8.

01SamplerofChildcareRules

Directions:Usethishandouttorecordinformationabouttypicalhealthandsafetypoliciesforchildcarecenters.
Eachpolicyisbasedonachildcarerulefromthe
NCChildCareCenterHandbook
.Instructionsareprovidedatthe
topofeachcolumn.

Goalof
Policy:

Notesfrom
Text:

SampleChildCareRule:

Statearationale
toexplainwhy
eachtypeof
policyisneeded.

Recordnotes
fromthe
textbook(s)that
relatetothis
topicortypeof
policy.

1.Supervise
childrenatall
times

Rationale:
Keepchildren
safe.

Shouldbeable 10ANCAC09.0714OtherStaffing
tohearand
Requirements
seechildrenat (f)
alltimes.
Childrenmustbeadequatelysupervised
atalltimes.
Adequatesupervisionmeansthatstaff
interactwiththechildrenwhilemoving
abouttheindoorandoutdoorarea,and
areabletohearandseethechildrenat
alltimes,exceptwhenemergencies
necessitatethatdirectsupervisionis
impossibleforbriefperiodsoftime.

Findinthe
NCChildCareCenterHandbook
the
ChildCareRulereferencedbycodenumberthen
copytheruleintheblockprovided.

Interpretationof
Rule:
Writeinyour
ownwordswhateach
rulemeans.

Childrenmustbe
watchatalltimes.

2.Maintain
minimum
adultchild
ratios

Rationale:
Adultchild
ratiomust
maintainedas
requiredfor
thenumber

Mustbe
postedinthe
classroomin
anareathe
parentsare
abletosee.

10ANCAC09.0712Staff/ChildRatiosfor
CenterswithaLicensedCapacityofLess
than30Children
(a)

Ageof
Children

No.
Children

No.
Staf
f

Maximum
Group
Size

No.
Staff

0to12
months

10

Adultchildratio
mustmeetthe
requirementfor
numberandagesof
children.

andagesof
childrenin
care.

12to14
months

12

2to3
years

10

20

4to5
years

15

25

5years
andolder

20

25

3.Providea
safe
environment

Rationale:
Keepthe
childrensafe.

Inasafe
setting,
childrenare
abletofreely
moveand
explorethe
area.

10ANCAC09.0601SafeEnvironment

Asafeindoorenvironmentmustbeprovidedfor
thechildrenincare.Allhazardousitems,
materials,andequipmentmustbeusedby
childrenonlywhenadultsupervisionisprovided.

Provideasafe
environmentfor
thechildren.

4.Require
medical
examinations
ofstaff
members

Rationale:

(Noteswill
vary)
TBtestshows
thepersonfree
ofactive
tuberculosis.

10ANCAC09.0701HealthStandardsfor
Staff

Atestshowingeachemployee,includingthe
administrator,tobefreeofactivetuberculosisis
requiredpriortoemployment.

TBtestshowing
eachstaffmember
isfreeof
tuberculosis.

Test
showingfree
ofactive
tuberculosis
ofallstaff
members.

Purposeof
Policy:

NotesfromText:

SampleChildCareRule:

Recordnotesfromthe
textbook(s)thatrelate
tothistopicortypeof
policy.

Findinthe
NCChildCareCenter
Handbook
theChildCareRulereferenced
bycodenumberthencopytheruleinthe
blockprovided.

5.Keepmedical
careinformation
forchildrenon
file

Rationale:
Keep
medicalcare
informationon
fileforeach
child.

Emergency
medicalcare
informationmust
beonfileforeach
individualchild

10ANCAC09.0801Applicationfor
Enrollment
(b)
Emergencymedicalcareinformation
shouldincludethename,address,and
telephonenumberoftheparentorother
persontobecontactedincaseofan
emergencytheresponsiblepartys
choiceofhealthcareproviderand
preferredhospitalanychronicillness
thechildhasandanymedicationtaken
forthatillnessandanyother
informationthathasadirectbearingon
assuringthesafemedicaltreatmentfor
thechild.

Includeall
information
requiredineach
childmedicalcare
information.

6.Follow
regulationsfor
giving
medications

Rationale:
Follow
guidelineswith
giving
medications.

Itistheparents
responsibilityto
provideallthe
documentation
andmaterials
requiredtolegally
andsafely
administer
medication.

