HomeMy WebLinkAboutDaycare Correspondence 0000 (3) 0FF:CF,0 F C0`,1N11SS10:iER August 18, 1982
Circular Letter #2-28
To : Child Day Care Centers, Croup Day Care Home Operators and Local
Health Directors
From: Douglas S. Lloyd, M.D. , Commissioner
SUBJECT: I mmunization
In September 1981 an immunization survey was conducted in all licensed child day
care centers and group day care homes to determine the immunization levels of
children enrolled. Although the survey indicated a 90. 6% level of completely
immunized children, a substantial number of programs had a less than 90% immuniza-
tion level. Our Department is committed to attaining a 100% immunization level in
all licensed child day care centers and group day care homes.
The child day care regulations in the Public Health Code, Section 19-13-1318(d) (2) (A) ,
require that " Each child admitted to a center or group day care home shall be
examined and have a health certificate of admission and an annual update signed by
a licensed physician or his authorized physician assistant or nurse practitioner. Such
certificate shall show that the child has been successfully immunized against diphtheria,
pertussis, tetanus, polio, measles and rubella. " Successful immunizations must be
documented by indicating the month, day and year for each of three doses of DTP and
polio, and one dose of measles and rubella vaccine, or for infants indication that
the child is on schedule for his/her age.
The Immunization Program and the Day Care Licensing Program will be starting the
annual survey again in September 1982. We want to remind you of the importance of
assuring that all children in your center are immunized. It is your responsibility
to inform all parents that their children must receive the required immunizations for
their age. Should any difficulties exist in providing immunizations to children, the
Immunization Program will work with centers and group homes to assist parents in
obtaining the needed services.
In order to assure the health and safety of children in day care, the Department will
institute the appropriate legal proceedings if the center or group home is found to be
in violation of the Public Health Code 1) at the time of relicensure, 2) as a result
of an unannounced -inspection, or 3) as determined by the 1982-83 Immunization Survey.
This process may result in suspension, revocation or non-renewal of a license. The
Department will notify the Operator in writing stating the area(s) of non-compliance.
The Operator will be given an opportunity to show compliance with the Public Health
Code for the retention or renewal of the license.
Let us join together in the goal of eradicating all vaccine preventable childhood
diseases.
06115
COMPARATIVE REQUIREMENTS
:FAMILY DAY CARE AND GROW DAY CARE HOMES
The Family Day Care service is registered and croup Day Care is licensed
based on specific laws. The following chart is .to assist you in under-
standing the differences and similarities between the two. However,
it in no way includes all re uirements. For futher informati'on and details, 3L"t'S
c a 11: ----
FAMILY DAY CARE ,
GIOC? DAY CARE F
Local #: R) Local #: 7
Staff: Staff: f
Z 1-6 children in care at any one time - 7 to 12 children - related or unrelatedf
on a regular basis - on a requlat baeia
F 3-12, hours, one or more days a week ; - for a mart of 24 hours, ope or moie
y - in a private residence days per week
G
'written approval from DHR - 20 years of age
provider 20 years of age - second person age 18
substitute 20 years of age 2 people on premises at all times
- assistant 18 years of age(for infant care) - I—�e-ai O o)r d cumentte�exper e�nce
< - helper (In presence of provider or substitute ) worfcins t ch ren of same
W - not otherwise employed during childcare developmenta a e as e n served medical statements - I-person train in first ai ;
written, favorable references
- backround, check (convictions, ch31d abuse)
- initial site visit
- unnanounced inspections - preliminary site visit
- local approval of auxiliary helating - written aE,provals from local building,
- 2 approved exits zonih , fire marshal and health officials
- working telephone w/posted emergency nos. - U square feet of indoor usable space .._. ,._
approved water/garbage/sewage per child
E} - clean, good repairs, hazard-free 5 square feet of outdoor play space "
j - heated, lighted, ventilated per child, free of hazards
- isolation area for sick child - 1 toilet and washbasin with hot and
non-toxic paint cold running water
sufficient with indoor and outdoor play space - working telephone
adequate washing and toileting facilities - approved water supply
no access to pools or bodies of water - maintained in good state of repair
- free from accident hazards
- clean, heated, lighted, ventilated
- isolation area for sick child
- drinking fountain or cups
- first aid kit
- smoke detector, fire extinguisher first aid kit
- Safe doer fasteners - equipment free of lead paint or
F- - sufficient, safe, and age appropriate play toxic materials
W equipment -, mat for each child staying 5 hours
a - equipment free of lead paint or or more
toxic materials refrigerator
v - bed, cot or mat per child - provision for food preparation
- place for each child's belongings if appropriate
- provision for food preparation 41
STATE OF CONNECTI JV MIT
DEPARTMENT OF PUBLIC HEALTH OFFICE OF -
LO FIEALM ADMINISTRATION
P*aMa,O(,). ♦^' ( DEC 18 1998
REFERRr.D
FILED
To: Licensed Child Day Care Centers and Group Day Care Homes
serving children under three years of age
From: Devon Conover, Public Health Services Manager
RE: Risks of Peastones to Children Under Three Years of Age
Date: December 7, 1998
************************************************************************
Peastone gravel surfaces used for outdoor play space pose potentially serious choking
hazards to children under three years of age.
The Regulations for Child Day Care Centers and Group Day Care Homes require that
"objects with a diameter of less than one(1) inch or two and one half(2.5) centimeters....
shall not be accessible to children under three (3) years of
Department has determined that the use of peasto es n an area age". Accordingly,
children under
three play constitutes a hazard and would be a violation of Section 19a-79-7a(h)(3).
If you have peastones in an area where children under three years of age play, you must
take steps immediately to remedy this hazard.
DAC:amd
peastone.doc
Phone:
Telephone Device for the Deaf (860) 509-7191
410 Capitol Avenue - MS #
P.O. Box 340308 Hartford, CT 06134
An Equal Opportunity Employer
{
r FACT SHEET.
'ITEMS TO BE POSTED ON SITE
I. Current Day Care License
2. Current Annual Fire Marshal .Certificatd
3. Emergency plan
4. Complaint Procedure
5. Menu posted
6. No Smoking signs posted at entrance
- ITEMS,TO-BE'KEPT IN'CHILDREN'S'FIL'ES
1. Current health form with complete immunization record
2. Signed authorization for emergency care
3. Signed permission form for field trips
4. Authorization for alternate pick-up
5. Home and Work addresses and phone numbers
6. Emergency contact person and phone number
7. Name and phone number of child's physician and dentist
ITEMS TO BE KEPT IN STAFF FILES
I. Current health form and proof of negative T.B.
2. Two letters of reference for all staff hired after 10/85
3. Individual staff development plans
C0414PLAINT PROCEDURE
This procedure is for child day under the authority of ConnecticutrGeneralams Statutes are licensed
through 19a-79-8. inclusive. 19a-79-1
Most problems. withl a
and can be resolved by:
day care center are non-life threatening
1 Discussing the problem with the class-room teacher.
2• 'Discussing the problem with the program director.
3. If the problem is not resolved
Department of Health Services -you may contact the •
Day Care Licensing Unit. .
In cases of emergency notify the Department of Health
Soon as the emergency is under control .
. Services as
In cases of abuse/neglect or life threatening situations
the Department of Children and Youth Services at 1_
the Department of contact
Health Services 800'842-2288 and
- Day , Care Licensing Unit at
816 Fairfield Ave. . Bridgeport, CT 06604 5
79-6974
Q 150 Washington St. . Hartford, CT 06106
566-2575
401 West Thames St. . Norwich.- CT 06360
889-8341
WB/j z•f
5/2/86
1500E
Section 19a-79-2a Licensure Procedures
,
(1) Application for the initial granting or renewal of a license to operate a child day care center or a group day care home
shall be on forms provided by the Department.
(2) The application shall be signed by the operator,who shall be 20 years of age or older if the operator is an individual.or
by the legal representative of the operator if the operator is a group of persons.association.organization.corporation.
institution or agency,public or private,and shall contain the following information:
(A) a notarized original affidavit on a form supplied by the Department:
(B) the name of the child day care center or the group day care home and address and telephone number land mailing
address.if different);
(C) the name.home address(es)and home phone numbers(s)of the operator,if the operator is an individual,or of the
legal representative of the operator,if the operator is a group of persons,association.organization.corporation.
institution or agency,public or private;
(D) a copy of the current fire marshal certificate of approval,written verification of compliance with state and local
building codes.local zoning requirements and local health ordinances;
(E) proposed licensed capacity;
(F) ages of children to be served;
(G) days,hours and months of program operation;
(H) the results of criminal checks and a check of the State Child Abuse Registry as required by section 19a-79-4a(b)of
the regulations of Connecticut State Agencies;
(I) all other documentation that the Commissioner deems necessary to establish that the licensee will meet the health,
to attend the child day care center or group day care home.
educational and social needs of the children likely
(c) Issuance and renewal of a license
(1) Upon determination by the Department that a child day care center or group day care home is in compliance with the
state statutes and regulations and local health codes pertaining to its licensure,the Department shall issue:
(A) a six(6)month license for all new programs,or
(B) renewal of a license to operate for a period not to exceed two(2)years.
(2) The license shall be issued to the operator in the name of the child day care center or group day care home and
premises as listed on the affidavit. The license shall not be transferable.
(3) Each license shall list:
(A) the operator.
(B) the location,
(C) the licensed capacity,
y (D) the name of the child day care center or group day care home,
(E) the date of expiration of the license,and
(1) the services offered.
(4) The license shall be posted in a conspicuous place in the center or home in an area accessible to the public.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 4
i
Statutes and Regulations
for
{ licensing
4
Child Day Care Centers
and
Group Day Care Homes
State of Connecticut
Department of Public Health
Division of Community Based Regulation
Child Day Care Licensing Program
410 Capitol Ave/MS# 12DAC
P.O. Box 340308
Hartford, CT 06134-0308
1-800-282-6063/1-800-439-0437
(860) 509-8045
Revised to
'� April 29, 2002
CHILD DAYCARE CENTER/GROUP DAYCARE HOME LICENSING
TABLE OF CONTENTS
STATUTES
Statutes regarding Child Day Care Center/Group Day Care Home Licensing Requirements
Sec. 19a-77 "Child da} care services" defined. Pa=e
-~ Sec. 19a-79 Regulations. Exemptions. Paae ii
Sec. 19a-79a Pesticide Applications at Day Care Facilities. Page iii
Sec. 19a-80 License Required:Fees:Criminal background check. Page iii
Sec. 19a-80f Substantiated Complaints of Abuse or Neglect at Licensed Facilities Page it
Sec. 19a-82 Consultation. Inspections. Assistance. Page it
Sec. 19a-83 Reports of Licensees. Page it
Sec. 19a-84 Suspension.Revocation.Denial. Page it
Sec. 19a-85 Appeal. Page r
Sec. 19a-86 Injunction Against Illegal Operation. Page r
Sec. 19a-87 Penalty for Operation without License.Notice and hearing. Page r
Sec. 19a-87a Discretion in the issuance of licenses. Page ri
Statutes regarding Child Abuse and Neglect
Sec.46b-120 Definitions. Page 0
Sec. 17a-101 Protection of children from abuse. Mandated reporters. Page rii
Sec. 17a-101 a Report of abuse or neglect by mandated reporter. Page riii
Sec. 17a-101b Oral report by mandated reporter to Commissioner of Children
and Families or la�N,enforcement agency. Page riii
Sec. 17a-101c Written report by mandated reporter. Paue riii
Sec. 17a-101 d Contents of oral and written reports. Page riii
Sec. 17a-10le Emplo}ers prohibited from discrimination. Page ix
REGULATIONS
Section 1 a Definitions Page 1
Section 2a Licensure Procedures Page 3
Section 3a .Administration Page 6
Section 4a Staffing Page 9
Section 5a Record keeping Page 13
Section 6a Health and Safety Page 14
Section 7a Physical Plant Page 16
Section 8a Educational Requirements Page 20
Section 9a Administration of Medications Page 21
Section 10 under Three Endorsement Pale 27
Section I I School Age Children Endorsement Page 30
`. Section 12 Night.Care Endorsement Page 32
Section 13 Monitoring Diabetes in Day Care Centers/Group Day Care Homes Page 32
i
STATUTES
Sec. 19a-77.(Formerly-Sec. 19-43b). "Child day care services"defined. Additional license.
(a)As used in sections 19a-77 to 19a-80. inclusive.and 19a-82 to 19a-8'. inclusive. "child da\ care ser\ices"shall
include: (1)A"child da\ care center"which offers or provides a program of suppiemen;arn care uo more than t\ek e
related or unrelated children outside their own homes on a regular basis: (2)A"group da\ care home"\%hich offer:or
provides a program of supplementary care to not less than seven nor more than t\eke related or unr:laced chipren on a
regular basis: (3)A"family da% care home" which consists of a pri\ate famil% home Garin_for not mere
children,including the provider's own children not in school full time,where the children are cared for not ia>than
three nor more than twelve hours during a twenty-four-hour period and where care is gig en on a regularl\ recurring
basis except that care may be provided in excess of twelve hours but not more than seyent}-two consecutn e hours to
accommodate a need for extended care or intermittent short-term overnight care.During the regular school year.a
maximum of three additional children who are in school full time.including the provider's own children. shall be
permitted.except that if the provider has more than three children who are in school full time,all of the provider's
children shall be permitted: (4)"eight care"means the care provided for one or more hours bet\een the hours of 10:00
p.m.and 5:00 a.m.: (5)"Year-round"program means a program open at least fifty weeks per.year.
(b)For registration and licensing requirement purposes.child day care services shall not include such ser\ices\fiich
are: (i)(A)Administered by a.public school system.or(B)administered b} a municipal agenc\ or department and
located in a public school building for students enrolled in that school: (2)Administered b\ a pri\ate school \hich is
in compliance with section 10-188 and is approved by the State Board of Education or is accredited b\ an accrediting
agency recognized by the State Board of Education: (3)Recreation operations such as but not limited to creati\e an
studios for children that offer parent-child recreational programs and classes in music.dance.drama and art that are no
longer than two hours in length.library programs.boys'and girls'clubs.church-related activities.scouting,camping or
community-youth programs: (4)Informal arrangements among neighbors or relatives in their own homes.provided the
relative is limited to ari of the following degrees of kinship by blood or marriage to the child being cared for or to the
child's parent:Child.grandchild,sibling.niece.nephew.aunt.uncle or child of one's aunt or uncle. (5)Drop-in
supplementary child care operations for educational or recreational purposes and the child receives such care
infrequently where the parents are on the premises:or (6)Drop-in supplementan child care operations in retail
establishments where the parents are on the premises for retail shopping. in accordance with section 19a-''a,pro\ided
that the drop-in supplementary child-care operation does not charge a fee and does not refer to itself as a child da} care
center.
(c)No registrant or licensee of any child da} care services as defined in subsection(a)of this section shall be issued an
additional registration or license to provide any such services at the same facility.
Sec. 19a-79.(Formerly Sec. 19-43d).Regulations. Exemptions.
a)(Replaced by Public Act 01-04. Sec.48.) The Commissioner of Public Health shall adopt regulations. in accordance
with the provisions of chapter 54.to carry out the purposes of sections 19a-77 to 19a-80. inclusivc.and 19a-82 to 19a-
87. inclusive.and to assure that child day care centers and group day care homes shall meet the health.educational and
social needs of children utilizina such child day care centers and group day care homes. Such regulations shall(i)
specify that before being permitted to attend any child day care center or group day care home.each child shall be
protected as age-appropriate by adequate immunization against diphtheria,pertussis,tetanus.poliom\elitis.measles.
mumps.rubella.hemophilus influenzae type B and any other vaccine required by the schedule of active immunization
adopted pursuant to section 19a-7f, including appropriate exemptions for children for whom such immunization is
medically contraindicated and for children whose parents object to such immunization on religious grounds.(2)specify
conditions under which child day care center directors and teachers and group day care home providers may administer
tests to monitor glucose levels in a child with diagnosed diabetes mellitus.and administer medicinal preparations.
including controlled drugs specified in the regulations by the commissioner.to a child receiving child day care services
at such child day care center or group day care home pursuant to the written order of a physician licensed to practice
medicine or a dentist licensed to practice dental medicine in this or another state.or an advanced practice registered
nurse licensed to prescribe in accordance with section 20-94a.or a physician assistant licensed to prescribe in
accordance with section 20-12d.and the written authorization of a parent or guardian of'such child.(3)specify that an r
operator of a child day care center or group day care home, licensed before January 1. 1986.or an operator who
receives a license after January 1. 1986,for a facility licensed prior to January 1. 1986.shall provide a minimum of
thirty square feet per child of total indoor usable space,free of furniture except that needed for the children's purposes,
exclusive of toilet rooms.bathrooms.coatrooms,kitchens,halls,isolation room or other rooms used for purposes other
than the activities of the children.(4)specify that a child day care center or group day care home licensed after January
1. 1986.shall provide thirty-five square feet per child of total indoor usable space.and(5)establish appropriate child
day care center staffing requirements for employees certified in cardiopulmonary resuscitation by the American Red
Cross or the American Heart Association.
ll
(bi The Commissioner of Public Health ma% adopt regulations.pursuant to chapter 54. to establish cn:: F e^ ::.>
more than one hundred dollars per dad for each da% of violation and other disciphnar% remedies that ma\ r.
following a contested-case hearing*upon the holder of a license issued under section 19a-80 to operate a cn; a. carc
center or group da\ care home or upon the holder of a license issued under section 19a-8'b to operat.a Tamil ;a\ :arL,
home.
