Conniston / Amber's Angels Childcare

37.95.1003 INFANT’S AND TODDLERS FEEDING (Diapering)

“3. Bottles shall not be propped. Infants too young to sit in high chairs shall be held in a semi-sitting position for all bottle feedings. a. Infants and toddlers who use a bottle shall not be allowed to lie on their backs when drinking from the bottle. b. Older infants and toddlers shall be provided age-appropriate feeding equipment when being fed. This includes safe high chairs, baby feeding tables, booster seats, and child-size tables and chairs. Use of these types of equipment must be used in accordance with the manufacturer's instructions and must be appropriate for the age of the child using the equipment. c. Infants six months of age or over who show a preference for holding their own bottles may do so provided an adult remains in the room and within observation of the infant. d. Bottles and spill-proof cups (sippy cups) must be taken from the infant or toddler when they finish feeding, when the bottle or cup is empty, and while they are sleeping.”

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):”

37.95.161 CRIMINAL BACKGROUND CHECKS (Registration/License Process)

“1. A fingerprint background check by the Montana Department of Justice and Federal Bureau of Investigation is required prior to working in a child care facility and every five years thereafter. a. Fingerprints must be processed by a trained individual within a certified fingerprinting agency. Results will be transmitted electronically to the department by the Montana Department of Justice. b. Satisfactory results of background checks must be received prior to approval of any new application or staff approval. Unsatisfactory results are those crimes and offenses listed in ARM 27.95.173 and 37.95.176, or the adverse licensure actions described in ARM 37.95.175.”

37.95.622 STAFFING QUALIFICATIONS (Facility Records)

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

“1. The child-to-staff ratio and maximum group size for a child care center are: a. 4:1 for children newborn through 23 months with a maximum group size of 12; b. 8:1 for children two years through three years with a maximum group size of 16; c. 10:1 for children four years with a maximum group size of 24; and d. 14:1 for five years and over with a maximum group size of 32.”