West Child Care

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”

37.95.1001 INFANT’S AND TODDLERS DIAPERING AND TOILET TRAINING (Diapering)

“3. Diaper-changing surfaces shall be cleaned after each use by washing or by changing a pad or disposable sheeting and sanitized or covered for reuse.”

37.95.183 FIRST AID REQUIREMENTS (Health Prevention)

“2. A first aid kit must be kept on site at all times and must at a minimum contain: a. sterile, absorbent bandages; b. a cold pack; c. tape and a variety of band-aids; d. tweezers and scissors; e. disposable single use gloves. 5. A portable first aid kit containing at least the items listed in (2) must accompany staff and children on trips away from the facility.”

37.95.106 DAY CARE FACILITIES, REGISTRATION OR LICENSING (Registration/License Process)

“5. Applications for renewal shall be made by the provider at least 30 days prior to expiration of the license or registration certificate.”

37.95.141 CHILDREN’S RECORDS (Child File Review)

“4. Prior to a child being enrolled or entered into a child care facility, the following information, signed by the parent or guardian, must be on file: a. written information on each child explaining any special needs of the child, including allergies; b. a release or authorization of persons allowed to pick up the child; c. necessary medical forms, including all medication authorization and administration logs, signed and updated immunization records and the names of emergency contact persons; and d. an emergency consent form. This form must accompany staff when children are away from the day care site for activities. 7. The information supplied in (4) must be maintained on forms provided by the department and must be signed by the parent or guardian.”

37.95.702 GROUP DAY CARE AND FAMILY DAY CARE HOMES, STAFFING, AND ADDITIONAL REQUIREMENTS (Facility Records)

“6. The provider shall maintain an up-to-date a master list with the name, address, and phone number of all children in care and their parents or guardians.”

37.95.141 CHILDREN’S RECORDS (Child File Review)

“4. Prior to a child being enrolled or entered into a child care facility, the following information, signed by the parent or guardian, must be on file: a. written information on each child explaining any special needs of the child, including allergies; b. a release or authorization of persons allowed to pick up the child; c. necessary medical forms, including all medication authorization and administration logs, signed and updated immunization records and the names of emergency contact persons; and d. an emergency consent form. This form must accompany staff when children are away from the day care site for activities. 7. The information supplied in (4) must be maintained on forms provided by the department and must be signed by the parent or guardian.”

37.95.703 GROUP DAY AND FAMILY DAY CARE HOMES: DIRECTOR RESPONSIBILITIES AND QUALIFICATIONS (Caregiver File Review)

37.95.1005 INFANT’S AND TODDLERS, SLEEPING (Sleeping)

37.95.183 FIRST AID REQUIREMENTS (Health Prevention)

“2. A first aid kit must be kept on site at all times and must at a minimum contain: a. sterile, absorbent bandages; b. a cold pack; c. tape and a variety of band-aids; d. tweezers and scissors; e. disposable single use gloves. 5. A portable first aid kit containing at least the items listed in (2) must accompany staff and children on trips away from the facility.”

37.95.124 Fire Safety Requirements (Facility Records)

37.95.1016 INFANT’S AND TODDLER’S, EQUIPMENT (Equipment)

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.”

37.95.1003 INFANT’S AND TODDLERS FEEDING (Feeding)

“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.”

37.95.183 FIRST AID REQUIREMENTS (Health Prevention)

“2. A first aid kit must be kept on site at all times and must at a minimum contain: a. sterile, absorbent bandages; b. a cold pack; c. tape and a variety of band-aids; d. tweezers and scissors; e. disposable single use gloves.”