# COMAR Title 13A — State Board of Education

## Subtitle 16 — Child Care Centers

### Chapter 13 — Centers for Children with Acute Illness

#### Regulation .03 Plan of Operation.

*COMAR 13A.16.13.03*

A. An applicant for a center offering care under this chapter shall:

  (1) Submit to and receive prior approval from the office, in consultation with the Maryland Department of Health and the health officer, of a written plan of operation for the center, including provision for health assessment of ill children; and

  (2) Operate according to the approved plan.

B. An applicant shall include in the written plan of operation:

  (1) Procedures to prevent the spread of disease, including general infection control procedures and methods of preventing the spread of airborne diseases, such as chicken pox and measles;

  (2) Staff training requirements in the areas of prevention and control of communicable diseases and care of ill children;

  (3) Staff education and experience in the health care field;

  (4) Staff orientation in pediatric first aid, infection control, and facility policies;

  (5) Staff/child ratios;

  (6) The identity of an on-call health consultant;

  (7) A definition of the population to be served and the criteria for admission, including exclusion policies;

  (8) Procedures for preparing a written plan of care for each child upon admission to include instructions for care in emergencies, medications, and special medical and nonmedical treatments;

  (9) Procedures for periodic reassessment of the child;

  (10) Methods for establishing an individualized program of daily activities for each child;

  (11) Staff information, including a staffing pattern;

  (12) A list of materials, equipment, and furnishings; and

  (13) Identification of buildings and rooms to be used for the program.