Minimum Licensing Requirements for Out-of-School Time Facilities
Licensing Requirements for Out-of-School Time Facilities. The Division is authorized to inspect and investigate any proposed or operating OST Facilities and any personnel connected with the OST Facilities to determine if the facility will be or is being operated in accordance with the Child Care Facility Licensing Act and the Minimum Licensing Requirements for Out-of-School Time Facilities.
Licensed Capacity of OST Facility | Minimum Child Care Liability Insurance Coverage Required |
1-74 | $500,000 per occurrence |
75 and up | $1,000,000 per occurrence |
A prospective Licensee should request clarification regarding the codes or covenants enforced by these departments as some may prevent the operation of OST Facility at a particular location, may limit the number of participants in care or may impose additional safety requirements.
rooms used for care, Child Care Licensing Staff must also be given access to all other rooms or spaces not used for care. Any rooms or areas that are not accessible to participants in care will only be viewed briefly for major health and safety issues and will not be routinely monitored for general licensing compliance. This is to help insure that there are no dangers such as fire hazards, which could impact the safety of the entire structure.)
Violations of rules are documented in writing by use of the licensing compliance record. Documentation shall include:
Once a violation has been corrected, the correction will be documented on the Licensing Compliance Record and a copy provided to the OST Facility.
At the end of the provisional license, the Division may in its discretion:
Based on the level of compliance during the period of the Probationary Provisional license, the Licensing Unit may:
If granted, the suspension order remains in effect until the order expires or until the Division determines that the problem necessitating the suspension order have been resolved. The suspension of a license may not exceed twelve (12) months. If the Division finds that the terms of the suspension order have been met prior to the expiration of the suspension period, the Division retains the discretion to reinstate the license. If the terms of the order have not been met, the Division may revoke the license.
Please note that all regulations included in this manual also apply to Church Operated Exempt (COE) OST facilities.
a. Each applicant to own or operate a OST Facility | At application and every two years thereafter |
b. Staff members and applicants for employment in OST Facility | At application or within 10 days of hire/start date and every two years thereafter |
c. All volunteers who have routine contact with participants | At application and every two years thereafter |
d. Administrative staff and/or members of Board of Directors who have supervisory and/or disciplinary control over participants or who have routine contact with participants | At application and every two years thereafter |
e. Student Observers | At beginning of observation or within 10 days of first observation and every two years thereafter if applicable |
f. Therapists or other persons who have routine contact with participants | Within 10 days of the time they begin to provide services or begin to participate in program activities and every two years thereafter |
Fingerprints submitted will be used to check the criminal history records of the FBI. Individuals with results showing a prohibited offense shall be advised to contact the Licensing Unit for procedures to obtain the results and for procedures to update or make corrections to the record of their individual history.
a. Each applicant to own or operate OST Facility | Initial application only |
b. Direct care staff | Within 10 days of hire/start date |
c. Administrative persons who have direct contact with participants | Within 10 days of hire |
d. Therapists, volunteers or other persons who have supervisory control, disciplinary control over participants or are left alone with participants | Within 10 days of start date |
Criminal Records check (which includes the Arkansas Sexual Offender Registry) conducted by the Arkansas State Police.
a. Each applicant to own or operate OST Facility | At application and every 5 years thereafter |
b. Staff and applicants for employment in an OST Facility | Within 10 days of hire/start date and every 5 years thereafter |
c. Administrative persons who have direct contact with participants | Within 10 days of hire and every 5 years thereafter |
d. Therapists or other persons who have supervisory or disciplinary control over participants, or are left alone with participants | Within 10 days of the time they begin to provide services or begin to participate in program activities and every 5 years thereafter |
01. Abuse of an endangered or impaired person, if felony | § 5-28-103 |
02. Arson | § 5-38-301 |
03. Capital Murder | § 5-10-101 |
04. Endangering the Welfare of an Incompetent person- 1st degree | § 5-27-201 |
05. Kidnapping | § 5-11-102 |
06. Murder in the First degree | § 5-10-102 |
07. Murder in the Second degree | § 5-10-103 |
08. Rape | § 5-14-103 |
09. Sexual Assault in the First degree | § 5-14-124 |
10. Sexual Assault in the Second degree | § 5-14-125 |
01. Criminal Attempt to commit any offenses in MLR Section 100.110 | § 5-3-201 |
02. Criminal Complicity to commit any offenses in MLR Section 100.110 | § 5-3-202 |
03. Criminal Conspiracy to commit any offenses in MLR Section 100.110 | § 5-3-401 |
04. Criminal Solicitation to commit any offenses in MLR Section 100.110 | § 5-3-301 |
05. Assault in the First, Second, or Third degree | § 5-13-205 - § 5-13-207 |
06. Assault, Aggravated | § 5-13-204 |
07. Assault, Aggravated on a Family or Household Member | § 5-26-306 |
08. Battery in the First, Second, or Third Degree | § 5-13-201 - § 5-13-203 |
09. Breaking or Entering | § 5-39-202 |
10. Burglary | § 5-39-201 |
11. Coercion | § 5-13-208 |
12. Computer Crimes Against Minors | § 5-27-601 et. seq. |
13. Contributing to the Delinquency of a Juvenile | § 5-27-220 |
14. Contributing to the Delinquency of a Minor | § 5-27-209 |
15. Criminal Impersonation | § 5-3-208 |
16. Criminal Use of a Prohibited Weapon | § 5-73-104 |
17. Death Threats Concerning a School Employee or Students | § 5-17-101 |
18. Domestic Battery in the First, Second, or Third Degree | § 5-26-303 - § 5-26-305 |
19. Employing or Consenting to the Use of a Child in a Sexual Performance | § 5-27-402 |
20. Endangering the Welfare of a Minor in the First or Second Degree | § 5-27-205 and § 5-27-206 |
21. Endangering the Welfare of an Incompetent Person in the First or Second Degree | § 5-27-201 and § 5-27-202 |
22. Engaging Children in Sexually Explicit Conduct for Use in Visual or Print Media | § 5-27-303 |
23. False Imprisonment in the First or Second Degree | § 5-11-103 and § 5-11-104 |
24. Felony Abuse of an Endangered or Impaired Person | § 5-28-103 |
25. Felony Interference with a Law Enforcement Officer | § 5-54-104 |
26. Felony Violation of the Uniform Controlled Substance Act | § 5-64-101 - § 5-64-508 et. seq. |
27. Financial Identity Fraud | § 5-37-227 |
28. Forgery | § 5-37-201 |
29. Incest | § 5-26-202 |
30. Interference with Court Ordered Custody | § 5-26-502 |
31. Interference with Visitation | § 5-26-501 |
32. Introduction of Controlled Substance into Body of Another Person | § 5-13-210 |
33. Manslaughter | § 5-10-104 |
34. Negligent Homicide | § 5-10-105 |
35. Obscene Performance at a Live Public Show | § 5-68-305 |
36. Offense of Cruelty to Animals | § 5-62-103 |
37. Offense of Aggravated Cruelty to Dog, Cat, or Horse | § 5-62-104 |
38. Pandering or Possessing Visual or Print Medium Depicting Sexually Explicit Conduct Involving a Child | § 5-27-304 |
39. Patronizing a Prostitute | § 5-70-103 |
40. Permanent Detention or Restraint | § 5-11-106 |
41. Permitting Abuse of a Minor | § 5-27-221 |
42. Producing, Directing, or Promoting a Sexual Performance by a Child | § 5-27-403 |
43. Promoting Obscene Materials | § 5-68-303 |
44. Promoting Obscene Performance | § 5-68-304 |
45. Promoting Prostitution in the First, Second, or Third Degree | § 5-70-104 - § 5-70-106 |
46. Prostitution | § 5-70-102 |
47. Public Display of Obscenity | § 5-68-205 |
48. Resisting Arrest | § 5-54-103 |
49. Robbery | § 5-12-102 |
50. Robbery (Aggravated Robbery) | § 5-12-103 |
51. Sexual Offense (any) | § 5-14-101 et. seq. |
52. Simultaneous Possession of Drugs and Firearms | § 5-74-106 |
53. Soliciting Money or Property from Incompetents | § 5-27-229 |
54. Stalking | § 5-71-229 |
55. Terroristic Act | § 5-13-310 |
56. Terroristic Threatening | § 5-13-301 |
57. Theft by Receiving | § 5-36-106 |
58. Theft of Property | § 5-36-103 |
59. Theft of Services | § 5-36-104 |
60. Transportation of Minors for Prohibited Sexual Conduct | § 5-27-305 |
61. Unlawful Discharge of a Firearm from a Vehicle | § 5-74-107 |
62. Voyeurism | § 5-16-102 |
The waiver may be approved if all of the following conditions are met:
* The individual has completed probation or parole supervision
* The individual has paid all court ordered fees, fines and/or restitution
* The individual has fully complied with all court orders pertaining to the conviction or plea
Ages of Participants | Number of Staff | Number of Children |
a. Kindergarten and above | 1 | 18 |
Providers who were licensed to serve school age participants prior to the effective date of this rule will have four years from the implementation of this rule to comply with the new ratio requirement.