(c(The Commissioner of Public Health shall exempt Montessori schools accredited b% the American Montessori
Sociery or the Association 'Montessori Internationale from any provision in regulations adopted pursuan:to sursec.',
(a)of this section which sets requirements on group size or child to staff ratios or the pm\uion of cots
w Sec. 19a-79a.Pesticide applications at day care facilities.
On and after Jule 1.2000.no application of pesticide may be made in any building or on the grounds of am child da\
care center.group day care home or family day care home.each as described in section 19a-77.during regular business
hours except that an emergency application may be made to eliminate an immediate threat to human health if(I)it is
necessary to make the application during regular business hours and(2)such emergency application does not im of e a
restricted use pesticide.as defined in section 22a-47. No child enrolled at such center or home may enter an area\\here
pesticides have been applied until it is safe to do so according to the provisions on the pesticide label.
Sec. 19a-80.(Formeri\ Sec. 19-43e).License required for child day care centers and group da\ care homes. Fees.
Criminal background check. 'notification of changes in regulations.
(a)No person.group of persons.association.organization.corporation. institution or agency.public or private.shall
maintain a child day care center or group day care home without a license issued in accordance with sections 19a-77 to
19a-80.inclusive.and 19a-82 to 19a-87,inclusive. Applications for such license shall be made to the Commissioner of
Public Health on forms provided by him and shall contain the information required by regulations adopted under said
sections.The forms shall contain a notice that false statements made therein are punishable in accordance\\ith section
;3a-157b.
(b) Upon receipt of an application for a license.the Commissioner of Public Health shall issue such license if. upon
inspection and investigation.he finds that the applicant.the facilities and the program meet the health.educational and
social needs of children likel to attend the child daN care center or group da% care home and compi\ \\ith requirements
established b- regulations adopted under sections 19a-77 to 19a-80. inclusive.and 19a-82 to 19a-8-. inclusive. Each
license except a temporary license shall be for a term of two%ears.shall be inalienable.may be renewed upon terms
and conditions established by regulation and may be suspended or revoked after notice and an opportunity for a hearing
as provided in section 19a-84 for violation of the regulations promulgated under sections 19a-77 to 19a-80. inclusive.
and 19a-82 to 19a-87.inclusive.The commissioner ma} issue a temporar\ license for a term of six months and
renewable for another six months.upon such terms and conditions as shall be provided in regulations adopted under
said sections.The Commissioner of Public Health shall collect from the licensee of a da\ care center a fee of tx\o
hundred dollars for each license issued or renewed for a term of nvo years and a fee of fift} dollars for each temporary
license issued or renewed for a term of six months.The Commissioner of Public Health shall collect from the licensee
of a group day care home a fee of one hundred dollars for each license issued or renewed for a term of tnvo%ears and a
fee of thirty dollars for each temporary license issued or renewed for a term of six months.
(c)On and after October 1. 1997.the Commissioner of Public Health.within available appropriations.shall request a
fingerprint criminal records check of each prospective employee of a child day care center or group day care home in a
position requiring the provision of care to a child. Such fingerprint criminal records check shall be requested from the
State Police Bureau of Identification and the Federal Bureau of Investigation. The commissioner shall also request a
check of the state child abuse registry established pursuant to section 17a-101k. A fee shall be charged by the
commissioner for each such national fingerprint criminal history records check which shall be equal to the fee charged
by the Federal Bureau of Investigation for performing such check. The Department of Public Health shall reimburse
the Department of Public Safety for the actual cost for a national fingerprint criminal history records check. Pursuant
to the interagency agreement provided for in section 10-16s.the Department of Social Services may agree to transfer
funds appropriated for fingerprint criminal records checks to the Department of Public Health. Not more than three
months after July 1. 1997.the commissioner shall notify each licensee of the provisions of this subsection.
' 11%
(d)The commissioner shall inform each licensee.bx wad.of a plain language summan proN ided not later than si t.\
days after the regulation's effecti\a date.of ne\� or changed regulations adopted under section_ 19a-"" to I ya-Su.
inclusive. or sections 19a-82 to 19a-87.inclusive.with which a licensee must comp)}.
Sec. 19a-80f. Substantiated complaints of abuse or neglect at licensed facilities. Listing:disclosure.
In accordance with section 17a-101 j.the Commissioner of Children and Families shall notif\ the Commissioner of
Public Health of all information concerning substantiated complaints. pursuant to subsection(h t of sasd sect,ont I
101j.of incidents of abuse or neglect which have occurred at an} licensed da\ care facilit\. li the Commusiorer o.
Children and Families determines that there was abuse or neglect of a child.he shall notiri the person about %%hom the .L
claim was substantiated of the determination.in writing.Such notification shall include a description of the abuse or
neglect and the reasons for substantiation. The Commissioner of Public Health shall compile a listing of the
information and of complaints received and substantiated by the Department of Public Health concerning a Licensed r
da, care facility during the prior three-year period. The Commissioner of Public Health shall disclose information
contained in the listing to any person who requests it.provided the information does not identify children.families.
staff members or employees of any licensed facility or any person residing in the household.of a person licensed under
section 19a-87b.
Sec. 19a-82. (Formerly Sec. 19-43g). Consultative services of state and municipal departments. Inspections.
Assistance to licensees.
The Commissioner of Public Health shall utilize consultative services and assistance from the Departments of
Education.Mental Health and Addiction Services and Social Services and from municipal building.fire and health
departments. The commissioner shall make periodic inspections of licensed day care centers and group day care homes
and shall provide consultative services to licensees and applicants for licenses to assist them to attain and maintain the
standards established in regulations adopted under sections 19a-77 to 19a-80. inclusive.and 19a-82 to 19a-87.
inclusive.
Sec. 19a-83. (Formerly Sec. 19-43h).Reports of licensees.
Each licensee under sections 19a-77 to 19a-80.inclusive.and 19a-82 to 19a-87.inclusive.shall file annually and each
temporary licensee shall file semiannually with the Commissioner of Public Health a report containing such
information concerning its operation.program and finances as may be required by regulations adopted under said
sections.
Sec. 19a-8.1. (Formerly Sec. 19-43i). Suspension or revocation of license. Denial of initial license application.
(a)When the Commissioner of Public Health has reason to believe any person licensed under sections 19a-77 to 19a-
80. inclusive.and 19a-82 to 19a-87. inclusive.has failed substantially to comply with the regulations adopted under
said sections.the commissioner may notify the licensee in writing of the commissioner's intention to suspend or revoke
the license or to impose a licensure action. Such notice shall be served by certified mail stating the particular reasons
for the proposed action.The licensee may.if aggrieved by such intended action.make application for a hearing in
writing over the licensee's signature to the commissioner.The licensee shall state in the application in plain language
the reasons why,the licensee claims to be aggrieved.The application shall be delivered to the commissioner within
thirty da\s of the licensee's receipt of notification of the intended action.The commissioner shall thereupon hold a
hearing within sixty days from receipt of such application and shall.at least ten days prior to the date of such
v
iv
hearing. mail a notice._i%ing the time and place of the hearing.to the licensee. The hearing ma% be conduc:c
commissioner or b} a hearing officer appointed b\ the commissioner in�\rmn_.The licensee and the commi„loner k
hearing officer may issue subpoenas requiring the attendance of witnesses. The licensee shall be entitled to be
represented b\ counsel and a transcript of the hearing shall.be made. If the hearing is conducted h% a hearing officer.
the hearing officer shall state the hearing officer's findings and make a recommen.:ation to the commtssio.^.er on:'re
issue of revocation or suspension or the intended licensure action. The commissioner. based upon the fir.i!r._,and
recommendation of the hearing officer.or after a hearing conducted b-, the commissioned shall render the
commissioner's decision in\criting suspending.revoking or continuing the license or regarding the !n:cne ad
action.A copy of the decision shall be sent b\ certified mail to the licensee. The decision re\oi n_or
license or a decision imposing a licensure action shall become effective thin% da\s after it is maiied re_ or
;,:ere
certified mail to the licensee. A licensee aggrieved by the decision of the commissioner ma\ appeal as pro\tied in
section 19a-85.
(b!The provisions of this section shall not appl} to the denial of an initial application for a license under sections 19a-
87.inclusive.provided the commissioner shall notify the applicant of am
;?to 19a-80.inclusive.and 19a-82 to 19a-
such denial and the reasons for such denial by mailing written notice to the applicant at the applicant's address shoen
on the license application.
Sec. 19a-85.(Formerl\ Sec. 19-43j).Appeal.
Any person aggrieved by a decision of the Commissioner of Public Health rendered under section 19a-82 or 19a-84
may appeal the decision of the commissioner in accordance with section 4-183.except venue for such appeal shall be in
the judicial district of New Britain. Such appeal shall have precedence in the order of trial as provided.in section 52-
193.
Sec. 19a-86.(Formerly Sec. 19-43k). Injunction against illegal operation.
The commissioner may request the Attornev General to bring an action in the superior coup for the judicial district of
Hartford to enjoin any.person.group of persons.association.organization.corporation. institution.or a_enc\. public or
private. from maintaining a child da\ care center or group day care home without a license or operating a child da\-care
center or group dad care home in violation of regulations adopted under sections 19a-77 to 19a-80. inclusi\e.and 19a-
82 to 19a-r.inclusive.
Sec. 19a-87.(Formerly Sec. 19-431).Penalty for operation without a license.Notice and hearing.
(a)An\-person or officer of an association.organization or corporation who shall establish.conduct.maintain or
operate a day care center or group da\ care home without a current and valid license shall be subject to li civil penalty
of not more than one hundred dollars'a day for each daythat such center or home is operated without a license.
(b)If the Commissioner of Public Health has reason to believe that a\iolation has occurred ibr which a civil penalty is
authorized by subsection(a)of this section.he may send to such person or officer by certified mail. return receipt
requested.or personally serve upon such person or officer.a notice which shall include:(i)A reference to the section
or sections of the general statutes or regulations involved.(3)a short and plain statement of the matters asserted or
charged:(3)a statement of the maximum civil penalty which may be imposed for such violation:and(4)a statement of
the party's right to request a hearing.such request to be submitted in writing to the commissioner not later than thirt\
days after the notice is mailed or served.
(c)If such person or officer so requests.the commissioner shall hold a hearing on the violation asserted.The hearing
shall be held in accordance with the provisions of chapter 54. If such person or officer fails to request a hearing or fails
to appear at the hearing or if.after the hearing.the commissioner finds that the person or officer has committed such
violation.the commissioner may. in his discretion.order that a civil penalty be imposed that is not greater than the
penalty stated in the notice.The commissioner shall send a copy of any order issued pursuant to this subsection by
certified mail.return receipt requested.to the person or officer named in such order.
v
Sec. 19a-87a. Discretion in the issuance of licenses. Suspension. Revocation. Notification of crimnai cony icuon
False statements:Class A misdemeanor. Reporting of yrolations.
(a)The Commissioner of Public Health shall have the discretion to refuse to Iicense under sections 19a-"to i Ua-80,
inclusive.and 19a-82 to 19a-8 7. inclusive.a person to conduct.operate or maintain a da% care center or a group da\
care home.as defined in section 19a-7'.or to suspend or revoke the license or take an other action set forth in
regulation that may be adopted pursuant to section 19a-79 if.the person who owns.conducts.maintains or operates
such center or home or a person employed therein in a position connected with the pro%ision of care to a chiid recen ir._
child day care services.has been convicted in this state or an other state of a felom as defined in secuon
involving the use.attempted use or threatened use of physical force against another person.of cruel[\ n) person>under r
section 53-20. injury or risk of injury to or impairing morals of children under section 53 1,abandonment of children
under the age of six years under section 53-23.or an felony where the victim of the felon is a child under eighteen
years of age.or of a violation of section 53a-70.53a-70a.53a-70b.53a-71.53a-72a.53a-72b or 53a-73a.or has a
criminal record in this state or any other state that the commissioner reasonably believes renders the person unsuitable w
to own.conduct.operate or maintain or be employed by a child day care center or group day care home. However.no
refusal of a license shall be rendered except in accordance with the provisions of sections 46a-79 to 46a-81. inclusive.
(b)Any person who is licensed to conduct.operate or maintain a child day care center or group day care home shall
notify the commissioner of any criminal conviction of the owner.conductor.operator or maintainer of the center or
home or of any person employed therein in a position connected kith the provision of care to a child receix ins child
day care services. immediately upon obtaining knowledge of the conviction.Failure to compl\ with the notification
requirement may result in the suspension or revocation of the license or the imposition of am action set forth in
regulation.and shall subject the licensed person to a civil penalty of not more than one hundred dollars per dad for each
day after the person obtained knowledge of the conviction.
(c)It shall be a class A misdemeanor for any person seeking employment in a position connected with the provision of
care to a child receiving child day care services to make a false written statement regarding prior criminal convictions
pursuant to a form bearing notice to the effect that such false statements are punishable.which statement he does not
believe to be true and is intended to mislead the prospective employer.
(d)Any person having reasonable cause to believe that a child day care center or a group day care home is operating
without a current and valid license or in violation of regulations adopted under section 19a-79 or in a manner which
may pose a potential danger to the health.welfare and safety of a child receiving child da\ care services. ma% report
such information to the Department of Public Health.The department shall investigate an report or complaint received
pursuant to this subsection.The name of the person making the report or complaint shall not be disclosed unless(i)
such person consents to such disclosure.(2)a judicial or administrative proceeding results therefrom or(3)a license
action pursuant to subsection(a)of this section results therefrom.All records obtained by the department in connection
with any such investigation shall not be subject to the provisions of section 1-210 for a period of thirty days from the
date of the petition or other event initiating such investigation.or until such time as the investigation is terminated
pursuant to a withdrawal or other informal disposition or until a hearing is convened pursuant to chapter 54.whichever
is earlier.A formal statement of charges issued by the department shall be subject to the provisions of section 1-210
from the time that it is served or mailed to the respondent.Records which are otherwise public records shall not be
deemed confidential merely because they have been obtained in connection with an investigation under this section.
STATUTES REGARDING ABUSE AND NEGLECT
Sec.46b-120.(Formerly Sec. 51-301).Definitions.
