100
DEPARTMENT RESPONSIBILITY
101
Responsibilities and Requirements
1.
The Division of Child Care and Early Childhood Education (referred to hereafter
as the Division) under the Department of Human Services is directly responsible
for the inspection and evaluation of all Registered Homes.
2. The Division has the power to establish
rules, regulations, and standards for licensing/registration and operation of
child care facilities. This includes all powers with respect to granting,
revocation, denial, and suspension of licenses and registrations. Information
regarding the appeal process is available upon request.
3. The Division works in coordination with
local and state Health Departments, Fire Departments, City Planning or Zoning
departments and the Boiler Division of the Department of Labor.
4. It is recommended that the owner be aware
of any applicable city or county zoning ordinances or codes or neighborhood
covenants which may limit the number of children in care or impose additional
safety requirements. The Division will share information on the location and
status of registered homes with any city or county that requests this
information.
5. The Child Care
Licensing Unit will notify the applicable federal agency at any time they
become aware of or are advised of violations of any of the following or similar
laws. It is recommended that the owner be aware of applicable federal laws
which may affect the operation of the facility, such as, but not limited to:
a. Americans with Disabilities Act
(ADA).
b. Environmental Protection
Agency (EPA) regulations to ensure that any renovation or repair work on a
home, child care facility, or school that was constructed prior to 1978 shall
be completed by a contractor that is certified by the Environmental Protection
Agency (EPA), when the repairs and/or renovations consist of any or all of the
following: the repair or renovation disturbs six (6) or more square feet of the
interior, the repair or renovation disturbs twenty (20) or more square feet of
the exterior, and/or the repair or renovation involves removing a
window.
c. Federal civil rights
laws state that a facility may not discriminate on the basis of race, color,
sex, religion, national origin, physical or mental handicap, or veteran
status.
6. The
Registrant shall maintain Child Care Liability insurance and comply with the
following requirements:
a. Prior to approval
of an application, the applicant shall provide verification of the required
coverage to the Licensing Specialist and provide subsequent verification when
requested. (Homes licensed prior to the effective date of this revision shall
have ninety (90) days to comply with this requirement.)
b. Maintain the minimum amount of coverage as
follows:
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Registered Capacity of Home
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Minimum Child Care Liability Coverage
Required
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1-5
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$ 100,000 per occurrence
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102
General Requirements
1. To determine a recommendation for
registration, the applicant's home shall be reviewed by a Child Care Licensing
Specialist to determine that the home is in substantial compliance with the
requirements. (Clarification: In addition to rooms used for care.
Child Care Licensing Staff must also be given access to all other rooms or
spaces not used for child care. Any rooms or areas that are not accessible to
children in care will only be viewed briefly for major health and safety issues
and will not be routinely monitored for general licensing compliance. This is
to help insure that there are no dangers such as fire hazards, which could
impact the safety of the entire structure.)
2. Substantial Compliance means compliance
with all essential standards necessary to protect the health, safety and
welfare of the children attending the registered home. Essential standards
include but are not limited to those relating to issues involving fire, health,
safety, nutrition and behavior management.
103
Definitions and Application
There are three (3) types of registered homes as
follows:
1.
Registered
Child Care Family Home: a situation in which five (5) or less
children are cared for in the caregiver's own residence or in some other
suitable family type residence.
2.
Relative Child Care Family Home: a situation in which
five (5) or less children are cared for by a relative of the child(ren). The
relationship must be that of a grandparent, great-grandparent, aunt, uncle,
sibling (residing out of the home). The registered relative may provide the
child care either in his/her home or the home of the child(ren). Proof of
relationship must be provided. The following must be provided to verify proof
of relationship:
a. the child(ren)'s birth
certificate(s)
b. the parent's
birth certificate
c. marriage
license of the parent (if parent's last name has changed)
d. marriage license of the caregiver (if last
name has changed)
e. birth
certificate of the caregiver (if the application is for an aunt or
uncle)
3.
In-Home Child Care Provider: an individual selected by
the family to provide the day care to five (5) or less children in the
child(ren)'s own home. The In-Home Registration is not valid for child care
provided outside the child(ren)'s own home.
4. There shall be no more than one
registration issued per home/structure. (This does not apply to situations such
as duplexes where two registrations could be issued to two separate
applicants.) An individual shall be eligible to hold only one registration,
which shall be issued for one specified location.
5. Home with only one caregiver shall limit
care to no more than two shifts (18 hours) per 24 hour period. Homes offering
24 hour care shall provide a schedule verifying that they have made provisions
for secondary caregiver to provide relief for one shift. (Alternative
compliance may be requested by caregivers who provide 24 hour care and who do
not have a secondary caregiver. For this request to be approved, consideration
will be given to the overall level of compliance with registration requirements
and to the number and ages of children in care during the third
shift.
6. The holder(s) of the
registration shall be the primary caregiver(s) and at least one shall be
present and responsible for children during hours of care and shall not be
otherwise employed during the hours of care. (If a qualified secondary
caregiver is present, the primary caregiver may be absent for reasons related
to the operation of the child care business, such as attending required
training, and for brief and/or occasional absences relating to personal
business or personal time off.)
7.
If at any time care is provided to six or more children from more than one
family, the law requires the provider to be licensed. The caregiver's own
preschool children shall be considered when determining the need for a license
or registration. The caregiver's own school age children are not considered
when determining the need for a license or registration. Other children in the
home who are not accompanied by a parent are considered as being in care
whether pay is received for the care or not.
8. Any home that has not provided care to
children for a period of one year shall have the registration closed unless a
written request is made by the registrant stating why closure should not take
place.
9. The primary caregiver in
a Registered Home shall submit the following to complete the application
process:
a. A completed and signed application
provided by the Division
b. Diagram
of the home indicating rooms to be used by children in care and the location of
exit doors.
c. A Health Card on
applicant, other caregivers and any adult(s) in addition to the caregiver(s)
present in the home on a regular basis while children are in care.
d. Zoning approval, if applicable, shall be
provided by new applicants for license and by existing homes requesting
increase in licensing capacity
e. A
signed Authorization for Release of Confidential Information/Child Maltreatment
Central Registry Check Form. Everyone living in the home age 18 and older must
complete and sign this form. A check or money order for $10.00 made out to
Department of Human Services must be attached to each form. Children under age
18 only need to be listed where applicable. This form must be
notarized.
f. Criminal Record Check
Form(s). Everyone in the home age 18 and older must complete a form. The
form(s) must be notarized.
g. The
registrant's Social Security Number or TIN (Tax Identification Number) shall be
listed on the application. (A TIN number can be obtained by calling 1-900-546
-3920 or by sending a SS-4 to the Internal Revenue Service, Memphis, Tennessee
37501. It takes approximately 4 weeks to receive the TIN.)
h. Boiler inspection, or verification that
inspection has been scheduled
i.
Verification of Child Care Liability insurance (if Child Care Liability
Insurance cannot be obtained before application, it must be obtained with proof
provided to the ChildCare Licensing Unit before care of children can be
provided)
104
Registration Procedures
1. Any applicant applying for Registration
may contact the local Division Office or Child Care Licensing Specialist to
obtain information and/or the necessary application and related
forms.
2. A pre-application
consultation meeting shall be required for all applicants for registration
prior to approval of the application. This meeting shall be offered prior to or
within thirty (30) days of receipt of the application.
3. Upon receipt of a signed application the
Child Care Licensing Specialist shall schedule an appointment to inspect,
evaluate and make a recommendation for consideration of registration of the
Division.
4. The Child Care
Licensing Specialist shall make unscheduled visits throughout the year to
determine continued compliance of standards and to offer consultation and
technical assistance.
5. The
registration, as issued, shall apply only to the home's location at the time of
registration. The registrant shall notify the Child Care Licensing Specialist's
office of any change of location or ownership at which time a new study shall
be conducted. Upon issuance of a registration, the registration shall remain in
effect as long as compliance is maintained.
6.
New Provisional
Registration-If the Licensing Specialist finds that an applicant
for a registered home meets the registration requirements or has a reasonable
expectation of correcting deficiencies within specified time frames, the Child
Care Licensing Specialist may recommend a new provisional registration to the
Division. The new provisional registration shall be in effect for a period of
time, not to exceed twelve (12) months. This time frame shall be specified in
the provisional registration. (The Licensing Specialist has sixty (60) days to
submit a recommendation to the Division for a provisional
registration.)
7.
Regular Registration- The Child Care Licensing
Specialist will recommend a regular registration when the home has demonstrated
substantial compliance, or when an existing registrant with a regular
registration relocates their home and their past demonstrates a substantial
level of compliance.
8.
Probationary Provisional Registration- The Licensing
Unit may issue a Probationary Provisional registration when the Home is not
maintaining substantial compliance due to deficiencies which are so numerous,
frequent or sever as to potentially jeopardize the health, safety and welfare
of children. The home and the Licensing Unit shall have a corrective action
plan in place addressing the issues.
Based on the level of compliance during the period of the
Probationary Provisional Registration the Licensing Unit may:
a. Issue a Regular registration
b. Suspend a registration
c. Revoke a registration
9.
Suspension or Revocation of
Registration-At the time of a final determination by the Division
of revocation or suspension of a registration, the Division shall specify in
the letter the period and terms of the action. A revocation of a registration
shall be set for no less than one (1) year but may be for a longer term as
established by the Division. Related parties shall not be eligible to apply for
registration for the same specified period. (Related parties are defined as
immediate family members, members of Board of Directors, person or entities
associated or affiliated with, or which share common ownership, control, or
common board members or which have control of or is controlled by the
registrant. An immediate family member is defined as a spouse, step and in-law
relationships, a child, a natural or adoptive parent, a sibling, a grandparent,
a grandchild or a son or daughter-in-law.) The revocation of a registration
places that registration in a null and void status. At the completion of the
terms of revocation, homes wishing to be re-registered must submit a new
application for registration for review and approval by the Division.
105
Appeal of Registration
Actions
1. A registrant or applicant
for registration may request to appeal any of the following registration
actions:
a. Adverse registration actions
(revocation of the registration or denial of an application for
registration.
b. Founded registered
complaints
c. Cited noncompliance
with the published standards
2. 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 registration actions
must be mailed within ten (10) calendar days of the receipt of the notice of
the adverse action. Requests to appeal registration 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 registrant or
applicant for registration 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 registrant or
applicant for registration, the matter will be referred to the Child Care
Appeal Review Panel for hearing. (Additional information regarding the appeal
procedures and the Child Care Appeal Review Panel is available on
request.)
106
Alternative Compliance
1. The Division
may grant alternative compliance with the Minimum Standards Required for
Registered Child Care Homes, if the Division determines that the alternative
form of compliance offers equal protection of health, safety and welfare to
children and meets the basic intent of the requirements for which the
registrant is making the request.
2. The Division shall consider all requests
for alternative compliance with the Registration requirements except those
requirements which are enforced by the Department of Health, Local Fire
Marshall or State Fire Marshall's Office.
3. To request alternative compliance, the
following procedures shall be initiated by the person responsible for the
operation of the facility:
a. The
applicant/registrant shall submit the request for alternative compliance in
writing.
b. The request shall
include:
* The specific standard for which alternative
compliance is sought
. An explanation of how the alternative compliance
is equal to, or exceeds, the requirement
* Full justification and description of what the
alternative compliance method will be and the method by which the facility will
carry out this plan to be able to continue to provide for the health, safety,
and welfare of children as intended by the requirement.
* The applicant/registrant shall provide clear and
supportive evidence, and upon request of the Division, an expert's opinion of
the effects of the health, safety and welfare of children and how it will
protect through the alternative means of compliance
4. A separate written request shall be
submitted for each requirement for which alternative compliance is sought.
The approved alternative compliance is effective for the
duration of the registration, unless a shorter time frame is requested or
approved.
5. The granting of
alternative compliance for a requirement shall in no way constitute a
precedent. If an alternative means of complying with the requirement is granted
by the Division and the facility fails to implement satisfactorily this
alternative 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 that provided by the
applicant/registrant.
7. The
Division reserves the right to deny requests for alternative compliance when it
finds that such request does not adequately protect the health, safety and
welfare of children and does not meet the intent of the requirement.
8. All requests for alternative compliance
shall be answered in writing by the Division.
107
Registration Investigations and
Inspections
1. Child Care Licensing
staff shall have access to Registered Homes for the purpose of conducting
inspections, reviews, and complaint investigations. Denial of access to
the home or denial of the right to interview children in care or other
individuals present during hours of care may result in adverse action against
the registration. (Clarification: In addition to Child Care Licensing
staff having access to all areas of care, they must also be given access to any
other rooms or spaces not used for care, to ensure there are no possible
hazards.)
2. If video recordings
are made by the caregiver and are maintained for viewing as part of a
continuous monitoring system, they shall be made available to licensing staff
upon request. This does not include video recordings of special events,
etc.
108
Child
Maltreatment Checks
1. The following
persons shall be required to have their background reviewed through an Arkansas
Child Maltreatment Central Registry Check: (A check or money order, payable to
Department of Human Services, must be attached to each notarized form.)
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a. Each applicant
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At application and every two ye thereafter
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b. All household members who are at least 10 years of
age
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At application, upon residency, and every two years
thereafter
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c. Staff members and applicants for employment in a
registered home
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At application or within 10 days of hire and every two
years thereafter
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d. All volunteers who have access to children in the
home
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At application and every two years
thereafter
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e. Therapist or other persons who have routine contact
with children
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Within 10 days of the time they begin to provide
services or begin to participate in home activities and every two years
thereafter
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2. The
Division has the authority to review and consider each true (founded) report of
child maltreatment received from the Central Registry. The Division shall
retain the authority to deny the applicant or revoke the
registration.
3. All caregiver(s)
are mandated reporters under the Child Maltreatment Act. The caregiver shall
notify the Child Maltreatment Hot Line number at 1-800-482 -5964 when there is
reason to believe that a child has been abused or neglected. (AR Code Annotated
12-12-501 et seq.) These reports of child maltreatment shall include all
allegations made to the registrant by parents, staff members or the general
public. It is recommended that the registrant call the Child Care Licensing
Specialist for guidance if there is any question about whether or not the Hot
Line should be called regarding any situation where potential child
maltreatment is involved.
If a complaint of child maltreatment is filed against any
registrant or persons in the home, the Child Care Licensing Unit shall evaluate
the risk to children and determine the suitability of the persons to supervise,
be left alone with children or remain in the home during hours of care until
the allegations have been determined true or unsubstantiated.
4. The Registered Child Care Family Home
operator, any employees or other persons in the home who have had a true report
of child maltreatment shall follow the corrective action plan approved by the
Child Care Licensing Unit. Corrective action measures may vary from relevant
training to reassignment or termination. Failure to comply with corrective
action plans can constitute grounds for adverse action against the
registration.
109
Criminal Record Checks
1. The
following persons shall apply to the Identification Bureau of the Arkansas
State Police for a nationwide criminal records check, to be conducted by the
FBI, which shall include a fingerprint check: (The individual is responsible
for the cost of the nationwide check.)
Fingerprints submitted will be used to check the criminal
history records of the FBI. Individuals with results showing a prohibited
offense shall be advised to contact the Licensing Unit for procedures to obtain
the results and for procedures to update or make corrections to the record of
their individual history.
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a. Each applicant to own or operate a registered home
and all household members age 18 and up
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at application only
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2. The
following person shall be required to have their background reviewed through
Criminal Records check including the Arkansas Sexual Offender Registry
conducted by the Arkansas State Police:
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a. Each applicant
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At application and every 5 years thereafter
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b. All household members who are 18 years of age or
older
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At application; upon residency and every 5 years
thereafter
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c. Staff and applicants for employment in a registered
home
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Within 10 days of hire or start date and every 5 years
thereafter
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d. Volunteers who have routine contact with
children
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Within 10 days of hire and every 5 years
thereafter
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e. Therapist or other persons who have supervisory
control, disciplinary control over children or have routine contact with
children
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Within 10 days of the time they begin to provide
services or begin to participate in home activities and every 5 years
thereafter
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3.
Criminal records will be returned to the division for review. Any
charge/convictions listed in this section (Section 110) that are returned will
be considered regardless of whether the record is expunged, pardoned or
otherwise sealed.
4. No person
shall be eligible to be a child care facility owner, operator, employee,
household member, or volunteer who is in the home on a routine/continual basis
if that person has pled guilty, or been found guilty, of any of the following
offenses by any court in the State of Arkansas, any similar offense by a court
in another state or any similar offense by a federal court. The following
offenses are permanently prohibited:
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01. Abuse of an endangered or impaired person, if
felony
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§
5-28-103
|
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02. Arson
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§
5-38-301
|
|
03. Capital Murder
|
§
5-10-101
|
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04. Endangering the Welfare of an Incompetent
person-1st degree
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§
5-27-201
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05. Kidnapping
|
§
5-11-102
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06. Murder in the First degree
|
§
5-10-102
|
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07. Murder in the Second degree
|
§
5-10-103
|
|
08. Rape
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§
5-14-103
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09. Sexual Assault in the First degree
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§
5-14-124
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10. Sexual Assault in the Second degree
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§
5-14-125
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5. No
person shall be eligible to be a child care facility owner, operator, employee,
household member or volunteer, who is in the home on a routine/continual basis,
if that person has pled guilty, or been found guilty, of any of the following
offenses by any court in the State of Arkansas, any similar offense by a court
in another state or any similar offense by a federal court. The following
offenses are prohibited:
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01. Criminal Attempt to commit any offenses in MLR
Section 110
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§
5-3-201
|
|
02. Criminal Complicity to commit any offenses in MLR
Section 110
|
§
5-3-202
|
|
03. Criminal Conspiracy to commit any offenses in MLR
Section 110
|
§
5-3-401
|
|
04. Criminal Solicitation to commit any offenses in MLR
Section 110
|
§
5-3-301
|
|
05. Assault in the First, Second, or Third
degree
|
§
5-13-205 - §
5-13-207
|
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06. Assault, Aggravated
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§
5-13-204
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07. Assault, Aggravated on a Family or Household
Member
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§
5-26-306
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08. Battery in the First, Second, or Third
Degree
|
§
5-13-201 - §
5-13-203
|
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09. Breaking or Entering
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§
5-39-202
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10. Burglary
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§
5-39-201
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11. Coercion
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§
5-13-208
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12. Computer Crimes Against Minors
|
§
5-27-601 et. seq.
|
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13. Contributing to the Delinquency of a
Juvenile
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§
5-27-220
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14. Contributing to the Delinquency of a
Minor
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§
5-27-209
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15. Criminal Impersonation
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§ 5-3-208
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16. Criminal Use of a Prohibited Weapon
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§
5-73-104
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17. Death Threats Concerning a School Employee or
Students
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§
5-17-101
|
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18. Domestic Battery in the First, Second, or Third
Degree
|
§
5-26-303 - §
5-26-305
|
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19. Employing or Consenting to the Use of a Child in a
Sexual Performance
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§
5-27-402
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20. Endangering the Welfare of a Minor in the First or
Second Degree
|
§
5-27-205 and §
5-27-206
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21. Endangering the Welfare of an Incompetent Person in
the First or Second Degree
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§
5-27-201 and §
5-27-202
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22. Engaging Children in Sexually Explicit Conduct for
Use in Visual or Print Media
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§
5-27-303
|
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23. False Imprisonment in the First or Second
Degree
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§
5-11-103 and §
5-11-104
|
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24. Felony Abuse of an Endangered or Impaired
Person
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§
5-28-103
|
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25. Felony Interference with a Law Enforcement
Officer
|
§
5-54-104
|
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26. Felony Violation of the Uniform Controlled
Substance Act
|
§
5-64-101 - §
5-64-508 et. seq.
|
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27. Financial Identity Fraud
|
§
5-37-227
|
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28. Forgery
|
§
5-37-201
|
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29. Incest
|
§
5-26-202
|
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30. Interference with Court Ordered Custody
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§
5-26-502
|
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31. Interference with Visitation
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§
5-26-501
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32. Introduction of Controlled Substance into Body of
Another Person
|
§
5-13-210
|
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33. Manslaughter
|
§
5-10-104
|
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34. Negligent Homicide
|
§
5-10-105
|
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35. Obscene Performance at a Live Public
Show
|
§
5-68-305
|
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36. Offense of Cruelty to Animals
|
§
5-62-103
|
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37. Offense of Aggravated Cruelty to Dog, Cat, or
Horse
|
§
5-62-104
|
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38. Pandering or Possessing Visual or Print
Medium
Depicting Sexually Explicit Conduct Involving a
Child
|
§
5-27-304
|
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39. Patronizing a Prostitute
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§
5-70-103
|
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40. Permanent Detention or Restraint
|
§
5-11-106
|
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41. Permitting Abuse of a Minor
|
§
5-27-221
|
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42. Producing, Directing, or Promoting a Sexual
Performance by a Child
|
§
5-27-403
|
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43. Promoting Obscene Materials
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§
5-68-303
|
|
44. Promoting Obscene Performance
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§
5-68-304
|
|
45. Promoting Prostitution in the First, Second, or
Third Degree
|
§
5-70-104 - §
5-70-106
|
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46. Prostitution
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§
5-70-102
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47. Public Display of Obscenity
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§
5-68-205
|
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48. Resisting Arrest
|
§
5-54-103
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49. Robbery
|
§
5-12-102
|
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50. Robbery (Aggravated Robbery)
|
§
5-12-103
|
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51. Sexual Offense (any)
|
§
5-14-101 et. seq.
|
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52. Simultaneous Possession of Drugs and
Firearms
|
§
5-74-106
|
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53. Soliciting Money or Property from
Incompetents
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§
5-27-229
|
|
54. Stalking
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§
5-71-229
|
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55. Terroristic Act
|
§
5-13-310
|
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56. Terroristic Threatening
|
§
5-13-301
|
|
57. Theft by Receiving
|
§
5-36-106
|
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58. Theft of Property
|
§
5-36-103
|
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59. Theft of Services
|
§
5-36-104
|
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60. Transportation of Minors for Prohibited Sexual
Conduct
|
§
5-27-305
|
|
61. Unlawful Discharge of a Firearm from a
Vehicle
|
§
5-74-107
|
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62. Voyeurism
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§
5-16-102
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6. If
the licensee wishes to employ an individual with a conviction or plea of guilty
or nolo contendere for the following nonviolent offenses, they shall submit a
written request for a waiver prior to employment. (§
20-38-103(e) (3)
(A) Act 990 of 2013)
a. Theft by receiving §
5-36-106
b. Forgery §
5-37-201
c. Financial identity fraud §
5-37-227
d. Resisting arrest §
5-54-103
e. Criminal impersonation in the second
degree §
5-37-208(b)
f. Interference with visitation
§
5-26-501
g. Interference with court-ordered visitation
§
5-26-502
h. Prostitution §
5-70-102
i. Patronizing a prostitute § 5-70-203
The waiver may be approved if all of the following conditions
are met: . The individual has completed probation or parole
supervision . The individual has paid all court ordered fees,
fines and/or restitution . The individual has fully complied with
all court orders pertaining to the conviction or plea
7. The waiver will be revoked if
after employment the individual pleads guilty or nolo contendere or is found
guilty of any prohibited offense (including the list above a-i) or has a true
or founded report of child maltreatment or adult maltreatment in a central
registry.
8. The request for waiver
and certification of approval shall be kept in the individual's file for the
term of employment and three years after termination of employment.
9. If approved, the waiver is not
transferable to another licensed facility.
10. Any person who has pled guilty, nolo
contendere, or who has been found guilty of any one of the offenses listed
above (Section 109.4), may not work in child care unless:
a. The date of the conviction, plea of guilty
or nolo contendere for a misdemeanor offense is at least five (5) years from
the date of the request for the criminal history records check and there have
been no criminal convictions or pleas of guilty or nolo contendere of any type
or nature during the five (5) year period preceding the background check
request.
b. The date of the
conviction, plea of guilty or nolo contendere for a felony offense is at least
ten (10) years from the date of the request for the criminal history records
check and there have been no criminal convictions or pleas of guilty or nolo
contendere of any type or nature during the ten (10) year period preceding the
background check request.
11. Anyone employed in a licensed center, COE
center, licensed child care family home or a registered child care family home
prior to 9/1/2009 with a clear background check history may remain eligible for
employment unless the employee had a conviction, plead guilty, or plead nolo
contendere to an offense listed in the above section (Section 109.4) since
9/1/2009.\
200
ADMINSTRATION
201
Administrative Procedures
1. Parents
shall be informed in writing upon enrollment of their child that children may
be subject to interviews by licensing staff, child maltreatment investigators
and/or law enforcement officials for the purpose of determining licensing
compliance or for investigative purposes. (Child interviews do not require
parental notice or consent.)
2.
Required records shall be kept and made available to the Child Care Licensing
Unit on request.
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 registration. (Falsification means the submission of untrue
information, whether by statement or omission.)
4. All applicable health and fire regulations
shall be met.
5. The registered
home shall not care for more than 5 children at any time including their own
pre-school children.
6. The
caregiver shall provide prudent supervision of the other persons in the
Registered Home, and is responsible for the health, welfare, and safety of the
children in care.
7. The caregiver
shall provide a copy of the list of Kindergarten Readiness skills, prepared by
the Arkansas Department of Education, to parents of all three and four year old
children enrolled. (Act 825 of 2003) A statement, signed by the parent that
they have received a copy of the list, shall be maintained in the child's
record.
