“Toddler" means a child at least one year of age but less than 2 years of age.
A treatment plan is not required for children of residents. The treatment plan developed under s. DCF 57.23 (2)
for a resident under 6 years of age shall include:
Schedule of meals and feeding and types of food introduced.
Each staff member who provides care to a child under this section shall successfully complete at least 10 hours of training in infant and toddler care; at least 40 hours or 3 credits of early childhood training and training in infant and child CPR within 6 months after beginning employment, unless the staff member has previously received such training and certification is current. The training in infant and toddler care shall include instruction on SIDS risk reduction and shall be approved by the department.
Wet or soiled diapers and clothing shall be changed promptly. Each child shall be changed on a surface that is cleaned with soap and water and a disinfectant solution after each use. Soiled diapers shall be placed in a plastic-lined, covered container, which shall be emptied, washed and disinfected daily.
Each child shall be provided with a bassinet, crib, or bed that is safe and appropriate to the needs of the child. Cribs shall have crib slats that are securely fastened in place and are spaced no more than 2 3/8 inches apart. Crib mattresses shall fit snugly. Bassinets and cribs shall be washed and disinfected between changes in occupancy. The top bunk of a bunk bed shall not be used for a child under 4 years of age. The top bunk shall have a safety rail if occupied by a child under 8 years of age.
The group home shall provide eating utensils and cups, infant seats, high chairs, car seats, strollers, rocking chairs, tables and seating and other furnishings and equipment appropriate for size and developmental level and the needs of children under 6 years of age.
Strings and cords long enough to encircle a child's neck shall not be accessible to children.
When infants and toddlers are present, open stairways shall be protected at the top and bottom with child safety gates. Gates shall have latching devices that adults can open easily in an emergency. Pressure gates or accordion gates shall not be used.
Steam radiators, fireplaces, wood-burning stoves, electric fans, electric outlets, electric heating units and hot surfaces, such as pipes, shall be protected by screens or guards.
Differences of elevation, including platforms, walkways, balconies and open sides of stairways shall be protected by railing at least 36 inches in height and with bars no greater than 4 inches apart.
If an infant under 6 months old is in care, the annual test of private well water required under s. DCF 57.40 (3) (a) 2.
, shall include testing for nitrate levels. If nitrate levels are determined to be over 10 milligrams per liter, the licensee shall give notice to the department field office that serves the group home within 48 hours.
Food shall be available to infants and toddlers in accordance with the meal patterns consistent with those specified in Appendices B and C, as applicable.
If a microwave is used to heat or prepare food, procedures for heating and cooking infant formula, milk, or food in a microwave oven shall be posted near the microwave.
Bottles shall not be propped. A child unable to hold a bottle shall be held whenever a bottle is given.
Infants and toddlers shall not be put to bed with a bottle.
Each child shall receive routine physical examinations and immunizations pursuant to s. 252.04
, Stats., and ch. DHS 144
, by a licensed medical professional.
DCF 57.37 History
History: CR 04-067
: cr. Register September 2005 No. 597
, eff. 1-1-06; corrections in (1), (3) (intro.) and (8) made under s. 13.92 (4) (b) 7.
, Stats., Register November 2008 No. 635
: emerg. am. (8), r. (11), eff. 9-16-11; CR 11-026
: am. (8), r. (11) Register December 2011 No. 672
, eff. 1-1-12.
The licensee shall maintain on the premises a record for each current resident. Each record shall contain all of the following information:
Resident's first name, last name, and alias, if any, date of birth, and gender.
Voluntary placement agreement or court order or both as appropriate.
Referral information such as court reports and assessments from the placing agency.
Name, address and telephone number of the placing agency, parent, guardian, or legal custodian that is responsible for the resident.
Name, address, and telephone number of the person or placing agency and physician to be called in an emergency.
Current medical information including all of the following:
Dates of medical and dental examinations and recommendations for follow-up care.
Incident reports involving the resident for whom the record was made.
Description of any resident rights that are denied or limited and disposition of any grievances.
Inventory of the resident's clothing and other possessions.
