The licensee shall maintain a medical log book that has stitched binding with pages that are lined and numbered.
Pages may not be removed from the medical log book under subd. 1.
and lines may not be skipped. Each entry in the log book shall be in ink, dated, and signed or initialed by the person making the entry.
A child care worker shall record all of the following in the medical log under subd. 1.
Any evidence of unusual bruises, contusions, lacerations, or burns seen on a child, regardless of whether received while in the care of the center.
Any injuries received by a child while in the care of the center on the date the injury occurred. The record shall include the child's name, the date and time of the injury, and a brief description of the facts surrounding the injury.
Any medication dispensed to a child, on the date the medication is dispensed. The record shall include the name of the child, type of medication given, dosage, time, date, and the initials or signature of the person administering the medication.
Any incident or accident that occurs when the child is in the care of the center that results in professional medical evaluation.
DCF 251.07 Note
See s. DCF 250.04 (8)
for requirements related to reporting suspected child abuse or neglect.
The director or the director's designee shall review records of injuries with staff every 6 months to ensure that all possible preventive measures are being taken. The reviews shall be documented in the medical log book under subd. 1.
No child or other person with a reportable communicable disease specified in ch. DHS 145
may be admitted to or permitted to remain in a center during the period when the disease is communicable.
An employee, volunteer or a child may be readmitted to the group child care center if there is a statement from a physician that the condition is no longer contagious or if the person has been absent for a period of time equal to the longest usual incubation period for the disease as specified by the department.
DCF 251.07 Note
Note: The Wisconsin Department of Health Services, Division of Public Health, has developed materials that identify those communicable diseases that are required to be reported to the local public health officer. These materials also provide additional guidance on the symptoms of each disease and information on how long an infected child must be excluded from the center. The materials include a communicable disease chart and exclusion guidelines for child care centers. Copies of the communicable disease chart or the exclusion guidelines for child care centers are available from the Child Care Information Center at 800-362-7353.
Center staff may give prescription or non-prescription medication, such as pain relievers, teething gels or cough syrup, to a child only under the following conditions:
A written authorization that includes the child's name and birthdate, name of medication, administration instructions, medication intervals and length of the authorization dated and signed by the parent is on file. Blanket authorizations that exceed the length of time specified on the label are prohibited.
DCF 251.07 Note
The department's form, Authorization to Administer Medication — Child Care Centers, is used to obtain the parent's authorization to provide medications. Information on how to obtain the department's form is available on the department's website, http://dcf.wisconsin.gov
, or from any regional licensing office in Appendix A.
The medication is in the original container and labeled with the child's name and the label includes the dosage and directions for administration.
Medication shall be stored so that it is not accessible to the children.
Medication requiring refrigeration shall be kept in the refrigerator in a separate, covered container clearly labeled “medication".
All medication for a child in care shall be administered by the center as directed on the label and as authorized by the parent.
No medication intended for use by a child in the care of the center may be kept at the center without a current medication administration authorization from the parent.
Bodily secretions, such as runny noses, eye drainage, and coughed-up matter shall be wiped with a disposable tissue used once and placed in a plastic-lined container.
Surfaces exposed to bodily secretions including walls, floors, toys, equipment, and furnishings shall be washed with soap and water and disinfected. 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.
As appropriate, children shall be protected from sunburn and insect bites with protective clothing, sunscreen, or insect repellent. Sunscreen and insect repellent may only be applied upon the written authorization of the parent. The authorization shall include the ingredient strength and be reviewed and updated every 6 months. If sunscreen or insect repellent is provided by the parent, the sunscreen or repellent shall be labeled with the child's name. Recording the application of sunscreen or insect repellent is not necessary.
Children shall be clothed to ensure body warmth and comfort. Wet or soiled clothing shall be changed promptly from an available supply of clean clothing.
Center staff shall adopt and follow universal precautions when exposed to blood and blood-containing bodily fluids and injury discharges.
Single use disposable gloves shall be worn if there is contact with blood-containing bodily fluids or tissue discharges. Gloves shall be discarded in plastic bags.
A child's hands shall be washed with soap and warm running water before meals and snacks, after handling a pet or animal, and after toileting or diapering. A child's hands and face shall be washed when soiled. For children under one year of age, hands may be washed with soap and a wet fabric or paper washcloth that is used once and discarded.
Persons working with children shall wash their hands with soap and warm running water before handling food, before and after assisting with toileting and diapering, after wiping bodily secretions from a child with a disposable tissue, and after exposure to blood or bodily fluids. If gloves are used, hands shall be washed after the removal of gloves.