* Four years of experience in early childhood education or elementary education
* Child Development Associate Credential (CDA) or Out of School Time Credential
* Nine college hours of credit in child/youth development c. Associate's Degree in Early Childhood, Child or Youth Development or a related field, plus six years of experience in Early Childhood Education or Elementary Education d. Eight years of experience in Early Childhood or Elementary Education and completion of one of the following, within two years of employment:
* Out of School Time Credential
* Child Development Associate Credential
* Director's Credential or the equivalent
* Technical Certificate in Early Childhood Education
Individuals who have been employed in the position of Director prior to implementation of this rule will not be required to meet the new director's qualifications. These individuals may change employers after this date and still qualify as director.
* Proper supervision of participants
* Behavioral guidance practices
* Shaken baby syndrome; which includes prevention (Carter's Law, Act 1208)
* Emergency procedures in the event of severe weather, or fire, including evacuation procedures and routes, and location and use of fire extinguishers.
* Mandated reporter training
* Administering medication
* Caring for participants with special needs / care plans
* Transportation and car seat safety
* Policies regarding release of participants to authorized individuals
See Division Web Site for a list of courses that The Division maintains contracts for which meet the above requirements.
See Division Web Site for a list of courses that The Division maintains contracts for which meet the above requirements.
The director, assistant director/site supervisor, and 50% of the facility staff that are on site at any given time shall have a certificate of successful completion of first aid and CPR from an approved organization.
* Parents are allowed to observe, eat meals or snacks with a participant, or volunteer in the program.
* Conferences are held at least once a year and at other times as needed to discuss participant's progress, accomplishments and difficulties.
* A parent resource area is available with books, pamphlets or articles on parenting and child/youth development.
* Parent meetings are held with guest speakers or special events, for example, open house or participant's programs.
* Parents are informed of the facilities programs and activities through a parent's bulletin board or regular newsletter.
* Parents participate in program and policy development through board involvement, planning meetings or questionnaires.
Participants shall not be forced or bribed to eat. n. Shaming, humiliating, frightening, physically or mentally harming participants or labeling participants o. Covering the faces of participants with blankets or similar items
(This phone may be a cell phone if the phone stays operable, stays at the facility during all hours of care, and is the phone number provided to the Licensing Unit and the parents.)
To provide the safest possible playground environment, you are encouraged to meet Consumer Product Safety Commission's guidelines listed in the "Handbook for Public Playground Safety". However, the following are minimum requirements and shall be met.
Please note that these requirements do not mandate the use of any playground equipment that would require use zones and protective surfacing. Numerous options for suitable playground environments are available and acceptable.
Examples of such activities are:
* Sand boxes
* Activity walls at ground level
* Art easels
* Balls & games
* Play houses
* Nature walks
* Use of the approved natural environment for outdoor learning
The use of public playgrounds and other play environments away from the facility is not recommended as these environments may not meet acceptable safety standards. If these playgrounds are used staff should provide close supervision and not allow children to use any equipment that appears unsafe, e.g. broken equipment, sharp objects, strangulations hazards, etc. Using playgrounds and other play environments away from the facility is considered a field trip and all field trip requirements shall be followed.
Minimum compressed loose-fill protective surfacing depths
Inches | Loose-Fill Material | Protects to Fall Height of: | |
a. | 6* | Shredded/recycled rubber | 10 feet |
b. | 9 | Sand | 4 feet |
c. | 9 | Pea Gravel | 5 feet |
d. | 9 | Wood mulch (non-CCA) | 7 feet |
e. | 9 | Wood chips | 10 feet |
*Shredded/recycled rubber loose-fill protective surfacing does not compress in the same manner as other loose-fill materials. However, it is recommended that, care be taken to maintain a constant depth as displacement may still occur
* lethargy or lack of responsiveness
* unexplained irritability or persistent crying
* difficult breathing
* a quickly-spreading rash b. Fever over 101 degrees/oral, 100/axillary (or equivalent method) in a participant who also has pain, behavior changes, or other symptoms of illness c. Diarrhea, defined as watery/runny stools, if frequency exceeds 2 or more stools above normal for that participant, and is not related to a change in diet or medication (Exclusion from the OST program is required if diarrhea cannot be contained in the diaper or if diarrhea is causing soiled clothing in toilet-trained participants.)
* fever,
* eye pain
* redness and/or swelling of the skin around the eyes, or
* if more than one participant in the program has symptoms j. Pediculosis (head lice), until after the first treatment k. Active tuberculosis, until a health care provider or health official states that the participant is on appropriate therapy and can attend the OST program l. Impetigo, until treatment has been started m. Strep throat, until 24 hours after antibiotic treatment has been started n. Chicken pox, until all lesions have crusted (usually 6 days after the rash appears) o. Rubella, until 6 days after onset of rash p. Pertussis (whooping cough); until 5 days of antibiotic treatment q. Mumps, until 5 days after onset of gland swelling r. Measles, until 4 days after onset of rash s. Hepatitis A, until 1 week after onset of illness or as directed by the health department
Exception: State institutions, political subdivisions or other entities entitled to immunity from liability under 21-9-301, are not required to meet this requirement in order to be licensed. (Act 23 of 2015)
Vehicles in service at licensed facilities prior to July 1, 2005 shall have the alarm installed by a qualified technician or mechanic no later than December 31, 2005. On or after July 1, 2005 all vehicles at newly licensed facilities and newly acquired vehicles at existing facilities shall have a child safety alarm installed before placing the vehicle in service.