8. The caregiver shall not
release a child to anyone whom is not immediately recognized as the child's
parent or as someone on the authorized pick-up list unless:
a. The individual can provide an official
picture ID AND
b. The person in
charge can match the ID to the individual named on the child's data
sheet
9. Verification of
permission for persons not on the authorized shall be obtained by the caregiver
by calling the parent, at a number listed in the child's record. The caregiver
shall view an official picture ID of the individual to verify
identity.
300
PERSONNEL
301
Caregiver
Qualifications and Responsibilities
1.
The registered home primary caregiver shall be 18 years or older.
2. The primary caregiver and all secondary
caregivers shall have a high school diploma or GED. Registered homes approved
prior to this revision are exempt from this requirement.
3. The caregiver shall not be otherwise
employed during the time he/she is responsible for children in the home.
Employment at other times shall not affect the quality of care given the
children.
4. The caregiver shall
not use profanity or speak in an abusive manner when children are present. The
caregiver shall also cooperate with licensing staff during regular monitor
visits.
5. The caregiver shall have
a person who would be able to care for the children in the event of an
emergency.
6. Newly registered home
providers shall attend Family Child Care Provider Training within the first six
months of being registered.
7. The
registrant shall notify the Licensing Unit within five (5) calendar days of any
change in the person(s) designated as secondary caregivers.
8. The caregiver shall obtain at least 15
hours of training registered with the Division of Child Care and Early
Childhood Education Professional Development Registry, Department of Education,
or Department of Higher Education approved training each year in continuing
early childhood education, which is approved by the Division.
Topics appropriate for continuing early 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 program
9. At
least one caregiver who has a current certificate of successful completion of
first aid and CPR from an approved organization shall be on site at all times.
a. The curriculum shall conform to current
American Heart Association or American Red Cross guidelines.
b. The curriculum shall require hands on,
skill-based instruction, as well as practical testing. Training and
certification that is provided solely "on-line" will not be accepted.
c. The instructor shall be qualified and
authorized to teach the curriculum and shall be certified by a nationally
recognized organization. (Including but not limited to: Health and Safety
Institute; EMS Safety Services, Inc.)
10. The caregiver shall be physically and
emotionally able to care for children.
11. Child Care Licensing may require a
physician's statement for the caregiver anytime behavioral or physical
indicators warrant.
12. The
caregiver shall not engage in behavior that could be viewed as sexual or as
dangerous, exploitative or physically harmful to children.
13. The caregiver shall not consume or be
under the influence of illegal drugs. The caregiver shall not consume or be
under the influence of alcohol while delivering care. The caregiver shall not
consume or be under the influence of medications (prescription or
non-prescription), which may impair his/her ability to provide care.
14. Newly registered caregivers shall attend
BAS (Business Administration Scale) training within the first six month of
being registered.
15. At no time
shall children be left unsupervised.
16. Additional staff provisions shall be made
for enrollment of children with disabilities who require individual
attention.
17. It is recommended
that all staff members who have direct contact with children receive annual
Influenza (flu) immunizations.
18.
It is recommended that all staff members who have direct contact with children
receive a one-time Tdap (Diphtheria, Tetanus & Pertussis)
immunization.
19. It is recommended
that all staff members who have direct contact with children receive the
recommended series of immunizations for chicken pox, mumps, measles and rubella
or evidence of immunity.
302
Adults in the Registered
Home
1. The caregiver(s) shall provide
a clear statement regarding the presence of any other adults 18 years of age
and above who reside in the home. Any adult, residents or visitors shall not
present a threat to the safety or welfare of children.
2. A Registered Home shall have additional
staff when there are persons in the home who require constant or routine
care.
303
Supervision
1. The caregiver shall be
responsible for children in care at all times and shall exercise prudent
supervision.
2. When a caregiver is
not in the same room with children the children shall be frequently observed
and the caregiver shall remain close enough to easily hear them.
3. Doors to rooms where children are sleeping
or playing within the home shall remain open and sleeping children shall be
visually monitored and periodically checked to insure they are breathing
normally.
4. The caregiver shall be
present on the outdoor play area at all times when any children are
present.
5. The caregiver shall not
leave children unattended in the kitchen area of the home while any cooking is
occurring.
6. Ironing shall not
occur in the presence of the children.
400
PROGRAM AND ACTIVITIES
401
Program Requirements
1. There shall be a posted daily schedule,
which includes age-appropriate activities, including alternating periods of
active play and quiet activities throughout the day.
2. Staff shall plan and provide experiences
that meet children's needs and stimulate learning in the following
developmental areas: physical, social/emotional, creative/aesthetic, cognitive
/intellectual and language, found in the Early Childhood
Frameworks. (Experiences that promote self-concept development for
infants/toddlers shall also be provided if that age group is in
care.)
3. There shall be meaningful
interaction between staff and children to include but not limited to the
following:
a. Comfort children who are
upset.
b. Engage in frequent,
multiple and rich social interchanges such as smiling, talking, touching, and
singing.
c. Interact with children
by being their play partner as well as protector.
d. Help children identify and label feelings
by being attuned to children's needs.
e. Communicate consistently with
parents/guardians.
f. Interact with
children and develop a relationship in the context of everyday
routines.
4. There shall
be an opportunity for a supervised rest period that does not exceed two
hours.
5. If children do not fall
asleep, they shall be allowed to participate in a quiet activity either on
their cot, in the area, or in another room under supervision.
6. Staff shall not cover the faces of
sleeping children with blankets or other bedding.
7. Pacifiers, if used, shall not be secured
around the neck by a cord or by any other means that could represent a
strangulation hazard.
8. There
shall be a total of at least one (1) hour of outdoor play per day in suitable
weather. It is recommended that when making a determination if children should
play outside, staff shall consider the following environmental factors:
a. When the heat index is forecast to be
ninety (90) degrees or above, it is recommended that outdoor play be scheduled
during early morning hours or the length of time spent outdoors should be
reduced to avoid heat stress.
b.
When outdoor play occurs during the hotter part of the day, it is recommended
that children have shaded area, an ample supply of water and should be
monitored closely for signs of heat stress.
c. When outdoor play occurs during the winter
months and when temperatures are extremely cold, it is recommended that the
time scheduled for outdoor play be reduced or suspended depending on the
temperature and other weather conditions.
9. There shall be a total of 30 minutes per
day of moderate to vigorous physical activity. This could be included in
outdoor play time if it meets this criterion.
10. Indoor activity equipment shall be
adequate for the number and ages of children in the Registered Home to meet
their physical and developmental needs.
11. Children shall have a variety of toys,
books, creative materials, and equipment that is easily accessible and arranged
to support learning. This includes equipment for:
a. Large muscle/Gross Motor activities (such
as climbing and running)
b.
Manipulative/Fine Motor activities (such as things done with the hands:
puzzles, drawing, modeling clay)
12. The use of television, DVD, video
cassette viewing and computer/video games and other screen time activities
shall meet the following requirements;
a.
Shall be limited to programs which are age-appropriate (It is recommended that
programs have educational value)
b.
Shall not exceed one (1) hour daily per child or group of children. Children
shall not be required to participate in screen time activities and shall be
offered other choices. (Viewing time may be extended for special events or
occasions such as a current event, holiday or birthday celebration or for the
occasional viewing of age appropriate movies or other programs that may exceed
one hour in length.)
c. Computer
learning periods for children below age 5 may not exceed two (2) hours a day
per child or group of children
13. It is recommended that caregivers
encourage parents to be involved in planning and participating in activities at
the registered child care family home.
14. The caregiver shall distribute materials
developed or approved by the Department of Health on prevention of Shaken Baby
Syndrome to all parents of infants, upon enrollment. Written documentation of
receipt of this information by each parent, with a signature, shall be placed
in the child's file. (Carter's Law, Act 1208)
15. Photos or video recordings shall not be
made of any child without prior written parental permission.
16. Photos or video recordings of children
shall not be placed on social media web sites without prior written parental
permission.
402
Infant & Toddler Specific Program Requirements
1. Infants shall be carefully supervised at
all times.
2. The caregiver shall
provide a safe and clean learning environment, both indoors and outdoors, with
age appropriate materials and equipment arranged to support learning.
3. The caregiver shall implement
relationship-based practices that promote consistency and continuity of care
for infants and toddlers. Infant and toddler caregivers/teachers shall:
a. Respond promptly to cries and calls of
distress by verbally acknowledging, gently touching, and holding
children.
b. Engage children in
frequent rich social exchanges in a variety of ways; for example, holding,
patting, making frequent eye contact, smiling, singing, and using a pleasant
calm voice in conversation.
c.
Engage children in frequent positive social exchanges during routine care such
as eating, diaper changing, toileting, and preparing for rest.
d. Provide consistent emotional support to
infant and toddlers by acknowledging their feelings and emotions and providing
physical and verbal support.
e.
Communicate consistently with parents/guardians by greeting them warmly and
exchanging information that promotes continuity between the center and the
child's home.
f. Engage in play
activities with children by providing a safe environment to explore, modeling
play behavior such as imagination and use of toys and equipment, and providing
verbal encouragement and support.
4. Infants shall be taken outside for a
period of time every day, unless prevented by weather or special medical
reasons.
5. Outdoor play for
infants and toddlers may include riding in a stroller; however, infants and
toddlers shall be offered opportunities for gross motor play outdoors as
well.
6. If a child falls asleep
while in a walker, swing, high chair, etc., that child shall be placed in
appropriate sleep equipment.
7.
Infants (children 12 months and below) shall be placed flat on their backs to
sleep to lessen the risk of suffocation and Sudden Infant Death Syndrome. (If a
child rolls over on his/her own, the facility is not required to reposition the
child.) If there is a medical reason a child cannot sleep on his/her back, then
a signed statement from the child's physician must be in the file stating that
a different sleep position is indicated.
8. Infants' sleep space (e.g. crib) shall be
free of loose bedding. It is recommended that if light blanket is necessary, it
be kept at or below the mid-chest area of the child. Staff shall not cover the
faces of infants.
9. Pillows
(including nursing or "boppy" pillows), bumpers/bumper pads, and stuffed
animals shall not be placed in cribs.
10. Toys or materials used by younger
children shall not be small enough to be swallowed.
11. Toys used by infants and toddlers shall
be safe and sanitized as needed to help prevent the spread of contagious
diseases. Toys that cannot be cleaned and sanitized shall not be
used.
12. Safety straps shall be
used on all equipment originally manufactured with safety
straps.
403
School
Age Children Program Requirements
1.
The school age child shall be provided with a choice of indoor and outdoor
activities.
2. A quiet time and a
private place with appropriate equipment shall be provided for one-person
activities, including resting or homework. A supervised rest period does not
apply to school-age children.
3.
Permission of parents shall be on file for school age children to leave the
Home.
a. School age children who leave the
Registered Home to participate in classes, clubs, or other activities shall
have written permission from the parents naming the activity, time of leaving
and returning and method of transportation to the activity.
b. Permission for regular activities such as
scouting may be given for the entire school term.
404
Evening & Night Care
Program Requirements Night care is any care provided after midnight.
1. The caregiver shall remain awake at all
times children are in care. Alternative compliance may be requested to allow
the caregiver to sleep after the children are in bed for the night. For this
request to be approved, consideration will be given to the overall level of
licensing compliance, the use of motion detectors and/or other alarms to alert
the caregiver if the children leave the sleeping area, the ages and number and
sex of the children in overnight care and written notification to parents that
the caregiver will be sleeping during overnight care.
2. There shall be a plan for evacuating
children to safety in case of fire or emergency.
3. Children arriving in the daylight hours
shall have outdoor play, weather permitting. Older children shall have time for
reading or doing homework during the school year.
4. Evening meals shall be served. The home
shall ensure that children spending the night are served breakfast.
5. Drinking water shall be available to
children during the night.
6.
Bathing facilities shall be available. Hot water shall be available. Children
shall not take baths together or share the same bath water. Tubs or showers
shall be cleaned after each use. Children shall be given fresh washcloths and
towels. Preschool children shall never be left alone when bathing. Privacy
shall be ensured for school age children.
7. Children in night care shall be given a
bed or cot with mattress or pad and a pillow.
a. If linens become soiled, they shall be
changed. Protective mattress covers shall be used and washed at least
weekly.
b. Each child's bed or cot
shall have a cover available
c.
Beds or cots shall be arranged at least one foot apart
8. Homes with only one caregiver shall limit
care to no more than two shifts (18 hours) per 24 hour period. Homes offering
24 hour care shall provide a schedule verifying that they have made provisions
for a secondary caregiver to provide relief for one shift. (Alternative
Compliance may be requested by caregivers who provide 24 hour care and who do
not have a secondary caregiver. For this request to be approved, consideration
will be given to the overall level of compliance with registration requirements
and to the number and ages of children in care during the third
shift.
