# COMAR Title 13A — State Board of Education

## Subtitle 18 — Large Family Child Care Homes

### Chapter 09 — Program Requirements

#### Regulation .02 Activity Plans for Infants and Toddlers.

*COMAR 13A.18.09.02*

A. A provider shall assign one staff member primary responsibility for each infant and toddler in care during each staff shift.

B. Upon enrollment of an infant or a toddler, the provider shall, in consultation with the parent of the child, prepare a written individualized activity plan for the child that:

  (1) Addresses the child's normal pattern of activities, sleeping, and eating;

  (2) Is consistent with the child's needs and capabilities;

  (3) Identifies the staff member who is assigned primary responsibility for the care of the child during each staff shift;

  (4) Ensures that the child is:

    (a) Held, played with, and talked to;

    (b) Except when sleeping, given opportunities to sit, crawl, toddle, or walk outside the infant's crib or playpen;

    (c) Except in inclement weather, taken outdoors daily; and

    (d) Diapered as needed and in accordance with the approved diapering procedure.

C. For an infant or a toddler, the written activity plan required at the time of the child's admission to care shall be:

  (1) Available for reference in the space used by the child's group;

  (2) Implemented by each staff member having responsibility for care of the child;

  (3) Modified in consultation with the child's parent as necessitated by the child's developmental needs; and

  (4) Reevaluated at least every 3 months.

D. Upon the request of a parent of a child in care, the provider shall assist the parent with scheduling a time and convenient location for the local lead agency responsible for administering the Maryland Infants and Toddlers Program to provide the appropriate screening for the child.