, such doorway shall remain locked. Shallow wading pools that are not fenced shall be emptied after each use and shall not collect water. Decorative ponds, fish ponds, fountains or similar bodies of water that do not have a fence or barrier, shall be completely covered with childproofing grate or other barrier to prevent access to children.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-17(a)(3)(A) and/or 19a-87b-17(a)(3)(B)] · The medication shall be stored in the original container and shall be appropriately labeled. The medication shall be stored away from food and inaccessible to children.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-10(b)(3)(A)] · For each child enrolled, the provider shall have on file and shall keep updated the parent's written permission and instructions specifying the name, address and telephone numbers of persons permitted to remove the child from the family child care home on behalf of the parent.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-10(c)] · The provider is responsible for ensuring that the physical needs of the children are adequately met while receiving family child care services.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-10(d)(3)] · The provider shall maintain in the family child care home a written individual plan of care for each child with disabilities or special health care needs who requires special care be taken or provided while the child is at the family child care home. Such plan shall be developed with the child’s parent(s) and health care provider at intake, implemented and updated as necessary. Such plan shall include appropriate care of the child in the event of a medical or other emergency and shall be signed by the provider, parent(s) and any approved staff members responsible for the care of the child.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-10(f)(1)] · Infants under 12 months shall be placed to sleep 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.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-13] · The provider, assistant, emergency caregiver or substitute shall allow the Office of Early Childhood immediate access during customary hours to the facility named on the license whenever the Office of Early Childhood seeks to perform an inspection. The provider or substitute shall allow the Office of Early Childhood to inspect, upon request, any records required to be maintained.

Corrected Corrected by Feb 28, 2022

Category: recordkeeping. Marked corrected in the state record.

[19a-87b-17(b)(1) and/or 19a-87b-17(b)(2)] · Prior to the administration of any medication other than nonprescription topical medications, the provider and any substitute(s) who are responsible for administering the medications shall be trained in the methods of administration of medications and in the specific route by which the medication will be administered and shall receive written approval from the trainer indicating that the trainee has successfully completed such training. A provider or substitute trained and approved to administer medication shall be present whenever a child who has orders to receive medication is enrolled and present at the family child care home. Training approval documents and outline shall be maintained on site at the family child care home.

Corrected Corrected by Feb 28, 2022

Category: ratio. Marked corrected in the state record.

[19a-87b-5(e)] · The provider shall care for no more than two (2) children under the age of eighteen months at one time, including the provider’s own children, except that the provider may care for up to six (6) children under the age of eighteen months when an approved assistant is present and assisting the provider.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-6(a)] · The provider shall have a copy of the regulations at the facility and shall have read and understood the family child care standards set forth in these regulations.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-8(a)-(b) and/or 19a-87b-8(d)] · The provider may have substitutes and assistants in the family child care home only after the intended staff member has been approved in writing by the Commissioner. All staff members shall have read and understood the regulations and shall be familiar with the operating procedures of the family child care home. Assistants shall maintain current first aid certification and substitutes shall maintain current first aid and CPR certification.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-9(b)] · The facility and equipment shall be in good repair, and reasonably free from anything that may be potentially dangerous to children.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-9(c)] · All potentially harmful substances and materials shall be inaccessible to children.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-9(f)(2) and/or 19a-87b-9(f)(4)] · When there is a swimming pool or any other bodies of water at the facility or near enough to the facility to attract or be accessible to children at any time of the year, there shall be a sturdy fence or barrier, four (4) feet high or higher, which totally and effectively bars access to the water by the children. All entries and exits through such fence or barrier shall have self-closing, self-latching devices or locks. When an outside wall of the facility that serves as one side of the fence or barrier to the body of water has a doorway, such doorway shall remain locked. Shallow wading pools that are not fenced shall be emptied after each use and shall not collect water. Decorative ponds, fish ponds, fountains or similar bodies of water that do not have a fence or barrier, shall be completely covered with childproofing grate or other barrier to prevent access to children.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-10(b)(3)(A)] · For each child enrolled, the provider shall have on file and shall keep updated the parent's written permission and instructions specifying the name, address and telephone numbers of persons permitted to remove the child from the family child care home on behalf of the parent.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-10(c)] · The provider is responsible for ensuring that the physical needs of the children are adequately met while receiving family child care services.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-10(d)(3)] · The provider shall maintain in the family child care home a written individual plan of care for each child with disabilities or special health care needs who requires special care be taken or provided while the child is at the family child care home. Such plan shall be developed with the child’s parent(s) and health care provider at intake, implemented and updated as necessary. Such plan shall include appropriate care of the child in the event of a medical or other emergency and shall be signed by the provider, parent(s) and any approved staff members responsible for the care of the child.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-10(f)(1)] · Infants under 12 months shall be placed to sleep 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.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-13] · The provider, assistant, emergency caregiver or substitute shall allow the Office of Early Childhood immediate access during customary hours to the facility named on the license whenever the Office of Early Childhood seeks to perform an inspection. The provider or substitute shall allow the Office of Early Childhood to inspect, upon request, any records required to be maintained.

