(1) An early learning provider must have and follow a written emergency preparedness plan. (1) Early learning providers must comply with the following handwashing procedures or those defined by the United States Center for Disease Control and Prevention, and children should strongly be encouraged to: (c) Rub hands together to wash for at least twenty seconds; (e) Dry hands with a paper towel, single-use cloth towel, or air hand dryer; (f) Turn water faucet off using a paper towel or single-use cloth towel unless it turns off automatically; and. David Swerdlow of the U.S.'s CDC Epidemic Intelligence Service (EIS) wrote about the situation. (c) A copy of the water testing results must be kept on the licensed premises or in the program's administrative office. However, Phillips' efforts failed because the solution he used was excessively hypertonic, and he used to try to stop the diarrhea rather than to rehydrate patients. Concept development and feedback quality. Read labels and keep a food journal for a week to track how much fiber youre actually taking in. (11) Large area rugs or installed carpet must be cleaned at least once every six months, or when visible dirt or stains are present, using a carpet shampoo machine, steam cleaner, or other method that minimizes the exposure of children in care to pathogens and allergens. [WSR 18-15-001, recodified as 110-300-0001, filed 7/5/18, effective 7/5/18. These records must be reviewable by the department and must include at a minimum: (a) A copy of current government issued photo identification; (c) Completed employment application or resume; (d) Annual observation, evaluation, and feedback information; (e) The licensee's Social Security number, federal EIN, or a written document stating the licensee does not possess either; and. (5) A center early learning provider must enter into a department approved written agreement for services with a child care health consultant. Zinc, potassium, vitamin A, and other vitamins and minerals should be added to both recommended cereal products, or to the oral rehydration solution itself. Playground equipment and surfaces must meet the requirements of WAC. (3) A large, licensed indoor gross motor activity space may be used to supplement the requirements of outdoor program space, pursuant to WAC, (a) The space provides seventy-five square feet per child for the maximum number of children listed on the license or the provider rotates groups of children; and. (4) Fruits and vegetables (produce) grown on-site in a garden as part of an early learning program may be served to children as part of a meal or snack. (h) Furniture and equipment, which must be cleaned monthly or more often as needed. (b) Have a high school diploma or equivalent, or be currently enrolled in high school or an equivalent education program; (c) Complete the applicable preservice requirements, pursuant to WAC. Useful signs of dehydration include an eagerness to drink, lethargy, cool and moist extremities, weak or absent radial pulse (wrist), and reduced or absent urine flow. Choose whole-grain cereals and breads, beans, and fresh fruits and vegetables. (6) Hand sanitizers or hand wipes with alcohol may be used for adults and children over twenty-four months of age under the following conditions: (a) When proper handwashing facilities are not available; and. "The holding will call into question many other regulations that protect consumers with respect to credit cards, bank accounts, mortgage loans, debt collection, credit reports, and identity theft," tweeted Chris Peterson, a former enforcement attorney at the CFPB who is now a law (a) A center early learning program may allow a person to be employed or volunteer on the center early learning premises for up to thirty calendar days if the person signs a written attestation that the employee or volunteer has received the measles, mumps, and rubella vaccine, or is immune from measles, but requires additional time to obtain and provide his or her immunization records. Sheth says additional workups may be necessary to get to the bottom of the problem. However, "dont go overboard with day-to-day changes," Sheth says. Get the latest headlines on Wall Street and international economies, money news, personal finance, the stock market indexes including Dow Jones, NASDAQ, and more. (i) The licensee must have an ECE short certificate or equivalent when operating with 13 or more children. Everyone should use the rest room and then shower with soap just before entering the pool. Consume about 250 milligrams 24 times daily. Mothers should continue to breastfeed. (5) If an early learning provider refuses a FLCA or probationary license, this may result in any of the following enforcement actions: (b) Noncontinuation of a nonexpiring license; (6) The department may place an early learning provider on nonreferral status, pursuant to RCW, (7) A probationary license may be issued to an early learning provider or program operating under a nonexpiring license as part of a corrective action plan. Statutory Authority: RCW. (1) The department adopts and incorporates by reference the Washington state building code (chapter, (2) Early learning program space must comply with the Washington state building code or local building code as enacted at the time of licensure. (5) An early learning provider must pay fines within twenty-eight calendar days after receiving a notice of violation unless: (a) The office of financial recovery establishes a payment plan for the provider; or, (b) The provider requests a hearing, pursuant to chapter, (6) The department may suspend or revoke a license