Iowa Admin. Code r. 441-110.9
Current through Regsiter Vol. 46, No. 26, June 12, 2024
(1) A provider file shall be maintained and shall contain the following: a. A physical examination report. Providers and all members of a provider's household aged 18 years or older shall have good health as evidenced by a preregistration physical examination. Acceptable physical examinations shall be documented on Form 470-5152, Child Care Provider Physical Examination Report. All children residing in the household must have the medical documentation outlined in paragraphs 110.9(4)"d,""f," and "g."b. I-PoWeR records or certificates verifying required training completion as set forth in subrule 110.10(1).(2) An individual file for each staff assistant shall be maintained and shall contain the following: a. Documentation from the department which confirms that the record checks required under subrule 110.11(3) have been completed and authorizes or conditionally limits the person's involvement with child care.b. A completed Form 470-5152, Child Care Provider Physical Examination Report, that meets the requirements of paragraph 110.9(1)"a."c. Certification of a minimum of two hours of approved training relating to the identification and reporting of child abuse as required by Iowa Code section 232.69, completed within three months of employment.(3) An individual file for each substitute shall be maintained and shall contain the following: a. Documentation from the department which confirms that the record checks required under subrule 110.11(3) have been completed and authorizes or conditionally limits the person's involvement with child care.b. A completed Form 470-5152, Child Care Provider Physical Examination Report, that meets the requirements of paragraph 110.9(1)"a."c. Certification of a minimum of two hours of approved training relating to the identification and reporting of child abuse as required by Iowa Code section 232.69, completed within three months of employment.d. Certification in first aid that meets the requirements of paragraph 110.10(1)"c."e. Certification or other documentation that minimum health and safety training has been completed in compliance with paragraph 110.10(1)"a" within three months of a substitute's hiring or before a substitute provides care, whichever occurs first.(4)Children's files. An individual file for each child shall be maintained and updated annually or when the provider becomes aware of changes. The file shall contain: a. Identifying information including, at a minimum, the child's name and birth date; the parent's name, address and telephone number; special needs of the child; and the parent's work address and telephone number.b. Emergency contact information including, at a minimum, where the parent can be reached, the name, street address, city and telephone number of the child's regular source of health care, and the name, telephone number, and relationship to the child of another adult available in case of emergency.c. A signed medical consent from the parent authorizing emergency medical and dental treatment.d. An admission physical examination report signed by a licensed medical doctor, doctor of osteopathy, chiropractor, physician's assistant or advanced registered nurse practitioner. (1) The date of the physical examination shall not be more than 12 months before the child's first day of attendance at the child development home.(2) The written report shall include the child's past health history, status of the child's present health, allergies and restrictive conditions, and recommendations for continued care when necessary.(3) For a child who is five years of age or older and enrolled in school, a statement of health status signed by the parent or legal guardian may be substituted for the physical examination report.(4) The examination report or statement of health status shall be on file before the child's first day of care.e. For children under the age of six, a statement of health condition signed by a licensed medical doctor, doctor of osteopathy, chiropractor, physician's assistant or advanced registered nurse practitioner and submitted annually from the date of the admission physical examination. For a child who is enrolled in school, a statement of health status signed by the parent or legal guardian may be substituted for the statement of health.f. For each school-age child, on the first day of attendance, documentation of a physical examination that was completed at the time of school enrollment or since.g. A signed and dated immunization certificate provided by the Iowa department of public health. For the school-age child, a copy of the most recent immunization record shall be acceptable.h. For any child with allergies, a written emergency care plan in case of an allergic reaction. A copy of this information shall accompany the child if the child leaves the premises.i. Documentation that is signed by the parent and names persons authorized to pick up the child. The authorization shall include the name, telephone number, and relationship of the authorized person to the child.j. Written permission from the parent for the child to attend activities away from the child development home.k. Injury report forms documenting injuries requiring first aid or medical care.l. If the child meets the definition of homelessness as defined by Section 725(2) of the McKinney-Vento Homeless Education Assistance Act, the family shall receive a 60-day grace period to obtain medical documentation.Iowa Admin. Code r. 441-110.9
Amended by IAB April 1, 2015/Volume XXXVII, Number 20, effective 6/1/2015Amended by IAB August 3, 2016/Volume XXXIX, Number 03, effective 10/1/2016Amended by IAB June 7, 2017/Volume XXXIX, Number 25, effective 8/1/2017Amended by IAB November 6, 2019/Volume XLII, Number 10, effective 12/11/2019Amended by IAB November 3, 2021/Volume XLIV, Number 9, effective 1/1/2022Amended by IAB November 2, 2022/Volume XLV, Number 9, effective 3/1/2023