Chapter DCF 250

DCF 250.04(6)(a)1.e. e. The name, address, telephone number, and relationship to the child of a person to be notified in an emergency when a parent cannot be reached immediately.

DCF 250.04(6)(a)1.f. f. The name, address, and telephone number of the child’s physician or medical facility caring for the child.

DCF 250.04(6)(a)1.g. g. The names, addresses, and telephone numbers of persons other than a parent authorized to call for the child, pick up the child, or accept the child who is dropped off.

DCF 250.04(6)(a)1.h. h. The child’s first day of attendance at the center.

DCF 250.04 Note Note: The licensee may use either the department’s form, DCF-F-CFS0062, Child Care Enrollment, or the licensee’s own form. The department’s form is available at https://dcf.wisconsin.gov/cclicensing/ccformspubs.

DCF 250.04(6)(a)1m. 1m. Health history information that includes all of the following:

DCF 250.04(6)(a)1m.a. a. The name and birthdate of the child.

DCF 250.04(6)(a)1m.b. b. The full names of the child’s parents.

DCF 250.04(6)(a)1m.c. c. A telephone number where the parent can be reached while the child is in care.

DCF 250.04(6)(a)1m.d. d. The name, address, and telephone number of the physician or medical facility caring for the child.

DCF 250.04(6)(a)1m.e. e. The child’s medical conditions, such as asthma, cerebral palsy, diabetes, epilepsy, food allergies, or gastrointestinal or feeding concerns. If the child has a milk allergy, a statement from a medical professional indicating an acceptable alternative for the child.

DCF 250.04(6)(a)1m.f. f. If the child has a medical condition, triggers that may cause a problem, signs or symptoms for the provider to watch for, steps a provider should follow, when to call a parent regarding symptoms, when the condition requires emergency medical care, and identification of all providers who have received specialized training or instructions to help treat symptoms.

DCF 250.04 Note Note: The licensee may use the department’s form, DCF-F-CFS2345 Health History and Emergency Care Plan, or the licensee’s own form for obtaining the information.

DCF 250.04(6)(a)2. 2. If field trips and other off-premises activities are a part of the program, written authorization from the parent indicating that the child has permission to participate.

DCF 250.04 Note Note: The department’s form, Child Care Enrollment, includes a blanket authorization to take children on field trips. The department’s form, Field Trip or Other Activity Notification, or another type of notification such as a note to a parent may be used to provide specific information about a field trip. Information on how to obtain department forms is available on the department’s website, http://dcf.wisconsin.gov, or from any regional licensing office in Appendix A.

DCF 250.04(6)(a)3. 3. A written agreement, signed by the parent, outlining the plan for a child to come to the center from school, home or other activities and to go from the center to school, home or other activities unless the child is accompanied by a parent or other authorized person or the child is transported by the center.

DCF 250.04 Note Note: The licensee may use either the department’s form, Alternate Arrival/Release Agreement — Child Care, or the licensee’s own form for securing the parent’s signed agreement. Information on how to obtain the form is available on the department’s website, http://dcf.wisconsin.gov, or from any regional licensing office in Appendix A.

DCF 250.04(6)(a)4. 4. Documentation of each child’s most recent physical examination subject to the following:

DCF 250.04(6)(a)4.a. a. Each child under 2 years of age, including a provider’s own children in care, shall have an initial health examination not more than 6 months prior to nor later than 3 months after being admitted to the center, and a follow-up examination at least once every 6 months thereafter.

DCF 250.04(6)(a)4.b. b. Each child who is at least 2 years of age but who is not 5 years of age or older, including a provider’s own children in care, shall have an initial health examination not more than one year prior to nor later than 3 months after being admitted to a center, and a follow-up health examination at least once every 2 years thereafter.

DCF 250.04(6)(a)4.c. c. Children 5 years of age and above are not required to have a health exam.

DCF 250.04(6)(a)4.d. d. A health examination report shall be made on an electronic printout from a licensed physician, physician assistant, or other EPSDT provider or a form provided by the department that is signed and dated by a licensed physician, physician assistant, or other EPSDT provider.

DCF 250.04 Note Note: To document a health examination, use either an electronic printout from a medical professional or the department’s Form DCF-F-CFS0060, Child Health Report — Child Care Centers. The department’s form is available at https://dcf.wisconsin.gov/cclicensing/ccformspubs.

DCF 250.04(6)(a)4m. 4m. Documentation that the child’s immunization history is in compliance with s. 252.04, Stats., and ch. DHS 144.

DCF 250.04 Note Note: To record immunization information, use either an electronic printout from the Wisconsin Immunization Registry or other registry maintained by a health provider or the Department of Health Services Form F-44192, Child Care Immunization Record. The form is available on the department’s website at https://dcf.wisconsin.gov/cclicensing/ccformspubs.

DCF 250.04(6)(a)5. 5. Written permission from the parents under s. DCF 250.07 (6) (k) for medical attention to be sought for the child if the child is injured.

DCF 250.04(6)(b) (b) The licensee shall maintain a current, accurate written record of the daily attendance that includes the actual time of arrival and departure for each child and the child’s birthdate. The record shall be kept for the length of time the child is enrolled in the program.

DCF 250.04 Note Note: The licensee may use the department’s form, DCF-F-2438 Daily Attendance Record — Licensed Child Care Centers, or the licensee’s own form for recording a child’s daily attendance. The form is available at https://dcf.wisconsin.gov/cclicensing/ccformspubs.

DCF 250.04(7) (7) Confidentiality.

DCF 250.04(7)(a) (a) The licensee is responsible for compliance by the center with s. 48.78, Stats., and this subsection.

DCF 250.04(7)(b) (b) The licensee shall ensure that all of the following occur:

DCF 250.04(7)(b)1. 1. Persons with access to children’s records do not discuss or disclose personal information regarding the children and facts learned about the children and their relatives. This subdivision does not apply to any of the following:

DCF 250.04(7)(b)1.a. a. The child’s parent.

DCF 250.04(7)(b)1.b. b. Any person, business, school, social services provider, medical provider, or other agency or organization if written parental consent has been given.

DCF 250.04(7)(b)1.c. c. Agencies authorized under s. 48.78, Stats.

DCF 250.04(7)(b)2. 2. A parent, upon request, has access to all records and reports maintained on his or her child.

DCF 250.04(7)(b)3. 3. All records required by the department under this chapter for licensing purposes are available to the licensing representative.

DCF 250.04(8) (8) Reporting child abuse or neglect. A licensee or provider who knows or has reasonable cause to suspect that a child has been abused or neglected as defined in ss. 48.02 (1) and 48.981 (1), Stats., shall immediately contact the county department of social services or human services or local law enforcement agency in compliance with s. 48.981, Stats.

DCF 250.04 Note Note: Child care providers are required to report known or suspected child abuse or neglect as specified in par. (a). Reporting to the licensee does not lessen this legal duty if the licensee fails to report as specified in par. (a).

DCF 250.04 Note Note: See s. DCF 250.07 (6) (b) for information about logging evidence of unusual bruises, contusions, lacerations, or burns received by a child in or out of center care in the center medical log book.

DCF 250.04 History History: CR 03-052: cr. Register December 2004 No. 588, eff. 3-1-05; corrections in (2) (f), (g), (5) (b), (c), (d), (g) and (6) (a) 5. made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635; CR 07-102: am. (2) (e) 3., 7., 8., (g), (h), (i), (3) (intro.), (a), (e), (i), (j), (5) (intro.), (d), (g), (6) (a) (intro.), 3. and (b), cr. (2) (L), (m), (3) (L), (m), (4) (c), (5) (h), (i), (j) and (k) Register December 2008 No. 636, eff. 1-1-09; corrections in (3) (m), (4) (c) 1., (5) (d), (h), (i) and (j) made under s. 13.92 (4) (b) 7., Stats., Register December 2008 No. 636; 2015 Wis. Act 132: am. (2) (g), (6) (a) 1. Register February 2016 No. 722, eff. 3-1-16; corrections in (5) (b), (c) made under s. 13.92 (4) (b) 7., Stats., Register September 2016 No. 729; EmR1918: emerg. cr. (2) (bm), am. (2) (e) (intro.), (f), r. and recr. (2) (i), (L), (m), am. (3) (a), cr. (3) (am), (ar), am. (3) (b), (e), (i), cr. (3) (im), am. (3) (L), (m), (4) (c) 1., r. and recr. (4) (c) 2., 4., r. (5), r. and recr. (6) (a) 2., 4., cr. (6) (a) 4m., r. (6) (a) 6., (c), am. (7) (b) 1. (intro.), r. and recr. (7) (b) 1. a., b., am. (8) (title), eff. 1-30-19; CR 19-089: cr. (2) (bm), am. (2) (e) (intro.), (f), r. and recr. (2) (i), (L), (m), am. (3) (a), cr. (3) (am), (ar), am. (3) (b), (e), (i), cr. (3) (im), am. (3) (L), (m), (4) (c) 1., r. and recr. (4) (c) 2., 4., r. (5), r. and recr. (6) (a) 2., 4., cr. (6) (a) 4m., r. (6) (a) 6., (c), am. (7) (b) 1. (intro.), r. and recr. (7) (b) 1. a., b., am. (8) (title) Register March 2020 No. 771, eff. 4-1-20; correction in (3) (i) made under s. 35.17, Stats., Register March 2020 No. 771; CR 20-003: r. (1) (bm), am. (2) (g), (6) (a) 4. d. Register July 2020 No. 775, eff. 8-1-20; CR 21-100: cr. (2) (cm), am. (2) (g), cr. (2) (gm), (3) (Lm), am. (4) (c) 2. (intro.), cr. (4) (c) 2. d., e., r. and recr. (6) (a) 1., cr. (6) (a) 1m., am. (6) (b), renum. (8) (a) to (8), r. (8) (b) Register February 2023 No. 806, eff. 3-1-23; correction in (3) (i) made under s. 13.92 (4) (b) 7., Stats., Register February 2023 No. 806.