if an early learning provider fails to pay a fine within twenty-eight calendar days or becomes delinquent in making payments, pursuant to RCW. (c) A balance of different ethnic and cultural groups, ages, abilities, family styles, and genders. Staff must remain calm and use a calm voice when directing or removing the child. "[18], The optimal fluid for preparing oral rehydration solution is clean water. (7) If an outbreak of a vaccine-preventable disease occurs within an early learning program, an early learning provider must notify the parents or guardians of children exempt from immunization for that disease and children without vaccination documents. Timid Toddler/Little Splashers - 2.5 to 5 years old: or if they have experienced diarrhea in the past week. (b) Have department approval prior to using night latches, deadbolts, or security chains. [41], Sodium absorption occurs in two stages. (b) The early learning provider must obtain an alternative source of potable water such as bottled or packaged water. [WSR 18-15-001, recodified as 110-300-0320, filed 7/5/18, effective 7/5/18. The most common culprit is inadequate fiber intake. (8) If a center early learning provider is unable to independently employ or contract with a child care health consultant within thirty calendar days of enrolling an infant, the provider must contact the department for assistance. (Check out these 23 high-fiber winners of our Cleanest Packaged Food Awards.). Questions and Answers. (3) The department must issue a notice of violation to an early learning provider when taking enforcement actions. (4) A center early learning program must do the following to mix groups of children twelve to thirty-six months old: (b) Keep a staff-to-child ratio of 1:7 with a maximum group size of fourteen children. (i) Designed to be cleaned frequently and made of sealed wood, linoleum, tile, plastic, or other solid surface materials; (b) An early learning provider must have at least twenty-four inches of moisture resistant and cleanable material or barrier around sinks, drinking fountains, and toilets. (3) If a child suffers from an allergic reaction, the early learning provider must immediately: (a) Administer medication pursuant to the instructions in that child's individual care plan; (b) Contact 911 whenever epinephrine or other lifesaving medication has been administered; and. (1) The department issues initial or nonexpiring family home licenses for up to 12 children. Pursuant to the state building code, center early learning providers must comply with WAC, (i) Fire extinguishers must be located pursuant to the state building code chapter, (ii) Fire extinguishers must be located on each level of the early learning program space used by children and mounted within seventy-five feet of an exit next to the path of the exit; and. When you have watery diarrhea, it can be easy for your body to lose more fluids than it takes in. Materials must: (a) Encourage both active physical play and quiet play activities; (c) Promote language development and literacy skills; (e) Promote numeracy (counting and numbers) and spatial ability; (f) Encourage discovery and exploration; and. Statutory Authority: RCW. This will help to prepare them to give ORT at home in the future. (5) Saws, power tools, lawn mowers, toilet plungers, toilet brushes, and other maintenance and janitorial equipment must be inaccessible to children. [38] Care of these children must also include careful management of their malnutrition and treatment of other infections. [2] Case studies in four developing countries also have demonstrated an association between increased use of ORS and reduction in mortality. (d) Family home early learning programs must have at least one pivoting or side-hinged swinging exit door. [33][34] Babies may be given ORS with a dropper or a syringe. This must be done as soon as possible or prior to access by children. (d) An early learning provider must notify the department and local health jurisdiction if there is a problem, concern, or malfunction with a private septic system. A provider must facilitate the toilet training process by encouraging the child with: (a) Positive reinforcement (which may not include food items); (c) Developmentally appropriate methods; and. (6) An early learning provider must transition children who are able to climb out of their sleeping equipment to developmentally appropriate sleep equipment. Pursuant to RCW. (c) For continuity of care, assistant teachers can act as a substitute lead teacher up to two weeks. Statutory Authority: RCW. Check out these seven things your poop could be saying about your health. Pest control steps must include: (2) An early learning provider must have a pest control policy that emphasizes prevention and natural, nonchemical, low-toxicity methods where pesticides or herbicides are used as a last resort (i.e., integrated pest management). Capacity waiver for family home providers. (5) Early learning providers must direct, assist, teach, and coach, children to wash their hands, using the steps listed above: (a) When arriving at the early learning premises; (g) After touching body fluids such as blood or after nose blowing or sneezing; (h) Before and after eating or participating in food activities including table setting; and. [55][56], ORT is one of the principal elements of the UNICEF "GOBI FFF" program (growth monitoring; ORT; breast feeding; immunization; female education; family spacing and food supplementation). (ix) How children will be reunited with their parents or guardians after the event.
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