DCF 250.07 Note
Note: The department's form, Child Care Enrollment, includes authorization for the center to obtain emergency medical care for a child. Information on how to obtain forms is available on the department's website,
http://dcf.wisconsin.gov, or from any regional licensing office in Appendix A.
DCF 250.07(6)(k)2.
2. Superficial wounds shall be cleaned with soap and water only and protected with a bandaid or bandage.
DCF 250.07(6)(k)3.
3. Suspected poisoning shall be treated only after consultation with a poison control center.
DCF 250.07(6)(k)4.
4. The licensee shall designate a planned source of emergency medical care, such as a hospital emergency room, clinic or other constantly staffed facility and shall advise parents about that designation.
DCF 250.07(6)(k)5.
5. A daily record of injuries including the child's name, date and time of injury and a brief description of the facts surrounding the injury shall be kept in the center medical log book.
DCF 250.07(6)(L)1.1. Each child under 2 years of age, including each provider's child in care, shall have an initial health examination not more than 6 months prior to nor later than 3 months after being admitted to the center, and a follow-up examination at least once every 6 months thereafter.
DCF 250.07(6)(L)2.
2. Each child 2 years of age or older, including a provider's own children in care, shall have an initial health examination not more than one year prior to nor later than 3 months after being admitted to a center, and a follow-up health examination at least once every 2 years thereafter. School-age children are not required to have a health exam.
DCF 250.07(6)(L)3.
3. The health examination report shall be on a form provided by the department and shall be signed and dated by a licensed physician, physician assistant or a HealthCheck provider.
DCF 250.07 Note
Note: The department's form, Child Health Report — Child Care Centers, is used to record health examination information. Information on how to obtain the form is available on the department's website,
http://dcf.wisconsin.gov, or from any regional licensing office in Appendix A.
DCF 250.07(6)(L)4.
4. The health examination requirement under
subd. 2. does not apply if the parents of a child request in writing that the department grant an exemption based upon the parents' adherence to religious belief in exclusive use of prayer or spiritual means for healing in accordance with the teachings of a bona fide religious sect or denomination.
DCF 250.07(6)(L)5.
5. A health history for each child, including school age children and a provider's own children, completed by the parent shall be on file at the center by the child's first day of attendance. Information relating to a child's special health care needs shall be shared with any person caring for children including emergency back-up providers and substitutes. The health history shall be recorded on a form provided by the department.
DCF 250.07 Note
Note: The department's form, Health History and Emergency Care Plan, is used to record each child's health history. Information on how to obtain the form is available on the department's website,
http://dcf.wisconsin.gov, or from any regional licensing office in Appendix A.
DCF 250.07(6)(m)
(m)
Immunization. The center shall maintain a record of immunizations for each child to document compliance with s.
252.04, Stats., and
ch. DHS 144.
DCF 250.07 Note
Note: The department of health services form, Day Care Immunization Record, is used to record immunization information. An electronic printout from the Wisconsin Immunization Registry, or other registry maintained by a health provider may be used in place of DPH-4192 or DPH-4192S. Information on how to obtain the form is available on the department's website,
http://dcf.wisconsin.gov, or from any regional licensing office in Appendix A.
DCF 250.07(7)(a)(a) Animals shall be maintained in good health and appropriately immunized against rabies. Rabies vaccinations shall be documented with a current certificate from a veterinarian.
DCF 250.07(7)(b)
(b) Animals that pose any risk to the children shall be restricted from the indoor and outdoor areas used by children.
DCF 250.07(7)(c)
(c) Licensees shall ensure that parents are aware of the presence of pets and animals in the center. If pets and animals are allowed to roam in areas of the center occupied by children, written acknowledgement from the parents shall be obtained. If pets are added after a child is enrolled, parents shall be notified in writing prior to the pets' addition to the center.
DCF 250.07(7)(d)
(d) Reptiles, amphibians, ferrets, poisonous animals, psittacine birds, exotic and wild animals may not be accessible to children.
DCF 250.07 Note
Note: Psittacine birds are hooked bill birds of the parrot family that have 2 toes forward and 2 toes backward, including macaws, grays, cockatoos and lovebirds.
DCF 250.07(7)(e)
(e) All contact between pets or animals and children shall be under the sight and sound supervision of a provider who is close enough to remove the child immediately if the pet or animal shows signs of distress or aggression or the child shows signs of treating the animal inappropriately.
DCF 250.07(7)(f)
(f) Pets are prohibited in any food preparation or serving area when food is being prepared or served unless the pet is confined in a cage or kennel. Litter boxes are prohibited in any food preparation, storage or serving areas. Litter boxes and animal feeding dishes, excluding water dishes, may not be placed in areas accessible to children.
DCF 250.07(7)(g)
(g) Indoor and outdoor areas accessible to children shall be free of pet and animal excrement.
DCF 250.07(7)(h)
(h) Proof of liability insurance on the child care business indicating the number of children covered and the dates of coverage from an insurance carrier specifically covering the presence of dogs and cats shall be on file with the pertinent regional licensing office in appendix A if dogs or cats are allowed in areas of the center accessible to children.
