Young Men's Christian Association of Middletown, N.Y.

414.15(b)(12)(iii) The school age child care program must report to the Office: immediately or no later than the next day of business of the director's resignation or termination;

414.15(b)(11)(i) In hiring a director subsequent to issuance of a registration, a program: must notify the Office immediately in writing when there is any change in director;

414.13(d)(3) With the prior written approval of the Office, a staff person who is qualified to perform program supervision functions may perform such functions at up to four different programs operated by a single agency. In order to obtain Office approval, the agency will be required to demonstrate how the staff person will provide adequate supervision and program development support to each site.

414.11(i)(2) Staff and volunteers must ensure that children thoroughly wash their hands or assist children with thoroughly washing their hands with soap and running water when they are dirty, after toileting, before and after food handling or eating, after handling pets or other animals, after contact with any bodily secretion or fluid, and after coming in from outdoors.

Corrected during the visit

414.11(g)(7) School-age child care programs may not stock prescription medication, except for epinephrine auto-injectors to be used for emergency treatment of a child appearing to experience anaphylactic symptoms, provided that the program complies with the requirements set forth in sections 414.11(c)(2)(xi) and 414.11(h)(8) of this Part.

Corrected during the visit

414.11(a)(1) The program must obtain an individual health plan for any child identified as a child with special health care needs, prior to the child being in attendance at the program.

414.2(e)(5) Applicants for renewal of a registration must submit to the Office at least 60 days in advance of the expiration date of the registration the following: documentation showing compliance with the training requirements of section 414.14 of this Part;

414.2(e) Renewal. Applicants for renewal of a registration must submit to the Office at least 60 days in advance of the expiration date of the registration the following:

414.15(c)(23) The program must maintain on file at the program, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: a description of specific procedures which will assure the safety of a child who is reported to the Statewide Central Register of Child Abuse and Maltreatment as well as other children provided care in the program;

Corrected during the visit

414.15(c)(6) The program must maintain on file at the program, 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; 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 program staff; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;

414.15(c)(5) The program must maintain on file at the program, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: daily attendance records, which must be filled out at the time a child arrives and departs, and must include arrival and departure times;

414.15(c)(3) The program must maintain on file at the program, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: the name, address, gender, and date of birth of each child and each child's parents' names, addresses, telephone numbers and place(s) at which the parents or other persons responsible for the child can be reached in case of an emergency;

414.9(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.

Corrected during the visit

414.13(d)(3) With the prior written approval of the Office, a staff person who is qualified to perform program supervision functions may perform such functions at up to four different programs operated by a single agency. In order to obtain Office approval, the agency will be required to demonstrate how the staff person will provide adequate supervision and program development support to each site.

414.11(h)(5)(ii) The child's health care provider must issue a standing order and prescription for the medication;

414.11(f)(19) Day care programs must comply with all Federal and State requirements for the storage and disposal of all types of medications, including controlled substances.

414.5(b) The program must submit a written Emergency Plan and Emergency Evacuation Diagram using forms furnished by the Office or an approved equivalent form. Primary emphasis must be placed on the safe and timely evacuation and relocation of children. The plan must account for the variety of needs of children, including those with disabilities.

414.14(k) All child care programs must have at least one staff person who holds a valid certification in cardiopulmonary resuscitation (CPR) and first aid on the premises of the program during the program's operating hours.

414.8(j) When a school-age child care program is in operation, an adequate number of qualified staff must be on duty to protect the health and safety of the children in care.

Corrected during the visit