The terms used in this chapter shall, in its interpretation and in the interpretation of other statutes.be defined as
follows:(1)"Child"means any person under sixteen years of age and.for purposes of delinquency matters. "child"
means any person(A)under sixteen years of age or.(B)sixteen years of age or older who.prior to attaining sixteen
years of age.has violated any federal or state la\v or municipal or local ordinance,other than an ordinance regulating
behavior of a child in a family with service needs.and.subsequent to attaining sixteen years of age.violates any order
of the Superior Court or any condition of probation ordered by the Superior Court with respect to such delinquency
proceeding:(2)"youth" means any person sixteen to eighteen years of age:(3)"youth in crisis" means any person
sixteen to seventeen years of age who.within the last two years.(A)has withoutjust cause run awa\ from the parental
home or other properly authorized and lawful place of abode:(B)is beyond the control of parents.guardian or other
custodian:or(C)has four unexcused absences from school in any one month or ten unexcused absences in any school
year.(4)"abused"means that a child or youth(A)has been inflicted with physical injun•or injuries other than by
accidental means.or(B)has injuries which are at variance with the history given of them.or(C)is in a condition which
is the result of maltreatment such as.but not limited to,malnutrition,sexual molestation or exploitation,deprivation of
necessities.emotional maltreatment or cruel punishment:(5)a child may be found"mentally deficient"who.by reason
of a deficiencv of intelligence.which has existed from birth or from early age,requires.or will require. for his
protection or for the protection of others.special care,supervision and control:(6)a child may be convicted as
Vi
"delinquent"%Nho has%iolated(A)any federal or state la« or municipal or local ordinance.other than an
regulating behavior of a child in a family %%ith sery ice needs.(B)am order of the Superior Cour,.or
probation as ordered by the court:(7)a child or youth may be found"dependent"whose home is a sut tab ie one fw the
child or youth.save for the financial inability of parents.parent..guardian or other person maintaining such home. to
provide the specialized care the condition of the child or youth reouires:(8)a"famtl %\ith sen ice needs" mcan.;a
famih which includes a child who(A)has without just cause run away from the parental home or other properi\
authorized and lawful place of abode:(B)is beyond the control of parent.parents.guardian or other Gusto .an:ti )has
engaged in indecent or immoral conduct:(D)is a truant or habitual truant or who.while in school.has been
continuoush•and overtly defiant of school rules and regulations:or(E)is thirteen\cars of age or ois,r an.i ha,
in sexual intercourse with another person and such other person is thirteen years of age or older an.i not more tr.a❑<��
--ears older or younger than such child:(9)a child or youth may be found"neglected" %\ho(Ai has been abana,nee or,
(B)is being denied proper care and attention,physically.educationally.emotionally or morall or(C) is beta=
permitted to live under conditions.circumstances or associations incurious to the well-being of the child or\outh or(D)
has been abused:(10)a child or youth may be found"uncared for"who is homeless or whose home cannot pro\ide the
specialized care which the physical.emotional or mental condition of the child requires. For the purposes of this section
the treatment of anv child by an accredited Christian Science practitioner in lieu of treatment b\ a licensed practitioner
of the healing arts. shall not of itself constitute neglect or maltreatment-.(11)"delinquent act".means the\tolation of
any federal or state la or municipal or local ordinance.other than an ordinance regulating the beha\for of a child in a
w
famil v,ith service needs.or the violation of any order of the Superior Court:(12)"serious iuvenilc oiler>." means t A)
the violation by a child. including attempt or conspiracy to violate sections 21 a-277.21 a-2 I 29-33.29-:�.2Q-_5. 53
21.53-80a.53-202b.53-202c.53-390 to 53-392.inclusive.53a-54a to 53s-57.inclusive.53a-59 to 53a-60c.inclusi\c.
53a-70 to 53a-71. inclusive. 53a-72b.53a-86.53a-92 to 53a-94a.inclusive.53a-95,53a-101. 53a-102a. 53a-l(13a,III l l to 53a-113.inclusive.subdivision(1)of subsection(a)of section 53a-122.subdivision(3)of subsection(a)of
section 53a-123.53a-134.53a-135.53a-136a.53a-166.53a-167c.subsection(a)of section 53a-I14.53a-19oa.53a-
21 1, 53a-212.53a-216 or 53a-217b,or(B)running away.without just cause.from an secure placement other than
home while referred as a delinquent child to the Office of Alternative Sanctions or committed as a delinquent child to
the Commissioner of Children and Families for a serious juvenile offense:(13)"serious juenile offender"means any
v
child convicted as delinquent for commission of a serious juvenile offense:(14)"serious juvenile repeat offender"
means any child charged with the commission of any felony if such child has previousl been convicted delinquent at
an age for two violations of any provision of title 21 a.'_9. 53 or 53a which is desienated as a felon:t 151 "alcohol-
dependent child"means any child who has a psychoactive substance dependence on alcohol as that condition is defined
in the most recent edition of the American Psvchiatric Association's"Diagnostic and Statistical Manual of Mental
Disorders":(16)"drug-dependent child" means an child%rho has a psychoactive substance dependence on drugs as
that condition is defined in the most recent edition of the American Psychiatric Association's"Diagnostic and Statistical
Manual of Mental Disorders".No child shall be classified as drug dependent who is dependent(A)upon a morphine-
type substance as an incident to current medical treatment of a demonstrable physical disorder other than drug
dependence.or(B)upon amphetamine-type.ataractic.barbiturate-type.hallucinogenic or other stimulant and
depressant substances as an incident to current medical treatment of a demonstrable physical or psychological disorder.
or both.other than drug dependence."
Sec. 17a-101.(Formerly Sec. 17-38a).Protection of children from abuse. Mandated reporters. Training program for
identification and reporting of child abuse and neglect.
(a)The public policy of this state is:To protect children whose health and welfare may be adverse) affected through
injury and neglect:to strengthen the family and to make the home safe for children by enhancing the parental capacity
for good child care:to provide a temporary or permanent nurturing and safe environment for children�y a social
necessary:
and for these purposes to require the reporting of suspected child abuse. investigation of such reports by a social
agency,and provision'of services.where needed.to such child and family. (b)The following persons shall he
mandated reporters:Any physician or surgeon licensed under the provisions of chapter 370.am resident physician or
intern in any hospital in this state.whether or not so licensed.any registered nurse.licensed practical nurse.medical
examiner.dentist,dental hygienist.psychologist.school teacher,school principal,school guidance counselor.school
paraprofessional.social worker,police officer.clergyman,pharmacist,physical therapist.optometrist.chiropractor.
podiatrist.mental health professional or physician assistant.any person who is.a licensed substance abuse counselor,
any person who is a licensed marital and family therapist,any person who is a sexual assault counselor or a battered
women's counselor as defined in section 52-146k,any person paid to care for a child in any public or private facility,
day care center or family day care home licensed by the state,the Child Advocate and any employee of the Office of
Child Advocate. (c)The Commissioner of Children and Families shall develop an educational training program for the
accurate and prompt identification and reporting of child abuse and neglect.Such training program shall be made
available to all persons mandated to report child abuse and neglect at various times and locations throughout the state
as determined by the Commissioner of Children and Families.
• vii
Sec. 1 7a-101a. Report of abuse or neglect by mandated reporter. Penalty for failure to report.
Any mandated reporter.as defined in section 17a-101.who in his professional capaciq has reasonable cause to susnect
or beiiexe that any child under the age of eighteen rears has been abused.as defined in section 4eb-120.or has had
nonaccidental physical iniun.or injury which is at variance with the histon gi\en of such miury. indicted upon him b\
a person responsible for such child's health.welfare or care or b% a person gi\en access to such child h-, such
responsible person.or is placed at imminent risk of serious harm by an act or failure to act on the part of such
responsible person.or has been neglected.as defined in section 46b-120.shall report or cause a report to be made in
accordance with the provisions of sections 17a-101b to I.7a-101 d. inclusive. An, person required to repo^unli.:t":
provisions of this section who fails to make such report shall be tined not more than tip e hundred dollars.
t
Sec. 17a-10lb. Oral report by mandated reporter to Commissioner of Children and Families or la\\ enforcement
agency.Notification of person in charge of institution.facility or school.when. �
(a)An oral report shall be made by a mandated reporter within t\+enty-four hours of haying reasonable cause to suspect
or believe that a child has been abused or neglected by telephone or in person to the Commissioner of Children and
Families or a la%+ enforcement agency. If a lacy enforcement agency receives an oral report.it shall immediateh notify
the Commissioner of Children and Families.
(b)If the commissioner or his representative suspects or knows that such person has knowingly made a false report.the
identity of such person shall be disclosed to the appropriate law enforcement agency and to the perpetrator of the
alleged abuse.
(c)If the Commissioner of Children and Families.or his designee,receives a report alleging sexual abuse or serious
physical abuse. including.but not limited to.a report that:(1)A child has died:(2)a child has been sexually assaulted:
(3)a child has suffered brain damage.loss or serious impairment of a bodih function or organ:(4)a child has been
sexually exploited:or(5)a child has suffered serious nonaccidental physical injury.he shall.within twenty-four hours
of receipt of such report.notify the appropriate law enforcement agency.
(d)When a mandated reporter.as defined in section 17a-101.has reasonable cause to suspect or believe that any child
has been abused or neglected b}f a member of the staff of a public or private institution or facility that provides care for
such child or public or private school.he shall report as required in subsection(a)of this section and shall also notit\
the person in charge of such institution.school or facility or the person's designee. Such person in charge.or his
designee.shall then immediately notify the child's parent or other person responsible for the child's care that a report
has been made.
Sec. 17a-101c. Written report by mandated reporter.
W-ithin forty-eight hours of making an oral report.a_mandated reporter shall submit a written report to the
Commissioner of Children and Families or his representative. When a mandated reporter is a member of the staff of a
public or private institution or facility that provides care for such child or public or private school he shall also submit a
coPy of the written report to the person in charge of such institution.school or facility or the person's designee. In the
case of a report concerning a certified school employee.a copy of the written report shall also be sent by the person in
charge of such institution.school or facility to the Commissioner of Education or his representative. In the case of an
employee of a facility or institution that provides care for a child which is licensed by the state. a cope of the written
report shall also be sent by the mandated reporter to the executive head of the state licensing agency.
Sec. 17a-101d.Contents of oral and written reports.
All oral and written reports required in sections 17a-101a to 17a-101c. inclusive.and section 17a-103.shall contain. if
known:(1)The names and addresses of the child and his parents or other person responsible for his care:(2)the age of
the child:(3)the gender of the child:(4)the nature and-extent of the child's injury or injuries.maltreatment or neglect:
(5)the approximate date and time the injury or injuries.maltreatment or neglect occurred:(6)information concerning
any previous injury or injuries to.or maltreatment or neglect of.the child or his siblings;(7)the circumstances in which
the injury or injuries.maltreatment or neglect came to be known to the reporter:(8)the name of the person or persons
suspected to be responsible for causing such injury or injuries.maltreatment or neglect;and(9)whatever action, if any,
was taken to treat.provide shelter or otherwise assist the child.
viii
Sec. 17a-101e. Employers prohibited from discrimination against witness to child abuse Proceeding Nna":\
Immunit, for making report of child abuse in good faith. False report of child abuse.Penalty.
(a)No emploxer shall discharge.or in am manner discriminate or retaliate against.am empio\ee who in goof fait;
makes a report pursuant to sections 17a-10la to 17a-101 d.inclusive.and 17a-10_ m am
proceeding im olving child abuse or neglect. The Attome} General maN bring an action in Superior C oun against an
employer who violates this subsection. The court may assess a civil penalt-, of not more than two thousa n,: :nc
hundred dollars and ma\ order such other equitable relief as the court deems appropriate. th Am
agency which.in good faith.makes.or in good faith does not make.the report pursuant to se,:uons
10ld.inclusive.and 17a-103 shall be immune from any liability.civil or criminal.N%hich might otherwise be incurred
or imposed and shall ha\e the same immunity with respect to any judicial proceeding which results from such report
provided such person did not perpetrate or cause such abuse or neglect. (c)Art\ person who knowingi\ makes a false
report of child abuse or neglect pursuant to sections 17a-101a to 1 7a-101d.inclusive.and 17a-103.shall be tined not
more than two thousand dollars or imprisoned not more than one year or both.
ix
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGCLATION'S
Section 19a-79-1a. Definitions.
(1) "Administration of medication"means the direct application of a medication by inhalation.ingestion or any other means
to the body of a person.
(2) "Advanced practice registered nurse"means an individual licensed pursuant to subsection(b)of section 20-94a of the
Connecticut General Statutes.
(3) "Alteration"means remodeling or revision that does not change the physical plant of the licensed space.
(4) "Alternate staff'means a substitute.
(5) "Ambient air"means the surrounding air.
(6) "Attendance"means the names and number of children and staff present at the facility on a daily basis.
(7) "Authorized prescriber"means a physician,dentist,advanced practice registered nurse or physician assistant.
(8) "Business day"means the normal and customary work day schedule.
(9) "Child day care center"means a program of supplementary care for more than twelve(12)related or unrelated children
outside their own homes on a regular basis for a part of the twenty-four(24)hours in one or more days in the week.
(10) "Commissioner"means the Commissioner of Public Health or the Commissioner's designated representative.
(11) "Conspicuous place"means an area that is easy to notice.
(12) "Continuing education"means attendance at classes,seminars,workshops,conferences or forums,that improve one's
knowledge,skills and abilities.
(13) "Contracted services"means services provided that are subject to a written agreement.
(14) "Construction"means the act or process of building.
(15) "Days"means calendar days unless otherwise noted.
(16) "Dentist"means an individual licensed to practice dentistry in this or another state.
(17) "Department"means the Connecticut Department of Public Health or any duly authorized representative thereof.
(18) "Developmentally appropriate practice"means a framework for working with young children to apply current knowledge
about how children develop based upon age and the individual needs of each child.
(19) "Director"means the person responsible for the day to day administrative operation of the program,who may be the head
teacher.
(20) "Disabled person"means a person who has a physical or mental impairment that substantially limits one or more major
life activities,has a record of such an impairment,or is regarded as having such an impairment.
(21) "Early childhood education consultant"means an individual who is a credentialed early childhood specialist with a Child
Development Associate Credential;Associate in Arts,Bachelor of Arts,Master of Arts.Doctor of Education,or Doctor of
Philosophy in early childhood education,child development or human development or a four(4)year degree in a related
field with at least twelve(12)credits in child development or early childhood education.who has two(2)or more years
experience administering a licensed child day care center that meets standards comparable to those in Connecticut.
(22) "Employment"means working at a child day care center or group day care home and includes volunteers and alternate
staff,who work more than twelve(12)times per year. -
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 1
Section 19a-79-1a Definitions
(23) "Endorsement"means the specific services for which a program has applied,have been approved by the Department and
are listed on the face of the license.
(24) "Enrollment"means the number of children registered and who have been admitted to the child day care center or group
day care home for any given period of time.
(25) "Expansion"means an increase in the physical size or licensed capacity of the child day care center or group day care
home.
(26) "Facility"means the building in which the child day care center or group day care home is housed.
(27) "First aid course"means a specified program of emergency treatment that has been approved by the Department as listed
in section 19a-79-4a(e)of the Regulations of Connecticut State Agencies.
(28) "Group day care home"means a program of supplementary care,for not less than seven(7)nor more than twelve(12)
related or unrelated children on a regular basis for a part of the twenty-four(24)hours in one or more days in the week.
(29) "Group size"means the maximum number of children allowed to be cared for together at a given time in a specific area.
(30) "Head teacher"means the person responsible for the day to day educational portion of the child day care center or group
ay d care home who shall be on site for sixty(60)percent of the hours the center is in operation on a weekly basis,who
may also be the director.
(31) "I11 child"means one who is excluded from a child care program or school due to discomfort,injury or other symptoms of
short term contagious illness.
(32) "Investigational drug"means any medication with an approved investigation new drug application on file with the federal
Food and Drug Administration(FDA).that is being scientifically tested and clinically evaluated to determine its efficacy,
safety and side effects and that has not yet received FDA'approval.
(33) "Job description"means a written outline developed for each position in the facility,containing the qualifications,duties,
responsibilities and accountability required of all employees in that position.
(34) "License"means the form of permission issued by the Department that authorizes the operation of a child day care center
or group day care home.
(35) "Licensed capacity"means the maximum number of children allowed under the license to be in the licensed premises at
any one time.
(36) "Licensed premises"means the space identified in the license application in which child day care services are provided.
(37) "Local director of health"means the person appointed as the director of health for a city,town or borough pursuant to
section 19a-200 of Connecticut General Statutes or for a health district pursuant to section 19a-242 of the Connecticut
General Statutes.
(38) "Meal"means the food served and eaten in one sitting containing the four(4)food groups.
(39) "Medication"means any medicinal preparation including controlled substances,as defined in section 21a-240 of
the Connecticut General Statutes.
(40) "Night care"means the care provided for one(1)or more hours between the hours of 8:00 P.M.and 6:00 A.M.
(41) "Medication error"means failure to administer medication to a child,or failure to administer medication within one(1)
hour of the time designated by the prescribing practitioner,or failure to administer the specific medication prescribed for
a child,or failure to administer the medication by the correct route or failure to administer the medication according to
generally accepted medical practices,or failure to administer the correct dosage of medication.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 2
Section 19a-79-2a Licensure Procedures
(42) "Operatoe'means a person,group of persons.association,organization,corporation,institution or agency.public or
private,who has the legal responsibility for the overall operation of the child day care center or group day care home and
to whom the license is issued.
(43) "Parent(s)"means the person(s)responsible for the child and may include the legally designated guardianks)of such
child.
(44) "Physician"means a doctor of medicine or osteopathy licensed to practice medicine in this or another state.
y
(45) "Physician assistant"means an individual who has two(2)years of pediatric experience and functions under the direction
of the consulting physician for the center and meets the requirements of sections 20-12b of the Connecticut General
Statutes. _
(46) "Primary health care provider"means the person who is responsible for the health care of the child outside the center.
(47) "Program"means the group of services and activities provided in the child day care center or group day care home.
