Okla. Admin. Code § 340:110-3-90

Current through Vol. 42, No. 4, November 1, 2024

Section 340:110-3-90 - Child health

(a)Immunizations. Per Oklahoma Administrative Code (OAC) 340 Appendix II - Immunizations, an immunization record or exemption is obtained prior to the first day of attendance and is updated when the child receives additional vaccines.

(b)Medication. Medication requirements are met.

(1)Original container. Medications, including prescriptions and over-the-counter medications, are provided by the parent in the original container and clearly labeled with the child's full name and instructions.

(2)Diaper creams. Diaper creams are considered medications.

(3)Insect repellents and sunscreens. Insect repellents and sunscreens are not considered medications.

(4)Parental permission. Signed parent permission for each medication is obtained prior to administration and includes the exact dosage and times to be administered.

(A) Parent instructions are the same as:

(i) the container instructions; or

(ii) a licensed physician's written statement regarding over-the-counter medication instructions that differ from the container instructions.

(B) For chronic medical conditions, permission may be obtained for 12 months or less at a time, provided specific instructions include when administration is needed, such as diaper cream and inhalers.

(5)Records. To avoid duplication, each dosage administered, excluding diaper cream, is immediately documented by the caregiver on an OKDHS or program form containing the same information, and the record is readily available to parents.

(6)Storage. All medications are properly stored separately from food and inaccessible to children.

(7)Medication injections. When medication is administered by injection, the requirements in this paragraph apply.

(A) Syringes, needles, and lancets are only used one time.

(B) Approved sharps containers are used for any medical waste that is sharp or could cause a cut, puncture, or wound, including syringes, needles, and lancets used to administer insulin or test blood sugar.

(C) When the container is full, disposal arrangements are made with the local pharmacy or health department, licensed physician, or other community organization.

(c)Ill children. Health procedures and precautions are required.

(1)Contagious illness. Any child showing symptoms of contagious illness is separated from the group.

(2)Disease control. The local or Oklahoma State Department of Health (OSDH) is notified, per requirements in (A) through (C) of this paragraph.

(A)Promptly. The primary caregiver promptly notifies the local or OSDH of a known case in individuals associated with the family child care home, of:

(i) Measles;

(ii) meningococcal invasive disease; and

(iii) an outbreak of two or more cases within the home of:

(I) COVID-19;

(II) influenza; or

(III) varicella (chicken pox).

(B)Next business day. The primary caregiver notifies the local or OSDH by the next health department-business day of a known case in individuals associated with the family child care home, of:

(i) Campylobacteriosis;

(ii) cryptosporidiosis;

(iii) E. coli O157:H7 or Shiga toxin-producing E. coli (STEC);

(iv) Haemophilus influenzae invasive disease;

(v) hepatitis A;

(vi) mumps;

(vii) rubella;

(viii) salmonellosis;

(ix) shigellosis;

(x) tuberculosis; or

(xi) whooping cough (pertussis).

(C)OSDH guidelines. The primary caregiver follows all guidelines and recommendations per local or OSDH authorities.

(3)Parent notification. Parents are notified as symptoms develop or change.

(4)Allergy exposure. The caregiver promptly notifies parents when a child has a suspected allergic reaction, including ingestion of, or contact with, allergens, even when a reaction did not occur.

(5)Decision to provide care. The primary caregiver determines whether to provide care for ill children based upon the degree of illness, other children present, and the caregiver's ability to provide care.

(d)Cleanliness. Hygiene practices are implemented.

(1)Handwashing - caregivers. Caregivers wash hands with soap and running water:

(A) prior to food preparation;

(B) before feeding children or eating;

(C) after diapering or toileting;

(D) after touching or cleaning up body fluids, including wiping noses; and

(E) after handling or feeding pets.

(2)Handwashing - children. Caregivers ensure children wash hands with soap and running water:

(A) before eating;

(B) after toileting;

(C) after handling pets;

(D) after playing outdoors; and

(E) after wiping their noses.

(3)Handwashing supplies. Soap and clean individual or paper towels are easily accessible to the caregiver and children.

(4)Children's clothing. A child's clothing is changed immediately following a toileting accident or when clothing becomes unsanitary. Soiled clothing is placed in a sealed, moisture-proof bag and sent home or laundered.

Okla. Admin. Code § 340:110-3-90

Amended at 10 Ok Reg 107, eff 10-13-92 (emergency); Amended at 10 Ok Reg 2287, eff 6-11-93; Amended at 17 Ok Reg 1607, eff 5-25-00; Amended at 25 Ok Reg 22, eff 10-1-07 (emergency); Amended at 25 Ok Reg 1962, eff 7-1-08

Amended by Oklahoma Register, Volume 40, Issue 22, August 1, 2023, eff 9/15/2023