Buggy Bear Childcare/Billings Montessori

37.95.623 CHILD CARE CENTERS: CHILD-TO-STAFF RATIOS (License)

“2. When children of different ages are mixed, the ratio and group size for the youngest child in the group must be maintained.”

37.95.1005 INFANT’S AND TODDLERS, SLEEPING (Sleeping)

“3. Each infant must 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”

37.95.181 DAY CARE FACILITIES: MEDICATION ADMINISTRATION (Health Prevention)

“1. No day care employee, owner, or operator may administer any medication to a child without the written authorization of the parents including the child's name, date or dates for which the authorization is applicable, dosage instructions, and the signature of the child's parent or guardian.”

37.95.182 DAY CARE FACILITIES: STORAGE AND ADMINISTRATION OF MEDICATION (Storage)

“2. Any nonprescription medication brought into the facility for use by a specific child shall be labeled with the following information: a. the date; b. the child's first and last names; c. specific, legible instructions for administration and storage (i.e., the manufacturer's instructions) ; and d. the name of the health care provider, parent, or guardian who made the recommendation.”

37.95.181 DAY CARE FACILITIES: MEDICATION ADMINISTRATION (Parent Information)

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.”

37.95.140 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):”

37.95.610 DAY CARE CENTERS, SPACE (Exiting)

“7. Outdoor play areas at the facility must be surrounded by a fence that is at least four feet high and in good repair without any holes or spaces greater than four inches in diameter. Outdoor areas must be designed so that all parts are always visible to allow for direct supervision by child care staff.”

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.”

37.95.623 CHILD CARE CENTERS: CHILD-TO-STAFF RATIOS (License)

37.95.1001 INFANT’S AND TODDLERS DIAPERING AND TOILET TRAINING (Storage)

“3. Diaper-changing surfaces shall be cleaned after each use by washing or by changing a pad or disposable sheeting and sanitized or covered for reuse.”

37.95.623 CHILD CARE CENTERS: CHILD-TO-STAFF RATIOS (License)