Personal use items, such as cups, eating utensils, toothbrushes, combs, and towels may not be shared and shall be kept in a sanitary condition.
Wet or soiled clothing and diapers shall be changed promptly from an available supply of clean clothing.
If running water is not immediately available when outdoors or on field trips, soap and water-based wet wipes may be used. When running water becomes available, hands must be washed immediately with soap and running water.
Disinfecting hand sanitizers may not replace the use of soap and water when washing hands.
Written permission from the parent to call a child's physician or refer the child for medical care in case of injury shall be on file at the center. The center shall contact the parent as soon as possible after an emergency has occurred or, if the injury is minor, when the parent picks up the child.
DCF 251.07 Note
The center may use the department's form, Child Care Enrollment
, or its own form for obtaining medical consent from the parent. The form is available on the department's website, https://dcf.wisconsin.gov/cclicensing/ccformspubs
A center shall identify a planned source of emergency medical care, such as a hospital emergency room, clinic or other constantly staffed facility, and shall advise parents about the designated emergency medical facility.
A center shall establish and follow written procedures for bringing a child to an emergency medical care facility and for treatment of minor injuries.
Superficial wounds shall be cleaned with soap and water only and protected with a bandaid or bandage.
Suspected poisoning shall be treated only after consultation with a poison control center.
Animals shall be maintained in good health and appropriately immunized against rabies. Rabies vaccinations shall be documented with a current certificate from a veterinarian.
DCF 251.07 Note
Note: Service animals used to assist persons with a disability are not considered pets when they are used as a service animal.
Animals that pose any risk to the children shall be restricted from the indoor and outdoor areas used by children.
Licensees shall ensure that parents are aware of the presence of pets and animals in the center. If pets and animals are allowed to roam in areas of the center occupied by children, written acknowledgement from the parents shall be obtained. If pets are added after a child is enrolled, parents shall be notified in writing prior to the pets' addition to the center.
Reptiles, amphibians, turtles, ferrets, poisonous animals, psittacine birds, exotic and wild animals may not be accessible to children.
DCF 251.07 Note
Note: Psittacine birds are hooked-billed birds of the parrot family that have 2 toes forward and 2 toes backward and include parrots, macaws, grays, lovebirds and cockatoos.
All contact between pets or animals and children shall be under the close supervision of a child care worker who is close enough to remove the child immediately if the pet or animal shows signs of distress or the child shows signs of treating the pet or animal inappropriately.
Pets in classrooms shall be confined in cages while food is being prepared or served in the classroom. Pets, cages and litter boxes are prohibited in kitchens, lunch rooms, and food storage areas. Pet and animal feeding dishes, excluding water dishes, and litter boxes may not be placed in areas accessible to children.
Indoor and outdoor areas accessible to children shall be free of animal excrement.
If dogs or cats are allowed in areas of the center accessible to children, the certificate of insurance required under s. DCF 251.04 (2) (g)
shall indicate the number and types of pets covered by the insurance.
Licensees shall ensure that the center is in compliance with all applicable local ordinances regarding the number, types and health status of pets or animals.
A center that includes in its program watercraft, riflery, archery, horseback riding, or adventure-based activities shall comply with the applicable requirements under s. DCF 252.44 (8)
, and (13)
DCF 251.07 History
Cr. Register, January, 1997, No. 493
, eff. 8-1-97; CR 03-052
: am. (1) (a) (intro.), (2) (b) and (e) (intro.), 1. and 3., Table 46.07 (title), (5) (a) 9., (6) (d) 5. (intro.), (e) 1., 2. and 3., (f) 1., a. and c., (6) (j) 5. and 9. and (k) 5., cr. (5) (a) 9m. and (6) (f) 2., renum. (6) (f) 2. and 3. to be 3. and 4., r. and recr. (7) Register December 2004 No. 588
, eff. 3-1-05; corrections in (6) (e), (i) 5., (L), (7) (h) and (8) made under s. 13.92 (4) (b) 7.
