416.4(f) · Multi-purpose fire extinguishers of a type approved for use in residences must be maintained in good working condition and placed in the kitchen and outside the furnace room. A group family day care program located in a multiple family dwelling is not required to place or maintain a fire extinguisher outside the furnace room of such dwelling. The caregivers must know how to use the fire extinguishers placed in such home. Fire extinguishers with gauges must show a full charge. Fire extinguishers with seals must have unbroken seals.

Corrected Corrected by Jan 13, 2026

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

416.5(n)(5) · There must be a cushioned surface under all outside play equipment that present a fall hazard. Surfacing may not include concrete, asphalt, grass or hard compacted dirt.

Corrected Corrected by Jan 13, 2026

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

416.5(v) · Operating carbon monoxide detectors must be used in all group family day care homes when required, and located in areas of the home in accordance with applicable laws.

Corrected Corrected by Jan 13, 2026

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

416.11(c)(1) · 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 caregivers 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:

Corrected Corrected by Jan 13, 2026

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

416.12(s) · Heating infant formula, breast milk and other food items for infants in a microwave oven is prohibited.

Corrected Corrected by Jan 13, 2026

Category: nutrition. Marked corrected in the state record.

416.15(c)(13) · The program must maintain on file at the group family day care home, available for inspection: a daily schedule documenting the arrival and departure times of each caregiver, employees and volunteers;

Corrected Corrected by Jan 13, 2026

Category: recordkeeping. Marked corrected in the state record.

416.4(b)(1) · Evacuation drills must be conducted at least monthly during the hours of operation of the group family day care home.

Corrected Corrected by Jan 13, 2026

Category: ratio. Marked corrected in the state record.

416.4(c) · There must be an operational smoke detector on each floor of the home.

Corrected Corrected by Jan 13, 2026

Category: ratio. Marked corrected in the state record.

416.3(b) · Rooms that will be used by the children must be well-lighted and well-ventilated. Heating, ventilating and lighting equipment must be adequate for the protection of the health of the children.

Corrected Corrected by Nov 6, 2025

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

416.5(n)(5) · There must be a cushioned surface under all outside play equipment that present a fall hazard. Surfacing may not include concrete, asphalt, grass or hard compacted dirt.

Corrected Corrected by Nov 6, 2025

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

416.5(t) · The following items must be used and stored in such a manner that they are not accessible to children: handbags, backpacks or briefcases belonging to adults; plastic bags; and toys and objects small enough for children to swallow.

Corrected Corrected by Nov 6, 2025

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

416.7(j) · Children may not sleep or nap in car seats, baby swings, strollers, infant seats or bouncy seats. Should a child fall asleep in one of these devices, he or she must be moved to a crib/cot or other approved sleeping surface.

Corrected Corrected by Nov 6, 2025

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

416.7(n) · Cribs, bassinets and other sleeping areas for infants through 12 months of age must include an appropriately sized fitted sheet, and must not have bumper pads, toys, stuffed animals, blankets, pillows, wedges or infant positioners. Wedges or infant positioners will be permitted with medical documentation from the child's health care provider.

Corrected Corrected by Nov 6, 2025

Category: recordkeeping. Marked corrected in the state record.

416.11(c)(1) · 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 caregivers 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:

Corrected Corrected by Nov 6, 2025

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

416.15(c)(13) · The program must maintain on file at the group family day care home, available for inspection: a daily schedule documenting the arrival and departure times of each caregiver, employees and volunteers;

Corrected Corrected by Nov 6, 2025

Category: recordkeeping. Marked corrected in the state record.

416.3(c) · When care is provided, there must be sufficient light in the rooms where children are sleeping to allow supervision of and the safe movement and egress for the children.

Corrected Corrected by Aug 7, 2025

Category: supervision. Marked corrected in the state record.

416.11(c)(1) · 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 caregivers 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:

Corrected Corrected by Aug 7, 2025

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

416.11(f)(16) · Prescription medication labels must include the following information or be available through the licensed authorized prescriber on the form provided by the Office or equivalent form:

Corrected Corrected by Aug 7, 2025

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

416.11(f)(21) · 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.

Corrected Corrected by Aug 7, 2025

Category: ratio. Marked corrected in the state record.

416.12(n) · The program must obtain a written statement, from the parent of each infant in care, setting forth the breast milk, formula and feeding schedule instructions for the infant and must be updated as changes are made.

Corrected Corrected by Aug 7, 2025

Category: nutrition. Marked corrected in the state record.

416.15(c)(6) · The program must maintain on file at the group family day care home, available for inspection 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 caregivers; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;

Corrected Corrected by Aug 7, 2025

Category: ratio. Marked corrected in the state record.

416.15(c)(13) · The program must maintain on file at the group family day care home, available for inspection: a daily schedule documenting the arrival and departure times of each caregiver, employees and volunteers;

Corrected Corrected by Aug 7, 2025

Category: recordkeeping. Marked corrected in the state record.