The Child Care Licensing Unit shall maintain a list of approved alarm systems.
Clarification -
* The alarm system shall be installed so that the driver must walk to the very back of the vehicle to reach the switch that deactivates the alarm. Alarm switches installed in locations that do not require the driver to walk to the back of the vehicle and view all seating areas will not be acceptable.
* The alarm system may be installed by any certified technician or mechanic employed by a recognized electronics or automotive business in accordance with the devices manufacturer's recommendations.
* The time delay from activation of the alarm until the alarm sounds shall be no longer than one minute. Any of the following three options are acceptable to meet the intent of Act 1979 when participants are being delivered at the facility. Other options must be approved by the Licensing Unit.
Options
(This will reactivate the alarm and require a final walk through.)
PROGRAM SPECIFIC VARIATIONS
PROGRAM-SPECIFIC VARIATIONS ARE NUMBERED ACCORDING TO THE REGULATION WITH WHICH IT VARIES. UNLESS A VARIANCE IS LISTED BELOW, ALL BASIC REQUIREMENTS APPLY.
TABLES OF COMMUNICABLE DISEASES AND SYMPTOMS THAT EXCLUDE CHILDREN FROM SICK CARE: (asterisk denotes reportable diseases)
a. RESPIRATORY ILLNESS | b. GASTROINTESTINAL ILLNESS | c. CONTACT |
Chicken Pox | Giardia Lamblia* | Impetigo |
German Measles | Hepatitis A* | Lice |
Hemophilus influenza | Salmonella* | Scabies |
Measles* | Shigella* | |
Meningococcus* | ||
Mumps* | ||
Strep throat | ||
Tuberculosis* | ||
Whooping Cough* |
A symptom is a condition that indicates an illness that may not be identifiable by one of the above listed names but presents a situation where the participant shall not be admitted to or remain in sick care and should be seen by the family physician.
* Accompanied by evidence of dehydration for excessive fluid loss
* Accompanied by history of poor fluid intake and/or marked lethargy
* With blood or mucous in the stool unless at least one stool culture shows the absence of Salmonella, Shigella, Campylobacter or E-Coli
* That exceeds 5 bowel movements in an 8 hour period of is continued over 3 or 4 days unless the participant is under the supervision of a physician with written documentation
* Yellow (jaundiced) eyes or skin
* Child in contagious stages of chicken pox, measles, mumps or rubella
* Untreated impetigo
* Untreated scabies or head lice
* Blood-red rashes and skin conditions with spontaneous bruising
APPENDIX A: DEFINITIONS
For purposes of determining the need for a license, all care provided at the site of a licensed program is considered a part of the licensed program and therefore subject to licensing requirements. This includes separate buildings located on the same property or any other property under the same ownership. However, Mother's Day Out and other part time programs serving children not participating in the licensed program are exempt as long as they operate no more than 5 hours per day or 10 hours per week.
A public or private school which operates a Kindergarten (K5) in conjunction with grades one and above, or for grades one and above only and provides short-term custodial care (not to exceed 20 hours weekly) prior to and/or following classes for those students, is not required to comply with licensing requirements for the short-term custodial care provided.
APPENDIX B: LIST OF REPORTABLE DISEASES
The following are the more common reportable diseases which occur with moderate frequency in Arkansas:
Gonorrhea Salmonellosis (including typhoid)
Hepatitis (A, B, Non-A, Non-B Shigellosis
Unspecified and results of serologies) Syphilis
Rash illnesses (including Tuberculosis
*MEASLES & RUBELLA) MUMPS
*WHOOPING COUGH (pertussis)
MENINGITIS
The following are less common reportable diseases that occur with low frequency in Arkansas
*AIDS (Acquired Immune Deficiency | * Leprosy |
Syndrome) | * Leptospirosis |
Amebiasis | * Lyme Disease |
ANTHRAX | Lymphogranuloma Venereum |
*Aseptic Meningitis | * Malaria |
Blastomycosis | * Meningitis, Hemophilus |
BOTULISM | Influenza Type B |
*Brucellosis | * Meningococcal infection |
Campylobacter Interitis | Mumps |
Chancroid | Pesticide Poisoning |
CHOLERA | PLAGUE |
Coccidioidomycosis | * POLIOMYELITIS |
*Congenital Rubella Syndrome | * Psittacosia (Ornithosis) |
DIPHTHERIA | Q Fever |
Encephalitis (all types) | RABIES |
FOOD POISONINGS (all types) | * Relapsing Fever |
Giardiasis | * Reyes Syndrome |
Gonococcal Ophthalmia | Rheumatic Fever |
Granuloma Inguinale | * Rocky Mountain Spotted Fever |
*Guillain - Barre Syndrome | SMALL POX |
Histoplasmosis | * Tetanus |
HIV [Human Immuno Deficiency | * Toxic Shock Syndrome |
Virus by (name & address)] | Toxoplasmosis |
**Influenza | * Trichinosis |
*Kawasaki Disease | * Tularemia |
*Legionellosis | TYPHUS FEVER |
YELLOW FEVER |
*The reporting physician will be contacted for additional information. **Individual cases to be reported only when laboratory testing has determined the viral type.
The diseases in capital letters are to be brought to the immediate attention of the State Epidemiologist when suspected.
Reporting data shall include:
The following diseases are also of public health importance and should be reported whenever there is an unusual incidence or outbreak (including seasonal). It is necessary to report 1) the physician's name and location, 2) the suspected disease and 3) the number of cases and interval during which the cases were seen:
Acute respiratory disease | Hospital acquired infections |
Chicken pox | Infectious Mononucleosis |
Conjunctivitis | Influenza (estimate number) |
Dermatophytosis (ringworm) | Pediculosis |
Enteropathogenic E. Coli Diarrhea | Pleurodynia |
Epidemic Diarrhea of unknown cause | Pneumonia (bacterial, Mycoplasma, viral) |
Gastroenteritis | Staphylococcal-Infections |
Herpangina | Streptococcal-Infections |
The following occupational diseases also shall be reported:
Asbestosis | Mesothelioma |
Silicosis | Coal Workers Pneumoconiosis |
Byssinosis |
FOR FURTHER ASSISTANCE CONTACT THE LOCAL COUNTY HEALTH UNIT.
APPENDIX C: CHILD CARE MEAL PATTERN
When children over age one participate in the Program, the total amount of food authorized in the meal pattern set forth below shall be provided in order to qualify for reimbursement. Children age 12 and up may be served adult-size portions based on the greater food needs of older children, but shall be served not less than the minimum quantities specified in this section for children age 6 through 12 years. For purposes of the requirements outlined in this paragraph, a cup means a standard measuring cup.
Bread, pasta or noodle products, and cereal grains shall be whole grain or enriched; cornbread, biscuits, rolls, muffins, etc. shall be made with whole grain or enriched meal or flour; cereal shall be whole grain or enriched or fortified.
Children Children Children Breakfast 1 and 2 3 through 5 6 through 12 years years years |
Milk, fluid 1/2 cup (4 oz) 3/4 cup (6 oz.) 1 cup (8 oz.) |
Juice or fruit or vegetable 1/4 cup 1/2 cup 1/2 cup |
Bread, bread alternate**** |
and/or cereal |
enriched or whole grain 1/2 slice (1/2 oz.) 1/2 slice (1/2 oz .) 1 slice (1 oz.) |
Bread or |
Cereal: Cold dry or 1/4 cup* 1/3 cup** 3/4 cup*** |
Hot cooked 1/4 cup 1/4 cup 1/2 cup |
AM or PM snack (supplement) |
(select 2 of these 4 components) |
Milk, fluid 1/2 cup (4 1/2 cup (4 ounces) 1 cup (8 ounces) |
Meat or meat alternate ounces) 1/2 ounce 1 ounce |
Juice or fruit or vegetable 1/2 ounce 1/2 cup 3/4 cup |
Bread, bread alternate**** 1/2 cup |
and/or cereal |
enriched or whole grain 1/2 slice (1/2 oz .) 1 slice (1 oz.) |
Bread or 1/2 slice (1/2 oz.) |
Cereal: Cold dry or 1/4 cup* 1/3 cup** 3/4 cup*** |
Hot cooked 1/4 cup 1/4 cup 1/2 cup |
Lunch or Supper |
Milk, fluid 1/2 cup (4 oz.) 3/4 cup (6 oz.) 1 cup (8 oz.) |
Meat or meat alternate |
(lean meat or poultry or fish) 1 ounce 1 1/2 ounces 2 ounces |
Cheese 1 ounce 1 1/2 ounces 2 ounces |
Egg 1/2 large egg 3/4 large egg 1 large egg |
Cooked dry beans or peas 1/4 cup 3/8 cup 1/2 cup |
Peanut butter 2 tbsps. 3 tbsps. 4 tbsps. |
Yogurt (plain or flavored) 1/2 cup 3/4 cup 1 cup |
(Or an equivalent quantity of any combination of the above meat/meat alternates) |
Vegetable and/or fruit 1/4 cup 1/2 cup 3/4 cup (total of two or more) |
Bread or bread alternate**** 1/2 slice (1/2 oz.) 1/2 slice (1/2 oz .) 1 slice (1 oz.) enriched or whole grain |
*1/4 cup (volume) or 1/3 ounce (weight)
**1/3 cup (volume) or 1/2 ounce (weight)
***3/4 cup (volume) or 1 ounce (weight)
****Refer to Food Buying Guide "Grains and Breads" for equivalent quantities
APPENDIX D: ADULT CARE MEAL PATTERN
The meals served to adult participants in the Child and Adult Care Food Program shall contain the indicated meal pattern quantities and food components in order to qualify for reimbursement. Adult centers may choose to implement the "offer vs. serve" option (as described on following page).