(48) "Program space"means the defined area within a day care center or group day care home in which a safe nurturing
environment planned in accordance with the age,group size and child staff ratio promotes physical,social.emotional and
cognitive development.
(49) "Program staff'means those persons responsible for the direct care of children.
(50) "Registered nurse"means a person with a license to practice as a registered nurse in Connecticut in accordance with
chapter 378 of the Connecticut General Statutes.
(51) "Renovation"means remodeling or revision that changes the physical plant of the licensed space.
(52) "Services"means those specific activities that contribute to the health,education,and welfare of the children.
(53) "Snack"means a light meal containing two(2)food groups.
(54) "Social service consultant"means a person who holds a baccalaureate degree in social work with at least one(1)year of
social work experience under social work supervision,or a baccalaureate degree in a field that the Commissioner deems
related to social work with at least two(2)years of social work experience under social work supervision.
(55) "Staff'means personnel including volunteers who provide a service to a child day care center or a group day care home.
(56) "Staff child ratio"means the maximum number of children per program staff person.
(57) "Supervision"means the direction and on-site observation of the functions and activities of staff and/or children.
(58) "Supplementary care"means out-of-home care where an individual or organization takes responsibility for the child's
activities.
(59) "Vector"means an organism that carries pathogens from one individual or object to another such as flies,mosquitoes,
ticks and rodents.
Section 19a-79-2a. Licensure procedures
(a) No person,group of persons,association,organization,corporation,institution or agency,public or private,shall operate a
child day care center or group day care home without a license issued by the Department in accordance with sections 19a-77
through 19a-87,of the Connecticut General Statutes and 19a-79a-1a through 19a-79-12,of the Regulations of Connecticut
State Agencies.
(b) Application for licensure
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 3
Section 19a-79-2a Licensure Procedures
(1) Application for the initial granting or renewal of a license to operate a child day care center or a group day care home
shall be on forms provided by the Department.
(2) The application shall be signed by the operator,who shall be 20 years of age or older if the operator is an individual.or
by the legal representative of the operator if the operator is a group of persons.association,organization.corporation,
institution or agency,public or private,and shall contain the following information:
(A) a notarized original affidavit on a form supplied by the Department.
(B) the name of the child day care center or the group day care home and address and telephone number(and mailing
address,if different);
(C) the name.home address(es)and home phone numbers(s)of the operator,if the operator is an individual.or of the
legal representative of the operator,if the operator is a group of persons,association,organization,corporation,
institution or agency,public or private;
(D) a copy of the current fire marshal certificate of approval.written verification of compliance with state and local
building codes.local zoning requirements and local health ordinances;
(E) proposed licensed capacity;
(F) ages of children to be served;
(G) days,hours and months of program operation;
(H) the results of criminal checks and a check of the State Child Abuse Registry as required by section 19a-79-4a(b)of
the regulations of Connecticut State Agencies;
(I) all other documentation that the Commissioner deems necessary to establish that the licensee will meet the health,
educational and social needs of the children likely to attend the child day care center or group day care home.
(c) Issuance and renewal of a license
(1) Upon determination by the Department that a child day care center or group day care home is in compliance with the
state statutes and regulations and local health codes pertaining to its licensure,the Department shall issue:
(A) a six(6)month license for all new programs,or
(B) renewal of a license to operate for a period not to exceed two(2)years.
(2) The license shall be issued to the operator in the name of the child day care center or group day care home and
premises as listed on the affidavit. The license shall not be transferable.
(3) Each license shall list:
(A) the operator,
(B) the location,
(C) the licensed capacity,
(D) the name of the child day care center or group day care home,
(E) the date of expiration of the license,and
(F) the services offered.
(4) The license shall be posted in a conspicuous place in the center or home in an area accessible to the public.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 4
Section 19a-79-2a Licensure Procedures
(5) Each operator who desires to make application for or to renew the license shall submit a complete application to the
Commissioner at least sixty(60)days prior to the anticipated date of opening or sixty(60)days prior to the expiration
of the term for which a license has been issued.
(6) At least every two(2)years.the Commissioner shall make unannounced visits,inspections or investigations of a
licensed child day care center or group day care home including viewing the records required by sections 19a-79-3a
through 19a-79-6a, 19a-79-8a.and 19a-79-9 through 19a-79-12 of the Regulations of Connecticut State Agencies.
(7) No license shall be valid after the expiration date identified on the license.
(d) Civil Penalties and other disciplinary remedies
(1) In accordance with the procedures set forth in section 19a-79(b)and 19a-84 of the Connecticut General Statutes.if the
Department finds that the operator of a child day care center or group day care home has failed to substantially comply
with sections 19a-79-1a through 19a-79-13 of the Regulations of Connecticut State Agencies,the Department may,
following a contested case hearing only,take any of the following actions.singly or in combination.against the license
of the operator:
(A) revocation of the license;
(B) suspension of the license for a specific time period,or until regulatory compliance is secured,or conditions
deemed necessary to protect the health,safety and welfare of the children cared for in the child day care center or
group day care home are met;
(C) the imposition of a civil penalty of up to one hundred dollars($100.00)per day of violation of section 19a-79-1a
to 19a-79-13,inclusive,of the regulations of Connecticut State Agencies;or
(D) place the license on probationary status and impose such conditions or corrective measures which the Department
deems necessary to assure the health,safety and welfare of the children cared for in the child day care center or
group day care home,including but not limited to:
(i) reporting regularly to the Department upon the matters,which are the basis of probation;
(ii) placement of restrictions upon the operation of the child day care center or group day care home deemed
necessary to protect the health,safety and welfare of the children cared for in the facility;and
(iii) continue or renew professional education until a satisfactory degree of skill has been attained in those areas
which are the basis for the probation.
(2) The Commissioner may initiate action against a license or refuse to grant a license whenever in the judgement of the
Commissioner the child day care center or group day care home:
(A) fails to substantially comply with:
(i) all applicable state,or local laws;
(ii) ordinances or regulations related to the building,health,fire protection,safety,sanitation or zoning;or
(iii) sections 19a-79-1a through 19a-79-13 of the Regulations of Connecticut State Agencies;or
(B) knowingly furnishes or makes any false or misleading statements to the Department in order to obtain or retain the
license.
(3) The licensee has a right to a hearing regarding any licensure action as stated in-section 19a-84 of the Connecticut
General Statutes.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 5
Section 19a-79-3a Administration
(4) 'The child day care center or group day care home shall notify the parents of the children using the child day care center
or group day care home within twenty-four(24)hours of the Department's revocation or suspension order.
(5) After issuance of the Commissioner's decision to suspend or revoke a license to operate.the license shall be
surrendered to the Department on demand.
(e) Voluntary surrender of license
M (1) At least thirty(30)days prior to the voluntary termination of day care services the Department and all parents shall be
notified in writing by the child day care center or group day care home of its intended date of closing.
(2) When a child day care center or group day care home discontinues the operation for which it is licensed.a written
notice of the closing accompanied by the license shall be sent to the Commissioner within ten(10)days after the date
of closing. Such a child day care center or group day care home shall be inspected and licensed before reopening for
operation.
Section 19a-79-3a. Administration
(a) The operator of the child day care center or group day care home shall be responsible for compliance with the requirements
of sections 19a-79-1a through 19a-79-9 of the Regulations of Connecticut State Agencies and applicable endorsements in
sections 19a-79-10 through 19a-79-12 in such a manner as to ensure the safety,health and development of the children
while in the operator's care.
(b) The operator shall be responsible for the overall management and operation of the child day care center or group day care
home in accordance with applicable state and local laws and regulations and shall:
(1) provide and maintain a safely equipped physical plant.
(2) provide programs and services to meet the needs of the children.
(3) employ staff and substitute staff in accordance with section 19a-79-4a of Regulations of Connecticut State Agencies.
(4) submit for the Commissioner's approval the required qualifications and experience of the head teacher on the forms
provided,
(5) develop and implement a written organizational chart that establishes a clear line of authority,
(6) define in writing and ensure the performance of the duties and responsibilities of all staff classifications.
(c) The operator shall notify the Department,parents and staff of any changes in programs or services.
(1) Notification of personnel changes shall be made within five(5)business days after the change.
(A) If the change is for a head teacher a plan for interim head teacher coverage shall be submitted to the Department.
(B) A qualified head teacher or a plan approved by the Commissioner shall be in place within thirty(30)days of
change of a qualified head teacher.
(2) Notification of changes related to the ownership,location,licensed capacity,fees,services or voluntary closing shall be
made at least thirty(30)days prior to the effective date of the proposed change.
(d) The operator shall implement and annually review specific written policies,plans and procedures required by any applicable
statute or regulation. The operator shall notify parents,staff,and the Department within five(5)days of changes in these
policies,plans,and procedures. The policies,plans,and procedures shall include,but not necessarily be limited to:
(1) daily attendance records for both children and staff,recorded daily and kept on file for at least two(2)years,showing
the specific hours present;
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 6
Section 19a-79-3a Administration
(2) discipline:
(A) including but not necessarily limited to positive guidance,redirection,setting clear limits.continuous
supervision by staff during disciplinary action;
(B) specifically prohibiting abusive,neglectful.corporal,humiliating.or frightening punishment.and physical
restraint,unless such restraint is necessary to protect the health and safety of the child or other people;
(3) when a child is not picked up as planned including but not necessarily limited to:
(A) staffing of at least two(2)people on the licensed premise,
(B) time frames(for when the policy will be implemented),
(C) parents or emergency contacts,
(D) alternate pick up person,
(E) notification of police department;
(4) emergencies including but not necessarily limited to:
(A) medical emergencies including but not necessarily limited to a personal emergency,accident or illness,
designation of a licensed physician or hospital emergency service to be available,transportation to medical
services,and notification of parents;
(B) fire emergencies including but not necessarily limited to identification of means of egress.roles and
responsibilities of staff,designated safe location for reconvening.and notification of parents:
(C) weather related emergencies including but not necessarily limited to closings,a safe location for children,
resources available,and notification of parents:
(D) evacuation including but not necessarily limited to transportation,location of an alternate shelter,community
resources,and notification of parents;
(5) supervision of children including but not necessarily limited to:
(A) group size,
(B) ratio of staff to children,
(C) indoor and outdoor supervision,
(D) nap time,
(E) bathroom areas;
(6) a copy of both section 19a-87a of the Connecticut General Statutes which concerns civil penalties against operators and
criminal conviction of an operator or a person employed in a child day care center or group day care home in a position
connected with the provision of care to a child receiving child day care services,and section 53-21 of the Connecticut
General Statutes which concerns injury or risk of injury,to,or impairing morals of children;
(7) general operating policies including but not necessarily limited to:
(A) admission which includes a health record and the ages of children enrolled,
(B) agreements with parents,
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 7
Section 19a-79-3a Administration
(C) parent involvement.
(D) medication policies if applicable,
(E) content and times of meals and snacks,
(F) provisional enrollment period.
(G) days and hours of operation including sick days,holidays and vacations.
(H)- withdrawal of children.
(I) access to program and facility:
(8) personnel policies including but not necessarily limited to:
(A) job descriptions,
(B) employee benefits,
(C) supervision of staff,
(D) probationary period of staff,
(E) communication with parents.
(e) The operator shall post the following items in a conspicuous place,accessible to the public:
(1) the license,
(2) the fire marshal certificate,
(3) the Department complaint procedure,
(4) food service certificate as required by the local director of health,
(5) menus,
(6) emergency plans.
(7) no smoking signs at entrances,
(8) the most recent Department inspection report posted for thirty(30)of the program's operating days.
(f) Parents shall have access to the child day care center or group day care home during the hours of operation.
(g) The operator shall keep on file for a two(2)year period at the child day care center or group day care home all inspection
reports,the current licensing application and correspondence related to licensure which shall be available to parents and the
Department on request.
(h) Failure to grant the Department access to the child day care center or group day care home or its records,shall be grounds
for suspension or revocation of the license or denial of issuance or renewal of the license.
(i) The operator shall notify each parent,if the Department issues a notice of hearing for the suspension or revocation of the
license pursuant to section 19a-84 of the Connecticut General Statutes,of the proceeding and the alleged violation. The
notification shall be in writing and sent by United States mail,certified or registered,postage prepaid,return receipt
requested not later than ten(10)days before the scheduled hearing date.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 8
Section 19a-79-4a Staffing
The operator shall demonstrate compliance with this subsection at the commencement of the hearing. Inability to do so
shall be construed as a substantial failure to comply with the regulations and may constitute an additional basis for
suspension or revocation of the license in that proceeding without a new statement of charges.
In addition to the requirements of subsection 19a-79-2a(d)(3)of the regulations of Connecticut State Agencies the operator
shall notify each parent in writing of the final decision of the Department if one is rendered,within fourteen k 14)dads of the
receipt of the decision.
(j) The operator shall provide to the Department copies of all service contracts or current agreements with consultants.
practitioners and agencies used on a regular or consultative basis in the delivery of services within ten(10)days after
execution of said contract or agreement. Any changes in said contracts or agreements shall be reported to the Department
within(10)days. -
(k) The operator shall enroll only children for whom the center or home is licensed to provide services. No services that require
an endorsement shall be provided without the applicable endorsement from the Department. Categories for licensure are:
(1) six(6)weeks to three(3)years,
(2) preschool(three(3)years to five(5)years),
(3) school age(at least five(5)years of age and attending elementary school),
(4) evening and night care.
(1) For September,October,November and December enrollment only,a child who will be three(3)on or before January 1.
may be enrolled as a three year old. At any other time of the year a three year old must have had his or her third(3rd)
birthday to be considered a three(3)year old.
(m) The operator shall be responsible for compliance with all applicable motor vehicle laws when transporting children enrolled
in any child day care center or group day care home.
Section 29a-79-4a. Staffing
(a) A file shall be kept on the licensed premises for each employee of the child day care center or group day care home which
shall include:
(1) a medical statement signed by a physician,advanced practice registered nurse or physician assistant,completed within
twelve(12)months before the date of employment for new staff,and every twenty-four(24)months for current staff,
such statement to document the presence of any known medical or emotional illness or disorder that would currently
pose a risk to children in care or would currently interfere with effective functioning as an employee of a child day care
center or group day care home;
(2) upon employment,a written report of a negative tuberculin test completed within twelve(12)months prior to the date
of employment or for a known prior reactor,no evidence of active tuberculosis on a chest x-ray;
(3) documentation of continuing education for each full time or part time staff person who cares for the children.
(b) For each prospective employee:
(1) a completed state and a completed federal fingerprint card shall be submitted to the department for a State Police
Bureau of Identification and a Federal Bureau of Investigation criminal records check;and
(2) that person's name,address,social security number and date of birth shall be submitted to the Department for a check
of the State Child Abuse Registry on forms approved by the Department.
(c) The operator shall maintain a staff adequate for the number,ages and developmental needs of the children to be
accommodated.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 9
Section 19a-79-4a Staffing
(1) A designated head teacher shall be on site for sixty percent(60cic)of the time the child day care center is in operation
on a weekly basis.
(2) There shall be at least two(2)staff eighteen(18)years of age or older on the premises when one(1)or more children
are in attendance. The staff shall be available to care for the children.
(3) All staff in the child day care center and group day care home shall have the personal qualities necessan•to:
(A) care for and work with children,
(B) relate to adults.and
(C) relate to parents.
(4) Proper staff child ratios shall be maintained at all times.
(A) There shall be at least one(1)program staff person for every ten(10)children,or fraction thereof in attendance.
(B) When there is a mixed age group the lower required ratio for the age of the youngest child shall prevail.
(5) Group size shall be maintained at all times.
(A) The group size shall not exceed twenty children.
(B) When there is a mixed age group the smaller required group size shall prevail.
(6) During nap time the overall staff child ratios shall be maintained on the licensed premises.
(d) Programs shall have the following staff:
(1) A designated head teacher shall submit to the Department written verification of being twenty(20)years of age or
older,having the personal qualifications needed to supervise people,and having:
(A) in a child day care center,
(i) a high school diploma or equivalency certificate,
(ii) at least one thousand and eighty(1080)hours of documented supervised experience over a nine(9)month
span of time,including working with children in a program with these standards or comparable standards in
this or another state,which program serves children of the same ages and developmental stages who are
served at the child day care center,and one of the following:a current center-based Child Development
Associate Credential issued from the Council for Early Childhood Professional Recognition,or twelve(12)
credits in early childhood education or child development from an accredited institution of higher education
with program approval from the Board of Governors of Higher Education,or
approval by the Department as a head teacher prior to January 1, 1994;
(B) in a group day care home,
(i) a high school diploma or equivalency certificate,
(ii) at least one thousand and eighty(1080)documented hours of experience over a nine(9)month span of
time working with unrelated children of the same ages and developmental stages to be served in this
home;
�. (C) in a child day care center or group day care home,
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 10
Section 19a-79-4a Staffing
(i) a four(4)year college degree in early childhood education or child development from an accredited
institution of higher education with program approval from the Board of Governors of Higher Education.
and
(ii) at least three hundred sixty(360)hours of documented supervised experience in working with unrelated
children of the same age(s)to be served in this child day care center or group day care home with these
standards or comparable standards in this or another state and at least one(1)semester of student
teaching with children of the same age(s)and developmental stages that are served in the center or home.
