03-22-1993 Council Packet - Laserfiche WebLink

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C. who has unexplained lethargy? B. who has lice, ringwora, or scabies that is untreated and contagious to others; I. who has a 100 degree Fahrenheit axillary or higher temperature of undiagnosed origin before fever reducing medication is given; J. who has an undiagnosed rash or a rash attributable to a contagious illness or condition; K. who has significant respiratory distress; L. who is not able to participate in child care program activities with raasopable comfort; or M. who requires more care than the program staff can provide without compromising the health and safety of other children in care. MS s 245A.02 subd 10; 245A.09 subd 1; 2S2.29 subd 2 13 SK 173 9503.0085 SXCK CAM PAOCRAM. Subpart 1. Lieenaure of sick care programs. Xf a license holder chooses to care for a aiek child* then the license holder must operate a sick care program that complies with the standards specified by this part and with all ether applicable provisions of parts 9903.0005 to 9503.0170* and any standards of the commiseioner.of health governing the group care of children. A sick care program may be operated within a center licensed to operate a day pr'w' « drop in program* or a night program or may operate to pro .de child care esclusively to sick children. Subp. 2. laelew of a«lmioalen and hoalth policies and praetieoa. At the time of initial license application* after the first sis months of initial operation* and annually after that time* a sick care program's admission policies must be reviewed and approved by a licensed physician with a spocialisation in pediatric care. The physician's review must include conaultatien with the licensed registered nurse or physician responsible for admissions. A report of the phveieian's findings must be seat to the eommiaaioner with the initial application for licensure* and subsequent reports must be placed in the center's administrative record. The license holder operating a sick cars program su;st ensure that the program's health policies and practices are reviewed quarteriv by a health consultant and that the health consultant's findings are sent to the cosaiissioner after each review. Subp. 3. Bvalnatioe of m sick child. A license holder who operates a sick care program wet provide for the evaluation of the condition of a sick child before admitting the child to the center. The evaluation oust be based on the physical symptoms of ths child each day of admission* the probable contagion and risk CO the health of others pressnt* and the ability of the program to provide the care the child requires. A physician or registered nurse affiliated with the center must perform the evaluations specified in items A to C. A. A preiiminary evaluation auat be made before the parent brings the child to the eeneer. The preliainary evaluation must consist of the parent's reporting the child'a symptcoM to the center's physician or registered nurse by