reglab/statecodes huggingface dataset:
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 2 - ADMINISTRATION REQUIREMENTS › Section 17-895.1-18 - Transportation provisions

Current through June, 2024
Infant and toddlers transported in vehicles, either to and
					 from the facility or for program activities, shall be protected by adequate
					 supervision, safety precautions, and liability and medical insurance coverage
					 as follows:
(1) For transportation to
				  and from the facility, the vehicle and driver shall satisfy all relevant motor
				  carrier safety rules and traffic laws of the state;
(2) During any field trip or excursion
				  operated or planned by the facility, the staff-child ratio and group size
				  requirements as provided in section 17-895.1-36 shall apply;
(3) Children shall be instructed in safe
				  transportation conduct as appropriate for age and stage of
				  development;
(4) Prior to
				  transporting children, the child care facility shall obtain written permission
				  from the parent or guardian that each child is allowed to be transported by
				  school bus or other means of transportation such as a personal
				  vehicle;
(5) Children shall be
				  secured in the seat of the bus or in the back seat of a personal vehicle in
				  approved car seats or restraints;
(6) A child shall not be left unattended in a
				  vehicle;
(7) Staff members shall
				  take a head count or attendance record check before and after transportation is
				  provided; and
(8) During any field
				  trip or excursion, staff members shall have available with them a first aid
				  kit, emergency contact phone numbers, and medical treatment release forms
				  signed by the child's parent or guardian.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 3 - PROGRAM REQUIREMENTS › Section 17-895.1-25 - Program provisions

Current through June, 2024
(a) The program
				  conducted in the facility shall provide for staff supervision of the infants
				  and toddlers at all times and an environment and experiences which are
				  developmentally appropriate which are aimed at promoting the infant or
				  toddler's physical, emotional, intellectual, and social well-being, and
				  supports the growth and integrity of the family unit.
(b) The director of the facility shall
				  provide the department with a brief written description of the facility's
				  program goals and activities, which shall include the following:
(1) Provisions for the promotion of physical
				  development, which shall include:
(A) Varied,
				  developmentally appropriate physical activities; and
(B) Opportunities for the infants and
				  toddlers to learn about the health, development, and care of their bodies
				  including exercise, safety, nutrition, and hygiene, as appropriate to their age
				  and development;
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 3 - PROGRAM REQUIREMENTS › Section 17-895.1-26 - Communication between parents and caregivers

Current through June, 2024
(a) Centers shall
				  obtain from the parent or guardian a description of the infant's or toddler's
				  daily routine and behavior patterns prior to enrollment; and
(b) Caregivers shall relay information and
				  concerns about the health, development, or behavior of the infant or toddler,
				  as well as positive experiences, directly to the parents or guardians on the
				  day of the major change, symptom, or event.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 3 - PROGRAM REQUIREMENTS › Section 17-895.1-27 - Program materials and equipment

Current through June, 2024
(a) The amount and
				  variety of materials and equipment available and the arrangement and use of the
				  materials and equipment shall be developmentally appropriate to the infants and
				  toddlers in care.
(b) The quantity
				  of materials and equipment shall be sufficient to:
(1) Avoid excessive competition among the
				  children and long waits for use of the materials and equipment; and
(2) Provide for a variety of experiences and
				  appeal to the individual interests of the infants and
				  toddlers.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 3 - PROGRAM REQUIREMENTS › Section 17-895.1-28 - Transition to a new facility

Current through June, 2024
(a) A facility
				  shall have a written policy to assist the infant or toddler in making a
				  transition from the child care setting to a new type of care by communicating
				  what will happen at the infant's or toddler's level of awareness or
				  understanding.
(b) The provider
				  shall cooperate with parents, guardians, new providers, or other caregivers
				  when information is requested to assist an infant or toddler to adjust to a new
				  environment as allowed by section 17-895.1-16.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 4 - STAFFING REQUIREMENTS › Section 17-895.1-35 - Staff training, experience, and personal qualifications

Current through June, 2024
(a) Each care giving staff shall be qualified
				  through training, experience, and personal qualities for the age group with
				  which the person works.
(b) Staff
				  growth and development shall be encouraged. The director shall make information
				  about workshops, seminars, training sessions or other courses available to all
				  staff and volunteers.
(c) Each
				  caregiver, substitute, and volunteer within forty-five days of hire, shall
				  complete initial training that is approved by the department in health and
				  safety standards which addresses the following areas:
(1) Prevention and control of infectious
				  diseases (including immunizations);
(2) Prevention of sudden infant death
				  syndrome and use of safe sleeping practices;
(3) Administration of medication, consistent
				  with standards for parental consent;
(4) Prevention and response to emergencies
				  due to food and allergic reactions;
(5) Building and physical premises
				  safety;
(6) Prevention of shaken
				  baby syndrome, abusive head trauma, and child maltreatment;
(7) Emergency preparedness and response
				  planning for emergencies resulting from a natural disaster or a man-caused
				  event;
(8) Handling and storage of
				  hazardous materials and the appropriate disposal of biocontaminants;
(9) Appropriate precautions in transporting
				  children;
(10) Pediatric first aid
				  and child cardiopulmonary resuscitation; and
(11) Recognition and reporting of child abuse
				  and neglect.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 4 - STAFFING REQUIREMENTS › Section 17-895.1-36 - Staff-child ratio and group size

Current through June, 2024
(a) The staff-child
				  ratio and group size shall be met and maintained by the facility during all
				  hours of operation.
(b) The
				  staff-child ratio shall be in writing and shall be available to the
				  department.
(c) Staff members shall
				  be on site and shall be regularly assigned to a particular group of children to
				  be included in the staff-child ratio.
(d) The director may serve as a caregiver,
				  and be included in the staff-child ratio, only when total infant and toddler
				  facility size does not exceed sixteen. The director may serve as a caregiver
				  but shall not be included in the staff-child ratio in an infant and toddler
				  program with more than sixteen children.
(1)
				  Exception may be made and the director may be included in the staff-child ratio
				  in cases of emergency or in special situations. This inclusion in the
				  staff-child ratio shall not exceed ten hours per week.
(2) Exception may be made and the director of
				  only those facilities which operate full day may be included in the staff-child
				  ratio during the first hour and the last hour of the regular operational
				  day.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 4 - STAFFING REQUIREMENTS › Section 17-895.1-37 - Staffing patterns

Current through June, 2024
(a) There shall
				  always be a minimum of two staff in the center when children are in
				  care.
(b) When only one staff is
				  required to supervise the children, as based on the staff-child ratio, the
				  second staff shall be readily accessible and available to the staff who is
				  supervising the children.
(c) For
				  every group, there shall always be one staff who meets the qualifications of a
				  lead caregiver or caregiver.
(d)
				  When the group size requires three staff, there shall minimally be one staff
				  who meets the qualifications of a lead caregiver and one who meets the
				  qualifications of a caregiver.
(e)
				  These staffing patterns shall be maintained at all times, except for the first
				  hour and the last hour of the operational day when a caregiver can act in the
				  position of a lead caregiver.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 5 - HEALTH STANDARDS FOR INFANTS AND TODDLERS › Section 17-895.1-40 - Health policies and health consultant

Current through June, 2024
To assist in developing current and updating health
					 policies, all programs shall have one of the following provisions:
(1) The facility shall have on file written
				  evidence that an arrangement has been made with a physician in private practice
				  to provide consultation;
(2) The
				  facility has made a contractual arrangement with a private physician or
				  nonprofit health organization in the community to provide health care to the
				  infants and toddlers in the program;
(3) There is already a procedure existing in
				  the community for the provision of health consultation service, and
				  arrangements have been made for the use of this service; or
(4) The infant and toddler program has a
				  health advisory group that may serve in such a capacity.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 5 - HEALTH STANDARDS FOR INFANTS AND TODDLERS › Section 17-895.1-41 - Evidence of child's health

