<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 13A.16.13.03" title_num="13A" subtitle_num="16" chapter_num="13" heading="Plan of Operation.">
  <paragraph num="A.">
    <text>An applicant for a center offering care under this chapter shall:</text>
    <paragraph num="(1)">
      <text>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</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Operate according to the approved plan.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>An applicant shall include in the written plan of operation:</text>
    <paragraph num="(1)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Staff training requirements in the areas of prevention and control of communicable diseases and care of ill children;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Staff education and experience in the health care field;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Staff orientation in pediatric first aid, infection control, and facility policies;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Staff/child ratios;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>The identity of an on-call health consultant;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>A definition of the population to be served and the criteria for admission, including exclusion policies;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Procedures for periodic reassessment of the child;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Methods for establishing an individualized program of daily activities for each child;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Staff information, including a staffing pattern;</text>
    </paragraph>
    <paragraph num="(12)">
      <text>A list of materials, equipment, and furnishings; and</text>
    </paragraph>
    <paragraph num="(13)">
      <text>Identification of buildings and rooms to be used for the program.</text>
    </paragraph>
  </paragraph>
</regulation>