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NORTH DAKOTA ADMINISTRATIVE CODE
TITLE 75. DEPARTMENT OF HUMAN SERVICES
ARTICLE 3. COMMUNITY SERVICES
CHAPTER 11.1. SCHOOL-AGE CHILD CARE PROGRAM EARLY CHILDHOOD SERVICES
Date:
01/28/2014
Document:
75-03-11.1-26. Minimum provisions regarding emergency care for children.
The school-age child care program shall have written plans to respond to illness, accidents, and emergencies, including burns, serious injury, and ingestion of poison. The operator shall ensure that parents of enrolled children are advised of these plans. Plans must:
1. Establish emergency response procedures;
2. Provide accessible posting of emergency response procedures and training for all staff members concerning those emergency procedures;
3. Require the availability of at least one working flashlight;
4. Require at least one department-approved first-aid kit be maintained and kept in each major activity area, in-accessible to children, yet readily accessible to staff members at all times;
5. Provide a working telephone immediately accessible to staff members with a list of emergency telephone numbers conspicuously posted;
6. Require that the program inform parents in writing of any first aid administered to their child within twenty-four hours of the incident and immediately notify parents of any injury which requires emergency care beyond first aid, and require an injury report to be made a part of the child's record;
7. Require a plan for responding to minor illnesses and minor accidents when children are in the care of the school-age child care program;
8. Require written permission to dispense medication and require proper instructions for the administration of medication be obtained from the parent of a child in the school-age child care program who requires medication:
a. Medication prescribed by a medical provider must be accompanied by the medical provider's written instruc-tions as to its dosage and storage, and labeled with the child's name and date.
b. The program shall keep a written record of the administration of medication, including over-the-counter medi-cation, for each child. Records must include the date and time of each administration, the dosage, the name of the staff member administering the medication, and the name of the child. The program shall include completed medication records in the child's record.
c. Medication must be stored in an area inaccessible to children, and medication stored in a refrigerator must be stored collectively in a spillproof container;
9. Require a supervised, temporary isolation area be designated for a child who is too ill to remain in the school-age child care program, or who has an infectious or contagious disease, with the following procedures being followed when those signs or symptoms are observed:
a. Parents are notified immediately and asked to pick up their child; and
b. First aid is provided and medical care sought, as necessary;
10. Establish and implement practices in accordance with guidance obtained through consultation with local or state department of health authorities regarding the exclusion and return of children with infectious or communicable conditions. The program may obtain this guidance directly or through current published material regarding exclusion and return to the school-age child care program;
11. Identify a source of emergency health services readily available to the school-age child care program, includ-ing:
a. A prearranged plan for emergency medical care in which parents of enrolled children are advised of the ar-rangement; and
b. Provisions for emergency transportation, specifically when a child is to be brought to another place for emer-gency care, an adult staff member responsible for caring for or teaching children shall remain with the child until medical personnel assume responsibility for the child's care and until the parent is notified; and
12. Require information be provided to parents, as needed, concerning child health and social services available in the community.
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