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416.11(a)(2) The written medical statement from the health care provider must also state whether the child is a child with special health care needs and, if so, what special provisions, if any, will be necessary in order for the child to participate in child day care. When the written statement from the health care provider advises the day care program that the child being enrolled is a child with special health care needs, the day care program must work together with the parent and the child's health care provider to develop a reasonable health care plan for the child while the child is in the child care program. The health care plan for the child must also address how the day care program will obtain or develop any additional competencies that the caregivers will need to have in order to carry out the health care plan for the child.

416.15(b)(11)(iii) In hiring caregivers subsequent to issuance of a license, a program: must ensure that a medical statement has been submitted before the person has any involvement with children in care, as required in section 416.11 of this Part;