Or. Admin. R. 414-305-1010 - Illness
(1) A certified
child care center must observe and monitor each child upon their arrival at the
center and throughout the hours of care for symptoms of an illness and obvious
signs of infestation or physical injuries.
(a) A child's temperature is taken when there
is a concern.
(b) A child's
temperature is not taken rectally at any age.
(c) Mercury and glass thermometers are not
used.
(2) A certified
child care center must not accept a child into care who:
(a) Is diagnosed as having or being a carrier
of a child care restrictable disease, as defined in Oregon Health Authority
administrative rules, except with the written approval of the public health
administrator or licensed health care provider; or
(b) Has one or more of the following symptoms
of illness, except with the written approval of the public health administrator
or licensed health care provider:
(A) Fever
over 100.4°F. A child with a fever over 100.4°F may return if fever
free for 24 hours without the aid of medication.
(B) "Diarrhea", which means three or more
watery, bloody, or loose stools in 24 hours, the sudden onset of loose stools,
or a child is unable to control bowel function when previously able. A child
with diarrhea may return 48 hours after diarrhea resolves or with written
clearance from a licensed healthcare provider.
(C) Vomiting at least one time, where there
is no explanation for the vomiting. A child who vomits without explanation may
return 48 hours after the last episode of vomiting or with written clearance
from a licensed healthcare provider.
(D) Severe or persistent coughing. A child
with severe or persistent coughing may return after symptoms are improving for
24 hours or with written clearance from a licensed healthcare
provider.
(E) Unusual yellow color
to skin or eyes. A child with unusual yellow color to skin or eyes may return
to care with written clearance from a licensed healthcare provider.
(F) Open sores or wounds discharging bodily
fluids. A child with open sores or wounds discharging bodily fluids may return
to care after rash is resolved, when sores and wounds are dry or can be
completely covered with a bandage, or with written clearance from a licensed
health care provider.
(G) Stiff
neck and headache with one or more of the symptoms listed above;
(H) Uncharacteristic lethargy, decreased
alertness, increased irritability, increased confusion, or a behavior change
that prevents active participation in usual school activities. A child with any
of the above symptoms may return to care when symptoms resolve, return to
normal behavior, or with written clearance from a licensed health care
provider.
(I) Difficulty breathing
or abnormal wheezing. A child with difficulty breathing or abnormal wheezing
may return to care after symptoms are improving for 24 hours.
(J) Complaints of severe pain. A child with
complaints of severe pain may return to care after symptoms are
improving.
(K) Eye lesions that are
severe, weeping, or pus filled. A child with eye lesions that are severe,
weeping, or pus filled may return to care after symptoms resolve or with
written clearance from a licensed healthcare provider.
(3) If a child who has been
admitted into care shows signs of illness, as described in this rule, a
certified child care center must:
(a) Separate
the child from the other children in a location where the child can be seen and
heard by staff and carefully observed at all times.
(b) Notify the parent to remove the child
from the center as soon as possible.
(c) Until the parent arrives, provide the
child with an individual cot, mat, or bed that can be easily cleaned and
disinfected after use.
(d) Give
extra attention to handwashing and sanitation including cleaning and
disinfecting toys, equipment, and surfaces used by the ill child immediately
after the child leaves.
(e) Keep
disposable items and used linens in a closed container in the isolation area
until cleaned or thrown away.
(4) If any child, staff member or volunteer
has a restrictable disease, as defined in Oregon Health Authority, Public
Health Division Chapter 333, Division 19 Investigation and Control of Diseases:
General Powers And Responsibilities, a certified child care center must:
(a) Immediately report the incident or
illness to the local health department;
(b) Follow the health department's
recommendations on exclusion and readmission of children and staff;
and
(c) Post a notice for the
parents of all children who attend the center.
(5) A certified child care center must
develop a written care plan at the time of enrollment, or when an allergy is
identified, for each enrolled child who has an allergy that poses a threat to
the child's health, safety and wellbeing. The plan must include instructions
regarding the allergen and steps to be taken to avoid the allergen; signs and
symptoms of an allergic reaction; and a detailed treatment plan including the
names, doses, and methods of prompt administration of any medication in
response to allergic reactions. In addition:
(a) The parent must be notified immediately
of any suspected allergic reactions or if the child consumed or came in contact
with the allergen, even if a reaction did not occur;
(b) If epinephrine is administered, emergency
medical services must be contacted immediately, and, Office of Child Care must
be notified within 24 hours;
(c)
All staff involved in care of the child must be trained on the written care
plan;
(d) Specific food allergies
must be shared with all staff that prepare and serve food; and
(e) A list of each child's allergies should
be easily accessible for staff but not visible to those who are not parents or
guardians of the enrolled child.
Notes
Statutory/Other Authority: ORS 329A.260
Statutes/Other Implemented: ORS 329A.260
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