reglab/statecodes huggingface dataset:
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 59c - Special Supplemental Nutrition Program for Women, Infants and Children (WIC) › Section 19a-59c-4 - Local WIC agency participation

Current through July 10, 2024
(a) Local WIC
			 agencies shall comply with federal regulations, state regulations and their
			 contract with the State Program.
(b)
General Administration
(1) Staffing
(A) Each local agency shall employ one
			 full-time local agency coordinator who shall be responsible for its overall
			 operation. This requirement may be waived by the Commissioner if the
			 Commissioner determines that management obligations as set forth in this
			 subsection may be met by employing a part-time coordinator. Such request for a
			 waiver shall be in writing and give reasons why the Commissioner should grant
			 the request for waiver. A coordinator hired before October 1, 1982 shall be
			 deemed qualified under these regulations. A coordinator shall meet the
			 following qualifications:
(i) a master's
			 degree from an institution accredited by a recognized regional accrediting body
			 in either public health, health administration, administration, business
			 administration, or a health science; and
(ii) a bachelor's degree from an institution
			 accredited by a recognized regional accrediting body; and
(iii) one year of full-time employment
			 planning or administering a program, including supervising personnel,
			 or
(iv) any combination of the
			 above experience and training totaling six years. A bachelor's degree shall
			 count for four years and a master's degree an additional one year.
			 Nonsupervisory professional level experience in a WIC Program may be
			 substituted for up to two years.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 59c - Special Supplemental Nutrition Program for Women, Infants and Children (WIC) › Section 19a-59c-5 - Food vendor participation

Current through July 10, 2024
(a) In order to be
			 considered for authorization, a vendor shall:
(1) be necessary to the program as determined
			 in accordance with subsection
			 19a-59c-5(c)
			 of Regulations of Connecticut State Agencies and as specified in the WIC vendor
			 agreement.
(2) request an
			 application package in writing,
(3)
			 submit a completed application package by the due date, and
(4) meet the minimum criteria at the time of
			 an authorized site visit as established by the state WIC program in subsection
			 19a-59c-5(c)
			 of Regulations of Connecticut State Agencies and according to
			 7 CFR
			 246.12, as amended.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 59c - Special Supplemental Nutrition Program for Women, Infants and Children (WIC) › Section 19a-59c-6 - Program abuse

Current through July 10, 2024
(a)
Participant Abuse
(1) In cases of
			 participant abuse of the WIC program, the local agency shall:
(A) issue all warnings either in writing or
			 orally to the participant in the presence of at least one witness, and document
			 the abuse in the participant's file by recording name, date, description of
			 incident and name(s) of witness(es);
(B) if a decision is made to suspend the
			 participant, hand deliver or mail, by certified mail, return receipt requested,
			 a written notice of suspension indicating length of time and reason;
(C) mail a copy of the notice of suspension
			 to the state WIC office within 15 days, and retain copies in the participant's
			 file;
(D) should the participant
			 request a hearing, have the participant complete the necessary hearing form,
			 and forward it to the state WIC office;
(E) report threats or acts of violence
			 against a person or property immediately to the police;
(F) if the abuse in question includes the
			 sale of supplemental foods or checks or their exchange for credit toward the
			 purchase of unauthorized food or other items by the participant,
(i) report by phone alleged or suspected
			 abuse to the State WIC Office immediately, provide written documentation within
			 15 days, retain a copy in the participant's file, include name, date,
			 description of the incident, names of witnesses, and other appropriate
			 information, and
(ii) implement
			 actions regarding the participant's WIC status as described in subparagraph
			 19a-59c-6(a) (1) (B) of Regulations of Connecticut State Agencies, as amended,
			 unless given other instructions by the state WIC office, and maintain
			 documentation of actions taken;
(iii) Claims Against Participants - The
			 recovery of the cash value of program benefits which have been improperly
			 issued to a participant due to the intentional misrepresentation or withholding
			 of information may be initiated by the state agency in addition to imposition
			 of the sanctions described in subsection
			 19a-59c-6(a)
			 of Regulations of Connecticut State Agencies, as amended. The state agency may
			 pursue recovery when the value of the overissuance exceeds $300.00.
(G) inform participant of the
			 right to review termination, disqualification, or suspension from the WIC
			 program in accordance with section 19-2a-1 through 19-2a-40, as amended, of
			 Regulations of Connecticut State Agencies.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 72 › Section 19a-72-1 - Connecticut Tumor Registry. Definitions

