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pncne. tne pfiysician or registered nurse .t.js: tell tr.e parent <br />wnetner tne parent may bring the cnild to tr.e center for furtner <br />evaluation. Cf.ildren witft a conutunicable reportaole i.*ness or <br />condition as specified in part 4605.7040 must be evaluated oy a <br />physician prior to adaission to tne center. <br />B. The physician or registered nurse must do a <br />physical assessment of the child and obtain a health history <br />from the parent when the child is brought to the center. <br />C. The H#cision of the physician or registered nurse <br />not to admit the child for care is final. <br />Subp. 3a. Illness separation. Children recovering from a <br />noncontagious condition must be cared for in a room separate <br />from children with contagious conditions. <br />Subp. 4. Chicken pos. Children with chicken pox must be <br />excluded from any child care program, including a sick care <br />program, unless care is provided in a room that is separate from <br />ocher parts of the facility and has its own air circulation <br />system and street entrance. <br />Subp. 5. Gestrointestinal illness. Children with <br />gastrointestinal illness must be at least two years old to be in <br />a sick care program and must be cared for in a separate room <br />used exclusively for the care of gastrointestinal illness. <br />Subp. 6. Information to parents. A summary of the sick <br />care program's health cars policies and practices and the <br />center's procedures for notification of parents in the event of <br />an emergency must be given to the parent at the time a child is <br />admitted. <br />Subp. 7. Parent conference exception. Centers licenseo to <br />provide child care exclusively to sick children need not provide <br />parent conferences as specified in part 9S03.0090. subpart 2. <br />item B. <br />Subp. S. Child care program emphasis. A sick care program <br />must meet the child care program plan standards in part <br />9503.004S. However, the child care program plan for the care of <br />sick children must emphasise quiet activities. <br />Subp. 9. Croup sise and age eatevory grouping exceptions. <br />The maximum group sixes specified In part 9503.0040. subpart .1. <br />and the age category grouping restrictions in part 9503.0040. <br />subpart 3. are not required except that there must be no more <br />than IS children in care in a room at the same time and the <br />provisions in subparts 5 and 14 apply. <br />Subp. 10. Additional staff to child ratios and staff <br />distribution requirements. A one to four staff to child ratio <br />must be naintained at all times in a room used to care for sick <br />children. At least two staff persons must be present in a <br />canter operating a sick care program whenever sick children are <br />in care. The first staff pet son must be a nurse registered by <br />the Board of Nursing to practice professional nursing who also <br />meets the qualifications in part 9503.0030. subpait 2. The <br />second staff person must neet the qualifications for a teacher <br />in part 9503.0032. The renaining staff persons aust at least <br />meet the qualifications and follow the staff distribution <br />pattern specified in part 9503.0040. <br />Subp. 11. Limitatioc on staff assignment. Staff oust not <br />care for well children or prepare food for well children on the <br />day they care for sick children. Staff caring for sick <br />Children must not enter the kitchen used to prepare food for <br />well Children. <br />Su^. 12. rood preparation. Food provided by the license