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<section article="ged" article_name="Education" number="9.5-117" title_number="9.5" title_name="Division of Early Childhood Development" subtitle_number="1" subtitle_name="Established">
  <level label="a">
    <level label="1">
      <text>In this section the following words have the meanings indicated.</text>
    </level>
    <level label="2">
      <text>“Anaphylactic allergy” has the meaning stated in § 7–426.1 of this article.</text>
    </level>
    <level label="3">
      <text>“Emergency use epinephrine” has the meaning stated in § 7–426.2 of this article.</text>
    </level>
    <level label="4">
      <text>“Major food allergen” has the meaning stated in § 7–426.1 of this article.</text>
    </level>
  </level>
  <level label="b">
    <level label="1">
      <text>The Department and the Maryland Department of Health jointly shall develop guidelines to reduce the risk of exposure to anaphylactic major food allergens in child care settings.</text>
    </level>
    <level label="2">
      <text>The guidelines developed under paragraph (1) of this subsection shall identify at least one free training resource on reducing the risk of exposure to anaphylactic major food allergens that is appropriate for child care providers.</text>
    </level>
  </level>
  <level label="c">
    <text>Based on the guidelines developed in subsection (b) of this section, the Department shall develop a model policy for child care providers that, at minimum, includes:</text>
    <level label="1">
      <text>Emergency protocols, including comprehensive guidelines for storage and administration of epinephrine;</text>
    </level>
    <level label="2">
      <text>Cross–contamination prevention strategies; and</text>
    </level>
    <level label="3">
      <text>Notification of a child’s anaphylactic allergy to:</text>
      <level label="i">
        <text>Staff who come into contact with the child; and</text>
      </level>
      <level label="ii">
        <text>Child care provider administrators.</text>
      </level>
    </level>
  </level>
  <level label="d">
    <text>The Department shall post the guidelines, model policy, and training resources developed under this section on the Department’s website.</text>
  </level>
  <level label="e">
    <level label="1">
      <text>This subsection applies to the following registrants or licensees that have at least one enrolled child with a food allergy:</text>
      <level label="i">
        <text>A large family child care home registered under Subtitle 3 of this title; and</text>
      </level>
      <level label="ii">
        <text>A child care center licensed under Subtitle 4 of this title.</text>
      </level>
    </level>
    <level label="2">
      <text>A registered large family child care home and licensed child care center shall:</text>
      <level label="i">
        <text>Adopt and implement a policy on reducing the risk of exposure to anaphylactic major food allergens in child care settings in accordance with the guidelines developed under subsection (b) of this section;</text>
      </level>
      <level label="ii">
        <text>Monitor updates to the Department’s guidelines and update the policy in accordance with the Department’s revisions; and</text>
      </level>
      <level label="iii">
        <text>Provide a copy of the policy to the parent or guardian of each enrolled child each year.</text>
      </level>
    </level>
  </level>
  <level label="f">
    <text>Except for any willfully or grossly negligent act, a child care provider or an employee of a child care provider who responds in good faith to the anaphylactic reaction of a child in accordance with the guidelines implemented under this section or by use of emergency use epinephrine is immune from civil liability for any act or omission in the course of responding to the reaction.</text>
  </level>
</section>
