14 Del. Admin. Code § 934-III-23.0

Current through Reigster Vol. 28, No. 6, December 1, 2024

Section 934-III-23.0 - Children's Health Appraisal

23.1 A licensee shall ensure that within one month of starting care, each child's file contains a health appraisal that includes an immunization record. A health care provider shall have conducted this appraisal within the last 12 months. A licensee does not need a child's health appraisal if other federal or State laws require the home to admit a child without an appraisal. Health appraisals must be updated every 13 months. A licensee shall keep the most recent appraisal on file and it must include:

23.1.1 A health history;

23.1.2 Physical examination;

23.1.3 Growth and development;

23.1.4 Age-appropriate immunizations as described in Appendix VIII;

23.1.5 Proof of blood lead screening for children at or around age 12 months and at or around age 24 months;

23.1.6 Proof of single blood lead screening after age 24 months for all children including school-age, if blood lead tests were not conducted at or around age 12 months and at or around age 24 months;

23.1.7 Medical information for treatment in case of emergency; and

23.1.8 Recommendations regarding required medication, allergies, restrictions or modifications of the child's activities, diet, or care, if applicable.

23.2 A licensee is not required to update health appraisals for children in grades kindergarten or higher after receiving one completed after the child began kindergarten or a higher grade.

23.3 A licensee shall ensure a child whose parent or guardian objects to immunizations on a religious basis or whose health care provider certifies that immunizations may be harmful to the child's health will be exempt from the immunization requirement.

23.3.1 A notarized affidavit of religious belief or documentation from a health care provider is required for this exemption.

23.3.2 A licensee shall place this documentation in the child's file.

23.4 A licensee shall ensure a child whose parent or guardian objects to blood lead screening due to a sincere religious belief will be exempt from this blood screening requirement.

23.4.1 A notarized affidavit of religious belief is required for this exemption.

23.4.2 A licensee shall place this documentation in the child's file.

14 Del. Admin. Code § 934-III-23.0

24 DE Reg. 272 (9/1/2020)
25 DE Reg. 1071 (5/1/2022)
26 DE Reg. 103 (8/1/2022) (Final)