Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 407 - LICENSING STANDARDS FOR DAY CARE CENTERS › Subpart G - HEALTH AND HYGIENE › Section 407.310 - Health Requirements for Children

Current through Register Vol. 48, No. 28, July 12, 2024
a) A medical report on forms prescribed by
				the Department shall be on file for each child.
1) The initial medical report shall be dated
				less than 6 months prior to enrollment of infants, toddlers and preschool
				children. For school-age children, a copy of the most recent regularly
				scheduled school physical may be submitted (even if more than 6 months old) or
				the day care center may require a more recent medical report by its own
				enrollment policy. If a health problem is suspected, the day care center may
				require additional documentation of the child's health status.
2) If a child transfers from one day care
				center to another, the medical report may be used at the new center if it is
				less than one year old. In such a case, the center the child is leaving shall
				maintain a copy of the child's medical form and return the original to the
				parent.
3) The medical examination
				shall be valid for 2 years, except that subsequent examinations for school-age
				children shall be in accordance with the requirements of the Illinois School
				Code [105 ILCS 5/27-8.1] and the Child Health Examination Code (77 Ill. Adm.
				Code 665), provided that copies of the examination are on file at the day care
				center.
4) The medical report shall
				indicate that the child has received the immunizations required by the Illinois
				Department of Public Health in its rules (77 Ill. Adm. Code 695, Immunization
				Code). These include poliomyelitis, measles, rubella, mumps, diphtheria,
				pertussis, tetanus, haemophilus influenzae B, hepatitis B, and varicella
				(chickenpox) or provide proof of immunity according to requirements in 77 Ill.
				Adm. Code
				690.50 of the
				Department of Public Health rules (http://www.idph.state. il.us).
5) If the child is in a high-risk group, as
				determined by the examining physician, a tuberculin skin test by the Mantoux
				method and the results of that test shall be included in the initial
				examination for all children who have attained one year of age, or at the age
				of one year for children who are enrolled before their first birthday. The
				tuberculin skin test by the Mantoux method shall be repeated when children in
				the high-risk group begin elementary and secondary school.
6) The initial examination shall show that
				children from the ages of one to 6 years have been screened for lead poisoning
				(for children residing in an area defined as high risk by the Illinois
				Department of Public Health in its Lead Poisoning Prevention Code (77 Ill. Adm.
				Code 845)) or that a lead risk assessment has been completed (for children
				residing in an area defined as low risk by the Illinois Department of Public
				Health).
7) In accordance with the
				Child Care Act of 1969, a parent may request that immunizations, physical
				examinations and/or medical treatment be waived on religious grounds. A request
				for waiver shall be in writing, signed by the parent or parents, and kept in
				the child's record.
8) Exceptions
				made for children who should not be subject to immunizations or tuberculin
				tests for medical reasons shall be indicated by the physician on the child's
				medical form.
9) Day care centers
				shall maintain an accurate list of all children enrolled in the center who are
				not immunized, as required by Illinois Department of Public Health rules (77
				Ill. Adm. Code
				695.40,
				List of Non-Immunized Child Care Facility Attendees or Students). The number of
				non-immunized children on the list shall be available to parents who request
				it.
10) Medical records shall be
				dated and signed by the examining physician, advance practice nurse (APN) who
				has a written collaborative agreement with a collaborating physician
				authorizing the APN to perform health examinations, or physician assistants who
				have been delegated the performance of health examinations by their supervising
				physician, and include the name, address and telephone number of the physician
				responsible for the child's health care.