Current through July 10, 2024
(1)"Clinical
			 laboratory" has the same meaning as provided in section 19a-72 of the
			 Connecticut General Statutes;
(2)"Commissioner" means the Commissioner of
			 Public Health or the Commissioner's designee;
(3)"Connecticut Tumor Registry" means a
			 personal data system maintained and operated by the Department of Public Health
			 that includes a report of every occurrence of a reportable tumor that is
			 diagnosed or treated in the state;
(4) "Department" means the Department of
			 Public Health;
(5)"Hospital" has
			 the same meaning as provided in section 19a-72 of the Connecticut General
			 Statutes;
(6)"Health care provider"
			 has the same meaning as provided in section 19a-72 of the Connecticut General
			 Statutes;
(7)"Industry" has the
			 same meaning as provided in section 19a-72 of the Connecticut General
			 Statutes;
(8)"Occupation" has the
			 same meaning as provided in section 19a-72 of the Connecticut General
			 Statutes;
(9)"Reportable tumor" has
			 the same meaning as provided in section 19a-72 of the Connecticut General
			 Statutes; and
(10)"Reporting
			 entity" means a hospital, clinical laboratory or health care provider in the
			 state.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 72 › Section 19a-72-2 - Commissioner requirements, reporting entity reporting requirements and case reports

Current through July 10, 2024
(a) The
			 Commissioner shall maintain the Connecticut Tumor Registry list of reportable
			 tumors, which shall be posted on the department's internet website annually, on
			 or before July 1.
(b) A reporting
			 entity shall report the following information related to reportable tumors to
			 the department, in the manner set forth in section
			 19a-72-3 of the Regulations of
			 Connecticut State Agencies:
(1) Information
			 prescribed in the standard format set by the North American Association of
			 Central Cancer Registries, as amended from time to time;
(2) Initial report and follow-up information
			 required pursuant to section 19a-72 of the Connecticut General
			 Statutes;
(3) The diagnostic,
			 treatment, and pathology reports, including, but not limited to, autopsy and
			 cytology reports, results of imaging and radiology tests, diagnosis and stage
			 of disease, surgical and non-surgical treatment methods, tissue diagnosis, and
			 related laboratory data;
(4) The
			 reporting entity's operative or other surgery-related reports, hematology,
			 medical oncology, and radiation therapy notes, or abstracts of such reports or
			 consults and addenda associated with these reports;
(5) The patient's occupation that reflects
			 the specific type of work that an individual, fourteen years of age or older,
			 performed for the longest period of time. Descriptive terms describing the
			 patient's employment title shall be included when possible, and all other
			 guidelines prescribed by the National Institute for Occupational Safety and
			 Health's "A Cancer Registrar's Guide to Collecting Industry and Occupation"
			 shall be applied;
(6) Any
			 additional information including patient medical history, history of
			 malignancies in first degree family members, personal identifiers including
			 patient name and social security number, and other information as the
			 department may prescribe; and
(7)
			 Follow-up case report information specifying the date of the last contact and
			 the vital statistics of the patient.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 72 › Section 19a-72-3 - Case Reports. Reporting Methods

Current through July 10, 2024
(a) Reporting
			 entities shall fulfill the case report reporting requirements of section
			 19a-72-2 of the Regulations of
			 Connecticut State Agencies by submitting such information electronically, in a
			 format approved by the department. Electronic reports shall be transmitted to
			 the department through a secure, controlled process as prescribed by the
			 department.
(b) If tissue samples
			 are submitted to the department in conjunction with the case report, such
			 samples shall be submitted to the department through the department's
			 designated contractor.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 72 › Section 19a-72-4 - Case Finding and Audits

Current through July 10, 2024
(a) The
			 Commissioner may perform an audit of a reporting entity for purposes of case
			 finding to identify reportable diseases, emergency illnesses and health
			 conditions, as defined in section 19a-215 of the Connecticut General Statutes,
			 reportable tumors or other quality improvements to ensure accuracy and
			 completeness of the data reporting. While completing such audit:
(1) Any health care provider shall provide
			 the department access to the records of any patient, upon request.
(2) Any hospital shall provide the department
			 remote electronic access to all pathology and autopsy reports, including
			 addenda to such reports, accessioned at the hospital upon request. If a
			 hospital has a technical problem providing this level of remote electronic
			 access, the hospital shall work with the department to find a reasonable
			 alternative electronic solution.
(3) Any reporting entity shall provide
			 discharge indexes and imaging or radiology reports to the department upon
			 request.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 72 › Section 19a-72-5 - Special Studies

Current through July 10, 2024
(a) The department
			 may, in accordance with section 19a-74 of the Connecticut General Statutes,
			 complete an investigation that includes, but is not limited to, the prevention
			 of, treatment of, and mortality related to cancer. These studies may require
			 collection of supplemental data, or actual tissue samples, necessary to
			 complete the investigation from a reporting entity.
(b) Any questionnaire or data form that is
			 distributed to a reporting entity for the purpose of carrying out the
			 investigation made under subsection (a) of this section shall be returned to
			 the department not later than thirty days after the department's
			 request.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 74a - Public Sources of Nicotine Yield Ratings for Cigarettes › Section 19a-74a-1 - Definitions (Repealed)

