Kukyoossin Learning Center

37.95.1005 INFANT’S AND TODDLERS, SLEEPING (Sleeping)

“7. All pillows, quilts, comforters, heavy blankets, sheepskins, bumper pads, stuffed toys, and other soft products must be removed from the crib and play pen when an infant is laid down for sleep. a. Blankets of any weight must be removed when infants 12 months of age or under are laid down for sleep. b. Sleep sacks and similar safe sleep clothing may be used if the item does not restrict the infant's arms. c. Infants under 3 months of age may only be swaddled if medical documentation from a health care provider is on file at the facility. d. Infants over 3 months of age must not be swaddled”

37.95.1021 INFANT’S AND TODDLER’S SPECIAL REQUIREMENTS FOR DAY CARE CENTERS (Special Requirements)

“1. Day care centers shall post each infant's diet and schedule in an area clearly visible to the center's infant 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.”

37.95.1003 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.”

37.95.140 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):”

37.95.141 CHILDREN’S RECORDS (Child File Review)

“7. The information supplied in (4) and (5) must be maintained on forms provided by the department and must be signed by the parent or guardian.”