14 Del. Admin. Code § 935-27.0

Current through Register Vol. 28, No. 7, January 1, 2025

Section 935-27.0 - Children's Health Appraisals

27.1 A licensee shall ensure that within 1 month of admission, each child's file contains a health appraisal that includes an immunization record that adheres to 14 Del.C. § 131 and 14 DE Admin. Code 804. A health care provider must have conducted this health appraisal within the last 12 months.

27.1.1 If a licensee cannot obtain documentation of a health appraisal or immunizations for a child, such as specified in the McKinney-Vento Homeless Assistance Act, a licensee shall coordinate with the child's parent or referring agency to obtain the required health appraisal and immunizations and ensure the appraisal is conducted within 30 days of admission and the immunizations begin within 30 days of admission.

27.1.2 A child will be exempt from immunization if:

27.1.2.1 The child's parent objects to immunizations on a religious basis and completes an affidavit of religious belief; or

27.1.2.2 The child's health care provider provides a notarized statement certifying that the immunization may be harmful to the child's health.

27.2 A licensee shall have an on-site confidential file for each child within 1 month of enrollment that is retained for at least 3 months after discharge. This file shall contain information on:

27.2.1 Available past medical history;

27.2.2 Inventory and assessment of medications in use at the time of admission;

27.2.3 Immunizations or exemptions as required by subsection 27.1.2.1 or 27.1.2.2;

27.2.4 Medications dispensed while at the facility or program;

27.2.5 Medical consents and releases from the child's parent or referring agency;

27.2.6 Medical, dental, psychological, or psychiatric examinations; and

27.2.7 Medical treatment currently being provided.

14 Del. Admin. Code § 935-27.0

27 DE Reg. 599 (2/1/2024) (Final)