SECTION 340:110-3-86.1. Emergency preparedness

(a)   General. All caregivers are familiar with emergency plans and procedures. Written plans and procedures are:

(1)   developed by the primary caregiver;

(2)   maintained on site;

(3)   individualized to the program and hours of operation; and

(4)   followed, unless children's safety is at risk or emergency personnel provide alternative instructions during an emergency.

(b)   Emergency medical care plans. Emergency medical care plans include:

(1)   a planned source of medical care, such as a hospital emergency room, clinic, or other medical facility or physician acceptable to parents; and

(2)   available emergency transportation.

(c)   Situations. Emergency plans and procedures are maintained in a readily available and portable manner and include procedures for:

(1)   weather conditions, such as, but not limited to tornados, floods, blizzards, or ice storms;

(2)   fires, including wildfires;

(3)   man-made disasters, including chemical and industrial accidents;

(4)   human threats, including individuals with threatening behaviors, bomb threats, or terrorist attacks;

(5)   other natural or man-made disasters that could create structural damage to the facility or pose health hazards; and

(6)   utility disruption.

(d)   Child location and needs. Emergency plans include procedures to:

(1)   account for each child's location during an emergency; and

(2)   address each child's needs, with additional considerations for:

(A)   2-year-olds and younger; and

(B)   children with disabilities or chronic medical conditions.

(e)   Shelter-in-place. Emergency plans include procedures for short and extended stay situations requiring children to stay inside the home, such as tornados or other weather emergencies.

(f)   Lock-down. Emergency plans and procedures for situations threatening the safety of children and adults include:

(1)   notifying adults present in the home;

(2)   keeping children in designated safe locations inside the home;

(3)   encouraging children to remain calm and quiet;

(4)   securing entrances to the home;

(5)   preventing unauthorized individuals from entering the home; and

(6)   responding when outdoors and on field trips.

(g)   Evacuation. Emergency plans include procedures for situations, such as a fire, requiring that children leave the home and meet at pre-determined locations.

(h)   Relocation. Emergency plans include procedures for situations requiring children to move to an alternate location, such as bomb threats and wildfires, include:

(1)   pre-determined primary and secondary alternate locations, with prior approval from the contact individual at alternate locations;

(2)   relocating children, including a pre-determined transportation plan; and

(3)   reuniting parents and children.

(i)   Reporting. Emergency plans include procedures for notifying:

(1)   emergency authorities;

(2)   parents, including a method and backup method for how and when parents are notified; and

(3)   Licensing.

(j)   Phones. The home has an operable phone. Emergency information posted next to the phone includes:

(1)   the home's address;

(2)   a physician or clinic;

(3)   the fire department;

(4)   the police department;

(5)   poison control, 1-800-222-1222; and

(6)   a substitute caregiver.

(k)   First aid supplies. First aid supplies are available in the home but made inaccessible to children. Supplies are stored together in a portable container and include:

(1)   thermometer;

(2)   disposable non-porous, latex-free gloves;

(3)   blunt-tipped scissors;

(4)   tweezers;

(5)   bandage tape;

(6)   sterile gauze;

(7)   non-medicated adhesive strips; and

(8)   current standard first aid text or equivalent first aid guide.

(l)   Poisoning. The caregiver immediately contacts poison control, 1-800-222-1222, with any suspected child poisonings.

(m)   Emergency supply kit. Records and supplies available during an emergency include:

(1)   Emergency records. Records at minimum, include, the:

(A)   emergency plans and procedures, alternate location addresses, phone numbers, and contacts;

(B)   emergency contacts for all caregivers and enrolled children; and

(C)   full names of children and caregivers currently in attendance; and

(2)   Emergency supplies. Supplies gathered at the time of an emergency or maintained in a portable container at all times include, at least:

(A)   first aid supplies; and

(B)   children's prescribed medications, including life-threatening condition medications.

(n)   Drills. Drills are conducted and follow the pre-determined emergency plans and procedures. A record of drills is maintained at the home.

(1)   Monthly. Monthly drills include:

(A)   fire drills conducted by evacuating and meeting at pre-determined locations; and

(B)   tornado drills conducted by sheltering in pre-determined on-site locations.

(2)   Annual. Annual drills conducted include:

(A)   locking-down by sheltering in pre-determined on-site locations;

(B)   relocating according to procedures of preparation to relocate but do not require physical relocation;

(C)   sheltering-in-place, requiring children stay inside the home, such as tornados and other weather emergencies; and

(D)   evacuating and meeting at pre-determined locations.

(o)   Emergency plans and procedures reviews. The primary caregiver updates, as necessary, and reviews emergency plans and procedures:

(1)   at least once every 12 months;

(2)   when children with disabilities or chronic medical conditions enroll;

(3)   after a drill when procedural issues are identified; and

(4)   after an emergency as identified in this Section.

[Source: Added at 34 Ok Reg 200, eff 11-22-16 (emergency); Added at 34 Ok Reg 1652, eff 9-15-17]