Current through July 10, 2024
For 2014 repeal, see
				  Sec.
				  54 of
				  Public
				  Act 14-187. (June 11,
				  2014)
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 74a - Public Sources of Nicotine Yield Ratings for Cigarettes › Section 19a-74a-2 - Access to information (Repealed)

Current through July 10, 2024
For 2014 repeal, see
				  Sec.
				  54 of
				  Public
				  Act 14-187. (June 11,
				  2014)
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 76 - Per Capita Grants for Part-Time Health Departments › Section 19a-76-1 - Definitions

Current through July 10, 2024
(1) "Full-time local director of health" or
			 "director" means a municipal or district director of health who is responsible
			 for enforcing public health laws and administering public health programs; and
			 is employed on a full-time basis by a district or municipality.
(2) "Part-time health department" means a
			 health department that has been designated by a municipality as a part-time
			 health department for purposes of section
			 19a-202a
			 of the Connecticut General Statutes.
(3) "Health department" means the
			 municipality or district unit which is administered by the full-time local
			 director of health.
(4)
			 "Commissioner" means the Commissioner of Public Health.
(5) "Employee" means a person who:
(1) is designated as a local director of
			 health pursuant to section
			 19a-200
			 of the Connecticut General Statutes; or
(2) reports to a local director of health,
			 and is licensed pursuant to the provisions of chapters 370, 371, 379, 395,
			 subsections (a) or (b) of section
			 20-87a
			 of the Connecticut General Statutes or holds a bachelor's or higher degree in
			 public health from a regionally accredited college or university; and
(3) is employed by a part-time
			 health department to provide services pursuant to section
			 19a-76-2
			 of the Regulations of Connecticut State Agencies.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 76 - Per Capita Grants for Part-Time Health Departments › Section 19a-76-3 - Use of funds

Current through July 10, 2024
(a) Funds available
			 to qualifying health departments under section
			 19a-202
			 or section
			 19a-245
			 of the General Statutes shall be used only to augment local appropriations
			 provided for public health purposes through the health department in
			 furtherance of those functions listed in section
			 19a-76-2
			 of these regulations and any other programs approved by the
			 commissioner.
(b) Funds available
			 to qualifying health departments under section
			 19a-202a
			 of the Connecticut General Statutes shall be used only for public health
			 purposes through the health department in furtherance of those functions listed
			 in section
			 19a-76-2
			 of the Regulations of Connecticut State Agencies and any other programs
			 approved by the commissioner.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 76 - Per Capita Grants for Part-Time Health Departments › Section 19a-76-4 - Applications for funds

Current through July 10, 2024
(a)
Budget
			 and program
(1) The director of each
			 health department applying for funds under section
			 19a-202
			 or section
			 19a-245
			 of the Connecticut General Statutes or section
			 19a-202a
			 of the Connecticut General Statutes shall submit a budget each year showing a
			 total plan for the expenditure of all public health funds during the year
			 together with an outline of the programs contemplated.
(2) Budget and program revisions shall be
			 approved by the commissioner prior to implementation.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 79 - Child Day Care Centers & Group Day Care Homes › Section 19a-79-2a - Licensure procedures

Current through July 10, 2024
(a) No person,
			 group of persons, association, organization, corporation, institution or
			 agency, public or private, shall operate a child day care center or group day
			 care home without a license issued by the department in accordance with
			 sections
			 19a-77
			 through
			 19a-87,
			 of the Connecticut General Statutes and 19a-79a-1a through 19a-79-13, of the
			 Regulations of Connecticut State Agencies.
(b)
Application for licensure
(1) Application for the initial granting or
			 renewal of a license to operate a child day care center or a group day care
			 home shall be on forms provided by the department.
(2) The application for initial licensure
			 shall be signed by the operator, who shall be twenty (20) years of age or older
			 if the operator is an individual, or by the legal representative of the
			 operator if the operator is a group of persons, association, organization,
			 corporation, institution or agency, public or private, and shall contain the
			 following information:
(A) a notarized
			 original affidavit on a form supplied by the department;
(B) the name of the child day care center or
			 the group day care home and address and telephone number (and mailing address,
			 if different);
(C) the name, home
			 address(es) and home phone number(s) of the operator, if the operator is an
			 individual, or of the legal representative of the operator, if the operator is
			 a group of persons, association, organization, corporation, institution or
			 agency, public or private;
(D) a
			 copy of the current fire marshal certificate of approval, written verification
			 of compliance with state and local building codes, local zoning requirements
			 and local health ordinances;
(E)
			 proposed licensed capacity;
(F)
			 ages of children to be served;
(G)
			 days, hours and months of program operation;
(H) criminal checks and a check of the State
			 Child Abuse Registry as required by section 19a-79-4 a(b) of the Regulations of
			 Connecticut State Agencies; and
(I)
			 all other documentation that the commissioner deems necessary to establish that
			 the licensee will meet the health, educational and social needs of the children
			 likely to attend the child day care center or group day care home.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 79 - Child Day Care Centers & Group Day Care Homes › Section 19a-79-4a - Staffing