DCF 250.05 DCF 250.05 Staff.

DCF 250.05(1) (1) Definition. In this section, the “Wisconsin Registry” means a brand of The Registry, Inc., a professional development recognition agency.

DCF 250.05 Note Note: For further information, see https://www.wiregistry.org.

DCF 250.05(2) (2) Staff records. A licensee shall maintain a file for each provider, employee, volunteer, or substitute and shall make the file immediately available for review by a licensing representative at the center. The file shall contain all of the following:

DCF 250.05(2)(a) (a) The employee’s name, address, date of birth, education, position, previous work experience in child care, including the reason for leaving previous positions, and the name, address, and telephone numbers of persons to be notified in an emergency.

DCF 250.05 Note Note: The licensee may use the department’s form, DCF-F-CFS0053 Staff Record - Child Care Centers, or the licensee’s own form for recording staff information. The form is available at https://dcf.wisconsin.gov/cclicensing/ccformspubs.

DCF 250.05(2)(b) (b) Documentation from the department, either paper or electronic, that indicates that a child care background check was completed in compliance with the timelines and requirements specified in s. 48.686, Stats., and ch. DCF 13, and the person is eligible to work in a child care program.

DCF 250.05(2)(c) (c) Documentation of the actual hours a provider, substitute, employee, or volunteer worked if the hours were used to meet the applicable staff-to-child ratio under Table DCF 250.055.

DCF 250.05(2)(d) (d)

DCF 250.05(2)(d)1. 1. Except as provided under subd. 2., a physical examination report completed within 12 months before or 30 days after the person became licensed or began working with children in care. The physical examination report may be a printout of an electronic record from a medical professional or on a form provided by the department. The report shall be dated and signed by a licensed physician, physician’s assistant, or other EPSDT provider and shall indicate all of the following:

DCF 250.05(2)(d)1.a. a. The person is free from illness detrimental to children, including tuberculosis.

DCF 250.05(2)(d)1.b. b. The person is physically able to work with young children.

DCF 250.05 Note Note: The optional Form DCF-F-CFS0054, Staff Health Report — Child Care Centers, is available on the department’s website, https://dcf.wisconsin.gov/cclicensing/ccformspubs.

DCF 250.05(2)(d)2. 2. The health examination requirement under subd. 1. does not apply to a provider who requests an exemption from subd. 1. based on the provider’s adherence to religious belief in exclusive use of prayer or spiritual means for healing in accordance with a bona fide religious sect or denomination.

DCF 250.05(2)(e) (e)

DCF 250.05(2)(e)1. 1. Except as provided in subd. 2., a certificate from the Wisconsin Registry that indicates the person is qualified for the position the later of 6 months after becoming licensed or beginning to work with children in care.

DCF 250.05(2)(e)2. 2.

DCF 250.05(2)(e)2.a. a. A person is exempt from the requirement under subd. 1. if the person has been licensed or provided care for children in licensed child care continuously since December 31, 2008, including any combination of licensure or employment in a family child care center licensed under this chapter, a group child care center licensed under ch. DCF 251, or a day camp licensed under ch. DCF 252.

DCF 250.05(2)(e)2.b. b. A substitute is not required to have a certificate from the Wisconsin Registry until the substitute has worked for 240 cumulative hours.

DCF 250.05(2)(f) (f) Documentation of compliance with continuing education requirements under sub. (4) (c).

