The Young Men's Christian Association

418-1.11(a)(3) The program must keep documentation of immunizations the child has received to date, in accordance with New York State Public Health Law.

418-1.11(a)(1) No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

418-1.7(o) Other than for school age children, sleeping and napping arrangements must be made in writing between the parent and the program. Such arrangements shall include: the area of the program where the child will nap; whether the child will nap on a cot, mat, bed or a crib; and how the napping child will be supervised, consistent with the requirements of section 418-1.8 of this Subpart.

418-1.15(b)(23) Upon termination or resignation of the director:

418-1.12(z) All containers or bottles of, breast milk, formula or other individualized food items must be clearly marked with the child's complete name.

Corrected during the visit

418-1.5(aa) The following items must be used and stored in such a manner that they are not accessible to children: handbags, backpacks or briefcases belonging to adults; plastic bags; and toys and objects small enough for young children to swallow.

Corrected during the visit

418-1.5(a) Suitable precautions must be taken to eliminate all conditions in areas accessible to children which pose a safety or health hazard.

Corrected during the visit

418-1.4(g) Trash, garbage and combustible materials must not be stored in the furnace room or in rooms or outdoor areas adjacent to the facility that are ordinarily occupied by or accessible to children.

418-1.11(c)(2)(x) guidelines and procedures to be followed for the prevention of anaphylaxis and during a medical emergency resulting from anaphylaxis that comply with the anaphylactic policy for child day care providers jointly issued by the Office and the New York State Department of Health; and

418-1.11(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 day 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 staff will need to have in order to carry out the health care plan for the child.

418-1.4(f) Adequate means of egress must be provided. Children may be cared for only on such floors as are provided with readily accessible alternate means of egress to other floors, in the case of fire-resistant buildings, and to the outside in the case of non-fire-resistant buildings.

418-1.4(a) Suitable precautions must be taken to eliminate all conditions which may contribute to or create a fire hazard.

418-1.5(aa) The following items must be used and stored in such a manner that they are not accessible to children: handbags, backpacks or briefcases belonging to adults; plastic bags; and toys and objects small enough for young children to swallow.

Corrected during the visit

418-1.11(f)(21) In the case of medication that needs to be given on an ongoing, long-term basis, the authorization and consent forms for children under the age of 5 years of age must be reauthorized at least once every six months. Any changes in the medication authorization related to dosage, time or frequency of administration shall require a program to obtain new instructions written by the licensed authorized prescriber. All other changes to the original medication authorization require a change in the prescription.

418-1.11(b)(12) The director and all teachers must have knowledge of and access to children's medical records and all emergency information.

418-1.11(f)(20) In the case of medication that needs to be given on an ongoing, long-term basis, the authorization and consent forms for children 5 years of age or older must be reauthorized at least once every 12 months. Any changes in the medication authorization related to dosage, time or frequency of administration shall require a program to obtain new instructions written by the licensed authorized prescriber. All other changes to the original medication authorization require a change in the prescription.

418-1.11(b)(13) Staff must be aware of each child's special health care needs identified in the child's individual health care plan. This includes, but is not limited to, allergies, disabilities and medical conditions.

418-1.8(l)(7) Except for Office approved continuity of care classrooms, infants may never be mixed with other age groups.

418-1.8(k)(3)(i) for children between ages 18 months old and 36 months old: there must be one teacher for every five children;

418-1.5(ad) Pursuant to New York Public Health Law Section 2500-h, the program must comply with the anaphylaxis policy jointly issued by the Office and the New York State Department of Health and any amendments thereto. The program must notify the parent of any child in care of the anaphylaxis policy when the child is enrolled and annually thereafter. Notification shall include contact information for parents to engage further with the program to learn more about individualized aspects of the anaphylaxis policy.

418-1.15(a)(4) The provisions specified on the license are binding and the child day care center must operate in compliance with the terms of the license. The number and age range of children specified thereon are the maximum number and age range of children who may be in the care of the child day care center at any one time.

418-1.8(j) When a child care center is in operation, an adequate number of qualified teachers must be on duty to ensure the health and safety of the children in care.