Corrected Corrected by Feb 28, 2022

Category: recordkeeping. Marked corrected in the state record.

[19a-87b-17(a)(3)(A) and/or 19a-87b-17(a)(3)(B)] · The medication shall be stored in the original container and shall be appropriately labeled. The medication shall be stored away from food and inaccessible to children.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-17(b)(1) and/or 19a-87b-17(b)(2)] · Prior to the administration of any medication other than nonprescription topical medications, the provider and any substitute(s) who are responsible for administering the medications shall be trained in the methods of administration of medications and in the specific route by which the medication will be administered and shall receive written approval from the trainer indicating that the trainee has successfully completed such training. A provider or substitute trained and approved to administer medication shall be present whenever a child who has orders to receive medication is enrolled and present at the family child care home. Training approval documents and outline shall be maintained on site at the family child care home.

Corrected Corrected by Feb 28, 2022

Category: ratio. Marked corrected in the state record.

[19a-87b-5(e)] · The provider shall care for no more than two (2) children under the age of eighteen months at one time, including the provider’s own children, except that the provider may care for up to six (6) children under the age of eighteen months when an approved assistant is present and assisting the provider.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-6(a)] · The provider shall have a copy of the regulations at the facility and shall have read and understood the family child care standards set forth in these regulations.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-8(a)-(b) and/or 19a-87b-8(d)] · The provider may have substitutes and assistants in the family child care home only after the intended staff member has been approved in writing by the Commissioner. All staff members shall have read and understood the regulations and shall be familiar with the operating procedures of the family child care home. Assistants shall maintain current first aid certification and substitutes shall maintain current first aid and CPR certification.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-9(b)] · The facility and equipment shall be in good repair, and reasonably free from anything that may be potentially dangerous to children.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-9(c)] · All potentially harmful substances and materials shall be inaccessible to children.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-9(f)(2) and/or 19a-87b-9(f)(4)] · When there is a swimming pool or any other bodies of water at the facility or near enough to the facility to attract or be accessible to children at any time of the year, there shall be a sturdy fence or barrier, four (4) feet high or higher, which totally and effectively bars access to the water by the children. All entries and exits through such fence or barrier shall have self-closing, self-latching devices or locks. When an outside wall of the facility that serves as one side of the fence or barrier to the body of water has a doorway, such doorway shall remain locked. Shallow wading pools that are not fenced shall be emptied after each use and shall not collect water. Decorative ponds, fish ponds, fountains or similar bodies of water that do not have a fence or barrier, shall be completely covered with childproofing grate or other barrier to prevent access to children.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-10(b)(1)] · For each child enrolled, the provider shall maintain on file a current and complete enrollment form. This form shall be kept for one year after a child ceases to be enrolled in the family child care home.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-10(b)(2)(A)(v) and/or 19a-87b-10(l)] · For each child enrolled, the provider shall maintain on file a complete immunization record.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-10(b)(2)] · The provider shall have a complete and current general health record on file when the child begins attending the family child care home, signed and dated by a physician, physician assistant or advanced practice registered nurse. These records shall be returned to the parent when the child is withdrawn from the family child care home.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-10(b)(3)(A)] · For each child enrolled, the provider shall have on file and shall keep updated the parent's written permission and instructions specifying the name, address and telephone numbers of persons permitted to remove the child from the family child care home on behalf of the parent.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-10(b)(3)(B)] · For each child enrolled, the provider shall have on file and shall keep updated the parent's written permission and instructions specifying name, address and telephone numbers of emergency medical care provider for the children.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-10(c)(3)] · The provider, staff and children shall wash their hands with soap and water before eating, handling food and after toileting.