(2) A second program person who works under supervision of the head teacher shall be eighteen(18)years of age or older
and have at least one of the following:
(A) a high school diploma,or
(B) an equivalency certificate,or
(C) at least five hundred and forty(540)hours documented experience in working with unrelated children of the
same age(s)to be served in this child day care center or group day care home.
(3) Other program assistants shall be able to work under supervision and shall beat least sixteen(16)years of age.
(4) Additional program staff shall be sufficient to provide care of children during all hours of operation in keeping with
group size and ratio.
(e) At all times the child day care center or group day care home is in operation there shall be present at least one(1)staff
member who has successfully completed within the past three(3)years a Department approved course that meets the
following requirements:
(1) It shall be at least six(6)hours in length.
(2) Instruction shall include,but not necessarily be limited to:
(A) the recognition and emergency management of bleeding.bums,poisoning,anaphylaxis.respiratory distress
including choking,musculo-skeletal injury,seizures,wounds including insect bites,head injuries,shock,loss of
consciousness,dental emergencies,child abuse and sexual abuse;
(B) communicable disease prevention.recognition and management which includes a discussion of transmission
through the intestinal tract,the respiratory system,and direct contact;hygiene including hand washing,cleaning
and disinfection;diapering techniques;signs and symptoms of illness,including fever,rash,and vomiting;
temperature taking;education in specific communicable disease including,but not necessarily limited to,
diarrheal diseases,bacterial meningitis,chicken pox,hepatitis,strep throat,head lice,scabies,and vaccine-
preventable diseases;
(C) accident prevention and safety including,but not necessarily limited to:safety for the indoor environment and
outdoor play area,first aid supplies for day care centers,child restraint systems and seat belt safety in accordance
with section 14-100a of the Connecticut General Statutes and section 14-100a-1 of the Regulations of
Connecticut State Agencies.
(3) Instruction shall be provided by a person who meets at least one of the following requirements:
(A) a currently certified American Red Cross First Aid Instructor,
(B) a physician,physician assistant,advanced practice registered nurse or registered nurse,or
(C) a certified emergency medical technician.
(4) The course outline and all other written materials used in the course shall be submitted to the Department and shall not
be used without approval by the Department.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 11
Section 19a-79-4a Staffing
(f) The child day care center or group day care home shall keep on file written verification of compliance with subsection to)of
this section for each staff member who the child day care center or group day care home designates to meet such subsection.
Such verification shall be maintained for three(3)years after the date that staff member completed first aid training.
Verification shall be one of the following:
(1) written verification from the American Red Cross that is signed and dated by a representative of the American Red
Cross:or
(2) written verification by a representative of the organization,physician.physician assistant,advanced practice registered
nurse,registered nurse or certified emergency medical technician who conducted the training.
(g) Continuing education for program staff shall be required for one(1)per cent of the total annual hours worked. Such
education may include early childhood education and child development,licensing and regulations.health issues.nutrition.
first aid,social services and child abuse laws.
(1) The operator of the child day care center or group day care home shall develop,implement and maintain a written plan
for continuing education in child care.
(2) The operator shall have documentation of continuing education as defined in section 19a-79-1a of the Regulations of
Connecticut State Agencies for each staff member which shall be maintained and made available for review.
(h) A written plan for consultation services shall be developed and implemented.
(1) These services shall include:
(A) an early childhood educational consultant available to the operator and staff for advice and support regarding the
educational content of the program:anyone approved as an early childhood consultant prior to January 1. 1994.
will continue to be an approved early childhood educational consultant,except for good cause shown;
(B) a physician,physician assistant,advanced practice registered nurse or registered nurse consultant available to the
operator and staff for advice regarding the health of the children and the health program;
(C) a dentist or dental hygienist consultant available to the operator and staff for advice regarding the dental health of
children or a dental health education program;
(D) a social service consultant available to the operator and staff for advice regarding the emotional needs.staff
support and the social service program;
(E) a registered dietitian consultant available to the operator and staff for advice regarding nutrition and food service
for those programs that serve meals.
(2) The written plan for each consultative service shall include but not necessarily be limited to:
(A) annual review of policies;
(B) annual review of inservice education programs;
(C) availability by telecommunication for advice regarding problems;
(D) availability,in person,of the consultant to the program.
(3) Program staff may not serve as consultants for programs in which they provide direct care or direct program
supervision.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 12
Section 19a-79-5a Record Keeping
Section 19a-79-5a.Record keeping
(a) The operator of the child day care center or group day care home is responsible for maintaining on the licensed premises a
current record for each child enrolled. The record shall be available upon request to the Department.the child's parents and
the local health director. It shall include but not necessarily be limited to:
(1) enrollment information and permission forms signed and dated by a parent that shall include but not necessarily be
limited to:
(A) the child's name,address,date of birth,and date enrolled;
(B) the residence,business address(es)and telephone number(s)of the parent(s); _
(C) the name and telephone number of the child's physician or other primary health care provider;
(D) specific written permission forms signed by the parent(s)authorizing:
(i) the operator to use previously selected emergency policies as described in section 19a-79-3a(d)(4)of the
regulations of Connecticut State Agencies which shall accompany the child on trips away from the
premises;
(ii) the name and telephone number of one responsible person other than the parents who can remove the
child from the child day care center or group day care home;
(iii) any activity away from the premises;
(iv) transportation services;
(2) A health record that shall include but not necessarily be limited to:
(A) date of birth;
(B) except as provided in subsection(b)of this section,a physical examination form signed by a physician,
physician assistant or advanced practice registered nurse completed within one(1)year prior to enrollment,
which form shall provide a statement about the child's general health and the presence of any known medical or
emotional illness or disorder that would currently pose a risk to other children or which would currently affect
the child's functional ability to participate safely in a day care setting;
(C) an immunization record that includes the month,day,and year of each immunization required for admission as
specified in subdivision(1)of subsection(d)of section 19a-79-6a of the regulations of Connecticut State
Agencies and such documentation as is required to confirm age appropriate immunization,immunization in
progress or exemption to immunization as defined in subdivision(3)of subsection(d)of section 19a-79-6a
of the regulations of Connecticut State Agencies. The immunization record and said documentation of
immunizations shall be submitted to the department upon request.
(D) except as provided in subsection(b)of this section,a physical examination form completed and signed by a
physician,physician assistant or advanced practice registered nurse yearly from the date of the initial physical
examination,which form shall provide a statement about the child's general health and the presence of any
known medical or emotional illness or disorder that would currently pose a risk to other children in care or
which would currently affect the child's functional ability to participate safely in a day care setting;
(E) copies of the health records acceptable to the local education authority and the local director of health,where
children of school age are enrolled;
(F) information regarding special health problems such as,allergies,special dietary needs,dental problems,hearing
or visual impairments,chronic illness,developmental variations,or history of contagious disease.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 13
Section 19a-79-6a Health&Safety
(b) The physical examination requirements of subparagraphs(B)and(D)of subdivision (2)of subsection(a)of this section
shall be waived when such examination is contrary to the religious beliefs and practices of the child or the parent of such
child. A statement requesting such waiver shall be submitted and shall be maintained in the child's health record. Such
statement shall be signed by the parent and shall include affirmation of church membership by an appropriate church
authority. The parent shall certify that he or she accepts complete responsibility for the health of the child and that.to the
best of the parent's knowledge.the child is in good health.
Section 19a-79-" Health and safety
(a) Food service
(1) Transportation of food(s)not prepared on the premises shall satisfy the minimum requirements of section 19a-13-B49
of the Regulations of Connecticut State Agencies.
(2) A nutritionally adequate meal as recommended by The United States Department of Agriculture.7 Code of Federal
_Regulations 226.20.as amended,shall be provided by the child day care center or group day care home,or parent
whenever a child remains on the premises for five(5)hours or more.
(A) Children who stay on the premises less than five(5)hotirs shall have a nutritious snack.
(B) Children who stay on the premises longer than five(5)but less than eight(8)hours shall have one(1)meal and
one(1)nutritious snack.
(C) Children who stay on the premises eight(8)hours or more shall have one(1)meal plus two(2)nutritious
snacks,or two(2)meals plus one(1)nutritious snack.
(3) There shall be proper refrigeration of no more than forty-five(45)degrees Fahrenheit for perishable foods in all child
day care centers and group day care homes and on field trips.
(4) When a child day care center or group day care home provides either meals or snacks,menus shall be prepared at least
one(1)week in advance,dated.and copies posted in a conspicuous place. Changes shall be documented. A copy of
what was served shall be kept on file for three(3)months.
(5) All areas used for the preparation and serving of meals in child day care centers shall be maintained in accordance
with sanitary practices and procedures as set forth in section 19-13-1342 of the Regulations of Connecticut State
Agencies.
(6) The kitchen in child day care centers or group day care homes that is used for the preparation and serving of food to
children shall be clean,well lighted and ventilated,protected by window screening and provided with hot and cold
running water,adequate and safe storage for food and supplies,and refrigeration.
(7) Separate hand washing facilities shall be located convenient to the room where food is prepared in child day care
centers and group day care homes.
(8) All multi-use eating and drinking utensils shall be thoroughly washed,rinsed and sanitized after each use in child day
care centers and group day care homes.
(9) The kitchen in child day care centers or group day care homes shall not be used as a play room,but may be used for a
specific program activity room under supervision. It shall be separated by a door or a gate from the rooms used by the
children in the center or home to prevent them from entering the kitchen except under supervision.
.. (10) Children in child day care centers or group day care homes shall not be left unsupervised during meal preparation.
(b) Procedures in case of illness
(1) Staff members shall be knowledgeable about signs and symptoms of childhood illness and shall be responsible for the
initial observation of each child upon arrival and continued observation throughout the day for such signs and
symptoms.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 14
Section 19a-79-6a Health and Safet\
(2) Any child showing suspicious signs or symptoms of short term contagious illness shall be placed in a designated
isolation area with continual visual supervision by staff. The parent or other authorized adult shall be called
immediately to remove the child from the child day care center or group day care home.
(c) Portable first aid kit(s)shall be available to staff at all times,including field trips,and shall be located out of reach of
children and maintained in a sanitary condition. The kit(s)shall contain at least the following:
(1) assorted sizes of adhesive strips(band-aids),
(2) sterile individually wrapped three(3)or four(4)inch gauze squares,
(3) a two(2)inch gauze roller bandage,
(4) one(1)roll of adhesive tape(non-allergenic),
(5) bandage scissors,
(6) tweezers.
(7) two(2)instant cold compresses,
(8) adigital thermometer or single use Tempa Dots,
(9) plastic covers for the thermometer or alcohol to clean the thermometer,
(10) latex gloves,
(11) a copy of a First Aid and Personal Safety Manual(less than five(5)years in print).
(d) Immunization requirement
(1) A child seeking admission to or attending a child day care center or group day care home shall be protected as age
appropriate by adequate immunization against diphtheria:pertussis,tetanus.poliomyelitis.measles,mumps,rubella.
f such child was bom after December31, 1993.and varicella if such child
hemophilus influnzae type b,hepatitis b i
was born after December 31, 1996,and against any other disease for which vaccination is recommended in the current
schedule for active immunization adopted by the Commissioner in accordance with Connecticut General Statutes
Section 19a-7f.
(2) The provider shall admit no child to a child day care center or group day care home unless such child's parent
furnishes documentation of age-appropriate immunization,immunization-in-progress or exemption from
immunization as specified in subdivision(3)of this subsection. No child shall be permitted to continue to attend a
child day care center or group day care home for more than thirty(30)days unless such child continues to meet said
requirements of subdivision(3)of this subsection.
(3) For each enrolled child,the provider shall obtain from the child's parent and keep on file at the child day care center
or group day care home one or more of the following types of documentation for each of the diseases listed in
subdivision(1)of this subsection:
(A) a statement signed and dated by a physician,physician assistant,or an advanced practice registered nurse
indicating that the child is current or in progress with immunizations according to the schedule adopted by the
Commissioner in accordance with Connecticut General Statutes Section 19a-7f and that names the appointment ,
date for the child's next immunization;
(B) a statement signed and dated by a physician,physician assistant,or an advanced practice registered nurse
indicating that the child has an appointment that will keep the immunizations current or in progress as required
by said schedule and that names the date for the child's next immunization;
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 15
Section 19a-79-7a Physical Plant
(C) a statement signed and dated by a physician,physician assistant,or an advanced practice registered nurse
indicating that the child has laboratory confirmed proof of immunity to natural infection.or in the case of
varicella.a statement signed and dated by a physician,physician assistant,or an advanced practice registered
nurse indicated that the child has already had chickenpox based on family and/or medical htston
(D) a statement signed and dated by a physician,physician assistant,or an advanced practice registered nurse
indicating that the child has a medical contraindication to immunization:
(E) a written statement that immunization is contrary to the religious beliefs and practices of the child or the
parent of such child. Such statement shall be signed by the child's parent.
` (4) For each child to whom subparagraph(B)of subdivision(3)of this section applies,continued enrollment in day care
for more than thirty days after the named immunization appointment shall be contingent on the provider receiving
written documentation from a physician,physician assistant,or an advanced practice registered nurse stating either:
that the named appointment was kept and the child received the scheduled immunizations,or that the child was
unable to receive the scheduled immunizations for medical reasons and a new appointment date is named.
Section 19a-79-7a. Physical plant
(a) The standards established by the following sources for the construction,renovation,alteration,expansion,conversion,
maintenance and licensure of child day care centers and group day care homes,as they are amended from time to time,are
incorporated and made a part of this section by reference:
(1) State of Connecticut Basic Building Code,
(2) State of Connecticut Fire Safety Code.
(3) State of Connecticut Public Health Code
(4) local codes and ordinances.
(b) Plans for new construction,expansion.renovation or conversion,indicating the proposed use and accompanied by a written
narrative shall be submitted to the Department prior to the start of construction.
(1) Completed plans and specifications shall be submitted to and reviewed by the Department on the basis of compliance
with the Public Health Code.
(2) Written approval by the local building inspector,local director of health or designee,local zoning.and local fire
marshal shall be submitted to the Department.
(3) Approval by the Department is required prior to the use of any space that has been newly constructed,expanded,
renovated or converted.
(c) General requirements
(1) Any new operator is responsible for bringing the center or home into compliance with sections 19a-79-1a through
19a-79-8a of the Regulations of Connecticut State Agencies.
(2) The building,equipment and services shall be maintained in a good state of repair. A maintenance program shall be
established that ensures that the interior,exterior and grounds of the building are maintained,kept clean and orderly,
., free from accumulations of refuse,dampness,stagnant water,dilapidated structures,and other health and safety
hazards.
(3) Water supply,food service and sewage disposal facilities shall be in compliance with all applicable sections of the
Public Health Code.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 16
Section 19a-79-7a Physical Plant
(A) All water supplies shall be tested every two(2)years for lead content and the results submitted to the local and
state health departments.
(B) Whenever water is obtained from other than a Department-approved public water supply it shall be of a safe
and sanitary quality and tested every two(2)years for bacterial and chemical quality and the results submitted
to the local and state health departments.
(Q Sanitary drinking fountains or individual disposable drinking cups shall be provided and accessible to the
children at all times. -
(d) Basic requirements
(1) Emergency vehicles shall have access to all child day care centers or group day care homes.
(2) Established walkways shall be provided and properly maintained for each entrance and exit leading to a driveway or
street.
(3) In child day care centers that are licensed by January 1, 1994,a toilet and sink shall be designated for use by the staff
and other adults. In child day care centers that are licensed or renovated after January 1. 1994,a room with a toilet
and sink within the licensed child day care center shall be designated for the exclusive use of staff and other adults.
(4) All windows that open to the outside and are used for ventilation shall be equipped with sixteen(16)mesh screening.
(5) Any unprotected glass doors,windows,or mirrors to which children have access shall be protected to a height of
thirty six(36)inches from the floor or surface on which a child stands.
(6) Where overhead doors are accessible to the children they shall be equipped with locking devices and spring
protectors.
(7) Exit doorways,stairs,or hallways shall not be blocked by furniture.toys,or play equipment.