Current through June, 2024
(a) The facility
				  shall require and obtain from the parent or guardian of each infant and toddler
				  entering their program a health record of the infant or toddler which complies
				  with the provisions of chapter
				  11-157, which relate to the school entry
				  examination requirements, immunization, physical examination, and chapter
				  11-164.2 for tuberculosis clearance which
				  consists of the following:
(1) Written
				  evidence of a physical clearance obtained within two months of admission to the
				  facility;
(2) Written evidence that
				  the infant or toddler has received a tuberculin clearance; and
(3) Initial and continuous written evidence
				  that immunizations are current; or
(4) A written statement from a licensed
				  physician certifying that the physical condition of the infant or toddler is
				  such that immunizations would endanger the infant or toddler's life or health,
				  in accordance with chapter
				  11-157; or
(5) A written statement from a parent or
				  guardian requesting exemption from the required immunizations on the grounds
				  that such immunizations conflict with the parent or guardian's bonafide
				  religious tenets and practices, in accordance with chapter
				  11-157.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 5 - HEALTH STANDARDS FOR INFANTS AND TODDLERS › Section 17-895.1-42 - Emergency care provisions

Current through June, 2024
(a) Every child
				  care facility shall have provisions for emergency care of any child requiring
				  treatment and for care of a child who becomes ill after arrival, as follows:
(1) The child care facility shall have one of
				  the following written policies which indicate that:
(A) The responsible individual in the child
				  care center, i.e. director, caregiver or health- trained staff, has obtained
				  the name of the nearest hospital or clinic where such care may be provided and
				  has obtained written permission from each parent or guardian to provide
				  emergency care to the infant or toddler at the hospital or clinic; or
(B) The child care facility's health
				  consultant has made arrangements for emergency coverage, and written permission
				  from each parent or guardian for use of this alternative emergency coverage for
				  their infant or toddler shall be on file at the facility.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 5 - HEALTH STANDARDS FOR INFANTS AND TODDLERS › Section 17-895.1-43 - Pediatric first aid and child cardiopulmonary resuscitation (CPR)

Current through June, 2024
(a) The first aid requirement shall be as
				  follows:
(1) There shall be at least one
				  adult caregiver with a current certificate in pediatric first aid at the
				  facility when children are present or at an off-site group activity, such as
				  during field trips and excursions.
(2) A current first aid certificate means a
				  certificate that has not expired.
(3) The current pediatric first aid
				  certificate must be provided by the American Red Cross, TX merican Heart
				  Association, or any organization whose first aid certification standards are
				  equivalent to the American Red Cross or American Heart Association standards
				  and be approved by the department.
(4) A first aid kit shall be available at the
				  facility at all times.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 5 - HEALTH STANDARDS FOR INFANTS AND TODDLERS › Section 17-895.1-44 - Admission of ill infants and toddlers

Current through June, 2024
(a) Acutely ill
				  infants and toddlers may only be admitted with adequate provision for isolation
				  and adequate personnel to provide individual care.
(b) When health policies of the child care
				  facility allow ill infants or toddlers to be admitted or to remain in the
				  facility, health consultation shall be available regarding special care and
				  medication.
(1) The child care facility shall
				  have, in writing, the name, address, and telephone number of a physician or
				  health resource that shall be called.
(2) Written permission shall be required of
				  the parent or guardian to call upon the stated physician or health resource, or
				  another responsible source of care, if the parent or guardian cannot be
				  reached.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 5 - HEALTH STANDARDS FOR INFANTS AND TODDLERS › Section 17-895.1-45 - Administration of medication

