Foreword
LICENSING AUTHORITY
"The Child Care Facility Licensing Act", Act
20-78-210 -220, as amended, is the
legal authority under which the Division of Child Care and Early Childhood
Education prescribes minimum standards for a variety of child care facilities
under the Act.
Department Responsibility
The Division of Child Care and Early Childhood Education
(referred to hereafter as The Division) under the Department of Human Services
is directly responsible for the inspection and evaluation of all licensed homes
as defined in Section 101 of the Minimum Licensing Requirements for Child Care
Family Homes.
The Division has the power to establish rules, regulations, and
standards for licensing and operation of child care facilities. This includes
all powers with respect to granting, revocation, denial, and suspension of
licenses. Decisions regarding special situations shall be made on an individual
basis by the Division. Information regarding an appeal process is available
upon request.
The owner should be aware of any applicable city or county
zoning ordinances or codes or neighborhood covenants which may limit the number
of children in care or impose additional safety requirements. The Division will
share information on the location and status of licensed homes or applications
for a license with any city or county that requests this information.
The owner should be aware of applicable federal laws which may
affect the operation of the facility. Child care programs are among the public
accommodations that must comply with the Americans with Disabilities Act.
(ADA).
Under federal civil right laws, a facility may not discriminate
on the basis of race, color, sex, religion, national origin, physical or mental
handicap, or veteran status.
The Child Care Licensing Unit will notify the applicable
federal agency at any time they become aware of or are advised of violations of
the federal Civil Rights Act or the Americans with Disabilities Act.
Laws relevant to the operation of child care facilities
are available upon request.
Application of Requirements
In determining a recommendation for licensing the home shall be
reviewed by a Child Care Licensing Specialist to determine that the home is in
substantial compliance with the requirements.
Substantial Compliance means compliance with all essential
standards necessary to protect the health, safety and welfare of the children
attending the Child Care Family Home. Essential standards include but are not
limited to those relating to issues involving fire, health, safety, nutrition,
discipline, staff/child ratio and space.
LICENSING PROCEDURE
1.
Any applicant applying for a home license may contact the local Division Office
or Child Care Licensing Specialist to obtain information and/or the necessary
application and related forms.
2.
Upon receipt of a signed application the Child Care Licensing Specialist shall
schedule an appointment to inspect, evaluate, and make a recommendation for
consideration of license to the Division.
3. The Child Care Licensing Specialist shall
make unscheduled visits throughout the year to determine continued compliance
of standards and to offer consultation and technical assistance.
4. The license as issued shall apply only to
the home's location at the time of licensing. The licensee shall notify the
Child Care Licensing Specialist's office of a change of location or ownership
at which time a new study shall be conducted. Upon issuance of a license, the
license shall remain in effect as long as compliance is maintained with the
Minimum Licensing Requirements for Child Care Family Homes.
5. If the Division Staff (CCLS) finds that an
applicant meets the licensing requirements for a Child Care Family Home or has
a reasonable expectation of correcting deficiencies in a reasonable time, the
Child Care Licensing Specialist may recommend a provisional license for
operation of a child care facility to the Division. The provisional license
shall be in effect for a reasonable period, not to exceed twelve months. This
time frame shall be specified in the provisional license. A written list of
deficiencies shall be provided the applicant at the time of issuance of a
provisional license. A Licensing Specialist has 60 days to submit a
recommendation to the Division for a provisional license.
6. Upon final determination by the Division
of a suspension of a license, the Division shall specify in the suspension
order the period of the suspension. The suspension of a license may range from
one month to a maximum of twelve months. At the completion of the suspension
period the license may be reinstated if the Division finds that the terms of
the suspension order have been met.
7. The Division may revoke a license when any
of the following situations occur:
a. The
facility fails to maintain substantial compliance with licensing
requirements.
b. The facility fails
or refuses to correct cited deficiencies in a timely manner c. The facility
fails to insure the health, safety and welfare of children in care
The revocation of a license nullifies and cancels the license.
At the time of a final determination of revocation of the licensed by the
Division, the Division shall specify in the revocation order the terms of the
revocation. The licensee shall not be eligible to reapply for a license for a
minimum of one year or longer, if specified in the revocation order. Homes
wishing to be re-licensed must submit a new application for licensure for
review and approval by the Division. Approval must be obtained and a new
license issued before the home provides care to a licensable number of
children.
ALTERNATIVE COMPLIANCE
1. The Division may grant alternative
compliance with the Minimum Licensing Requirements for Child Care Family Homes
if the Division determines that the alternative form of compliance offers equal
protection of health, safety and welfare to children and meets the basic intent
of the requirement for which the alternative compliance is sought.
2. The Division shall consider all requests
for alternative compliance with the Licensing Requirements except those
requirements which are enforced by the Department of Health, Local Fire Marshal
or State Fire Marshal's Office.
3.
To request alternative compliance, the following procedure shall be initiated
by the person responsible for the operation of the home:
a. The applicant/licensee shall submit the
request for alternative compliance in writing
b. The request shall include:
-The specific standard for which alternative compliance is
sought
-An explanation of how the alternative form of compliance is
equal to or exceeds the stated requirement
-Full justification and description of what the alternative
compliance method will be and the method by which the facility will carry out
this plan to be able to continue to provide for the health, safety, and welfare
of children as intended by the requirement
-The applicant/licensee shall provide clear and supportive
evidence, and upon request of the Division, an expert's opinion on the effect
to the health, safety and welfare of children and how it will protect through
the alternative means of compliance
4. A separate written request shall be
submitted for each requirement for which alternative compliance is sought. The
approved alternative compliance is effective for the duration of the license
unless a shorter time frame is requested or approved.
5. The granting of alternative compliance for
a requirement shall in no way constitute a precedent. If an alternative means
of complying with the requirement is granted by the Division and the facility
fails to implement satisfactorily this alternate means, the original
requirement for which alternative compliance was sought shall become
immediately enforceable.
6. The
Division shall have the right to obtain an expert opinion to corroborate expert
opinions provided by the applicant/licensee.
7. The Division reserves the right to deny
requests for alternative compliance when it finds that such request does not
adequately protect the health, safety and welfare of children and does not meet
the intent of the requirements.
8.
All requests for alternative compliance shall be answered in writing by the
Division.
LICENSE FEE
1. A Child Care Family Home shall be assessed
a license fee of $15.00 per year.
2.
Upon review and determination by the Child Care Licensing Specialist of a
licensing recommendation to be presented to the Division, the Child Care
Licensing Specialist shall issue a Notice of License Fee Due to the
home.
3. The Division shall not
issue a license unless the required license fee has been paid.
4. A copy of the license fee notice shall be
submitted at the time of licensure recommendation.
5. A second notice of license fee due will be
sent to homes failing to submit the required license fee (Notice of License Fee
Past Due). This notice will be sent 20 days after the initial notice of fee
due. Failure to submit a license fee within 20 days of the receipt of the past
due notice will result in action to suspend the license until such time as the
fee is paid.
6. Refunds of license
fees paid are made only when the Division does not approve issuance of a
license. There shall be no refunds of license fees paid upon Division action to
revoke or suspend a license or for closure of a facility.
100
DEFINITION AND APPLICATION
101
Definition
1. A Child Care Family Home is defined as a
situation in which children are cared for in a caregiver's own family residence
or in some other suitable family type residence. There shall be no more than
one license issued per home/structure. (This does not apply to situations such
as a duplex where two licenses could be issued to two separate
applicants.)
2. A home requires
licensing when one (1) or more persons care for 6 or more children, from more
than one (1) family at the same time. A maximum of 16 children may be cared for
with a CCFH license.