Current through July 10, 2024
(a) A file shall be kept on the licensed
			 premises for each employee of the child day care center or group day care home
			 which shall include:
(1) a medical statement
			 signed by a physician, advanced practice registered nurse or physician
			 assistant, completed within twelve (12) months before the date of employment
			 for new staff, and every twenty-four (24) months for current staff and at any
			 other time requested by the commissioner, such statement to document the
			 presence of any known medical or emotional illness or disorder that would
			 currently pose a risk to children in care or would currently interfere with
			 effective functioning as an employee of a child day care center or group day
			 care home;
(2) upon employment, a
			 written report of a negative tuberculin test completed within twelve (12)
			 months prior to the date of employment or for a known prior reactor, no
			 evidence of active tuberculosis on a chest x-ray;
(3) documentation of professional development
			 for each program staff person who cares for the children, including new
			 employee orientation and annual training for current staff on the child day
			 care center or group day care home policies, plans and procedures;
			 and
(4) disciplinary
			 actions.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 79 - Child Day Care Centers & Group Day Care Homes › Section 19a-79-5a - Record keeping

Current through July 10, 2024
(a) The operator of
			 a child day care center or group day care home is responsible for maintaining
			 on the licensed premises a current record for each child enrolled. A copy of
			 the record shall be available and provided upon request to the department, the
			 child's parent(s) and the local health director. It shall include, but not
			 necessarily be limited to:
(1) enrollment
			 information and permission forms signed and dated by the parent(s) that shall
			 include, but not necessarily be limited to:
(A) the child's name, address, date of birth
			 and date enrolled;
(B) the
			 residence, business address(es) and telephone number(s) of the
			 parent(s);
(C) the name and
			 telephone number of the child's physician or other primary health care
			 provider;
(D) specific written
			 permission forms signed by the parent(s) authorizing:
(i) the operator to use previously selected
			 emergency policies as described in section 19a-79-3 a(d)(4) of the Regulations
			 of Connecticut State Agencies, which shall accompany the child on trips away
			 from the premises;
(ii) the name
			 and telephone number of one responsible person other than the parent(s) who can
			 remove the child from the child day care center or group day care
			 home;
(iii) any activity away from
			 the premises;
(iv) transportation
			 services;
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 79 - Child Day Care Centers & Group Day Care Homes › Section 19a-79-7a - Physical plant

Current through July 10, 2024
(a) The standards
			 established by the following sources for the construction, renovation,
			 alteration, expansion, conversion, maintenance and licensure of child day care
			 centers and group day care homes, as they are amended from time to time, are
			 incorporated and made a part of this section by reference:
(1) State of Connecticut Basic Building
			 Code,
(2) State of Connecticut Fire
			 Safety Code,
(3) State of
			 Connecticut Public Health Code,
(4)
			 local codes and ordinances.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 79 - Child Day Care Centers & Group Day Care Homes › Section 19a-79-8a - Educational requirements

Current through July 10, 2024
Each child day care center and group day care home shall
				develop and implement a written plan for the daily program that includes a
				flexible schedule and shall be available to the parent(s) and staff. Child day
				care centers and group day care homes shall have policies, procedures and
				activities that meet and enhance the individual needs of the diverse population
				of children served, which includes children with cultural, language and
				developmental differences.
(a) The
			 plan shall include:
(1) indoor and outdoor
			 physical activities which provide opportunities for fine and gross motor
			 development;
(2) problem-solving
			 experiences that facilitate concept formation, language development and sensory
			 discrimination;
(3) creative
			 experiences which allow children the opportunity to develop and express their
			 own ideas and feelings in all parts of the program, including, but not
			 necessarily limited to:
(A) art and
			 media,
(B) dramatic play,
(C) music,
(D) language, and
(E) motor activity;
(4) language learning experiences that
			 provide opportunities for spontaneous conversation, as well as experiences with
			 books, poems, stories and songs;
(5) experiences that promote self-reliance
			 and build self-esteem, including, but not necessarily limited to, self care of
			 body and clothing, care of possessions and shared group responsibility for
			 equipment and materials;
(6) health
			 education experiences that include modeling good health practices, sound
			 nutrition and safety awareness.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 79 - Child Day Care Centers & Group Day Care Homes › Section 19a-79-9a - Administration of medications

