8.

01SamplerofChildCareRules

Directions:Usethishandouttorecordinformationabouttypicalhealthandsafetypoliciesforchildcarecenters.
Eachpolicyisbasedonachildcarerulefromthe
NCChildCareCenterHandbook
.Instructionsareprovidedatthe
topofeachcolumn.

Goalof
Policy:

Notesfrom
Text:

Statearationale
toexplainwhy
eachtypeof
policyisneeded.

Recordnotes
fromthe
textbook(s)that
relatetothis
topicortypeof
policy.

1.Supervise
childrenatall
times

Rationale:
Tokeepall
childrensafe

SampleChildCareRule:
Findinthe
NCChildCareCenterHandbook
the
ChildCareRulereferencedbycodenumberthen
copytheruleintheblockprovided.

10ANCAC09.0714OtherStaffing
Requirements
(f)
Childrenmustbeadequatelysupervisedatall
times.Adequatesupervisionmeansthatstaff
interactwiththechildrenwhilemovingaboutthe
indoorandoutdoorarea,andareabletohear
andseethechildrenatalltimes,exceptwhen
emergenciesnecessitatethatdirectsupervision
isimpossibleforbriefperiodsoftime

Interpretationof
Rule:
Writeinyour
ownwordswhateach
rulemeans.

Allchildrenmustbe
watchedcloselyto
keepthemsafe

2.Maintain
minimum
adultchild
ratios

Rationale:

10ANCAC09.0712Staff/ChildRatiosfor
CenterswithaLicensedCapacityofLess
than30Children
(a)

Ageof
Children

No.
Children

No.
Staf
f

Maximum
Group
Size

No.
Staff

0to12
Months

10

12to24
Months

12

2to3
Years

10

20

3to5
Years

15

25

5Years
andOlde

25

25

3.Providea
safe
environment

Rationale:so
childrenwill
notgethurt

10ANCAC09.0601SafeEnvironment
(a)Asafeindoorenvironmentmustbeprovided
forthechildrenincare.Allhazardousitems,
materials,andequipmentmustbeusedby
childrenonlywhenadultsupervisionisprovided.

(c)

Allkidsmustbe
safegetridofall
hazardousitems
materials.

4.Require
medical
examinations
ofstaff
members

Rationale:
Makesure
kidsaretaken
careofby
gooodpeople

(Noteswill
vary)

10ANCAC09.0701HealthStandardsfor
StaffAllstaffmusthaveonfilewithin60days
ofthedateofemployment,astatement
signedbyalicensedphysicianoran
authorizedhealthprofessionalunderhis/her
supervision,thatindicatesthatthepersonis
emotionallyandphysicallyfittocarefor
children.

Tomakesurethe
staffinfoislegitand
fitandabletocare
forkids

Purposeof
Policy:
Statearationaleto
explainwhyeach
typeofpolicyis
needed.

5.Keepmedical
careinformation
forchildrenon
file

Rationale:
Tokeepchildren
safewithpaper
worktotellwhat
theyareallergic
toandnumbers
toimportant
people

NotesfromText:

SampleChildCareRule:

Recordnotesfromthe
textbook(s)thatrelate
tothistopicortypeof
policy.

Findinthe
NCChildCareCenter
Handbook
theChildCareRulereferenced
bycodenumberthencopytheruleinthe
blockprovided.

10ANCAC09.0801Applicationfor
Enrollment
(b)Emergencymedicalcareinformation
mustbeonfileforeachindividualchild.
Emergencymedicalcareinformation
shouldincludethename,address,and
telephonenumberoftheparentorother
persontobecontactedincaseofan
emergencytheresponsiblepartys
choiceofhealthcareproviderand
preferredhospitalanychronicillness
thechildhasandanymedicationtaken
forthatillnessandanyother
informationthathasadirectbearingon
assuringthesafemedicaltreatmentfor
thechild.Thisemergencymedicalcare
informationmustbeonfileinthecenter
onthechildsfirstdayofattendance.
Eachchild'sparent,legalguardian,or
fulltimecustodianmustsigna
statementauthorizingthecenterto
obtainmedicalattentionforthechildin
anemergency.Thisstatementmustbe
onfileonthefirstdaythechildattends
thecenter.Itshallbeeasilyaccessible
tostaffsothatitcanbetakenwiththe
childwheneveremergencymedical
treatmentisnecessary

Interpretationof
Rule: Writeinyour
ownwordswhateach
rulemeans.