Resident records shall be maintained in a secure location pursuant to the confidentiality requirements in s. DCF 57.39
. The record required in sub. (1)
shall be maintained by the licensee until the resident reaches the age of 21 or 7 years after the resident is discharged from the group home, whichever is later. The record of a resident that has been discharged may be stored off the premises, but must be made available to the department upon request.
DCF 57.38 History
History: CR 04-067
: cr. Register September 2005 No. 597
, eff. 1-1-06; correction in (2) made under s. 13.92 (4) (b) 7.
, Stats., Register November 2008 No. 635
: emerg. am. (2), eff. 8-1-14; CR 14-054
: am. (2) Register April 2015 No. 712
, eff. 5-1-15; EmR1633
: emerg. r. and recr. (1) (g), eff. 11-18-16; CR 16-051
: r. and recr. (1) (g) Register July 2017 No. 739
, eff. 8-1-17.
Information and records on residents shall be kept confidential and shall be protected from unauthorized examination pursuant to s. 48.78
and 48.981 (7)
, Stats., or where applicable s. 51.30 (4)
, Stats., and ch. DHS 92
Physical plant and environment. DCF 57.40(1)(a)
In addition to maintaining the premises in compliance with state and local building code requirements, the licensee shall maintain the premises in a state of good repair and in a clean, safe and sanitary condition.
The department may require a licensee to obtain an inspection of the premises and of the heating, electrical, plumbing, water and sewage systems to determine if any safety or health problems exist.
Halls leading to exits shall be clear and unobstructed at all times. At least one exit door shall be at least 3 feet in width.
All stairways serving 3 or more levels shall have a door at either the bottom or top of the stairway which shall be kept closed at all times.
Habitable rooms on the second floor shall have access to at least 2 exits. At least one of the exits shall be a stairway to the first floor or to grade.
If a child 6 years of age or over occupies a room on the second floor, a window may be used as an exit if the window can be opened from the inside without the use of tools, is at least 22 inches in the smallest dimension, is at least 5 square feet in area, and has a lower sill not more than 4 feet from the floor and a window escape ladder for use in an emergency evacuation.
If a child under 6 years of age occupies a room on the second floor, the second exit may be an additional stairway to the first floor or grade or an exit to a balcony that is not more than 15 feet above grade with a floor that measures at least 3 feet by 3 feet and a rail that is not more than 36 inches high.
Habitable rooms above the second floor shall have at least 2 exits that are both stairways to the second floor or to grade or that are to one stairway to the second floor and one stairway to grade. Windows and balconies may not be designated as exits.
Habitable rooms below grade shall have at least 2 exits. At least one exit shall be a stairway to grade or a door that is below grade level that leads to grade level by an outdoor stairway. The second exit may be either a stairway leading to a first floor above grade or a window that meets the requirements in par. (c) 2.
If the group home's water supply is from a private well, the well shall be approved by the department of natural resources. Water samples from an approved well shall be tested at least annually for lead and bacteria by a laboratory certified under ch. ATCP 77
. If the group home population includes children under 6 years old or expectant mothers, the water shall be tested as required in s. DCF 57.36 (8)
or 57.37 (8)
, as applicable.
The group home shall have an adequate sewage disposal system. If the group home has a private sewage disposal system, the system shall be approved by the appropriate governmental approving authority.
The group home shall be equipped with a water heater sufficient to meet the needs of all residents. The hot water delivered to the group home's sinks, tubs, and showers shall not exceed 110°
The group home shall be equipped with a heating system that is capable of maintaining a temperature of at least 68°
All rooms, including bedrooms must be provided with adequate heating, cooling and ventilation.
If the temperature inside the group home exceeds 80°
Fahrenheit during summer months, the licensee shall provide for air circulation with fans or by other means.
The heating unit shall be maintained in a safe condition as determined by an annual inspection by an individual professionally qualified to conduct such inspections.
Bath and toilet rooms shall have either a window that opens or be equipped with exhaust ventilation to the outside.
All habitable rooms shall have electric lighting sufficient to meet the needs of the group home and its residents.
There shall be at least 200 square feet of living space for each resident of the home. “Living space" includes any area that is used by a resident in daily living and excludes unfinished basement, attic, attached garage or similar areas, not usually occupied by a resident in daily living. The licensee shall ensure compliance with all of the following space requirements: