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    • Repealed by Manual Letter No. CCL-98-11, effective 11/1/98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

Health-Related Services

101226

(a) The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken.

(1) In the case of an illness severe enough to require isolation of the child, the center shall follow the procedures specified in Section 101226.2.

(2) In the case of less serious injuries including, but not limited to, minor cuts, scratches and bites from other children requiring assessment and/or administration of first aid by staff, the licensee shall document the injury in the child's record and notify the child's authorized representative of the nature of the injury when the child is picked up from the center.

(b) The licensee shall make prompt arrangements for obtaining medical treatment for any child if necessary.

(c) The licensee shall obtain emergency medical treatment without specific instructions from the child's authorized representative if the authorized representative cannot be reached immediately, or if the nature of the child's illness or injury is such that there should be no delay in getting medical treatment for the child.

(1) The teacher supervising activities away from the center premises shall carry one of the following for each child engaged in such activities:

(A) A signed consent form for emergency medical treatment; or

(B) For a child not required to have a consent form for emergency medical treatment pursuant to Section 101220(f), the phone numbers of the authorized representative, relatives or others who can assume responsibility for the child in an emergency.

(d) The licensee shall maintain the following first-aid supplies in a location accessible to staff but inaccessible to children:

(1) A current edition of a first-aid manual.

(2) Sterile first-aid dressings.

(3) Bandages or roller bandages.

(4) Adhesive tape.

(5) Scissors.

(6) Tweezers.

(7) Thermometer.

(8) Antiseptic solution.

(e) In centers where the licensee chooses to handle medications:

(1) All prescription and nonprescription medications shall be centrally stored in accordance with the requirements specified below:

(A) Medications shall be kept in a safe place inaccessible to children.

(B) Each container shall have an unaltered label.

(C) A refrigerator shall be used to store any medication that requires refrigeration.

(2) All prescription and nonprescription medications shall be maintained with the child's name and shall be dated.

(3) Prescription medications may be administered if all of the following conditions are met:

(A) Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician.

(B) For each prescription medication, the licensee shall obtain, in writing, approval and instructions from the child's authorized representative for the administration of the medication to the child.

1. This documentation shall be kept in the child's record.

2. The instructions from the child's authorized representative shall not conflict with the label directions as prescribed by the child's physician.

(4) Nonprescription medications may be administered without approval or instructions from the child's physician if all of the following conditions are met:

(A) Nonprescription medications shall be administered in accordance with the product label directions on the nonprescription medication container(s).

(B) For each nonprescription medication, the licensee shall obtain, in writing, approval and instructions from the child's authorized representative for the administration of the medication to the child.

1.This documentation shall be kept in the child's record.

2.The instructions from the child's authorized representative shall not conflict with the product label directions on the nonprescription medication container(s).

(5) The licensee shall develop and implement a written plan to record the administration of prescription and nonprescription medications and to inform the child's authorized representative daily when such medications have been given.

(6) When no longer needed by the child, or when the child withdraws from the center, all medications shall be returned to the child's authorized representative or disposed of after an attempt to reach the authorized representative.

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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