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. An applicant for a center offering care under this chapter shall meet the requirements of this subtitle with the exception of: COMAR 13A.16.05.12 concerning outdoor activity areas; COMAR 13A.16.09.01 concerning schedule of daily activities for all children; COMAR 13A.16.09.03B(1) and (2) concerning activity materials and equipment; COMAR 13A.16.09.05A concerning carriages and strollers, if care is provided to children younger than 2 years old; COMAR 13A.16.10.01A(3)(c) concerning emergency evacuation and disaster drills for children; and COMAR 13A.16.11.01 concerning exclusion for acute illness. An applicant for a center offering care under this chapter shall: 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 Operate according to the approved plan. An applicant shall include in the written plan of operation: 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; Staff training requirements in the areas of prevention and control of communicable diseases and care of ill children; Staff education and experience in the health care field; Staff orientation in pediatric first aid, infection control, and facility policies; Staff/child ratios; The identity of an on-call health consultant; A definition of the population to be served and the criteria for admission, including exclusion policies; 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; Procedures for periodic reassessment of the child; Methods for establishing an individualized program of daily activities for each child; Staff information, including a staffing pattern; A list of materials, equipment, and furnishings; and Identification of buildings and rooms to be used for the program. The director in a center for children with acute illness shall: Meet the requirements of COMAR 13A.16.06.05, .06, .07, or .08, as applicable; and 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. 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. 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 MarylandAgency 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) Effective date: October 20, 2008 (35:21 Md. R. 1826) Regulation .02E amended effective April 19, 2010 (37:8 Md. R. 618); January 13, 2020 (47:1 Md. R. 14)