(8) There shall be an area available for the individual storage of each child's clothing and bedding.
(9) Smoking is prohibited in all child day care centers or group day care homes and outdoor areas except in designated
smoking areas,provided these areas are separate,properly ventilated,and enclosed away from any children present at
the facility. Signs shall be posted,visible to the public,on entrance to the facility indicating that smoking is
prohibited except in designated areas.
(10) Electrical outlets shall be provided with safety covers or approved safety outlets. The use and maintenance of
electrical cords,appliances,and adapters shall be in full compliance with state codes.
(11) Toilet and washing facilities
(A) Where toilets and sinks are shared by children and adults,a written policy shall be developed and implemented
that requires supervision of children when using the shared bathroom.
(B) For programs serving children under six(6)years of age there shall be at least one(1)toilet and one(1)sink
with hot and cold running water for every sixteen(16)children,or fraction thereof. Standard size toilets and
sinks shall be adapted for children's use.
(C) For programs serving only school age children,there shall be at least one(1)toilet and one(1)sink with
running water for every twenty-five(25)children,or fraction thereof.Toilet facilities shall be designed in such
a manner to allow individual privacy.
(D) Sinks with running water shall be readily accessible to the toilet rooms if not located within them. Toilet tissue,
soap,single use disposable towels and a covered waste receptacle shall be accessible to the toilets and sinks.
(E) Each toilet room shall be well lighted and ventilated to the outside atmosphere.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 17
Section 19a-79-7a Physical Plant
(F) In child day care centers constructed or renovated after January 1. 1994.all toilet facilities shall be
mechanically ventilated to the outside atmosphere.
(e) Environmental requirements
(1) Every area used by children shall be adequately ventilated and have a thermometer affixed to the'wall. The ambient
air temperature shall beat least sixty-eight(68)degrees Fahrenheit as measured three(3 i feet from the floor.
M (2) When the temperature exceeds eighty(80)degrees Fahrenheit the operator shall provide more fluids and increase
ventilation.
(3) The water heating equipment shall deliver hot water at the tap.the temperature of which shall be within a range of 105
degrees Fahrenheit to 115 degrees Fahrenheit. It shall have the capacity to deliver the required amounts at all times in
conformance with the State of Connecticut Basic Building Code.
(4) Only central heating or permanently installed heating systems shall be used. Portable space heaters are prohibited.
(5) Walls,ceilings,floors and rugs shall be maintained in a state of good repair and be washable or easily cleanable.
Rugs,if used,shall be secured to the floor.
(6) Hot water or steam pipes located in areas accessible to children shall have adequate protective covering which is
maintained safely and in good repair.
(7) Each level of the child day care center or group day care home shall be provided with a telephone in working order
located within the licensed program space accessible to staff for emergency purposes. Emergency telephone numbers
shall be posted in an area adjacent to the phone.
(8) All spaces occupied by people,equipment within buildings,approaches to buildings,and parking lots shall have a
minimum of one(1)foot candle of lighting per square foot.
(9) Child day care centers and group day care homes licensed before January 1. 1994.shall have at least fifty(50)foot
candles of light per square foot in rooms used by children. In child day care centers and group day care homes
constructed or renovated after January 1, 1994,all rooms and toilet rooms shall have at least one light fixture switch
at each entrance. Light fixtures shall be shielded or shatter proof.
(10) Potentially hazardous substances in the child day care centers and group day care homes shall be stored in a separate
locked area.
(11) Garbage and rubbish shall be kept in containers constructed of durable material approved by the local health director.
Receptacles shall be in good repair to prevent infestations by rodents.insects and other pests and to prevent odors,
injuries and other nuisance conditions. The garbage and rubbish shall be moved to an exterior waste storage area at
least daily.
(12) Stairs must be properly protected and maintained in good repair. There must be handrails installed at a height usable
by children.
(13) Toxic plants and materials are prohibited in areas accessible to children.
(14) Any pet or animal present at the facility,indoors or outdoors,shall be in good health,show no evidence of carrying
disease,and be a friendly companion for the children.
Y (15) When pets are kept on the premises,procedures for their care and maintenance and access to the children shall be
written and implemented.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 18
Section 19a-79-7a Physical Plant
(16) If the child day care center or group day care home uses the basement level or the ground floor of a building.a
minimum of one(1)radon test shall be conducted using a device or service approved by the United States
Environmental Protection Agency radon measurement proficiency program. This test shall be completed during the
months of November through April and the results posted with the license. The Department and the local director of
health shall be notified of the results.
(17) There shall be effective measures taken to prevent vermin from entering and/or breeding in the child day care center
or group day care home. All openings to the outer air used for ventilation shall be screened with a minimum of
sixteen(16)mesh screening and doors shall be provided to prevent the entrance of vectors.
(f) Program space
(1) The requirements of this subdivision shall apply to a child day care center or group day care home operating in a
facility first licensed after January 1, 1986.
(A) The operator shall provide minimum of thirty-five(35)square feet of total indoor usable program space per
child. The total licensed capacity shall be determined on a room-by-room basis measuring from interior wall to
interior wall.
(B) Within the allowance for total indoor usable program space there may be furniture used by other individuals as
well as the children but there shall be open program space available which allows for freedom of movement by
the children.
(C) The following items shall be deducted from the total indoor usable square footage of program space:
(i) bathroom.hallways,kitchen and food service areas;
(ii) refrigerators;
(iii) heating and cooling units;
(iv) staff desks and storage units
(v) any space or equipment used for other than the activities of the children.
(vi) large indoor activity room.
(2) The requirements of this subdivision shall apply to a child day care center or group day care home operating in a
facility first licensed before January 1, 1986.
(A) The operator shall provide a minimum of thirty(30)square feet of total indoor usable program space per child.
Measurements to determine total indoor usable program space shall be taken from interior walls.
(B) Such space shall be free of furniture except that needed for the children's purpose,exclusive of toilet rooms.
bathrooms.coat rooms,kitchens,halls,isolation room or other rooms used for purposes other than the activities
of the children.
(3) Cots,cribs,and playpens shall be placed so that walkways are clear for emergencies and evacuation.
(g) Equipment. All equipment shall be of such design and material as to be readily cleaned and safe for children.
(1) Equipment shall not be colored and/or covered by any poisonous material. All solid constituents of paint for
equipment and toys,and pigment coloring in paints,pencils,crayons and inks,to be used by the children shall be
non-toxic. Equipment shall be sturdy,safely constructed,and free from protruding nails,rust,toxic material,and
other hazards.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 19
Section 19a-79-8a Educational Requirements
(2) Adequate equipment for rest shall be provided. An individual cot shall be provided for any child who regularh
remains five(5)hours or longer per day. When cots are shared. they shall be washed and disinfected and iinens
changed between children. In a group day care home,an individual mat or individual sleeping bag may be substituted
for the individual cot.
(3) Metal equipment shall be free from rust or chipping paint.
(4) Hardware such as air conditioners,water heaters,or fuse boxes shall be inaccessible to children.
(5) The materials and equipment available and used by children shall be developmentally appropriate for the ages of the
children served.
J'
(h) Outdoor play space
(1) There shall be access to a minimum of seventy-five(75)square feet per child of outdoor space for the number of
children using the space at any one time. This could include parks,school yards.parking areas or elevated or roof top
play areas. The outdoor area shall be fenced or protected for safety.
(2) Where swings.see-saws or climbing apparatus are used,the surface in the space shall be protected with a minimum of
eight(8)inches of impact absorbing materials,e.g.,sand,or its equivalent.
(3) The playground shall be free of glass,debris,holes and other hazards.
(4) Nuts,bolts and screws shall be tight and those that protrude shall be covered or protected.
(5) Outside equipment shall be anchored for stability. Anchors shall be buried below ground level.
(6) Where fencing exists.it shall be at least four(4)feet in height and surround the play area.
(7) Drinking water shall be available and accessible.
(8) Outdoor equipment shall be arranged in such a way as to avoid accidents.
(9) Only pesticides or herbicides that protect the health and safety of the children shall be used in any outdoor play area.
(i) Swimming,wading and bathing facilities. Swimming,wading and bathing facilities,if provided.shall comply with the
provisions of sections 19-13-B33b, 19-13-1334,and 19-13-1336,of the Regulations of Connecticut State Agencies. No
wading pools shall be used.
Section 19a-79-8a. Educational requirements.
Each child day care center and group day care home shall develop and implement a written plan for the daily program that
includes a flexible schedule and shall be available to parents and staff. Child day care centers and group day care homes shall
have policies,procedures and activities that meet and enhance the individual needs of the diverse population of children served,
which includes children with cultural,language and developmental differences.
(a) The plan shall include:
(1) indoor and outdoor physical activities which provide opportunities for fine and gross motor development.
y (2) problem-solving experiences that facilitate concept formation,language development and sensory discrimination.
(3) creative experiences which allow children the opportunity to develop and express their own ideas and feelings in all
parts of the program including but not necessarily limited to:
(A) art and media,
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 20
Section 19a-79-9a Administration of Medications
(B) dramatic play,
(C) music.
(D) language.
(E) motor activity:
(4) language learning experiences that provide opportunities for spontaneous conversation.as well as experiences with
books,poems,stories,and songs,
(5) experiences that promote self-reliance and build self-esteem including but not necessarily limited to self care of body
and clothing,care of possessions,and shared group responsibility for equipment and materials:
(6) health education experiences that include modeling good health practices.sound nutrition and safety awareness.
(b) The program shall include:
(1) child-initiated and teacher-initiated activities;
(2) exploration and discovery;
(3) varied choices for children in materials and equipment;
(4) individual and small group activities;
(5) active and quiet play;
(6) rest,sleep or quiet activity;
(7) nutritious snacks and meals;
(9) toileting and clean up.
Section 19a-79-9a. Administration of Medications.
Child day care centers and group day care homes are not required by this section to administer medications to children. If the
program accepts responsibility for the administration of medications of any kind,the program shall comply with all requirements
of this section and shall have a written policy and procedures at the facility governing the administration of medications which
shall include,but not be limited to,the types of medication that shall be administered,parental responsibilities,staff
responsibilities,proper storage of medication and record keeping. Said policies and procedures shall be available for review by
the Commissioner during site inspections or upon demand and shall reflect best practice.
(a) Administration of Nonprescription Topical Medications Only
(1) Description
For the purposes of this section nonprescription topical medications shall include:
(A) Diaper changing ointments free of antibiotic,antifungal,or steroidal components;
(B) Medicated powders;and M
(C) Teething medications. -
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 21
Section 19a-79-9a Administration of Medications
(2) Nonprescription Topical Medications Administration/Parent Permission Records
The written permission of the parent shall be required prior to the administration of the nonprescription topical
medication and a medication administration record shall be written in ink and kept on file at the facility for each child
administered a nonprescription topical medication. The medication administration record and parent permission shall
become part of the child's health record when the course of medication has ended. The parent shall he notified of any
medication administration errors immediately in writing and the error shall be documented in the record. The followng
information shall be included on a form as part of the medication administration record:
(A) The name,address,and date of birth of the child;
(B) The name of the medication:
(C) The schedule and site of administration of the medication:
(D) A statement indicating that the medication has been previously administered to the child without adverse effect:
(E) The signature in ink of the director,head teacher,program staff or group day care home provider receiving the
parent permission form and the medication;
(F) The name,address,telephone number,signature and relationship to the child of the parent(s)authorizing the
administration of the medication;
(G) The date and time the medication is started and ended;
(H) Medication administration errors;and
(I) The name of the person who administered the nonprescription topical medication.
(3) Nonprescription Topical Medications/Labeling and Storage
(A) The medication shall be stored in the original container and shall contain the following information on the
container or packaging indicating:
(i) the individual child's name;
(ii) the name of the medication;and
(iii) directions for the medication's administration.
(B) The medication shall be stored away from food and inaccessible to children.
(C) Any unused portion of the medication shall be returned to the parent.
(b) Administration of medications other than nonprescription topical medications.
(1)Training Requirements
(A) Prior to the administration of any medication,the director(s),head teacher(s),program staff.or group day care
home provider(s)who are responsible for administering the medications shall first be trained by a physician,
physician assistant,advanced practice registered nurse or registered nurse in the methods of administration of
medications and shall receive written approval from the trainer which indicates that the trainee has successfully
completed a training program as required herein. A director,head teacher,program staff,or group day care home
provider trained and approved to administer medication shall also be present whenever a child who has orders to
receive medication is enrolled and present at the facility.
(B) The training in the administration of medications shall be documented and shall include,but not be limited to,the
following
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 22
Section 19a-79-9a Administration of Medications
(i) objectives;
(ii) a description of methods of administration including principles and techniques.application.and
installation of oral.topical,and inhalant medication, including the use of nebulization machines.with
respect to age groups;
(iii) administering medication to an uncooperative child:
(iv) demonstration of techniques by the trainer and return demonstration by participants,assuring that the
trainee can accurately understand and interpret orders and carry them out correctly:
(v) recognition of side effects and appropriate follow up action; _
(vi) avoidance of medication errors and the action to take if an error occurs;
(vii) abbreviations commonly used;
(viii) documentation including parent permission,written orders from physicians,and the record of
administration;
(ix) safe handling including receiving medication from a parent,safe disposal,and universal
precautions;and
(x) proper storage including controlled substances,in accordance with Section 2la-262-10 of the Regulations
of Connecticut State Agencies.
(C) Injectable Medications
In addition to the above training,before a director,head teacher,program staff,or group day care home provider
may administer injectable medications,he shall have successfully completed a training program on the
administration of injectable medications by a premeasured,cotitmercially prepared syringe. The trainer who shall
be a physician,physician assistant,advanced practice registered nurse or registered nurse,shall assure that the
director,head teacher,program staff,or group day care home provider understands the indications,side effects,
handling and methods of administration for injectable medication. Thereafter,on a yearly basis,the director,head
teacher,program staff,or group day care home provider shall have their skills and competency in the
administration of injectable medication validated by a physician,physician assistant.advanced practice registered
nurse or registered nurse. Injectable medications shall only be given in emergency situations,by a premeasured
commercially prepared syringe,unless a petition for special medication authorization is granted by the department.
(2) Training Approval Documents/Training Outline
(A) Upon completion of the required training program,the physician,physician assistant,advanced practice registered
nurse or registered nurse who conducted the training shall issue a written approval to each director,head teacher,
program staff,or group day care home provider who has demonstrated successful completion of the required
training. Approval for the administration of oral.topical.and inhalant medications shall remain valid for three(3)
years. Approval for the administration of injectable medications shall be valid for one(1)year. A copy of the
approval shall be on file at the facility where the director,head teacher,program staff,or group day care home
provider is employed and shall be available to department staff upon request.
(B) The written approval shall include:
(i) the full name,signature,title.license number,address and telephone number of the physician,physician
assistant,advanced practice registered nurse or registered nurse who gave the training;
(ii) the location and date(s)the training was given;
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 23
Section 19a-79-9a Administration of Medications
(iii) a statement that the required curriculum areas listed in Sec. 19a-79-9a(b)(1)(B)and Sec. 19a-79-9atbi(1)(C,
when applicable were successfully mastered.and indicating the route(s)of administration the trainee has
been approved to administer;
(iv) the name,address and telephone number of the director,head teacher,program staff.or group day care home
provider who completed the training successfully:and
(v) the expiration daze of the approval.
(C) The trainer shall provide the trainee with an outline of the curriculum content which verifies that all mandated
requirements have been included in the training program. A copy of said outline shall be on file at the facility
' where the trainee is employed for department review. The department may require at any time that the operator
obtain the full curriculum from the trainer for review by the department.
(3) Order From An Authorized Prescriber/Parent's Permission
(A) Except for nonprescription topical medications described in Section 19a-79-9a(a)(1).no medication.prescription
or nonprescription,shall be administered to a child without the written order of an authorized prescriber and the
written permission of the child(s)parent which shall be on file at the facility. Such medications may include:
(i) oral medications;
(ii) topical medications;
(iii) inhalant medications;or
(iv) injectable medications,by a premeasured.commercially prepared syringe,to a child with a medically
diagnosed condition who may require emergency treatment.