3. An
individual shall be eligible to hold only one license, which shall be issued
for one location. The holder(s) of the license shall be considered the primary
caregiver(s) and shall be present and responsible for children during hours of
care. At least one of the licensees (primary caregivers) shall be present at
all times children are in care and shall not be otherwise employed during the
hours of care.
4. If a qualified
secondary caregiver is present, the primary caregiver may be absent for reasons
related to the operation of the childcare business such as attending required
training, and for brief and/or occasional absences relating to personal
business or personal time off.
5.
The caregiver's own preschool children shall be considered when determining the
need for a license. The caregiver's own school age children are not considered
when determining the need for a license. Other children in the home who are not
accompanied by a parent, whether pay is received for care or not, are
considered in determining the need for a license and will be counted in the
ratio after a license is obtained.
6. A Child Care Family Home, which is not
required to be licensed by this definition, may voluntarily choose to apply for
a license or for registration with the Voluntary Registry.
102
Application
The primary caregiver in the home shall submit the following to
complete the application process:
1. A
completed and signed application on a form provided by the Division, including
a diagram of the home.
2. Fire and
health approval (where applicable).
3. Verification of all required criminal
background checks and Central Registry checks being initiated.
4. All caregiver's names shall be included on
the application for the license.
103
Appeal of Licensing Actions
A licensee or applicant for license may request an appeal of
any of the following licensing actions:
* Adverse licensing actions (revocation or suspension of a
license, conversion to a provisional license or denial of an application for
license)
* Founded licensing complaints
* Denials of alternative compliance requests
* Cited noncompliance with the published standards
An appeal may be initiated on any of the above actions by
requesting an appeal in writing to the Licensing Specialist or Licensing
Supervisory Staff. Requests to appeal adverse licensing actions must be mailed
within ten (10) calendar days of the receipt of the notice of the adverse
action. Requests to appeal licensing actions, other than adverse, must be
mailed within twenty (20) calendar days from receipt of the notification of the
action. The request to appeal shall include a statement of the action(s) taken
by the Division and the reason(s) the licensee or applicant for license
disagrees with that action. The request to appeal will be reviewed by the
Licensing Supervisor and the Licensing Administrator. If the appeal is not
resolved to the satisfaction of the licensee or applicant for license, the
matter will be referred to the Child Care Appeal Review Panel for hearing.
(Additional information regarding the appeal procedures and the Child
Care Appeal Review Panel is available on request.)
104
Licensing Investigations
Child Care Licensing staff shall have access to licensed homes
for the purpose of conducting inspections, reviews, and complaint
investigations. Denial of access to the home or denial of the right to
interview children in care or other individuals present during hours of care
may result in adverse action against the license.
105
Child Maltreatment Record
Checks
1. The following persons shall
be required to have their background reviewed through an
Arkansas Child Maltreatment Central Registry Check:
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a. Each applicant to own or operate a licensed
home
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at application and every two years
thereafter
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b. All household members who are at least 18 years of
age
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application, upon residency, and every two years
thereafter
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c. Employees and applicants for employment in a
licensed home
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at application or within
10 days of hire and every two years
thereafter
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d. All volunteers who have access to children in the
home
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at application and every two years
thereafter
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2. The
Division has the authority to review and consider each true (founded) report of
child maltreatment received from the Central Registry. The Division shall
retain the authority to:
a. Deny an
applicant
b. Require corrective
action
c. Take appropriate adverse
action against the license
3. All caregiver(s) are mandated reporters
under the Child Abuse law. The caregiver(s) shall notify the Child Maltreatment
Hot Line number at 1-800-482 -5964 when there is a reason to believe that a
child has been abused or neglected. (AR Code Annotated 12-12-501 et
seq.)
4. If a complaint of child
maltreatment is filed against any employee or persons in the home, the Child
Care Licensing Unit shall evaluate the risk to children and determine the
suitability of the persons to supervise, be left alone with children or remain
in the home during hours of care until the allegations have been determined
true or unsubstantiated.
5. The
Child Care Family Home operator, any employees or other persons in the Home who
have had a true report of child maltreatment shall follow the corrective action
plan approved by the Child Care Licensing Unit. Corrective action measures may
vary from relevant training to reassignment or termination. Failure to comply
with corrective action plans can constitute grounds for adverse action against
the license.
106
Criminal Record Checks
1. The
following persons shall be required to have their background reviewed through
Criminal Records check conducted by the Arkansas State
Police:
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a. Each applicant to own or operate a licensed
home
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at application and every 5 years thereafter
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b. All household members who are 18 years of age or
older
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at application; upon residency and every 5 years
thereafter
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c. Employees and applicants for employment in a
licensed home
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within 10 days of hire and every 5 years
thereafter
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d. Volunteers who have supervisory/ disciplinary
control over children
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within 10 days and every 5 years thereafter
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2. The
following persons shall apply to the Identification Bureau of the Arkansas
State
Police for a nationwide criminal records check, to be conducted
by the FBI, which shall include a fingerprint check: (The individual is
responsible for the cost of the nationwide check.)
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a. Each applicant to own or operate a licensed
home
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initial application only
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b. Each employee who has not been a resident of the
State of Arkansas for the six preceding years
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within 10 days of hire
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c. Volunteers who have supervisory or disciplinary
control over children, or are left alone with children
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if the person has not been a resident of Arkansas for 6
years
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3. No
person shall be eligible to be a child care facility owner, operator, employee
or be present when children are in care if that person has pleaded guilty, or
been found guilty, of any of the following offenses:
1. Capital murder
2. 1 st/2nd degree murder
3. Manslaughter
4. 1 st/2nd degree battery
5. Aggravated assault
6. 1 st degree terroristic
threatening
7. Kidnapping
8. 1st degree false imprisonment
9. Permanent detention or restraint
10. lst/2nd degree rape or carnal
abuse
11. 1 st/2nd degree sexual
abuse
12. 1 st/2nd degree violation
of a minor
13. Incest
14. 1 st degree endangering of a
minor
15. Permitting child
abuse
16. Engaging children in
sexually explicit conduct for use in a visual or print medium, transportation
of minors for prohibited sexual conduct, use of a child or consent to use a
child in sexual performance, by producing, directing or promoting sexual
performance by a child
17. Criminal
attempt, criminal solicitation or criminal conspiracy to commit any of the
above named offenses
18.
Distribution to minors [of any controlled substance]
19. Manufacture, delivery, or possession with
intent to deliver, or manufacture any controlled substance
20. Carnal abuse in the third
degree
21. Sexual solicitation of a
child
22. Pandering or possessing
visual or print medium depicting sexually explicit conduct involving a
child
23. Negligent
homicide
24. Assault in the first
degree
25. Coercion
26. Sexual misconduct
27. Public sexual indecency
28. Indecent exposure
29. Endangering the welfare of a minor in the
second degree
30. Any felony or
misdemeanor involving violence or sexual misconduct
4. Any person who has pled guilty, nolo
contendere, or who has been found guilty of any one of the offenses listed
above may apply to the Division to demonstrate rehabilitation, if more than
five (5) years have passed since the person was released from confinement,
parole, or probation. (Time is counted from whatever release date is the most
recent.) The Division is authorized to determine whether rehabilitation is
sufficient for the person to be a child care owner, operator, or employee.
200
ADMINISTRATION
1. All employee,
children and home records shall be kept and made available to the Child Care
Licensing Unit on request.
2.