Breakfast | Adult Participants | ||
Milk, fluid | 1 cup (8 ounces) | ||
Juice or fruit or vegetable | 1/2 cup | ||
Bread and/or cereal* | |||
enriched or whole grain | |||
Bread or | 2 slices (or 2 servings the equivalent quantity of 2 | ||
Cereal: Cold dry or | ounces) | ||
Hot cooked | 11/2 cups (or 2 ounces) 1 cup | ||
AM or PM snack (supplement) | |||
(select 2 of these 4 components) | |||
Milk, fluid | 1 cup (8 ounces) | ||
Meat or meat alternate | 1 ounce | ||
Juice or fruit or vegetable | 1/2 cup | ||
Bread and/or cereal* | |||
enriched or whole grain | |||
Bread or | 1 slice (1 ounce) | ||
Cereal: Cold dry or | 3/4 cup (or 1 ounce) | ||
Hot cooked | 1/2 cup | ||
Lunch or Supper | |||
Milk, fluid | 1 cup (8 ounces) - (none required at supper meal) | ||
Meat or meat alternate | |||
(lean meat or poultry or fish) | 2 ounces | ||
Cheese | 2 ounces | ||
Egg | 1 large egg | ||
Cooked dry beans or peas | 1/2 cup | ||
Peanut butter | 4 tablespoons | ||
Yogurt (plain or flavored) | 1 cup | ||
(Or an equivalent quantity of | |||
any combination of the | |||
above meat/meat alternates) | |||
Vegetable and/or fruit | 1 cup | ||
(total of two or more) | |||
Bread or bread alternate* | 2 slices (or 2 servings the equivalent quantity of 2 | ||
enriched or whole grain | ounces) |
APPENDIX E: DISASTER/EMERGENCY PREPAREDNESS
DISASTER/EMERGENCY NUMBERS | CONTACT/TOWN | TELEPHONE NUMBER |
AMBULANCE | ||
APPLIANCE REPAIR | ||
BUILDING INSPECTOR | ||
CHILD ABUSE HOT LINE | 1-800-482-5964 | |
CHILD CARE LICENSING UNIT | Little Rock | 1-800-445-3316 or 501-682-8590 |
CLEANING/MAINTENANCE | ||
ELECTRIC COMPANY | ||
ELECTRICIAN | ||
EMERGENCY CHILD LOCATOR | 1-866-908-9572 | |
FACILITY DIRECTOR | ||
FIRE DEPARTMENT | ||
FIRE DEPARTMENT (Non-Emergency) | ||
GAS COMPANY | ||
GLASS COMPANY | ||
HEALTH DEPARTMENT (Local) | ||
HEATING/AIR CONDITIONING | ||
INSURANCE AGENT AND POLICY NUMBER | ||
LICENSING SPECIALIST | ||
LOCKS | ||
NATIONAL EMERGENCY FAMILY REGISTRY AND LOCATOR PLUMBER | 1-800-588-9822 | |
POISON CONTROL | 1-800-376-4766 | |
POLICE | ||
POLICE (Local Non-Emergency) | ||
RED CROSS (Local) | ||
SHERIFF | ||
TRASH REMOVAL | ||
WATER DEPARTMENT |
IMMUNIZATION REQUIREMENTS
Table I: Immunization Requirements for Child Care and Early Childhood Education Facilities Instructions for utilizing Table I: Table I is not a recommendation of vaccines to get, but of doses required to already have at that age. To determine what vaccines are required for a child to attend a licensed child care facility, refer to Column 1 on the left to see what age range is correct for the child. Then all the vaccines on the same row as the child's age are required for attendance in a licensed child care facility. Vaccines are required based on the current age of the child. Column 1 is not an age range for when a child can be vaccinated.
