100
CHILD CARE LICENSING
The "Child Care Facility Licensing Act" Ark. Code Ann. §
20-78-201 -220, as amended, is the
statutory authority for licensing child care facilities. This Act created the
Division of Child Care and Early Childhood Education and authorized the
Division to establish rules and regulations governing the granting, revocation,
denial and suspension of licenses for child care facilities and the operation
of child care facilities in this state. The Minimum Licensing
Requirements for Child Care Centers are the Division's rules and
regulations for Child Care Centers.
The Child Care Facility Licensing Act designates the Arkansas
Department of Human Services, Division of Child Care and Early Childhood
Education as the administrative agency responsible for administering the Act in
accordance with the Minimum Licensing Requirements for Child Care
Centers. The Division is authorized to inspect and investigate any
proposed or operating Child Care Centers and any personnel connected with the
Center to determine if the facility will be or is being operated in accordance
with the Child Care Facility Licensing Act and the Minimum
Licensing Requirements for Child Care Centers.
The licensing requirements contained in this manual apply to
group child care. (Refer to the Minimum Licensing Requirements for
Day Care Family Homes for the requirements that apply to child
care provided in a day care family home.)
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 rights 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.
The following standards are the minimum licensing requirements
that shall be met by persons or organizations that operate a child care
facility. In recommending a license be issued, the Division of Child Care and
Early Childhood Education works in coordination with the local and state Health
departments, Fire Departments and City Planning or Zoning Departments. Persons
considering opening or expanding a child care facility
shall immediately contact these individual departments for inspection and
information on there separate regulations. Clarification or questions shall be
directed to the appropriate departments.
101
General Requirements
1. Child Care Centers shall maintain
compliance with the licensing requirements at all times. To be in substantial
compliance, the Child Care Center shall meet all essential standards necessary
to protect the health, safety and welfare of the children attending the Child
Care Center. Essential standards include but are not limited to those relating
to issues involving fire, health, safety, nutrition, discipline, staff/child
ratio and space. Failure to comply with any of the licensing requirements for
Child Care Centers may result in any of the following adverse actions:
a. Denial of an application for a license or
for church exempt status
b.
Revocation or suspension of a license or church exempt status
c. Issuance of a provisional license or
church exempt status
d. Imposition
of penalties
The following factors may be considered when determining the
appropriate adverse action:
a. Severity
of the deficiency cited
b. Number
of violations cited
c. Frequency of
violations cited
d. Past history of
compliance
e. Willingness/ability
to correct violations
2.
Each Child Care Center shall be reviewed by the Child Care Licensing unit to
determine whether the facility is in compliance with all the
Minimum Licensing Requirements for Child Care Centers.
Child Care Licensing staff shall have access to Child Care Centers for the
purpose of conducting inspections, reviews, and complaint investigations.
Denial of access to the facility or to interview children may result in any of
the adverse action described above.
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 visits.
3.
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.)
102
Licensing Procedures
1.
Application - An
application shall be obtained from the Child Care Licensing Unit. The completed
application shall be submitted to the Child Care Licensing Unit for review and
approval. A completed application shall consist of:
a. A signed application form with a
designated person who assumes legal responsibility for operation of the child
care facility
b. Name of proposed
director and their qualifications
c. A description of the services that will be
provided to the children
d.
Verification that criminal record checks and child maltreatment central
registry checks have been initiated on all owners, operators and employees of
the Child Care Center
e. Health
department, fire department, and zoning approval
f. Floor plan
g. Clear written guidelines of responsibility
for the board and administrator, if the facility has a governing
board
2.
Time for processing: The Licensing Specialist has
sixty days to submit a recommendation to the Division.
3.
Licensing fees
1. Each facility shall submit an annual
license fee as long as the facility is in compliance with the Minimum Licensing
Requirements for Child Care Facilities. A facility license is determined by
combining the maximum license capacity of all licenses located within the same
premises.
a. Facilities serving up to 17
children - $15 per year
b.
Facilities serving 17 to 99 children - $50 per year
c. Facilities serving 100 or more children -
$100 per year
2. Upon
review and determination of a licensing recommendation by the Child Care
Licensing Specialist, the Specialist shall issue a Notice of
License Fee Due to the facility.
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. The fee schedule shall apply to all child
care facility recommendations for licensure as follows:
a. New Provisional License - (Provisional
License for new operation to be issued for a period of twelve months.) A
one-year license fee shall be paid prior to the issuance of a provisional
license.
b. New Regular License or
Conversion from provisional to regular status - A license fee shall be paid
prior to the issuance of a new license.
c. Conversion to Provisional Status - No
license fee is due for licenses converted to provisional status during the term
of a regular license.
6.
A second notice of license fee due will be sent to facilities 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.
7. 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 for voluntary closure
of a facility or for Division action to revoke or suspend a license.
8. All license fees paid to the Division
shall be deposited in a special Child Care
Provider's Fund. This Fund shall be used to meet the cost of
conducting statewide criminal record checks, with the remaining money used for
training or materials to be loaned to child care providers. Funds to cover the
cost of statewide criminal checks shall not exceed the total fees collected and
deposited in the fund.
4.
License - The
Child Care Licensing Unit shall conduct a licensing study of each Child Care
Center to determine eligibility for a license. The facility shall be approved
by the
Child Care Licensing Unit before a license may be issued by the
Division. A license for a Child Care Center shall specify:
a. The name and address of the facility
b. The owner/operator of the Child
Care Center
c. The number of
children authorized for care at the Child Care Center
d. The expiration date of any provisional
licenses
e. The type of care the
Child Care Center will be providing
5.
License -
Non-transferable - A license for a Child Care Facility or approval
for church-operated exempt status shall apply only to the address and location
stated on the license or approval issued. It shall not be transferable from one
holder of the license or approval to another, or from one place to another. If
the location of a Child Care Facility is changed, or the operator of the Child
Care Facility is changed, then the license or approval for that Child Care
Facility shall be automatically closed on such a change. The Child Care
Facility shall notify the Licensing Unit of a change of location or
ownership.
6.
Compliance - On-site inspections of Child Care Centers
are conducted by the Child Care Licensing Unit on a routine basis to determine
a facility's continued compliance with standards. The Child Care Licensing Unit
shall have the authority to make both scheduled and unscheduled visits
throughout the license to determine continued compliance with the requirements
and to offer consultation and technical assistance.
Violations of rules are documented in writing by use of the
licensing compliance record. Documentation shall include:
a. Reference to the specific rule violated
b. A factual description of the
nature of the violation and how the Child Care Center failed to comply
c. A date of expected corrections
The Child Care Licensing Specialist may increase unscheduled
monitor visits where numerous or severe violations of standards are
cited.
If a violation is of imminent threat to the health, safety and
welfare of the children attending the Child Care Center, corrective action or
compliance shall be obtained within 24 hours in order to insure the health,
safety and welfare of the children in care. If a Child Care Center violates an
administrative standard or a standard that does not directly threaten the
immediate health, safety or welfare of the children in care, these violations
shall be corrected within a reasonable time as mutually agreed upon by the
Child Care Licensing Unit and the Child Care Center.
Once a violation has been corrected, the correction will be
documented on the Licensing Compliance Record and a copy provided to the Child
Care Center.
7.
License - Provisional -The Child Care Licensing
Specialist shall recommend a provisional license when the facility is newly
opened, a facility has been acquired by new owners whose compliance history has
not been determined, or the facility is not operating in substantial
compliance, but the deficiencies are not so numerous, frequent or severe as to
jeopardize the health, safety, and welfare of children. A provisional license
shall not exceed twelve (12) months in length.
