With the fluid loss, your kiddo will also lose electrolytes (sodium, potassium, and magnesium). (a) An early learning provider must administer medication to children in care as follows: (B) The date the prescription was filled; (C) The name and contact information of the prescribing health professional; (D) The expiration date, dosage amount, and length of time to give the medication; and. (c) Meet the following daily morning or afternoon active outdoor play time requirements: (i) Twenty minutes for each three hours of programming for infants (as tolerated) and toddlers; (ii) Thirty minutes for each three hours of programming for children preschool age and older; (iii) Programs that operate more than six hours a day must provide: (A) Ninety minutes of active play for preschool age and older; and, (B) Sixty minutes of active play for infants and toddlers; and. (c) Within arm's length of the diaper changing area. 4.4 out of 5 stars.This is a really nice club. (b) Feeding infants and toddlers when hungry according to their nutritional and developmental needs, unless medically directed; (c) Serving only breast milk or infant formula to an infant, unless the child's health care provider offers a written order stating otherwise; and. [19], The WHO recommends that all severely malnourished children admitted to hospital should receive broad-spectrum antibiotics (for example, gentamicin and ampicillin). [4] It is on the World Health Organization's List of Essential Medicines. Nearly all of this is reabsorbed so that sodium levels in the body remain constant. (b) Communicate to the child the reason for being separated from the other children. Remove the poop using a net or bucket. [57], People had fled from civil war in Mozambique to southern Malawi. [1] It works as glucose increases the uptake of sodium and thus water by the intestines. Kids bring as much as 10 grams. (1) An early learning provider must observe weather conditions and other possible hazards to take appropriate action for child health and safety. (i) Except for the use of a gas kitchen range, open flame devices must not be used in early learning program space or any other space accessible to children in care during operating hours; (ii) Candles must not be used during operating hours; (iii) Matches and lighters must be inaccessible to children. It occurs when sulfur in your digestive tract combines with bismuth, the drugs active ingredient, and forms bismuth sulfide, a black-colored substance. Providers must notify the department when substantial changes are made. Signs must be clearly visible and located at each building entrance used as part of the early learning program. (b) A working telephone must be available for use with sufficient backup power to function for at least five hours. If the outdoor play area is enclosed by a barrier that is not a fence, the barrier may be a wall constructed with brick, stone, or a similar material. [54] ORT is known in Bangladesh as Orosaline or Orsaline. (10) An early learning provider must not install any wooden fence, playground structure, or furniture if it contains chromated copper arsenate (CCA), creosote, or pentachlorophenol. (1) An early learning provider must notify the department prior to making a change to early learning program space that may impact the health, safety, or welfare of enrolled children. (c) Notify the following programs of the active status: (1) If the department suspects that an individual or agency suspected of providing unlicensed child care, the department must follow the requirements of RCW. (4) A health record is required for every child who is enrolled and counted in an early learning program's capacity. If the person vomits, the caregiver should wait 510 minutes and then resume giving ORS. (b) Provide written notice to children's parents and guardians. (v) Have their professional development progress documented annually. [citation needed], In the 1970s, Norbert Hirschhorn used oral rehydration therapy on the White River Apache Indian Reservation with a grant from the National Institute of Allergy and Infectious Diseases. (2) Upon written request of an applicant, licensee, center director, assistant director, or program supervisor, the department may grant a variance from a rule in this chapter if the proposed program alternative does not jeopardize the health, safety, or welfare of the children in care. Get the latest headlines on Wall Street and international economies, money news, personal finance, the stock market indexes including Dow Jones, NASDAQ, and more. If the variance from the rule is time limited, the provider must not exceed the time frame established by the department. Keep your kids bottoms clean (and yours, too). (2) If approved by the department to provide overnight care, an early learning provider must supply every child an individual bed or other sleep equipment that: (a) Is safe and in good working condition; (b) Is made of moisture resistant material that can be cleaned and sanitized; (c) Meets the child's developmental needs; and. (ii) Written information on safe sleep practices for infants. Infant and toddler programs and activities. (b) Medication documentation (excluding nonmedical items). [WSR 18-15-001, recodified as 110-300-0280, filed 7/5/18, effective 7/5/18. (5) The annual fee for center early learning programs is one hundred twenty-five dollars for the first twelve children plus twelve dollars for each additional child, or as otherwise set by the legislature. (b) The program is not able to reduce or eliminate the safety concern through reasonable modifications. (b) The sink, basin, or bathtub in a family home early learning program used to clean toilet training equipment must be cleaned and disinfected after each use with a safe disinfectant. (7) Children must be actively supervised when using hand sanitizers to avoid ingestion or contact with eyes, nose, or mouths. Family home licenses state: (a) The maximum number of children that may be in care at any one time (total