Falsification of any document or the submission of false information to the
Child Care Licensing Unit, or any other unit of the Division, may constitute
grounds for revocation of the license. (Falsification means the submission of
untrue information, whether by statement or omission.)
3. All applicable health and fire regulations
shall be met (see Section 302.2).
4. The home shall not exceed its licensed
capacity at any time (see Section 302.2).
5. The caregiver shall provide prudent
supervision of all staff and other persons in the home, and is responsible for
the health, welfare, and safety of the children in care.
300
PERSONNEL
301
Caregiver Qualifications and
Responsibilities
1. The primary
caregiver shall be twenty-one (21) years or older. A secondary caregiver shall
be age eighteen (18) years or older.
2. Primary caregivers, newly licensed after
November 1, 2002, shall have a high school diploma or GED or shall obtain one
of the following within the first year of licensure; a GED, a Caregiver
Certificate or a Specialist Certificate. Secondary caregivers who are left
alone with children shall be able to read and write well enough to keep
required records, read the licensing requirements and administer
medication.
3. The primary
caregiver shall not be otherwise employed during the time he/she is responsible
for children in the home. Employment at other times shall not affect the
quality of care given the children. When two persons are listed as joint
holders of the license and are both primary caregivers, at least one shall be
present in the home while children are in care. (Also refer to paragraph number
4, section 101.1.)
4. A caregiver
shall not use profanity or speak in an abusive manner when children are
present. The caregiver shall also cooperate with licensing staff during
licensing monitor visits.
5. The
caregiver shall have a person who would be able to care for the children in the
event of an emergency.
6. All
caregivers who work directly with children shall obtain at least 10 hours of
in-service training or outside workshop training each year in continuing early
childhood education.
This training shall be approved by the Division (Act 584 of
1993).
7. At least one
caregiver who is trained in infant and child cardiopulmonary resuscitation
(CPR) shall be present within the confines of the home while children are in
care. Adult CPR is also required if school age children are in care.
8. All caregivers shall provide a tuberculin
test annually. All caregivers shall be physically and emotionally able to care
for children.
9. Child Care
Licensing may require a physician's statement for any caregiver anytime
behavioral or physical indicators warrant.
10. Staff shall not engage in behavior that
could be viewed as sexual or as dangerous, exploitative or physically harmful
to children.
11. No caregiver shall
consume or be under the influence of illegal drugs. (A drug test may be
required if there is reasonable cause to suspect violation of this requirement
and the issue cannot otherwise be resolved.) No caregiver shall consume or be
under the influence of alcohol while delivering care. No caregiver shall
consume or be under the influence of medications (prescription or
non-prescription), which impair his/her ability to provide care.
302
Caregiver to Child Ratio
by Age
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Adult Caregivers)
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Number of Children
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Ages of Children
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302.1 ONE
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A. 3-6
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0-up (no more than 3under 2 years)
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B. 7
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0-up (no more than 2 under 2 years)
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C. 8
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0-up (no more than 1 under 2 years)
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D. 9
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2-up (no more than 3 between 2 & 3
years)
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E. 10
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3-up
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302.2 TWO
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A. 3-6
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0-up
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B. 7
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0-up (no more than 4 under 2 years)
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C. 8
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0-up (no more than 4 under 2 years)
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D. 9
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0-up (no more than 4 under 2 years)
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E. 10-14
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0-up (no more than 4 under 2 years)
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F. 15-16
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0-up (no more than 2 under 2 years)
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302.3 THREE
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A. 7
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0-up (no more than 5 under 2 years)
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B. 8
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0-up (no more than 5 under 2 years)
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C. 9
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0-up (no more than 5 under 2 years)
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D. 10-14
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0-up (no more than 5 under 2 years)
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E. 15-16
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0-up (no more than 4 under 2 years)
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302.4 FIRE
INSPECTION IS MANDATORY FOR HOMES LICENSED FOR ELEVEN (11) OR MORE CHILDREN.
(SECTION 1101.1) HEALTH INSPECTION (FOOD SERVICE) IS MANDATORY FOR HOMES
LICENSED FOR ELEVEN (11) OR MORE CHILDREN. (SECTION 701.1)
302.5. At no time shall children be left
unsupervised.
302.6. The primary
caregiver's own preschool children shall be included in the caregiver/child
ratio. The primary caregiver's own school age children are not considered in
the ratio.
302.7. A licensed home
may care for two (2) school age children for a short time not to exceed a total
of three (3) hours per day before and/or after a school day. These two children
shall not be counted in the caregiver to child ratio. School age children who
are in care at times other than before and/or after a school day shall be
included in the caregiver to child ratio. These same two children may stay all
day in care and not be counted in the ratio due to emergency school closings,
such as inclement weather. The home's capacity shall not be exceeded other than
the above stated exceptions. If the attendance exceeds 10, fire approval is
required.
302.8. Additional staff
provisions shall be made for enrollment of children with disabilities who
require individual attention.
302.10
Infants
1. Homes specializing
in infant care shall maintain a 1:3 ratio.
2. Homes specializing in infant care shall
have a Fire Department inspection and approval.
303
Adults in the Home
1. The caregiver(s) shall provide a clear
statement regarding the presence of any other adults 18 years of age and above
who remain in the home during any hours in which care is being given. Such
persons shall not present a threat to the safety or welfare of
children.
2. The home shall have
additional staff when there are persons in the home who require constant or
routine care.
3. Any adult(s) in
addition to the caregiver(s) present in the home on a regular basis while
children are in care shall provide an annual tuberculin test verifying that the
adult is free from TB.
400
PROGRAM AND ACTIVITIES
401
Program
1. There shall be a written daily schedule,
available for review by parents and Licensing staff, which includes
age-appropriate activities.
2. The
caregiver(s) shall not engage in activities or experiences which may be
damaging to children's self esteem and positive self-image.
3. There shall be an opportunity for a
supervised rest period that shall not be scheduled to exceed two (2)
hours.
4. There shall be a minimum
of 1 hour per day of outside play unless prevented by weather.
5. Indoor activity equipment shall be
adequate for the number and ages of children in the home to meet their physical
and developmental needs.
6.
Children shall have a variety of toys, books, and creative materials. This
includes equipment for:
a. Large muscle
activities (such as climbing and running)
b. Manipulative activities (such as things
done with the hands)
401.10
Infants and Toddlers:
Additional Program Requirements
1.
Infants shall be carefully supervised at all times.
2. Stimulation shall be given an infant in a
variety of ways. Caregivers shall offer nurturing, responsive care in addition
to the routine care of diapering and feeding.
3. Infants shall be taken outside for a
period of time every day, unless prevented by weather or special medical
reasons.
4. If a child falls asleep
while in a walker, swing, high chair, etc., that child shall be placed in
appropriate sleep equipment (see Section 901).
5. Infants and toddlers shall have clean,
safe, washable toys. Toys or materials used by younger children shall not be
small enough to be swallowed.
401.20
School Age Children: Additional
Program Requirements
1. School age
children shall be provided with a choice of indoor and outdoor
activities.
2. A quiet time and a
private place with appropriate equipment shall be provided for one-person
activities, including resting or homework. (A supervised rest period as
required by 401.2 does not apply to school-age children.)
3. Permission from parents shall be on file
for school age children to leave the home.
a.
School age children who leave the home to participate in classes, clubs, or
other activities shall have written permission from the parents naming the
activity, time of leaving and returning and method of transportation to the
activity.
b. Permission for
regularly scheduled activities such as scouting may be given for the entire
school term.
401.30
Evening and Night Care:
Additional Program Requirements
Night care is defined as any care provided after
midnight.
1. There shall be a
plan for evacuating children to safety in case of fire or emergency.
2. Children arriving in the daylight hours
shall have outdoor play, weather permitting.
Older children shall have time for reading or doing homework
during the school year.
3.
Evening meals shall be served. The home shall ensure that children spending the
night are served breakfast.
4.
Drinking water shall be available to children during the night.
5. Bathing facilities shall be available. Hot
water shall be available. Children shall not take baths together or share the
same bath water. Tubs or showers shall be cleaned after each use. Children
shall be given fresh washcloths and towels. Preschool children shall never be
left alone when bathing. Privacy shall be ensured for school age
children.
6. Children in night care
shall be given a bed or cot with mattress or pad and a pillow.
a. If linens become soiled, they shall be
changed. Protective mattress covers shall be used and washed at least
weekly.
b. Each child's bed or cot
shall have a cover available.
c.
Beds or cots shall be arranged at least one foot apart.
500
BEHAVIOR GUIDANCE
1. Use of behavior
guidance shall show that the caregiver understands each child's needs and shall
promote self-discipline and good behavior.
2. Acceptable behavior guidance techniques
include:
a.Look for appropriate behavior and
reinforce the children with praise and encouragement when they are behaving
well
b. Remind the children on a
daily basis of the rules by using clear positive statements of how they are
expected to behave rather than what they are not supposed to do
c. Attempt to ignore minor inappropriate
behaviors and concentrate on what the child is doing properly
d. Use brief supervised separation from the
group only when the child does not respond to a verbal command which instructs
the child as to how he or she is supposed to behave
e. When a misbehaving child begins to behave
appropriately, encourage and praise small positive steps rather than waiting
until the child has behaved for a long period of time
f. Attend to the children who are behaving
appropriately and other children will follow their example in order to obtain
your attention
g. When the entire
group is behaving well, reward them with an activity they enjoy
3. Physical punishment shall not
be administered to children.
4. The
length of time a child is placed in time-out shall not exceed one minute per
year of the child's age.
5. The
following activities are unacceptable as behavior guidance measures and shall
not be used. These include but are not limited to:
a. Shaming, humiliating, frightening,
physically or mentally harming children
b. Labeling children negatively c.
Associating punishment with rest, toilet training or illness
d. Denying food (lunch or snacks) as
punishment or punishing children for not eating.
e. Restraints (Restraining a child briefly by
holding the child is allowed when the child's actions place the child or others
at risk of injury.)
f. Harsh
treatment
g. Washing mouth with
soap
h. Taping or obstructing
child's mouth
i. Placing
unpleasant or painful tasting substances in mouth, on lips, etc.
j.Verbal abuse/abusive language
k. Isolation without supervision
l.Placing child in dark areas
m. Inflicting physical pain, hitting,
slapping, pinching, pulling hair, kicking, twisting arm, biting or biting back,
spatting, swatting, etc.
n. Yelling
(This does not include a raised voice level to protect a child from the risk of
harm,
o. Forced physical activity
such as running laps, doing push-ups, etc. (This does not include planned
physical education activities that are not punitive in
nature)
6. Behavior
charts, if used, should be used to encourage positive behavior. Behavior charts
shall record only the child's behavior for the current day and shall not be
punitive. (Behavior charts used to record only positive behavior may be
maintained on a weekly basis.) The child's age and level of understanding
should be considered when using behavior charts.
500.10
Infant and Toddler
Time out shall not be used with children under the age of two
(2). The only acceptable form of behavior guidance with infants and toddlers
shall be redirection. (Brief separation from the group is acceptable when the
child's behavior places the child, or others, at risk of harm. The child may be
placed in a supervised area away from the group or in a crib or playpen while
the caregiver attends to the situation. Example: A child who has bitten another
child would be removed from the group, briefly, while the caregiver attends to
the bitten child.)
600
RECORDS
All employee, child and home records shall be kept and made
available to the Child Care Licensing Unit on request. All required records
shall be maintained for 3 years. (This includes records on children no longer
enrolled.)
601
Children's
Records
Enrollment information shall be obtained for each child before
admission.
1.
Identifying and
Personal Data shall include:
a. Child's
name, birth date, home address, and telephone number
b. Name and addresses of the parents and
telephone numbers where the parents can be reached while the child is in
care
c. Date of enrollment in
facility
d. Name, address and phone
number of person to be contacted if parents cannot be reached
e. A written behavior guidance policy
provided to parents, with a copy signed by the parents and retained by the
caregiver
2.
Medical Records shall include:
a.The name, address and telephone number of
the child's physician or emergency medical care facility
b. Pertinent past medical history on the
child and any change in health
c.
Child's unusual food needs such as special formulas, diabetic diet, or food
allergies
d. Notes of special
problems (such as allergies to medication or sunburn sensitivity) or needs as
indicated by the parents
e. An
authorized record of up-to-date immunizations or documentation of a religious
or medical exemption from the Arkansas Department of Health (The caregiver
shall maintain a roster of children who have not completed the minimum
immunization requirements. A current immunization schedule is provided as an
insert in this publication.)
f
Written record of accidents/injuries
3.
Permissions and Agreements will be
signed by the parents and caregiver(s):
a.Consent for emergency medical care and
transportation for such care which shall accompany children who are transported
to and from the home
b. Other
transportation permission, if any, including routine and special field trips
c. Permission to participate in
water activities, if any
d. Signed
statement by the parent stating who is authorized to pick up the
child
602
Caregiver Records
1. Caregiver
records shall contain the following:
a.An
employee application for secondary caregivers, including name, date of birth,
address and telephone number
b. TB
skin test
c. Documentation of
training for continuing education
d.
Documentation of the initiation of all required background checks and results
obtained
603
Facility Records
1. Fire
Department approval, if applicable
2. Arkansas State Department of Health
approval, if applicable
3. Record
of routine emergency drills, including date, time of day, length of drill and
number of children participating
4.
Pet vaccinations
5. Attendance
records on all children
700
FOOD SERVICE AND NUTRITION
701
Food Service
1. A home licensed for eleven (11) or more
children shall provide a current verification of approval by the Arkansas
Department of Health, Sanitation Services.
2. All licensed homes shall meet the
following:
a.All food shall be safe and stored
properly to prevent spoiling
b.
Shall have refrigerator with thermometers visible and shall be maintained at 40
degrees or below. (Freezer thermometer shall be maintained at 0 degrees or
below)
c.Food shall not be stored
under sinks
d. Food shall be stored
in original container or in a closed container
e. Chemicals and toxins shall not be stored
in food storage area
f. All
medicines shall be stored separately from food at all times
3. All food and drink shall be
prepared, distributed and served under sanitary conditions and the following
shall be met:
a.Caregivers shall wash hands
before preparing food
b. There shall
be a two-compartment sink with hot and cold running water
c. Individual drinking glasses or disposable
cups shall be provided
d. All
surfaces shall be kept sanitary
e.
Food left uncovered or handled shall not be reused
f. When dishes are washed by hand, they shall
be sanitized with a bleach solution
g. Drinking water and water used for the
preparation of formula shall not come from the hot water supply. (Water from
hot water systems may contain higher levels of lead and other substances which
could be harmful to small children.)
702
Nutrition
1. If breakfast is served, it shall be
healthy and nutritious. The lunch and evening meals shall each include 1/3 of
the minimum daily nutrition requirements. If sack lunches are utilized, the
home shall ensure that these also meet 1/3 of the minimum daily nutrition
requirements by supplementing the lunches if necessary. Milk shall be served to
each child during the day. Exceptions may be made for children who suffer
allergies to milk.
