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DCF 251.07(4)(c) (c) Each child who has a nap or rest period shall be provided with an individual bed, cot, sleeping bag, 2 inch thick mat, crib or playpen which is placed at least 2 feet from the next sleeping child. Cribs or cots may be placed end-to-end if a solid partition separates children and an aisle not less than 2 feet in width is maintained between cribs and cots.
DCF 251.07(4)(d) (d) Each child shall be provided with an individually identified sheet and blanket or sleeping bag which may be used only by that child until it is washed.
DCF 251.07(4)(e) (e) Bedding shall be maintained and stored in a clean and sanitary manner, replaced immediately if wet or soiled and washed at least after every 5 uses.
DCF 251.07(5) (5)Meals and snacks.
DCF 251.07(5)(a)1.1. Food shall be provided by the center based on the amount of time children are present as specified in Table 251.07. - See PDF for table PDF
DCF 251.07(5)(a)2. 2. Center-provided transportation time shall be included in determining the amount of time children are present for the purposes of subd. 1.
DCF 251.07(5)(a)3. 3. Food shall be served at flexible intervals, but no child may go without nourishment for longer than 3 hours.
DCF 251.07(5)(a)4. 4. Each meal and snack served shall meet the U.S. department of agriculture child care food program minimum meal requirements.
DCF 251.07 Note Note: See Appendices B and C for information on the U.S. department of agriculture child and adult care food program minimum meal requirements.
DCF 251.07(5)(a)5. 5. Menus for meals and snacks provided by the center shall:
DCF 251.07(5)(a)5.a. a. Be posted in the kitchen and in a conspicuous place accessible to parents.
DCF 251.07(5)(a)5.b. b. Be planned at least one week in advance, dated and kept on file for 3 months.
DCF 251.07(5)(a)5.c. c. Be available for review by the department.
DCF 251.07(5)(a)5.d. d. Include diverse types of foods.
DCF 251.07(5)(a)6. 6. Any changes in a menu as planned shall be recorded on the copies of the menu kept on file and posted for parents.
DCF 251.07(5)(a)6m. 6m. When snacks are provided by parents for all children, a record of the snack served shall be posted in an area accessible to parents.
DCF 251.07(5)(a)7. 7. Enough food shall be prepared for each meal so that second portions of vegetables or fruit, bread and milk are available to children.
DCF 251.07(5)(a)8. 8. When food for a child is provided by the child's parent, the center shall provide parents with information about requirements for food groups and quantities specified by the U.S. department of agriculture child care food program minimum meal requirements.
DCF 251.07 Note Note: See Appendix B and C for information on the U.S. department of agriculture child care food program minimum meal requirements.
DCF 251.07(5)(a)9. 9. A special diet, based on a medical condition, excluding food allergies, but including nutrient concentrates and supplements, may be served only upon written instruction of a child's physician and upon request of the parent.
DCF 251.07(5)(a)9m. 9m. A special diet based on a food allergy may be served upon the written request of the parent.
DCF 251.07(5)(a)10. 10. Cooks, staff members, child care workers and substitutes having direct contact with the children shall be informed about food allergies and other allergies of specific children.
DCF 251.07(5)(b) (b) Mealtime.
DCF 251.07(5)(b)1.1. Staff shall sit at the table with the children during mealtime.
DCF 251.07(5)(b)2. 2. Meals shall be served with time allowed for socialization.
DCF 251.07(6) (6)Health.
DCF 251.07(6)(a)(a) Observation.
DCF 251.07(6)(a)1.1. Each child upon arrival at a center shall be observed by a staff person for symptoms of illness and injury. For an apparently ill child, the procedure under par. (c) shall be followed.
DCF 251.07(6)(a)2. 2. Any injury to a child or evidence of unusual bruises, contusions, lacerations or burns received by a child in or out of center care shall be recorded in a medical log book and reported immediately to the administrator or other person in charge of the center.
DCF 251.07(6)(b) (b) Isolation. A center shall have an isolation area for the care of children who appear to be ill. If the area is not a separate room, it shall be separated from space used by other children by a partition, screen or other means.
DCF 251.07(6)(c) (c) Ill child procedure. The following procedures shall apply when a child with an illness or condition, such as vomiting or diarrhea, having the potential to affect the health of other persons is observed in the child care center:
DCF 251.07(6)(c)1. 1. The child shall be isolated.