Corrected Corrected by Feb 28, 2022

Category: nutrition. Marked corrected in the state record.

[19a-87b-10(c)] · The provider is responsible for ensuring that the physical needs of the children are adequately met while receiving family child care services.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-10(f)(1)] · Infants under 12 months shall be placed to sleep 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.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-10(f)(3) and/or 19a-87b-10(f)(7)] · No potentially hazardous items 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. Bibs and garments with ties or hooks shall be removed from infants that are placed to sleep. No toys or objects shall be attached to sleeping or rest equipment. 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.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-17(b)(1) and/or 19a-87b-17(b)(2)] · Prior to the administration of any medication other than nonprescription topical medications, the provider and any substitute(s) who are responsible for administering the medications shall be trained in the methods of administration of medications and in the specific route by which the medication will be administered and shall receive written approval from the trainer indicating that the trainee has successfully completed such training. A provider or substitute trained and approved to administer medication shall be present whenever a child who has orders to receive medication is enrolled and present at the family child care home. Training approval documents and outline shall be maintained on site at the family child care home.

Corrected Corrected by Feb 28, 2022

Category: ratio. Marked corrected in the state record.

[19a-87b-5(e)] · The provider shall care for no more than two (2) children under the age of eighteen months at one time, including the provider’s own children, except that the provider may care for up to six (6) children under the age of eighteen months when an approved assistant is present and assisting the provider.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-5(j)] · The applicant or provider shall notify the Commissioner in writing within five (5) working days of any change in circumstances which alters or affects the provision of family child care services.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-6(a)] · The provider shall have a copy of the regulations at the facility and shall have read and understood the family child care standards set forth in these regulations.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-8(a)-(b) and/or 19a-87b-8(d)] · The provider may have substitutes and assistants in the family child care home only after the intended staff member has been approved in writing by the Commissioner. All staff members shall have read and understood the regulations and shall be familiar with the operating procedures of the family child care home. Assistants shall maintain current first aid certification and substitutes shall maintain current first aid and CPR certification.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-9(b)] · The facility and equipment shall be in good repair, and reasonably free from anything that may be potentially dangerous to children.

Corrected Corrected by Feb 28, 2022

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

[19a-87b-9(c)] · All potentially harmful substances and materials shall be inaccessible to children.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-9(d)(4)(D)] · Every stairway shall have a sturdy handrail with no areas in which a child may fall through, shall provide safe passageway and be maintained free of obstructions. There shall be a gate or other structure in place that may be hung, drawn or lowered at the entry of stairways accessible to children to prevent falls.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-9(d)(7)] · Family child care homes that utilize combustible fuel shall be equipped with at least one operable carbon monoxide (CO) detector on each occupied level of the home. CO detectors shall comply with the Underwriters Laboratories Standards for Safety and shall be operated in accordance with the manufacturer’s instructions.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-9(f)(2) and/or 19a-87b-9(f)(4)] · When there is a swimming pool or any other bodies of water at the facility or near enough to the facility to attract or be accessible to children at any time of the year, there shall be a sturdy fence or barrier, four (4) feet high or higher, which totally and effectively bars access to the water by the children. All entries and exits through such fence or barrier shall have self-closing, self-latching devices or locks. When an outside wall of the facility that serves as one side of the fence or barrier to the body of water has a doorway, such doorway shall remain locked. Shallow wading pools that are not fenced shall be emptied after each use and shall not collect water. Decorative ponds, fish ponds, fountains or similar bodies of water that do not have a fence or barrier, shall be completely covered with childproofing grate or other barrier to prevent access to children.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-9(h)] · The water temperature at the tap shall be within a range of sixty degrees Fahrenheit to one hundred twenty degrees Fahrenheit.

Corrected Corrected by Feb 28, 2022

Category: other. Marked corrected in the state record.

[19a-87b-9(m) and/or 19a-87b-9(n)] · The provider shall have at least one portable, readily accessible first aid kit where children are in care, including field trips. Each kit shall be a closed container for storing first aid supplies, accessible to the provider and substitute at all times but out of the reach of children. First aid kits shall contain required supplies and shall be restocked after use.

Corrected Corrected by Feb 28, 2022

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