Recommendation: The Food Guide Pyramid should be used for
meal pattern and food selection. (See appendix)
2. Breakfast shall be made available to
children who arrive before 7:00 a.m. Breakfast may be served to all children
rather than a morning snack provided there is no more than 3 hours between
breakfast and lunch.
3. Nutritious
midmorning and mid-afternoon snacks shall be provided to all
children.
4. All children in care
during evening hours shall be offered an evening snack. Children in care during
evening hours shall be served supper and children spending the night shall be
served breakfast unless provided by parent or school.
5. Children shall not be forced to eat.
702.10
Infant and Toddlers
1. The use of baby food, bottles and formula
shall be agreed upon by the caregiver and parent.
2. Children shall not share the same bottle.
A sanitary method of cleaning baby bottles shall be practiced. Baby bottles
shall be properly refrigerated.
3.
Infant feeding schedules shall be flexible and adapted to each infant's
needs.
4. The solid foods fed to an
infant shall be determined by the child's parent (s).
5. Infants under six months of age shall be
held while being fed. Bottles shall not be propped. Infants six months of age
or older shall be held if needed.
6. Infants no longer held for feeding shall
either sit in low chairs at low tables or in infant seats with trays, or in
high chairs with wide bases. Safety straps shall be used with high chairs.
800
BUILDINGS AND GROUNDS
801
BUILDINGS
1. The home's building, grounds, and
equipment shall be clean, kept in good repair, and maintained as needed to
protect the health and safety of the children. If the home has sustained
structural damage the caregiver shall immediately notify the Child Care
Licensing Specialist.
2. There
shall be at least 35 square feet of usable indoor space for each child in the
home.
This area shall not include kitchens, bathrooms, hallways or
closets.
3. The home shall
have a working telephone.
4. Light,
heating, cooling, and ventilation of the home shall be adequate for safety and
comfort.
5. Windows and/or doors
used for ventilation shall be screened.
6. Manufactured homes, licensed as Child Care
Family Homes, shall be tied down and under- pinned as required by the Arkansas
Manufactured Home Commission. The home shall obtain an inspection and approval
from the Arkansas Manufactured Home Commission prior to being
licensed.
7. An annual fire
approval shall be obtained on all manufactured homes licensed as Child Care
Family Homes.
802
GROUNDS
To provide the safest possible playground environment, you are
encouraged to meet Consumer Product Safety Commission's guidelines listed in
their "Handbook for Public Playground Safety". However, the following are
minimum requirements and shall be met.
Please note that these requirements do not mandate the
use of any large and/or permanently anchored pieces of playground equipment
that require fall zones. Numerous options for suitable playground environments
are available and acceptable. For information on playground options, contact
your Licensing Specialist.
803
Layout and Design
1. The play area shall be enclosed and
provide at least 75 square feet per child present on the playground at any
time.
2. There shall be an outside
exit from the play area.
3. The
area shall be well drained.
4.
There shall be equipment and activities appropriate for the ages and number of
children using the playground.
5.
Children shall be supervised by an adult caregiver when outdoors.
804
General Hazards
1. The area shall be free of hazards or
potentially hazardous objects.
2.
Equipment which is designed to be anchored shall be properly anchored so that
the anchoring devices are below ground level.
3. Sand for playing shall be kept safe and
clean.
4. Paint on equipment shall
be lead free.
5. All fasteners,
including S-hooks, shall be securely tightened or closed.
6. There shall be no sharp points, corners,
edges, or splinters.
7. The only
trampolines allowed shall be mini-tramps used under direct
supervision
8. To prevent
entrapment, there shall be no opening(s) between any interior opposing surfaces
between 3.5 and 9 inches. (Openings in equipment that might allow a child's
body to pass through, but not their head.) Ground bounded openings are
exempt.
9. Balance beams higher
than 12 inches shall have fall zones.
805
Slides
Slides shall not have any spaces or gaps between the platforms
and the slide surface.
806
Swings
1. The following swings
shall not be used for any ages:
a.
Multi-occupancy swings designed to hold more than one child, except tire swings
b. Animal figure swings
c. Free swinging ropes (Tarzan
ropes)
d. Swinging exercise rings e.
Trapeze bars.
2. There
shall be no wood or metal swing seats.
3. Toddler swings shall provide support on
all sides if seat is above 12" from the ground.
807
Climbing Equipment
1. Free standing arch climbers exceeding 4
feet in height shall not be used for preschoolers.
2. Flexible grid climbing devices, such as
rope or chain ladders, climbing ropes, etc., shall be securely anchored at both
ends.
3. Preschoolers shall not use
sliding poles.
4. Sliding poles
shall have no protruding welds or seams along the sliding surface, and the pole
shall not change directions.
808
Merry-Go-Rounds
The only merry-go-rounds allowed are portable merry-go-rounds
not designed to be anchored and they shall have handgrips or other secure means
of holding on
809 Seesaws
1. Seesaws without spring centering devices
shall have shock absorbing materials, such as partial tires embedded in the
ground underneath the seats or secured to the underside of the seats.
2. Hand holds shall be provided for both
hands at each seating position and shall not turn when grasped.
810
Fall
Zone/Surfacing
1. There shall be fall
zones and surfacing under and around equipment that is over 24" in height at
the highest accessible point. (The highest accessible point is defined as the
surface on the piece of equipment where children would sit or stand when the
equipment is being used as intended.) Swings require fall zones and surfacing
regardless of height.
(Toddler swings equipped with safety straps are exempt from
this requirement, provided their use is closely supervised.)
2. Fall zones shall extend a minimum of 6' in
all directions (unless otherwise specified)
from the perimeter of the equipment. Exceptions may be granted
for structures that have protective barriers in place.
a. Structures over 2' and under 3 V2' at the
highest accessible point shall have a minimum surfacing material depth of
6".
b. Structures 3 V2' up to 5' at
the highest accessible point shall have a minimum surfacing material depth of
9". (Shredded tires or other shredded or chopped rubber products shall have a
minimum depth of 6".)
c. Structures
5' and taller at the highest accessible point shall have a minimum surfacing
material depth of 12". (Shredded tires or other shredded or chopped rubber
products shall have a minimum depth of 6".)
3. Shock absorbent material such as sand, pea
gravel, wood chips, wood mulch, shredded tires, etc. shall be used in fall zone
areas under and around playground equipment which require a fall zone.
(When purchasing gravel, care should be taken to insure that
the gravel is actually pea gravel that is smooth and rounded and not crushed
rock or sharp gravel. Crushed rock and sharp gravel will not be
approved.)
Pea gravel used for fall zones shall not be over V2 inch in
diameter.
4. Hard surface
materials such as asphalt and concrete, shall not be used as base surfaces in
the fall zones except under commercial matting or other systems/products
designed to be installed over hard surfaces.
5. SLIDES: The fall zone for slides measuring
6 feet or over, measured from the platform to the ground shall extend 10 feet
from the exit end of the slide. Fall zones for slides measuring under 6 feet
from the platform to the ground shall extend 6 feet from the exit end of the
slide.
6. SWINGS: The fall zone for
single-axis swings (standard swings) (except toddler swings) shall extend to
the front and the rear of the swing a minimum distance of two times the height
of the pivot point (where the chain attaches to the frame) above the playing
surface. The fall zone for toddler swings shall extend to the front and rear of
the swing
a minimum of two times the distance
from the pivot point to the swing seat. (Note exemption listed in #4 above.)
Fall zones shall also extend six feet to the sides of the swing
set.
