8.

01SamplerofChildcareRules

Directions:Usethishandouttorecordinformationabouttypicalhealthandsafetypoliciesforchildcarecenters.
Eachpolicyisbasedonachildcarerulefromthe
NCChildCareCenterHandbook
.Instructionsareprovidedatthe
topofeachcolumn.

Goalof
Policy:

Notesfrom
Text:

Statearationale
toexplainwhy
eachtypeof
policyisneeded.

Recordnotes
fromthe
textbook(s)that
relatetothis
topicortypeof
policy.

1.Supervise
childrenatall
times

Rationale:To
keepchildren
safe.

SampleChildCareRule:
Findinthe
NCChildCareCenterHandbook
the
ChildCareRulereferencedbycodenumberthen
copytheruleintheblockprovided.

Childrenmustbeadequatelysupervisedatall
times.Adequatesupervisionmeansthatstaff
interactwiththechildrenwhilemovingaboutthe
indoorandoutdoorarea,andareabletohear
andseethechildrenatalltimes,exceptwhen
emergenciesnecessitatethatdirectsupervision
isimpossibleforbriefperiodsoftime.

Interpretationof
Rule:
Writeinyour
ownwordswhateach
rulemeans.

Thismeansyou
shouldnotturnyour
backtothechildren
youshouldbeable
toseehearchildren.
Youshouldnever
takeyoureyesoff
themunless
emergencies.

2.Maintain
minimum
adultchild
ratios

Rationale:
Thereshould
beacertain
amountof
teacherthat
matchhow
manystudents
thereare.

10ANCAC09.0712Staff/ChildRatiosfor
CenterswithaLicensedCapacityofLessthan
30Children
(a)Staffchildratiosmustbemaintainedas
requiredforthenumberandagesofchildrenin
care.Whenonlyonecaregiverisrequiredto
meetthestaffchildratio,andchildrenundertwo
yearsofageareincare,thatpersoncannot
concurrentlyperformfoodpreparationorother
dutieswhicharenotdirectchildcare
responsibilities.Thestaffchildratioapplicableto
aclassroommustbepostedinthatclassroomin
anareathatparentsareabletoviewatalltimes.
Children13yearsofageoroldermayreceive
childcareonavoluntarybasisprovidedall
applicablechildcarerequirementsaremet.This
includesrequirementsforstaffchildratio.

Thismeansthat
youhavetohavea
certainamountof
teachertothe
amountofstudents
yougot,without
themyoucannotbe
alonebyyourself.

Ageof
Children

No.
Children

No.
Staf
f

Maximum
Group
Size

No.
Staff

0to12
Months

10

12to24
Months

12

2to3
Years

10

20

3to5
Years

15

25

5Years
andOlder

25

25

3.Providea
safe
environment

Rationale:This
meanskeep
thechildsafe
andsothey
willfeel
comfortable
andnota
harmful
environment.

10ANCAC09.0601SafeEnvironment
(a)

(c)

Asafeoutdoorlearningenvironmentmustbe
providedforallchildrenincare.Outdoorplay
equipmentandmaterialsmustbeageand
developmentallyappropriate.

Thismeansthatall
equipmentand
outdoorplaymust
besupervisedand
appropriate.

4.Require
medical
examinations
ofstaff
members

(Noteswill
vary)
T

10ANCAC09.0701HealthStandardsfor
Staff
Allstaffmusthaveonfilewithin60daysofthe
dateofemployment,astatementsignedbya
licensedphysicianoranauthorizedhealth
professionalunderhis/hersupervision,that
indicatesthatthepersonisemotionallyand
physicallyfittocareforchildren.

Thismeansyou
havetohavepaper
workandshowthat
youarephysically
andemotionallyfit
tocareforthese
children.

Rationale:This
meansyou
havetobe
healthyin
ordertowork
withchildren

Purposeof
Policy:
Statearationaleto
explainwhyeach
typeofpolicyis
needed.

NotesfromText:

SampleChildCareRule:

Recordnotesfromthe
textbook(s)thatrelate
tothistopicortypeof
policy.

Findinthe
NCChildCareCenter
Handbook
theChildCareRulereferenced
bycodenumberthencopytheruleinthe
blockprovided.

5.Keepmedical

careinformation
forchildrenonfile

Rationale:this
meanskeepall
medicalinfoon
filesoyouknow
whattodoorwhat
ishappeningif
somethinggoes
wrong.

10ANCAC09.0801Emergency
MedicalCareInformationonChildren
Emergencymedicalcareinformation
mustbeonfileforeachindividual
child.Emergencymedicalcare
informationshouldincludethename,
address,andtelephonenumberofthe
parentorotherpersontobe
contactedincaseofanemergency
theresponsiblepartyschoiceof
healthcareproviderandpreferred
hospitalanychronicillnessthechild
hasandanymedicationtakenforthat
illnessandanyotherinformationthat
hasadirectbearingonassuringthe
safemedicaltreatmentforthechild.
Thisemergencymedicalcare
informationmustbeonfileinthe
centeronthechildsfirstdayof
attendance.Eachchild'sparent,legal
guardian,orfulltimecustodianmust
signastatementauthorizingthe
centertoobtainmedicalattentionfor
thechildinanemergency.This
statementmustbeonfileonthefirst
daythechildattendsthecenter.It
shallbeeasilyaccessibletostaff
so(
b)

Interpretationof
Rule: Writeinyour
ownwordswhateach
rulemeans.

Thismeansthat
everythingshould
beonfilesoyou
knowwhattodoat
therighttimeif
thereisan
emergency.

6.Follow

regulationsfor
giving
medications

Rationale:there
arecertainstuff
andrulesyou
havetodobefore
yougivethe
childrenmedicine.