DCF 251.07(6)(c)2. 2. The child in the isolation area shall be provided with a bed, crib or cot and a sheet and blanket or sleeping bag, with a staff member within sight and hearing of the child, except that for sessions of up to 4 hours a kindergarten mat may be provided for the isolation room instead of a bed, crib or cot. Isolation shall be used until the child can be removed from the center.
DCF 251.07(6)(c)3. 3. The child's parent, or a designated responsible person when a parent cannot be reached, shall be contacted as soon as possible after the illness is discovered, and arrangements shall be made for removal of the child from the center.
DCF 251.07(6)(d) (d) Care of a mildly ill child. A child who is mildly ill may be cared for at the center when all of the following conditions are met:
DCF 251.07(6)(d)1. 1. The space for the care of a mildly ill child shall be a self-contained room and shall be separate from children who are well.
DCF 251.07(6)(d)2. 2. The room shall have a sink with hot and cold running water.
DCF 251.07(6)(d)3. 3. The parent consents in writing.
DCF 251.07(6)(d)4. 4. The written health policy of the center allows a mildly ill child to remain at the center.
DCF 251.07(6)(d)5. 5. The center follows and implements procedures in a written plan for the provision of care to mildly ill children approved and signed by a licensed physician, or a pediatric or family nurse practitioner which covers all of the following:
DCF 251.07(6)(d)5.a. a. Admissions and exclusions.
DCF 251.07(6)(d)5.b. b. Staffing.
DCF 251.07(6)(d)5.c. c. Staff training.
DCF 251.07(6)(d)5.d. d. Monitoring and evaluation.
DCF 251.07(6)(d)5.e. e. Programming.
DCF 251.07(6)(d)5.f. f. Infectious disease control.
DCF 251.07(6)(d)5.g. g. Emergency procedures.
DCF 251.07(6)(d)6. 6. Medical consultation is available from a physician or local health department in establishing policy for the management of mildly ill children.
DCF 251.07(6)(e) (e) Communicable disease.
DCF 251.07(6)(e)1.1. A child with a reportable communicable disease specified in ch. DHS 145 may not be admitted to or be permitted to remain in a child care center during the period when the disease is communicable.
DCF 251.07(6)(e)2. 2. When it is determined that a person in contact with children or a child enrolled in a child care center has a reportable communicable disease under ch. DHS 145, such as German measles, infectious hepatitis, measles, mumps, or meningitis, the local public health officer, the department and the parents of exposed children shall be notified.
DCF 251.07(6)(e)3. 3. An employee, volunteer or a child may be readmitted to the group child care center if there is a statement from a physician that the condition is no longer contagious or if the person has been absent for a period of time equal to the longest usual incubation period for the disease as specified by the department.
DCF 251.07 Note Note: The Wisconsin Department of Health Services, Division of Public Health, has developed materials that identify those communicable diseases that are required to be reported to the local public health officer. These materials also provide additional guidance on the symptoms of each disease and information on how long an infected child must be excluded from the center. The materials include a communicable disease chart and exclusion guidelines for child care centers. Copies of the communicable disease chart or the exclusion guidelines for child care centers are available from the Child Care Information Center at 800-362-7353.
DCF 251.07(6)(f) (f) Medications.
DCF 251.07(6)(f)1.1. Center staff may give prescription or non-prescription medication, such as pain relievers, teething gels or cough syrup, to a child only under the following conditions:
DCF 251.07(6)(f)1.a. a. A written authorization that includes the child's name and birthdate, name of medication, administration instructions, medication intervals and length of the authorization dated and signed by the parent is on file. Blanket authorizations that exceed the length of time specified on the label are prohibited.
DCF 251.07 Note 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 department's form is available on the department's website, http://dcf.wisconsin.gov, or from any regional licensing office in Appendix A.
DCF 251.07(6)(f)1.b. b. The medication is in the original container and labeled with the child's name and the label includes the dosage and directions for administration.
DCF 251.07(6)(f)1.c. c. A written record, including type of medication given, dosage, time, date and the name or initials of the person administering the medication, shall be made in the center medical log book on the same day that the medication is administered.
DCF 251.07 Note Note: See s. DCF 251.04 (6) (c) on maintaining a center medical log book.
DCF 251.07(6)(f)2. 2. Sunscreen and insect repellent may only be applied upon the written authorization of the parent. The authorization shall include the ingredient strength of the sunscreen or repellent. Authorizations shall be reviewed every 6 months and updated as necessary. If sunscreen or insect repellent is provided by the parent, the sunscreen or repellent shall be labeled with the child's name. The recording of the application of sunscreen or insect repellent is not necessary.
DCF 251.07(6)(f)3. 3. Medication shall be stored so that it is not accessible to the children.
DCF 251.07(6)(f)4. 4. Medication requiring refrigeration shall be kept in the refrigerator in a separate, covered container clearly labeled “medication".
DCF 251.07(6)(f)5. 5. All medication for a child in care shall be administered by the center as directed on the label and as authorized by the parent.
DCF 251.07(6)(f)6. 6. 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.
DCF 251.07(6)(g) (g) Health precautions.
DCF 251.07(6)(g)1.1. Bodily secretions such as runny noses, eye drainage and coughed-up matter shall be wiped with a disposable tissue used once and placed in a plastic-lined container. Whoever does the wiping shall wash his or her hands immediately.
DCF 251.07(6)(g)2. 2. Bodily secretions on surfaces shall be washed with soap and water and disinfected with a bleach solution of one tablespoon bleach to one quart of water, made fresh daily. Hands shall be washed immediately.
DCF 251.07(6)(g)3. 3. Children shall be protected from sunburn with protective clothing, if not protected by sunscreen.
DCF 251.07(6)(g)4. 4. Children shall be clothed to assure body warmth and comfort.
DCF 251.07(6)(h) (h) Universal precautions.
DCF 251.07(6)(h)1.1. Center staff shall adopt universal precautions when exposed to blood and blood-containing body fluids and injury discharges of all children.
DCF 251.07(6)(h)2. 2. All persons exposed to blood or blood-containing body fluids and tissue discharges shall wash their hands immediately with soap and warm running water.
DCF 251.07(6)(h)3. 3. Single use disposable gloves shall be worn if there is contact with blood-containing body fluids or tissue discharges. Hands shall be washed with soap and water after removal of gloves. Gloves shall be discarded in plastic bags.
DCF 251.07(6)(h)4. 4. For spills of vomitus, urine, feces, blood or other body fluids, center staff shall clean and disinfect the floors, walls, bathrooms, tabletops, toys, kitchen countertops and diaper changing tables.
DCF 251.07(6)(i) (i) Personal cleanliness.
DCF 251.07(6)(i)1.1. A child's hands shall be washed with soap and warm running water before meals and snacks and after toileting or diapering. A child's hands and face shall be washed after meals.
DCF 251.07(6)(i)2. 2. Persons working with children shall wash their hands with soap and warm running water before handling food, and after assisting with toileting and after wiping bodily secretions from a child with a disposable tissue.
DCF 251.07(6)(i)3. 3. Cups, eating utensils, toothbrushes, combs and towels may not be shared and shall be kept in a sanitary condition.
DCF 251.07(6)(i)4. 4. Wet or soiled clothing and diapers shall be changed promptly from an available supply of clean clothing.
DCF 251.07(6)(i)5. 5. Applicable rules under s. DCF 251.09 (4) shall apply to child care workers when children 2 years of age and older require attention for diapering and toileting.
DCF 251.07(6)(i)6. 6. 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 must be washed immediately with soap and running water.
DCF 251.07(6)(i)7. 7. Disinfecting hand sanitizers may not replace the use of soap and water when washing hands.
DCF 251.07(6)(j) (j) Injuries.
DCF 251.07(6)(j)1.1. Written permission from the parent to call a child's physician or refer the child for medical care in case of injury shall be on file at the center. The center shall contact the parent as soon as possible after an emergency has occurred or, if the injury is minor, when the parent picks up the child.
DCF 251.07(6)(j)2. 2. A center shall identify a planned source of emergency medical care, such as a hospital emergency room, clinic or other constantly staffed facility, and shall advise parents about the designated emergency medical facility.
DCF 251.07(6)(j)3. 3. A center shall establish and follow written procedures for bringing a child to an emergency medical care facility and for treatment of minor injuries.
DCF 251.07(6)(j)4. 4. First aid procedures shall be followed for serious injuries.
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Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.