<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 13A.18.09.02" title_num="13A" subtitle_num="18" chapter_num="09" heading="Activity Plans for Infants and Toddlers.">
  <paragraph num="A.">
    <text>A provider shall assign one staff member primary responsibility for each infant and toddler in care during each staff shift.</text>
  </paragraph>
  <paragraph num="B.">
    <text>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:</text>
    <paragraph num="(1)">
      <text>Addresses the child's normal pattern of activities, sleeping, and eating;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Is consistent with the child's needs and capabilities;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Identifies the staff member who is assigned primary responsibility for the care of the child during each staff shift;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Ensures that the child is:</text>
      <paragraph num="(a)">
        <text>Held, played with, and talked to;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Except when sleeping, given opportunities to sit, crawl, toddle, or walk outside the infant's crib or playpen;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Except in inclement weather, taken outdoors daily; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Diapered as needed and in accordance with the approved diapering procedure.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>For an infant or a toddler, the written activity plan required at the time of the child's admission to care shall be:</text>
    <paragraph num="(1)">
      <text>Available for reference in the space used by the child's group;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Implemented by each staff member having responsibility for care of the child;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Modified in consultation with the child's parent as necessitated by the child's developmental needs; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Reevaluated at least every 3 months.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>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.</text>
  </paragraph>
</regulation>