7. SWINGS: The fall
zones for multi-axis swings (such as tire swings or others with three or more
suspending chains) shall extend in all directions a minimum of six feet plus
the height of the suspending rod or chain.
8. Fall zones shall be free of obstacles onto
which children may fall.
900
SLEEPING AND TOILETING
ARRANGEMENTS
901
Sleeping
Arrangements
1. Each child under twelve
(12) months of age shall have a separate well-constructed baby bed or play pen
with a waterproof mattress or pad which shall be clean, dry, and in good
condition. Sheets and covers are required and shall be kept clean and dry.
Bassinets shall not be used.
2.
Waterbeds shall not be used for sleeping children under the age of
two (2) years.
3. The following guidelines shall also be
required for cribs:
a.Cribs that have end
panels with decorative cutout areas shall not be used
b. Mattresses shall fit snugly in the crib.
The space between crib and mattress shall measure no more than 1 inch
c. Corner posts shall be the same height as
end panels
d. End panels shall
extend below mattress at the lowest position of the mattress
e. Baby beds shall have slats no greater
than 2 3/8" apart
4.
Each child twelve (12) months of age or older shall have a cot, bed, pallet, or
mat which shall be placed at least one foot apart. Sheets and covers are
required. Bedding shall be of washable material and shall be kept clean. If
mats or pallets are used on floors, floors shall be clean, warm, dry and draft
free. Any mat or pallet less than two (2) inches thick shall be placed on
carpet.
5. Doors in rooms where
children are sleeping shall remain open.
Recommendation: Care should be taken to insure that loose
bedding material, such as pillows, blankets, etc., are kept away from the faces
of sleeping infants. Infants should be placed on their backs to sleep unless
there is a medical reason not to do so. These precautions are intended to
lessen the risk of suffocation and Sudden Infant Death
Syndrome.
902
Toileting Arrangements
1. At least one
commode and one sink shall be made available for the children's use. Potty
seats may be used by the younger children if emptied, cleaned and disinfected
after each use. Potty seats shall be located in the bathroom only.
2. Toilet tissue shall be located within
reach of the children when toileting.
3. Individual cloth towels or paper towels
shall be available for each child.
4. Caregiver's and children's hands shall be
washed with liquid soap before meals, after toileting, after each diaper
change, and as needed.
5. The home
shall use a diaper-changing surface that is sanitized after each use.
6. Soiled or wet diapers shall be removed,
disposed of properly, and replaced with clean, dry diapers. The caregiver shall
ensure that children are properly cleaned and dried.
903
Toilet Learning
1. The caregiver shall assist children in
toilet routine and hygiene practices.
2. The following methods shall not be used in
toilet learning:
a. Placing the child on
toilet or potty chair for prolonged time periods
b. Using harsh language
c. Punishing or berating in any way for
soiling clothing
d. Using physical
force to place child on a toilet or potty chair against their will
e. Leaving child unsupervised on toilet
1000
HEALTH
1001
General
1. The home shall have an
adequate supply of water that meets the standards for drinking water of the
Arkansas Health Department. Water shall always be available to the
children.
2. Garbage shall be kept
in a closed container out of children's reach.
3. All garbage, soiled diapers and trash
shall be removed from the home daily and from the grounds at least once a
week.
4. The home shall be free of
insects and rodents.
5. Waste and
sewage disposal and toilet facilities shall be safe and sanitary. The Health
Department may be consulted for its recommendation.
6. Smoking should be limited to hours when
children are not in care. The home shall disclose to parents whether smoking
occurs in areas where children are in care.
7. First-aid materials are required and shall
be kept out of reach of children. A first aid kit containing medications shall
be locked. The first-aid materials shall include:
a. Adhesive band-aids (various
sizes)
b.Scissors
c. Sterile gauze squares
d. Roll of gauze bandages
e. Adhesive tape
fAntiseptic
g. Thermometer
h. Tweezers
i.
Disposable gloves
8.
There shall be no adult in the home who poses a health risk to children in
care.
1002
Children's Health
1. No child shall be
admitted who has a contagious or infectious disease. Parents and guardians
shall be notified to pick up the child if the child exhibits any of the
symptoms listed below:
a
Fever: a body temperature of 101 or greater
(Recommendation: Infants, six months of age or under, who have a temperature of
100 or greater should be excluded)
b.
Diarrhea: three
(3) or more watery stools in a 24-hour period
c.
Vomiting:
vomiting on two or more occasions within the past 24-hour period
d.
Rash: body
rashes, not obviously associated with diapering, heat or allergic reactions to
medications
e.
Sore
throat: if associated with fever or swollen glands in the
neck
f.
Severe
coughing: episodes of coughing which may lead to repeated gagging,
vomiting or difficulty breathing.
g.
Pink eye: pink or
red eye(s) which may be swollen with white or yellow discharge, until on
antibiotics for 24 hours,
h.
Untreated scabies, head lice or the presence of nits:
may return after first treatment and removal of nits,
i.
Multiple sores inside mouth
with drooling: unless health care provider determines the
condition is non-infectious,
j.
Ringworm: a fungal infection of the scalp or skin: may
return after evaluation and under treatment by a health care
provider,
k.
Impetigo: may return 24 hours after treatment is
initiated.
2. Illness in
the home shall be handled to protect all children in care.
3. In case of critical illness or injury, and
if the parents cannot be reached, the physician named by the parent shall be
called. If necessary, the child shall be taken to the nearest emergency room.
Injuries that require the attention of medical personnel shall be reported to
the parent immediately.
4. In case
of critical illness or serious injury the Child Care Licensing Specialist shall
be notified within 48 hours.
5. The
caregiver shall notify the child's parents of significant events that affect
the children. This shall include, but not be limited to:
a.Cases of serious contagious disease shall
be reported to the parents of all the children in care
b. Any injury incurred by a child.
6. The communicable diseases
listed in Appendix B, whether suspected in a child or adult, shall be reported
with 24 hours to either the local County Health Unit or the toll free Reporting
System ( 800-482-8888 ). Immediate notification is recommended for the
following:
a. Hepatitis
b. Rash illness (including *MEASLES &
RUBELLA)
c. WHOOPING COUGH
(Pertussis)
d. MENINGITIS
e.MUMPS
f. Tuberculosis
g. Salmonellas (including typhoid)
h. E-coli
7. Reporting data should include:
a. The reporter's name, location and phone
number
b. The name of the disease
reported and the date of onset
c.
The patient's name, address, phone number, age, sex and race (Please spell the
patient's name)
d.The attending
physician's name, location and phone number
e.Any pertinent clinical and laboratory
information used in the diagnosis (Please give the laboratory name
f. Any treatment information, if
known
8. Within 15 days
of enrollment of a child, the home shall verify that the child has been
immunized as required by Arkansas Department of Health or the child cannot
remain in care. (Arkansas Code
20-78-206 as amended by Act 870 of
1997- a current immunization schedule is provided as an insert in this
publication).
9. Children shall be
protected from overexposure to the sun. Sunscreen shall be used if needed and
as directed by the parent. Suntan lotions and/or sunscreens used for
infant/toddlers and pre-school children shall be kept out of the children's
reach and shall be administered only with written parental permission. (Blanket
permission may be obtained annually.)
1003
Medications
1. Prescription medicine shall be in the
original container and labeled with the child's name, a recent date,
instructions, and the physician's name.
2. All non-prescription medicine (except
aspirin substitutes, such as ibuprofen and acetaminophen) shall be labeled with
the child's name and dated.
3. All
medicines shall be given a child only with the written permission of the
child's parent(s) or guardian.
4.
