DCF 251.07 NoteNote: 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.
DCF 251.07(6)(f)(f) Medications.
DCF 251.07(6)(f)1.1. 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:
DCF 251.07(6)(f)1.a.a. 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 NoteNote: 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.
DCF 251.07(6)(f)1.b.b. The medication is in the original container and labeled with the child’s name and the label includes the dosage and directions for administration.
DCF 251.07(6)(f)3.3. Medication shall be stored so that it is not accessible to the children.
DCF 251.07(6)(f)4.4. Medication requiring refrigeration shall be kept in the refrigerator in a separate, covered container clearly labeled “medication”.
DCF 251.07(6)(f)5.5. All medication for a child in care shall be administered by the center as directed on the label and as authorized by the parent.
DCF 251.07(6)(f)6.6. 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.
DCF 251.07(6)(g)(g) Health precautions.
DCF 251.07(6)(g)1.1. 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.
DCF 251.07(6)(g)2.2. 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.
DCF 251.07(6)(g)3.3. 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.
DCF 251.07(6)(g)4.4. Children shall be clothed to ensure body warmth and comfort.
DCF 251.07(6)(g)5.5. Center staff shall adopt and follow universal precautions when exposed to blood and blood-containing bodily fluids and injury discharges.
DCF 251.07(6)(g)6.6. 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.
DCF 251.07(6)(g)7.7. Wet or soiled clothing shall be changed promptly from an available supply of clean clothing.
DCF 251.07(6)(i)(i) Personal cleanliness.
DCF 251.07(6)(i)1.1. 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.
DCF 251.07(6)(i)2.2. 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.
DCF 251.07(6)(i)3.3. Personal use items, such as cups, eating utensils, toothbrushes, combs, and towels may not be shared and shall be kept in a sanitary condition.
DCF 251.07(6)(i)4.4. Wet or soiled clothing and diapers shall be changed promptly from an available supply of clean clothing.
DCF 251.07(6)(i)5.5. Applicable rules under s. DCF 251.09 (4) (a), (c), and (d) shall apply when children 2 years of age and older require attention for diapering and toileting.
DCF 251.07(6)(i)6.6. 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.
DCF 251.07(6)(i)7.7. Disinfecting hand sanitizers may not replace the use of soap and water when washing hands.
DCF 251.07(6)(j)(j) Injuries.
DCF 251.07(6)(j)1.1. 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 NoteNote: 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.