SECTION 340:110-3-90. Child health

(a)   Immunizations. Children have or are in the process of obtaining all required immunizations at the medically appropriate time. Supplement IX of Oklahoma Department of Human Services (OKDHS) Publication No. 86-104, Licensing Requirements for Family Child Care Homes and Large Family Child Care Homes, contains a list of the required immunizations and the recommended immunization schedule.

(b)   Medication.

(1)   Original container. Medications must be provided by the parent in the original container and clearly labeled with the child's name and directions.

(2)   Parental permission. Medication is accompanied with written dated permission from the parent giving the exact dosage and times to be administered.

(3)   Records. To avoid duplication, each dosage administered is recorded by the caregiver and the record is readily available to parents.

(4)   Storage. All medications are properly stored separately from food and kept in a safe place out of children's reach.

(5)   Medication injections. When medication is administered by injection, the requirements in this paragraph apply.

(A)   Syringes, needles, and lancets are only used one time.

(B)   Approved sharps containers are used for any medical waste that is sharp or could cause a cut or wound. Examples include syringes, needles, and lancets used to administer insulin or test blood sugar.

(C)   When the container is full, arrangements for disposal are made with the local pharmacy, county health department, or personal physician.

(c)   Ill children.

(1)   Contagious illness. Any child showing symptoms of contagious illness is separated from the group.

(2)   Disease control. The local or state health department is notified upon discovery of any case of hepatitis, meningitis, Shigellosis, Giardiasis, measles, rubella, whooping cough, tuberculosis, E coli 0157:H7, Salmonellosis, or any Haemophilus influenza invasive disease in any person associated with the family child care home.

(3)   Notification of parents. Parents of the ill child are notified as symptoms develop or change.

(4)   Decision to provide care. When symptoms of illness are present, the primary caregiver determines whether to provide care for the child, based upon the apparent degree of illness, other children present, and facilities available to provide care for the ill child.

(d)   Cleanliness.

(1)   Handwashing - caregivers. Caregivers wash their hands with soap and running water:

(A)   prior to food preparation;

(B)   before feeding children, or eating;

(C)   after diapering or toileting;

(D)   after touching or cleaning up body fluids, including wiping noses; and

(E)   after handling or feeding pets.

(2)   Handwashing - children. Caregivers ensure that children wash their hands with soap and running water:

(A)   before eating;

(B)   after toileting;

(C)   after handling pets;

(D)   after playing outdoors; and

(E)   after wiping their noses.

(3)   Handwashing supplies. Soap and clean individual or paper towels are easily accessible to the caregiver and children for handwashing.

(4)   Children's clothing. A child's clothing is changed immediately following a toileting accident or in other situations when clothing becomes unsanitary. Soiled clothing is placed in a sealed, moisture-proof bag and sent home.

[Source: Amended at 10 Ok Reg 107, eff 10-13-92 (emergency); Amended at 10 Ok Reg 2287, eff 6-11-93; Amended at 17 Ok Reg 1607, eff 5-25-00; Amended at 25 Ok Reg 22, eff 10-1-07 (emergency); Amended at 25 Ok Reg 1962, eff 7-1-08]