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Title 22 Tool
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  • Welcome to CQEL's Title 22 Tool
  • General Requirements and Definitions
    • General
    • Definitions
  • Licensing
    • License Required
    • Operation Without A License
    • Exemption From Licensure
    • Licensing Of Integral Facilities
    • Posting Of License
    • Limitations On Capacity
    • Advertisements And License Number
    • False Claims
  • Application Procedures
    • Transfer and Sale
    • Applicant Qualifications
    • Application for License
    • Criminal Record Clearance
    • Criminal Record Exemption
    • Child Abuse Index
    • Fire Clearance
    • Water Supply Clearance
    • Plan of Operation
    • Disaster and Mass Casualty Plan
    • Waivers and Exceptions for Program Flexibility
    • Initial Application Review
    • Capacity Determination
    • Withdrawal of Application
    • Provisional License
    • Issuance/Term of a License
    • Application for Renewal of a License
    • Submission of New Application
    • Conditions for Forfeiture of a Child Care Center License
    • Licensing Fees
  • Enforcement Provisions
    • Denial of a Renewal License
    • Deficiencies in Compliance
    • Follow-up Visits to Determine Compliance
    • Penalties
    • Review of Licensing Decisions
    • Exemption from Civil Penalties
    • Unlicensed Facility Penalties
    • Denial or Revocation of License for Failure to Pay Civil Penalties
    • Inspection Authority of the Department
    • Evaluation Visits
    • Serious Deficiencies
    • Repealed by Manual Letter No. CCL-98-11, effective 11/1/98
  • Administrative Actions
    • Denial of License
    • Revocation or Suspension of License
    • Licensee/Applicant Complaints
    • Exclusions
    • Unlicensed Facility Administrative Appeal
  • Continuing Requirements
    • Reporting Requirements
    • Finances
    • Accountability
    • Administrator Qualifications and Duties
    • Child Care Center Director Qualifications and Duties
    • Personnel Requirements
    • Teacher Qualifications and Duties
    • Teacher Aide Qualifications and Duties
    • Teacher-Child Ratio -All Ages
    • Preschool Program with Toddler Component
    • Staffing -- Parent-Cooperative Centers
    • Staffing for Water Activities
    • Personnel Records
    • Admission Policies
    • Admission Procedures and Parental and Authorized Representative’s Rights
    • Admission Agreements
    • Child's Medical Assessments
    • Immunizations
    • Child's Records
    • Personal Rights
    • Postural Supports/Protective Devices
    • Discipline
    • Telephones
    • Transportation
    • Health-Related Services
    • Daily Inspection for Illness
    • Isolation for Illness
    • Observation of the Child
    • Food Service
    • Personal Services (Reserved)
    • Responsibility for Providing Care and Supervision
    • Sign In and Sign Out
    • Activities/Napping
    • Smoking Prohibition
  • Physical Environment
    • Alterations to Existing Buildings or New Facilities
    • Buildings and Grounds
    • Outdoor Activity Space
    • Indoor Activity Space
    • Storage Space
    • Wading Pools
    • Fixtures, Furniture, Equipment and Supplies
    • Napping Equipment
    • Drinking Water
  • General Requirements and Definitions - Infant Care
    • General - Infant
    • Definitions - Infant
    • Limitations on Capacity and Ambulatory Status - Infant
  • Continuing Requirements - Infant Care
    • Infant Care Center Director Qualifications and Duties
    • Assistant Infant Care Center Director Qualifications and Duties
    • Infant Care Teacher Qualifications and Duties
    • Infant Care Aide Qualifications and Duties
    • Teacher-Child Ratio - Infant
    • Staffing for Infant Water Activities
    • Toddler Component in an Infant Care Center
    • Infant Needs and Services Plan
    • Modifications to Infant Needs and Services Plan
    • Infant Care Discipline
    • Infant Care Transportation
    • Infant Care Isolation for Illness
    • Infant Care Food Service
    • Infant Care Personal Services
    • Responsibility for Providing Care and Supervision for Infants
    • Infant Care Activities
  • Physical Environment - Infant Care
    • Infant Care General Sanitation
    • Outdoor Activity Space for Infants
    • Indoor Activity Space for Infants
    • Infant Care Center Fixtures, Furniture, Equipment, and Supplies
    • Infant Care Center Sleeping Equipment
  • General Requirements and Definitions - School-Age
    • General - School-Age
    • Definitions - School-Age
  • Application Procedures - School-Age
    • School-Age Child Care Center Fire Clearance
    • Issuance of a School-Age Child Care Center License
  • Continuing Requirements - School-Age
    • School-Age Child Care Center Director Qualifications and Duties
    • School-Age Child Care Center Teacher Qualifications and Duties.
    • Teacher-Child Ratio - School-Age
    • Medical Assessments - School-Age
    • Immunizations - School-Age
    • Child's Records - School-Age
    • Daily Inspection For Illness - School-Age
    • Food Service - School-Age
    • Sign In and Sign Out - School-Age
    • Outdoor Activity Space for School-Age Children
    • Indoor Activity Space for School-Age Children
    • Fixtures, Furniture, Equipment And Supplies - School-Age
  • General Requirements and Definitions - Mildly Ill
    • General - Mildly Ill
    • Definitions - Mildly Ill
  • Licensing - Mildly Ill
    • Limitations on Capacity and Ambulatory Status - Mildly Ill
  • Application Procedures - Mildly Ill
    • Issuance of a License - Mildly Ill
  • Continuing Requirements - Mildly Ill
    • Director Qualifications and Duties - Mildly Ill
    • Teacher Qualifications and Duties - Mildly Ill
    • Personnel Requirements - Mildly Ill
    • Teacher-Child Ratios - All Ages and Mildly Ill
    • Staffing for Water Activities - Mildly Ill
    • Admission Policies - Mildly Ill
    • Medical Assessments - Mildly Ill
    • Child's Records - Mildly Ill
    • Health-Related Services - Mildly Ill
    • Daily Inspection for Illness
    • Isolation for Illness
    • Observation of the Child - Mildly Ill
    • Food Service - Mildly Ill
    • Personal Services - Mildly Ill
    • Sign in and Sign out for Mildly Ill
    • Activities - Mildly Ill
  • Physical Environment - Mildly Ill
    • General Sanitation - Mildly Ill
    • Outdoor Activity Space - Mildly Ill
    • Indoor Activity Space - Mildly Ill
    • Fixtures, Furniture, Equipment and Supplies for Mildly Ill
    • Napping Equipment - Mildly Ill
    • Drinking Water - Mildly Ill
  • Other Resources
    • The Basics: Qualifications and Ratios
    • Child Care Licensing Contacts
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  1. Continuing Requirements - Mildly Ill

