Alisa Clarke / Lisa's Kids

37.95.141 CHILDREN’S RECORDS (Child File Review)

“4. Prior to a child being enrolled or entered into a child care facility, the following information, signed by the parent or guardian, must be on file: a. written information on each child explaining any special needs of the child, including allergies; b. a release or authorization of persons allowed to pick up the child; c. necessary medical forms, including all medication authorization and administration logs, signed and updated immunization records and the names of emergency contact persons; and d. an emergency consent form. This form must accompany staff when children are away from the day care site for activities. 7. The information supplied in (4) must be maintained on forms provided by the department and must be signed by the parent or guardian.”

37.95.1005 INFANT’S AND TODDLERS, SLEEPING (Sleeping)

“3. Each infant shall be provided with a crib or play pen for sleeping. At the discretion of the parent and provider, a cot or mat may be used once a child turns one year of age as long as a safe sleep environment is provided. Children one year of age through 18 months who are placed on a mat must have a signed permission statement in the file indicating that the parent has given permission for their child to be placed on a mat. When cots and mats are used, an early childhood teacher must remain with the child while they are sleeping. a. Infants and toddlers must not be allowed to sleep in a car seat, infant swing, or other infant apparatus. b. Cot or mat surfaces may be of plastic or canvas or other material, which can be cleaned with detergent solution and allowed to air dry.”

37.95.702 GROUP DAY CARE AND FAMILY DAY CARE HOMES, STAFFING, AND ADDITIONAL REQUIREMENTS (Inside Facility)

“1. Except for approved overlap care, there shall be at least two caregivers caring for the children at all times when there are more than eight children present at the home.”

37.95.121 SAFETY REQUIREMENTS (Facility Records)

“3. Any pet or animal, present at the facility, indoors or outdoors, must be in good health, show no evidence of carrying disease, and be a friendly companion of the children. The provider is responsible for maintaining the animal's vaccinations and vaccination records. These records must be made available to the department upon request. The provider must make reasonable efforts to keep stray animals off the premises.”

37.95.706 GROUP AND FAMILY DAY CARE HOMES, FIRE SAFETY REQUIREMENTS (Fire Safety)

“2. A fire extinguisher must be easily accessible on each floor level, have a minimum level of extinguisher classification of 2A10BC, and be mounted near outside exit doors.”

37.95.172 SUPERVISION AT ALL TIMES (Supervision)

“1. Children must be supervised at all times.”

37.95.160 STAFF RECORDS (Caregiver File Review)

“1. The director must maintain records regarding each staff member, according to their role type, which include: a. verification of CPR and pediatric first aid training; b. a copy of the release of information for background checks; c. health statement and contact information; d. immunization records that establish compliance with ARM 37.95.184; and e. acknowledgement of child care facility's policy on identifying and preventing shaken baby syndrome and abusive head trauma.”

37.95.128 DOCUMENTATION OF THE ABSENCE OF UNUSUAL HEALTH RISKS FOR CHILDREN UNDER AGE TWO (Child File Review)

“1. A day care facility must have on file a health record form, provided by the department, concerning any special health risks that would affect other children. This must be obtained and kept on file by the provider prior to residence or enrollment of any child under age two at the day care facility. The health record form must be signed by: a. a physician licensed to practice medicine in Montana pursuant to Title 37, chapter 3, MCA; or b. a physician assistant-certified licensed to practice in Montana and practicing under a utilization plan approved by the board of medical examiners; or c. a person licensed in Montana as a professional nurse and recognized by the board of nursing as a nurse practitioner or clinical nurse specialist; or d. a naturopathic physician licensed under Title 37, chapter 26, MCA”

37.95.160 STAFF RECORDS (Caregiver File Review)

“1. The director must maintain records regarding each staff member, according to their role type, which include: a. verification of CPR and pediatric first aid training; b. a copy of the release of information for background checks; c. health statement and contact information; d. immunization records that establish compliance with ARM 37.95.184; and e. acknowledgement of child care facility's policy on identifying and preventing shaken baby syndrome and abusive head trauma.”

37.95.140 IMMUNIZATION (Child File Review)

“1. Before a child may attend a Montana day care facility, that facility must be provided with the documentation required by (5) that the child has been immunized as required for the child's age group against measles, rubella, mumps, poliomyelitis, diphtheria, pertussis (whooping cough), tetanus, varicella, hepatitis B, pneumococcal, and Haemophilus influenza type B, unless the child qualifies for conditional attendance in accordance with (7):”

Exiting

37.95.720 EQUIPMENT (Equipment)

“4. Each child, except school-age children who do not take naps, shall have clean, age-appropriate rest equipment, such as a crib, cot, bed or mat. Seasonably appropriate top and bottom covering, such as sheets or blankets, must be provided. Crib mattresses and other rest equipment shall be waterproof and regularly sanitized.”

37.95.106 DAY CARE FACILITIES, REGISTRATION OR LICENSING (License)

“6. A child care facility may not provide care for more than the number of children permitted at any one time by its child care license or registration certificate.”

37.95.1005 INFANT’S AND TODDLERS, SLEEPING (Sleeping)

37.95.702 GROUP DAY CARE AND FAMILY DAY CARE HOMES, STAFFING, AND ADDITIONAL REQUIREMENTS (Inside Facility)

“1. Except for approved overlap care, there shall be at least two caregivers caring for the children at all times when there are more than six children present at the home.”

37.95.702 GROUP DAY CARE AND FAMILY DAY CARE HOMES, STAFFING, AND ADDITIONAL REQUIREMENTS (Inside Facility)

“1. Except for approved overlap care, there shall be at least two caregivers caring for the children at all times when there are more than six children present at the home.”

37.95.172 SUPERVISION AT ALL TIMES (Supervision)

“1. Children must be supervised at all times. 2. The provider, director, and all ECTs must be responsible for direct care, protection, supervision, and guidance of children through active involvement or direct observation.”

37.95.140 IMMUNIZATION (Child File Review)

“1. Before a child may attend a Montana day care facility, that facility must be provided with the documentation required by (5) that the child has been immunized as required for the child's age group against measles, rubella, mumps, poliomyelitis, diphtheria, pertussis (whooping cough), tetanus, varicella, hepatitis B, pneumococcal, and Haemophilus influenza type B, unless the child qualifies for conditional attendance in accordance with (7):”

37.95.121 SAFETY REQUIREMENTS (Facility Records)

“3. Any pet or animal, present at the facility, indoors or outdoors, must be in good health, show no evidence of carrying disease, and be a friendly companion of the children. The provider is responsible for maintaining the animal's vaccinations and vaccination records. These records must be made available to the department upon request. The provider must make reasonable efforts to keep stray animals off the premises.”

37.95.139 DAY CARE FACILITIES, HEALTH CARE REQUIREMENTS (Child File Review)

“1. The parent(s) of each child admitted to the day care facility shall provide the name of the physician or health care facility the parent wishes to have called in case of an emergency.”

37.95.1003 INFANT’S AND TODDLERS FEEDING (Child File Review)

“1. An individualized diet and feeding schedule shall be provided according to a written plan submitted by the parents or by the infant's physician with the knowledge and consent of the parents, guardian, or placement agency. A change of diet and schedule shall be noted on each infant's daily diet and feeding schedule.”

37.95.121 SAFETY REQUIREMENTS (Inside Facility)

“1. Cleaning materials, flammable liquids, detergents, aerosol cans, and other poisonous and toxic materials must be kept in their original containers and in a place inaccessible to children. They must be used in such a way that will not contaminate play surfaces, food, food preparation areas, or constitute a hazard to the children. Bio-contaminants including blood, bodily fluids, and other infectious materials must be properly disposed of.”

37.95.704 GROUP DAY AND FAMILY DAY CARE HOMES: STAFFING QUALIFICATIONS AND RESPONSIBILITIES (Caregiver File Review)

37.95.705 GROUP AND FAMILY DAY CARE HOMES, BUILDING REQUIREMENTS (Exiting)

“2. Each level of the facility used for child care purposes must have at least two means of emergency egress. a. One egress must be a door that is at least 32 inches wide and 80 inches tall. b. The second egress may be a window that provides a clear opening of at least 20 inches in width and 5.7 sq. feet in area. The bottom of the exit must not be more than 44 inches above the floor. c. All means of egress must be unobstructed at all times.”

37.95.128 DOCUMENTATION OF THE ABSENCE OF UNUSUAL HEALTH RISKS FOR CHILDREN UNDER AGE TWO (Child File Review)

“1. A day care facility must have on file a health record form, provided by the department, concerning any special health risks that would affect other children. This must be obtained and kept on file by the provider prior to residence or enrollment of any child under age two at the day care facility. The health record form must be signed by: a. a physician licensed to practice medicine in Montana pursuant to Title 37, chapter 3, MCA; or b. a physician assistant-certified licensed to practice in Montana and practicing under a utilization plan approved by the board of medical examiners; or c. a person licensed in Montana as a professional nurse and recognized by the board of nursing as a nurse practitioner or clinical nurse specialist; or d. a naturopathic physician licensed under Title 37, chapter 26, MCA”