DCF 250.07 Note
Note: Documentation could be included as a rider on a homeowner policy or a separate insurance policy on the child care business. A certificate of insurance or other documentation from the insurance company that indicates the number of children covered, dates of coverage and types of pets covered is acceptable. Service animals used to assist persons with disabilities are not considered pets when functioning as a service animal.
DCF 250.07(7)(i)
(i) Licensees shall ensure that the center is in compliance with all applicable local ordinances regarding the number, types and health status of pets and animals.
DCF 250.07 History
History: CR 03-052: cr.
Register December 2004 No. 588, eff. 3-1-05; corrections in (5) (a), (6) (e), (j) 2. and (m) made under s.
13.92 (4) (b) 6. and
7., Stats.,
Register November 2008 No. 635;
CR 07-102: cr. (1) (a) 8., (2) (c) 5., (6) (f) 2. b., 5., 6., (g) 1. b. and c., am. (1) (b) (intro.), (2) (c) (intro.), 1., (3) (e), (6) (e) 1., 2., (f) 1. (intro.), (L) 1., 2., (7) (f) and (h), renum. (6) (f) 2. and (g) 1. to be (6) (f) 2. a. and (g) 1. a. and am.
Register December 2008 No. 636, eff. 1-1-09.
DCF 250.08(1)(1)
Applicability. This subsection applies to all center-provided transportation of children in care, including both regularly scheduled transportation to and from the center and field trip transportation.
DCF 250.08 Note
Note: The department's form, Transportation Permission — Child Care Centers, may be used to obtain parental consent for transportation when regularly scheduled transportation between the center and the child's residence or other location is provided. Information on how to obtain a copy of the department form is available on the department's website,
http://dcf.wisconsin.gov, or from any regional licensing office in Appendix A.
DCF 250.08(2)
(2) Emergency information. All of the following emergency information shall be carried in the vehicle for each child transported:
DCF 250.08(2)(a)
(a) An address and telephone number where a parent or other adult can be reached in an emergency.
DCF 250.08(2)(b)
(b) The name, address and telephone number of the child's health care provider.
DCF 250.08(2)(c)
(c) Written consent from the child's parent for emergency medical treatment.
DCF 250.08 Note
Note: The licensee must use the department's form, Child Care Enrollment, to obtain consent of the child's parent for emergency medical treatment. Information on how to obtain the department's form is available on the department's website,
http://dcf.wisconsin.gov, or from any regional licensing office in Appendix A.
DCF 250.08(3)(a)(a) The driver of a vehicle used to transport children in care shall be at least 18 years of age and shall hold a valid Wisconsin operator's license for the type of vehicle driven.
DCF 250.08(3)(b)
(b) The licensee shall obtain a copy of the driving record for each driver annually and place the record in the staff file. The licensee shall review each driving record to ensure that the driver has no accidents or traffic violations that would indicate that having children ride with the driver could pose a threat to the children.
DCF 250.08(3)(c)
(c) A driver whose driving record poses a threat to the children may not transport children.
DCF 250.08(4)(a)(a) The licensee shall ensure that each vehicle, including a licensed contract motor carrier vehicle, such as a hired school bus, that is used to transport children is all of the following:
DCF 250.08(4)(a)2.
2. Clean, uncluttered and free of obstruction on the floors, aisles and seats.
DCF 250.08(4)(a)3.
3. Enclosed. Children may not be transported in a truck except in the cab.
DCF 250.08(4)(b)
(b) At 12-month intervals the licensee shall provide the department with evidence of a vehicle's safe operating condition on a form provided by the department.
DCF 250.08 Note
Note: The department's form, Vehicle Safety Inspection, is used to record evidence of the vehicle's safe operating condition. Information on how to obtain a copy of the department's form is available on the department's website,
http://dcf.wisconsin.gov, or from any regional licensing office in Appendix A.
DCF 250.08(5)(a)(a) Each child who is less than 1 year of age or who weighs less than 20 pounds being transported in a vehicle shall be properly seated and restrained in a rear-facing individual child car safety seat when being transported in a vehicle as specified in s.
347.48, Stats.
DCF 250.08(5)(b)
(b) Each child who is at least one year old but less than 4 years of age or who weighs at least 20 pounds but less than 40 pounds shall be properly restrained in a forward-facing individual child car safety seat when being transported in a vehicle as specified in s.
347.48, Stats.
DCF 250.08(5)(c)
(c) Each child who is at least 4 years old but less than 8 years of age, who weighs less than 80 pounds or who is 4 feet 9 inches tall or less shall be properly restrained in a shoulder-positioning child booster seat when being transported in a vehicle as specified in s.
347.48, Stats.
DCF 250.08(5)(d)
(d) Each child who is not required to be in an individual child car safety seat or booster seat required under
par. (a),
(b) or
(c) when being transported shall be properly restrained by a seat belt. Each adult in the vehicle shall be properly restrained by a seat belt. Seat belts may not be shared.
DCF 250.08(5)(e)
(e) Children transported in school buses or vehicles built to school bus standards shall be properly seated according to the manufacturer's specifications.
DCF 250.08(6)(b)
(b) Children under age 13 years who are in the care of the center may not ride in the front seat of a vehicle.