10ANCAC09.0803Administering
Medication
(a)

Noprescriptionoroverthecounter
medicationandnotopical,nonmedical
ointment,repellent,lotion,cream,or
powdermaybeadministeredtoany
child:withoutwrittenauthorizationfrom
thechildsparent,physician,orother
healthprofessionalwithoutwritten
instructionsfromthechildsparent,
physician,orotherhealthprofessional
inanymannernotauthorizedbythe
childsparent,physician,orotherhealth
professionalafteritsexpirationdateor
fornonmedicalreasons,suchasto
inducesleep.Whenquestionsarise
concerningwhetheranymedication
shouldbeadministeredtoachild,the
caregivermaydeclinetoadministerthe
medicationwithoutsignedwritten
dosageinstructionsfromalicensed
physicianorauthorizedhealth
professional.

Thismeansyou
havetofollowrules
andregulations
before
administering
medication.

7.Providecare
formildlyill
children

Rationale:the
childrenthatget
sickneeded
neededtobe
separatedfrom
otherchildrenand
calltheparents
andall.

10ANCAC09.0804Infectiousand
ContagiousDiseases
(a)

(1)Centerswhichchoosetoprovide
careformildlyillchildrenmust:follow
allprocedurestopreventthespreadof
communicablediseasesasdescribedin
15ANCAC18A.2800,Sanitationof
ChildCareFacilitiesseparatefrom
otherchildrenanychildwhobecomesill
whileincareorwhoissuspectedof
havingacommunicablediseaseor
conditionotherthandescribedabove
untilthechildleavesthecenternotify
allparentsatenrollmentthatthecenter
willbeprovidingcareformildlyill
childrenimmediatelynotifytheparent
ofanychildwhobecomesillwhilein
careorwhoissuspectedofbeingill
withacommunicableconditionandmay
notremainincareimmediatelynotify
theparentofanysickchildincareifthe
childsconditionworsenswhilethechild
isincare.

(2)

Purposeof
Policy:

NotesfromText:

SampleChildCareRule:

Recordnotesfromthe
textbook(s)thatrelate
tothistopicortypeof
policy.

Findinthe
NCChildCareCenterHandbook
theChildCareRulereferencedbycode
numberthencopytheruleintheblock
provided.

Thismeansifyou
knowthechildis
sickyouneedto
separatethemcall
theirparentsand
thencalltheother
kidsparentsand
thechildcannot
comebackuntil
theyarewell

Statearationaleto
explainwhyeach
typeofpolicyis
needed.

Interpretationof
Rule: Writeinyour
ownwordswhateach
rulemeans.

8.Excludeill
childrenfrom
contactwithwell
children

Rationale:this
meansseparate
thesickchildand
contacttheparent
ofthesickchild
soheorshedoes
notgettheother
childernsick.

10ANCAC09.0804Infectiousand
ContagiousDiseases
(b)Centersmayprovidecareforamildly
illchildwhohasaFahrenheit
temperatureoflessthan100degrees
auxiliary101degreesorallyor102
degreesrectallyandwhoremains
capableofparticipatinginroutinegroup
activitiesprovidedthechilddoesnot:
havethesuddenonsetofdiarrhea
characterizedbyanincreasednumber
ofbowelmovementscomparedtothe
child'snormalpatternandwith
increasedstoolwaterorhavetwoor
moreepisodesofvomitingwithina12
hourperiodorhavearedeyewith
whiteoryelloweyedischargeuntil24
hoursaftertreatmentorhavescabies
orliceorhaveknownchickenpoxora
rashsuggestiveofchickenpoxorhave
tuberculosis,untilahealthprofessional
statesthatthechildisnotinfectiousor
havestrepthroat,until24hoursafter
treatmenthasstartedorhave
pertussis,untilfivedaysafter
appropriateantibiotictreatmentorhave
hepatitisAvirusinfection,untiloneweek
afteronsetofillnessorjaundiceor
haveimpetigo,until24hoursafter
treatmentorhaveaphysicianorother
healthprofessionalswrittenorderthat
thechildbeseparatedfromother
children.

(2)
.

Thismeans
separatethekid
awayfromthe
otherstudentstake
theirtemp.Callthe
parents.Ifthey
arerunningafever
withinthe24hours
theycannotcome
toschool.

9.Implement
sanitarypractices

Rationale:you
havetokeep
thingscleanand
healthyandmake
surethefoodis
healthyforthe
childrenandyou
havetowear
glovesandserve
thingsonplate
youcantjustgrab
thingswithyour
handsorpick
somethingoffthe
floorandgiveitto
thechild.

10ANCAC09.0805SanitaryFood
Service
(a)(a)Inchildcarecenters,milkandmilk
productsfordrinkingpurposesshallbe
storedintheoriginalcommerciallyfilled
container.Servingcontainersmaybe
usedforfoodserviceprovidedthe
unusedmilkisdiscarded.

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

Thismeansitsgot
tobesafetoeator
drinkand
everythingyoudo
isgottobeina
cleanwayandby
therulesand
regulations

10.Provide
parentsaccessto
theirchildren

Rationale:this
meansthat
parentscancome
inanytimeand
checkontheir

10ANCAC09.0205ParentalAccess

Theparent,guardianorfulltime
custodianofachildenrolledinanychild
carecentermustbeallowedunlimited
accesstothecenterduringitsoperating
hoursforthepurposesofcontactingthe
childorevaluatingthecenterandthe
careprovidedbythecenter.

Theparentcan
comeanytimehe
orshewants
duringthehoursit
isopenorcalling
thechild.

childyoudonot
saynotothe
parent