capacity); and. (b) Floor mats, cots, and mattresses must be arranged so children are head to toe, or toe to toe. (b) Submit a licensing application after completing orientation. Any disinfectant used on food contact surfaces or toys must be labeled "safe for food contact surfaces. Bottles must be immediately refrigerated. (v) Any changes in the early learning program hours of operation to include closure dates. (1) Early learning providers licensed, working, or volunteering in an early learning program before the date this section becomes effective must complete the applicable training requirements of this section within three months of the date this section becomes effective unless otherwise indicated. (6) Child usable and accessible areas must be arranged to provide sufficient space for routine care, child play, and learning activities. (iv) Manage the professional development plans and requirements for staff as needed. "Its becoming more common and usually occurs after a course of antibiotics," Sheth says. [WSR 18-15-001, recodified as 110-300-0255, filed 7/5/18, effective 7/5/18. (5) For children not using cribs or playpens, an early learning provider must provide developmentally appropriate mats, cots, or other sleep equipment made of water resistant material that can be cleaned and sanitized. (2) The individual care plan must be signed by the parent or guardian and may be developed using a department provided template. If needed, the maximum time may be extended based upon the parent or guardian's work, an agreed upon alternate schedule, or travel to and from the early learning program. (D) Is large enough to prevent the area underneath the diaper changing area from being contaminated with bodily fluids. (d) How parents or guardians will be contacted after the emergency ends. Media Platforms Design Team. The fruit and vegetable serving may count as one of the two required snack components or as a third snack component. (b) At the department's discretion, an initial license may be extended for up to three additional six-month periods, not to exceed a total of two years. All early learning providers must meet the following requirements prior to working: (a) A family home licensee must meet the following qualifications upon application: (ii) Have a high school diploma or equivalent; and, (iii) Complete the applicable preservice requirements pursuant to WAC. (c) Making opportunities for children to learn during transitions by clearly communicating expectations and keeping transitions to a duration that is developmentally appropriate. (f) Staff responsibilities if the family home licensee, center director, assistant director, or program supervisor is absent from the early learning program; (g) A plan that includes how both administrative and child caretaking duties are met when a job requires such dual responsibilities; and. (5) Before the family home provider implements a waiver under this section, the waiver must be approved in writing by the department secretary or the secretary's designee. An oral rehydration solution (250ml) prepared according to WHO formula. Statutory Authority: RCW. (d) There is a risk that the child's illness or condition will spread to other children or individuals. (b) Toddlers (twelve through twenty-nine months of age) with a: (i) Maximum group size of fourteen with a ratio of 1:7; (ii) Maximum group size of fifteen with a ratio of 1:5. [36], After severe dehydration is corrected and appetite returns, feeding the person speeds the recovery of normal intestinal function, minimizes weight loss and supports continued growth in children. (A) Nonprescription (over-the-counter) medication needs to be labeled with child's first and last name and accompanied with medication authorization form that has the expiration date, medical need, dosage amount, age, and length of time to give the medication. [citation needed], In the early 1960s, biochemist Robert K. Crane described the sodium-glucose co-transport mechanism and its role in intestinal glucose absorption. (2) An early learning provider working directly with infants must complete the department required infant safe sleep training pursuant to WAC. [6], ORT is less invasive than the other strategies for fluid replacement, specifically intravenous (IV) fluid replacement. (c) Snacks prepared, cooked, or baked at home by parents or guardians of a child in care. A plastic bottle must not contain the chemical bisphenol-A or phthalates; (f) Prepare infant formula according to manufacturer's directions and never serve infant formula past the expiration date on the container; (h) Warm bottles under running warm water, in a container of water, or in a bottle warmer; (i) Keep bottle nipples covered if bottles are prepared ahead; (j) Store prepared and unserved bottles in the refrigerator; (k) Not allow infants or toddlers to share bottles or cups when in use; and. (ii) Retest until water tests indicate desirable results pursuant to (a) of this subsection. (c) Stored so sleeping surfaces are not touching each other unless cleaned and sanitized after each use. (3) An early learning provider's request for a waiver from a rule in this chapter must be: (a) Submitted in writing on the department's form to the local licensing office; (b) Approved in writing by the department director or the director's designee prior to the early learning provider implementing the waiver from the rule; and. Statutory Authority: RCW. (3) A license is required when an individual provides child care and early learning services in his or her family home: (a) Outside the child's home on a regular and ongoing basis for one or more children not related to the licensee; or. Signs in your stool may be one of the majorand possibly the onlyindications you have it. Capacity waiver for family home providers. Staff policies must include those listed in subsections (2) and (3) of this section and must be reviewed and approved by the department prior to issuing a provider's initial license. (a) A center director must meet the following qualifications: (ii) Have an ECE state certificate or equivalent as approved and verified in the electronic workforce registry by the department as follows: (A) A center director must complete an ECE state certificate or equivalent by August 1, 2026; (B) A center director hired or promoted after this chapter becomes effective must have an ECE state certificate or equivalent within five years of the time of hire. (b) Every thirty-six months, following the completion of EQEL or a department approved alternative training, a family home licensee, center director, assistant director or program supervisor, must complete a minimum of ten hours of in-service training "child development" and a minimum of ten hours of in-service training on "leadership practices.". (a) Cleaned and sanitized after each use if used by more than one child; or. Each enrolled child's record must have signed documentation stating the parent or guardian reviewed the handbook and early learning program policies. (b) Audible alarms must be on all doors, screens, and gates in licensed areas that lead to a swimming pool. New York news, weather, traffic and sports from FOX 5 NY serving New York City, Long Island, New York, New Jersey and Westchester County. (b) Written parent or guardian authorization to transport the parent or guardian's child. (d) Be delivered to a commercial laundry service or given to the child's parent or guardian at least daily. Statutory Authority: RCW. (a) The child care health consultant must be a currently licensed registered nurse who: (i) Has worked in pediatrics or public health in the past five years or has taken or taught classes in pediatric nursing at the college level in the past five years; (ii) Has experience with state licensing and public health requirements; and, (iii) Attests in writing to knowledge and experience sufficient to provide service consistent with the health consultant competencies described in the most current version of. Statutory Authority: RCW. (a) Disposable nonporous protective nonlatex gloves; (h) A disposable or mercury free thermometer that uses disposable sleeves, or is cleaned and sanitized after each use; (i) A sling, or a large triangular bandage; (k) A CPR barrier with a one-way valve or both an adult and pediatric CPR mask with a one-way valve; (1) Hot and cold running water must be directly plumbed to the early learning program premises. Ask your doctor for a stool sample test to see if theres fat that shouldnt be there. (2) If not conducted on-site, an early learning provider must share information with parents or guardians about organizations that conduct developmental screenings such as a local business, school district, health care provider, specialist, or resources listed on the department website. Oral rehydration therapy (ORT) is a type of fluid replacement used to prevent and treat dehydration, especially due to diarrhea. They should not be withheld for lack of better options; again, rehydration takes precedence. When you have watery diarrhea, it can be easy for your body to lose more fluids than it takes in. Get information, tips, & more sent straight to your inbox. Infestations of sea lice come and go. Watch breaking news live and Good Day New York. (iv) Encouraging infants and toddlers to play, crawl, pull up, and walk by using materials and equipment that promotes: (A) Physical and cognitive activities, for example rattles, grasping and reaching toys, busy boxes, nesting cups, small push and pull toys, riding toys, balls, squeezable toys, books, dolls, press-together blocks, and limited use of equipment such as bouncers, swings, or boppies; and. (c) A means of providing privacy for children who demonstrate the need for privacy while toileting; (d) A toilet paper dispenser for each toilet that is appropriate for the height and size of children; (e) An operable window or exhaust fan; and. (2) Early learning program staff policies must include, but are not limited to: (a) All of the information in the parent or guardian handbook except fees; (b) Job descriptions, pay dates, and benefits; (c) Professional development expectations and plans; (d) Expectations for attendance and conduct; (e) Early learning program staff responsibilities for: (i) Child supervision requirements, including preventing children's access to unlicensed space; (iii) Developmentally appropriate curriculum; (v) Child protection, guidance, and discipline techniques; (vi) Safe sleep practices, if applicable; (viii) Off-site field trips, if applicable; (ix) Transporting children, if applicable; (x) Health, safety, and sanitization procedures; (xii) Medical emergencies, fire, disaster evacuation and emergency preparedness plans; (xiii) Mandatory reporting of suspected child abuse, neglect, and exploitation, per RCW. (4) Fines must not exceed two hundred fifty dollars per day per violation for center early learning programs or one hundred fifty dollars per day per violation for family home early learning programs, or as otherwise set by the legislature. (ii) A three-compartment sink method (sink one is used to wash, sink two is used to rinse, sink three contains a sanitizer, and the dishes are allowed to air dry). (3) A licensee, center director, assistant director, or program supervisor must maintain the following records for each early learning provider and program staff in a confidential manner. ", "Oral rehydration therapy (ORT) in children. (2) An early learning provider must meet capacity, group size, mixed age grouping, and staff-to-child ratios while children are in care. (d) Family home early learning programs must have at least one pivoting or side-hinged swinging exit door. (x) Employment and education verification. (c) More than 10 children are in care and any child is under school age. (1) An early learning provider must visually inspect outdoor program space and equipment daily to ensure outdoor areas and equipment are free of hazards. Statutory Authority: RCW, (1) Family home licensees, center directors, assistant directors, program supervisors, lead teachers, assistant teachers, and any other early learning providers counted in staff-to-child ratio, or who could potentially be counted in ratio, must have a current pediatric and adult first-aid and CPR certificate, pursuant to WAC. (2) An early learning provider must attempt to obtain information from each child's family about that child's developmental, behavioral, health, linguistic, cultural, social, and other relevant information. Sodium passes into these cells by co-transport with glucose, via the SGLT1 protein. It may mean: You have celiac disease. The licensee's years' of experience providing early learning services. (3) To prepare bottles, an early learning provider must: (a) Clean bottles and nipples before use using warm soapy water and a bottlebrush and sanitize by boiling in hot water for one minute, or pursuant to WAC. If the applicant has completed the steps of the application process within ninety days but an external barrier out of the applicant's control exists, the reapplication fee will be waived one time. (2) The written emergency preparedness plan must cover at a minimum: (a) Disaster plans, including fires that may require evacuation: (i) An evacuation floor plan that identifies room numbers or names of rooms, emergency exit pathways, emergency exit doors, and emergency exit windows for family-home based programs as described in WAC. (1) If an early learning program is served by a private septic system, the septic system must be designed, constructed, and maintained in accordance with state and local health jurisdiction requirements. The directive must be in writing and kept in the infant's file; (d) Sufficiently lighting the room in which the infant is sleeping to observe skin color; (e) Monitoring breathing patterns of an infant; (f) Allowing infants to follow their own sleep patterns; (g) Not allowing blankets, stuffed toys, pillows, crib bumpers, and similar items inside a crib, bassinet, or other equipment if occupied by a resting or sleeping infant; (h) Not allowing a blanket or any other item to cover or drape over an occupied crib, bassinet, or other equipment where infants commonly sleep; (i) Not allowing bedding or clothing to cover any portion of an infant's head or face while sleeping, and readjusting these items when necessary; and. (b) Cleaned and sanitized weekly or more often as needed if assigned to only one child. Our lessons follow the Swim for Life learn to swim program to develop swimming skills that will last a lifetime. Explore our programs, including recreational, fitness and lesson options. (1) An early learning provider must work to maintain positive relationships with children by using consistent guidance techniques to help children learn. [WSR 18-15-001, recodified as 110-300-0220, filed 7/5/18, effective 7/5/18. (b) Modeling and teaching social skills such as taking turns, cooperation, waiting, self-control, respect for the rights of others, treating others kindly, and conflict resolution; (e) Redirecting or helping a child change their focus to something appropriate to achieve their goal; (f) Planning ahead to prevent problems and letting children know what events will happen next; (g) Explaining consistent, clear rules and involving children in defining simple, clear classroom limits; (h) Involving children in solving problems; and. It involves drinking water with modest amounts of sugar and salts, specifically sodium and potassium. A provider must arrange a fire safety inspection with a local government agency. Small parts from larger equipment, material, or objects that have a diameter or overall dimension of one and three-quarter inches or less, that may become detached from the larger equipment, materials, or object are also considered items that may pose a risk of choking, aspiration, or ingestion; (b) Eliminating and not using in the licensed space, pursuant to RCW, (i) Window blinds and other window coverings that have been manufactured or properly retrofitted in a manner that eliminates the formation of loops posing a risk of strangulation are allowed; and. (3) Only five in-service training hours that exceed the requirements of subsection (1) of this section may be carried over from one calendar year to the next calendar year. (b) The department determines before the license transfer the new licensee's child care operation is substantially similar to or an improvement of the originally licensed child care operation. (5) An early learning provider must keep the following records available for department review: (b) Furniture, sleep, and play equipment forms and specifications; (c) Chromated copper arsenate test results, if applicable; (d) Annual fire inspection by qualified fire professional, if applicable; (e) Annual inspection of chimney, wood stove, and fireplace, if applicable; (f) Monthly inspection to identify fire hazards and elimination of such hazards; (g) Monthly testing of smoke and carbon monoxide detectors; (h) Monthly fire extinguisher inspection and annual maintenance; (i) Food temperature logs pursuant to CACFP, if applicable; (k) Vaccination records for pets or animals housed at the early learning provider program; (m) Private well and septic systems inspection and testing results, if applicable; (n) Cleaning log for large area rugs or carpets; (q) Monthly site visit from child care health consultant, if applicable; (t) Strengthening families program self-assessment or an equivalent assessment; (u) Documents from department visits (inspections, monitoring, compliance agreements, and safety plans); and. (d) Information about early learning program staff: (i) List of applicant and household members, and if applicable and known, staff persons and volunteers required to complete the background check process as outlined in chapter. (c) Be stored separately from bedding used by another child, unless it is cleaned and sanitized after each use.
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