DCF 250.08(6)(c)
(c) When children are transported in a vehicle, there shall be at least one adult supervisor in addition to the driver whenever there are more than 3 children who are either under 2 years of age or who have a handicap which limits their ability to respond to an emergency.
DCF 250.08(6)(d)
(d) After transporting a child to his or her destination, an adult shall ensure the child is in the custody of a provider, a parent, or other adult designated by the parent. A parent of a school age child may authorize a child to enter a building unescorted.
DCF 250.08 Note
Note: Form, Transportation Permission — Child Care Centers, may be used to designate an adult to receive a child being transported. Information on how to obtain a copy of this form is available on the department's website,
http://dcf.wisconsin.gov, or from any regional licensing office in Appendix A.
DCF 250.08(6)(e)
(e) The licensee shall develop and implement a procedure to ensure that all children exit the vehicle after being transported to a destination.
DCF 250.08(7)
(7) Smoking. Smoking is prohibited in the vehicle while children are being transported.
DCF 250.08 History
History: CR 03-052: cr.
Register December 2004 No. 588, eff. 3-1-05;
CR 07-102: renum. (3) and (5) to be (3) (a) and (5) (a) and am., cr. (3) (b), (c), (5) (b), (c), (d), (e) and (6) (e), r. and recr. (4), am. (6) (b)
Register December 2008 No. 636, eff. 1-1-09.
DCF 250.09
DCF 250.09
Additional requirements for infant and toddler care. DCF 250.09(1)(1)
Applicability, qualifications and general requirements. DCF 250.09(1)(a)(a) Family child care centers providing care and supervision to infants and toddlers shall comply with the additional requirements of this section.
DCF 250.09(1)(c)1.1. A provider shall use information obtained on a department-provided form for children under 2 years of age to individualize the program of care for each child. The information shall be at the center before the child is left for care on the child's first day of attendance. A provider and the child's parents shall periodically discuss the child's development and routines.
DCF 250.09 Note
Note: The department's form, Intake for Children under 2 Years, is used to record information for individualizing the program of care for each child. Information on how to obtain the form is available on the department's website,
http://dcf.wisconsin.gov, or from any regional licensing office in Appendix A. Wisconsin has an information and referral service for persons with questions or concerns about a child's development called First Step that is available to the public 24 hours a day, 7 days a week. When a call is placed to First Step at 1-800-642-7837, the caller will learn about early intervention services as well as other related services in the area. When a provider or a parent has concerns about a child's growth or development a referral to a Birth-to-Three agency should be considered to determine if the child is eligible for special services. With parental consent and consultation, it is recommended that centers who care for children who have an Individualized Family Service Plan (IFSP) coordinate programming activities with the local Birth-to-Three agency.
DCF 250.09(1)(c)2.
2. Cribs and playpens shall contain a tight fitting mattress and any mattress covering shall fit snugly over the mattress. Waterbeds may not be used by children under age 2.
DCF 250.09(1)(c)3.
3. Sheets or blankets used to cover the child shall be tucked tightly under the mattress and shall be kept away from the child's mouth and nose.
DCF 250.09(1)(c)4.
4. Children under one year of age may not sleep in a crib or playpen that contains soft materials such as sheepskins, pillows, fluffy blankets, bumper pads or stuffed animals.
DCF 250.09(1)(c)5.
5. Safety gates shall be used at open stairways when children are awake.
DCF 250.09(2)(a)(a) Child care providers shall respond promptly to a crying child's needs.
DCF 250.09(2)(b)
(b) Each infant and toddler shall be allowed to form and follow his or her own patterns of sleeping and waking.
DCF 250.09(2)(c)
(c) Each child under one year of age shall be placed to sleep on his or her back in a crib unless otherwise specified in writing by the child's physician. The child shall be allowed to assume the position most comfortable to him or her when able to roll over unassisted.
DCF 250.09(2)(d)
(d) Emphasis in activities shall be given to play as a learning and growth experience.
DCF 250.09(2)(e)
(e) Throughout the day, each infant and toddler shall receive physical contact and attention such as being held, rocked, talked to, sung to and taken on walks inside and outside the center.
DCF 250.09(2)(f)
(f) Routines related to activities such as taking a nap, eating, diapering and toileting shall be used as occasions for language development and other learning experiences.
DCF 250.09(2)(g)
(g) When a non-mobile child is awake, a provider shall change the child's body position and location in the room periodically. Non-mobile awake children shall be placed on their stomach occasionally throughout the day.
DCF 250.09(2)(h)
(h) Each non-walking child who can creep or crawl shall be given opportunities each day to move freely in a safe, clean, open, warm and uncluttered area.
DCF 250.09(2)(i)
(i) A provider shall encourage infants and toddlers to play with a wide variety of safe toys and objects.
DCF 250.09(2)(j)
(j) Infants and toddlers shall be taken outdoors for part of each day except during inclement weather or when this is not advisable for health reasons.
DCF 250.09(3)
(3) Feeding. A provider shall do all of the following:
DCF 250.09(3)(a)
(a) Feed each infant and toddler on the child's own feeding schedule.