Current through June, 2024
(a) When medication
				  prescribed by a physician is administered in the facility:
(1) The medication shall be kept in the
				  original container bearing the prescription label, which shows the infant's or
				  toddler's name, a current date, and the physician's directions for
				  use;
(2) Medication shall be
				  stored:
(A) In a refrigerator, if
				  refrigeration is required; medication shall be separated from food by being
				  enclosed in a covered container; or
(B) In a cool, dry, dark, and secured
				  enclosure, which is inaccessible to the infants and toddlers, if refrigeration
				  is not required.
(3)
				  Medication shall be returned to parents or guardians when no longer in use;
				  and
(4) There shall be an
				  authorization signed by the parent or guardian for the facility staff to
				  administer medication.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 5 - HEALTH STANDARDS FOR INFANTS AND TODDLERS › Section 17-895.1-46 - Admission of Infants and toddlers with special needs

Current through June, 2024
(a)
				  When infants and toddlers with special needs are admitted to a facility, the
				  facility shall provide for the special needs of each infant or
				  toddler.
(b) The infant or toddler
				  with special needs shall be admitted only after consultation between the
				  infant's or toddler's source of health care and the program's health
				  consultant. The consultation shall include written recommendations to
				  accommodate the child's special needs or to define the child's participation in
				  the program.
(c) If the infant's or
				  toddler's health care source considers it advisable, the staff of the program
				  shall receive training related to the nature of the child's special needs
				  before the infant or toddler is admitted to the facility.
(d) Where the nature of the infant's or
				  toddler's special needs or the number of children with special needs in the
				  program necessitates added care, staff and equipment shall be available to
				  cover these requirements.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 5 - HEALTH STANDARDS FOR INFANTS AND TODDLERS › Section 17-895.1-47 - Daily nutritional needs

Current through June, 2024
(a) Meals and
				  snacks of a quantity to complement food served at home shall be provided by the
				  parent, guardian, or facility to meet the daily nutritional needs of the infant
				  or toddler.
(b) In a facility
				  providing meal service, the facility shall ensure that the minimum meal
				  components and food amounts as required by the United States Department of
				  Agriculture (USDA) Child Care Food Program, as adapted for Hawaii by the state
				  department of health, shall be provided.
(c) In a facility, where parents or guardians
				  are allowed to provide food for their own child (i.e., formula or other foods
				  for meals or snacks), the facility, in addition to food the child brings, shall
				  provide the minimum amounts required by the USDA Child Care Food Program, by
				  offering and providing children in care:
(1)
				  Four to eight hours - morning snack or breakfast or afternoon snack;
(2) Eight hours or more - morning snack or
				  breakfast and afternoon snack, unless the eight hours or more extend into the
				  evening hours when the children may be asleep;
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 5 - HEALTH STANDARDS FOR INFANTS AND TODDLERS › Section 17-895.1-48 - Drinking water provisions

Current through June, 2024
Potable water shall be offered to infants and toddlers
					 throughout the day in sanitized bottles and cups.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 5 - HEALTH STANDARDS FOR INFANTS AND TODDLERS › Section 17-895.1-49 - Integration of mental health concepts

Current through June, 2024
Mental health aspects of infant and toddler development
					 shall be integrated into the program as follows:
(1) At least one parent, guardian, foster
				  parent, or social worker shall be interviewed prior to an infant's or toddler's
				  admission to the child care facility. The personal interview shall be conducted
				  to secure pertinent information on the infant's or toddler's overall
				  development and behavior and to acquaint the parent or guardian with the
				  facility's program and policies;
(2) The child care facility shall provide its
				  staff members with annual orientation to state or other mental health services
				  for infants and toddlers, or otherwise familiarize its staff with consultative
				  and clinical services and programs for early identification of social,
				  emotional, intellectual, and behavioral problems of infants and toddlers;
				  and
(3) The facility shall refer
				  parents or guardians to sources of professional consultation in mental health
				  upon the parents' or guardians' request or upon the recommendation of the
				  facility's staff.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 6 - HEALTH STANDARDS FOR STAFF › Section 17-895.1-55 - Staff health standards

