The licensee shall maintain a medical log book that has a stitched binding with pages that are lined and numbered.
Pages may not be removed from the medical log book under subd. 1.
and lines may not be skipped. Each entry in the log book shall be in ink, dated, and signed or initialed by the person making the entry.
A provider shall record all of the following in the medical log under subd. 1.
Any evidence of unusual bruises, contusions, lacerations, or burns seen on a child, regardless of whether received in or out of the care of the center.
Any injuries received by a child while in the care of the center on the date the injury occurred. The record shall include the child's name, the date and time of the injury, and a brief description of the facts surrounding the injury.
Any medication dispensed to a child, on the date the medication is dispensed. The record shall include the name of the child, type of medication given, dosage, time, date, and the initials or signature of the person administering the medication.
Any incident or accident that occurs when the child is in the care of the center that results in professional medical evaluation.
DCF 250.07 Note
See s. DCF 250.04 (8)
for requirements related to reporting suspected child abuse or neglect.
A provider may give prescription or non-prescription medications such as pain relievers, teething gels or cough syrup to a child only under the following conditions:
A completed written authorization on a form provided by the department, dated and signed by the parent is on file. Authorizations that exceed the period of time specified on the label are prohibited.
DCF 250.07 Note
The department's form, Authorization to Administer Medication — Child Care Centers, is used to obtain the parent's authorization to provide medications. 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.
The medication is in the original container and labeled with the child's name and with dosage and administration directions.
A written record, including the name of the child, type of medication given, dosage, time, date and the initials or signature of the person administering the medication shall be made in the medical log on the same day that the medication is administered.
Medications shall be stored so that they are not accessible to children.
Medications requiring refrigeration shall be kept in the refrigerator in a separate, covered container clearly labeled “medications."
No medication intended for use by a child in the care of the center may be kept at the center without a current medication administration authorization from the parent.
Medication for a child in care shall be administered by the center as directed on the label and as authorized by the parent.
Except as provided in subd. 2.
, a child's hands shall be washed with soap and warm running water before meals or snacks, after handling pets or other animals, and after toileting or diapering. A child's hands and face shall be washed when soiled. For children under one year of age, hands may be washed with soap and a wet fabric or a paper washcloth that is used once and discarded.
If running water is not immediately available when outdoors or on field trips, soap and water-based wet wipes may be used. When running water becomes available, hands shall be washed immediately with soap and running water.
Disinfecting hand sanitizers may not replace the use of soap and water for washing hands.
Bodily secretions from a child shall be wiped with a disposable tissue.
All providers shall use universal precautions when exposed to blood or bodily fluids or discharges containing blood.
All persons working with children in care shall wash their hands with soap and warm running water before handling food, before and after assisting with toileting or diapering, after handling pets or animals, and after being exposed to blood or bodily fluids containing blood or other types of bodily secretions. If gloves are used, hands shall be washed after removal of gloves.
Single use disposable gloves shall be worn if there is contact with bodily fluids or tissue discharges that contain blood. Gloves shall be discarded in plastic bags.
Surfaces exposed to bodily secretions, including toys, equipment, and furnishings, shall be washed with soap and water and disinfected. The disinfectant solution used shall be one that is registered with the U.S. environmental protection agency as a disinfectant and has instructions for use as a disinfectant on the label. The solution shall be prepared and applied as indicated on the label.
Soap, towels or an air dryer, toilet paper, and a waste paper container shall be provided in the washroom and accessible to children.
Towels and washcloths shall be individual to each person and used only once. Cups, eating utensils, or toothbrushes may not be shared.
Wet or soiled clothing shall be changed promptly from an available supply of clean clothing.
As appropriate, children shall be protected from sunburn and insect bites with protective clothing, sunscreen, or insect repellent. Sunscreen and insect repellent may only be applied upon the written authorization of the parent. The authorization shall include the ingredient strength and be reviewed and updated periodically. If sunscreen or insect repellent is provided by the parent, the sunscreen or repellent shall be labeled with the child's name. Recording the application of sunscreen or insect repellent is not necessary.
Written permission from the parent to call the child's physician or refer the child for medical care in case of injury shall be on file at the center. A provider shall contact a parent of the injured child as soon as possible after an emergency has occurred or, if the injury is minor, when the child is picked up.
DCF 250.07 Note
Note: See DCF 250.04 (3) (a) regarding reporting injuries that require medical attention to the Department within 24 hours after the occurrence.
DCF 250.07 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.
Superficial wounds shall be cleaned with soap and water only and protected with a bandaid or bandage.
Suspected poisoning shall be treated only after consultation with a poison control center.
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.
Animals shall be maintained in good health and appropriately immunized against rabies. Rabies vaccinations shall be documented with a current certificate from a veterinarian.
Animals that pose any risk to the children shall be restricted from the indoor and outdoor areas used by children.
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.
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.
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.
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.
Indoor and outdoor areas accessible to children shall be free of pet and animal excrement.
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.
, 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; 2015 Wis. Act 132
: am. (6) (L) 3. Register February 2016 No. 722
, eff. 3-1-16; EmR1918
: emerg. r. and recr. (2) (b), am. (3) (title), cr. (3) (a) 4., 5., (f), (g), r. and recr. (4) (c), cr. (4) (cm), am. (4) (d), r. (5), cr. (6) (a) 1m., 4., r. and recr. (6) (b), r. (6) (c) to (e), (f) 2., r. and recr. (6) (g), (h), r. (6) (i), (j), (k) 5., (L), (m), (7) (h), eff. 1-30-19; CR 19-089
: r. and recr. (2) (b), am. (3) (title), cr. (3) (a) 4., 5., (f), (g), r. and recr. (4) (c), cr. (4) (cm), am. (4) (d), r. (5), cr. (6) (a) 1m., 4., r. and recr. (6) (b), r. (6) (c) to (e), (f) 2., r. and recr. (6) (g), (h), r. (6) (i), (j), (k) 5., (L), (m), (7) (h) Register March 2020 No. 771
, eff. 4-1-20.
Except as provided in par. (b)
, this section applies to all transportation of children in care, including both regularly scheduled transportation to and from the center and field trip transportation, if any of the following apply:
The licensee contracts with another person or organization that owns or leases the vehicle used.
Employees, parents, or volunteers are transporting children other than their own at the direction of, at the request of, or on behalf of the licensee.
The following requirements do not apply to transportation provided in vehicles owned and driven by parents or volunteers who are not counted in the staff-to-child ratios specified in Table DCF 250.055:
The requirement that a licensee obtain a copy of the driver's driving record and review it under sub. (4) (c)
The requirement to provide evidence that the vehicle is in safe operating condition at 12-month intervals under sub. (5) (b)
The licensee shall document in the licensee's policies that transportation provided through a written or verbal contract with another person or organization meets the requirements of this section.
Permission and emergency information.
Before transporting a child, a licensee shall obtain signed permission from the parent for transportation and emergency information for each child. The form shall include all of the following information:
The purpose of the transportation and the parent's permission to transport the child for that purpose.
An address and telephone number where a parent or other adult can be reached in an emergency.
The name, address, and telephone number of the child's health care provider.
Written consent from the child's parent for emergency medical treatment.
DCF 250.08 Note
The licensee may 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 forms is available on the department's website, https://dcf.wisconsin.gov/cclicensing/ccformspubs
Required information for each trip.
The licensee shall ensure that written documentation of all of the following is maintained at the center and in any vehicle transporting children while the children are being transported:
A copy of the completed permission and emergency information form under sub. (2)
for each child being transported.
For transportation to or from a child's home or school, the transportation route and scheduled stops.
The driver of a vehicle used to transport children in care shall be at least 18 years of age and shall hold a valid driver's license from the state where the driver resides and for the type of vehicle driven.
Before a driver who is not the licensee first transports children and annually thereafter, the licensee shall provide the driver with an orientation. The licensee shall document the training. The training shall include all of the following:
The procedure for ensuring that all children are properly restrained in the appropriate child safety seat.
The procedure for loading, unloading, and tracking of children being transported.
The procedure for evacuating the children from a vehicle in an emergency.
Behavior management techniques for use with children being transported.
A review of applicable statutes and rules affecting transportation of children.
A review of child abuse and neglect laws and center reporting procedures.
Information on any special needs a child being transported may have and the plan for how those needs will be met.
Prior to the day a driver first transports children in care and annually thereafter, the licensee shall obtain a copy of the driving record for each driver 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.