At the end of the provisional license, the Division may in its
discretion:
a. Issue a regular license
b. Revoke the license
c. Suspend the license
d. Issue a successive provisional license in
conjunction with the imposition of a civil penalty
8.
License
Suspension-The Division may suspend a license when the CCLS
determines that the facility has serious areas of non-compliance, but the
facility would be able to resume normal operation when the harmful conditions
are eliminated.
If granted, the suspension order remains in effect until the
order expires or until the Division determines that the problems necessitating
the suspension order have been resolved. The suspension of a license may not
exceed (12) months. If the Division finds that the terms of the suspension
order have been met prior to the expiration of the suspension period, the
Division retains the discretion to reinstate the license. If the terms of the
order have not been met, the Division may revoke the license.
9.
License
Revocation- 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 license 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 (1) year or longer, if specified in the revocation order.
Facilities 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 facility provides care to a licensable
number of children.
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 a
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. (This appeal process also applies to Church Operated
exempt facilities.) (Additional information regarding the appeal
procedures and the Child Care Appeal Review Panel is available on
request.)
104
ALTERNATIVE COMPLIANCE
1. The Division
may grant alternative compliance with the Minimum Licensing
Requirements for Child Care Centers 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 requirements
for which the alternative compliance was sought.
2. The Division shall consider all requests
for alternative compliance with the Licensing requirements except those
requirements that are enforced by the Department of Health, Local Fire Marshal
or State Fire Marshal's office and applicable city ordinances including
zoning.
3. To request alternative
compliance, the following procedure shall be initiated by the person
responsible for the operation of the facility:
1. The applicant/licensee shall submit the
request for alternative compliance in writing
2. The request shall include:
a. The specific standards for which
alternative compliance is sought
b.
An explanation of how the alternative form of compliance is equal to or exceeds
the stated requirements
c. 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 continue to
provide for the health, safety and welfare of children as intended by the
requirements
d. The
applicant/licensee shall provide clear and supportive evidence and, upon
request of the Division, an expert's opinion on the effect of the request on
health, safety and welfare of the children.
4. A separate written request shall be
submitted for each requirement of which alternative compliance is sought. The
approved alternative compliance is effective for the duration of the license
unless a shorter time frame is specified.
5. The granting of alternative compliance for
a requirement shall in no way constitute a precedent. If an alternate means of
complying with the requirement is granted by the Division and the facility
fails to satisfactorily implement 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 shall have the right to deny
requests for alternative compliance when it finds that such requests do not
adequately protect the health, safety and welfare of children and do not meet
the intent of the requirements.
8.
All requests for alternative compliance shall be answered in writing by the
Division.
105
CHURCH-OPERATED EXEMPTION
1. Act 245 of
1983 defines those facilities that may apply for an exemption from the
obtaining of a license to operate a child care facility and the process through
which such exemption may be granted. The facility must be operated by a church
or group of churches and be exempt from the State Income Tax levied by Act 118
of 1929, as amended. The person or persons in charge of such a facility shall
submit a written request to the Division for such exemption along with the
following:
a. Verification of exemption from
State Income Tax
b. Verification
that the facility is operated by a church or group of churches
c. Verification that the facility has been
inspected annually and meets the applicable fire safety and health standards
d. Certification from the facility
that it is in substantial compliance with published standards that similar
nonexempt child care facilities are required to meet
2. The Division shall review each request for
a church-operated exemption and reply in writing within 60 days from receipt of
such request.
3. The facility shall
be visited by Division staff to verify the facility's substantial compliance
with the published standards prior to the consideration and review by the
Division.
4. The Division shall
consider each request for exemption and shall review the Division staff's
written report in determining a facility's substantial compliance with
published standards.
5. If a
facility claims and states the belief that a particular standard is of a
religious or curriculum nature the Division shall consider and make a
determination on the statements that shall then be a final action subject to
review under the Administrative Procedures Act.
6. Written notification of an exemption shall
be made to the facility stating the maximum number of children allowable, the
dates of exemption and any other conditions by which an exemption is
granted.
7. Division staff shall
have the authority to visit any church-operated exempt facility to review,
advise and verify the maintenance of substantial compliance at the direction of
the Division.
106
Licensing Investigations
Child Care Licensing staff shall investigate all complaints
involving the possible violation of licensing requirements.
107
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 child care
facility
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at application and every two years thereafter
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b. Employees and applicants for employment in a child
care facility
|
at application or within 10 days of hire and every two
years thereafter
|
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c. All volunteers who have supervisory and/or
disciplinary control over children or who have routine contact with
children
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at application and every two years thereafter
|
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d. Members of Boards of Directors who have supervisory
and/or disciplinary control over children or who have routine contact with
children
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at application and every two years thereafter
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2. If
a complaint of child maltreatment is filed against any owner/operator, employee
or other person in a child care center, the Child Care Licensing Specialist
shall evaluate the risk to children and determine the suitability of the
person(s) to supervise, be left alone with children, have disciplinary control
over children or remain in the center during hours of care until the
allegations have been determined true or unsubstantiated. (Pending the
evaluation of risk to children by the Child Care Licensing Unit, the person(s)
alleged shall not be left alone with children.)
3. If corrective action is appropriate, the
facility shall require all employees who have had a founded report of child
maltreatment to follow the corrective action plan specified 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 may
constitute grounds for adverse action against the license.
4. The statewide Child Maltreatment "Hot
Line" and the Child Care Licensing Central Office number shall be posted in a
conspicuous place in the child care facility. The "Hot Line" number is
1-800-482 -5964 and the Licensing Central Office number is (501) 682-8590 or
toll free 1-800-445 -3316.
108
Criminal Records Checks
1. The following persons shall apply to the
Identification Bureau of the Arkansas State Police for a nationwide criminal
record check, to be conducted by the FBI, which shall include a fingerprint
check: (The individual is responsible for the cost of a nationwide check.)
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a. Each applicant to own or operate a child care
facility
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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
|
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
|
if the person has not been a resident of Arkansas for 6
years
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2. 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 child care
facility
|
at application and every 5 years thereafter
|
|
b. Employees and applicants for employment In a child
care facility
|
within 10 days of hire and every 5 years
thereafter
|
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c. Volunteers who have supervisory and/or disciplinary
control over children
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within 10 days of hire and every 5 years
thereafter.
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3. No
person shall be eligible to be a child care facility owner, operator, or
employee if that person has pled guilty, or been found guilty, of any of the
following offenses:
1. Capital
murder
2. lst/2nd degree
murder
3. Manslaughter
4. lst/2nd degree battery
5. Aggravated assault
6. 1st degree terroristic
threatening
7. Kidnapping
8. 1st degree false imprisonment
9. Permanent detention or restraint
10. 1st/2nd degree rape or carnal
abuse
11. 1st/2nd degree sexual
abuse
12. 1st/2nd degree violation
of a minor
13. Incest
14. 1st 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 any
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 that person was released from confinement,
parole or probation. (Time is counted from whatever release date is 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
ORGANIZATION AND ADMINISTRATION
1. The
Owner and/or Board of Directors shall be responsible for operating the facility
and shall have final responsibility to ensure that the facility meets licensing
requirements. Names, addresses, and telephone numbers of Board members shall be
provided to the Licensing Specialist.
2. The facility shall provide a written
procedure for reporting allegations of child maltreatment and suspected
licensing violations. This procedure shall be followed and a call made to the
Hot Line whenever there is a suspicion of child maltreatment (
1-800-4820 -5964). There shall also be written procedure for how staff and
parents are notified that children are subject to be interviewed by licensing
staff, by child maltreatment investigators, or by law enforcement for
investigative purposes and/or determining compliance with licensing
requirements.
300
PERSONNEL
301
Staff/Child
Ratio
1. A licensee shall not have more
children in care at any one time than the maximum specified on the
license.
2. The following staff
child ratios shall be maintained:
a. Ages 2
1/2 through 3 years - 1 caregiver per 12 children
b. 4 years - 1 caregiver per 15 children
c. 5 years to kindergarten - 1
caregiver per 18 children
d.
Kindergarten and above - 1 caregiver per 20 children
3. When a total of eight (8) or fewer
children are in care at a licensed site, age groups may be mixed according to
the following ratios:
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# STAFF
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# CHILDREN
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AGES
|
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a. 1
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6
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No more than 3 under age of 2 years
|
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b. 1
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7
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No more than 2 under age of 2 years
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c. 1
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8
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No more than 1 under age of 2 years
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4. In
a group containing children of different ages, the staff/child ratio shall meet
the requirements for the youngest child in the group.
5. During lunch or outdoor play activities,
if children of different age groups are together, the staff child ratio for the
respective age groups shall be maintained.
6. At no time shall children be left
unsupervised or unattended. The child care center shall provide additional
staff for any temporary absence of primary child caring staff for activities
such as breaks, meal preparation, transportation, etc.
7. Additional staff provisions shall be made
for enrollment of children with disabilities who require individual
attention.
8. During naptime for
children age 2 1/2 and above, a minimum of 50% of the staff shall remain with
the children, with a total of 75% of the staff remaining in the
building.
9. Group size shall be
limited to 2 times the number of children allowed with one staff member. This
does not apply to periodic or special group activities or to school age
children, K5 and above. Existing structures licensed prior to November 1, 2002
are exempt from this requirement. However, any expansions, additions or any
newly licensed structures effective November 1, 2002 shall be in
compliance.
301.10
Infants/Toddlers
1. The following
staff/child ratios shall be maintained at all times: (This includes naptime.)
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a. Birth to 18 months -
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1 caregiver per 6 children
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b. 18 months to 36 months
-
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1 caregiver per 9 children
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2.
Infant and toddlers shall not be mixed with day care children except as
provided in Section 301.3. However, children ages 30 to 36 months may be placed
in the group most suited to their social, emotional and developmental maturity.
302
Director
1. There shall be a director
who shall be responsible for administering, planning, managing, and controlling
the center's daily activities and for ensuring that the licensing requirements
are met.
2. Directors shall be age
21 or older, have a high school diploma or GED and have four (4) program years
experience in child care or elementary education programs.
3. The following educational levels may be
substituted for experience:
a. A Bachelors or
higher Degree in Early Childhood, Child Development or a related field. Persons
with a Bachelors Degree in a non-related field shall obtain a Child Development
Associate (CDA) within their first year of employment. Directors previously
qualified are exempt. (Determination of "related field" will be made by the
Child Care Licensing Unit.)
b. AA
Degree with an emphasis in Early Childhood or Child Development
c. A one-year technical certificate in Child
Development
d. Child Development
Associate (CDA)-a child care credential from an approved program.
4. When the director is away from
the center, there shall be a person in charge who shall have the authority to
carry out daily operations. The person in charge shall be age twenty-one (21)
or older.
5. All new directors
shall attend New Director's Orientation within six months of employment. (This
is an orientation class conducted by the Division)
6. The director shall obtain 10 clock hours
in early childhood education each year as approved by the Division.
Documentation of training shall be maintained and available for
review.
7. Topics appropriate for
continuing early childhood education shall include, but are not limited to the
following:
a. Child growth and development
b. Nutrition and food service
c. Parent communication and
involvement
d. Curriculum and
curriculum development
e.
Developmentally appropriate practice and learning environments
f. Behavior management
g. Emergency care and first aid
h. Administration and management of early
childhood programs
303
Employee Requirements
1. All employees in a child care center shall
be age 18 years or older unless approved by the Child Care Licensing Unit.
Prospective employees younger than 18 years shall be approved on an individual
basis by the Licensing Unit and shall be under the direct supervision of the
director or person in charge.
2.
All employees hired after January 1, 1990, to work directly with children shall
have a high school diploma or GED or shall be enrolled in a GED curriculum and
complete the curriculum within one year of hire.
3. All employees 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.
4. At least one adult member of the staff who
is certified in infant/child cardiopulmonary resuscitation (CPR) shall be
present within the physical confines of the child care center while children
are in care. Adult CPR is also required when school age children are in
care.
5. Prior to providing direct
child care, staff shall receive an orientation in basic health & safety,
facility behavior management policies, center schedules, and shall be advised
that they are mandated reporters under the Child Maltreatment Reporting
Act.
6. All employees working in a
child care center, in any capacity, shall obtain a health card or physician's
statement showing the absence of contagious Tuberculosis. This shall be renewed
on a yearly basis.
7. All employees
caring for children shall be able to perform necessary job functions.
8. Staff shall not engage in behavior that
could be viewed as sexual, dangerous, exploitative or physically harmful to
children.
9. 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 their ability to provide care.
304
Volunteers
1. All volunteers in a child care center
shall be 18 years or older unless the volunteer is under the direct supervision
of the director or person in charge and has been approved on an individual
basis by the Child Care Licensing Unit.
2. Volunteers who are considered in the
staff/child ratios or given disciplinary control over children shall meet the
requirements for personnel (Section 300) and employee requirements (Section
303).
3. Volunteers who are not
considered in the staff child ratio and who are not given disciplinary control
over children, but who have routine contact with children, shall have on file a
physician's statement or health card and a child maltreatment Central Registry
check. An exception shall be given to parents who volunteer to assist in field
trips. (Child maltreatment Central Registry
checks for volunteers under age 18 must include a parent's
signature.)
4. Individuals who
provide health services or program enrichment activities on a limited basis are
not considered volunteers. The facility shall retain a register of such persons
listing name, organization, address, telephone number, date and time in the
center.
400
PROGRAM
1. There shall be a
written daily routine listing developmentally appropriate activities for
children. The program shall offer alternating periods of active play and quiet
times throughout the day.
2.
Facility staff shall avoid 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 of at least one hour but not more than two
hours.
4. Parents shall not be
denied access to their child at anytime during hours of operation.
5. There shall be a total of at least one
hour of outdoor play per day in suitable weather.
400.10
Infants/Toddlers
1. Sleeping children shall be visually
monitored at all times and physically checked regularly for
breathing.
2. Each infant/toddler
shall be given opportunity during the day to explore the area outside the crib
or baby bed.
3. Infants/toddlers
shall be placed in age appropriate cribs, cots, or mats when they fall
asleep.
4. Infants and toddlers
shall be taken outside for a period of time every day, unless prevented by
weather or special medical conditions.
5. Infants/toddlers, when awake, may remain
in the crib/playpen as long as he or she is content, but never for periods
longer than one (1) hour.
6.
Infants shall be held, and played with by the caregiver at times other than
diapering and feeding.
500
BEHAVIOR GUIDANCE
1 Behavior guidance shall be individualized
and consistent for each child; it shall be appropriate to the child's level of
understanding and be directed toward teaching the child acceptable behavior and
self-control.
2. Physical
punishment shall not be administered to children.
3. The length of time a child is placed in
time out shall not exceed one minute per year of the child's age.
4. 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 regarding how they
are expected to behave rather than what they are not supposed to do.
c. Attempt to ignore minor inappropriate
behavior 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.
5. The
following activities or threats of such activities are unacceptable as behavior
guidance measures and shall not be used for children. These include, but are
not limited to the following:
a. 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.)
b. Washing mouth with soap
c. Taping or obstructing a child's mouth
d. Placing unpleasant or painful
tasting substances in mouth, on lips, etc
e. Profane or abusive language
f. Isolation without supervision
g. Placing child in dark areas
h. Inflicting physical pain, hitting,
pinching, pulling hair, slapping, kicking, twisting arms, biting or biting
back, spatting, swatting, etc.
i.
Yelling (This does not include a raised voice level to gain a child's attention
to protect the child from risk of harm.)
j. Forcing physical activity, such as running
laps, doing push-ups, etc. (This does not include planned group physical
education activities that are not punitive in nature.)
k. Associating punishment with rest, toilet
training or illness
l. Denying food
(lunch or snacks) as punishment or punishing children for not eating
m. Shaming, humiliating, frightening,
physically or mentally harming children or labeling children.
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.
7.
Behavior guidance practices used by the center shall be discussed with each
child's parents and provided to them in writing at the time of enrollment with
a copy signed by the parent maintained in the child's record.
500.10
Infants/Toddlers
1. Time-out shall not be used for children
under two years of age. (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
staff attend to the situation. Example: A child who has bitten another child
would be removed from the group, briefly, while staff attend to the bitten
child.)
600
RECORDS
1. All employee, child
and facility records shall be kept and made available to the Child Care
Licensing Unit on request. Employee records may be kept at
another location away from the licensed site as long as they are available for
review up request wherever they are maintained.
2. All required records shall be maintained
for 3 years. (This includes records on children no longer enrolled.)
601
Employee Records
Employee records shall contain the following:
1. Name, date of birth, address and telephone
number
2. Education, training and
experience
3. Health record,
including current health card and/or physician's statement verifying the
employee is free of contagious tuberculosis
4. Employment related information for
previous six years, with written documentation, that contact or attempt to
contact has been made.
5.
Attendance record, listing days and hours worked
6. Date of employment and date of
separation
7. Document training or
continuing education; i.e., orientation, in-service training, and workshop
documentation, which shall include title of workshop, presenter, hours of
training and date
8. Initiation of
Criminal Record Checks and Central Registry Checks and the results obtained
when received
602
Child Records
1. The child care
facility shall maintain a record for each child in care which shall contain the
following information:
a. Application form,
which includes child's name, date of birth and address, name of parent or
guardian, telephone numbers (home and business), work hours of parents or
guardians, and date of enrollment in facility
b. The name, address and telephone number
(home and business) of a responsible person to contact in an emergency if the
parent or guardian cannot be located promptly
c. Name, address and telephone of child's
physician or emergency care facility
d. Written permission of parent or guardian
authorizing emergency medical care and transportation of child for emergency
treatment (This authorization shall accompany children anytime they are
transported)
e. Name(s) of persons
authorized to pick up child
f.
Permission slips signed by parent or guardian authorizing the child to be taken
on specific field trips
g.
Pertinent medical history on the child
h. An authorized record of up-to-date
immunizations or documentation of a religious or medical exemption from the
Arkansas Department of Health (Updated immunization schedules will be provided
as changes are received from the Arkansas Department of Health.)
i. A record of all accidents or injuries
indicating the location, time of day, area or piece of equipment where the
incident occurred
2. The
child care facility shall maintain the following records on all children in
care:
a. Attendance records on all children
b. Roster(s) of children's names of
those going on a field trip shall be checked upon boarding for departure, upon
boarding for the return trip and upon arriving back at the facility
700
NUTRITION
1. The center shall ensure
that lunch is served to each child.
2. The lunch and evening meals shall each
include 1/3 of the minimum daily nutrition requirements. If sack lunches are
utilized, the facility shall ensure that these also meet 1/3 of the minimum
daily nutrition requirements. 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.)
3.
Breakfast shall be made available for 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.
4. Meals shall be served at tables. All food
service surfaces shall be kept sanitary.
5. Food and drinks which are not available to
the children shall not be consumed by staff in the children's
presence.
6. Mid-morning snacks or
breakfast, and mid-afternoon snacks of nutritional value shall be provided for
all children.
700.10
Infants/Toddlers
1. The use of food,
bottles and formula shall be agreed upon by the caregiver and parent.
2. Infant bottles and food shall be prepared
and heated in an area separate from the diaper change area.
3. 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.)
4. Children shall
not share the same bottle or eating utensils. The facility shall practice a
sanitary method of cleansing baby bottles, cups, and utensils.
5. Bottles shall not be propped. Infants
under six months of age shall be held while being bottle-fed. If needed,
infants six months of age or older shall be held while being
bottle-fed.
6. Bottles and "sippy
cups" shall be labeled with the child's name and shall be
refrigerated.
7. Safety straps
shall be used in high chairs at all times.
800
BUILDINGS
1. Child care centers shall comply with the
Minimum Requirements of The National Fire Safety Code 101 as administered by
local fire department or by the State Fire Marshal, who has final authority.
Written verification of annual approval shall be maintained on file.
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 requirement must be obtained in writing from the State Fire
Marshal's Office prior to using these spaces.
2. State Health Department requirements shall
be met. Written verification of annual approval shall be maintained on
file.
3. All space used by a center
shall be kept clean and free of hazardous or potentially hazardous
objects.
4. Thirty-five square feet
per child of usable floor space shall be required for indoor activities. This
does not include bathrooms, kitchen and hallways. Usable space in the child
care center shall include areas in the classroom used for storage of
programmatic materials which are accessible to children. This does not include
closets or storage space for equipment that is not in use.
5. Separate space shall be provided for the
isolation of children who become ill and shall be located in an area that can
be supervised at all times by a staff member.
6. All parts of the center used by the
children shall be well heated, lighted and ventilated. Glass doors shall be
clearly marked. When windows and doors are used for ventilation, they shall be
screened and shall not present a safety hazard.
7. Floor furnaces, gas heaters, electric
heaters, hot radiators, hot water heaters, air conditioners and electric fans
shall have guards and shall not present a safety hazard.
8. Floors, ceilings and walls shall be in
good repair and kept clean. Paints used at the facility shall be lead
free.
9. A child care center shall
have an operable telephone.
10. The
following manufactured homes shall not be used as child care centers:
a. Manufactured homes constructed prior to
June, 1976
b. Manufactured homes
constructed with metal roofs and outside walls
c. Single-wide manufactured homes
11. Double-wide manufactured homes
may be considered provided they are tied down in accordance with the
manufacturer's tie down specifications manual. Any new applicant for a child
care center that requests the use of a manufactured home shall obtain an
inspection at the applicant's expense from the Arkansas Manufactured Home
Commission.
12. Manufactured homes
currently licensed as child care facilities shall be tied down as recommended
by the Arkansas Manufactured Home Commission.
13. Portable classroom buildings are not
considered manufactured homes, but do require Fire Department approval.
Portable classroom buildings installed after 11-1-2002 shall have Fire
Department approval prior to purchase and installation.
800.10
Infants/Toddlers
1. If Infant and
Toddler Centers and Child Care Centers are operated in the same building, the
areas designated for care of infants and toddlers shall be in rooms separate
from the activity of other children.
2. When infants/toddlers share the same
eating areas with older children, arrangements shall be made to maintain
separation.
900
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 would require fall zones and surfacing. Numerous options for suitable
playground environments are available and acceptable. For information on
playground options, contact your Licensing Specialist.
901
Layout and Design
1. The play area shall be enclosed and
provide at least 75 square feet per child present on the playground at
anytime.
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 age and number of
children enrolled in the facility.
5. Separate play areas or time schedules
shall be provided if infants and toddlers share playgrounds with older
children.
902
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.
903
Slides
1. Slides shall not have
any spaces or gaps between the platform and the slide surface.
904
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 rope (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 ground.
905
Climbing
Equipment
1. Free standing arch
climbers exceeding 4 feet in height shall not be used for
pre-schoolers.
2. Flexible grid
climbing devices, such as rope or chain ladders, climbing ropes, etc., shall be
securely anchored at both ends.
3.
Pre-schoolers 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.
906
Merry-Go-Rounds
1. 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.
907
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.
908
Fall
Zones/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 highest surface on the piece of equipment
where children would stand or sit when the equipment is being used as
intended.) 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.
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.)
A. Structures over 2' and under 3 ½ '
at the highest accessible point shall have a minimum surfacing material depth
of 6"
B. Structures 3 ½' 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 of 6" depth).
2. 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 requires a fall zone.
When purchasing gravel, care should be taken prior to purchase
to insure that the gravel is actually pea gravel that is smooth and rounded,
and not crushed rock or gravel with sharp edges. Crushed rock and sharp gravel
will not be approved.
Pea gravel used for fall zones shall not be over ½ inch
in diameter.
3. 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.
4. SLIDES: The fall zone for slides measuring
6 feet or over, measured from the slide 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.
5. SWINGS: The fall zone
for single-axis swings (standard swings) (except toddler swings) shall extend
to the front and to 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 #1 above.) Fall zones shall also
extend six feet to the sides of the swing set.
6. SWINGS: The fall zone 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.
7. Fall
zones shall be free of obstacles onto which children may fall.
1050
FURNITURE AND EQUIPMENT
1. Each child
care center shall be equipped with toys, books and indoor and outdoor equipment
to take care of the needs of the total group and to provide each child with a
variety of activities throughout the day.
2. All equipment shall be sturdy, clean, and
safe.
3. Paint on toys, equipment
and other materials shall be lead free.
4. Chairs and tables shall be the
size-appropriate for children.
5.
The center shall provide individualized space for storing personal
belongings.
6. There shall be
storage space for extra materials and other equipment when not in
use.
1051
Sleeping
Arrangements
1. There shall be a
labeled, individual cot or mat, bottom sheet, and adequate cover for each child
in care during rest time.
2. The
use of mats shall be acceptable if they are at least 2 inches thick, washable,
waterproof, and size-appropriate for children.
3. Sleeping equipment shall be kept at least
one foot apart for napping.
4.
Sheets and covers shall be washed at least once a week. Once a
sheet/cover/blanket has been used by a child, it shall not be used by another
child until it has been washed.
5.
There shall be sufficient lighting during nap time to provide adequate
supervision of the children.
1051.10
Infants/Toddlers
1. An individually labeled crib or safe
playpen with a waterproof mattress shall be provided for each child under12
months of age. A bassinet shall not be used.
2. The following guidelines shall be required
for cribs:
a. Slats shall be no greater than 2
3/8" apart
b. Cribs that have end
panels with decorative cutout areas shall not be used
c. Mattresses shall fit snugly in the crib,
be waterproof and in good repair. The space between crib and mattress shall
measure no more than 1 inch
d.
Corner posts shall be the same height as end panels
e. End panels shall extend below mattress at
the lowest position of the mattress
3. Crib bedding shall be changed daily or
more frequently when wet or soiled.
Recommendation: Care should be
taken to ensure that loose bedding materials, 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.
1100
HEALTH
1101
General
1. No child or staff 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 treatment and removal of
nits.
i.
Multiple
Sores inside mouth with drooling: unless health care provider
determines the condition is non-infectious.
j.
Ring Worm: 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. Any child who becomes ill and unable to
participate in daily activities shall be separated from other children,
supervised, and parents shall be called to pick up the child.
3. Any child who is injured shall have
immediate attention. Parents shall be notified of all injuries. Injuries that
require the attention of medical personnel shall be reported to the parent
immediately.
4. Parents or
guardians of all children shall be notified of contagious illness as soon as
possible.
5. Medication shall be
given to children only with signed parental permission which includes date,
type, drug name, time and dosage. It shall be in the original container, not
have an expired date, and be labeled with the child's name. (Aspirin
substitutes, such as ibuprofen and acetaminophen, may be provided by the
facility if parental permission has been granted.
These medications shall be in the original container.) Staff
shall not dispense medications in dosages that exceed the recommendations
stated on the medication bottle.
6. A first aid supply shall be kept out of
reach of the children. A first aid kit containing medications shall be locked.
This kit shall include the following:
a.
Adhesive band-aids (various sizes)
b. Sterile gauze squares
c. Adhesive tape
d. Roll of gauze bandages
e. Antiseptic
f. Thermometer
g. Scissors
h. Disposable gloves
i. Tweezers
7. Medicine shall be kept out of the reach of
the children when dispensing and shall be stored in a locked area at all other
times.
8. Smoking is prohibited
within the physical confines of the child care center.
9. Smoking outside the facility shall be
limited to a designated area out of the presence of children.
10. Garbage and soiled diapers shall be kept
in closed containers. Garbage and trash shall be removed from the center daily
and from the grounds at least once a week.
11. There shall be no pets or animals allowed
that present a health and safety threat.
12. The communicable diseases listed in
Appendix B
, whether suspected in a child or
adult, shall be reported within 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
13. 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
14. A roster shall
be maintained on infants and toddlers who have not completed the minimum
immunization requirements and parents notified of the needed
immunization(s).
15. Within 15 days
of enrollment of a child, the child care facility shall verify that the child
has been immunized as required by the 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).
16. 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
infants/toddlers and preschool children shall be kept out of the children's
reach and shall be administered only with written parental permission. (A
blanket permission may be obtained annually.)
1101.10
Infants/Toddlers
All diapering preparations shall be placed out of the reach of
children. The use of all diapering preparations shall be agreed upon by the
caregiver and parent.
1102
Hand Washing
1. Individual towels, paper towels or forced
air dryers shall be within the reach of children.
2. A liquid soap shall be accessible in the
hand-washing area and used by caregivers and children.
3. Running water shall be available in all
lavatories.
4. Caregiver's and
children's hands shall be washed with soap before meals and snacks, after
toileting, after each diaper change, and as needed.
5. A wash cloth shall not be used more than
one time before laundering.
6. A
hand-washing sink shall be available for the staff within the diaper change
areas.
1102.10
Infants/Toddlers-Hand-washing
Caregivers hands shall be washed with soap upon entering the
work area.
1103
Drinking Facilities
1. The
water supply shall be approved by the Arkansas State Department of
Health.
2. Drinking water shall be
provided to the children.
3.
Drinking water shall not be obtained from the hot water supply.
1104
Toilet
Facilities
1. There shall be 1 toilet
and 1 sink available for each group of fifteen (15) children.
2. Clean clothes shall be available for
children who soil themselves.
3.
Each center licensed or approved for more than thirty (30) children over the
age of 18 months shall have a separate rest room for staff. Infant and Toddler
Center staff and Day Care Center staff may share the same toilet facilities
when both programs are located in the same building.
4. Toilet tissue shall be located within
reach of the children when toileting.
1104.10
Infants/Toddlers-Toilet
Facilities
1. There shall be at least
one toilet and one sink available to each infant/toddler center. For every
fifteen (15) children 18 months age and above, there shall be an additional
toilet and sink.
2. The child care
center shall either provide a bathroom that opens directly into the room where
toddlers are located or the facility shall provide additional staff for
assisting children with toileting.
3. Potty chairs shall not be counted in lieu
of conventional toilets. If potty chairs are used, they shall be placed in the
same area with a conventional toilet and sink and shall be emptied and
sanitized immediately after each use.
