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)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)(dm)1.1. The licensee shall maintain a medical log book that has stitched binding with pages that are lined and numbered.

DCF 251.07(6)(dm)2.2. 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.

DCF 251.07(6)(dm)3.a.a. Any evidence of unusual bruises, contusions, lacerations, or burns seen on a child, regardless of whether received while in the care of the center.

DCF 251.07(6)(dm)3.b.b. 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.

DCF 251.07(6)(dm)3.c.c. 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.

DCF 251.07(6)(dm)3.d.d. Any incident or accident that occurs when the child is in the care of the center that results in professional medical evaluation.

DCF 251.07 NoteNote: See s. DCF 250.04 (8) for requirements related to reporting suspected child abuse or neglect.

DCF 251.07(6)(dm)4.4. The director or the director’s designee shall review records of injuries with staff every 6 months to ensure that all possible preventive measures are being taken. The reviews shall be documented in the medical log book under subd. 1.

DCF 251.07(6)(e)1.1. No child or other person with a reportable communicable disease specified in ch. DHS 145 may be admitted to or permitted to remain in a center during the period when the disease is communicable.

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 NoteNote: 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)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 NoteNote: 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.