Column 1 | Column 2 | Column 3 | Column 4 | Column 5 | Column 6 | Column 7 | Column 8 | Column 9 |
Current AGE of child | DTaP DTP/DT | POLIO | Hib ** | HEPATITIS B | MMR **** | VARICELLA **** | PNEUMOCOCCAL ** | HEPATITIS A |
1-2 Months | None | None | None | None (1-2 doses possible) | None | None | None | |
3-4 Months | 1 dose | 1 dose | 1 dose | 1 dose (1-2 doses possible) | None | None | 1 dose | |
5-6 Months | 2 doses OR 1 dose within last 8 weeks | 2 doses OR 1 dose within last 8 weeks | 2 doses OR 1 dose within last 8 weeks | 2 doses OR 1 dose within last 8 weeks | None | None | 2 doses OR 1 dose within last 8 weeks | |
7-12 Months | 3 doses OR 1 dose within last 8 weeks | 2 doses OR 1 dose within last 8 weeks (3 doses possible) | 2-3 doses OR 1 dose within last 8 weeks | 2 doses OR 1 dose within last 8 weeks (3 doses possible) | None | None | 2-3 doses OR 1 dose within last 8 weeks | |
13-15 Months | 3 doses OR 1 dose within last 8 weeks | 2 doses OR 1 dose within last 8 weeks (3 doses possible) | 2-3 doses OR 1 dose within last 8 weeks (4 doses possible) | 2 doses OR 1 dose within last 8 weeks (3 doses possible) | None (1 dose possible) | None (1 dose possible. A medical professional history of disease may be accepted in lieu of receiving vaccine.) | 2-3 doses OR 1 dose within last 8 weeks (4 doses possible) | |
16-18 Months | 3 doses or 1 dose within last 8 weeks | 2 doses or 1 dose within last 8 weeks (3 doses possible) | 3-4 doses with last dose on/after 1st birthday OR 2 doses if first dose is administe red at age 12 - 14 | 2 doses OR 1 dose within the last 8 weeks (3 doses possible) | 1 dose | 1 dose A medical professional history of disease may be accepted in lieu of receiving vaccine.. | 3-4 doses with last dose must be on/after1st birthday OR 2 doses on/after 1st birthday |
months and doses are at least 8 weeks apart OR 1 dose on/after 15 months of age if no prior doses | ||||||||
19-48 months | 4 doses OR 3rd dose within last 6 months OR 1 dose within last 8 weeks | 3 doses OR 1 dose within last 8 weeks | 3-4 doses with last dose on/after 1st birthday OR 2 doses if first dose is administe red at age 12 - 14 months and doses are at least 8 weeks apart OR 1 dose on/after 15 months of age if no prior doses | 3 doses *** OR 1 dose within last 8 weeks | 1 dose | 1 dose A medical professional history of disease may be accepted in lieu of receiving vaccine. | 3-4 doses with last dose must be on/after1st birthday OR 1 dose on/after 24 months of age if no prior doses OR 2 doses on/after 1st birthday | For 19-24 months: 1 dose on or after first birthday (2 doses possible) For 25-48 months: 2 doses with one dose on or after 1st birthday and at least 6 months from first dose |
*49 months | 5 doses * OR 4th dose within last 6 months OR 1 dose within last 8 weeks OR 4 doses with last dose on/after 4th | 4 doses with a minimum interval of 6 months between the 3rd and 4th dose OR 1 dose within last 8 weeks | 3-4 doses with last dose on/after 1st birthday OR 2 doses if first dose is administe red at age 12 - 14 months and doses are at least 8 | 3 doses *** OR 1 dose within the last 8 weeks | 1 dose | 1 dose A medical professional history of disease may be accepted in lieu of receiving vaccine. | 3-4 doses with last dose on/after 1st birthday OR 1 dose on/after 24 months of age if no prior doses OR 2 doses on/after 1st birthday Not required on/after 5th birthday | 2 doses with one dose on or after 1st birthday and at least 6 months from first dose |
birthday | weeks apart OR 1 dose on/after 15 months of age if no prior doses Not required on/after 5th birthday |
*5th DTaP/DTP/DT (Pre-school dose) must be given on/after the child's 4th birthday. Interval between 4th DTaP/DTP/DT and 5th DTaP/DTP/DT should be at least 6 months. If a child is currently *49 months of age and does not meet the above criteria or is in process within 15 days, they are not up-to-date and should be scheduled for immunization.
** For Hib and Pneumococcal, children receiving the first dose of vaccine at age 7 months or older require fewer doses to complete the series.
*** 3rd dose of hepatitis B should be given at least 8 weeks after the 2nd dose, at least 16 weeks after the 1st dose, and it should not be administered before the child is 24 weeks of age.
**** Vaccine doses administered up to 4 days before the minimum interval or minimum age can be counted as valid for doses already administered. Exception: The minimum interval between doses of live vaccines (such as MMR and Varicella) must be 28 days.
*****A medical professional is a medical doctor (MD), advanced practice nurse (APN), doctor of osteopathy (DO), or physician assistant (PA). No self or parental history of disease will be accepted.