Current through July 10, 2024
(a)
Administration of Nonprescription Topical Medications Only
(1) Description
For the purposes of this section nonprescription topical
				medications shall include, but not be limited to:
(A) diaper changing or other ointments free
			 of antibiotic, antifungal or steroidal components;
(B) medicated powders; and
(C) teething, gum or lip
			 medications.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 79 - Child Day Care Centers & Group Day Care Homes › Section 19a-79-10 - Under three endorsement

Current through July 10, 2024
(a) The operator of
			 a program caring for children under three (3) years of age shall comply with
			 section 19a-79-1 a to section 19a-79-10, inclusive, and section
			 19a-79-13
			 of the Regulations of Connecticut State Agencies.
(b) A program caring for children under three
			 (3) years of age is required to have a separate endorsement by the
			 department.
(c)
Infants and
			 toddlers
(1) Age. Children from six (6)
			 weeks to thirty six (36) months of age shall be considered infants and
			 toddlers.
(2) Ratio. There shall be
			 at least one (1) program staff qualified under section 19a-79-4 a(d) of the
			 Regulations of Connecticut State Agencies for every four (4) children or
			 fraction thereof in attendance.
(3)
			 Group size. The group size shall not exceed eight (8) children.
(4) There shall be a physical barrier
			 separating each group of eight (8) children, indoors and outdoors.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 79 - Child Day Care Centers & Group Day Care Homes › Section 19a-79-11 - School age children endorsement

Current through July 10, 2024
(a) The operator of
			 a child day care center or group day care home caring for children of school
			 age shall comply with section 19a-79-1 a to section
			 19a-79-9 a, inclusive,
			 section 19a-79-11 and
			 19a-79-13
			 of the Regulations of Connecticut State Agencies.
(b) A program providing care for school age
			 children shall have a separate school age children endorsement by the
			 department.
(c) The program shall
			 provide adequate opportunities for creative, recreational and restful
			 activities as appropriate to meet the needs of the individual school age child.
(1) These activities shall not be an
			 extension or duplication of the child's school day.
(2) Children shall have opportunities to
			 choose among activities, including, but not necessarily limited to:
(A) free time,
(B) creative activities,
(C) opportunities for homework
			 assignments,
(D) nutritional
			 snacks,
(E) physical
			 activities,
(F) quiet
			 activities,
(G) small group
			 activities,
(H) special events
			 which may include field trips, and
(I) self-concept activities.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 79 - Child Day Care Centers & Group Day Care Homes › Section 19a-79-12 - Night care endorsement

Current through July 10, 2024
(a) The operator of
			 a child day care center or group day care home providing night care shall
			 comply with section 19a-79-1 a to section
			 19a-79-13,
			 inclusive of the Regulations of Connecticut State Agencies.
(b) The program providing care for one (1) or
			 more hours between the hours of ten (10) P.M. and five (5) A.M. shall have a
			 separate night care endorsement by the department.
(1) There shall be a person on the licensed
			 premises designated as the person in charge who shall meet the head teacher
			 qualifications in section 19a-79-4 a(d)(2) of the Regulations of Connecticut
			 State Agencies.
(2) There shall be
			 a written plan for program activities to meet the needs of the individual
			 child, including individual sleep patterns and quiet activities.
(3) There shall be a written plan for
			 continuous supervision of sleeping children including cot placement and
			 evacuation from the building.
(4) A
			 child shall not be in care for more than twelve (12) hours in a twenty-four
			 (24) hour period on a regular basis.
(5) All staff persons shall be awake and
			 available to work with children in care.
(6) There shall be an individual cot or crib
			 with bedding for each child, in accordance with section
			 19a-79-10(d)(2)(A)
			 and
			 19a-79-10(d)(2)(B)
			 of the Regulations of Connecticut State Agencies. Bunk beds shall not be used.
(A) Sleeping apparel and toiletries shall be
			 individually labeled and stored.
(B) Bedding for children over twelve (12)
			 months of age shall consist of a blanket and sheet or a sleeping bag, with a
			 pillow in a pillowcase.
(C)
			 Toiletries shall include a towel, washcloth, toothbrush, toothpaste and
			 soap.
(D) Bedding and sleeping
			 apparel shall be laundered weekly and as needed.
(7) Sleep arrangements for infants shall
			 comply with section
			 19a-79-10(g)
			 of the Regulations of Connecticut State Agencies.
(8) The ambient air temperature shall be
			 maintained to at least sixty-five (65) degrees Fahrenheit measured at thirty
			 six (36) inches from the floor.
(9)
			 There shall be written approval from the local fire marshal specifying the
			 hours of operation.
(10) There
			 shall be written approval from the local health director for night
			 care.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 79 - Child Day Care Centers & Group Day Care Homes › Section 19a-79-13 - The monitoring of diabetes in child day care centers and group day care homes

Current through July 10, 2024
(a)
Policy
			 and Procedures
(1) All child day care
			 centers and group day care homes at which designated staff members will be
			 administering finger stick blood glucose tests shall have written policies and
			 procedures governing the administration of finger stick blood glucose tests to
			 children diagnosed with diabetes mellitus. The policies and procedures shall
			 address at least the following areas:
(A)
			 parental responsibilities;
(B)
			 staff training and responsibilities;
(C) proper storage, maintenance and disposal
			 of test materials and supplies;
(D)
			 record keeping;
(E) reporting test
			 results, incidents and emergencies to the child's parent(s) and the child's
			 physician, physician assistant or advanced practice registered nurse;
			 and
(F) a location where the tests
			 occur that is respectful of the child's privacy and safety needs.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 87b - Family Day Care Homes › Section 19a-87b-4 - Renewal of License

Current through July 10, 2024
(a)
Renewal
			 Application
A licensed provider who desires to renew a license shall submit
				before the expiration date an unaltered, completed and signed application for
				renewal accompanied by an application fee on forms prescribed by the
				commissioner Information requested at renewal includes, but is not limited
				to:
(1) A statement that all children
			 enrolled in the family child care home are up to date on immunizations or
			 exempt under section
			 19a-87b-10
			 (
l
) of the Regulations of Connecticut State Agencies:
			 and
(2) A statement of compliance
			 with sections
			 19a-87b-1 to
			 19a-87b-18,
			 inclusive, of the Regulations of Connecticut State Agencies for family child
			 care homes.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 87b - Family Day Care Homes › Section 19a-87b-5 - Terms of the License

Current through July 10, 2024
(a)
License
			 Term
The license shall be issued for the period specified in section
				19a-87b of the Connecticut General Statutes.
(b)
Suitability
A license shall not be issued to any applicant, or renewed for
				a provider, unless the commissioner finds that such applicant or provider is a
				suitable person to care for children in a family child care home and meets and
				agrees to comply with sections
				19a-87b-1 to
				19a-87b-18,
				inclusive, of the Regulations of Connecticut State Agencies. Suitability shall
				be determined by a review of the application materials, references, any
				criminal records, law enforcement records, medical records, protective services
				records, records pertaining to compliance with sections 19a-79-1 a to
				19a-79-13, inclusive, of the Regulations of Connecticut State Agencies and any
				other relevant material obtained by the Office. The commissioner shall, after
				reviewing all the circumstances, make a determination whether the applicant or
				provider is a suitable person to care for children in a family child care home
				and whether the children's health and safety would be at risk under said
				applicant or provider's care.
(c)
Nontransferability of the
			 License
An applicant may apply for a license only in the applicant's
				own name and only for the premises indicated on the application, which premises
				shall be a residence.
(1) A license
			 shall not be assigned by a provider to any other person under any
			 circumstances. A provider shall not use a substitute for more than one hour per
			 day on a regularly, recurring basis which effectively franchises or transfers
			 the family child care services to the substitute.
(2) A family child care home license is only
			 valid for the residence for which it has been issued. If the provider desires
			 to change the residence to which the license is issued, the provider shall
			 provide notice to the Office, submit an application, successfully complete an
			 inspection at the new residence and obtain approval by the Office. If the
			 provider operates the family child care home at the new residence without
			 providing such notice, fails to submit an application, arrange or complete an
			 inspection, or obtain approval from the Office, such operation or failure shall
			 constitute grounds for the Office to take action in accordance with section
			 19a-87b-15
			 of the Regulations of Connecticut State Agencies, or deny the application. In
			 addition, the operation of the family child care home at the new residence
			 without approval by the Office may subject the provider to penalties for
			 operation without a license in accordance with section 19a-87c of the
			 Connecticut General Statutes.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 87b - Family Day Care Homes › Section 19a-87b-6 - Qualifications of the Applicant and Provider

Current through July 10, 2024
(a)
Awareness
			 of Regulations
The applicant or provider shall have a copy of sections
				19a-87b-1 to
				19a-87b-18,
				inclusive, of the Regulations of Connecticut State Agencies at the family child
				care home and shall have read and understood the family child care standards
				set forth in sections
				19a-87b-1 to
				19a-87b-18,
				inclusive, of the Regulations of Connecticut State Agencies.
(b)
Health
The applicant and provider shall be physically, emotionally and
				mentally able to handle child care responsibilities and emergencies and shall
				be free from any mental, emotional or physical health problems which may impair
				such ability or otherwise adversely affect the children in care. In order to
				enable the commissioner to determine, in accordance with applicable state and
				federal laws, that the provider meets these requirements, the following shall
				be provided upon request:
(1) Medical
			 Statements
The applicant shall furnish, at the time of initial
				application, a medical statement signed by a physician, physician assistant or
				advanced practice registered nurse within the past twelve months, documenting
				the presence of any known medical or emotional illness or disorder that would
				currently pose a risk to children in care or would currently interfere with or
				jeopardize the applicant's ability to render proper care for children.
				Thereafter, the provider shall maintain such medical statement at the family
				child care home. Such medical statement shall be signed within the past
				thirty-six months, or at any time upon the request of the commissioner, and
				made available for review upon request of the Office.
(2) Medical Records
The applicant and provider shall supply to the commissioner on
				request any medical records regarding such applicant or provider's physical,
				emotional or mental health. The applicant and provider shall execute a release
				authorizing access to such applicant or provider's medical records upon request
				of the commissioner when the commissioner deems the applicant or provider's
				medical history may reveal a risk to children in care.
(3) Medication
At the commissioner's request the applicant and provider shall
				furnish information and shall supply or authorize the release of medical
				records regarding any medication being used by the applicant or
				provider.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 87b - Family Day Care Homes › Section 19a-87b-7 - Members of the Household

