8.

01 Sampler of Childcare Rules

Directions: Use this handout to record information about typical health and safety policies for child care centers.
Each policy is based on a child care rule from the NC Child Care Center Handbook. Instructions are provided at the
top of each column.

Goal of Notes from Sample Child Care Rule: Interpretation of

Policy: Text: rite in your own
Find in the NC Child Care Center Handbook the Child Rule: W
State a rationale Record notes Care Rule referenced by code number; then copy the words what each rule
to explain why from the rule in the block provided. means.
each type of textbook(s) that
policy is needed. relate to this
topic or type of
policy.

1. Supervise 10A NCAC 09 .0714 - Other Staffing Staff should be able

children at all Requirements to see and hear
times CHILD CARE RULE .0714 Requirement for children at all times.
Supervision Children must be adequately
They should also be
supervised at all times. Adequate supervision
interacting with
Rationale: means that staff interact with the children while
there should moving about the indoor and outdoor area, and
children. The only
be a are able to hear and see the children at all exception should be
consistent times, except when emergencies necessitate emergencies.
rule defining that direct supervision is impossible for brief
when and how periods of time.
children
should be
supervised.

2. Maintain 10A NCAC 09.0712 - Staff/Child Ratios for

minimum Centers with a Licensed Capacity of Less
adult-child than 30 Children
ratios (a)

Age of No. No. Maximum No.

Rationale: Children Children Staff Group Staff
Size

0 to 12 5 1 10 2
months

12 to 24 6 1 12 2
months
 2 to 3 10 1 20 2
years

3 to 5 15 1 25 2
years

5 years 25 1 25 1
and older

3. Provide a 10A NCAC 09 .0601 - Safe Environment

safe (a)A safe indoor environment must be provided
environment for the children in care. All hazardous items,
materials, and equipment must be used by
children only when adult supervision is
Rationale: provided.

(c)

4. Require (Notes will 10A NCAC 09 .0701 Health Standards for

medical vary) Staff
examinations All staff must have on file within 60 days of the
of staff date of employment, a statement signed by a
members licensed physician or an authorized health
professional under his/her supervision, that
indicates that the person is emotionally and
Rationale: physically fit to care for children.

Purpose of Notes from Text: Sample Child Care Rule: Interpretation of

Policy: Record notes from the Find in the NC Child Care Center Rule: Write in your
State a rationale to textbook(s) that relate Handbook the Child Care Rule referenced own words what each
explain why each to this topic or type of by code number; then copy the rule in the rule means.
policy. block provided.
type of policy is
needed.

5. Keep medical 10A NCAC 09 .0801 Application for

care information Enrollment
for children on (b)
file
Emergency medical care information
must be on file for each individual child.
Rationale: Emergency medical care information
should include the name, address, and
telephone number of the parent or
other person to be contacted in case of
an emergency; the responsible partys
choice of health care provider; and
preferred hospital; any chronic illness
the child has and any medication taken
for that illness; and any other
information that has a direct bearing on
assuring the safe medical treatment for
the child. This emergency medical
care information must be on file in the
center on the childs first day of
attendance. Each child's parent, legal
guardian, or full-time custodian must
sign a statement authorizing the center
to obtain medical attention for the child
in an emergency. This statement must
be on file on the first day the child
attends the center. It shall be easily
accessible to staff so that it can be
taken with the child whenever
emergency medical treatment is
necessary.
6. Follow 10A NCAC 09 .0803 Administering
regulations for Medication
giving (a)No prescription or over-the-counter
medications medication and no topical, non-medical
ointment, repellent, lotion, cream, or
powder may be administered to any
Rationale: child: without written authorization
from the childs parent, physician, or
other health professional; without
written instructions from the childs
parent, physician, or other health
professional; in any manner not
authorized by the childs parent,
physician, or other health professional;
after its expiration date; or for
non-medical reasons, such as to
induce sleep. When questions arise
concerning whether any medication
should be administered to a child, the
caregiver may decline to administer the
medication without signed written
dosage instructions from a licensed
physician or authorized health
professional.

7. Provide care 10A NCAC 09 .0804 Infectious and

for mildly ill Contagious Diseases
children (a)Centers which choose to provide
care for mildly ill children must: follow
all procedures to prevent the spread of
Rationale: communicable diseases as described
in 15A NCAC 18A .2800, Sanitation of
Child Care Facilities; separate from
 other children any child who becomes
ill while in care or who is suspected of
having a communicable disease or
condition other than described above
until the child leaves the center; notify
all parents at enrollment that the center
will be providing care for mildly ill
children; immediately notify the parent
of any child who becomes ill while in
care or who is suspected of being ill
with a communicable condition and
may not remain in care; immediately
notify the parent of any sick child in
care if the childs condition worsens
while the child is in care.

Purpose of Notes from Text: Sample Child Care Rule: Interpretation of

Policy: Record notes from the Find in the NC Child Care Center Handbook Rule: Write in your
State a rationale to textbook(s) that relate the Child Care Rule referenced by code own words what each
explain why each to this topic or type of number; then copy the rule in the block rule means.
type of policy is policy. provided.
needed.

8. Exclude ill 10A NCAC 09 .0804 Infectious and

children from Contagious Diseases
contact with well (b)Centers may provide care for a
children mildly ill child who has a Fahrenheit
temperature of less than 100 degrees
auxiliary; 101 degrees orally; or 102
Rationale: degrees rectally and who remains
capable of participating in routine group
activities; provided the child does not:
have the sudden onset of diarrhea
characterized by an increased number
of bowel movements compared to the
child's normal pattern and with
increased stool water; or have two or
more episodes of vomiting within a 12
hour period; or have a red eye with
white or yellow eye discharge until 24
hours after treatment; or have scabies
 or lice; or have known chicken pox or a
rash suggestive of chicken pox; or
have tuberculosis, until a health
professional states that the child is not
infectious; or have strep throat, until 24
hours after treatment has started; or
have pertussis, until five days after
appropriate antibiotic treatment; or
have hepatitis A virus infection, until
one week after onset of illness or
jaundice; or have impetigo, until 24
hours after treatment; or have a
physician or other health professionals
written order that the child be separated
from other children.

(2)
.

9. Implement 10A NCAC 09 .0805 Sanitary Food

sanitary Service
practices
Repealed

Rationale:

10. Provide 10A NCAC 09 .0205 Parental

parents access to Access
their children
Rationale: