049-8 Wyo. Code R. §§ 8-6 - Health Requirements for all Child Care Facilities
(a) Communicable
diseases
(i) No person with a communicable
disease, or being a carrier of such, that is listed on the Wyoming Department
of Health (WDH) Reportable Disease and Condition List shall work in a childcare
facility, unless:
(A) They have been declared
non-infectious to others by a licensed physician, physician assistant (PA), or
nurse practitioner (NP); or
(B)
Approval has been given by the local or State Department of Health; or
(I) In the case of Hepatitis B, Hepatitis C,
or HIV the infected individual has received bloodborne pathogen training and
has been determined to be of negligible risk to other persons during the
routine care of children by a licensed physician and the facility director;
or
(II) In the case of a sexually
transmitted disease the infected individual has been determined to be of
negligible risk to other persons during the routine care of children by a
licensed physician, physician assistant, or nurse
practitioner.
(ii) No person shall work in a child care
facility while they are experiencing any of the following:
(A) Skin infection or rash unless the lesion
can be completely covered and drainage contained by an impervious dressing, all
other persons are prevented from having contact with the lesion, and the
affected person can practice adequate hand hygiene; or the condition is due to
a non-infectious condition as verified by a licensed physician, PA, or
NP.
(B) Jaundice unless due to a
non-infectious condition as verified by a licensed physician, PA, or
NP.
(C) Purulent
conjunctivitis
(D) Head lice, until
after first treatment.
(E) Scabies,
until treatment is completed.
(iii) No person shall work in a child care
facility if exclusion is directed by state or local public health
officials.
(iv) Exclusion of
children:
(A) Any child who cannot participate
in a regular child care program due to discomfort, injury or other symptoms of
illness may be refused for care by the facility staff.
(B) A facility serving well children may not
admit a child who has any of the illnesses/symptoms of illness specified below:
(I) A communicable disease, or being a
carrier of such, that is listed on the Wyoming Department of Health (WDH)
Reportable Disease and Condition List, unless:
(1.) They have been declared non-infectious
to others by a licensed physician, physician assistant (PA), or nurse
practitioner (NP); or
(2.) Approval
has been given by the local or state department of health; or
(3.) In the case of Hepatitis B, Hepatitis C,
or HIV the infected individual has been determined to be of negligible risk to
other persons in routine childcare settings by a licensed physician and the
facility director.
(II)
Diarrhea, when it is:
(1.) Due to disease
spread by fecal contamination as verified by a licensed physician, PA, or NP;
or
(2.) Accompanied by evidence of
dehydration or fluid loss, identified by sunken eyes or poor skin elasticity;
or
(3.) Accompanied by a history of
poor fluid intake or unusual drowsiness; or
(4.) Continued beyond four (4) days unless a
physician provides written documentation that it is safe to readmit the child
for care.
(III) Severe
pain or discomfort;
(IV) Two (2) or
more episodes of acute vomiting within a period of twenty-four (24)
hours;
(V) Difficult or rapid
breathing;
(VI) Yellowish eyes or
skin unless due to a non-infectious condition as verified by a licensed
physician, PA, or NP;
(VII) Sore
throat with a fever over 101 degrees or severe coughing;
(VIII) Head lice, until after first
treatment;
(IX) Scabies, until
treatment is completed;
(X)
Children suspected of being in contagious stages of hepatitis A, chicken pox,
pertussis, measles, mumps, rubella or diphtheria;
(XI) Skin infection or rash, excluding diaper
rash, unless under the care of a licensed physician, PA, or NP, and the
licensed healthcare provider has approved in writing their return to child
care;
(XII) Purulent
conjunctivitis;
(XIII) Swollen
joints or visibly enlarged lymph nodes, unless under the care of a licensed
physician, PA, or NP, and the licensed healthcare provider has approved in
writing their return to child care;
(XIV) Elevated oral temperature of 101
degrees or over, unless under the care of a licensed physician, PA, or NP, and
the licensed healthcare provider has approved in writing their return to child
care;
(XV) Blood in urine, unless
under the care of a licensed physician, PA, or NP, and the licensed healthcare
provider has approved in writing their return to child care;
(XVI) Mouth sores associated with drooling,
unless under the care of a licensed physician, PA, or NP, and the licensed
healthcare provider has approved in writing their return to child
care;
(XVII) Other conditions as
may be determined by the Wyoming Department of Health (WDH) or provider on an
individual basis.
(C) The
parent shall be notified immediately when a child has symptoms requiring
exclusion from care. The child care facility must provide adequate separation
and direct supervision of a sick child until he/she can be removed from the
facility.
(D) If a child or
employee becomes seriously or suspiciously ill with a communicable disease
during the hours of operation of the facility, he/she shall be separated, and
children shall be supervised, from the rest of the children until he/she can be
removed from care and/or examined or treated by a licensed physician, PA, or NP
and verified to be non-infectious to others.
(E) A room or other area that can be used for
separation shall be provided at each facility for persons becoming ill or
suspected of being ill with a communicable disease, and it shall be equipped
with a cot or bed and bedding material that can be easily sanitized.
(F) When communicable diseases occur and
attendees or other staff have been exposed, all staff members shall be advised
and all parents or guardians of exposed children shall be immediately notified
by the provider to observe for symptoms; the specific identity of the persons
infected with a communicable disease shall not be revealed except to authorized
health authorities.
(G) Facilities
shall report any communicable disease listed on the Wyoming Department of
Health Reportable Diseases and Conditions list occurring to the children to the
local public health office and to licensing.
(H) Facilities shall obtain the current list
of reportable diseases and conditions from the office of the State
Epidemiologist, Wyoming Department of Health.
(I) Chronic upper respiratory problems,
except common allergies, shall require annual examinations by a
physician.
(J) Deteriorating health
conditions shall be brought to the attention of the certifying
authority.
Notes
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