, Stats., Register November 2008 No. 635
; CR 07-102
: am. (1) (a), (2) (e) (intro.), 1., (4) (b), (5) (a) 5. (intro.), (6) (a) 2., (c) (intro.), (e) 2., 3., (f) 1. (intro.), c., 2., (g) 3., (j) 8., 9., (k) 1., 2. and (7) (f), cr. (1) (a) 7., (2) (e) 5., (3) (f), (5) (a) 6m., (6) (f) 5., 6., (i) 6. and 7. Register December 2008 No. 636
, eff. 1-1-09; 2015 Wis. Act 132
: am. (6) (k) 3. Register February 2016 No. 722
, eff. 3-1-16; EmR1918
: emerg. am. (2) (b), (c), (3) (title), (a) (intro.), cr. (3) (a) 5., r. and recr. (3) (e), cr. (3) (g) to (i), r. and recr. (4) (c), cr. (4) (cm), am. (4) (d), (e), (5) (title), (a) 4., cr. (5) (a) 4m., r. (5) (a) 5. d., cr. (5) (a) 5m., r. (5) (a) 7., am. (5) (s) 8., 9., r. and recr. (5) (b) (title), cr. (5) (b) 3. to 5., renum. (6) (a) 1. to (6) (a), r. (6) (a) 2., am. (6) (b), r. and recr. (6) (c), cr. (6) (dm), am. (6) (e) 1., r. (6) (e) 2., (f) 1. c., 2., r. and recr. (6) (g), r. (6) (h), am. (6) (i) 1. to 3., 5., r. (6) (j) 8., 9., (k), (L), am. (8), eff. 1-30-19; CR 19-089
: am. (2) (b), (c), (3) (title), (a) (intro.), cr. (3) (a) 5., r. and recr. (3) (e), cr. (3) (g) to (i), r. and recr. (4) (c), cr. (4) (cm), am. (4) (d), (e), (5) (title), (a) 4., cr. (5) (a) 4m., r. (5) (a) 5. d., cr. (5) (a) 5m., r. (5) (a) 7., am. (5) (s) 8., 9., r. and recr. (5) (b) (title), cr. (5) (b) 3. to 5., renum. (6) (a) 1. to (6) (a), r. (6) (a) 2., am. (6) (b), r. and recr. (6) (c), cr. (6) (dm), am. (6) (e) 1., r. (6) (e) 2., (f) 1. c., 2., r. and recr. (6) (g), r. (6) (h), am. (6) (i) 1. to 3., 5., r. (6) (j) 8., 9., (k), (L), am. (8) Register March 2020 No. 771
, eff. 4-1-20; correction in (4) (cm) (intro.) made under s. 35.17
, Stats., Register March 2020 No. 771
Except as provided in par. (b)
, this section applies to all transportation of children in care, including both regularly scheduled transportation to and from the center and field trip transportation if any of the following apply:
The licensee contracts with another individual or organization that owns or leases the vehicle used.
Employees, parents, or volunteers are transporting children at the direction, at the request, or on behalf of the licensee.
The following requirements do not apply to transportation provided in vehicles owned and driven by parents or volunteers who are not counted in the staff-to-child ratios in s. DCF 251.055 (2) (b)
The requirement that a licensee obtain a copy of the driver's driving record and review it under sub. (4) (c)
The requirement to provide evidence that the vehicle is in safe operating condition at 12-month intervals under sub. (5) (b)
The licensee shall document in its policies that transportation provided through a written or verbal contract with another individual or organization meets the requirements of this section.
Permission and emergency information.
Before transporting a child, a licensee shall obtain signed permission from the parent for transportation and emergency information for each child. The form shall include all of the following information:
The purpose of the transportation and the parent or guardian's permission to transport the child for that purpose.
An address and telephone number where a parent or other adult can be reached in an emergency.
The name, address, and telephone number of the child's health care provider.
Written consent from the child's parent or guardian for emergency medical treatment.
DCF 251.08 Note
The licensee may use the department's form, Child Care Enrollment
, to obtain consent of the child's parent for emergency medical treatment. Information on how to obtain forms is available on the department's website, https://dcf.wisconsin.gov/cclicensing/ccformspubs
Required information for each trip
. The licensee shall ensure that written documentation of all of the following is maintained at the center and in any vehicle transporting children while the children are being transported:
A copy of the completed permission and emergency information form under sub. (2)
for each child being transported.
For transportation to or from a child's home or school, the transportation route and scheduled stops.
The driver of a vehicle used to transport children in care shall be at least 18 years of age and shall hold a valid driver's license for the state where the driver resides and for the type of vehicle driven.
Before a driver who is not the licensee first transports children, the licensee shall provide the driver with a training. The licensee shall review, document, and update the training as necessary with each driver annually. The training shall include all of the following:
The procedure for ensuring that all children are properly restrained in the appropriate child safety seat.
The procedure for loading, unloading, and tracking of children being transported.
The procedure for evacuating the children from a vehicle in an emergency.
Behavior management techniques for use with children being transported.