500
BEHAVIOR GUIDANCE
501
Behavior Guidance Requirements
1. Use
of behavior guidance shall show that the caregiver understands each child's
needs and shall promote self-discipline and good behavior.
2. Acceptable behavior guidance techniques
include:
a. Look for appropriate behavior and
reinforce the children with praise and encouragement when they are behaving
well.
b. Remind the children on a
daily basis of the rules by using clear positive statements of how they are
expected to behave rather than what they are not supposed to do.
c. Attempt to ignore minor inappropriate
behaviors and concentrate on what the child is doing properly.
d. Use brief supervised separation from the
group only when the child does not respond to a verbal command which instructs
the child as to how he or she is supposed to behave.
e. When a misbehaving child begins to behave
appropriately, encourage and praise small positive steps rather than waiting
until the child has behaved for a long period of time.
f. Attend to the children who are behaving
appropriately and other children will follow their example in order to obtain
your attention.
3.
Physical punishment shall not be administered to children.
4. The length of time a child is placed in
time-out shall not exceed one minute per year of child's age.
5. The following activities are unacceptable
as behavior guidance measures and shall not be used; these include but are not
limited to:
a. 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 area
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. Children
shall not be forced or bribed to eat.
m. Shaming, humiliating, frightening,
physically or mentally harming children or labeling children
n. Covering the faces of children with
blankets or similar items
6. Posted group behavior charts shall not be
used. (Individual behavior charts that are not viewable by children and
individual charts used by therapists are allowed.)
502
Infant & Toddler Behavior
Guidance Requirements
1. Time out
shall not be used with children under the age of two (2). The only acceptable
form of behavior guidance with infants and toddlers shall be redirection.
(Brief separation from the group is acceptable when the child's behavior places
the child or others at risk of harm. The child may be placed in a supervised
area away from the group or in a crib or playpen while the caregiver attends to
the situation. Example: A child who has bitten another child would be removed
from the group, briefly, while the caregiver attends to the bitten
child.)
600
RECORDS
601
Home
Records
1. All employees, child and
home records shall be kept and made available to the Child Care Licensing Unit
on request. All required records shall be maintained for 3 years. (This
includes records on children no longer enrolled.)
a. Licensing/registration Compliance Form(s)
(DCC-521). (The caregiver shall advise parents in writing that the compliance
forms are available for review upon request.)
b. Verification of Child Care Liability
insurance
c. Fire department
approval, if required by local fire department, state fire code or requested by
the Child Care Licensing Unit due to possible hazards.
d. Arkansas State Department of Health
approval, if applicable
e.
Verification of annual approval by the Boiler Inspector Division of the
Department of Labor
f. Record of
emergency drills
g. Plans and
procedures of Emergency Preparedness
h.
Pet vaccinations
i.
Attendance records on all children to include the date and time of arrival and
departure and daily parental signatures on the sign in and out forms
j. Transportation rosters, if
applicable
k. Verification of
commercial vehicle insurance coverage
602
Children's Records
1. Enrollment information shall be obtained
for each child before admission. (Sample enrollment forms may be obtained from
your Licensing Specialist.)
2.
Identifying and Personal Data shall include:
a. Child's name, birth date, home address,
and telephone number
b. Name and
addresses of the parents and telephone numbers where the parents can be reached
while the child is in care
c. Date
of enrollment in facility
d. Name,
address and phone number of person to be contacted if parents cannot be
reached
e. The caregiver shall
provide a written discipline policy to parents, with a copy signed by the
parents and retained by the caregiver
f. Any legal documentation that has been
given to the facility, by the parent or legal guardian, regarding the care of
the child
3. Medical
Records shall include:
a. The name, address
and telephone number of the child's physician or emergency medical care
facility
b. Pertinent past medical
history on the child and any change in health
c. Child's unusual food needs such as special
formulas, diabetic diet, or food allergies
d. Notes of special problems (such as
allergies to medication or sunburn sensitivity) or needs as indicated by the
parents
e. An authorized record of
up-to-date immunizations or documentation of a religious, medical or
philosophical exemption from the Arkansas Department of Health. The caregiver
shall maintain a roster of children who have not completed the minimum
immunization requirements (a current immunization schedule is provided as an
insert in this publication)
f. A
written record shall be made of all significant changes in the child's physical
or emotional state and accidents, incidents or injuries, indicating the
location, time of day, area or piece of equipment where the incident occurred.
A copy of this shall be given to the parent on the day of occurrence.
g. Any medical documentation that has been
given to the facility, by the parent or legal guardian, regarding the care of
the child
4. Permissions
and Agreements will be signed by the parents and caregiver(s):
a. Consent for emergency medical care and
transportation for such care which shall accompany children who are transported
to and from the home.
b. Other
transportation permission, if any, including routine and special field
trips.
c. Permission to participate
in water activities, if any.
d.
Signed statements by the parents stating who is authorized to pick up the
child.
e. Written permission for
the facility to photograph or video tape their child, if applicable.
f. Written permission for the facility to
place photos and video recordings of their child on social media or other
websites, if applicable.
603
Caregiver Records
1. Caregiver records shall contain the
following:
a. Documentation of high school
diploma or GED, and continuing education hours. (If these documents are no
longer available, proof of reasonable effort to obtain the documentation is
acceptable.) (Clarification: Training hours will be counted on a
calendar year basis or by the home's operating schedule if they do not operate
year round.)
b. Documentation of
the initiation of all required background checks and results obtained
c. Verification of required
transportation training and a current copy of the driver's license for
caregiver(s) who transports children
700
NUTRITION
701
Nutrition Requirements
1. The registered home shall meet the
following:
a. All food shall be safe and
stored properly to prevent spoiling.
b. There shall be a thermometer in the
refrigerator that is visible and maintained at 41 degrees or below. Freezer
thermometers shall be maintained at 0 degrees or below. All freezers shall be
inaccessible to children.
c. Food
shall not be stored under sinks.
d.
Food shall be stored in original container or in a closed container.
e. Chemical and toxins shall not be stored in
food storage area.
f. All medicines
shall be stored separately from food at all times.
2. All food and drink shall be prepared,
distributed and served under sanitary conditions and the following shall be
met:
a. Caregivers shall wash hands before
preparing food.
b. There shall be a
sink with hot and cold running water.
c. Individual drinking glasses or disposable
cups shall be provided.
d. All
counter tops and other food preparation surfaces shall be kept clear of clutter
and in a sanitary condition.
e.
Food left uncovered or handled shall not be reused.
f. When dishes are washed by hand, they shall
be sanitized with a bleach solution.
g. Drinking water and water used for the
preparation of formula shall not come from the hot water supply. (Water from
hot water systems may contain higher levels of lead and other substances that
could be harmful to small children.)
3. Food shall be served on individual plates,
bowls, or other dishes that can be sanitized or discarded.
4. Age appropriate tables and chairs,
highchairs, and equipment designed for children, or other comfortable seating
options shall be used during snack and meal time.
5. Breakfast, if served, lunch and evening
meals shall each meet current U.S. Department of Agriculture guidelines,
including portion size. (See Appendix A). If sack lunches are utilized, the
home shall ensure that these also meet U.S. Department of Agriculture
guidelines by supplementing the lunches if necessary. Milk shall be served to
each child during the day. Exceptions may be made for children who suffer
allergies to milk.
6. Breakfast
shall be made available to children who arrive before 7:00am. Breakfast may be
served to all children rather than a morning snack, provided there is no more
than 3 hours between the beginning of breakfast and the beginning of
lunch.
7. Midmorning and
mid-afternoon snacks shall be provided to all children and shall meet current
U.S. Department of Agriculture guidelines.
8. All children in care during hours shall be
offered an evening snack. Children in care during evening hours shall be served
supper and children spending the night shall be served breakfast (unless
provided by parent or school).
9.
Menus for all food service shall be available for review.
10. It is recommended that food brought in
from outside sources be in commercially prepackaged containers or come from
Health approved kitchens. This recommendation is based on concerns for the
health and safety of children who may have severe food allergies, and the
difficulty of monitoring ingredients brought in from home kitchens.
11. Children shall not be forced or bribed to
eat.
702
Infant
& Toddler Nutrition Requirements
It is recommended that mothers be allowed and encouraged
to breast feed their child at the registered child care family
home.
1. The routine use of
baby food, bottles and formula shall be agreed upon by the caregiver and parent
(Appendix B). Instructions regarding special needs for food, bottles and
formula, such as food allergies, shall be obtained in writing from the parent
and followed by the caregiver.
2.
Feedings for all children up to twelve (12) months of age shall be documented
by the caregiver and available for review by the parent. This documentation
shall continue for all children older than twelve (12) months of age who are
still being given bottles.
3.
Children shall not share the same bottle. A sanitary method of cleaning baby
bottles shall be practiced.
4. Baby
bottles shall be properly refrigerated.
5. Microwaves shall not be used for heating
bottles due to the danger of uneven heating.
6. Infant feeding schedules shall be flexible
and adapted to each infant's needs.
7. The solid foods fed to an infant shall be
determined by the child's parent(s).
8. Infants under six months of age shall be
held while being fed. Bottles shall not be propped. Infants six months of age
or older shall be held if needed.
9. Infants no longer held for feedings shall
either sit in low chairs at low tables or in infant seats with trays, or in
high chairs with wide bases and safety straps shall be used.
10. Children under 2 years of age shall not
be fed foods that may cause choking, such as but not limited to hard candy, raw
carrots, hot dogs, nuts, seeds, or popcorn.
800
BUILDING
801
Building Requirements
1. The Registered Family Home's building,
grounds and equipment shall be clean, kept in good repair, and maintained as
needed to protect the health and safety of the children. If the home has
sustained structural damage the caregiver shall immediately notify the Child
Care Licensing Specialist.
2.
Department of Labor, Boiler Inspection Division requirements shall be met. All
water heaters and any other boilers in licensed child care settings shall be
inspected on an annual basis and/or upon installation. Verification that
initial inspection or proof of attempt to set up initial inspection, shall be
completed within six (6) months of licensure. Scheduling and completion of
annual inspections will be the responsibility of the Department of Labor,
however, the facility is responsible for cooperating and keeping documentation
of such inspection on file for review. (AR Code §
20-23-101 et. seq.)
3. The Registered Family Home shall have a
working telephone on site all hours children are in care. The registrant shall
provide the phone number to the Licensing Unit and to the parents. (This phone
may be a cell phone if the phone stays operable, stays at the facility during
all hours of care, and is the phone number provided to the Licensing Unit and
the parents.)
4. Light, heating,
cooling and ventilation of the home shall be adequate for safety and
comfort.
5. Windows and/or doors
used for ventilation shall be screened.
6. It is recommended that if natural gas or
propane is used, the facility's heating systems be inspected and cleaned (if
necessary) before each heating season by a qualified HVAC technician.
7. Carbon monoxide detectors shall be placed
in homes according to manufacturer's recommendations if either of the following
situations apply:
a. The home uses wood,
propane, natural gas, or any other products as a source of heat that can
produce carbon monoxide indoors or in an attached garage.
b. Situations where carbon monoxide detectors
are required by state or local law.
8. Manufactured homes, registered as
Registered Child Care Family Home shall be tied down and under-pinned as
required by the Arkansas Manufactured Home Commission. The Registered Child
Care Family Home shall obtain an inspection and approval from the Arkansas
Manufactured Home Commission prior to registration.
9. An annual fire approval shall be obtained
on all manufactured homes that are registered.
900
GROUNDS
Recommendation: To provide the safest possible playground
environment, you are encouraged to meet Consumer Product Safety Commission's
guidelines listed in the "Handbook for Public Playground Safety."
Please note that these requirements do not mandate the
use of any playground equipment that would require use zones and protective
surfacing. Numerous options for suitable playground environments are available
and acceptable. Examples of such activities are:
* Sand boxes
. Activity walls at ground level
* Art easels
* Balls & games . Play
houses
. Nature walks
* Use of the approved natural environment for
outdoor learning
It is not advisable to use public playgrounds and other play
environments away from the facility. These environments may not meet acceptable
safety standards. If these playgrounds are used, it is recommended that staff
provide close supervision and not allow children to use any equipment that
appears unsafe (eg: broken equipment, sharp objects, strangulations hazards,
etc.). Please remember that visiting playgrounds and other play environments
away from the facility is considered a field trip and all field trip
regulations shall be followed.
901
Ground Requirements
1. A diagram
of the playground shall be submitted, clearly identifying the perimeter of the
playground, with measurements, and identifying each piece of equipment used by
the children enrolled at the licensed facility. This documentation shall be in
the form of a satellite photo, when possible, from an internet site such as
Google Maps, or a diagram of the playground if a satellite photo is not
available.
2. Any changes in the
play area boundaries and/or equipment requested must be submitted in writing
and approved prior to use.
3. All
equipment and protective surfacing shall be installed and maintained according
to manufacturer's guidelines.
4.
The play area/outdoor learning area shall be fenced or otherwise enclosed and
provide at least 75 square feet per child present on the playground at any
time.
5. Children shall be
supervised at all times when outdoors by someone at least 18 years of
age.
6. The play area shall be
maintained in good order and free of potentially hazardous items.
7. Trampolines shall not be used.
(Therapeutic use of trampolines is acceptable if supervised by the therapist on
a one-on-one basis.)
8. Ball pits
shall not be used. (Ball pits are large areas or "pits" filled with balls
intended for children to jump in and play. Therapeutic use of ball pits is
acceptable if supervised by the therapist on a one-on-one basis.)
9. There shall be use zones and protective
surfacing under and around all equipment that is over 18 inches 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.) Use zones shall extend a minimum
of 6' in all directions (unless otherwise specified) from the perimeter of the
equipment. (Playground equipment that is between 18 inches and 24 inches at the
highest accessible point and that was installed prior to the enforcement date
of this revision is allowable without protective surfacing, as long as it meets
all other requirements.)
10. Use
zone protective surfacing depths shall be as follows:
Minimum compressed loose-fill protective surfacing
depths
|
|
Inches
|
Loose-Fill Material
|
Protects to Fall Height of:
|
|
a.
|
6*
|
Shredded/recycled rubber
|
10 feet
|
|
b.
|
9
|
Sand
|
4 feet
|
|
c.
|
9
|
Pea Gravel
|
5 feet
|
|
d.
|
9
|
Wood mulch (non-CCA)
|
7 feet
|
|
e.
|
9
|
Wood chips
|
10 feet
|
*Shredded/recycled rubber loose-fill protective surfacing does
not compress in the same manner as other loose-fill materials. However, it is
recommended that care be taken to maintain a constant depth as displacement may
still occur.
1000
SLEEPING ARRANGEMENTS
1001
Sleeping Arrangement
Requirements
1. All manufacturer
guidelines shall be followed for furniture and equipment that is used by, or
around, children.
2. Any cribs or
playpens that have been identified as unsafe, or have been subject to recall as
defined by the Consumer Products Safety Commission (CPSC) guidelines or law,
shall be removed or repaired as indicated.
3. Each child under twelve (12) months of age
shall have a separate well-constructed baby bed or play pen with a waterproof
mattress or pad which shall be clean, dry, and in good condition. Sheets and
covers are required and shall be kept clean and dry. Bassinets shall not be
used.
4. Waterbeds shall not be
used for sleeping children under the age of two (2) years.
5. The following guidelines shall also be
required for cribs:
a. Cribs that have end
panels with decorative cutout areas shall not be used
b. Mattresses shall fit snugly in the
crib
c. The space between crib and
mattress shall measure no more than 1 inch
d. Corner post shall be the same height as
end panels
e. End panels shall
extend below mattress at the lowest position of the mattress
f. Baby beds shall have slats no greater than
23/8"apart
6. Each child twelve (12) months of age or
older shall have a cot, bed, pallet, or mat which shall be placed at least one
foot apart. Sheets and covers are required.
Bedding shall be of washable material and shall be kept clean.
If mats or pallets are used on floors, floors shall be clean, warm, dry, and
draft free. Any mat or pallet less than two (2) inches thick shall be placed on
carpet.
7. Doors in rooms
where children are sleeping shall remain open.
8. Infants & toddlers shall be visually
monitored at all times and physically checked regularly for
breathing.
9. Swaddling of infants
is not recommended and shall require a not from the child's physician if
continued past the age of three months.
10. Bibs, necklaces, and garments with ties
or hoods shall be removed from infants prior to rest/naptime to reduce the risk
of entanglement and strangulation while sleeping.
11. Children shall not nap on waterbeds,
beanbags, or thick rugs.
12.
Playpens or cribs shall not be placed near dangling cords.
1100
HEALTH
1101
General Health
Requirements
It is recommended that all caregivers and household
members who have direct contact with children be immunized against Whooping
Cough, Chicken Pox, and the Flu.
1. The Registered Home shall have an adequate
supply of water that meets the standards for drinking water of the Arkansas
Health Department. Bottled water is also acceptable. Water shall always be
available to the children.
2. The
Registered Home shall follow any health or medical care plans and/or medical
documentation as provided by the child's physician, parent, or
guardian.
3. Garbage shall be kept
in a closed container out of children's reach.
4. All garbage, soiled diapers and trash
shall be removed from the home daily and from the grounds at least once a
week.
5. The home shall be free of
insects and rodents.
6. Waste and
sewage disposal and toilets facilities shall be safe and sanitary. The Health
Department may be consulted for its recommendation.
7. Registered Homes shall comply with the
Clean Indoor Air Act of 2006. Smoking (including e-cigarettes) in a child care
family home is prohibited at all times. This includes:
a. All areas of the home, regardless of
whether children are in care (includes time periods such as nights, weekends,
holidays, etc., also includes office areas or other areas of the facility that
share the same ventilation systems)
b. Outdoor play area
c. Other outdoor areas when children are
present on those areas
d. In any
vehicle used to transport children, whether children are present in the vehicle
or not
8. First-aid
materials are required and shall be kept out of reach of children. A first aid
kit containing medications shall be locked. The first-aid materials shall
include:
a. Adhesive Band-Aids (various
sizes)
b. Scissors
c. Sterile gauze squares
d. Roll of gauze bandages
e. Adhesive tape
f. Antiseptic
g. Thermometer
h. Tweezers
i. Disposable gloves
9. There shall be no adult in the home who
poses a health risk to children in care.
1102
Children's Health
1. No child or staff shall be admitted who
has a contagious or infectious disease.
2. The parent or legal guardian shall be
notified as soon as possible when a child has any symptom that requires
exclusion from the facility. The child shall be separated from other children
and closely monitored until the parent arrives to pick the child up.
3. It is recommended that the caregiver
determine if the illness prevents the child from participating comfortably in
activities, results in a greater need for care than the child care staff can
provide without compromising the health and safety of the other children, or
poses a risk of spread of harmful diseases to others.
Temporarily exclude from child care if child has:
a. Sudden change in behavior, such as:
* lethargy or lack of responsiveness
* unexplained irritability or persistent crying
* difficult breathing
* a quickly-spreading rash
b. Fever over 101 degrees/oral, 100/axillary
(or equivalent method) in a child who also has pain, behavior changes, or other
symptoms of illness.
. An infant younger than 2 months with any
increased temperature shall get urgent medical attention, within an hour
. An infant younger than 6 months with any
increased temperature shall be medically evaluated
c. Diarrhea, defined as watery/runny stools,
if frequency exceeds 2 or more stools above normal for that child, and is not
related to a change in diet or medication. Exclusion from child care is
required if diarrhea cannot be contained in the diaper or if diarrhea is
causing soiled clothing in toilet-trained children
d. Blood or mucus in stools (unless caused by
hard stools)
e. Vomiting illness (2
or more episodes of vomiting in the previous 24 hours)
f. Abdominal pain which lasts more than 2
hours
g. Mouth sores with
drooling
h. Rash with fever or
behavior change
i. Conjunctivitis or
"pink eye" - with white, yellow, or green eye discharge and red ("bloodshot")
eyes, exclude only if child has:
* fever,
* eye pain
* redness and/or swelling of the skin around the
eyes, or .
if more than one child in the program has
symptoms
j. Pediculosis
(head lice), from the end of the day until after the first treatment.
k. Active tuberculosis, until a health care
provider or health official states that the child is on appropriate therapy and
can attend child care.
l. Impetigo,
until treatment has been started;
m.
Strep throat, until 24 hours after antibiotic treatment has been started
n. Chicken pox, until all lesions
have crusted (usually 6 days after the rash appears)
o. Rubella, until 6 days after onset of
rash
p. Pertussis (whooping cough);
until 5 days of antibiotic treatment
q. Mumps, until 5 days after onset of gland
swelling
r. Measles, until 4 days
after onset of rash
s. Hepatitis A,
until 1 week after onset of illness or as directed by the health department
4. Illness in the
Registered Home shall be handled to protect all children in care.
5. In case of critical illness or injury, and
if the parents cannot be reached, the physician named by the parent shall be
called. If necessary, the child shall be taken to the nearest emergency room.
Injuries that require the attention of medical personnel shall be reported the
parent immediately.
6. In case of
critical illness or serious injury that requires the attention of medical
personnel, the Child Care Licensing Specialist shall be notified within one
business day.
7. The caregiver shall
notify the child's parent of significant events that affect the children. This
shall include, but not be limited to:
a.
Cases of serious contagious disease shall be reported to the parents of all the
children in care
b. Any injury
incurred by a child
8.
The communicable diseases listed in Appendix C, 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
9. Reporting data shall include:
a. The reporter's name, location and phone
number
b. The name of the disease
reported and the onset date
c. The
patient's name, address, phone number, age, sex, and the 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
10. It is
recommended that universal precautions be used when handling and disposing of
materials containing bodily secretions, such as wet or soiled diapers, fecal
matter, etc.
Universal precautions shall be used when handling items
contaminated by blood. These items shall be disposed of separately and by using
rubber gloves that shall be properly disposed of after each use. (Note: hands
must be washed even after gloves are used.)
11. Within 15 days of enrollment of a child,
the Registration Home provider shall verify that the child has been immunized
as required by Arkansas Department of Health or the child cannot remain in
care. (Arkansas code
20-78-206 as amended by Act 870 of
1997-a current immunization schedule is provided as an insert in this
publication)
12. Children shall be
protected from overexposure to the sun. Sunscreen shall be used if needed and
as directed by the parent. Suntan lotions and/or sunscreens used for
infant/toddlers and preschool children shall be kept out of the children's
reach and shall be administered only with written parental permission. School
age children may apply sunscreen to themselves with supervision. Blanket
permission may be obtained annually.
13. It is recommended that the facility have
an automated external defibrillator on site.
1103
Toilet Arrangements
1. At least one (1) commode and one (1) sink
shall be made available for the children's use. Potty chairs may be used by the
younger children if emptied, cleaned and disinfected after each use. Potty
chairs shall be located in the bathroom only.
2. Toilet tissue shall be located within
reach of the children when toileting.
3. Individual cloth towels or paper towels
shall be available for each child.
4. Caregiver's and children's hands shall be
washed with liquid soap before meals, after toileting, after each diaper
change, and as needed.
5. There
shall be a safe diaper changing table that meets the following requirements:
a. Impervious (non-absorbent) smooth surfaces
that do not trap soil and are easily disinfected
b. There shall be a changing pad capable of
being sanitized used as a cushion between the child and the changing table
surface.
c. The table shall be
sturdy and stable to prevent tipping over.
d. The table shall be a convenient height for
use by caregivers (between 28-32 inches high)
e. The table shall be equipped with a raised
edge or other provision to help reduce the risk of a child rolling off of the
table.
6. Children shall
always be attended during diapering.
7. Soiled or wet diapers shall be removed,
disposed of properly, and replaced with clean, dry diapers. The caregiver shall
insure that children are properly cleaned and dried.
8. The caregiver shall assist children in
toilet routine and hygiene practices.
9. The following methods shall not be used in
toilet learning:
a. Placing the child on
toilet or potty chair for prolonged time periods
b. Using harsh language
c. Punishing or berating in any way for
soiling clothing
d. Using physical
force to place child on a toilet or potty chair against their will
e. Leaving child unsupervised on
toilet
1104
Medications
1. Prescription
medicine shall be in the original container with a child resistant cap, and
labeled with the child's name, not have an expired date, instructions, and the
physician's name.
2. All
non-prescription medicine (except aspirin substitutes, such as ibuprofen and
acetaminophen) shall be labeled with the child's name and dated.
3. All medicines shall be given to a child
only with the written permission of the child's parent(s) or guardian which
includes date, type, drug name, time and dosage, length of time to give
medication, and what the medication is being given for.
4. Children with special health care needs
(ex. asthma, seizures, diabetes, etc.) who require scheduled daily medications
or medications to be given on an emergent basis (Benadryl, EpiPen, rescue
asthma medication, etc.) shall have a care plan. Care plans shall have clearly
stated parameters, directions, and symptoms for giving the medications. Care
plans shall be updated as needed, but at least yearly.
5. The facility shall share information with
families regarding medical homes for children.
6. Medicines shall be kept in a locked area.
Medicine shall be kept out of the reach of the children when
dispensing.
7. Rescue medications
such as inhalers or EpiPens shall be inaccessible to children (kept in an
accessible cabinet with a child proof type safety latch or carried by the
caregiver.)
8. Medication shall be
returned to the parent or disposed of properly when a child withdraws from care
or when the medication is out of date.
9. Medicine shall be stored at the proper
temperature, separately from food at all times.
1105
Phone Numbers Required
1. The following numbers shall be available
in the immediate area of the telephone:
a.
Ambulance service or emergency medical services
b. Police or sheriff's department
c. Fire department
d. Poison Control Center 1-800-376 -4766
e. Child Abuse Hotline Number
1-800-482 -5964
f. The physicians
named by the parents
g. The Child
Care Licensing Central Office number: 501-682-8590 or toll free 1-800-445
-3316
h. Home and business numbers
of parents
1106
Pets
1. Pets with which children have contact
shall receive vaccinations as required by law. Verification of vaccinations
administered by a licensed veterinarian shall be maintained. Any pet that
constitutes a threat to the welfare and safety of the children shall be kept in
a confined area, which prevents any contact with the children.
1200
SAFETY
It is suggested that the home have an evacuation crib or
equivalent that could be used for the safe evacuation of infants.
1201
Safety Requirements
1. Within 30 days of registration and within
30 days of any change or modification of the floor plan the facility shall file
a copy of their floor plan with the local Office of Emergency Management
including the following (§
20-78-228 Act 1159 of 2013):
a. A schematic drawing of the facility and
property used by the child care facility including the configuration of rooms,
spaces, and other physical features of the building
b. The location or locations where children
enrolled in child care spend time regularly
c. The escape routes approved by the local
fire department for the child care facility
d. The licensed capacity and ages of children
per room at the facility
e. The
contact information for at least two emergency contacts for the
facility
f. An aerial view of the
child care facility and property used by the child care facility shall be
included with the floor plan if available Homes already registered on the
effective date of this regulation shall have 30 days to
comply.
2. The registered
child care family home shall have a written plan detailing the procedures to
follow in the event of emergencies (fires, floods, tornadoes, utility
disruptions, bomb threats, etc.) (Act 801 of 2009). The plan and procedures are
required for emergencies that could cause structural damage to the facility, be
identified as a threat by the Arkansas Department of Emergency Management or
pose a health and/or safety hazard to the children and staff.
3. The written plan shall include the
following information:
a. Designated
relocation site and evacuation route
b. Procedures for notifying parents of
relocation
c. Procedures for
ensuring family reunification
d.
Procedures to address the needs of individual children, including children with
special needs
e. Procedures and
documentation for annual training of staff regarding the plan and possible
reassignment of staff duties in an emergency
f. Plans to ensure that all caregivers and
volunteers are familiar with the components of the plan
4. The registered child care family home
shall coordinate with local emergency management officials to plan for
emergencies.
5. Written procedures
and evacuation diagrams for emergency drills shall be posted in each room used
for childcare.
6. Fire and tornado
drills shall be practiced as follows:
a.
Monthly
b. Fire and tornado drills
shall be practiced on separate days and at different times of the
day.
c. During all hours when
children are in care (evenings, nights, weekends, etc.)
d. Everyone in the home at the time of the
drill shall participate in the drill
e. Caregivers, including volunteers, shall be
trained in safety drill procedures
7. The registered child care family home
shall maintain a record of emergency drills. This record shall include:
a. Date of drill
b. Type of drill
c. Time of day
d. Number of children participating in the
drill
e. Length of time taken to
reach safety
f. Notes regarding
things that need improved upon
8. The registered child care family home
shall maintain an evacuation pack that shall be taken on all drills and during
real emergencies evacuations. The pack shall be easily accessible in an
emergency and all caregivers shall know the location of the pack. The
evacuation pack shall include, but is not limited to the following:
a. List of emergency numbers
b. List of all emergency and contact
information for children
c. List of
all emergency and contact information for staff
d. First aid kit (requirement 1101.8) with
extra gloves
e. Kleenex
f. Battery powered flashlight and extra
batteries
g. Battery powered radio
and extra batteries
h. Hand
sanitizer
i. Notepad and
pens/pencils
j. Whistle
k. Disposable cups
l. Wet wipes
m. Emergency survival
blanket
9. The Registrant
shall immediately notify the Licensing Unit of any damage to the building
and/or grounds. If phone service is not available, notification shall be as
soon as service is restored or available.
10. Registered homes shall maintain a log of
all child product recall and safety notices issued by CPSC or distributed the
Attorney General's Office and shall post or otherwise make these notices
available for parents to review. The holder of the registration shall certify,
on an annual basis that these notices have been maintained, reviewed and that
any identified items have been removed from the home. Forms for
self-certification will be provided by the Licensing Specialist and shall be
submitted annually. (Act 1313 of 2001)
11. Electrical outlets shall be guarded.
Protective caps, if used, shall be large enough to prevent
swallowing.
12. Indoor or outdoor
cooling or heating units shall have guards or barriers when necessary. All
outdoor electrical boxes, gas lines, and exposed electrical cords shall be
enclosed.
13. Stairways shall be
well lighted and guarded as needed.
14. Dangerous equipment and/or objects shall
be stored away from areas used by the children.
15. All detergent and cleaning supplies shall
be kept out of the reach of children. (This does not include hand soap in
children's or staff bathroom.) Supplies used for children's activities shall be
carefully supervised.
16. All
poisonous substances shall be kept in a locked area.
17. Guns shall be unloaded. Guns, other
weapons, and ammunition shall be stored in a locked area in the home.
18. Illegal drugs/paraphernalia shall not be
in any part of the facility or on the premises, regardless if children are
present or not.
19. Tanks, ponds,
swimming pools, open wells, drainage ditches and sewage drainpipes shall be
fenced if located within the play area.
20. Home swimming pools shall not be used by
children in care unless permission is obtained from Child Care Licensing
through an alternative compliance request. This request must include written
approval from the Arkansas Department of Health for the use of the pool by
children in care. (Home swimming pools used by children in care are considered
semi-private pools by the Department of Health and approval for these pools
requires inspection during the construction phase. Obtaining approval for
existing pools is usually not possible.)
21. Wading pools shall not be used by
children under two years of age. Water sprinklers are acceptable.
22. Alcoholic beverages shall be kept out of
reach of children.
1202
Fire Requirements
The currently adopted Arkansas Fire Prevention Code 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.
1. A fire extinguisher with a minimum of 5
lb. ABC rating shall be installed in the kitchen area of the home and shall be
properly maintained. Caregivers shall know how to operate the extinguisher.
(Clarification: These fire extinguishers are required by State
Code to be inspected annually and have the approval verification tag attached.
An alternative to the inspection is the purchase of a new fire extinguisher
annually and retention of the receipt verifying the purchase.)
2. A working smoke detector shall be
installed near the kitchen area and in children's sleeping areas.
3. The home shall be maintained to be free
from fire hazards at all times. The Child Care Licensing Specialist shall
consult with the local Fire Department or the State Fire Marshal when it
appears hazards exist.
4. The
structure and use of the home shall permit easy entry and exit and shall comply
with the following:
a. A Registered Home with
more than one level shall have second exits on all levels used by children
b. A Registered Home shall have at
least two exits to the outside located on different sides of the home
c. Doors opening to the outdoors shall be
constructed so the children can open them easily from the inside
d. Doors between rooms in the exit route
shall not be locked while children are in the home.
e. Doors and pathways shall be clear of
equipment that blocks the movement of children and
caregiver(s)
5. Wood
burning stoves, or gas logs, fireplaces, open flame space heaters, water
heaters, floor furnaces or other sources of heat shall be guarded and/or vented
when necessary for the protection of the children. Portable fuel heaters shall
not be used.
6. Cooking stoves or
ovens shall not be used as a heating source in the home.
7. Portable heaters shall not be placed
within reach of children and shall be approved UL listed products.
8. The providers shall notify the Child Care
Licensing Specialist of any fires causing damage to the home. This notification
shall be made no later than the end of the following working
day.
1300
TRANSPORTATION
1301
Transportation Requirements
1. The
requirement in this section apply to all transportation provided by the
registrant, including transportation provided by any person on behalf of the
licensee, regardless of whether the person is employed by the licensee. The
requirements in this section are not limited to routinely scheduled
transportation. Periodic transportation, such as a parent requesting that their
child be picked up at school due to the parent's work schedule or other
conflicts, is also covered by these requirements, whether a fee is charged for
this service or not.
2. When
children are transported emergency contact information shall be maintained on
the vehicle at all times.
3.
Caregivers transporting children shall meet the following requirements:
a. Be at least twenty-one (21) years old or
the minimum age required by the Licensee's commercial auto insurance
b. Hold a current valid driver's license or
commercial driver's license as required by state law, and a readable copy shall
be maintained in the employee's record
c.
Successfully completed the training course in Driver Safety that
is offered by the Division prior to transporting children. Verification of the
completed course in Driver Safety shall be maintained in the employee's
record.
d. Be certified in CPR and
First Aid.
4. The
vehicle(s) used for the transportation of children shall be in compliance with
Arkansas state laws on transportation of children.
5. Vehicles shall be licensed and maintained
in proper working condition including air conditioning and heating
systems.
6. Commercial insurance
coverage shall be maintained for any vehicle used for transportation by the
facility. Verification of commercial insurance coverage shall be provided to
the Licensing Specialist prior to transportation of children. (Facilities
licensed prior to the effective date of these regulations shall obtain required
coverage within ninety (90) days.) Required coverage amounts to be maintained
are:
a. Minimum coverage of $100,000 Combined
Single Limit (CSL)
b. Minimum
coverage of $100,000 for both Uninsured Motorist (UM) and Under Insured
Motorist (UIM)
c. Minimum coverage
of $5,000 Personal Injury Protection (PIP) for each passenger (based on the
number of passengers the vehicle is manufactured to transport)
7. The vehicle shall be licensed,
insured and maintained in proper working condition.
8. Any child transported in a passenger
automobile, van or pick-up truck, who is less than six (6) years old or weighs
less than sixty (60) pounds, shall be restrained in a child passenger safety
seat. Any child who is at least six (6) years old, or weighs at least sixty
(60) pounds, must be restrained by a safety belt or any other approved safety
devices. (Act 470 of 2001) Child passenger safety seats shall be used in
accordance with manufacturer's guidelines.
9. Loading and unloading of children from
vehicles shall be conducted in a safe manner.
10. There shall be a seating space and an
individual, appropriate restraint system provided for each child being
transported.
11. Rosters listing
the date, names and ages of all children being transported as well as the name
of the driver and any other staff member on the vehicle shall be maintained.
These rosters shall be used to check children on and off the vehicle when they
are picked up and dropped off at home, school, etc. and when they arrive at and
leave the registered home. Transportation rosters shall be kept by the Home and
available for review for one (1) year.
12. To insure that no children are left on
the vehicle, the driver or a staff member must walk through the vehicle and
physically check each seat before leaving the vehicle. The transportation
roster must be signed by the driver, or staff who conducted the walk through
inspection, documenting that all children have exited the vehicle.
13. To insure that children have safely
arrived in the home, the transportation roster shall be reviewed by the
Registrant and compared with attendance records. The Registrant shall sign off
on the transportation roster to verify that all children have safely
transitioned from the vehicle to the classroom.
14. Any vehicles designed or used to
transport more than seven (7) passengers and one (1) driver must have approved
child safety alarm devices installed. These devices must be properly maintained
in working order at all times.
Vehicles in service at licensed facilities prior to July 1,
2005, shall have the alarm installed by a qualified technician or mechanic no
later than December 31, 2005. On or after July 1, 2005, all vehicles at newly
licensed facilities and newly acquired vehicles at existing facilities shall
have a child safety alarm installed before placing the vehicle in
service.
The Child Care Licensing Unit shall maintain a list of approved
alarm systems.
Clarification--
. The alarm system shall be installed so that the
driver must walk to the very back of the vehicle to reach the switch that
deactivates the alarm. Alarm switches installed in locations that do not
require the driver to walk to the back of the vehicle and view all seating
areas will not be acceptable.
. The alarm systems may be installed by any
certified technician or mechanic employed by a recognized electronics or
automotive business in accordance with the device manufacturer's
recommendations.
. The time delay from activation of the alarm
until the alarm sounds shall be no longer than one minute. Any of the
following three options are acceptable to meet the intent of Act 1979 when
children are being delivered at the facility. Other options must be approved by
the Licensing Unit.
Options:
1. Unload all of the children, walk through
the vehicle to ensure that no children remain on board and deactivate the
alarm. (This option will only work if you are able to unload all children in
less than one minute.)
2. Upon
arrival, have one staff member immediately walk through the vehicle to
deactivate the alarm system. That staff member will remain near the alarm
switch at the back of the vehicle until all children have been unloaded to
ensure that no child is left on board. (This option will require at least two
staff members, one to supervise the children and one to remain inside the
vehicle.)
3. Upon arrival,
deactivate the alarm and unload the children. Immediately after unloading,
start the vehicle and move it to a different location for final parking. (This
will reactivate the alarm and require a final walk
through.)
1302
Infant & Toddler Transportation Requirements
1. A vehicle transporting children under the
age of thirty-six (36) months shall maintain a ratio of one (1) adult to three
(3) children.
1400
SPECIAL NEEDS
Individuals with Disabilities Education Act (IDEA):
. It is a law ensuring services to children with
disabilities throughout the nation. IDEA governs how states and public agencies
provide early intervention, special education and related services to eligible
infants, toddlers, children and youth with disabilities.
* It defines a child with Special Needs as:
o A child determined eligible for special services under the
Individual with Disabilities Education Act (IDEA) for whom a current IFSP
(Individual Family Service Plan) or IEP (Individual Education Plan) exists
and/or
o A child whose physical condition has lasted or is expected
to last at least two (2) years as diagnosed by a licensed medical or
psychological examiner
* It is specified in
Public
Law 108-466
§635.16 A-B (IDEA as
reauthorized) as:
o Children with disabilities including children in public or
private institutions or other care facilities are educated to the maximum
extent appropriate with children who are not disabled.
o Special classes, separate schooling or other removal of
children with disabilities from the regular educational environment occurs only
when the nature or severity of the disability of the child is such that the
child is not achieving a satisfactory education in a regular class that
provides supplementary aids and services.
All child care facilities are required by IDEA to refer a
child with any suspected delays or disabilities to the appropriate lead agency
(as determined by the child's age).
1401
Special Needs Requirements
1. All child care facilities shall comply
with all applicable provisions as specified in IDEA:
a. The facility shall enroll children with
special needs without regard to disability.
(Programs are required to provide space and care for a
child who can be placed in their facility with existing services, as well as
added supports from special educational services, and as long as the health and
safety of the child can be met.)
b. Staff shall provide care in the general
classroom with children who are not disabled
c. The facility shall assist in facilitation
of services required to meet the "special needs" of children in the center or
in the classroom as specified on the individualized education/individual family
service plan.
d. Facility staff
(regular classroom staff) shall be a partner in the IFSP/IEP plan process
e. The facility shall allow service
providers who are representatives of DHS, DDS or ADE access to the facility to
provide special services as prescribed on the plan to enable the plan to be
implemented in the classroom (natural/ least restrictive
environment).
f. The facility shall
not charge special service providers for space, accept "gratuities", or payment
for allowing special service providers to provide services in their
facility.
g. The facility is not
required to "displace" children or staff to make space available to special
service providers.
h. In order for
a special service provider to provide special services in the facility, the
IFSP/IEP planning team under the authority of the Arkansas Department of
Education and/or the Arkansas Department of Human Services, Developmental
Disabilities Services, shall identify the needed special services on the
IFSP/IEP.
i. Classroom staff shall
reinforce the specified goals and objectives as part of the daily routine of
the classroom.
1402
Infant & Toddler Special
Needs Requirements
1. To the maximum
extent appropriate, children ages 0 - 2 shall participate in early intervention
services provided in "natural environments."
2. When infants and toddlers cannot achieve
satisfactory results from early intervention services in a natural environment,
the provision of early intervention services shall occur in other appropriate
settings as determined by the parent and the Individualized Family Service
Team.
APPENDIX A: CHILD CARE MEAL
PATTERN
When children over age one participate in the Program, the
total amount of food authorized in the meal pattern set forth below shall be
provided in order to qualify for reimbursement. Children age 12 and up may be
served adult-size portions based on the greater food needs of older children,
but shall be served not less than the minimum quantities specified in this
section for children age 6 through 12 years. For purposes of the requirements
outlined in this paragraph, a cup means a standard measuring cup.
Bread, pasta or noodle products, and cereal grains shall be
whole grain or enriched; cornbread, biscuits, rolls, muffins, etc. shall be
made with whole grain or enriched meal or flour; cereal shall be whole grain or
enriched or fortified.
|
Breakfast
|
Children 1 and 2 years
|
Children 3 through 5 years
|
Children 6 through 12 years
|
|
Milk, fluid Juice or
fruit or vegetable Bread, bread alternate**** and/or
cereal enriched or whole grain Bread or Cereal: Cold dry
or
|
½ cup (4 oz) ¼ cup
½ slice (½ oz.)
¼ cup* ¼ cup
|
¾ cup (6 oz.) ½ cup
½ slice (½ oz.)
1/3 cup** ¼ cup
|
1 cup (8 oz.) ½ cup
1 slice (1 oz.)
¾ cup***
½ cup
|
|
HA oMt
cooro Pk eMd snack
(supplement)
|
|
|
|
|
(select 2 of these 4 components)
Milk, fluid
Meat or meat
alternate Juice Or
fruit or vegetable
Bread, bread
alternate**** and/or
cereal
enriched or whole grain Bread or
CLeurnecahl:
o Cr oSl ud
pdpryer or
|
½ cup (4 ounces) ½ ounce ½
cup
½ slice (½ oz.) ¼ cup* ¼
cup
|
½ cup (4 ounces) ½ ounce ½
cup
½ slice (½ oz.)
1/3 cup** ¼ cup
|
1 cup (8 ounces) 1 ounce ¾ cup
1 slice (1 oz.)
¾ cup*** ½ cup
|
|
HMoitlk
c,o folukied
Meat or meat alternate
(lean meat or poultry or fish) Cheese
Egg
Cooked dry beans or peas Peanut butter
Yogurt (plain or flavored)
(Or an equivalent quantity of any combination of the
above meat/meat alternates) Vegetable and/or
fruit
(total of two or more)
Bread or bread
|
½ cup (4 oz.)
1 ounce 1 ounce ½ large egg ¼ cup 2
tbsps. ½ cup
¼ cup
½ slice (½ oz.)
|
¾ cup (6 oz.)
1 ½ ounces 1 ½ ounces ¾ large egg
3/8 cup 3 tbsps.
¾ cup
½ cup
½ slice (½ oz.)
|
1 cup (8 oz.)
2 ounces 2 ounces
1 large egg ½ cup 4 tbsps. 1 cup
¾ cup
1 slice (1 oz.)
|
alter*n ate**¼* *cup
(volume) or 1/3 ounce (weight) enric*h*e d or
1w/3h oculep (volume) or ½
ounce (weight) grain***¾ cup (volume) or 1
ounce (weight)
**** Refer to Food Buying Guide "Grains and Breads" for
equivalent quantities
APPENDIX B: INFANT CARE MEAL PATTERN
Reimbursable meals served to infants, children, or adult
participants in the Child and Adult Care Food Program shall contain (as a
minimum) the indicated meal pattern quantities and food
components.
Meals served to infants ages birth through 11 months must meet
the requirements described in this meal pattern. Foods included in the infant
meal must be of a texture and a consistency that are appropriate for the age of
the infant being served. Either breast milk or iron-fortified infant formula
must be served for the entire first year.
|
Age
|
Breakfast
|
Lunch or Supper
|
Snack
|
|
Birth through
|
4-6 fluid ounces
|
4-6 fluid ounces
|
4-6 fluid ounces
|
|
3 months
4 months through 7 months
|
breast milk* or formula**
4-8 fluid ounces breast milk* or formula**
0-3 tablespoons infant cereal***
|
breast milk* or formula** 4-8 fluid ounces breast milk*
or formula** and
0-3 tablespoons infant cereal*** and
0-3 tablespoons fruit or vegetable or both
|
breast milk* or formula**
4-6 fluid ounces breast milk* or formula**
|
|
8 months up to first birthday
|
6-8 fluid ounces breast milk* or formula**
and
2-4 tablespoons infant cereal and
1-4 tablespoons fruit and/or vegetable or
both
|
6-8 fluid ounces breast milk* or formula** and
2-4 tablespoons infant cereal*** and/or
1-4 tablespoons meat, fish, poultry, egg yolk, or
cooked dry beans or peas, or ½ - 2 ounces cheese, or 1-4 tablespoons
cottage cheese, cheese food, or cheese spread and 1-4 tablespoons fruit or
vegetable or both
|
2-4 fluid ounces breast milk* or formula** or fruit
juice****
and
0-1/2 slice bread or 0-2 crackers*****
|
* It is recommended that breast milk be served in place of
formula from birth through 11 months. For some breastfed infants who regularly
consume less than the minimum amount of breast milk per feeding, a serving of
less than the minimum amount of breast milk may be offered, with additional
breast milk offered if the infant is still hungry
** Iron-fortified infant formula
*** Iron-fortified dry infant cereal
**** Full-strength fruit juice
***** Made from whole-grain or enriched meal or flour
APPENDIX C: ADULT CARE MEAL PATTERN
The meals served to adult participants in the Child and Adult
Care Food Program shall contain the indicated meal pattern quantities and food
components in order to qualify for reimbursement. Adult centers may choose to
implement the "offer vs. serve" option (as described on following page).
|
Breakfast
|
|
|
Adult Participants
|
|
Milk, fluid
Juice or fruit or
vegetable
Bread and/or cereal*
enriched or whole grain
Bread or
Cereal: Cold dry or Hot cooked
|
1 cup (8 ounces) ½ cup
2 slices (or 2 servings the equivalent quantity of 2
ounces)
1½ cups (or 2 ounces) 1 cup
|
|
AM or PM snack (supplement)
(select 2 of these 4 components) Milk,
fluid
Meat or meat alternate Juice
or fruit or vegetable Bread and/or
cereal*
enriched or whole grain
Bread or
Cereal: Cold dry or Hot cooked
|
1 cup (8 ounces) 1 ounce ½ cup
1 slice (1 ounce) ¾ cup (or 1 ounce) ½
cup
|
|
Lunch or Supper
|
|
|
Milk, fluid
Meat or meat alternate
(lean meat or poultry or fish)
Cheese
Egg
Cooked dry beans or peas
Peanut butter
Yogurt (plain or flavored)
(Or an equivalent quantity of any combination of the
above meat/meat alternates) Vegetable and/or
fruit
(total of two or more)
Bread or bread alternate*
enriched or whole grain
|
1 cup (8 ounces) - (none required at supper
meal)
2 ounces 2 ounces
1 large egg ½ cup
4 tablespoons 1 cup
1 cup
2 slices (or 2 servings the equivalent quantity of 2
ounces)
|
* Refer to Food Buying Guide "Grains and Breads" for equivalent
quantities
APPENDIX D: 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 *MEASLES,
|
MUMPS
|
|
& RUBELLA)
|
tuberculosis
|
|
*WHOOPING COUGH (pertussis)
|
MENINGITIS
|
The following are less common
reportable diseases that occur with low frequency in
Arkansas
*AIDS (Acquired Immune Deficiency
Syndrome)
Amebiasis
ANTHRAX *Aseptic Meningitis
Blastomycosis
BOTULISM *Brucellosis
Campylobacter Interitis
Chancroid
CHOLERA
Coccidioidomycosis *Congenital Rubella Syndrome
DIPHTHERIA
Encephalitis (all types)
FOOD POISONINGS (all types)
Giardiasis
Gonococcal Ophthalmia
Granuloma Inguinale *Guillain - Barre Syndrome
Histoplasmosis
HIV [Human Immuno Deficiency
Virus by (name & address)] **Influenza *Kawasaki Disease
*Legionellosis
* Leprosy
* Leptospirosis
* Lyme Disease Lymphogranuloma Venereum
* Malaria
* Meningitis, Hemophilus Influenza
Type B
* Meningococcal infection Mumps
Pesticide Poisoning PLAGUE
* POLIOMYELITIS
* Psittacosia (Ornithosis) Q Fever RABIES
* Relapsing Fever
* Reyes Syndrome Rheumatic Fever
* Rocky Mountain Spotted Fever SMALL POX
* Tetanus
* Toxic Shock Syndrome Toxoplasmosis
* Trichinosis
* Tularemia TYPHUS FEVER YELLOW FEVER
*The reporting physician will be contacted for additional
information.
**Individual cases to be reported only
when laboratory testing has determined the viral type.
The diseases in capital letters are to be brought to the
immediate attention of the State Epidemiologist when suspected.
Reporting data shall include:
a) Names & location of reporting
person
b) Disease or suspected
disease and date of onset
c) Name,
age, sex, address and phone number of patient (please spell patient's
name)
d) Name of patient's
physician
The following diseases are also of public health importance and
it is recommended that these diseases be reported whenever there is an unusual
incidence or outbreak (including seasonal). It is necessary to report:
(1) physician's name and location
(2) the suspected disease
(3) the number of cases and interval during
which the cases were seen: :
|
Acute respiratory disease
|
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 disease also shall be
reported:
|
Asbestosis
|
Mesothelioma
|
|
Silicosis
|
Coal Workers Pneumoconiosis
|
|
Byssinosis
|
|
FOR FURTHER ASSISTANCE CONTACT THE LOCAL COUNTY HEALTH
UNIT.
APPENDIX E: DISASTER/EMERGENCY PREPAREDNESS
|
DISASTER/EMERGENCY NUMBERS
|
CONTACT/TOWN
|
TELEPHONE NUMBER
|
|
AMBULANCE
|
|
|
|
APPLIANCE REPAIR
|
|
|
|
BUILDING INSPECTOR
|
|
|
|
CHILD ABUSE HOT LINE
|
|
1-800-482-5964
|
|
CHILD CARE LICENSING UNIT
|
Little Rock
|
1-800-445-3316 or 501-682-
|
|
CLEANING/MAINTENANCE
|
|
8590
|
|
ELECTRIC COMPANY
|
|
|
|
ELECTRICIAN
|
|
|
|
EMERGENCY CHILD LOCATOR
|
|
1-866-908-9572
|
|
FACILITY DIRECTOR
|
|
|
|
FIRE DEPARTMENT
|
|
|
|
FIRE DEPARTMENT
(Non-Emergency)
|
|
|
|
GAS COMPANY
|
|
|
|
GLASS COMPANY
|
|
|
|
HEALTH DEPARTMENT (Local)
|
|
|
|
HEATING/AIR CONDITIONING
|
|
|
|
INSURANCE AGENT AND POLICY
|
|
|
|
NUMBER
LICENSING SPECIALIST
|
|
|
|
LOCKS
|
|
|
|
NATIONAL EMERGENCY FAMILY REGISTRY AND
LOCATOR
|
|
1-800-588-9822
|
|
PLUMBER
|
|
|
|
POISON CONTROL
|
|
1-800-376-4766
|
|
POLICE
|
|
|
|
POLICE (Local Non-Emergency)
|
|
|
|
RED CROSS (Local)
|
|
|
|
SHERIFF
|
|
|
|
TRASH REMOVAL
|
|
|
|
WATER DEPARTMENT
|
|
|
Table I:
Immunization Requirements for Child Care and Early
Childhood Education Facilities
Instructions for utilizing Table I: Table I is not
a recommendation of vaccines to get, but of doses required to already have at
that age. To determine what vaccines are required for a child to attend a
licensed child care facility, refer to Column 1 on the left to see what age
range is correct for the child. Then all the vaccines on the same row as the
child's age are required for attendance in a licensed child care facility.
Vaccines are required based on the current age of the child. Column 1 is not an
age range for when a child can be vaccinated.
|
Column 1
Current
AGE of
child
|
Column 2
DTaP
DTP/DT
|
Column 3
POLIO
|
Column 4 Hib
**
|
Column 5 HEPATITIS
B
|
Column 6 MMR
****
|
Column 7
VARICELLA
****
|
Column 8
PNEUMOCOCCAL
**
|
Column 9
HEPATITIS
A
|
|
1-2 Months
|
None
|
None
|
None
|
None (1-2 doses possible)
|
None
|
None
|
None
|
|
|
3-4 Months
|
1 dose
|
1 dose
|
1 dose
|
1 dose (1-2 doses possible)
|
None
|
None
|
1 dose
|
|
|
5-6 Months
|
2 doses
OR
1 dose within last 8 weeks
|
2 doses
OR
1 dose within last
8 weeks
|
2 doses
OR
1 dose within last 8 weeks
|
2 doses
OR
1 dose within last
8 weeks
|
None
|
None
|
2 doses
OR
1 dose within last 8 weeks
|
|
|
7-12 Months
|
3 doses
OR
1 dose within last 8 weeks
|
2 doses
OR
1 dose within last
8 weeks
(3 doses possible)
|
2-3 doses
OR
1 dose within last 8 weeks
|
2 doses
OR
1 dose within last 8 weeks
(3 doses possible)
|
None
|
None
|
2-3 doses
OR
1 dose within last 8 weeks
|
|
|
13-15 Months
|
3 doses
OR
1 dose within last 8 weeks
|
2 doses
OR
1 dose within last
8 weeks
(3 doses possible)
|
2-3 doses
OR
1 dose within last 8 weeks
(4 doses possible)
|
2 doses
OR
1 dose within last 8 weeks
(3 doses possible)
|
None
(1 dose possible)
|
None
(1 dose possible. A
medical professional history of disease may be accepted
in lieu of receiving vaccine.)
|
2-3 doses
OR
1 dose within last 8 weeks
(4 doses possible)
|
|
|
16-18 Months
|
3 d o s es or 1 dose w ithin last 8 weeks
|
2 d o s es or
1 dose within last
8 weeks
(3 doses possible)
|
3-4 doses with last dose on/after st
1 birthday
OR
2 doses if first dose is administe red at age
12 - 14
|
2 doses
OR
1 dose within the last 8
weeks
(3 doses possible)
|
1 dose
|
1 dose
A medical professional history of disease may be
accepted in lieu of receiving vaccine. .
|
3-4 doses with last dose must be on/after1st
birthday
OR
2 doses on/after 1st
birthday
|
|
|
|
|
|
months and doses are at least 8 weeks apart
OR
1 dose on/after
15
months of age if no prior doses
|
|
|
|
|
|
|
19-48 months
|
4 doses
OR
3rd dose within last 6
months
OR
1 dose within last 8 weeks
|
3 doses
OR
1 dose within last
8 weeks
|
3-4 doses with last dose on/after st
1 birthday
OR
2 doses if first dose is administe
red at age
12 - 14
months and doses are at least 8
weeks apart
OR
1 dose on/after
15
months of age if no prior doses
|
3 doses ***
OR
1 dose within last 8 weeks
|
1 dose
|
1 dose
A medical professional history of disease may be
accepted in lieu of receiving vaccine.
|
3-4 doses with last dose must be on/after1st
birthday
OR
1 dose on/after 24
months of age if no prior doses
OR
2 doses on/after 1st
birthday
|
For 19-24 months:
1 dose on or after first birthday (2 doses
possible)
For 25-48 months:
2 doses with one dose on or after 1st birthday and at
least 6 months from first dose
|
|
*49 months
|
5 doses *
OR
4th dose within last
6
months
OR
1 dose within last 8 weeks
OR
4 doses with last dose on/after th
4
|
4 doses with a minimum interval of
6 months between the 3rd
and
4th dose
OR
1 dose within last
8 weeks
|
3-4 doses with last dose on/after st
1 birthday
OR
2 doses if first dose is administe
red at age
12 - 14
months and doses are at least 8
|
3 doses ***
OR
1 dose within the last 8
weeks
|
1 dose
|
1 dose
A medical professional history of disease may be
accepted in lieu of receiving vaccine.
|
3-4 doses with last dose on/after
1st birthday
OR
1 dose on/after 24
months of age if no prior doses
OR
2 doses on/after 1st
birthday
Not required on/after 5th
birthday
|
2 doses with one dose on or after
1st birthday and at least 6 months from first
dose
|
|
|
birthday
|
|
weeks apart
OR
1 dose on/after
15
months of age if no prior doses
Not required on/after
th
5 birthday
|
|
|
|
|
|
*5th DTaP/DTP/DT (Pre-school dose) must be given on/after the
child's 4th birthday. Interval between 4th DTaP/DTP/DT and 5th DTaP/DTP/DT
should be at least 6 months. If a child is currently *49 months of age and does
not meet the above criteria or is in process within 15 days, they are not
up-to-date and should be scheduled for immunization.
** For Hib and Pneumococcal, children receiving the first dose
of vaccine at age 7 months or older require fewer doses to complete the
series.
*** 3rd dose of hepatitis B should
be given at least 8 weeks after the 2nd dose, at
least 16 weeks after the 1st dose, and it should not
be administered before the child is 24 weeks of age.
**** Vaccine doses administered up to 4 days before the minimum
interval or minimum age can be counted as valid for doses already administered.
Exception: The minimum interval between doses of live vaccines (such as MMR and
Varicella) must be 28 days.
*****A medical professional is a medical doctor (MD), advanced
practice nurse (APN), doctor of osteopathy (DO), or physician assistant (PA).
No self or parental history of disease will be accepted.
TABLE II: KINDERGARTEN THROUGH GRADE TWELVE IMMUNIZATION
REQUIREMENTS*
|
Vaccine ► -------
Grade ▼
|
Diphtheria,
Tetanus,
Pertussis
(DTP/DT/Td/DT
aP/Tdap)
|
Polio
(OPV - Oral or
IPV -
Inactivated)
|
MMR***
** (Measles, Mumps,
and Rubella)
|
Hep B
|
Meningococc
Varicella al
(MCV4)
|
Hepatitis A
|
|
Kindergarten
|
4 doses
(with 1 dose on or after
4th
birthday)
|
3 doses
(with 1 dose on or after
4th
birthday and a minimum interval of 6
months between the 2nd and
3rd
dose)
OR
4 doses with 1
dose on or after
4th birthday and a minimum
interval of 6
months between the 3rd and
4th
dose
|
2 doses
(with dose
1 on or after 1st
birthday and dose 2
at least 28
days after dose 1)
|
3 doses
|
None 2 doses
(with dose 1 on or after 1st
birthday and dose 2 at least 28 days after dose 1)
******A
medical professional history of disease may be accepted
in lieu of receiving
vaccine.
|
1 dose on or after 1st
birthday
|
|
Grades 1 - 12
|
4 doses
(with 1 dose on or after
4th
birthday)
AND
1 dose of Tdap for ages 11 years
(as of September
1st each year) and
older
OR
3 doses*******
for persons 7
years of age or older who are not fully
vaccinated
(including persons who cannot document prior
vaccination)
|
3 doses doses
(with 1 dose on or after
4th
birthday with a minimum interval of 6
months between the 2nd and
3rd
dose)
OR
4 doses with 1
dose on or after
4th birthday and a minimum
interval of 6
months between the 3rd and
4th
dose
|
2 doses (with dose
1 on or after 1st
birthday and dose 2
at least 28
days after dose 1)
|
2** or 3*** doses (11-15 year olds could be on a 2-dose
schedule)
|
Second dose 2 doses at age 16 years (with dose 1 (as of
on or after 1st September
1st birthday and each year) dose 2 at with a least
28 days minimum after dose 1) interval of 8
weeks since OR
1st dose
******A OR medical professional 1 dose if
not history of vaccinated disease may prior to age 16 be accepted years in lieu
of (If first dose receiving is vaccine. administered at age 16 years or older,
no second dose required.)
|
Grade 1 only:
1 dose on or after 1st
birthday
|
|
Grade 7
|
4 doses
(with 1 dose on or after
4th
birthday)
AND
1 dose of Tdap ****
OR
3 doses*******
for persons 7
years of age or older who are not fully
immunized
(including persons who cannot document prior
vaccination)
|
3 doses (with 1 dose on or after
4th
birthday with a minimum interval of 6
months between the 2nd and
3rd
dose)
OR
4 doses with 1
dose on or after
4th birthday and a minimum
interval of 6
months between the 3rd and
4th
dose
|
2 doses (with dose
1 on or after 1st
birthday and dose 2
at least 28
days after dose 1)
|
2** or 3*** doses (11-15 year olds could be on a 2-dose
schedule)
|
1 dose
|
2 doses (with dose 1 on or after 1st
birthday and dose 2 at least 28 days after dose 1)
OR
******A
medical professional history of disease may be accepted
in lieu of receiving
vaccine.
|
None
|
*Doses of vaccine required for school entry may be less than
the number of doses required for age-appropriate immunization.
**An alternative two-dose hepatitis B schedule for 11-15
year-old children may be substituted for the three-dose schedule. Only a
FDA-approved alternative regimen vaccine for the two-dose series may be used to
meet this requirement. If you are unsure if a particular child's two-dose
schedule is acceptable, please contact the Immunization Section for assistance
at 501-661-2169.
*** 3rd dose of hepatitis B should
be given at least 8 weeks after the 2nd dose, at
least 16 weeks after the 1st dose, and it should not
be administered before the child is 24 weeks (168 days) of age. (All
3rd doses of hepatitis B vaccine given earlier than
6 months of age before 6/21/96 are valid doses and should be counted as valid
until 6/21/2014.)
**** Tdap vaccine can be administered regardless of the
interval since the last tetanus and diphtheria toxoid-containing
vaccine.
***** Exception: If a student has previously
received two doses of measles, one dose of mumps and one dose of rubella before
January 1, 2010, the doses will be accepted as compliant to immunization
requirements and 2 MMRs are not required.
******A medical professional is a medical doctor (MD), advanced
practice nurse (APN), doctor of osteopathy (DO), or physician assistant (PA).
No self or parental history of disease will be accepted.
******* For unvaccinated persons 7 years of age and older
(including persons who cannot document prior vaccination), the primary series
is 3 doses. The first two doses should be separated by at least 4 weeks, and
the third dose at least 6 months after the second. One of these doses
(preferably the first) should be administered as Tdap and the remaining two
doses administered as Td.
