Yaks Youth Center

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. (not corrected)

418-1.12(r) Programs that provide meals and/or snacks to infants and children must be in compliance with the USDA Child and Adult Food Program (CACFP) meal patterns. (not corrected)

418-1.11(c)(1) The licensee must prepare a health care plan on forms furnished by the Office. Such plan must protect and promote the health of children. The health care plan must be on site, followed by all staff and available upon demand by a parent or the Office. In those instances in which the program will administer medications, the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are: (not corrected)

418-1.9(a) The program must establish and follow a written plan for behavior management that is acceptable to the office. This plan must include how the staff will approach challenging behaviors, help children solve problems and encourage acceptable behaviors. (not corrected)

418-1.8(k)(4)(ii) for 3-year-old children: the maximum group size is eighteen children. (not corrected)

418-1.6(a) The program must obtain written consent on forms furnished by the Office or approved equivalents from the parent of the child for any transportation of the children in care at the center, provided or arranged for by the program. (not corrected)

418-1.4(f)(2) All corridors, aisles, and approaches to exits must be kept unobstructed at all times. (not corrected)

418-1.15(c)(7) The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: copies of current staff and volunteers health statements; (not corrected)

418-1.14(c)(1) Each staff person and volunteer must complete a minimum of thirty (30) hours of training every two years. The required thirty (30) hours of training every two years is subject to the following conditions: Fifteen (15) of the required thirty (30) hours of training must be obtained during the person's first six months at the program. (not corrected)

418-1.14(b) Each applicant for, or individual in the position of director, teacher, or volunteer must complete Office-approved training that complies with federal minimum health and safety pre-service or three-month orientation period requirements. This training must be obtained pre-service or within three months of starting such position. (not corrected)

418-1.13(b)(2) Child day care centers must review and evaluate the backgrounds of all applicants for staff and volunteer positions. All applicants whose backgrounds must be checked are required to provide the following: the names, addresses and day time telephone numbers of at least two acceptable references, other than relatives, at least one of whom can verify employment history, work record and qualifications, and at least one of whom can attest to the applicant's character, habits and personal qualifications to be a child care center staff member; (not corrected)

418-1.11(h)(1)(i) The program must immediately call 911 for children who require emergency medical care and also must: obtain written consent at the time of admission from the parent which authorizes the program to obtain emergency health care for the child; (not corrected)

418-1.11(f)(9)(i) At the time of administration, the staff must document the dosages and time that the medications are given to the child. (not corrected)

418-1.11(f)(2) If the licensee elects not to administer medications, the staff must still document the dosages and time as per section 418-1.11(f)(9) of this Subpart that the medications were given to the child by the child's parent, or relative within the third degree of consanguinity of the parents or step-parents of the child. (not corrected)

418-1.11(c)(1) The licensee must prepare a health care plan on forms furnished by the Office. Such plan must protect and promote the health of children. The health care plan must be on site, followed by all staff and available upon demand by a parent or the Office. In those instances in which the program will administer medications, the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are: (not corrected)

418-1.11(b)(3) Initial medical statements sent in with the application or as a result of a new hire must be dated within 12 months preceding the date of application or hiring date. (not corrected)

418-1.8(q)(1)(i) Each day care center shall require any and all visitors to the facility to: sign in upon entry to the premises; (not corrected)

418-1.8(a) Children cannot be left without competent supervision at any time. Competent supervision includes awareness of and responsibility for the ongoing activity of each child. It requires that all children be within a teacher's range of vision and that the teacher be near enough to respond when redirection or intervention strategies are needed. Competent supervision must take into account the child's age emotional, physical, and cognitive development. (not corrected)

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. (not corrected)

418-1.6(l) The program must openly display its daily transportation schedules. (not corrected)

418-1.5(z) All window and door blind cords, ropes, wires and other strangulation hazards must be secured and inaccessible to children.

Corrected during the visit

418-1.5(s)(3) Egress doors from the center must be able to be opened from the inside without using a key. Child protective door knob covers may not be used on egress doors. (not corrected)

418-1.4(h) The director or a designated qualified staff member must conduct monthly inspections of the premises to observe possible fire or safety hazards. Any such hazard must be corrected immediately. (not corrected)

418-1.11(h)(5)(i) A written Individual Health Care Plan must be developed for the child; (not corrected)

418-1.11(h)(1) The program must immediately call 911 for children who require emergency medical care and also must: (not corrected)

418-1.11(g)(4) Stock medications must be kept in the original container and have the following information on the label or in the package insert: (not corrected)

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. (not corrected)

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. (not corrected)

418-1.11(f)(17) Medications must be kept in a clean area that is inaccessible to children. (not corrected)

418-1.11(f)(9)(i) At the time of administration, the staff must document the dosages and time that the medications are given to the child. (not corrected)

418-1.11(c)(1) The licensee must prepare a health care plan on forms furnished by the Office. Such plan must protect and promote the health of children. The health care plan must be on site, followed by all staff and available upon demand by a parent or the Office. In those instances in which the program will administer medications, the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are: (not corrected)

418-1.15(c)(6) The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by child care center staff; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment; (not corrected)

418-1.15(b)(14)(ii) The program must immediately notify the parent and Office upon learning of the following events involving a child which occurred while the child was in care at the program or was being transported by the program: serious incident, (not corrected)

418-1.11(h)(5)(i) A written Individual Health Care Plan must be developed for the child; (not corrected)

418-1.11(h)(1) The program must immediately call 911 for children who require emergency medical care and also must: (not corrected)

418-1.11(f)(14) Where the program has received written permission of the parent and written instructions from the health care provider authorizing administration of a specified medication if the staff observes some specified condition or change of condition in the child while the child is in care, the staff person may administer the specified medication, without obtaining additional authorization from the parent or health care provider. (not corrected)

418-1.11(f)(9)(i) At the time of administration, the staff must document the dosages and time that the medications are given to the child. (not corrected)