10ANCAC09.0803Administering
Medication
(a)
Noprescriptionoroverthecounter
medicationandnotopical,nonmedical
ointment,repellent,lotion,cream,or
powdermaybeadministeredtoany
child:

Givethe
appropriate
medicationtothe
childrenand
followthe
regulationswhen
giving.

7.Providecare
formildlyill
children

Rationale:
Centersmay
providecarefor
mildlyillchild.

Caregivers
shouldbase
decisionsabout
exclusiononthe
childcarerules,
thechildsability
tocomfortably
participatein

10ANCAC09.0804Infectiousand
ContagiousDiseases
(a)
Centersmayprovidecareforamildly
illchildwhohasaFahrenheit
temperatureoflessthan100degrees
auxiliary101degreesorallyor102
degreesrectallyandwhoremains
capableofparticipatinginroutinegroup
activitiesprovidedthechilddoesnot:

Centersmay
providecarefor
mildlyillchild
whomeetsthe
requirements.

Statearationaleto
explainwhyeach
typeofpolicyis
needed.

Interpretationof
Rule: Writeinyour
ownwordswhateach
rulemeans.

activities,andthe
amountofcare
thechildneeds.

(1)
havethesuddenonsetofdiarrhea
characterizedbyanincreasednumber
ofbowelmovementscomparedtothe
child'snormalpatternandwith
increasedstoolwateror

(2)
havetwoormoreepisodesof
vomitingwithina12hourperiodor

NotesfromText:

SampleChildCareRule:

Recordnotesfromthe
textbook(s)thatrelate
tothistopicortypeof
policy.

Findinthe
NCChildCareCenterHandbook
theChildCareRulereferencedbycode
numberthencopytheruleintheblock
provided.

8.Excludeill
childrenfrom
contactwithwell
children

Rationale:
Separatechildren
fromillchildren.

notifyallparents
atenrollmentthat
thecenterwillbe
providingcarefor
mildlyillchildren

10ANCAC09.0804Infectiousand
ContagiousDiseases
(b)
separatefromotherchildrenanychild
whobecomesillwhileincareorwhois
suspectedofhavingacommunicable
diseaseorconditionotherthan
describedaboveuntilthechildleaves
thecenter

9.Implement
sanitary
practices

Rationale:
Practicedoing

10ANCAC09.0805SanitaryFood

Washhands
whenservingfood. Service

Purposeof
Policy:
Statearationaleto
explainwhyeach
typeofpolicyis
needed.

(a)
Inchildcarecenters,milkandmilk
productsfordrinkingpurposesshallbe
storedintheoriginalcommerciallyfilled
container.Servingcontainersmaybe
usedforfoodserviceprovidedthe
unusedmilkisdiscarded.

Interpretationof
Rule: Writeinyour
ownwordswhateach
rulemeans.

Keepchildren
awayfromill
children

Followthe
sanitaryfood
service
guidelines.

sanitaryfood
servicethings.

10.Provide
parentsaccess
totheirchildren

Rationale:
Caregiverare
allowedtovisit
thecenter
anytimeduring
itsoperating
hours.

(b)
Iceshallbemade,handled,
transported,storedanddispensedin
suchamannerastobeprotected
againstcontamination.Iceshallbe
dispensedwithscoops,tongs,orotheri
cedispensingutensilsorthrough
automaticicedispensingequipment.
Icedispensingutensilsshallbestored
onacleansurfaceorintheicewiththe
dispensingutensil'shandleextendedout
oftheice.Betweenuses,icetransfer
receptaclesshallbestoredtoprotect
themfromdust,drip,splashandother
contamination.Icestoragebinsshallbe
drainedthroughanairgap.

Theparent,
guardianor
custodianshould
notifytheonsite
administratorofhis
orherpresence
immediatelyupon
enteringthe
premises.
Acentercannot
restrictaccessto
anyknownparent.

10ANCAC09.0205Parental
Access

Theparent,guardianorfulltime
custodianofachildenrolledinanychild
carecentermustbeallowedunlimited
accesstothecenterduringitsoperating
hoursforthepurposesofcontactingthe
childorevaluatingthecenterandthe
careprovidedbythecenter.

Unlimitedaccess
tothecenter
duringits
operatinghours