Current through Register Vol. XLI, No. 50, December 13, 2024
Section 78-20-9 - Health, Sanitation, and Nutrition9.1. Health -- The caregiver shall obtain from the child's parent a record of each child's health examinations and immunizations and maintain the information in a file according to the following guidelines: 9.1.a. A general medical examination shall be obtained for all children within 30 days of admission to the home. The examination may be completed no more than six months prior to the child's admission to the home.9.1.b. The caregiver shall provide parents with a WV HealthCheck periodicity chart for child health exams and shall obtain from the parent a new health assessment updated with new or current information at least every two years for any child under the age of six years.9.1.c. Immunization records shall be completed and updated according to the schedule recommended by the department.9.1.d. If immunizations are not current, the caregiver shall obtain a schedule for completion from the parent for the informal or relative family child care home's files, unless the parent provides written documentation from a physician that immunizations are contraindicated due to the child's medical condition. A grace period is permitted for children experiencing homelessness and children in foster care based on the individual circumstances of the child.9.2. Sanitation. 9.2.a. The informal or relative family child care home shall have sufficient safe water for drinking, hand washing, and other household needs.9.2.b. The caregiver and the children shall thoroughly wash their hands with soap and water for at least 20 seconds any time they are soiled, including at the following times:9.2.b.2. Before handling or preparing foods;9.2.b.3. After contact with animals;9.2.b.4. Before and after diaper changing, assisting a child with toilet use, or personal bathroom use; and9.2.b.5. When the caregiver or the children come into contact with blood or bodily fluids containing blood.9.2.c. The caregiver shall store food and drinks in closed containers and refrigerate as needed.9.2.d. To ensure the cleanliness of the home the caregiver shall:9.2.d.1. Cover garbage cans with lids or place cans in an area inaccessible to children, maintain them in a sanitary manner with liners, and empty them daily;9.2.d.2. Clean and disinfect bathroom facilities used by the children daily and when soiled;9.2.d.3. Clean dishes in a dishwasher or in hot water and detergent. If they are washed by hand, they shall be rinsed thoroughly and allowed to air dry;9.2.d.4. Maintain the informal or relative family child care home and furnishings in a safe and sanitary condition to prevent accidents and illnesses; and9.2.d.5. Ensure that the informal or relative family child care home is free of rodent or insect infestation.9.3. Nutrition. Children shall receive nutritious meals and snacks, served in a sanitary manner and in amounts adequate to meet their nutritional needs, based on current United States Department of Agriculture's Dietary Guidelines for Americans.