W. Va. Code R. § 78-19-10
Current through Register Vol. XLI, No. 50, December 13, 2024
Section 78-19-10 - Health, Sanitation, and Nutrition10.1. Health. 10.1.a. A caregiver shall: 10.1.a.1. Observe the children daily upon their arrival and note signs of illness or injury;10.1.a.2. Promptly report accidents, suspected illnesses, or exposure of a child to a communicable disease to the child's parents; and10.1.a.3. Isolate a sick child from the other children.10.1.b. A caregiver shall obtain written permission from parents to administer non-prescription and prescription medication according to the following guidelines: 10.1.b.1. Non-prescription medication, including medical cannabis, shall be administered according to a written schedule, with information about dosages, how to administer the medication, and times provided by the parents; and10.1.b.2. Prescription medication shall be stored in original containers clearly labeled with the child's name and dosage, date, and name of medication.10.1.b.3. The caregiver shall administer the medication according to the label.10.1.c. Caregivers shall provide parents with the recommended guidelines for immunizations and the periodicity schedule for Health Check Exams recommended by the West Virginia Early and Periodic Screening, Diagnosis, and Treatment Program.10.1.d. The caregiver shall maintain a record of each child's health examinations and immunizations according to the following guidelines:10.1.d.1. A general medical examination for all children shall be obtained by the parents within 30 days of admission to the home, provided the examination was completed no more than six months prior to the child's admission to the home;10.1.d.2. Children's medical examination records shall be updated every two years until the child is six years of age;10.1.d.3. Immunization records shall be completed and updated according to the schedule recommended by the department;10.1.d.4. If immunizations are not current, the caregiver shall obtain a schedule for completion from the parent for the family child care home's files, including children experiencing homelessness and children in foster care. The grace period will be based on the individual circumstances of the child; and10.1.d.5. A family child care home shall not require immunization records for children whose parents provide written documentation when immunizations are contraindicated due to a medical condition documented by a physician.10.2. Sanitation. 10.2.a. The family child care home shall have sufficient safe water for drinking, hand washing, and other household needs.10.2.b. The family child care home shall have safe drinking water available to the children at all times either from a municipal water supply, well water that has been tested by the West Virginia Bureau for Public Health, or through use of commercially available bottled water.10.2.c. The caregiver and the children shall thoroughly wash their hands with soap and water for at least 20 seconds any time they are soiled, including at the following times:10.2.c.2. Before handling or preparing foods;10.2.c.3. After contact with animals;10.2.c.4. Before and after diaper changing, assisting a child with toilet use, or personal bathroom use; and10.2.c.5. When the caregiver or the children come into contact with blood or bodily fluids containing blood.10.2.d. The caregiver shall employ universal precautions for protection from disease and infection, as detailed in Appendix 78-19-B of this rule.10.2.e. The caregiver shall store food and drinks in closed containers and refrigerate as needed.10.2.f. To ensure the cleanliness of the home the caregiver shall:10.2.f.1. Cover garbage cans with lids, maintain them in a sanitary manner with liners, and empty them daily;10.2.f.2. Clean bathroom facilities used by the children daily and when soiled, as listed in Appendix 78-19B of this rule;10.2.f.3. Clean dishes in a dishwasher or in hot water and detergent. If they are washed by hand, they shall be rinsed thoroughly and allowed to air dry;10.2.f.4. Maintain the family child care home and furnishings in a safe and sanitary condition to prevent accidents and illnesses;10.2.f.5. Ensure that the family child care home is free of rodent or insect infestation; and10.2.f.6. Ensure doors and windows that are left open have screens.10.3. Nutrition. 10.3.a. Children shall receive nutritious meals and snacks, served in a sanitary manner and in amounts adequate to meet their nutritional needs, as detailed in the USDA Dietary Guidelines for Americans.10.3.b. Children shall be encouraged, but not forced to eat.10.3.c. Children who do not require a highchair shall be seated comfortably at a table when meals and snacks are served.W. Va. Code R. § 78-19-10