Stephanie Maroncelli/Funshine Preschool

Medication: Medication and supplements are kept in a location inaccessible to children

37.95.1003 INFANT’S AND TODDLERS FEEDING (Feeding)

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.”

37.95.128 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):”

37.95.124 Fire Safety Requirements (Facility Records)

“1. All child care facilities must have a written emergency disaster plan. The plan for each structure used for child care must be developed in such a way that the plan can be followed in the event of a natural or human-caused disaster, such as flood, fire, tornado, or responding to an intruder. 2. Emergency disaster plans must include: a. an emergency supply of blankets, water, food, and supplies; b. plans for evacuation, including identification of at least one off-site gathering point; c. plans for evacuation of nonmobile children and children with special health care needs; d. contingencies that address: (i) children's individual needs; and (ii) staff responsibilities e. plans for reunification of children with their parents; f. plans for shelter in place and lock down; and g. plans for continuity of operation.”

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”

37.95.160 STAFF RECORDS (Caregiver File Review)

“1. The director must maintain records regarding each staff member, according to their role type, which include: a. verification of CPR and first aid training; b. a copy of the release of information for background checks; c. health statement and contact information; and d. immunization records that establish compliance with ARM 37.95.184”

37.95.121 SAFETY REQUIREMENTS (Play Area)

“6. Any outdoor play area must be maintained free from hazards such as wells, machinery, and animal waste. If any part of the play area is adjacent to a busy roadway, drainage or irrigation ditch, stream, large holes, or other hazardous areas, the play area must be enclosed with a fence in good repair that is at least four feet high without any holes or spaces greater than four inches in diameter or natural barriers to restrict children from these areas. a. Outdoor play areas shall be designed so that all parts are visible and easily supervised by staff.”

37.95.1003 INFANT’S AND TODDLERS FEEDING (Child File Review)

“1. An individualized diet and feeding schedule shall be provided according to a written plan submitted by the parents or by the infant's physician with the knowledge and consent of the parents, guardian, or placement agency. A change of diet and schedule shall be noted on each infant's daily diet and feeding schedule.”

37.95.141 CHILDREN’S RECORDS (Child File Review)

37.95.128 DOCUMENTATION OF THE ABSENCE OF UNUSUAL HEALTH RISKS FOR CHILDREN UNDER AGE TWO (Child File Review)

37.95.140 IMMUNIZATION (Child File Review)

“1. Before a child under the age of five may attend a Montana day care facility, that facility must be provided with the documentation required by (4) that the child has been immunized as required for the child's age group against measles, rubella, mumps, poliomyelitis, diphtheria, pertussis (whooping cough), tetanus, and Haemophilus influenza type B, unless the child qualifies for conditional attendance in accordance with (9):”