Current through July 10, 2024
(a)
Health
Household members shall be free from any mental, emotional or
				physical health problems that might adversely affect children receiving family
				child care services. In order for the commissioner to determine, in accordance
				with applicable state and federal laws, that household members meet these
				requirements, the following documentation shall be part of the initial
				application process and updated as deemed necessary by the commissioner:
(1) Medical statements and children's
			 immunization records
A medical statement signed by a physician, physician assistant
				or advanced practice registered nurse, within the past twelve months. The
				statement shall document, for each household member, the presence of any known
				medical or emotional illness or disorder that would currently pose a risk to
				children in care or would currently interfere with, or otherwise put in
				jeopardy, the provider's ability to render proper care to the children in the
				family child care home. The provider shall maintain forms for each child in the
				household including the provider's own children present at the facility as
				specified in subdivisions (2) and (3) of subsection (b) of section
				19a-87b-10
				of the Regulations of Connecticut State Agencies. The forms shall also state
				that the child is current with all required immunizations and shall indicate
				the date for the next scheduled immunization.
(2) Medical and medication records
A medical history and medication records for each household
				member shall be provided, if requested by the commissioner, or authorizations
				from such members allowing the release of these records, when the commissioner
				deems the 1 member's medical history may reveal a risk to children in
				care.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 87b - Family Day Care Homes › Section 19a-87b-8 - Qualifications of Staff

Current through July 10, 2024
The provider may have substitutes and assistants in the family
				child care home only after the intended staff member has submitted a staff
				approval application and accompanying fee to the Office and it has been
				approved in writing by the commissioner.
(a)
Substitute
Any person twenty years of age or older who meets all of the
				requirements set forth in section
				19a-87b-6
				of the Regulations of Connecticut State Agencies may apply to be a substitute
				for a family child care home provider. A licensed provider may substitute for
				another provider without filing a separate staff approval application.
(b)
Assistant
Any adult who meets the requirements set forth in section
				19a-87b-6
				of the Regulations of Connecticut State Agencies except for subsection (c) of
				that section pertaining to training, may apply to be an assistant in a family
				child care home. An assistant shall be present to assist the provider or
				substitute when more than two children under eighteen months receive family
				child care services at the same time at the family child care home.
(c)
Emergency
			 Caregiver
Each provider shall identify to the Office at least one
				emergency caregiver who shall be available and on call during customary
				business hours to provide child care only for unscheduled, unforeseen
				emergencies.
(1) The emergency
			 caregiver shall be a responsible person who is twenty years of age or older and
			 known to the provider. The provider shall list at least one potential emergency
			 caregiver with the Office, but may use others as necessary.
(2) The emergency caregiver shall be able to
			 arrive at the family child care home not more than fifteen minutes after being
			 summoned by the provider and shall immediately notify parents of all children
			 present of the emergency.
(3) The
			 commissioner may disallow any emergency caregiver who had a family child care
			 home license revoked or denied, or against whom there is a substantiated child
			 abuse or neglect claim or who has a criminal conviction record that the
			 commissioner deems would put children at risk.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 87b - Family Day Care Homes › Section 19a-87b-11 - Sick Child Care

Current through July 10, 2024
(a) A family child
			 care provider may choose to continue caring for a mildly ill child under the
			 following circumstances:
(1) The child does
			 not have a fever exceeding 101 degrees Fahrenheit, more than one undiagnosed
			 episode of diarrhea or vomiting, or an undiagnosed skin rash.
(2) The child attends the family child care
			 home on a regular basis. No child shall be accepted for sick child care on a
			 drop in basis.
(3) Standard
			 precautions and sanitary practices are used to prevent the spread of
			 infection.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 87b - Family Day Care Homes › Section 19a-87b-12 - Night Care

