SECTION 340:110-3-294. Health protection and disease control

(a)   Hygiene. The hygiene requirements listed in (1) through (5) of this subsection are met.

(1)   Meet needs. Personnel attend promptly to children's personal hygiene needs.

(2)   Hand hygiene. Personnel and children wash their hands with soap and warm, running water or use hand sanitizer as required per Oklahoma Administrative Code (OAC) 340 Appendix HH - Hand Hygiene.

(A)   Hand washing:

(i)   supplies are maintained as required per OAC 340:110-3-300(n);

(ii)   procedures are posted as required per OAC 340:110-3-281.1(g). Personnel and children are encouraged to follow the procedures; and

(iii)   is not required for infants provided a moist, disposable towelette is used.

(B)   Hand sanitizer:

(i)   is non-expired;

(ii)   is at least 60 percent alcohol-based;

(iii)   use by children is monitored by personnel; and

(iv)   is not used on 1-year-olds and younger.

(3)   Hygiene articles. Hygiene articles, such as wash cloths, towels, hair brushes, combs, and toothbrushes are individually assigned and stored and used by only one child.

(4)   Food service personnel. Health and hygiene requirements are met per OAC 340:110-3-299(m).

(5)   Overnight care. Personal hygiene arrangements are made, such as for bathing and tooth brushing. Privacy is ensured when bathing and changing clothes.

(b)   Immunizations. Children have or are in the process of obtaining immunizations at the medically appropriate time or have an exemption per OAC 340 Appendix II - Immunizations. Records are maintained per OAC 340:110-3-281.4(b).

(c)   Health monitoring. Each child is observed initially and throughout the hours of care for symptoms of an illness or poison exposure and obvious signs of infestation or physical injuries.

(d)   Temperature. A child's temperature is taken when there is a concern.

(1)   Method. A child's temperature is not taken:

(A)   rectally at any age; or

(B)   orally with 4-year-olds or younger.

(2)   Thermometer. The appropriate thermometer is used depending on the method used.

(e)   Illness and infestations, other than head lice. The program maintains health inclusion, separation, and exclusion criteria and reporting policy per OAC 340:110-3-278(d).

(1)   Children - separation. Children showing symptoms of a communicable disease or infestation, other than head lice, are separated from well children.

(2)   Children - exclusion. Children are excluded from the program when required per OAC 340 Appendix JJ - Exclusion Criteria for Children Who Are Ill.

(3)   Parent notification. Parents are notified per OAC 340:110-3-280(d).

(4)   Personnel - exclusion. Personnel are prohibited when required per OAC 340:110-3-283(d) and (e).

(f)   Head lice. The program maintains head lice inclusion, separation, and exclusion criteria and reporting policy per OAC 340:110-3-278(d).

(1)   Separation and exclusion. The program determines whether children and personnel with head lice remain:

(A)   with the group or are separated from the group; and

(B)   in the program or are sent home early.

(2)   Treatment. Regardless of the separation and exclusion decisions, head lice treatment is required before the child or personnel returns to the program.

(3)   Exposure. The program determines whether parents are notified of potential head lice exposure.

(g)   Health protection. The health protection requirements listed in (1) through (5) of this subsection are met.

(1)   Allergies. Known child allergies are posted per OAC 340:110-3-281.1(e) and (i).

(2)   First aid kits. First aid kits are maintained per OAC 340:110-3-279(d).

(3)   Injuries and poison exposure. Injuries, including animal bites, and poison exposures are:

(A)   reported per OAC 340:110-3-280(a) and (d); and

(B)   documented per OAC 340:110-3-281.2(c) and 340:110-3-281.4(b).

(4)   Sun safety and sunscreen. Sun safety procedures, such as sunscreen procedures, are followed according to program policy per OAC 340:110-3-278(d).

(5)   Tobacco-free. Tobacco use includes simulated tobacco use.

(A)   Tobacco use is prohibited in:

(i)   the presence and sight of children during the hours of operation, including off-site;

(ii)   facility buildings and outdoor play areas, at all times, including when children are not in care. However, tobacco use in family residences is only prohibited during the hours of operation;

(iii)   program vehicles at all times, including when children are not in care; and

(iv)   private vehicles when children are being transported in the vehicle.

(B)   When allowed on the premises, tobacco use is limited to a designated outdoor area, located:

(i)   out of children's sight;

(ii)   at least 15 feet from the building entrances. When the program is in a shared facility, the area is at least 15 feet from the program entrances; and

(iii)   in a manner that prevents smoke from entering the building and outdoor play area.

(C)   Tobacco use is:

(i)   reported per OAC 340:110-3-280(d); and

(ii)   posted per OAC 340:110-3-281.1(b).

[Source: Amended and renumbered from 340:110-3-27 at 32 Ok Reg 704, eff 1-1-16 (emergency); Amended and renumbered from 340:110-3-27 at 33 Ok Reg 1678, eff 9-15-16]