Cal. Code Regs. Tit. 22, § 101626 - Child Care Centers for Mildly Ill Children-Health-Related Services
(a) In addition to Section
101226, and notwithstanding Section
101226(a), the
following shall apply:
(b) If the
child's illness or injury worsens to the point that it exceeds the maximum level of
care specified in the admission policies and for which the center is licensed, the
licensee shall immediately notify the child's authorized representative and require
the authorized representative to remove the child from the center.
(1) Notification of the authorized representative
shall be recorded in the child's record and shall include the date and time of
notification and the name of the qualified staff person making the
notification.
(c) A written
plan of care shall be developed for each child and shall be updated daily.
(1) This plan shall be completed with the
assistance of the child's authorized representative; shall be signed and dated by
the authorized representative; and shall be maintained in the child's
record.
(2) Each plan of care shall
include but not be limited to:
(A) Type and
frequency of observations of the child.
(B) Activity level.
(C) Dietary restrictions.
(D) Prescription and nonprescription medications
that the child must take while at the center.
(E) Special procedures associated with the child's
illness/injury, such as any relating to intake of food and liquid, stool and urine
output, or temperature. This requirement may be omitted when the nature of the
child's illness/injury warrants doing so.
(F) Developmental
activities.
(d)
Every center shall have provisions for continuing health consultation from a
physician or registered nurse with a current and active license issued by the
appropriate State of California licensing board. This health professional shall have
pediatric experience/training obtained within the last five years.
(1) Health consultation may be provided by a staff
member who is also a health professional as specified in Section
101626(d), as part of
his/her staff duties; or by an outside consultant as specified in Section
101626(d).
(2) Health consultation shall include developing
written plans and procedures and, if necessary, forms for the following, all of
which shall be maintained at the center:
(A)
Admissions criteria, center operating policies and procedures, daily inspection
procedures, procedures for the surveillance of communicable diseases, and plans for
the care of individual children.
(B)
Liaison with local health departments.
(C) Recordkeeping and reporting of accidents and
illnesses involving staff and children.
(D) Obtaining emergency health care, including
provisions for listing emergency telephone numbers.
(E) Administration, handling and storage of
medications.
(F) Emergency first-aid
procedures and assurance of the availability of staff trained in such
procedures.
(G) Establishment of an
isolation area and development of related procedures.
(H) Provision of continuing health-care services
to children in attendance who do not already have access to such services, which may
include making referrals to community resources.
(I) Provision of staff training as specified in
Section 101616.2.
(3) If health consultation is provided by an
outside consultant, a written contract or letter of agreement between the consultant
and the center shall be prepared. This documentation shall be maintained in the
center's files.
(4) Each center shall
maintain in its files each health consultant's name, address, telephone number, area
of specialization and evidence of qualifications.
(A) Evidence of qualifications shall include, but
not be limited to, verification of licensure required in Section
101626(d) as
demonstrated by the following:
1. A photocopy of
the license; and
2. Documentation of
written or verbal contact with the appropriate State of California licensing board
to verify licensure status.
(5) Health consultation shall occur quarterly or
more often, if necessary, and not less than semiannually.
(A) After each consultation, the consultant shall
prepare a written report of his/her findings and recommendations. These reports
shall be maintained in the center's files.
(B) If consultation is not necessary during a
quarter, a notation explaining why shall be made in the center's
files.
(e) The
licensee shall maintain the most current edition of a manual on the identification
and control of communicable diseases.
(1) This
manual shall be either the American Academy of Pediatrics' Report of the Committee
on Infectious Diseases (Red Book) or another manual approved by the health
consultant prior to use.
Notes
2. Change without regulatory effect amending section heading and section filed 10-26-98 pursuant to section 100, title 1, California Code of Regulations (Register 98, No. 44).
3. Editorial correction of subsection (a) (Register 2002, No. 39).
Note: Authority cited: Section 1596.81, Health and Safety Code. Reference: Sections 1596.72, 1596.73 and 1596.81, Health and Safety Code.
2. Change without regulatory effect amending section heading and section filed 10-26-98 pursuant to section 100, title 1, California Code of Regulations (Register 98, No. 44).
3. Editorial correction of subsection (a) (Register 2002, No. 39).
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