Current through June, 2024
(a) Evidence that
				  each caregiver staff member is free from health problems, which would have a
				  harmful effect on the infants and toddlers or which would interfere with
				  effective functioning, shall be available at the facility as follows:
(1) The results of an employment physical
				  examination, and when indicated on a physical exam that the individual has a
				  mental health disorder or limitation, a psychological exam, given within one
				  year prior to employment of each person who works directly with children that
				  indicates each person is in adequate physical, and if needed, mental health to
				  care for children shall be on file at the facility;
(2) Written evidence that each person who
				  works directly with children for any period of time is free from communicable
				  tuberculosis in accordance with the requirements for child care facility
				  personnel, under chapter
				  11-164.2. The tuberculosis clearance must be
				  completed within one year before beginning child care and shall be on file at
				  the facility. Each person shall complete updated clearances in compliance with
				  chapter 11-164; and
(3) Each caregiver with an identified health
				  problem shall provide the facility with a written statement from a physician
				  that the caregiver is able and does not pose a health hazard to care for
				  infants and toddlers.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 6 - HEALTH STANDARDS FOR STAFF › Section 17-895.1-56 - Personal health habits of staff

Current through June, 2024
(a) The facility
				  shall have written policies, which have been developed with the assistance of
				  the facility's health consultant and that minimally require:
(1) Staff with fever, other symptoms of
				  illness, or an altered physical or mental state, shall not be allowed to
				  work;
(2) Staff with visible skin
				  conditions, such as lesions, boils, or dermatitis, shall not prepare or serve
				  food or handle utensils and feeding equipment;
(3) Staff's appearance shall reflect good
				  grooming habits and personal hygiene, including clean and neat hair and nails,
				  appropriate clothing, and good oral hygiene;
(4) No smoking, including electronic smoking
				  devices, is allowed in the presence of the infants and toddlers, nor in any
				  parts of the building, which are used for child care, during the hours of child
				  care operation, and personal nicotine products shall be stored out of reach of
				  children;
(5) Alcoholic beverages
				  shall not be consumed prior to and during the hours of operation at the child
				  care facility; if alcoholic beverages are stored at the facility, it shall be
				  locked up and inaccessible to children;
(6) Medication that impairs or limits the
				  staff's ability to provide care shall not be consumed prior to or during the
				  hours of child care; and
(7) Staff
				  shall take appropriate measures to manage stress by maintaining good mental and
				  physical health.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 7 - SANITATION STANDARDS › Section 17-895.1-61 - Handling of diapers, training pants, linen, and toys

Current through June, 2024
(a)
				  Diapers, training pants, and linen shall be handled in the following manner:
(1) When disposable diapers are used, soiled
				  diapers shall be placed in a plastic bag or a plastic lined
				  receptacle;
(2) When cloth diapers
				  or training pants are used, diapers or training pants soiled with stool shall
				  not be washed at the center; using disposable plastic gloves, the diaper or
				  training pants shall be put in a sealed plastic bag to be picked up by the
				  child's parent or guardian at the end of the day;
(3) Sheets, diapers, and training pants
				  soiled with blood, body fluids, or waste shall be handled as little as possible
				  to prevent contamination of the area and of the staff handling the linen;
				  and
(4) Soiled sheets, diapers, and
				  training pants, which are transported to a laundry area outside of the
				  facility, shall be placed in plastic bags while being transported from the
				  child care facility to the laundry.
(5) Use a clean non-porous surface for
				  changing diapers;
(6) Use a space
				  set aside for diapering that is separate from eating and food preparation
				  areas; and
(7) Soiled disposable
				  diapers shall be discarded in a covered container. The covered container shall
				  be kept away from eating, food storage, and food preparation areas and out of
				  children's reach.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 7 - SANITATION STANDARDS › Section 17-895.1-62 - Handwashing