Medicines shall be kept in a locked area. Medicine shall be kept out of the
reach of the children when dispensing.
5. Medication shall be disposed of when a
child withdraws from care or when the medication is out of date.
1004
Phone Numbers
Required:
The following numbers shall be available in the immediate area
of the telephone:
1. Ambulance service
or emergency medical services
2.
Police or sheriffs department
3.
Fire department
4. Poison Control
Center - 1-800-376 -4766
5. Child
Abuse Hotline Number - 1-800-482 -5964
6. The physicians named by the
parents
7. The Child Care Licensing
Unit Central Office number: (501)682-8590 or toll free 1-800-445
-3316
8. Home and business numbers
of the parents
1005
Pets
Pets with which children have contact shall receive
vaccinations as required by law. Verification of vaccinations administered by a
licensed veterinarian shall be maintained. Any pet that constitutes a threat to
the welfare and safety of the children shall be kept in a confined area which
prevents any contact with the children.
1100
FIRE AND SAFETY
1101
Safety
1. Effective January 1, 2002, licensed homes
shall maintain a log of all child products recall and safety notices issued by
the Attorney General's Office and shall post or otherwise make these notices
available for parents to review. The licensee shall certify, on an annual
basis, that these notices have been maintained and reviewed and that any
identified items have been removed from the facility. Forms for
self-certification will be provided by the Licensing Specialist and shall be
submitted annually. (Act 1313 of 2001)
2. Electrical outlets shall be guarded.
Protective caps, if used, shall be large enough to prevent
swallowing.
3. Indoor or outdoor
cooling or heating units shall have guards or barriers when necessary. All
outdoor electrical boxes, gas lines, and exposed electrical cords shall be
enclosed.
4. Stairways shall be
well lighted and guarded as needed.
5. Dangerous equipment and/or objects shall
be stored away from areas used by the children.
6. All detergents and cleaning supplies shall
be kept out of the reach of children. (This does not include hand soap in
children's or staff bathrooms.) Supplies used for children's activities shall
be carefully supervised.
7. All
poisonous substances shall be kept in a locked area.
8. Guns shall be unloaded. Guns, other
weapons, and ammunition shall be stored in a locked area in the home.
9. Tanks, ponds, swimming pools, open wells,
drainage ditches and sewage drainpipes shall be fenced if located within the
play area.
10. Home swimming pools
shall not be used by children in care unless permission is obtained from Child
Care Licensing through an alternative compliance request. This request must
include written approval from the Arkansas Department of Health for the use of
the pool by children in care. (Home swimming pools used by children in care are
considered semi- private pools by the Department of Health and approval for
these pools requires inspection during the construction phase. Obtaining
approval for existing pools is usually not possible.)
11. Wading pools shall not be used by
children under two years of age.
12. Alcoholic beverages shall be kept out of
reach of children.
1102
Fire
Please note that National Fire Safety Code 101 does not
allow the use of basements or floors above ground level by children, first
grade and younger, unless there is a ground level exit. Waivers or exceptions
to this code must be obtained in writing from the State Fire Marshal's Office
prior to using these spaces.
1.
A home caring for eleven (11) or more children at any time (this does include
school age children not counted in the ratio) shall provide verification of an
approved annual Fire Department inspection.
2. The caregiver shall have a written policy
and procedure for fire and tornado drills. All caregivers shall know all
emergency plans. Any specific information on area hazards and approved safety
procedures, (e.g., Earthquake drills, Nuclear Plant accident evacuation, Toxic
Chemical Spill evacuation, etc.) should be obtained from the State Office of
Emergency Services.
3. One fire
drill AND one tornado drill shall be conducted on a monthly basis
and documented, noting the date, time of day, number of children, and length of
time taken to reach safety.
4. A
Fire extinguisher with a minimum of 5 lb. ABC rating shall be installed in the
kitchen area of the home and shall be properly maintained. Caregivers shall
know how to operate the extinguisher.
5. A working smoke detector shall be
installed near the kitchen area and in children's sleeping areas.
6. The home shall be maintained to be free
from fire hazards at all times. The Child Care Licensing Specialist shall
consult with the local Fire Department OR the State Fire Marshal when it
appears hazards exist.
7. The
structure and use of the home shall permit easy entry and exit and shall comply
with the following:
a. A home with more than
one level shall have second exits on all levels used by children
b. A home shall have at least two exits to
the outside located on different sides of the home
c. Doors opening to the outdoors shall be
constructed so the children can open them easily from the inside
d. Doors between rooms in the exit route
shall not be locked while children are in the home
e. Doors and pathways shall be clear of
equipment that blocks the movement of children and caregiver(s)
8. Wood-burning stoves, or gas
logs, fireplaces, open flame space heaters, hot water heaters, floor furnaces
or other sources of heat shall be guarded and/or vented when necessary for the
protection of the children.
9.
Cooking stoves or ovens shall not be used as a heating source in the
home.
10. Portable heaters shall
not be placed within reach of children and shall be approved UL listed
products.
11. The licensee shall
notify the Child Care Licensing Specialist of any fires causing damage to the
home. This notification shall be made no later than the end of the following
working day.
1103
Transportation
1. Any person
transporting children shall be at least 18 years of age and have a valid
driver's license as required by state law.
2. The vehicle shall be licensed, insured and
maintained in proper working condition.
3. The driver may be counted in the
staff/child ratio, but shall not be the only adult present when more than 10
children age 3 and above are transported.
4. Any child transported in a passenger
automobile, van or pick-up truck, who is less than 6 years old
and weighs less than 60 pounds, shall be restrained in a child passenger safety
seat. Any child who is at least 6 years old, or weighs at least 60 pounds, must
be restrained by a safety belt or any other approved safety devices. {Act 470
of 2001}.
5. The loading and
unloading of children from vehicles shall be conducted in a safe
manner.
6. There shall be a seating
space and an individual, appropriate restraint system provided for each child
being transported.
1103.10
Infants and Toddlers
1. A vehicle
transporting children under the age of 36 months shall maintain a ratio of one
adult to 3 children.
APPENDIX C: Food Serving Size by
Age
|
Pattern
|
Children age 1
|
Children age
|
Children age
|
Age 14 and
nvpr
|
|
Breakfast:
|
|
|
|
|
|
Juice or fruit
|
1/4 cup
|
1/2 cup
|
1/2 cup
|
1 cup
|
|
Cereal or bread: cereal
|
1/4 cup
|
1/3 cup
|
3/4 cup
|
1 cup
|
|
Bread
|
1/2 slice
|
1/2 slice
|
1 slice
|
2 slices
|
|
Milk
|
1/2 cup
|
3/4 cup
|
1 cup
|
1 cup
|
|
Lunch/ Supper:
|
|
|
|
|
|
Meat or Alternate:
|
|
|
|
|
|
Meat, Poultry, Fish or Cheese,
|
1 ounce
|
1.5 ounces
|
2 ounces
|
3 ounces
|
|
Egg*
|
Large
|
Large
|
Large
|
large
|
|
Cooked dry beans/peas
|
1/4 cup
|
3/8 cup
|
1/2 cup
|
1 cup
|
|
Peanut Butter
|
2 tbsp.
|
3 tbsp.
|
4 tbsp.
|
5 tbsp.
|
|
Vegetable or Fruit**
|
1/4 cup
|
1/2 cup
|
3/4 cup
|
1 1/4 cup
|
|
Bread
|
1/2 slice
|
1/2 slice
|
1 slice
|
2 slices
|
|
Milk
|
1/2 cup
|
3/4 cup
|
lcup
|
1 cup
|
|
Supplemental (Snacks)
|
|
|
|
|
|
Milk or juice
|
1/2 cup
|
1/2 cup
|
1 cup
|
1 cup
|
|
Cereal or Bread: cereal
|
1/4 cup
|
1/3 cup
|
3/4 cup
|
1 cup
|
|
Bread
|
1/2 slice
|
1/2 slice
|
1 slice
|
2 slices
|
|
Veg. or Fruit
|
1/2 cup
|
1/2 cup
|
1 cup
|
1 cup
|
|
Meat or Meat Alternative
|
1/2 ounce
|
1/2 ounce
|
1 ounce
|
1 ounce
|
* When egg is served, use a half portion of meat or another
alternate in addition to egg for all children except those who are 1 to 6 years
of age.