Health-Related Services - Mildly Ill

101626

(a) In addition to Section 101226, and notwithstanding Section 101226(a), the following shall apply:

(b) If the child's illness or injury worsens to the point that it exceeds the maximum level of care specified in the admission policies and for which the center is licensed, the licensee shall immediately notify the child's authorized representative and require the child's authorized representative to remove the child from the center.

(1) Notification of the authorized representative shall be recorded in the child's record and shall include the date and time of notification and the name of the qualified staff person making the notification.

(c) A written plan of care shall be developed for each child and shall be updated daily.

(1) This plan shall be completed with the assistance of the child's authorized representative; shall be signed and dated by the authorized representative; and shall be maintained in the child's record.

(2) Each plan of care shall include but not be limited to:

(A) Type and frequency of observations of the child.

(B) Activity level.

(C) Dietary restrictions.

(D) Prescription and nonprescription medications that the child must take while at the center.

(E) Special procedures associated with the child's illness/injury, such as any relating to intake of food and liquid, stool and urine output, or temperature. This requirement may be omitted when the nature of the child's illness/injury warrants doing so.

(F) Developmental activities.

(d) Every center shall have provisions for continuing health consultation from a physician or registered nurse with a current and active license issued by the appropriate State of California licensing board. This health professional shall have pediatric experience/training obtained within the last five years.

(1) Health consultation may be provided by a staff member who is also a health professional as specified in Section 101626(d), as part of his/her staff duties; or by an outside consultant as specified in Section 101626(d).

(2) Health consultation shall include developing written plans and procedures and, if necessary, forms for the following, all of which shall be maintained at the center:

(A) Admissions criteria, center operating policies and procedures, daily inspection procedures, procedures for the surveillance of communicable diseases, and plans for the care of individual children.

(B) Liaison with local health departments.

(C) Recordkeeping and reporting of accidents and illnesses involving staff and children.

(D) Obtaining emergency health care, including provisions for listing emergency telephone numbers.

(E) Administration, handling and storage of medications.

(F) Emergency first-aid procedures and assurance of the availability of staff trained in such procedures.

(G) Establishment of an isolation area and development of related procedures.

(H) Provision of continuing health-care services to children in attendance who do not already have access to such services, which may include making referrals to community resources.

(I) Provision of staff training as specified in Section 101616.2.

(3) If health consultation is provided by an outside consultant, a written contract or letter of agreement between the consultant and the center shall be prepared. This documentation shall be maintained in the center's files.

(4) Each center shall maintain in its files each health consultant's name, address, telephone number, area of specialization and evidence of qualifications.

(A) Evidence of qualifications shall include, but not be limited to, verification of licensure required in Section 101626(d) as demonstrated by the following:

1. A photocopy of the license; and

2. Documentation of written or verbal contact with the appropriate State of California licensing board to verify licensure status.

(5) Health consultation shall occur quarterly or more often, if necessary, and not less than semiannually.

(A) After each consultation, the consultant shall prepare a written report of his/her findings and recommendations. These reports shall be maintained in the center's files.

(B) If consultation is not necessary during a quarter, a notation explaining why shall be made in the center's files.

(e) The licensee shall maintain the most current edition of a manual on the identification and control of communicable diseases.

(1) This manual shall be either the American Academy of Pediatrics' Report of the Committee on Infectious Diseases (Red Book) or another manual approved by the health consultant prior to use.

NOTE: Authority cited: Section 1596.81, Health and Safety Code. Reference: Sections 1596.72, 1596.73 and 1596.81, Health and Safety Code.

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Last updated 11 months ago

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