Current through July 10, 2024
(a) The provider is
			 responsible for meeting the following additional conditions if night care is
			 provided for one or more hours between the hours of 10:00 p.m. and 5:00 a.m.:
(1) A Separate Bed or Crib
A separate bed or crib, appropriate to the child's age, with
				individual, clean bedding, shall be provided. A cot shall not be considered a
				bed.
(2) Proper Location of
			 the Bed or Crib
The bed or crib shall be located in a quiet part of the family
				child care home. A child six years of age or older, shall not be in a room
				shared with any adult, nor with another child of the opposite sex unless the
				children are siblings and the provider maintains at the family child care home
				written parent permission consenting to such sleep arrangement. For a child
				younger than three years of age, the bed or crib shall be on the same floor as
				the provider.
(3)
			 Appropriate, Comfortable Sleepwear
In preparation for sleep, the child shall be dressed in
				appropriate, comfortable sleepwear as agreed to by the parent of the
				child.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 87b - Family Day Care Homes › Section 19a-87b-13 - Office Access, Inspections and Investigations

Current through July 10, 2024
(a)
Access
The provider, assistant, emergency caregiver or substitute
				shall allow the Office immediate access during customary business hours to the
				facility named on the license whenever the Office seeks to perform an
				inspection. Photo identification of the Office staff member shall be provided
				upon request. If consent is not granted, the Office shall not enter the home.
				Any failure to allow immediate access during customary business hours to the
				facility is deemed substantial noncompliance with this regulation and is an
				automatic ground for the commissioner to initiate license suspension or
				revocation proceedings.
(b)
Inspection of Facility
The provider or substitute shall allow the Office to inspect,
				upon request, any part of the facility during the performance of an inspection
				during customary business hours. If consent is not granted to inspect any part
				of the facility, the Office shall not inspect that part of the facility.
				However, failure to allow a complete inspection may be grounds for the
				initiation of license suspension or revocation proceedings. Failure to respond
				to Office requests to schedule an inspection may constitute failure to allow a
				complete inspection. A copy of the inspection form shall be provided to the
				provider.
(c)
Inspection of Records; Right to Contact Parents
The provider or substitute shall allow the Office to inspect,
				upon request, any records required to be maintained under sections
				19a-87b-1 to
				19a-87b-18,
				inclusive, of the Regulations of Connecticut State Agencies, including
				enrollment records with information on the parents' names, addresses and
				telephone numbers. The Office shall have the right at any time to contact and
				interview parents of any child who is receiving, or who has received, family
				child care services from the family child care home. With parental permission,
				the Office may also talk to children in care who are receiving such services or
				who have received said services concerning the operation of the family child
				care home.
(d)
Announced Inspections
The Office shall make announced inspections at the facility at
				the time of initial application or when there is a change of circumstances
				affecting the provider's license such as a move to a new address where family
				child care services are to be provided.
(e)
Spot Inspections
The Office shall make unannounced inspections, during customary
				business hours, to each licensed family child care home at least once each
				year
(f)
Complaint
			 Investigations
The Office shall make unannounced inspections to the family
				child care homes of licensed or unlicensed providers against whom complaints
				are lodged.
Connecticut Administrative Code › Title 19a - Public Health and Well-being › 87b - Family Day Care Homes › Section 19a-87b-14 - Complaint investigations

Current through July 10, 2024
(a)
Anonymity
			 of Complainant
Any individual making a complaint against a family child care
				applicant or provider may do so anonymously. If a complainant reveals his or
				her identity and requests confidentiality, the Office shall not disclose the
				complainant's identity unless mandated by state or federal law.
(b)
Duty to
			 Investigate
The Office shall investigate each complaint that it receives
				concerning a licensed or unlicensed family child care home provider who is
				allegedly out of compliance with the requirements set forth in these
				regulations and any applicable provisions of the Connecticut General
				Statutes.
(c)
Unannounced Inspection; Notice and Interview
The investigation of
			 a complaint may involve an unannounced inspection of the facility of the
			 provider against whom the complaint was made. The Office shall inform the
			 provider that the inspection is being conducted pursuant to a complaint, and
			 shall describe the nature of the complaint and alleged violations. The provider
			 shall consent to an interview regarding the complaint, and shall discuss the
			 subject matter of the complaint, so that the Office can assess its
			 validity.
(d)
Interviews
The investigation may include contacts and interviews with
				persons who have knowledge or information concerning the family child care home
				or provision of care including, but not limited to, the following:
(1) Parents and relatives of children
			 receiving care;
(2) Children
			 receiving care with parental permission;
(3) Social workers from the Department of
			 Children and Families;
(4) Persons
			 mentioned in the complaint;
(5)
			 State and local officials;
(6) Law
			 enforcement personnel;
(7) The
			 provider and any current or past substitutes and assistants; and
(8) Other individuals who may have
			 information which may assist in the investigation of a
			 complaint.