TABLE II: KINDERGARTEN THROUGH GRADE TWELVE IMMUNIZATION REQUIREMENTS*
Vaccine ► ------- Grade ▼ | Diphtheria, Tetanus, Pertussis (DTP/DT/Td/DT aP/Tdap) | Polio (OPV - Oral or IPV - Inactivated) | MMR*** ** (Measles, Mumps, and Rubella) | Hep B | Meningococc al (MCV4) | Varicella | Hepatitis A |
Kindergarten | 4 doses (with 1 dose on or after 4th birthday) | 3 doses (with 1 dose on or after 4th birthday and a minimum interval of 6 months between the 2nd and 3rd dose) OR 4 doses with 1 dose on or after 4th birthday and a minimum interval of 6 months between the 3rd and 4th dose | 2 doses (with dose 1 on or after 1st birthday and dose 2 at least 28 days after dose 1) | 3 doses | None | 2 doses (with dose 1 on or after 1st birthday and dose 2 at least 28 days after dose 1) ******A medical professional history of disease may be accepted in lieu of receiving vaccine. | 1 dose on or after 1st birthday |
Grades 1 - 12 | 4 doses (with 1 dose on or after 4th birthday) AND 1 dose of Tdap for ages 11 years (as of September 1st each year) and older OR 3 doses******* for persons 7 years of age or older who are not fully vaccinated (including persons who cannot document prior vaccination) | 3 doses doses (with 1 dose on or after 4th birthday with a minimum interval of 6 months between the 2nd and 3rd dose) OR 4 doses with 1 dose on or after 4th birthday and a minimum interval of 6 months between the 3rd and 4th dose | 2 doses (with dose 1 on or after 1st birthday and dose 2 at least 28 days after dose 1) | 2** or 3*** doses (11-15 year olds could be on a 2-dose schedule) | Second dose at age 16 years (as of September 1st each year) with a minimum interval of 8 weeks since 1st dose OR 1 dose if not vaccinated prior to age 16 years (If first dose is administered at age 16 years or older, no second dose required.) | 2 doses (with dose 1 on or after 1st birthday and dose 2 at least 28 days after dose 1) OR ******A medical professional history of disease may be accepted in lieu of receiving vaccine. | Grade 1 only: 1 dose on or after 1st birthday |
Grade 7 | 4 doses (with 1 dose on or after 4th birthday) AND 1 dose of Tdap **** OR 3 doses******* for persons 7 years of age or older who are not fully immunized (including persons who cannot document prior vaccination) | 3 doses (with 1 dose on or after 4th birthday with a minimum interval of 6 months between the 2nd and 3rd dose) OR 4 doses with 1 dose on or after 4th birthday and a minimum interval of 6 months between the 3rd and 4th dose | 2 doses (with dose 1 on or after 1st birthday and dose 2 at least 28 days after dose 1) | 2** or 3*** doses (11-15 year olds could be on a 2-dose schedule) | 1 dose | 2 doses (with dose 1 on or after 1st birthday and dose 2 at least 28 days after dose 1) OR ******A medical professional history of disease may be accepted in lieu of receiving vaccine. | None |
*Doses of vaccine required for school entry may be less than the number of doses required for age-appropriate immunization.
**An alternative two-dose hepatitis B schedule for 11-15 year-old children may be substituted for the three-dose schedule. Only a FDA-approved alternative regimen vaccine for the two-dose series may be used to meet this requirement. If you are unsure if a particular child's two-dose schedule is acceptable, please contact the Immunization Section for assistance at 501-661-2169.
*** 3rd dose of hepatitis B should be given at least 8 weeks after the 2nd dose, at least 16 weeks after the 1st dose, and it should not be administered before the child is 24 weeks (168 days) of age. (All 3rd doses of hepatitis B vaccine given earlier than 6 months of age before 6/21/96 are valid doses and should be counted as valid until 6/21/2014.)
**** Tdap vaccine can be administered regardless of the interval since the last tetanus and diphtheria toxoid-containing vaccine.
***** Exception: If a student has previously received two doses of measles, one dose of mumps and one dose of rubella before January 1, 2010, the doses will be accepted as compliant to immunization requirements and 2 MMRs are not required.
******A medical professional is a medical doctor (MD), advanced practice nurse (APN), doctor of osteopathy (DO), or physician assistant (PA). No self or parental history of disease will be accepted.
******* For unvaccinated persons 7 years of age and older (including persons who cannot document prior vaccination), the primary series is 3 doses. The first two doses should be separated by at least 4 weeks, and the third dose at least 6 months after the second. One of these doses (preferably the first) should be administered as Tdap and the remaining two doses administered as Td.
016.22.18 Ark. Code R. 004