1105
Diaper Changing
1. When infants and toddlers are in care,
there shall be a safe diaper changing area which shall be sanitized after every
use and equipped with necessary supplies and cleaning materials.
2. Soiled or wet diapers shall be removed and
replaced with clean, dry diapers. The caregiver shall ensure that children are
properly cleaned and dried.
3.
Soiled cloth diapers or clothing shall not be rinsed. If a child's own diapers
are used, they shall be sanitarily bagged to be taken home daily.
4. Diaper covers or plastic pants shall be
handled in the same manner as cloth diapers.
1106
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 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
1200
SAFETY
1. Procedures and diagrams for emergency
drills shall be posted in each room and the following practices shall be
followed:
a. Both fire and tornado drills
shall be practiced each month
b.
Staff, including volunteers and substitutes, shall be trained in safety drill
procedures
c. Everyone in the
facility at the time of the drill shall participate in the drill
d. The facility shall maintain a record of
emergency drills, noting the date, time of the drill, the number of children
participating in the drill and the length of time taken to reach
safety.
2. Effective
January 1, 2002, child care centers shall maintain a log of all child product
recall and safety notice issued by the Attorney General's Office and shall post
or otherwise make these notices available for parents to review. The facility
director 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)
3. All medications
and poisonous substances shall be kept in separately locked areas.
4. 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.)
5.
Supplies used for children's activities shall be carefully
supervised.
6. All bags belonging
to children shall be checked on arrival to eliminate possible hazards.
Purses and bags belonging to staff shall be stored out of reach
of children.
7. Electrical
outlets shall be guarded.
8.
Balloon use shall be carefully supervised.
9. Staff shall be instructed in the use of
fire extinguishers.
10. The
facility shall maintain smoke detectors/fire extinguishers as required by the
Fire Department. Smoke detectors shall be kept in working order at all
times.
1200.10
Infants/Toddlers
1. Balloon use shall
not be allowed in infant/toddler areas.
1201
Transportation
1. Staff transporting children shall have a
current valid driver's or commercial driver's license as required by state
law.
2. The vehicle shall be
licensed, insured and maintained in proper working condition, and in compliance
with Arkansas state laws on transportation of children.
3. Driver may be counted in staff/child
ratio, but shall not be the only adult when more than 12 children over the age
of three are transported.
4. For
transporting children kindergarten and above only, a
ratio of l:20 shall be maintained. Driver may be counted in staff/child
ratio.
5. Any child 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 or weighs at least 60
pounds must be restrained by a safety belt. (Act 470 of 2001). Conventional
school busses are exempt from this requirement except for the transportation of
infants/toddlers. (See # 1201.10.2)
6. There shall be a seating space and an
individual, appropriate restraint system provided for each child
transported.
1201.10
Infants/Toddlers-Transportation
1. In
a vehicle transporting infants and toddlers, the driver may be counted in
staff/child ratio but shall not be the only adult. A ratio of one adult for
each three infants/toddlers shall be maintained.
2. Infants and toddlers shall not be
transported on school buses that are not equipped to accommodate required child
safety seats.
1202
Swimming Pools
1. Swimming pools and natural pools of water
may be used for water play if the following requirements are met:
a. Health Department approval where
applicable
b. Written parental
permission
c. One person present at
all times who has received certification in Red Cross Life Saving or Y.M.C.A.
aquatic instruction
2.
Adult supervision of the children shall be provided at all times, with grouping
based on the following staff/child ratio: (unless children are participating in
an authorized swimming instruction program)
|
a. Kindergarten & up
|
1:8
|
|
b. 5 years
|
1:5
|
|
c. 4 years
|
1:3
|
|
d. 2 1/2 - 3 years
|
1:2
|
3.
When children of different ages are swimming in a group, the staff/child ratio
shall be based on the youngest child within the group. Lifeguards, swimming
instructors or any other swimming pool staff may be counted in the ratio when
the facility's children are the only occupants of the pool and these persons
have completed criminal and child maltreatment background checks and have a
current health card.
4. Swimming
pools located within the play area of the center shall be enclosed. The
enclosure shall consist of a locked gate and a fence that is at least four feet
high.
1202.10
Infants/Toddlers-Swimming Pools
Swimming pools, wading pools, and natural pools of water shall
not be used for children in Infant/Toddler programs. This does not prohibit the
use of sprinklers and water play for this age child.
PROGRAM SPECIFIC VARIATIONS
PROGRAM-SPECIFIC VARIATIONS ARE NUMBERED ACCORDING TO THE
REGULATION WITH WHICH IT VARIES. UNLESS A VARIANCE IS LISTED BELOW, ALL BASIC
REQUIREMENTS APPLY.
1300
SCHOOL
AGE/SUMMER DAY CAMP
301
Staff/Child Ratio
Kindergarten and above, 1 worker per 20 children.
400
Program
1. The program of activities shall be
flexible and shall provide some opportunities for a child to choose how he will
spend his time.
2. The program
shall provide a variety of activities suitable to the ages and interests of the
children.
3. School age children
who leave the child care center to participate in other activities shall have
written permission from the parents naming the activity, time of leaving and
returning and method of transportation.
4. Children in camp situations shall be under
direct supervision of staff at all times.
602
Child's Records
1. Immunization records shall not be required
for school age children.
2.
Permission for specialized summer activities shall be maintained.
3. Emergency information and medical
permission sheet shall be maintained at camp site.
700
Nutrition
1. Children arriving for after-school care
shall be provided with a nutritious snack.
2. Sack lunches may be utilized provided 1/3
of the minimum daily nutritional requirements are met. The center shall provide
a method to supplement lunch's not meeting requirements.
3. Mid morning snacks shall be provided for
all children who are in care for more than 3 hours prior to lunch. Mid
afternoon snacks shall be provided for all children.
4. Vending machines in school age settings
are acceptable provided they are not the only source of snacks and/or
beverages.
5. Milk is not required
to be served in rural day camp settings. Lunches must provide foods from the
cereal, protein, and fruit and vegetable groups.
800
Buildings
1. Twenty-five (25) square feet of floor
space shall be provided for each school age child.
2. If a facility utilizes the out-of-doors as
its major program component for school-age children, covered pavilions and
other roofed structures shall provide 25 square feet per child.
3. If preschool children are not present,
electrical outlets need not be plugged.
900
Grounds
The requirements for an enclosure of the outdoor play area
shall be met if there are health, safety, or fire hazards present.
1051
Sleeping
Arrangements
A period for quiet activities shall be provided when children
are in care all day.
1100
Health
Provisions shall be made for waterproof cots or mats if a child
becomes ill.
1102
Hand Washing
Alternative methods of hand washing shall be provided if
running water is not available.
1103
Drinking Facilities
Water that is transported to the camp sites for drinking
purposes shall be in enclosed containers. Fresh water shall be provided each
day.
1104
Toilet
Facilities
There shall be one toilet and one sink for each 30 children.
Separate toilet facilities for boys and girls shall be provided.
1201
Transportation
1. Driver may be counted in staff/child
ratio.
2. There shall be a minimum
of two staff members present whenever more than 20 children are
transported.
1202
Swimming Pools
Lifeguards, swimming instructors, or any other swimming pool
staff may be counted in the ratio when the facility's children are the only
occupants of the pool and these persons have completed criminal and child
maltreatment background checks and have a current health card.
1400
EVENING
& NIGHT CARE VARIATIONS
Night care is any care provided after midnight.
301
Staff/Child
Ratio
Staff members shall be awake at all times and shall have
children in view at all times.
400
Program
Evening quiet time activity shall be provided to each child
arriving before bedtime.
700
Nutrition
1. Children who are
in care overnight shall be provided with a nutritious breakfast prior to
leaving for school or other activities.
