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5. Operators shall ensure they are in compliance with all applicable local ordinances regarding the number, types, and health status of pets and animals.
(3)The home for providing in-home child care.
(a) A certified in-home child care operator shall ensure that the certified child care home and outside play area of the children in care complies with sub. (2) (am), (ar), (c), (cm), (e) 1., 2., 5., 6., and 7., (j), and (k).
(b) A certified in-home child care operator is not required to comply with subs. (2) (a), (b), (e) 3. and 4., (f), (g), (h), (i), (L), (m), (4) (hm), (8m), and (12) (e).
(4)Health.
(a) Except as provided under pars. (c) and (d), a certified child care operator shall have a current report of a physical examination on file for each child, including the operator’s own children in care, as follows:
1. For a child under 2 years of age, a report of a physical examination conducted not more than 6 months prior to nor later than 3 months after the child is admitted, and a follow-up health examination at least once every 6 months thereafter.
2. For a child 2 years of age or older, a report of a physical examination conducted not more than 2 years prior to nor later than 3 months after the child is admitted, and a follow-up health examination at least once every 2 years thereafter.
(b) The physical examination report shall be made on an electronic printout from a licensed physician, physician assistant, or health check provider or on a form provided by the department that is signed and dated by a licensed physician, physician assistant, or health check provider.
Note: The department’s form, Child Health Report - Child Care Centers, or an electronic printout from a medical professional may be used to document a health examination. Information on how to obtain the department’s form is available on the department’s website, http://dcf.wisconsin.gov, or from the certification agency.
(c) The requirement under par. (a) does not apply to a child care operator who requests from the certification agency in writing an exemption for a child based upon adherence by the child’s parent to religious belief in exclusive use of prayer or spiritual means for healing.
(d) The requirement under par. (a) does not apply to children 5 years of age and above.
(e) The certified child care operator shall have on file for each child in care a record of the child’s immunization history to document compliance with s. 252.04, Stats., and ch. DHS 144.
Note: The Department of Health Services form, Day Care Immunization Record, or an electronic printout from the Wisconsin Immunization Registry or other registry maintained by a health provider may be used to document immunization information. Forms are available on the department’s website, https://dcf.wisconsin.gov/cccertification/ccformspubs.
1. Medications shall be stored so they are not accessible to children.
2. A child care provider may administer prescription or non-prescription medication to a child only if all of the following conditions are met:
a. The medication is in the original container and is labeled with the child’s name, dosage, and administration directions.
b. The child’s parent has given written and signed permission to administer the medication to the child as directed on the label.
(g) A child care provider shall wash his or her hands with soap and warm running water after toileting, prior to food preparation, after handling pets or animals, and after diapering children.
(h) A child care provider shall require all children in the provider’s care to wash their hands with soap and warm running water before eating and after toileting or handling pets or animals.
(hm) Children may not share cups, eating utensils, washcloths, or towels, unless care is being provided in the children’s home by a certified in-home child care operator.
(i) A provider shall change a child’s wet or soiled clothing or diapers promptly from an available supply of clean clothing or diapers. The child’s diaper shall be changed on an easily cleanable surface that is cleaned with soap and water and a disinfectant solution after each use. The disinfectant solution shall be registered with the U.S. environmental protection agency as a disinfectant and have instructions for use as a disinfectant on the label. The solution shall be prepared and applied as indicated on the label.
(j) A child care provider shall clean a child’s superficial wound with soap and water only and protect it with a band-aid or bandage.
(k) If a child care operator or a child care provider is aware that a child attending certified child care or a child care operator’s own child has a reportable communicable disease under ch. DHS 145 that is transmitted through normal contact, the operator or provider shall comply with all of the following requirements:
1. The child care operator or child care provider shall notify the local public health officer and parents of all the enrolled children within 48 hours of being notified of the diagnosis.
2. A child who has or had a reportable communicable disease under ch. DHS 145 may not be admitted to certified child care unless the child’s parents provide a statement from a physician that the child’s condition is no longer contagious or the child has been absent for a period of time equal to the longest usual incubation period for the disease as specified by the department of health services.
Note: The Division of Public Health within the Department of Health Services has developed materials that identify those communicable diseases that are required to be reported to a local public health officer. These materials also provide information on the symptoms of each disease and guidance on how long an infected child must be excluded from child care. Copies of the communicable disease chart are available on the DHS website at https://www.dhs.wisconsin.gov/publications/p44397b.pdf.
(L) No operator, provider, household member, employee, volunteer, visitor, parent or any other person may be in contact with the children in care if any of the following conditions are met:
1. The person has symptoms of illness or of a communicable disease that is reportable under ch. DHS 145 and may be transmitted through normal contact.
2. The person’s behavior or mental or physical condition gives reasonable concern for the safety of the children.
(o) A provider shall use universal precautions when exposed to blood or bodily fluids or discharge containing blood. All persons exposed to blood or bodily fluids containing blood or other types of bodily discharges shall wash their hands immediately with soap and warm running water.
(4m)Emergencies.