DCF 250.05(2)(g) (g) Documentation of compliance with orientation requirements under sub. (4) (a).

DCF 250.05(3) (3) Qualifications of staff.

DCF 250.05(3)(a) (a) A provider shall meet all of the following conditions:

DCF 250.05(3)(a)1. 1. Be physically, mentally, and emotionally able to provide responsible care to all children, including children with disabilities.

DCF 250.05(3)(a)2. 2. Be at least 18 years of age.

DCF 250.05(3)(b) (b) Before receiving a license or beginning to work with children in care, a licensee or provider shall satisfactorily complete one of the following:

DCF 250.05(3)(b)1. 1. All of the following:

DCF 250.05(3)(b)1.a. a. Three credits in early childhood education or a department-approved, non-credit course in early childhood education.

DCF 250.05 Note Note: The non-credit course called Introduction to the Child Care Profession is the course that has been approved by the department. Information on other acceptable courses and agencies offering department-approved courses is available on the department’s website at https://dcf.wisconsin.gov/cclicensing.

DCF 250.05(3)(b)1.b. b. A noncredit, department-approved course in operating a child care business or 2 credits in business or program administration. A person is exempt from this requirement if the person has been licensed or provided care for children in regulated child care continuously since December 31, 2008, including any combination of licensure under s. 48.65, Stats., certification under s. 48.651, Stats., or employment in a licensed child care center or for a certified child care operator.

DCF 250.05 Note Note: The non-credit course entitled Fundamentals of Family Child Care is approved by the department to meet this requirement. A credit-based course in a business topic may also be used. Information on agencies offering the department-approved course is available on the department’s website at https://dcf.wisconsin.gov/cclicensing.

DCF 250.05(3)(b)2. 2. The Registry Family Child Care Credential.

DCF 250.05(3)(b)3. 3. A child development associate credential in family child care issued by the Council for Professional Recognition.

DCF 250.05(3)(c) (c) A substitute or volunteer that is used to meet the required staff-to-child ratio shall meet the training requirements specified in par. (b) after the substitute or volunteer has worked in the center for 240 hours.

DCF 250.05(3)(cm) (cm) A volunteer that is used to meet the required staff-to-child ratios under s. DCF 250.055 shall be at least 18 years of age.

DCF 250.05(3)(d) (d) If more than one provider is needed to meet the required staff-to-child ratio, each additional provider shall meet the training requirements in par. (b) within 6 months of beginning to work with children in care.

DCF 250.05(3)(e) (e)

DCF 250.05(3)(e)1. 1. Within 3 months after licensure or date of hire, each licensee and provider shall obtain a certificate of completion for a department-approved course in infant and child cardiopulmonary resuscitation, including training in the use of an automated external defibrillator.

DCF 250.05(3)(e)2. 2. Each licensee and provider shall maintain a current cardiopulmonary resuscitation certification as specified under subd. 1.

DCF 250.05(3)(e)3. 3. The time spent obtaining or renewing cardiopulmonary resuscitation training may be counted towards the required continuing education hours under sub. (4) (c).

DCF 250.05(3)(f) (f) Each licensee and provider shall have satisfactorily completed at least 10 hours of department-approved training in the care of infants and toddlers within 6 months after becoming licensed or working with children in care under 2 years of age.

DCF 250.05(3)(fm) (fm) Prior to working with children in care and at least every 2 years thereafter, each provider and substitute shall complete training in all of the following:

DCF 250.05(3)(fm)1. 1. Child abuse and neglect laws.

DCF 250.05(3)(fm)2. 2. How to identify children who have been abused or neglected.

DCF 250.05(3)(fm)3. 3. The procedure for ensuring that all known or suspected cases of child abuse or neglect are immediately reported to the proper authorities.

DCF 250.05(3)(g) (g) Prior to obtaining a license or working with children in care under 5 years of age, a licensee, provider, substitute, volunteer, emergency back-up, or any other person providing care and supervision shall satisfactorily complete department-approved training in shaken baby syndrome and abusive head trauma, and appropriate ways to manage crying, fussing, or distraught children.

DCF 250.05 Note Note: The department-approved training is included in the course called Health, Safety and Nutrition offered by a Wisconsin technical college or in the non-credit, department-approved courses called Introduction to the Child Care Profession and Fundamentals of Infant and Toddler Care, if the course was taken after July 1, 2005. Information on agencies offering the department-approved courses is available on the department’s website at https://dcf.wisconsin.gov/cclicensing.

DCF 250.05(3)(gm) (gm) A program aide shall meet all of the following conditions: