Cal. Code Regs. Tit. 22, § 101626.1 - Child Care Center for Mildly Ill Children-Daily Inspection for Illness
(a) Notwithstanding
Section 101226.1, the following shall
apply:
(b) Upon arrival each day at
the center, each child shall have a daily inspection for illness to determine
if the child is appropriate for placement in the center.
(1) A qualified staff person shall perform
and document the completion of the daily inspection for illness.
(A) A qualified staff person for a Level I
center shall be a director as specified in Sections
101615(a) and
(b), or a teacher as specified in Sections
101616.2(a) and
(b).
(B) A qualified staff person for a Level II
center shall be a licensed health professional.
(2) As part of the daily inspection for
illness, a child's body temperature shall be determined by using a thermometer
with a disposable plastic (Probe) cover.
(3) The licensee shall require the child's
authorized representative to remain in the center until the daily inspection
for illness is completed and the child is accepted for
care.
(c) The licensee
shall develop and implement a written procedure for completing daily
inspections for illness, which shall include developing a form to document that
a daily inspection for illness has been completed prior to a child's acceptance
for care.
(d) This subchapter shall not be interpreted
to require the exclusion of a child with a chronic condition protected under
the Americans With Disabilities Act of 1990 (42 U.S. Code Section
12101 et seq.) unless the child
also has a condition/symptom/illness as specified in Sections
101626.1(e), (g) and
(h) that would independently exclude the
child from care in a center.
(e)
Except as specified in Section
101626.1(f), the
licensee shall not accept or retain for care any child with any of the
following conditions/symptoms/illnesses or combination thereof:
(1) Body temperature of 102 F (38.9 C) (oral)
or 103 F (39.4 C) (rectal or by ear) or 101 F (38.3 C) (axillary), or higher.
(A) For an infant two months of age or under,
body temperature of 101.5 F (38.6 C) (rectal or by ear) or
higher.
(2) Rapid or
labored breathing.
(3) Body
temperature of 101 F (38.3 C) (oral) or 102 F (38.9 C) (rectal or by ear) or
100 F (37.8 C) (axillary), or higher, with stiff neck, lethargy, irritability
or persistent crying.
(4) Asthmatic
with upper respiratory infection and coughing that are interfering with the
child's ability to drink, talk or sleep.
(5) Undiagnosed acute rash of two weeks or
less in duration.
(6) Yellowing of
the eyes or skin.
(7) Abdominal
pain that is persistent or intermittent.
(8) Vomiting three or more times, or lasting
over a six-hour period, or with signs of dehydration.
(9) Diarrhea (that is, five or more stools in
an eight-hour period or an increased number of stools compared to the child's
normal pattern, and with increased stool water and/or decreased form), in
addition to one or more of the following:
(A)
Signs of dehydration (for example, no urine produced for an eight-hour
period).
(B) Blood or mucus in the
stool unless a physician determines that at least one stool culture
demonstrates absence of shigella, salmonella, campylobacter, pathogenic E. coli
or other pathogens.
(C) Persistence
beyond three days.
(10)
Severe lethargy.
(11) Open lesions
of the skin or mucous membranes.
(12) Other conditions as may be determined by
a qualified staff person on an individual basis.
(f) A Level I or Level II center may accept a
child with any of the conditions/symptoms/illnesses as specified in Section
101626.1(e) if
the licensee has obtained a written health clearance stating that the child has
been diagnosed and reexamined; and is not contagious or a health risk to the
child or other children in care.
(1) The
written health clearance, which shall be kept in the child's record, shall be
obtained from a physician or other health professional working under the
supervision of a physician.
(2) A
licensee may accept a child for care under Section
101626.1(f) upon
the verbal approval of a physician or other health professional working under
the supervision of a physician if the required written health clearance is
obtained within 24 hours.
(A) Receipt of
verbal approval as specified in Section
101626.1(f)(2)
shall be recorded immediately in the child's record. The notation shall include
the name of the physician or other health professional who gave the verbal
approval, the date and time the verbal approval was given, and the name of the
qualified staff person who made the notation.
(g) The licensee shall not accept or retain
for care any child with any of the following conditions/symptoms/illnesses
except as specified:
(1) Diarrhea due to
confirmed shigella, salmonella or giardia except as specified in Section
101626.1(i).
(2) Contagious stages of chicken pox or mumps
except as specified in Section
101626.1(j).
(h) The licensee shall not, under any
circumstances, accept or retain for care any child with any of the following
conditions/symptoms/illnesses:
(1) Diarrhea
due to campylobacter or cryptosporidium.
(2) Contagious stages of measles, rubella,
pertussis, diphtheria or tuberculosis.
(3) Untreated infestation (such as head lice,
scabies).
(i) A Level II
center may accept a child with diarrhea due to confirmed shigella, salmonella
or giardia 24 hours after treatment has been initiated if prior approval is
obtained from the Department and the following conditions are met:
(1) In addition to Section
101626.1(b),
prior to accepting the child the licensee shall obtain documentation from a
physician or other health professional working under the supervision of a
physician stating that, based on his/her knowledge of the isolation and
separation procedures specified below, the child has been diagnosed and poses
no serious health risk to the child or other children in care. This
documentation shall be kept in the child's record.
(A) Verbal approval, with written follow-up,
shall be acceptable if the procedures specified in Section
101626.1(f)(2)
are followed.
(2) The
licensee shall provide care for children with each illness in a specific area
of a room or a room that is physically separate from those used by children
with other illnesses.
(A) In addition to
separate rooms, physical separation shall include, but not be limited to,
moveable partitions and accordian wall dividers.
(3) Each separate area/room shall include:
(A) Separate toilet and handwashing
facilities.
(B) Separate equipment
and toys.
(C) Notwithstanding
Section 101561(d), staff
assigned exclusively to the care of children in each
area/room.
(j) A Level II center may accept a child in
the contagious stages of chicken pox or mumps if prior approval is obtained
from the Department and the following conditions are met:
(1) In addition to Section
101626.1(b),
prior to accepting the child the licensee shall obtain documentation from a
physician or other health professional working under the supervision of a
physician stating that, based on his/her knowledge of the isolation and
separation procedures specified below, the child has been diagnosed and poses
no serious health risk to the child or other children in care. This
documentation shall be kept in the child's record.
(A) Verbal approval, with written follow-up,
shall be acceptable if the procedures specified in Section
101626.1(f)(2)
are followed.
(2) The
child shall be isolated from children with other illnesses and cared for in a
separate room with children having the same illness.
(A) Children with chicken pox and mumps shall
not be cared for simultaneously in the same isolation room.
(3) Each isolation room shall include:
(A) A separate door to the outside of the
center.
(B) Floor-to-ceiling
walls.
(C) A separate ventilation
system, preferably a positive airflow system.
(D) Separate toilet and handwashing
facilities.
(E) Separate equipment
and toys.
(F) Notwithstanding
Section 101561(d), staff
assigned exclusively to the care of children in each isolation
room.
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).
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).
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.