The therapeutic nursery program director shall: Ensure that a criminal background investigation as required under Family Law Article, §§5-560 — 5-568, Annotated Code of Maryland, has been completed and is on file in each staff member's personnel record; If a child is involved in an accident or is injured while in attendance at a therapeutic nursery program: Notify the primary caretaker on the day that the accident or injury occurs; If the injury is serious, notify the parent or guardian immediately; Ensure that appropriate treatment is provided; and Document the incident according to the requirements of the risk management policy of the therapeutic nursery; At all times that children are participating in the therapeutic nursery program, ensure that staff are present who hold current certificates indicating approved training in: Infant and child cardiopulmonary resuscitation (CPR); First aid; and If wading or swimming are therapeutic nursery activities, Red Cross water safety; Prepare an emergency evacuation plan that: Is approved by the local fire authority; Is posted in each room of the therapeutic nursery; The staff and children practice at least monthly, and the staff maintain a written record of the dates and times of the practices; and Includes: Safe routes by which the staff and children may exit each area in the event of fire or other emergency requiring evacuation of the building; The address of a location that can be used by the staff and children in the event of fire or other emergency until the parents, guardians, or primary caretakers of the children are notified; and The provisions that, during an evacuation or a practice, a designated staff member take out of the building the record of attendance for that date and verify the presence of each child in attendance; Provide telephones that are accessible to the staff in each activity area in the therapeutic nursery, and post the following information next to each telephone: 911 telephone number to summon fire, police, and rescue services; The name, address, and telephone number of the therapeutic nursery; Telephone number of the child protective services unit of the local department of social services; and Telephone number of a poison control center; Release a child: Only to the child's parent, guardian, or primary caretaker; or If so directed by the child's parent, guardian, or primary caretaker, to another individual whose identity is verified; As required by COMAR 10.06.01: Report communicable diseases; and Restrict attendance by staff and children with communicable diseases; Not permit anyone to use alcohol or controlled dangerous substances on the premises or to smoke cigarettes, cigars, or pipes in rooms or areas approved for use by a child; Implement measures to prevent the spread of disease including requiring that staff wash hands and ensure that a child's hands are washed thoroughly with soap and water after toileting, before handling food, after outdoor activities, and at other times necessary to prevent the spread of disease; Provide for general cleanliness by ensuring that: All surfaces, furnishings, materials, and equipment are clean; Except for emergencies and clean-up activities that are part of the daily program, cleaning is not conducted while rooms are occupied by children; Refuse containers in the building are: Noncombustible; and If they contain soiled diapers, lined with a disposable liner, covered with a lid, and inaccessible to children; and Refuse containers outside the building meet the standards required by local code; and Provide written notification to each staff member and documentation that each staff member has read and understood the notification regarding: The location of the telephone and the emergency telephone numbers specified in §E of this regulation; The location of each child's emergency form; Emergency evacuation procedures; Identity of the staff members who have appropriate first aid, CPR, and Red Cross water safety training; Signs and symptoms of abuse and neglect; The requirements and procedures for reporting suspected child: Abuse directly to the local department of social services or law enforcement agency; and Neglect directly to the local department of social services; Risk management; and The contents of this chapter.