DCF 250.07(6) (6) Health.

DCF 250.07(6)(a) (a) Contact with others who are ill.

DCF 250.07(6)(a)1. 1. No child or other person with a reportable communicable disease specified in ch. DHS 145 may be admitted to, or be permitted to remain in, a center during the period when the disease is communicable.

DCF 250.07(6)(a)1m. 1m. A licensee, provider, household member, employee, volunteer, visitor, parent, or a child in care may be admitted or readmitted to the family child care center if the person provides a written 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 under ch. DHS 145.

DCF 250.07 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 shall be excluded from the center. Copies of the communicable disease chart are available on the Department of Health Services website, https://www.dhs.wisconsin.gov/publications/p4/p44397.pdf.

DCF 250.07(6)(a)2. 2.

DCF 250.07(6)(a)2.a. a. A licensee, provider, household member, employee, volunteer, visitor or parent whose behavior with respect to any child, adult, animal or property, on or off the center’s premises, raises reasonable concern for the safety of the children, may not be in contact with the children in care.

DCF 250.07(6)(a)2.b. b. The department may require a licensee, provider, household member or other adult in contact with the children whose behavior gives reasonable concern for the safety of children to submit to an examination by a licensed mental health professional as a condition of licensure or employment.

DCF 250.07 Note Note: See also s. DCF 250.11 (2) (e) which requires a written statement from a physician or licensed mental health professional when there is reason to believe that the physical and mental health of a person may endanger children in care.

DCF 250.07(6)(a)3. 3. No person with a health history of typhoid, paratyphoid, dysentery or other diarrheal disease may work in a center until it is determined by appropriate medical tests that the person is not a carrier of the disease.

DCF 250.07(6)(a)4. 4.

DCF 250.07(6)(a)4.a. a. Upon each child’s arrival at the center, a staff person shall observe the child for symptoms of illness or injury.

DCF 250.07(6)(a)4.b. b. Any child who appears to be ill shall be moved to a separate room or area.

DCF 250.07(6)(a)4.c. c. A child one year of age or older who appears to be ill shall be provided with a bed, crib, or cot and a sheet and blanket or sleeping bag.

DCF 250.07(6)(a)4.d. d. A child under one year of age who appears to be ill shall be placed in a crib or playpen with a tight-fitting mattress and mattress covering.

DCF 250.07(6)(b) (b) Medical log book.

DCF 250.07(6)(b)1. 1. The licensee shall maintain a medical log book that has a stitched binding with pages that are lined and numbered.

DCF 250.07(6)(b)2. 2. 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.

DCF 250.07(6)(b)3. 3. A provider shall record all of the following in the medical log under subd. 1.:

DCF 250.07(6)(b)3.a. a. Any evidence of unusual bruises, contusions, lacerations, or burns seen on a child, regardless of whether received in or out of the care of the center.

DCF 250.07(6)(b)3.b. b. 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.

DCF 250.07(6)(b)3.c. c. 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.

DCF 250.07(6)(b)3.d. d. Any incident or accident that occurs when the child is in the care of the center that results in professional medical evaluation.

DCF 250.07 Note Note: See s. DCF 250.04 (8) for requirements related to reporting suspected child abuse or neglect.

DCF 250.07(6)(f) (f) Medications.

DCF 250.07(6)(f)1. 1. A provider may give prescription or non-prescription medications such as pain relievers, teething gels or cough syrup to a child only under the following conditions:

DCF 250.07(6)(f)1.a. a. A completed written authorization on a form provided by the department, dated and signed by the parent is on file. Authorizations that exceed the period of time specified on the label are prohibited.

DCF 250.07 Note 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 form is available on the department’s website, http://dcf.wisconsin.gov, or from any regional licensing office in Appendix A.

DCF 250.07(6)(f)1.b. b. The medication is in the original container and labeled with the child’s name and with dosage and administration directions.