(B) The written order from an authorized prescriber shall be on one form which shall indicate that the medication is
for a specific child and shall contain the following information:
(i) the name,address,and date of birth of the child;
(ii) the date the medication order was written;
(iii) the medication or drug name,dose and method of administration;
(iv) the time the medication is to be administered;
(v) the date(s)the medication is to be started and ended;
(vi) relevant side effects and the authorized prescriber's plan for management if they occur;
(vii) notation if the medication is a controlled drug;
(viii) a listing of any allergies, reactions to, or negative interactions with foods or drugs;
(ix) specific instructions from the authorized prescriber who orders the medication regarding
how the medication is to be given;
Y
(x) the name,address and telephone number of the authorized prescriber ordering the drug;
(xi) the authorized prescriber's signature;and
(xii)the name,address,telephone number,signature and relationship to the child of the parent(s)giving
permission for the administration of the drug by the director,head teacher,program staff,or group day care
home provider.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 24
Section 19a-79-9a Administration of Medications
(C) If the authorized prescriber determines that the training of the director,head teacher.program staff,or group dad
care home provider is inadequate to safely administer medication to a particular child,or that the means of '
administration of medication is not permitted under these regulations,that authorized prescriber may order that
such administration be performed by licensed medical personnel with the statutory authont} to administer
medications.
(D) The director.head teacher,program staff,or group day care home provider shall administer medication oniy in
accordance with the written order of the authorized prescriber and shall not administer the first dose of am
medication.except in an emergency. The parent shall be notified of any medication administration errors
immediately in writing and the error shall be documented in the record.
(E) Investigational drugs shall not be administered.
(4) Required Records
(A) Except for nonprescription topical medications described in Section 19a-79-9a(a)(1).individual written
medication administration records for each child shall be written in ink,reviewed prior to administering each dose
of medication and kept on file at the facility. The medication administration record shall become part of the
child's health record when the course of medication has ended.
(B) The individual written administration record for each child shall include:
(i) the name,address,and date of birth of the child; -
(ii) the name of the medication or drug;
(iii) the dosage ordered and method of administration;
(iv) the pharmacy and prescription number if applicable;
(v) the name of the authorized prescriber ordering the drug;
(vi) the date,time,and dosage at each administration;
(vii) the signature in ink of the director,head teacher,program staff or group day care home provider giving the
medication;
(viii) food and medication allergies;
(ix) level of cooperation from the child in accepting the medication;
(x) the date and time the medication is started and ended;and
(xi) medication administration errors.
(5) Storage and Labeling
(A) Medication shall be stored in the original child-resistant safety container. The container or packaging shall have a
label which includes the following information:
(i) the child's name;
(ii) the name of the medication;
(iii) directions for the medication's administration;and `
(iv) the date of the prescription.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 25
Section 19a-79-9a Administration of Medications
(B) Except for nonprescription topical medications described in Section 19a-79-9a(a)(1).medication shall be stored in
a locked area or a locked container in a refrigerator in keeping with the label directions away from food and
inaccessible to children.. Keys to the locked area or container shall be accessible only to personnel authorized to
administer medication. Controlled drugs shall be stored in accordance with Section'_Ia-'_62-10 of the Regulations
of Connecticut State Agencies.
(C) All unused medication shall be returned to the parent or destroyed if it is not picked up within one i 1 i week
following the termination of the order,by flushing into sewerage or a septic system in the presence of at least one
witness. The facility shall keep a written record of the medications destroyed which shall be signed by both
parties.
(6) Petition For Special Medication Authorization
(A) The operator of a child day care center or group day care home may petition the department to administer
medications to a child cared for at the child day care center or group day care home by a modality which is not
specifically permitted under these regulations by submitting a written application to the department including the
following information:
(i)a written order from an authorized prescriber containing the information for the specific child set forth in
subsection (b)(3)(B)and a statement that the administration by the requested modality is the only reasonable means
of providing medication and that the administration must occur during hours of the child's attendance at the
facility;
(ii)a written training plan including the full name,signature,title,license number,address and telephone number of
the physician,advanced practice registered nurse,physician assistant or registered nurse who shall provide the
training,a detailed outline of the curriculum areas to be covered in training, and a written statement by
the authorized prescriber that the proposed training is adequate to assure that the medication shall be administered
safely and appropriately to the particular child;
(iii)the name,address and telephone number of the person(s)who shall participate in the training:
(iv) written permission from the child's parent;and
(v) such other information that the department deems necessary to evaluate the petition request.
(B) After reviewing the submitted information,if the department determines that the proposed administration of
medication for the particular child can be provided in a manner to assure the health,welfare and safety of the child,it
may grant the petition. The department may grant the petition with any conditions or corrective measures which the
department deems necessary to assure the health,safety and welfare of the child. The department shall specify the
curriculum that the training program shall cover and the expiration date of the authorization provided in granting the
petition. If the department grants the petition,no medication may be administered until after the proposed training
program has been successfully completed and a written certification from the physician,advanced practice registered
nurse,physician assistant or registered nurse who provided the training is submitted to the department. The
certification shall include: .
(i) the full name,signature,title,license number,address and telephone number of the physician,advanced
practice registered nurse,physician assistant or registered nurse who provided the training;
(ii) the location and date(s)the training was given;
(iii) a statement that the curriculum approved by the department was successfully mastered and stating the
modality of administration of medication that the trainee has been approved to administer;and
(iv) the name,address and telephone number of the person(s)who successfully completed the training.
(C) Copies of all documentation required under this subsection shall be maintained at the facility. The
requirements of subsection(b)(4)and(b)(5)shall apply to the administration of medication authorized by petition.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 26
Section 19a-79-10 Under Three Endorsement
(c) Department Action
(1) Cease and Desist Orders
(A) If the department determines that the health,safety or welfare of a child in the child day care center or
group day care home imperatively requires emergency action to halt the administration of medications by
a director,head teacher.program staff or group day care home provider in a child day care center or group daN
care home,the department may issue a cease and desist order requiring the immediate cessation of the
administration of medications by a director,head teacher,program staff or group day care home provider in the
facility. The department shall provide an opportunity for a hearing regarding the order within 10 business days of
date the order is issued. Upon receipt of the order.the operator shall cease the administration of all
medications and provide immediate notification to the parents of all children under his care that no
medications may be administered at the child day care center or group day care home until such time as the cease
and desist order is terminated.
(2) Other Action
In accord with the procedures set forth in Connecticut General Statutes Section 19a-84,if the department finds that the
operator,director,head teacher,program staff or group day care home provider fails to substantially comply with the
regulations in this section or fails to administer medications in compliance with policies or procedures adopted for the
child day care center or group day care home.or administers medications in a manner which endangers the health.
welfare or safety of the children cared for in the facility, the department may take any of the following actions singly
or in combination against the license of the operator:
(A) Revocation of the license;
(B) Suspension of the license for a specific time period or until regulatory compliance is secured or conditions
deemed necessary to protect the health,safety and welfare of the children cared for in the child day care center
or group day care home are met;
(C) The imposition of a civil penalty of up to one hundred dollars($100.00)per day of violation of these
regulations;or
(D) Place the licensee on probationary status and impose such conditions or corrective measures which the
department deems necessary to assure the health,safety and welfare of the children cared for in the child
day care center or group day care home including but not limited to:
(i) reporting regularly to the department upon the matters which are the basis of probation;
(ii) placement of restrictions upon the operation of the child day care center or group day care home deemed
necessary to protect the health,safety and welfare of the children cared for in the facility;and
(iii) continue or renew professional education until a satisfactory degree of skill has been attained in those areas which
are the basis for the probation.
Section 19a-79-10. Under three endorsement
(a) The operator of a program caring for children under three(3)years of age shall comply with sections 19a-79-1a through
19a-79-8a of the Regulations of Connecticut State Agencies.
(b) A program caring for children under three(3)years of age is required to have a separate endorsement by the Department.
Y
(c) Infants and toddlers
(1) Age. Children from six(6)weeks to thirty six(36)months of age shall be considered infants and toddlers.
(2) Ratio. There shall be at least one(1)person qualified under section 19a-79-4a(d)of the Regulations of Connecticut
State Agencies for every four(4)children or fraction thereof in attendance.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 27
Section 19a-79-10 tinder Three Endorsement
(3) Group size. The group size shall not exceed eight(8)children.
(4) There shall be a physical barrier separating each group of eight(8)children.
(d) Special equipment. Each child day care center and group day care home shall have equipment and furniture to meet the
developmental needs of the children served.
(1) Sinks
(A) In child day care centers there shall be a sink with hot and cold running water designated for diaper changing
and hand washing of staff and children. This sink shall be located in the program space. Visual contact with all
" other children shall be maintained while changing diapers or using the sink. Centers which staff three(3)adults
to a group size of eight(8)infants or toddlers may use an accessible diaper changing facility if it is immediately
adjoining the program area.
(B) Separate sinks shall be available for purposes other than hand washing after diaper changing within child day
care centers.
(C) Group day care homes shall have a sink accessible for hand washing other than the sink used for food
preparation.
(2) Furniture shall include:
(A) well constructed free standing cribs,not stacked cribs,each of which has slats no more than two and three
eighths(2 3/8)inches apart and a fully water-proofed,firm.snug-fitting mattress:
(B) washable cots for toddlers;
(C) high chairs,each of which has a stable base,safety straps attached to the chair,and a tray which locks securely.
(D) adult rocking chairs;
(E) low tables and chairs according to children's size and development;
(F) a refrigerator and facilities to store and heat food and bottles.
(3) Furniture may include:
(A) strollers,each of which has a stable base,firmly attached safety straps and tightly locking brakes;
(B) infant seats,each of which has a stable base,safety straps and a supporting device that locks firmly in place;
(C) play pens,each of which has either small weave mesh netting or slats no more than two and three eighths(2
3/8)inches apart,a firm floor with a secured foam pad,and hinges that lock tightly.
(e) Diapering and toileting
(1) The diapering area shall be an elevated sturdy table or counter equipped with a safety rail.
(2) Infants and toddlers shall be diapered at a diapering area used only for this purpose and located in the program area.
w
(3) Each diapering area shall have a non-porous surface and be kept in good repair.
(4) Diapering areas shall be washed and disinfected after each use.
(5) Disposable paper sheets shall be used and discarded immediately after each diapering.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 28
Section 19a-79-10 under Three Endorsement
(6) A covered washable lined waste receptacle shall be available and located in a convenient place for soiled waste
material. These materials shall be removed to an exterior waste storage area at least daily.
(7) The hands of the staff and the children shall be washed before and after each diaper change.
(8) Diapering and hand washing policies and procedures shall be posted in each diapering area.
(9) Disposable diapers shall be discarded in a covered receptacle immediately after diapering.
(10) When cloth diapers or training pants are used,a plan for their use and care shall be submitted to and approved by the M
Department prior to implementation of the plan. This plan shall include but not necessarily be limited to these
procedures:
(A) placing soiled clothing and diapers in a sealed air tight container.
(B) removing soiled clothing and diapers from the child day care center or group day care home daily.
(C) cleaning and sanitizing the container daily.
(f) Linens and clothing and bedding.
(1) A supply of linen and emergency clothing shall be available for each child in the child day care center or group day
care home at all times.
(2) All children's linens shall be washed at least weekly and as needed.
(3) Each child's linens and clothing shall be stored individually. Plastic bags shall not be accessible to infants and
toddlers.
(4) When cribs and cots are shared they must be washed and disinfected and linens changed between children.
(g) Toys
(1) Toys used for infants shall be kept separate,washed and disinfected at least daily. Toys for toddlers,including floor
and riding toys,shall be washed and disinfected at least weekly and as needed.
(2) Toys and other objects with a diameter of less than one(1)inch or two and one half(2.5)Centimeters,objects with
removable parts that have a diameter of less than one(1)inch or two and one half(2.5)Centimeters, plastic bags,
balloons and styrofoam objects shall not be accessible to children under three(3)years of age.
(h) Health consultant
(1) A health consultant who is a physician,physician assistant,advanced practice registered nurse or registered nurse
shall visit the program on the days and times children under the age of three(3)are present. The scheduled times of
the visits shall be arranged so that all children under the age of three(3)are observed. The health consultant shall
prepare and maintain signed documentation of visits which shall be kept on the licensed premises.
(2) The health consultant shall visit the program according to the following schedule:
(A) once a week for children up to twenty-four(24)months of age,
(B) once a week for children two(2)to three(3)years of age attending a full day,
(C) once a month for children two(2)to three(3)years of age attending part day programs.
(3) The responsibilities of the health consultant shall include but not necessarily be limited to:
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 29
Section 19a-79-11 School Age Children Endorsement
(A) maintaining health records.
(B) maintaining first aid kits.
(C) evaluating toys and/or equipment for safety,
(D) observing diaper changing area and diaper changing procedures.
(E) observing and providing health screening for individual children.
(F) sharing supplementary materials with staff and parents.
(G) communicating with staff and parents about specific problems.
(H) providing consultation and acting as a resource person to staff and parents.
(I) providing in service education.
(J) identifying child abuse or neglect.
(4) The health consultant shall document the activities and observations required in this subsection in a health
consultation log. The health consultation log shall be kept on file at the facility for two(2)years.
(i) Infants shall be removed from their cribs and held for all bottle feedings. They may be placed in chairs for all other
feedings. Infants and toddlers shall be removed from their cribs or playpens:at other intervals during the day for individual
cuddlings and for verbal communication. They shall be allowed to crawl and toddle as age and development permit.
0) If the center provides meals for infants:
(1) a written statement specifying the formula and the feeding schedule shall be obtained from the parents.
(2) unused portions of formula shall be discarded after each feeding.
(3) clean bottles shall be provided by parent(s)unless the center uses disposable bottles or has a dishwasher or
dishwashing system approved by the local health director to wash bottles.
(4) baby food shall be served from a dish unless the whole contents of the jar will be served,
(5) each child's bottle shall be individually identified with the child's name.
(k) Outdoor play space
(1) All infant toddler play space shall be fenced.
(2) The equipment available to the infants and toddlers shall be developmentally appropriate for the ages of the children.
Section 19a-79-11. School age children endorsement
(a) The operator of a child day care center or group day care home caring for children of school age shall comply with sections
19a-79-1 a through 19a-79-8a of the Regulations of Connecticut State Agencies.
(b) A program providing care for children at least five(5)years old attending elementary or middle school shall have a separate
school age children endorsement by the Department.
(c) The program shall provide adequate opportunities for creative,recreational and restful activities as appropriate to meet the
needs of the individual school age child.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 30
Section 19a-79-11 School Age Children Endorsement
(1) These activities shall not be an extension or duplication of the child's school day.
(2) Children shall have opportunities to choose among activities including but not necessarily limited to:
(A) free time,
(B) creative activities.
(C) opportunities for homework assignments.
(D) nutritional snacks.
(E) physical activities,
(F) quiet activities,
(G) small group activities,
(H) special events which may include field trips,
(I) self-concept activities.
(d) Ratio. There shall be at least one(1)qualified program staff person for each ten(10)children or fraction thereof.
(e) Group size. The group size shall not exceed twenty(20)children.
(f) When a program serves school age children only.the designated head teacher shall be on site for sixty percent(60%)of the
time the center is in operation on a weekly basis and shall submit written verification of the following qualifications and
experiences:
(1) the age of twenty(20)years or older;
(2) the personal qualities needed to supervise others;
(3) a high school diploma or equivalency certificate;
(4) at least five hundred and forty(540)hours of documented supervised experience over at least a nine(9)month span of
time including working with children in a program with comparable standards to the standards in this or another state,
which program must serve children of the same ages and developmental stages who are served at the child day care
center;and
(5) one of the following:
(A) twelve(12)credits in early childhood education or child development,elementary education,recreation,group
social work,or a related field from an accredited institution of higher education with program approval from the
Board of Governors of Higher Education;or
(B) approval by the Department as a head teacher prior to January 1, 1994;or
(6) a four(4)year college degree in elementary education,recreation,group social work or a related field from an
accredited institution of higher education with program approval from the Board of Governors of Higher Education,
with at least two hundred and seventy(270)hours of documented supervised experience working with unrelated '^
children of the same ages to be served in this child day care center or group day care home. This supervised
experience could be student teaching or a practicum assignment.
(g) The education consultant used in the program shall have training and experience in child development,recreation,leisure
activities,group social work or elementary education.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES.-LICENSING REGULATIONS 31
Section 19a-79-12 Night Care Endorsement
(h) When a program for school age children is located in a public or private school facility currently used as a school.the local
health.building and zoning regulations pertaining to school facilities shall apply. Under these circumstances.written
verification of building and zoning approval is not required. A fire marshal certificate of approval and written local health
approval are required for the facility as defined in subparagraph I9a-79-2a(b)(2)(D)of the Regulations of Connecticut State
Agencies.
Sections 19a-79-12. Night care endorsement
(a) The operator of a child day care center or group day care home providing night care shall comply with sections 19a-79-I a
through 19a-79-8a of the Regulations of Connecticut State Agencies.
(b) The program providing care for one(1)or more hours between the hours of eight(8) P.M.and six k6)A.M.shall have a
separate night care endorsement by the department.
(1) There shall be a person on the licensed premises designated as the person in charge who shall meet the head teacher
qualifications in subdivision 19a-79-4a(d)(1)of the Regulations of Connecticut State Agencies.
(2) There shall be a written plan for program activities to meet the needs of the individual child,including individual
sleep patterns and quiet activities.
(3) There shall be a written plan for continuous supervision of sleeping children including cot placement and evacuation
from the building.
(4) A child shall not be in care for more than twelve(12)hours in a twenty-four(24)hour period on a regular basis.
(5) All staff persons shall be awake and available to work with children in care.
(6) There shall be an individual cot or crib with bedding for each child,in accordance with section 19a-79-10(d)(2)(A)
and 19a-79-10(d)(2)(B)of the Regulations of Connecticut State Agencies. Bunkbeds shall not be used.
(A) Sleeping apparel and toiletries shall be individually stored.
(B) Bedding shall consist of a blanket and sheet with a pillow in a pillow case or a sleeping bag.
(C) Toiletries shall include a towel,washcloth,toothbrush,toothpaste and soap.
(D) Bedding and sleeping apparel shall be laundered weekly and as needed.
(7) The ambient air temperature shall be maintained to at least sixty-five(65)degrees Fahrenheit measured at thirty-six
(36)inches from the floor.
(8) There shall be written approval from the local fire marshal specifying the hours of operation.
(9) There shall be written approval from the local health director for night care.
Section 19a-79-13. The Monitoring of Diabetes in Child Day Care Centers and Group Day Care Homes.
(a) Policy and Procedures
(1) All child day care"centers and group daycare homes at which designated staff members will be administering
finger stick blood glucose tests shall have written policies and procedures governing the administration of
finger stick blood glucose tests to children diagnosed with diabetes mellitus. The policies and procedures
shall address at least the following areas:
(A) parental responsibilities;
(B) staff training and responsibilities;
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 32
Section 19a-79-13 Monitonn2 of Diabetes
(C) proper storage,maintenance,and disposal of test materials and supplies:
(D) record keeping:
(E) reporting test results, incidents. and emergencies to the child's parent or guardian and the child's
physician,physician assistant,or advanced practice registered nurse:and -
(F) a location where the tests occur that is respectful of the child's privacy and safety needs.
(2) Said policies and procedures shall be available for review by the Department during facility inspections or
upon demand.
(b) Training
(1) Prior to the administration of finger stick blood glucose tests, the director, head teacher, program staff or
group day care home provider shall have completed the following training requirements:
(A) a course approved by the Department in first aid,as verified by a valid first aid certificate on file at
the facility;and
(B) additional training given by a physician, physician assistant, advanced practice registered nurse.
registered nurse, certified emergency medical technician. or the child's parent or guardian
according to written guidelines provided by the child's physician,physician assistant, or advanced
practice registered nurse. The additional training shall include,but not be limited to:
(i) the proper use,storage and maintenance of the child's individual
monitoring equipment;
(ii) reading and correctly interpreting test results;and
(iii) appropriate adtions to take when test results fail to fall within
specified ranges indicated in the written order from the
child's physician,physician assistant,or advanced practice
registered nurse.
(2) The training shall be updated at least every three years when a child with diabetes mellitus who requires
finger stick blood glucose testing is present at the facility.
(3) Documentation that staff have been trained to administer finger stick blood glucose tests shall be in writing
and kept at the facility for review by the Department. Such documentation shall indicate:
(A) the subjects covered in training;
(B) the signature and title of the instructor;
(C) the signature and title of the trainee,and
(D) the date the training was given.
(c) Administration of Finger Stick Blood Glucose Test
(1) Except as provided in subdivision (3) of this subsection, only staff members trained in accordance with
subsection(b)of this section may administer the finger stick blood glucose test in a child day care center or
group day care home.
(2) Whenever a child diagnosed with diabetes mellitus who has orders to receive finger stick blood glucose
monitoring is enrolled and present at the facility,a staff member designated and trained to administer finger
stick blood glucose tests shall be present at the facility.
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 33
Section 19a-79-13 Monitoring of Diabetes
(3) Upon the written authorization of the child's physician,physician assistant or advanced practice registered
nurse,and the child's parent or guardian.a child may self administer the finger stick blood glucose test
under the direct supervision of the designated staff member who has met the training requirements in
subsection(b)of this section.
(4) Only those staff trained to administer injectable medications as described in section 19a-79-9a(b)of the
Regulations of Connecticut State Agencies and authorized to do so in writing by the chil�fs parent or
guardian and physician,physician assistant,or advanced practice registered nurse may adnnister zlucagon
in a prefilled syringe in emergency situations only.
(d) Equipment
rr
(1) The child's parent or guardian shall supply the operator with the necessary equipment and supplies
to meet the child's individual needs.Such equipment and supplies shall include at least the following items:
(A) the child's blood glucose meter and strips;
(B) an appropriate retracting lancing device used in accordance with infection control procedures:
(C) tissues or cotton balls;and
(D) fast acting carbohydrates to be given to the child as indicated in the written order from the child's
physician,physician assistant,or advanced practice registered nurse for hypoglvicemia.
(2) Such equipment and supplies shall be labeled with the child's name and shall remain in a locked storage area
when not in use.
(3) The operator shall obtain a signed agreement from the child's parent or guardian that the parent or guardian
agrees to check and maintain the child's equipment in accordance with manufacturer's instructions,restocks
supplies,and removes material to be discarded from the facility on a daily basis. All materials to be
discarded shall be kept locked until it is given to the child's parent or guardian for disposal.
(e) Record Keeping
The operator shall keep the following records at the facility as part of the child's medical record,and shall update them
annually or when there is any change in the information:
(1) A current, written order signed and dated by the child's physician, physician assistant. or advanced practice
registered nurse indicating:
(A) the child's name;
(B) the diagnosis of diabetes mellitus;
(C) the type of blood glucose monitoring test required;
(D) the test schedule;
(E) the target ranges for test results;
(F) specific actions to be taken and carbohydrates to be given when test results fall outside specified
ranges;
A (G) diet requirements and restrictions;
(H) any requirements for monitoring the child's recreational activities.and
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 34
Section 19a-79-13 Monitonne of Diabetes
(I) conditions requiring immediate notification of the child's parent,guardian.emergence contact, the
child's physician,physician assistant,or advanced practice registered nurse.
(2) An authorization form signed by the child's parent or guardian which includes the following information:
(A) the child's name;
(B) the parent's or guardian's name;
(C) the parent's or guardian's address;
(D) the parent's or guardian's telephone numbers at home and at work;
(E) two adult.emergency contact people including names,addresses and telephone numbers;
(F) the names of staff designated to administer finger stick blood glucose tests and provide care to the
child during testing;
(G) additional comments relative to the care of the child,as needed;
(H) the signature of the parent or guardian;
(I) the date the authorization is signed,and
(J) the name, address and telephone number of the child's physician,physician assistant, or advanced
practice registered nurse.
(3) The operator shall notify the child's parent or guardian daily in writing of the results of all blood glucose
tests and any action taken based on the test results,and shall document the test results and any action taken in
the child's medical record.
r
4
CHILD DAY CARE CENTERS AND GROUP DAY CARE HOMES-LICENSING REGULATIONS 35
INDEX FOR DEPARTMENT OF PUBLIC HEALTH
Section 19a-79-la through 19a-79-12
Child Dav Care Center and Group Day Care Home Licensing
Activities and program.....3 (47).6, 10. 19,20. Combined age groups........10
21,28.29, 30. 31. 32 Combustible(hazardous) materials.......1 S
Administration..................6-9 Communicable disease control......I I
Administration of Medications.....l(1),21-27 Construction and design.....1 (3)(14), 16-20
Admission policies(aaes)..7 Consultants:
dental,education.
Ages, requirements: health•nutrition,
operator ...............4 social service........9. 12.29-3I
staff......................10
Age separation(aroups)...11,28.35
Continuing education......1 (12). 9, 11-12
Corporal punishment.......7
Animals..(pets)..................18
Cots: requirements and
Application: s acin 19. 20.28. 29, 32
definition.............3-4 P �................
required................iii.3-5 Counting staff only while
involved with
Artificial lighting.............18 children...............3 (49). 3 (55). 7. 9-1 1
Attendance record-
required ..............l (6).6
Criminal checks and
convictions......... 7. 9
Bedding........................... 17.29, 32 Definitions.........................1-3
Building: Design and construction..16-_20
codes.................. 4. 5, 16, 18,32
safety rules......... 16. 19 Diabetes Monitoring.........32-35
alterations/ Diapers and diapering.....'_1,28-29
renovations..........1 (3), 16
Direct supervision of
Carpets,ceilings, rugs.... 18 children at
all times............. 3 (57), 7, 10
Chairs,tables...................28
Child/staff ratios:............ 3 (56), 7, 10,27-28, Director............................ 1 (19)
1 Disabled person............... 1 (1-0)maintained
durins all hours Discipline policy.............. 7
of operation........ 10 Discontinuance of
operation
3 Child's record..................7, 13-14,25. 34-35 (voluntary surrender).........6
Cleaning: procedures......29
Dishwashing procedures..14
Closing..............................6-7
Disposal waste..................18
Clothing:
Individual storage...17,29 Doors................................ 17
Emergency ............29 Drinking water/fountains.16-17
Soiled......... 2
Codes: building,fire,
health..................4, 16, 17, 32
Page Number Page Number
Education/experience: Garbage.......................... IS
director.............-1 (19). 9-10 General.Safetc..................i- 11. 14. 1-�. 16-1'.
staff: continuing.. 1 (12)
documentation.....10-12 20-21
requirements........1 1-12 Glass,doors, windows. mirrors..........I
Education consultant...... I (21). 12
"Grandfather Clause":
Education equipment...... 19. 20. 28 director head
Employment.....................1 (22),6 teacher............... 10
program space... 19
Emergencies: staff bathrooms.. 17
illness and
in j ury............... 7. 11. 14-15
Group day care home..... 2 (28). 4
Endorsements, license:.. 1 (23). 9 Grouping......................... 2 (29). 7. 10-11. 28.
Under 3. ............ 27-30 31
School Age........ 30. 32
Nisht Care......... 32 Hallways...........................17. 19
Handwashing:
Enrollment procedures:..9 children/staff....... 17.28. 29
kitchen
Equipment: personnel.............1 1. 14
general................6. 19, 20,28-29
kitchen................ 14
safe condition..... 17. 19-20. 30 Hazardous items............. 18.20
Head Teacher.................. 2 00). 6. 10. 31-32
Evacuation procedures...7. 19.32 Health:
Examinations, physical Program.............. 11-16
child................... 13, 14
staff.................... 9
Health examinations:
children:.............. 13-14
Exclusion of ill children..2 (31), 15 staff:....................9
Exit doors and lights....... 17
Hearing.......................-5. 8. 9.27
Fences: playground......... 20, 30
Heat................................. 18. 32
Field trips.........................13-15,31
Fire code...........................4, 5, 16. 32 Heaters, portable.............18
Hot water......................... 18
First aid: supplies............11. 15
training-required.2(27), 11-12,33 Hours of operation
(after 8:00 P.M.).32
Flammable liquids Humiliation:
(hazardous substances)......18 (as punishment).. 7
Floors: Ill children:
composition and exclusion and
cleanin..................18
return.................. 2(31), 14
Food: sanitation Illness and injury.............2 (31), 7, 14-15
requirements...... 8, 12,-14, 16 Immunizations:................13, 15-16
preparation by
staff.................... 8, 14,28, 30 Impact absorbent material..........20
Page Number Page Number
Insect control.................. 3 (59). 18. 20 Organizational chart........6
In service training........... 1 (120. 12 Outlet protectors............. 17
Inspections.......................5. 8.21. 33 Outside pla..................... 20. 30
Isolation of sick children.15 Parent.............................. 3 (43)
Job descriptions...............2 (33). 8 Parent authorizations......I I
• Kitchen: Parental access................ S
children in...........14 Person in charge in
general Director's
requirements....... 14 absence.............. 6
Kitchen equipment.......... 14 Personnel:
age...................... 10
Learning materials..........20-21.28 changes...............6
License: number required. 10. 27
definition............ 2(34) operator.............. 3 (42).4
provisional..........4 policies............... 8
requirements....... 3,4, 5 records................6,9, 11-12
termination..........5-6. 8 requirements:
vehicular.............9 (including
education)...........9. 10. 11-12. 31
volunteers........... 1 (22). 3 (55)
Licensure:
procedure. initial
Pets................................... 18
and rene-wal.........3-5
Phvsical examinations:
child.................. 13
Lighting........................... 18 staff.................. 9
Maintenance and
housekeeping..... 16-20 Physician,consulting 3 (44), 12
Meal
.................. 16
times........................14
Play areas:
Medication: indoorroutdoor.. 19-21, 28. 30
definition............ 2 (32).2 (39).2(4 1)
administration..... 1 (1),21-27 Plumbing 16, 17. 28
Poisons..............................18.20
Menus: filing,planning,
posting............... 8, 14
Posted items.....................8
Nap periods......................21 Prescription drugs...........2(32).2 (39), 2 (41).
22-27
Napping equipment.........17. 191,28-30
Nap supervision.............. 7, 10' Program access............... 5, 8
Non-prescription Program changes.............6
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medications........ 21,22 Program and activities....19-21, 30-32
Nurse-definition............. 1 (2), 3 (50), 11,29 Punishment..................... 7
Operator..........................3 (42) Radon testing.................. 19
Operating policies...........7-8
Page Number Page Number
Record: child's................6. 7. 12-14.21-24. Staff development...............1 (120). 12
25-216' 334-35 Staff health requirements...9
staff....................6. 9. 12
Staffing(including
Refrigerators.................. 14. 19.26. 28 --grandfather
clause")...............Q-1'_. -2S. 31-;2
Religious exemption........ 14
Renovations, Stairways......................... I 1'S
Repairs/maintenance...... 16 Storage,kitchen.............. 14
Responsible person..........3 (43). 13 Storage areas-child's.... 17. 32
Rest and nap periods...... 7, 10,21,30
Supplies-toxic................ 18
Restrooms: Supervision......................3 (57). 7. 14-15, 17.
number required 17 ;' 34
school-age Swimming/wading pools:
children.............. 17 requirements...... 20
staff.................... 17
supplies/
ventilation.......... 17-18 Tables and chairs............
Rodent control................ 3 (59)1 18-19 T.B.test:staff.................... 9
Rugs,carpets................... 18
Rust.................................. 19-20 Teaching staff
requirements...... 2 (301. 6. 10. 31-3'_
School-age children:
child.istaff ratios.. 10. 27 Telephone:
school-age head Numbers required..............4. 13. 18. 22-
teacher.............. 31 24.26. 35
service................ 18
Screens............................. 14. 17, 19
Temperature:
Sewage disposal.............. 16 refrigerator......... 14
Sick children -exclusion..15 room(ambient).. 1 (5). 18. 32
water.................. 18
Sinks................................. 14. 17,28
Small group requirements..21,31 Termination of license... 5-6
Smoking........................... 8, 17 Thermometer...................15, 18
Snacks............................. 3 (53), 8, 14.21. 31 Toilet:
Soap 17. 32 children............. 17
staff................... 17
Special diets.................... 13. 34
Special needs....................13,20,23.26. 28 Topical medications........21.22
Square footage prescription.......24 r
requirements:
indoor/outdoor.. 3 (48), 19-20 Toxic materials................ 18
Toys......:.......................... 17, 19,29-30
Staff................................. 1 (19), 1 (22),2(30),
3 (49), 3 (55) Training,staff:
documentation.. 9-12, 22-24,26, 32
Staff/child ratios:............ 7,9, 10, 11,27, 31 requirements..... 1 (12), 10, 11,22-24,
26, 31, 33
Page Number Page Number
Transportation............... 7. 11. 13
Transported food........... 14
Trash.(garbage)................ 18
Under three year olds:
diapering........... 28-2 9
feedins.............. 30.
separation.........28
Unauthorized persons in
is kitchen............. 14
Utensils:
disposable and
reusable........... 14
Vector............................. 3 (59). 19
Ventilation:
classrooms....... 17, 18, 19
kitchen............. 14
re strooms......... 17
Volunteers....................... 1 (22),3 (»)
Wall/ceiling surfaces...... 18
Waste disposal................ 18,29
Water:
temperature....... 18
Water heaters-venting... 18.20
Water supply:
public and
private............... 14. 16. 17;20._8
Wells............................... 17
Wet/soiled clothing........ 29
Windows......................... 17
Written program............ 20,21.29-30,32
Zoning............................. 4, 5. 16,32
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