PRESBY Child Care Program

109.10(1)

“Medications: The center shall have written procedures for dispensing, storage, and authorization, and recording of all prescription and non-prescription medications. • Staff must be over 18 to administer medication. • All medications shall be stored in original containers with physician or pharmacist directions. Labels should be intact and stored so they are inaccessible to children and public. Nonprescription medications shall be labeled with the child’s name. • For every day an authorization for medication is in effect and child is in attendance, there shall be a notation of administration including the name of medicine, date, time, dosage, given or applied, and the initials of the person administering the medication or the reason the medication was not given. • For ongoing, long term medications, authorization shall be obtained for a period not to exceed the duration of prescription. • Staff shall not provide medications to a child if pre-service/orientation training for medication management has not been completed.”

109.11(2)b

“Program space must meet the following conditions: • Room must be arranged so as not to obstruct the direct observation of children by staff. • Individual covered mats, bed, or cots and appropriate bedding will be provided for all children who nap. • Equipment and materials are maintained in a sanitary manner. • Sufficient spacing must be maintained. • The center will have sufficient toilet articles for each child for hand washing.”

109.9(1)b

“All files contain a pre-employment physical exam report completed within six months prior to hire and at least every three years. Physical exams shall be documented on form 470- 5152, Child Care Provider Physical Examination Report.”

109.13(1and2)

“• Center shall serve each child a full, nutritionally balanced meal as defined by CACFP guidelines. • Staff shall provide supervision at table during snacks and meals. • Children at center two hours or longer shall be offered food of not less than two hours and no more than three hours apart unless child is asleep. • Menus shall be made available to parents and kept on file with substitutions noted. • Avoid foods with high incident rate of causing choking.”

109.12(1)

“• Program structure that uses developmentally appropriate practices and written program of activities planned to the developmental needs of children served. • Program complements but does not duplicate school curriculum. • Schedule of program is posted in a place visible to parents.”

109.9(2)i

“Preschool (for children five years and younger not enrolled in school): Physical exam report submitted within 30 days of admission, was obtained no more than 12 months prior to admission, is signed by a licensed MD, DO, Chiropractor, PA, or ARNP, and contains health history; present health status including allergies, medications, and acute/chronic conditions; and recommendations for continued care if necessary.”

109.12(4)

“• Sufficient toilet articles are provided for handwashing. • Sufficient and safe indoor play equipment, materials, and furniture that conforms with CPSC or ASTM. • Play equipment, materials, and furniture meet the developmental, activity, and special needs of the children. • Room’s arrangement does not obstruct the direct observation of children. • Individual covered mats, beds, or cots, and appropriate bedding is provided for all children who nap. • Procedures are developed and implemented to maintain equipment and materials in a sanitary manner. • Sufficient spacing is maintained between equipment to reduce transmission of disease and allow ease of movement by children and staff to respond to activities and care needs. • Sanitary procedures are followed for use and storage of personal hygiene articles.”

109.9(3)

“Signed and dated Iowa immunization certificates are on file for each child enrolled.”

109.9(2)c

“All files contain information regarding the specific health and medical needs of a child including information regarding any prescribed treatment. For school-age programs in the child’s school, all files include a statement signed by the parent that the immunization information is available in the school file.”

109.9(2)b

“All files contain sufficient information and authorization to allow the center to secure emergency medical and dental services at any time child is in center’s care.”

109.9(2)

“All files are updated at least annually and when a change occurs.”

109.10(3)c

“For ongoing, long term medications, authorization shall be obtained for a period not to exceed the duration of prescription.”

109.15(1)

“• Center shall serve each child a full, nutritionally balanced meal as defined by CACFP guidelines. • Staff shall provide supervision at table during snacks and meals. • Children at center two hours or longer shall be offered food of not less than two hours and no more than three hours apart unless child is asleep.”

109.11(7)c

“All centers: Annual inspection prior to heating season of all fuel-burning appliances to reduce risk of carbon monoxide poisoning and shall install one carbon monoxide detector on each floor that conforms to UL Standard 2034.”

109.11(3)a

“Center shall ensure that: 1. Facility and premises are sanitary, safe, and hazard free. 2. Adequate indoor and outdoor space is provided. The outdoor area shall include safe play equipment and area of shade. 3. Sufficient space provided for dining. 4. Sufficient lighting shall be provided. 5. Sufficient ventilation. 6. Sufficient heating. 7. sufficient cooling. 8. Sufficient bathroom and diapering facilities. 9. Equipment, including kitchen appliances, are maintained so as not to result in burns, shock, or injury to children. 10. Sanitation and safety procedures for the center are developed and implemented to reduce risk or injury or harm to children and reduce transmission of disease.”

109.15(1)

“• Center shall serve each child a full, nutritionally balanced meal as defined by CACFP guidelines. • Staff shall provide supervision at table during snacks and meals. • Children at center two hours or longer shall be offered food of not less than two hours and no more than three hours apart unless child is asleep.”

109.8(1)e

“Staff persons under age 18 who are not under supervision of adult shall only provide care to school aged children”

109.9(2)b

“All files contain sufficient information and authorization to allow the center to secure emergency medical and dental services at any time child is in center’s care.”

109.4(5)

“Child Care Centers and Preschool Licensing Standards and Procedures shall be available in the center and a notice stating a copy is available for review. Contact information of the child care consultant shall be included in the notice.”

109.9(1)d

“All files contain a pre-employment physical exam report completed within six months prior to hire and at least every three years. Physical exams shall be documented on form 470- 5152, Child Care Provider Physical Examination Report.”

109.12(4)

“• Sufficient toilet articles are provided for handwashing. • Sufficient and safe indoor play equipment, materials, and furniture that conforms with CPSC or ASTM. • Play equipment, materials, and furniture meet the developmental, activity, and special needs of the children. • Room’s arrangement does not obstruct the direct observation of children. • Individual covered mats, beds, or cots, and appropriate bedding is provided for all children who nap. • Procedures are developed and implemented to maintain equipment and materials in a sanitary manner. • Sufficient spacing is maintained between equipment to reduce transmission of disease and allow ease of movement by children and staff to respond to activities and care needs. • Sanitary procedures are followed for use and storage of personal hygiene articles.”

109.15(1)

“• Center shall serve each child a full, nutritionally balanced meal as defined by CACFP guidelines. • Staff shall provide supervision at table during snacks and meals. • Children at center two hours or longer shall be offered food of not less than two hours and no more than three hours apart unless child is asleep.”

109.11(3)a

“Center shall ensure that: 1. Facility and premises are sanitary, safe, and hazard free. 2. Adequate indoor and outdoor space is provided. The outdoor area shall include safe play equipment and area of shade. 3. Sufficient space provided for dining. 4. Sufficient lighting shall be provided. 5. Sufficient ventilation. 6. Sufficient heating. 7. sufficient cooling. 8. Sufficient bathroom and diapering facilities. 9. Equipment, including kitchen appliances, are maintained so as not to result in burns, shock, or injury to children. 10. Sanitation and safety procedures for the center are developed and implemented to reduce risk or injury or harm to children and reduce transmission of disease.”

109.10(15)b

“Emergency instructions, phone numbers, and diagrams for fire, tornado, and flood shall be visibly posted and documented at least once a month for fire and tornado. Records shall be maintained for current and previous year.”

109.10(9)

“First aid kit: The center shall ensure that a clearly labeled first aid kit that is sufficient to address minor injury or trauma is available and accessible to staff at all times when children are: • In the center. • In the outdoor play area. • On field trips.”