14 Del. Admin. Code § 933-IV-41.0

Current through Reigster Vol. 28, No. 6, December 1, 2024

Section 933-IV-41.0 - Child Health Appraisal

41.1 A licensee shall ensure that within one month of starting care, each child's file has a health appraisal that includes an immunization record. A health care provider shall have conducted this health appraisal within the last 12 months. A licensee does not need a child's health appraisal if other federal or State laws, such as specified in the McKinney-Vento Homeless Assistance Act, require the center to admit a child without one. Health appraisals and immunization records must be updated every 13 months. A licensee shall keep the most recent health appraisal on file and it must include:

41.1.1 A health history;

41.1.2 Physical examination;

41.1.3 Growth and development;

41.1.4 Age-appropriate immunizations as described in Appendix IV;

41.1.5 Proof of blood lead screening for children at or around ages 12 months and 24 months;

41.1.6 Proof of blood lead screening after age 24 months for all children including school-age, if blood lead tests were not conducted at or around ages 12 months and 24 months;

41.1.7 Medical information for treatment in case of emergency; and

41.1.8 Recommendations regarding required medication, allergies, restrictions or modifications of the child's activities, diet, or care, if applicable.

41.2 A licensee is not required to update health appraisals for children in grades kindergarten or higher after receiving one completed after the child began kindergarten or a higher grade.

41.3 A licensee shall ensure a child whose parent or guardian objects to immunizations on a religious basis or whose health care provider certifies that the immunization may be harmful to the child's health will be exempt from the immunization requirement.

41.3.1 A notarized statement or documentation from a health care provider is required for this exemption.

41.3.2 A licensee shall place this documentation in the child's file.

41.4 A licensee shall ensure a child whose parent or guardian objects to blood lead screening due to a sincere religious belief will be exempt from this blood screening requirement.

41.4.1 A certificate signed by the parent or guardian stating that the screening is contrary to the parent's or guardian's religious beliefs is required for this exemption.

14 Del. Admin. Code § 933-IV-41.0

24 DE Reg. 267 (9/1/2020)
25 DE Reg. 1115 (6/1/2022) (Final)