<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 13A.16.03.02" title_num="13A" subtitle_num="16" chapter_num="03" heading="Admission to Care.">
  <paragraph num="A.">
    <text>An operator may not admit a child for care unless the operator has:</text>
    <paragraph num="(1)">
      <text>Met the applicable requirements of this regulation; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Received the written records required by Regulation .04C—H of this chapter, unless the child is temporarily admitted or retained in care on a temporary basis pursuant to §F of this regulation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>At or before the child's admission to care, the operator shall obtain written information from the parent about the child's individual needs.</text>
  </paragraph>
  <paragraph num="C.">
    <text>As part of the admission process, the operator shall:</text>
    <paragraph num="(1)">
      <text>Give the parent, or advise the parent how to obtain, information that is supplied by the office concerning:</text>
      <paragraph num="(a)">
        <text>Consumer education on child care;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>How to file a complaint against the child care center; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Provide documentation that the requirements of §C(1) of this regulation have been met.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Upon admission of an infant or toddler, an operator shall determine with the parent:</text>
    <paragraph num="(1)">
      <text>A schedule for feeding the child that includes:</text>
      <paragraph num="(a)">
        <text>The amounts and kinds of food consumed daily;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The sequence for introducing solid food when appropriate; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Any recommendations about feeding from the infant's physician;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A written individual activity plan for the child; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>If the child is a toddler or an infant who is 12 months old or older, the need for the child to use a crib for rest purposes.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>If a child is younger than 6 years old at the time of admission, the operator may not allow the child to remain in care if the parent does not, in accordance with COMAR 10.11.04, submit evidence to the operator on a form supplied or approved by the office that the child has received an appropriate lead screening or test.</text>
  </paragraph>
  <paragraph num="F.">
    <text>Temporary Admission to Care.</text>
    <paragraph num="(1)">
      <text>An operator may temporarily admit or retain a child in care if:</text>
      <paragraph num="(a)">
        <text>The child is homeless; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The child’s parent is unable to provide the health-related records specified in Regulation .04D, E, G, or H of this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>For a child to be temporarily admitted or retained in care, the parent shall present evidence of the child’s appointment with a health care provider or local health department to:</text>
      <paragraph num="(a)">
        <text>Receive a medical evaluation to include, if applicable, a lead screening or test;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Receive a required immunization;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Acquire evidence of age-appropriate immunizations on a form approved by the office; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Reconstruct a lost health record.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>The date of the appointment required by §F(2) of this regulation may not be later than 20 calendar days after the date the child was temporarily admitted or retained.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>An operator shall exclude from care a child who has been temporarily admitted or retained in care if the parent fails to provide evidence of the required health-related information within 3 business days after the date of the appointment made pursuant to §F(2) of this regulation.</text>
    </paragraph>
  </paragraph>
</regulation>