441—106.7 (237B) Health.
	 106.7(1) A children’s center shall obtain, store, prepare, and serve food and water free from contamination.
	 106.7(2) A children’s center shall have written health policies that include criteria for excluding a sick child from the center.
	 106.7(3) A children’s center shall have written policies and procedures related to disease control and the use of universal precautions with the handling of any bodily excrement or discharge, including blood and breast milk. A children’s center shall take precautions to prevent the spread of infectious and communicable disease.
	 106.7(4) A children’s center shall seek immediate medical attention for a child when it is necessary to ensure that the child remains healthy.
	 106.7(5) A children’s center shall have written policies and procedures to ensure that staff, volunteers, or others who perform duties under a subcontract with the children’s center demonstrate clean personal hygiene sufficient to prevent or minimize the transmission of illness or disease.
	 106.7(6) A children’s center shall be required to report to the department of public health any reportable disease.
	 106.7(7) A children’s center shall have written policies on physical examination reports or health status statements for all children in the center's care.
	 106.7(8) A children’s center shall have written policies and procedures for the dispensing, storage, authorization, and recording of all prescription and nonprescription medications.
	 106.7(9) A children’s center shall ensure that a clearly labeled first-aid kit is available and easily accessible to staff, volunteers, or others who perform duties under a subcontract with the children’s center at all times whenever children are in the center, in the outdoor play area, and on field trips. The kit shall be sufficient to address first aid related to minor injury or trauma and shall be stored in an area inaccessible to children.
	 106.7(10) A children’s center shall have written policies on reporting illness or injury to parents or guardians. These policies shall be shared with parents or guardians before a child is admitted to the children’s center. Incidents resulting in a serious injury to a child or significant change in health status shall be reported immediately to the parent or guardian.
	 106.7(11) A children’s center shall have written policies on smoking and tobacco use that comply with Iowa state law.
[ARC 8009B, IAB 7/29/09, effective 9/2/09]