Numbersof
importantpeople
shuldbeonfile
includingallergies
orwhatthekids
caneatornot
signedpaperwork
justincaseofan
emergencygives
thempermissionto
actuponthechild
thiskeepsthechild
sfe

6.Follow
regulationsfor
giving
medications

Rationale:

Musthave
permissiontogive
medicationto
makesureitsok
forthemtotake

10ANCAC09.0803Administering
Medication
(a)

Noprescriptionoroverthecounter
medicationandnotopical,nonmedical
ointment,repellent,lotion,cream,or
powdermaybeadministeredtoany
child:withoutwrittenauthorizationfrom
thechildsparent,physician,orother
healthprofessionalwithoutwritten
instructionsfromthechildsparent,
physician,orotherhealthprofessional
inanymannernotauthorizedbythe
childsparent,physician,orotherhealth
professionalafteritsexpirationdateor
fornonmedicalreasons,suchasto
inducesleep.Whenquestionsarise
concerningwhetheranymedication
shouldbeadministeredtoachild,the
caregivermaydeclinetoadministerthe
medicationwithoutsignedwritten
dosageinstructionsfromalicensed
physicianorauthorizedhealth
professional.

Onlymedication
lotionsmaybe
giventochildonlyif
youhaveparents
permission

7.Providecare
formildlyill
children

10ANCAC09.0804Infectiousand
ContagiousDiseases
(a)
Centersmayprovidecareforamildlyill
childwhohasaFahrenheittemperature
oflessthan100degreesauxiliary101

Mustactuponwith
sickkidswith
conditionsand
diseaseswith102
degreeswith

Rationale:must
provideforill
childrentomake
suretheyareok

degreesorallyor102degreesrectally
diarrheatokeep
andwhoremainscapableof
kidssafe
participatinginroutinegroupactivities
providedthechilddoesnot:havethe
suddenonsetofdiarrheacharacterized
byanincreasednumberofbowel
movementscomparedtothechild's
normalpatternandwithincreasedstool
waterorhavetwoormoreepisodesof
vomitingwithina12hourperiodor
havearedeyewithwhiteoryelloweye
dischargeuntil24hoursaftertreatment
orhavescabiesorliceorhaveknown
chickenpoxorarashsuggestiveof
chickenpoxorhavetuberculosis,until
ahealthprofessionalstatesthatthe
childisnotinfectiousorhavestrep
throat,until24hoursaftertreatmenthas
startedorhavepertussis,untilfive
daysafterappropriateantibiotic
treatmentorhavehepatitisAvirus
infection,untiloneweekafteronsetof
illnessorjaundiceorhaveimpetigo,
until24hoursaftertreatmentorhavea
physicianorotherhealthprofessionals
writtenorderthatthechildbeseparated
fromotherchildren

(1)

(2)

Purposeof
Policy:
Statearationaleto
explainwhyeach
typeofpolicyis
needed.

NotesfromText:

SampleChildCareRule:

Recordnotesfromthe
textbook(s)thatrelate
tothistopicortypeof
policy.

Findinthe
NCChildCareCenterHandbook
theChildCareRulereferencedbycode
numberthencopytheruleintheblock
provided.

Interpretationof
Rule: Writeinyour
ownwordswhateach
rulemeans.

8.Excludeill
childrenfrom
contactwithwell
children

Rationale:

10ANCAC09.0804Infectiousand
ContagiousDiseases
(b)

(2)
.

9.Implement

sanitarypractices

Rationale:

10ANCAC09.0805SanitaryFood
Service
(a)

(b)

10.Provide
parentsaccessto
theirchildren

Rationale:

10ANCAC09.0205ParentalAccess Parentswillhave

unlimitedaccessto

seetheirchild

Theparent,guardianorfulltime
custodianofachildenrolledinanychild
carecentermustbeallowedunlimited
accesstothecenterduringitsoperating
hoursforthepurposesofcontactingthe

Parentneedsto
beabletocomein
acheckontheir
childatanytime

childorevaluatingthecenterandthe
careprovidedbythecenter.