<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 13A.15.03.04" title_num="13A" subtitle_num="15" chapter_num="03" heading="Child Records.">
  <paragraph num="A.">
    <text>The provider shall:</text>
    <paragraph num="(1)">
      <text>Maintain emergency information for each child on a form supplied or approved by the office;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Keep the emergency forms for the children who currently are in the provider's care in a readily accessible location, including taking the forms when taking the children away from the home; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Arrange to have the form for each child updated as needed, but at least annually, and signed and dated by the parent.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Before the provider or substitute permits a child to:</text>
    <paragraph num="(1)">
      <text>Swim or wade, the provider shall obtain written approval from the child's parent on a form supplied or approved by the office;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Travel to or from school or a school transportation site without adult supervision, the child's parent and the provider shall agree in writing that the child can travel safely without adult supervision;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Be transported in a vehicle by the provider or substitute, the provider shall obtain written permission from the child's parent to transport the child;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Participate in an activity out of the home that is supervised by the provider or substitute, the provider shall obtain written approval from the child's parent on a form supplied or approved by the office;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Participate in a supervised activity out of the home without the provider or substitute, the provider shall obtain written permission from the child's parent for the child's participation; or</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Participate in a service or activity conducted on the premises of the family child care home by an independent contractor, the provider shall obtain from the child's parent written permission for the child's participation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>During the period of a child's enrollment and for 2 years after the child's disenrollment, a provider shall maintain a file for each child that includes records of:</text>
    <paragraph num="(1)">
      <text>The name, current address, and home and work telephone numbers of the parent;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The child’s health assessment, immunizations, and allergies, if any, to include:</text>
      <paragraph num="(a)">
        <text>As required by COMAR 10.11.04, evidence that the child has received:</text>
        <paragraph num="(i)">
          <text>An appropriate lead screening, if the child is younger than 6 years old and was born before January 1, 2015; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A lead test when the child is 12 months old and again when the child is 24 months old, regardless of where the child resides, if the child was born on or after January 1, 2015; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>If the child is enrolled in school, parental permission for the school to release the child's health information to the provider;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Acute illnesses that required excluding the child from care under COMAR 13A.15.11.02B;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>An injury or accident that is required by Regulation .05B of this chapter to be reported;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Child medication records as required by COMAR 13A.15.11.04; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Written information concerning the child's individual needs that is supplied by the child's parent at or before the child's admission to care and is:</text>
      <paragraph num="(a)">
        <text>Used by the provider to meet the child's individual care needs; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Reviewed by the provider and the parent at least every 12 months after the child's admission to care.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>A medical evaluation and, if applicable, documentation of an appropriate lead screening or test that are transferred directly from another registered family child care home, a licensed child care center, or a public or nonpublic school in Maryland may be accepted as meeting the requirements of §C(2) of this regulation.</text>
  </paragraph>
</regulation>