(a) Each child care
center shall have a written plan that sets forth the steps to follow in the
event of a child medical emergency. The plan shall be reviewed with all staff
annually and whenever the plan is revised. This plan shall give the procedures
to be followed to ensure that any child who becomes ill or is injured and
requires medical attention while in care at the center receives appropriate
medical attention. The following information shall be included in the center's
emergency medical care plan:
(1) The name of
the person and at least one alternate, responsible for carrying out that plan
of action, ensuring that appropriate medical care is given, and determining
which of the following is needed:
(A) first
aid given at the center for an injury or illness needing only minimal
attention; and
(B) calling 911 in
accordance with CPR or First Aid training recommendations.
(2) The name of the person and one alternate,
at the center responsible for:
(A) ensuring
that the signed authorization described in Paragraph (d) of this Rule is taken
with the ill or injured child to the medical facility;
(B) accompanying the ill or injured child to
the medical facility;
(C) notifying
a child's parents or emergency contact person about the illness or injury and
where the child has been taken for treatment;
(D) obtaining substitute staff, if needed, to
maintain required staff/child ratio and adequate supervision of children who
remain in the center; and
(3) A statement giving the location of the
telephone located on the premises available for use in case of emergency. A
telephone located in an office in the center that is sometimes locked during
the time the children are present shall not be designated for use in an
emergency.
(b) One
person identified as the person or alternate responsible for carrying out the
emergency medical care plan and ensuring that appropriate medical care is given
shall:
(1) be on the premises at all times;
and
(2) accompany children for
off-premises activities.
(c) Emergency medical care information shall
be on file for each child. That information shall include:
(1) the name, address, and telephone number
of the parent or other person to be contacted in case of an
emergency;
(2) the responsible
party's choice of health care professional;
(3) any chronic illness and any medication
taken for that illness; and
(4) any
other information that has a direct bearing on ensuring safe medical treatment
for the child.
This emergency medical care information shall be on file in
the center on the child's first day of attendance and shall be updated as
changes occur and at least annually.
(d) Each child's parent, legal guardian, or
full-time custodian shall sign a statement authorizing the center to obtain
medical attention for the child in an emergency. That statement shall be on
file on the first day the child attends the center. It shall be easily
accessible to staff so that it can be taken with the child whenever emergency
medical treatment is necessary.
(e)
The child care provider shall complete an incident report each time a child is
injured as a result of an incident occurring while the child is in care. This
incident report shall include:
(1) facility
identifying information;
(2) the
child's name;
(3) date and time of
the incident;
(4) witness to the
incident;
(5) time the parent is
notified of the incident and by whom;
(6) piece of equipment involved, if
applicable;
(7) cause of injury, if
applicable;
(8) type of injury, if
applicable;
(9) body part injured,
if applicable;
(10) where the child
received medical treatment, if applicable;
(11) description of how and where the
incident occurred, and the First Aid received; and
(12) steps taken to prevent reoccurrence.
This report shall be signed by the person completing it and
by the parent, a copy given to the parent or the parent declining a copy and
the report maintained in the child's file. A copy of the form may be found on
the Division's website at
http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf.
(f) When
medical treatment is required by a health care professional, community clinic,
or local health department as a result of an incident occurring while the child
is in care, a copy of the incident report shall be mailed to a representative
of the Division within seven calendar days after the incident.
(g) An incident log shall be completed any
time an incident report is completed. This log shall:
(1) include the name of the child;
(2) include the date of the
incident;
(3) include the date the
incident report was submitted to the Division, if applicable;
(4) include the name of the staff member who
complete the incident report;
(5)
be cumulative and maintained in a separate file; and
(h) A First Aid
information sheet shall be posted in a place for referral. The information
sheet shall include first aid guidance regarding burns, scalds, fractures,
sprains, head injuries, poisons, skin wounds, stings and bites. An information
sheet may be requested free of charge from the North Carolina Child Care Health
and Safety Resource Center at 1-800-367-2229.
Notes
10A
N.C. Admin. Code 09 .0802
Authority
G.S.
110-85;
110-91(1),(9);
143B-168.3;
Eff.
January 1, 1986;
Amended Eff. July 1, 2010; July 1, 1998; January
1, 1996; October 1, 1991; November 1, 1989;
Readopted Eff. October
1, 2017;
Amended Eff. February 1, 2021; September 1,
2019.
Authority
G.S.
110-85;
110-91(1),(9);
143B-168.3;
Eff.
January 1, 1986;
Amended Eff. July 1, 2010; July 1, 1998; January 1,
1996; October 1, 1991; November 1, 1989.
Readopted
byNorth
Carolina Register Volume 32, Issue 09, November 1, 2017 effective
10/1/2017.
Amended Eff. September 1,
2019.
Amended by
North
Carolina Register Volume 35, Issue 17, March 1, 2021 effective
2/1/2021.