Chapter 13. Centers for Children with Acute Illness
Regulation .01 Location of Center.LinkCopy Citation
An office may issue a license for a room in a child care center or for an entire center offering care to children with acute illness.
Regulation .02 Applicability of Subtitle.LinkCopy Citation
An applicant for a center offering care under this chapter shall meet the requirements of this subtitle with the exception of:
A.
COMAR 13A.16.05.12 concerning outdoor activity areas;
B.
COMAR 13A.16.09.01 concerning schedule of daily activities for all children;
C.
COMAR 13A.16.09.03B(1) and (2) concerning activity materials and equipment;
D.
COMAR 13A.16.09.05A concerning carriages and strollers, if care is provided to children younger than 2 years old;
E.
COMAR 13A.16.10.01A(3)(c) concerning emergency evacuation and disaster drills for children; and
F.
COMAR 13A.16.11.01 concerning exclusion for acute illness.
Regulation .03 Plan of Operation.LinkCopy Citation
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.
Regulation .04 Director Requirements.LinkCopy Citation
The director in a center for children with acute illness shall:
A.
Meet the requirements of COMAR 13A.16.06.05, .06, .07, or .08, as applicable; and
B.
Have completed at least 40 hours of training in a college level course in prevention and control of communicable diseases and care of ill children.
Regulation .05 Use of Health Consultant.LinkCopy Citation
An operator shall use a health consultant who is a registered nurse, a pediatric or family nurse practitioner, or a pediatrician to develop written policies and procedures and to supervise and instruct staff on performing procedures.
Chapter annotations
Authority: Education Article, §§9.5-401, 9.5-404—9.5-411 and 9.5-413—9.5-418; General Provisions Article, §4-333;
Human Services Article, §1-202; Annotated Code of Maryland
Agency Note: Federal Statutory Reference — Americans with Disabilities Act of 1990 (42 U.S.C. §12101 et seq.);
Pro-Children Act of 1994 (20 U.S.C. §6081 et seq.);
Child Care Development Block Grant (45 CFR Parts 98 and 99 and 42 U.S.C. 9858 et seq.);
Social Security Act §418 (42 U.S.C. 618)
Human Services Article, §1-202; Annotated Code of Maryland
Agency Note: Federal Statutory Reference — Americans with Disabilities Act of 1990 (42 U.S.C. §12101 et seq.);
Pro-Children Act of 1994 (20 U.S.C. §6081 et seq.);
Child Care Development Block Grant (45 CFR Parts 98 and 99 and 42 U.S.C. 9858 et seq.);
Social Security Act §418 (42 U.S.C. 618)
History: Effective date: October 20, 2008 (35:21 Md. R. 1826)
History: Regulation .02E amended effective April 19, 2010 (37:8 Md. R. 618); January 13, 2020 (47:1 Md. R. 14)