In the case of medication that needs to be given on an ongoing, long-term basis, the authorization and consent forms for children under the age of 5 years of age must be reauthorized at least once every six months. Any changes in the medication authorization related to dosage, time or frequency of administration shall require a program to obtain new instructions written by the licensed authorized prescriber. All other changes to the original medication authorization require a change in the prescription.

418-1.11(f)(21) · Corrected Nov 4, 2025

The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by child care center staff; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;

418-1.15(c)(6) · Corrected Nov 4, 2025

Children cannot be left without competent supervision at any time. Competent supervision includes awareness of and responsibility for the ongoing activity of each child. It requires that all children be within a teacher's range of vision and that the teacher be near enough to respond when redirection or intervention strategies are needed. Competent supervision must take into account the child's age emotional, physical, and cognitive development.

418-1.8(a) · Corrected Nov 4, 2025

Any abuse or maltreatment of a child is prohibited. A day care center must prohibit and may not tolerate or in any manner condone an act of abuse or maltreatment by an staff, volunteer or any other person. An abused child or maltreated child means a child defined as an abused child or maltreated child pursuant to Section 412 of the Social Services Law.

418-1.10(a) · Not corrected

The program must immediately contact 911 after administration of epinephrine;

418-1.11(h)(5)(vii) · Corrected Nov 3, 2025

Staff must take steps to prevent a child's exposure to the foods to which the child is allergic.

418-1.12(an) · Corrected Nov 3, 2025

Staff must be aware of each child's special health care needs identified in the child's individual health care plan. This includes, but is not limited to, allergies, disabilities and medical conditions.

418-1.11(b)(13) · Corrected Nov 3, 2025

The program must immediately notify the parent and Office upon learning of the following events involving a child which occurred while the child was in care at the program or was being transported by the program: serious incident,

418-1.15(b)(14)(ii) · Corrected Nov 3, 2025

Pursuant to New York Public Health Law Section 2500-h, the program must comply with the anaphylaxis policy jointly issued by the Office and the New York State Department of Health and any amendments thereto. The program must notify the parent of any child in care of the anaphylaxis policy when the child is enrolled and annually thereafter. Notification shall include contact information for parents to engage further with the program to learn more about individualized aspects of the anaphylaxis policy.

418-1.5(ad) · Corrected Nov 3, 2025

In accordance with the provisions of Sections 413 and 415 of the Social Services Law, child care center staff must immediately report any suspected incidents of child abuse or maltreatment concerning a child receiving child care to the Statewide Central Register of Child Abuse and Maltreatment, or cause such a report to be made, when such staff have reasonable cause to suspect that a child coming before them in their capacity as child care center workers is an abused or maltreated child. This must be done in the following manner:

Upon termination or resignation of the director:

418-1.15(b)(23) · Corrected Sep 3, 2025

In accordance with the provisions of Sections 413 and 415 of the Social Services Law, child care center staff must immediately report any suspected incidents of child abuse or maltreatment concerning a child receiving child care to the Statewide Central Register of Child Abuse and Maltreatment, or cause such a report to be made, when such staff have reasonable cause to suspect that a child coming before them in their capacity as child care center workers is an abused or maltreated child. This must be done in the following manner:

418-1.10(c) · Corrected Jul 23, 2025

The program must take suitable precautions to prevent the following: serious injury of a child while in care at the program or being transported by the program; and

418-1.5(a)(1)(i) · Corrected Jul 23, 2025

Children cannot be left without competent supervision at any time. Competent supervision includes awareness of and responsibility for the ongoing activity of each child. It requires that all children be within a teacher's range of vision and that the teacher be near enough to respond when redirection or intervention strategies are needed. Competent supervision must take into account the child's age emotional, physical, and cognitive development.

418-1.8(a) · Corrected Jul 23, 2025

The child day care center must employ staff who will promote the physical, intellectual, social, cultural and emotional well-being of the children.

418-1.8(b) · Corrected Jul 23, 2025

The licensee must prepare a health care plan on forms furnished by the Office. Such plan must protect and promote the health of children. The health care plan must be on site, followed by all staff and available upon demand by a parent or the Office. In those instances in which the program will administer medications, the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are:

Barriers must exist to prevent children from gaining access to unsafe areas. Such areas include, but are not limited to, swimming pools, drainage ditches, wells, ponds, or other bodies of open water, holes, wood and coal burning stoves, fireplaces, pellet stoves, permanently installed gas space heaters, or any other unsafe area.

418-1.5(f) · Corrected Dec 5, 2023

Peeling or damaged paint or plaster must be repaired.

418-1.3(h) · Corrected Dec 5, 2023

Adequate means of egress must be provided. Children may be cared for only on such floors as are provided with readily accessible alternate means of egress to other floors, in the case of fire-resistant buildings, and to the outside in the case of non-fire-resistant buildings.

418-1.4(f) · Corrected Dec 5, 2023

All corridors, aisles, and approaches to exits must be kept unobstructed at all times.

418-1.4(f)(2) · Corrected Dec 5, 2023

Suitable precautions must be taken to eliminate all conditions in areas accessible to children which pose a safety or health hazard.

418-1.5(a) · Corrected Dec 5, 2023

Egress doors from the center must be able to be opened from the inside without using a key. Child protective door knob covers may not be used on egress doors.

418-1.5(s)(3) · Corrected Dec 5, 2023

The child day care center must report to the Office: Immediately upon learning of a change that affects those portions of the building and property in which the program is operating or which are used for the children's egress in the case of emergency;

418-1.15(b)(12)(i) · Corrected Dec 5, 2023

The parent of a child receiving care must have: the right to inspect all parts of the building used for child day care or which could present a hazard to the health or safety of the child whenever the parent requests at any time during the hours of operation of the child day care center;

418-1.15(b)(8)(ii) · Corrected Aug 11, 2023