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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    • Repealed by Manual Letter No. CCL-98-11, effective 11/1/98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

Child's Medical Assessments

101220

(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.

(1) Such assessment shall be performed by, or under the supervision of, a licensed physician, and shall not be more than one year old when obtained.

(b) The medical assessment shall provide the following:

(1) A record of any infectious or contagious diseases that would preclude care of the child by the licensee.

(2) Results of a test for tuberculosis.

(3) Identification of the child's special problems and needs.

(4) Identification of any prescribed medications being taken by the child.

(5) Ambulatory status.

(c) The Department has the authority to require the licensee to obtain a current written medical assessment if such an assessment is necessary to verify the appropriateness of a child's placement.

(d) If a medical assessment is not available for a child and cannot be obtained within 30 days of admission:

(1) A medical appointment date shall be obtained from the authorized representative upon the child's admission.

(2) A TB test shall be obtained on the child within 30 days of admission.

(e) The licensee is not required to document medical assessments on children who are also enrolled in a public or private elementary school.

(f) A child whose authorized representatives adhere to a religious faith that practices healing by prayer or other spiritual means shall not be required to meet the requirements of this section provided the authorized representatives:

(1) Provide information on the child's health history.

(2) Sign a statement that indicates their:

(A) Acceptance of full responsibility for the child's health.

(B) Refusal to obtain a medical examination of the child.

(C) Request that no medical care be given to the child.

NOTE: Authority cited: Section 1596.81, Health and Safety Code. Reference: Sections 1596.72, 1596.73, 1596.81 and 1597.05, Health and Safety Code.

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