10A N.C. Admin. Code 09 .0608 - PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA
(a) Each child care center licensed to care
for children up to five years of age shall develop and adopt policies to
prevent shaken baby syndrome and abusive head trauma prior to licensure. The
policy shall include the following:
(1) How
to recognize, respond to, and report the signs and symptoms of shaken baby
syndrome and abusive head trauma. Signs and symptoms include: irritability,
difficulty staying awake, difficulty breathing, inability to lift the head,
seizures, lack of appetite, vomiting, and bruises;
(2) Strategies to assist staff members in
coping with a crying, fussing, or distraught child;
(3) Strategies to assist staff members in
understanding how to care for infants;
(4) Strategies to ensure staff members
understand the brain development of children up to five years of age;
(5) A list of prohibited behaviors that shall
include, but not be limited to, shaking a child, tossing a child into the air
or into a crib, chair, or car seat, and pushing a child into walls, doors, and
furniture; and
(6) Resources to
assist staff members and families in preventing shaken baby syndrome and
abusive head trauma.
(b)
Within 30 days of adopting the policy, the child care center shall review the
policy with parents of currently enrolled children up to five years of age. A
copy of the policy shall be given and explained to the parents of newly
enrolled children up to five years of age on or before the first day the child
receives care at the center. The center shall obtain the parent's signature on
the statement acknowledging the receipt and explanation of the policy. The
acknowledgement shall contain the following and be maintained in the child's
file for review by the Division:
(1) The
child's name;
(2) The date the
child first attended the center;
(3) The date the operator's policy was given
and explained to the parent;
(4)
The parent's name;
(5) The parent's
signature; and
(6) The date the
parent signed the acknowledgment.
(c) If a child care center changes the policy
at any time, the child care center shall give written notice of the change to
the child's parent 14 days prior to the implementation of the new policy and
the parent shall sign a statement that attests that a copy of the new policy
was given to and discussed with him or her. The center shall obtain the
parent's signature acknowledging the receipt of the new policy and this
statement shall be maintained in the child's file for review by the
Division.
(d) Within 30 days of
adopting the policy, the child care center shall review the policy with
existing staff members who provide care for children up to five years of age.
Each child care center shall review the policy with new staff members prior to
the individual providing care to children. The acknowledgement of this review
shall contain:
(1) the individual's
name;
(2) the date the center's
policy was given and explained to the individual;
(3) the individual's signature; and
(4) the date the individual signed the
acknowledgment.
The child care center shall retain the acknowledgement in the staff member's file.
(e) If a child care center changes the policy
at any time, the child care center shall review the revised policy with staff
members 14 days prior to the implementation of the new policy. The individual
shall sign a statement that attests that a copy of the new policy was given to
and discussed with him or her. This statement shall be kept in the staff
member's file.
Notes
Temporary Adoption Eff. September 23, 2016;
Eff. October 1, 2017.
Readopted by North Carolina Register Volume 32, Issue 09, November 1, 2017 effective
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