416.6(l) · The program must openly display daily transportation schedules.

Corrected Corrected by Apr 7, 2025

Category: transportation. Marked corrected in the state record.

416.11(i)(7)(ii) · The use of hand sanitizers on children under the age of two (2) years is prohibited.

Corrected Corrected by Apr 7, 2025

Marked corrected in the state record.

416.14(c) · Each employee and volunteer must complete a minimum of thirty (30) hours of training every two years. The required 30 hours of training every two years is subject to the following conditions:

Corrected Corrected by Apr 7, 2025

Category: recordkeeping. Marked corrected in the state record.

416.14(c)(1) · The required 30 hours of training every two years is subject to the following conditions: Fifteen of the required thirty (30) hours of training must be obtained during the person's first six months at the program.

Corrected Corrected by Apr 7, 2025

Category: recordkeeping. Marked corrected in the state record.

416.14(f)(10) · The required state topics are: adverse childhood experiences, focused on understanding trauma and on nurturing resiliency.

Corrected Corrected by Apr 7, 2025

Marked corrected in the state record.

413.3(g)(3)(i) · The Office shall require the child day care program to immediately post upon receipt, in a prominent place at the program that is visible to parents, a copy of the most recent compliance history report issued to the program by the Office.

Corrected Corrected by Oct 22, 2024

Marked corrected in the state record.

416.5(b)(2) · The emergency evacuation diagram must be posted in a visible location.

Corrected Corrected by Oct 22, 2024

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

416.7(w) · Children must not watch television or other electronic visual media during meals.

Corrected Corrected by Oct 22, 2024

Category: nutrition. Marked corrected in the state record.

416.8(g)(2) · When the provider is absent for more than 3 consecutive days or has reason to be absent on a recurring basis, the Office must be notified in advance and the program must keep a written record of the caregiver present in place of the absent provider.

Corrected Corrected by Oct 22, 2024

Category: recordkeeping. Marked corrected in the state record.

416.11(b)(1)(ii) · The provider, assistant(s), and substitute(s), must each submit a medical statement on forms furnished by the Office or an approved equivalent from a health care provider: before such person has any involvement in child care work.

Corrected Corrected by Oct 22, 2024

Marked corrected in the state record.

416.11(c)(1) · 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 caregivers 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:

Corrected Corrected by Oct 22, 2024

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

416.14(m) · All child care programs must have at least one caregiver who holds a valid certification in cardiopulmonary resuscitation (CPR) and first aid on the premises of the child care program during the program's operating hours.

Corrected Corrected by Oct 22, 2024

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

416.15(b)(19) · Within five days of a household member turning eighteen (18) years of age or a person eighteen (18) years of age or older beginning to live in the residence, the program must:

Corrected Corrected by Oct 22, 2024

Marked corrected in the state record.

416.15(b)(20) · No person other than a caregiver may have unsupervised contact with a child in care at the program.

Corrected Corrected by Oct 22, 2024

Category: supervision. Marked corrected in the state record.

416.15(c)(5) · The program must maintain on file at the group family day care home, available for inspection daily attendance records that are filled out at the time a child arrives and departs, and must include arrival and departure times;

Corrected Corrected by Oct 22, 2024

Category: recordkeeping. Marked corrected in the state record.

416.15(c)(6) · The program must maintain on file at the group family day care home, available for inspection 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 caregivers; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;

Corrected Corrected by Oct 22, 2024

Category: ratio. Marked corrected in the state record.

416.15(c)(8) · The program must maintain on file at the group family day care home, available for inspection a medical statement regarding the health of all persons residing in the group family day care home, as required in section 416.11 of this Part;

Corrected Corrected by Oct 22, 2024

Category: recordkeeping. Marked corrected in the state record.

416.15(b)(19) · Within five days of a household member turning eighteen (18) years of age or a person eighteen (18) years of age or older beginning to live in the residence, the program must:

Corrected Corrected by Sep 5, 2024

Marked corrected in the state record.

416.15(c)(8) · The program must maintain on file at the group family day care home, available for inspection a medical statement regarding the health of all persons residing in the group family day care home, as required in section 416.11 of this Part;

Corrected Corrected by Sep 5, 2024

Category: recordkeeping. Marked corrected in the state record.

416.4(b)(1) · Evacuation drills must be conducted at least monthly during the hours of operation of the group family day care home.

Corrected Corrected by Dec 14, 2023

Category: ratio. Marked corrected in the state record.

416.4(b)(1) · Evacuation drills must be conducted at least monthly during the hours of operation of the group family day care home.

Corrected Corrected by Aug 29, 2023

Category: ratio. Marked corrected in the state record.

416.7(w) · Children must not watch television or other electronic visual media during meals.

Corrected Corrected by Aug 29, 2023

Category: nutrition. Marked corrected in the state record.

416.11(c)(1) · 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 caregivers 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:

Corrected Corrected by Aug 29, 2023

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