2. Supper shall be provided to children
during the evening meal hours.
3.
Nutritional snacks shall be provided to children in attendance for more than 2
1/2 hours prior to bedtime.
1051
Sleeping Arrangements
1. Bedtime schedules shall be established for
children in consultation with the child's parent(s).
2. Storage space for clothing and personal
belongings shall be provided within easy reach of the children.
3. Individual beds or cots equipped with
comfortable mattresses, sheets, pillows, pillow cases and blankets shall be
provided for children in all-night care. Bed linens shall be changed at least
once a week or daily when wet or soiled.
4. Mats may be used for children in evening
care.
5. The upper level of double
deck beds shall be allowed for children 10 years or older if a bed rail and
safety ladder is provided.
6.
Children shall have clean and comfortable sleeping garments for their
individual use.
1103
Toilet Facilities
1. There shall
be age appropriate bathing facilities available for all children. For children
aged 2 1/2 years and older in nigh care (after midnight), there shall be a
bathtub or shower available. Bathtubs and showers shall be equipped to prevent
slipping.
2. Bathrooms shall be
located near the sleeping areas.
3.
No child under 6 years of age shall be left alone or with another child while
in the bathtub or shower.
1500
PART-TIME PROGRAM
VARIATIONS
400
Program
1. A rest period is not required for children
who are in care for less than 4 hours per day or arrive shortly after
lunch.
2. Outside play may be
scheduled for periods of less than 1 hour daily.
700
Nutrition
1. Sack lunches may be utilized in facilities
providing extended day care no more than 2 days per week. The facility shall
insure 1/3 of the minimum daily nutrition requirements are met. A method to
supplement lunches shall be provided.
2. Facilities in operation for more than 3
hours per day shall provide a nutritious snack.
1600
SICK CARE COMPONENT
300
Staff/Personnel
1. If the component is part of a child care
facility, the program director shall be accountable to the facility director.
If the component is an entity unto itself the program director may also be the
facility director.
2. The program
director shall have completed the following training:
a. Communicable disease control
b. Recognition and care of usual childhood
illness
c. CPR certification
d. First aid
certification
301
Staff/Child Ratio
1. Infant 1:3; Maximum group size =
6
2. Preschool/School age 1:5
Maximum group size = 10
3. Staff
shall be separated in the same manner children are separated to prevent cross
infection.
400
Program
1. Children shall be provided
with quiet activities according to their age and abilities.
2. Caregivers shall:
a. Administer medicine according to
prescribed instructions
b. Take
temperature frequently or as needed
c. Monitor any changes in condition
d. Record necessary medical or
physiological data or changes
e.
Notify parents immediately if their child's condition changes significantly for
the worse, especially if the condition meets one of the excludable diseases or
symptoms
3. The child
shall be removed immediately from sick care when his/her condition meets one of
the excludable diseases or symptoms.
4. Children may be returned to regular day
care when a doctor's statement has been obtained or when the child is free of
symptoms for 24 hours.
600
Records
1. The record shall contain information on
the specific condition or illness placing the child in sick care.
2. The record shall contain any
recommendations for needed medical treatment and/or program or environment
modifications that the child needs.
800
Buildings
1. If located in the same facility as day
care, sick care shall be separate with a separate entrance and separate
ventilation system.
2. Children
with respiratory illnesses shall be cared for in separate space from children
with gastrointestinal illness. Any child with an undiagnosed condition shall be
separated from other children to prevent cross infection. A separate area can
be defined by curtains; partitions etc. if airborne transmission is not
likely.
3. A hand-washing sink
shall be available in each room.
4.
To prevent cross contamination, a designated toilet shall be available to each
sick care room.
5. The facility
shall be self contained - i.e. food, water, bedding, toileting (no potty
chairs) etc.
1050
Furniture & Equipment
1. No
furniture, fixtures, equipment and supplies designated for use in the sick care
component shall be used or shared by well children.
2. All laundry shall be washed each day. The
items shall be placed in a plastic bag and labeled "contaminated" so necessary
precautions can be taken.
3. All
toys and equipment shall be disinfected after every use.
1100
Health
TABLES OF COMMUNICABLE DISEASES AND SYMPTOMS THAT EXCLUDE
CHILDREN FROM SICK CARE: (asterisk denotes reportable diseases)
1. Communicable Diseases:
|
a. RESPIRATORY ILLNESS
|
b. GASTROINTESTINAL ILLNESS
|
c. CONTACT
|
|
Chicken Pox
|
Giardia Lamblia*
|
Impetigo
|
|
German Measles
|
Hepatitis A*
|
Lice
|
|
Hemophilus influenza
|
Salmonella*
|
Scabies
|
|
Measles*
|
Shigella*
|
|
|
Meningococcus*
|
|
|
|
Mumps*
|
|
|
|
Strep throat
|
|
|
|
Tuberculosis*
|
|
|
|
Whooping Cough*
|
|
|
2.
Symptoms that Exclude Children from Sick Care:
A symptom is a condition that indicates an illness that may not
be identifiable by one of the above listed names but presents a situation where
the child shall not be admitted to or remain in sick care and should be seen by
the family physician.
1. Diarrhea
a. Accompanied by evidence of dehydration for
excessive fluid loss
b. Accompanied
by history of poor fluid intake and/or marked lethargy
c. With blood or mucous in the stool unless
at least one stool culture shows the absence of Salmonella, Shigella,
Campylobacter or E-Coli
d. That
exceeds 5 bowel movements in an 8-hour period or is continued over 3 or 4 days
unless the child is under the supervision of a physician with written
documentation;
2.
Vomiting for over a 6 hour period
3. Difficult or rapid breathing
4. Severe coughing: episodes of coughing,
which may lead to gagging, vomiting, or difficulty breathing.
5. Mucous (phlegm) that is foul smelling,
yellow or green and the child has a fever over 102
6. Asthmatics with severe upper respiratory
infections who have not been seen by a physician or whose distress is not
controlled by medication
7. Sore
throat and fever greater than 103 or confirmed Strep throat until treated with
antibiotics for over 24 hours
8.
Skin conditions that have not been diagnosed as noncontagious by a physician;
including but not limited to:
a. Yellow
(jaundiced) eyes or skin
b.
Children in contagious stages of chicken pox, measles, mumps or rubella
c. Untreated impetigo
d. Untreated scabies or head lice
e. Blood-red rashes and skin conditions with
spontaneous bruising
9.
Children who are in the contagious stages of Pertussis, diphtheria, or
tuberculosis
10. Pink or red eye(s)
which may be swollen with white or yellow discharge until on antibiotics for
over 24 hours
11. Abdominal pain
that is intermittent or persistent
12. Fever over 102 for greater that 24 hours,
or any fever over 103 unless the child has been evaluated and treated by a
physician and does not have other exclusion criteria
APPENDIX A: Definitions
1.
"Act" means the Child Care
Facility Licensing Act as amended.
2.
"Child Care Center" means any
Child Care Facility conducted under public or private auspices on a profit or
nonprofit basis providing direct care and protection for children. Any facility
that is open more than five (5) hours during any 24 hour period or more than a
total of ten (10) hours during a seven (7) day period is considered a Child
Care Center and shall be subject to the provisions of the Child Care Facility
Licensing Act. Those facilities meeting the above definitions but operating no
more than three weeks are not required to comply with the licensing
requirements, i.e.: Summer Bible Schools and Day Camps.
For purposes of determining the need for a license, all care
provided at the site of a licensed program is considered a part of the licensed
program and therefore subject to licensing requirements. This includes separate
buildings located on the same property or any other property under the same
ownership. However, Mother's Day Out and other part time programs serving
children not participating in the licensed program are exempt as long as they
operate no more than 5 hours per day or 10 hours per week.
A public or private school which operates a Kindergarten (K5)
in conjunction with grades one and above, or for grades one and above only and
provides short-term custodial care (not to exceed 20 hours weekly) prior to
and/or following classes for those students, is not required to comply with
licensing requirements for the short-term custodial care provided.
3.
"Child Care Facility"
means any facility defined by Ark. Code Ann. §
20-78-202(4).
4.
"Child Care Licensing Unit"
means the unit within the Department of Human Services, Division of
Child Care and Early Childhood Education, that inspects and investigates any
proposed or operating Child Care Center and any personnel connected with the
center to determine if the facility will be or is being operated in accordance
with the Child Care Facility Licensing Act and the Licensing Requirements for
the Child Care Centers.
5.
"Child Maltreatment Central Registry Check" means a check of the
Arkansas Child Maltreatment Central Registry for any record of founded child
abuse and neglect or maltreatment.
6.
"Criminal Record Check" means
a statewide criminal record check conducted by the Identification Bureau of the
Arkansas State Police.
7.
"Criminal FBI Check" means a nationwide criminal record check
conducted by the Federal Bureau of Investigation that conforms to the
applicable federal standards and includes the taking of fingerprints.
Application for a nationwide criminal check shall be made to the Identification
Bureau of the Department of the Arkansas State Police.
8.
"Day Care Centers" means
child care for children age 2 1/2 or 30 months and above.
9.
"Department" means the
Arkansas Department of Human Services.
10.
"Division" means the
Division of Child Care and Early Childhood Education.
11.
"Employee" means all full or
part-time employees who perform services under the direction and control of the
Child Care Facility.
12.
"Evening and Night Care" means child care provided between 7:00
p.m. and 6:00 a.m.
13.
"Infant Center" means child care for children from birth to age 18
months.
14.
"Kindergarten"
means a school based program offered for children five (5) years of age
(K5) during the school year prior to their entry
into the first grade.
15.
"Operator" means any person or entity exercising any measure of
supervision or control over a Child Care Facility.
16.
"Owner" means any person who
assumes the legal responsibility for operation of a child care
facility.
17.
"Part-time
Care" means child care provided no longer than four (4) hours per day or
not to exceed a maximum of 20 hours per week. These types of programs may
include, but are not limited to, half day kindergarten, mother's day out
programs, play schools and some nursery schools.
18.
"Personnel" is defined as
the facility owner or operator, employee or volunteer.
19.
"Program" is defined as all
activities that comprise the child's day at the center.
20.
"Toddler Center" means child
care for ages 18 to 36 months.
21.
"School Age Care" means child care for children who are in
kindergarten (K5) and above. School age child care includes before and after
school care and extended care during school holidays and summer day camps.
School age programs, which operate with children arriving and leaving
voluntarily for scheduled classes, activities, practices, games and meetings,
shall not be considered as meeting this definition.
22.
"Sick Care" is defined as a
separate service providing care for children who are too sick to attend day
care as stated in Section 1000 but who do not exhibit any of the excludable
diseases as defined in Section 1500. The primary objective of this service is
to insure that children in care receive the required attention necessary for
moderately ill children.
23.
"Substantial Compliance" means compliance with all essential
standards necessary to protect the health, safety and welfare of the
children attending the Child Care Center. Essential standards include but
are not limited to those relating to issues involving fire, health,
safety, nutrition, discipline, staff/child ratio and space.
24.
"Swimming Pool" means any
pool of water in excess of 12 inches deep. This does not include natural pools
of water such as lakes, ponds and rivers.
25.
"Volunteer" means a person
who provides services to a Child Care Facility at no cost to the
facility.
APPENDIX B: LIST OF REPORTABLE DISEASES
The following are the more common reportable diseases which
occur with moderate frequency in Arkansas:
|
Gonorrhea
|
Salmonellosis (including typhoid)
|
|
Hepatitis (A, B, Non-A, Non-B
|
Shigellosis
|
|
unspecified and results of serologies)
|
Syphilis
|
|
Rash illnesses (including
|
Tuberculosis
|
|
*MEASLES & RUBELLA)
|
MUMPS
|
|
*WHOOPING COUGH (pertussis)
|
|
|
MENINGITIS
|
|
The following are less common
reportable diseases that occur with low frequency in
Arkansas
|
*AIDS (Acquired Immune Deficiency
|
* Leprosy
|
|
Syndrome)
|
* Leptospirosis
|
|
Amebiasis
|
* Lyme Disease
|
|
ANTHRAX
|
Lymphogranuloma Venereum
|
|
*Aseptic Meningitis
|
* Malaria
|
|
Blastomycosis
|
* Meningitis,
Hemophilus
|
|
BOTULISM
|
Influenza Type B
|
|
*Brucellosis
|
* Meningococcal infection
|
|
Campylobacter Interitis
|
Mumps
|
|
Chancroid
|
Pesticide Poisoning
|
|
CHOLERA
|
PLAGUE
|
|
Coccidioidomycosis
|
* POLIOMYELITIS
|
|
*Congenital Rubella Syndrome
|
* Psittacosia (Ornithosis)
|
|
DIPHTHERIA
|
Q Fever
|
|
Encephalitis (all types)
|
RABIES
|
|
FOOD POISONINGS (all types)
|
* Relapsing Fever
|
|
Giardiasis
|
* Reyes Syndrome
|
|
Gonococcal Ophthalmia
|
Rheumatic Fever
|
|
Granuloma Inguinale
|
* Rocky Mountain Spotted
|
|
Fever
|
|
|
*Guillain - Barre Syndrome
|
SMALL POX
|
|
Histoplasmosis
|
* Tetanus
|
|
HIV [Human Immuno Deficiency
|
* Toxic Shock Syndrome
|
|
Virus by (name & address)]
|
Toxoplasmosis
|
|
|
|
*Kawasaki Disease
|
* Tularemia
|
|
*Legionellosis
|
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) Name & 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) the physician's name and
location, 2) the suspected disease and 3) the number of cases and interval
during which the cases were seen:
|
Acute respiratory disease
|
Hospital acquired infections
|
|
Chicken pox
|
Infectious Mononucleosis
|
|
Conjunctivitis
|
Influenza (estimate number)
|
|
Dermatophytosis (ringworm)
|
Pediculosis
|
|
Enteropathogenic E. Coli Diarrhea
|
Pleurodynia
|
|
Epidemic Diarrhea of unknown cause
|
Pneumonia (bacterial, Mycoplasma, viral)
|
|
Gastroenteritis
|
Staphylococcal-Infections
|
|
Herpangina
|
Streptococcal-Infections
|
The following occupational diseases also shall be
reported:
|
Asbestosis
|
Mesothelioma
|
|
Silicosis
|
Coal Workers Pneumoconiosis
|
|
Byssinosis
|
|
FOR FURTHER ASSISTANCE CONTACT THE LOCAL COUNTY HEALTH
UNIT.
MINIMUM LICENSING
REQUIREMENTS
FOR
CHILD CARE CENTERS
CHILD CARE IMMUNIZATION REQUIREMENTS AUGUST 2000
Recommended by Arkansas Department of Health and Required by
the
Department of Human Services, Child Care Licensing
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 1st 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
1st birthday ******All children are required to have
received a dose of varicella (chickenpox) vaccine on or after their
1st birthday or a history of disease obtained from
the parent/guardian or a physician documented in the child's file.
MINIMUM LICENSING REQUIREMENTS FOR
CHILD CARE FAMILY HOMES