1. An operator shall have a written plan for taking appropriate action in the event of an emergency including a fire; a tornado; a flood; extreme outdoor heat or cold; a loss of building service, including no heat, water, electricity or telephone; human-caused events, such as threats to the building or its occupants; allergic reactions; lost or missing children; vehicle accidents; a provider’s family situation, such as medical emergency or illness; or other circumstances requiring immediate attention. The plan shall include procedures for all of the following:
a. Evacuation, relocation, shelter-in-place, and lock–down.
b. Communication and reunification with families.
c. Ensuring that the needs of all children are met, including children under 2 years of age, children with disabilities, and children with chronic medical conditions.
2. The plan under subd. 1. shall be reviewed periodically and practiced as specified in the plan.
(b) An operator shall have a written plan to prevent and respond to food and other allergy-related emergencies.
(c) An operator shall designate an emergency back-up provider. The emergency back-up child care provider shall be at least 18 years of age and able to provide an acceptable level of child care.
1. The home shall have at least one telephone in working order. If a cellular phone is used as a primary phone, it shall be operational during the hours of child care.
2. The home shall have a list of emergency numbers posted in a location known to all providers, including the numbers for the police, fire station, emergency medical care, child protective services agency, and poison control center.
(e) An operator shall ensure that each provider, volunteer, substitute, and emergency back-up provider receives an orientation before beginning work that covers the following:
1. The names and ages of children in care.
2. A review of children’s records, including parent and emergency contact information.
3. Specific information relating to a child’s special health care needs, including administration of medications, disabilities, allergies, or other special health conditions.
4. A review of the operator’s plan for responding to emergencies.
5. A review of this chapter.
(5)Supervision.
(a) A child care provider may not be engaged in any other activity or occupation during the hours of operation when children are in care that interferes with the adequate care and supervision of children, except for daily maintenance of the home.
(b) A child care provider shall be awake whenever the children in care are awake.
(c) No individual provider may take care of children for more than 16 hours in any 24-hour period.
(d) The certified child care operator shall ensure that each child has adult supervision at all times and that no person under 18 years of age is left in sole charge of the children.
(e) Each child shall be closely supervised by a provider to guide the child’s behavior and activities, prevent harm, and assure safety of children at all times.
(f) No certified operator, provider, employee, volunteer, household member, or any other individual in a home may consume or be under the influence of alcoholic beverages or any non-prescribed controlled substance specified in ch. 961, Stats., during the hours of operation when children are in care.
(h) A provider may not allow any person who may pose a threat to the health or safety of the children to have contact with the children in care.
(i) The certified child care operator shall keep current and accurate written records of the daily hours of attendance of each child in care, including the actual arrival and departure times for each child. If children are transported to or from the premises or school by the operator or another provider on behalf of the operator, the daily attendance record shall include the actual time the child was picked up or dropped off.
(j) The operator shall maintain documentation of the actual hours that a provider who is not also the operator has worked.
(6)Maximum number of children.
(a) No certified family child care operator may have more than 3 children under 7 years of age who are not related to the child care operator in care at any given time.
(b) No certified family operator may have more than 6 children in care, including children related to the operator, except that:
1. If 3 of the children are under the age of 2, the total number of children may not exceed 5.
2. If 4 of the children are under the age of 2, the total number of children may not exceed 4.
(c) A child care operator’s natural, adopted, step, or foster children 7 years of age or older or any child 7 years and older residing in the operator’s home are not counted in determining the maximum number of children allowed under par. (b).
(d) The maximum number of children that may be in care is shown in Table 202.08 (6).
(e) When a certified in-home child care operator cares for children in the children’s own home, the following apply:
1. The operator is not required to comply with pars. (a) and (b).
2. The operator may not care for any children who do not reside in the home.
Note: Under s. 48.65 (1), Stats., if a provider takes care of 4 or more children under the age of 7 who are not related to the provider, for compensation, the provider must obtain from the department a license to operate a child care center.
(7)Provider interactions with children.
(a) A child care provider shall interact with the children in a caring and positive manner.
(b) No provider may act in a manner that may be psychologically, emotionally or physically painful, discomforting, dangerous, or potentially injurious to a child. Prohibited actions include all of the following:
1. Hitting, spanking, pinching, shaking, slapping, throwing, or inflicting any other form of corporal punishment.
2. Physical restraint, binding, or trying to restrict a child’s movement or enclosing a child in a confined space such as a closet, basement, locked room, box, or similar cubicle.
3. Withholding or forcing meals, snacks, or naps.
4. Actions that are cruel, aversive, humiliating, or frightening to the child, including behavior modification techniques resulting in extremely negative consequences.
5. Verbal abuse, threats, or making derogatory remarks about the child or the child’s family.
(c) A provider shall provide positive guidance and redirection for the children and set clear limits for the children.
(d) A provider shall help each child develop self-control, self-esteem, and respect for the rights of others.
(e) If a provider uses time-out periods to deal with unacceptable behavior, a time-out may not exceed 3 minutes and may not be used for children under 3 years of age. For purposes of this paragraph, a “time-out” is an interruption of unacceptable behavior by the removal of the child from the situation, not to isolate the child, but to allow the child an opportunity to pause, and with support from the provider, reflect on behavior and gain self-control.
(f) A provider may not punish a child for lapses in toilet training.
(g) A provider shall respond promptly to a crying infant or toddler’s needs.
(h) A provider shall provide physical contact and attention to each infant and toddler throughout the day, including holding, rocking, talking to, singing to, and taking on walks inside and outside the home.
(i) A provider shall periodically change the position and location in the room of a non-mobile child who is awake.
(8)Activities.
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Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.