* Shall include at least two kinds. Vegetable or fruit.
APPENDIX B: List of Reportable Diseases
The following are the more common
reportable diseases, which occur with moderate
frequency in Arkansas:
|
gonorrhea hepatitis (A, B, Non-A, Non-B
unspecified and results of serologies)
rash illnesses (including *MEASLES,
& RUBELLA)
*WHOOPING COUGH (pertussis)
|
salmonellosis (including typhoid)
shigellosis syphilis
MUMPS
tuberculosis
MENINGITIS
|
The following are less common
reportable diseases that occur with low frequency in
Arkansas:
|
*AIDS (Acquired Immune Deficiency Syndrome) Amebiasis
ANTHRAX *Aseptic Meningitis Blastomycosis BOTULISM *Brucellosis Campylobacter
Enteritis Chancroid CHOLERA Coccidioidomycosis *Congenital Rubella Syndrome
DIPHTHERIA
|
*Leprosy Leptospirosis *Lyme Disease Lymphogranuloma
Venereum *Malaria *Meningitis, Hemophilus Influenza Type B
*Meningococcal infection
Mumps
Pesticide Poisoning
PLAGUE
*POLIOMYELITIS
*Psittacosis (Ornithosis)
Q Fever
|
|
Encephalitis (all types)
FOOD POISONINGS (all types)
Giardiasis
Gonococcal Ophthalmia
Granuloma Inguinale
*Guillain-Barre Syndrome
Histoplasmosis
HIV (Human Immune Deficiency
Virus by name & address)
**Influenza
*Kawasaki Disease
*Legionellosis
|
RABIES
*Relapsing Fever
*Reyes Syndrome
Rheumatic Fever
*Rocky Mountain Spotted Fever
SMALL POX
* Tetanus
* Toxic Shock Syndrome Toxoplasmosis
*Trichinosis
* Tularemia
TYPHUS FEVER/YELLOW FEVER
|
*The reporting physician will be contacted for additional
information.
"Individual cases to be reported only
when laboratory testing has determined the viral type.
The diseases in capital letters are to be brought to the
immediate attention of the State Epidemiologist when suspected.
Reporting data shall include:
a)Names & location of reporting
person
b) Disease or suspected
disease and date of onset
c) Name,
age, sex, address and phone number of patient (please spell patient's
name)
d) Name of patient's
physician
The following diseases are also of public health importance and
should be reported whenever there is an unusual incidence or outbreak
(including seasonal). It is necessary to report:
(1) physician's name and location
(2) the suspected disease
(3) the number of cases and interval during
which the cases were seen:
|
Acute respiratory disease
Chicken pox
Conjunctivitis
Dermatophytosis (ringworm)
Enteropathogenic E. Coli Diarrhea
Epidemic Diarrhea of unknown cause
Gastroenteritis
Herpangina
|
Hospital acquired infections
Infectious Mononucleosis
Influenza (estimate number)
Pediculosis
Pleurodynia
Pneumonia (bacterial, Mycoplasma, viral)
Staphylococcal-Infections
Streptococcal Infections
|
The following occupational disease also shall be
reported:
|
Asbestosis
Silicosis
Byssinosis
|
Mesothelioma
Coal Workers Pneumoconiosis
|
FOR FURTHER ASSISTANCE CONTACT THE LOCAL COUNTY HEALTH
UNIT.
CHILD CARE IMMUNIZATION REQUIREMENTS AUGUST 2000
Recommended by Arkansas Department of Health and Required by
the
Department of Human Services, Child Care Licensinq
Division
|
Age
|
DtaP DTP/DT
|
Polio
|
Hib
|
Hepatitis B
|
MMR
****
|
Varicella
|
|
0-2 months
|
None
|
None
|
None
|
None (1-2 possible)
|
None
|
None
|
|
3-4 months
|
1 dose
|
1 dose
|
1 dose
|
1 dose (2 doses possible)
|
None
|
None
|
|
5-6 months
|
2 doses OR
1 dose within last 2 months
|
2 doses OR
1 dose within last 2 months
|
2 doses OR
1 dose within last 2 months
|
2 doses OR
1 dose within last 2 months
|
None
|
None
|
|
7-12 months
|
3 doses OR
1 dose within last 2 months
|
2-3 doses OR
1 dose within last 2 months
|
2-3 doses OR
1 dose within last 2 months
|
2 doses OR
1 dose within last 2 months
|
None
|
None
|
|
13-15 months
|
3 doses OR
1 dose within last 2 months
|
2-3 doses OR
1 dose within last 2 months
|
2-3 doses OR
1 dose within last 2 months
|
2 doses OR
1 dose within last 2 months
|
None (1 dose possible)
|
None (1 dose possible
OR History of disease)
|
|
16-18 months
|
3 doses OR
1 dose within last 2 months
|
2-3 doses OR
1 dose within last 2 months
|
3-4 doses with last dose on/after
1st
birthday
|
2 doses OR
1 dose within last 2 months
|
1 dose
|
None (1 dose possible
OR History of disease)
|
|
19-48 months
|
4 doses OR
3rd dose within last
6
months
OR
1 dose within last 2 months
|
3 doses OR
1 dose within last 2 months
|
3-4 doses with last dose on/after
1st
birthday
|
3 doses*****
OR
2 doses with 3rd
dose due 5 months after 2nd
dose
OR
1 dose within last 2
months
(Child must be at least 6 months of age for
3rd dose)
|
1 dose
|
1 dose OR
History of disease
|
|
49-72 months
|
5 doses* OR
4th dose within last 6
months*
OR 1 dose within last 2 months
OR
3 doses with last dose on/after
4th
birthday
|
4 doses***
OR
1 dose within last 2 months
OR
3 doses with last dose on/after
4th
birthday
|
3-4 doses with last dose on/after
1st
birthday
OR
1 dose on/after 15
months of age
(not required on/after
5th
birthday)
|
FOOTNOTES:
* 5th DtaP/DTP/DT (Pre-school dose)
must be given on/after the 4th birthday and may be
given at anytime from 49 to 72 months of age.
** Interval between 4th DtaP/DTP/DT
and 5th DtaP/DTP/DT should be at least 6
months
*** If 3rd polio primary dose
administered on/after the child's 4th birthday, no
pre-school dose needed. The 4th polio may be given
anytime from 49 to 72 months of age. **** 3rd dose
of Hepatitis B should be given at least 4 months after 1 st dose and child must
be at least 6 months of age. (All 2nd
doses of Hepatitis B vaccine given earlier than 6 months of age
before 6/21/96 are valid doses.) *****MMR must be given on/after the child's 1
^ birthday ******AII children are required to have received a dose of varicella
(chickenpox) vaccine on or after their 1 ^ birthday or a history of disease
obtained from the parent/guardian or a physician documented in the child's
file.