Current through June, 2024
(a) The facility shall have a written policy
				  that specifies when handwashing is required for staff and children, defines
				  handwashing procedure, and provides continuing monitoring to assure that the
				  handwashing procedure is carried out.
(b) Handwashing policy for staff shall
				  require that handwashing is done:
(1) Before
				  and after eating or drinking;
(2)
				  Before handling clean utensils or equipment;
(3) Before and after handling food or
				  beverages;
(4) Before and after
				  assisting or training the child in feeding and in toileting;
(5) After going to the bathroom;
(6) After handling any bodily fluids or items
				  containing bodily fluids;
(7) After
				  handling soiled diapers, clothes, or equipment;
(8) After removing disposable gloves;
				  and
(9) After outdoor
				  play.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 7 - SANITATION STANDARDS › Section 17-895.1-63 - Housekeeping

Current through June, 2024
(a) Facilities shall have written policies
				  for the routine cleaning of the facility, furniture, equipment, and toys. These
				  policies shall specify the type of disinfectant and cleaning agent used, method
				  for cleaning, schedule for cleaning, storage of cleaning material and utensils,
				  disposal of soiled items or spilled body fluids, and cleaning of
				  equipment.
(b) Toys, table tops,
				  furniture, and other similar equipment used by children shall be washed when
				  the toys or equipment become gummy, sticky, or dirty.
(c) Cleaning materials shall be clearly
				  labeled and stored in a secured area that is away from food preparation areas
				  and is inaccessible to the infants and toddlers.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 8 - ENVIRONMENTAL HEALTH STANDARDS › Section 17-895.1-71 - Disaster plan for emergencies

Current through June, 2024
(a) Each child care
				  facility shall have a written disaster plan to cover emergencies such as fire,
				  flood, or natural disaster or other emergencies, and the plan shall include
				  written procedures for:
(1)
				  Evacuation;
(2) Relocation of the
				  child care facility if the facility becomes uninhabitable, or if the facility
				  is ordered to evacuate;
(3)
				  Sheltering in place at the child care facility;
(4) Lock-down of the child care
				  facility;
(5) Communication and
				  reunification with families during and after an emergency;
(6) Continuity of operations during and after
				  an emergency;
(7) Accommodation of
				  toddlers during an emergency;
(8)
				  Providing for the needs of children with disabilities and children with special
				  needs during an emergency; and
(9)
				  Providing for the needs of children with chronic medical conditions during an
				  emergency.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 8 - ENVIRONMENTAL HEALTH STANDARDS › Section 17-895.1-72 - Accidental injury precautions

Current through June, 2024
The facility shall ensure that the child care program and
					 premises minimize the risk of accidental injury in the following manner:
(1) Child care activities and premises shall
				  take precautions not to expose the infants and toddlers to situations which may
				  be hazardous to the particular age or capacity of the infant or
				  toddler;
(2) The program shall help
				  infants and toddlers to increase awareness of safety practices and accident
				  hazards and to teach them, as appropriate to their age and development, how to
				  avoid such hazards;
(3) Accident
				  prevention practices and policies shall be available in writing. The practices
				  and policies shall be reviewed annually and the staff shall become familiar
				  with the policies and practices; and
(4) The facility shall have written
				  procedures for infection control, to use in all situations to prevent the
				  transmission of blood-borne pathogens that may be spread through blood and body
				  fluids.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 8 - ENVIRONMENTAL HEALTH STANDARDS › Section 17-895.1-74 - Water supply

Current through June, 2024
(a) The water supply shall be from a source
				  approved by the health authority and shall be under pressure. The plumbing
				  shall be installed and maintained in a manner approved by local plumbing
				  codes.
(b) Running water shall be
				  available and shall be immediately adjacent and visually accessible to the care
				  area.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 8 - ENVIRONMENTAL HEALTH STANDARDS › Section 17-895.1-75 - Toilet and lavatory facilities

Current through June, 2024
Toilet and lavatory facilities shall be of a type
					 determined by the availability of water under pressure. Approved facilities,
					 water or non-water carriage, shall be provided for disposal of sewage and other
					 liquid wastes. The following conditions shall apply:
(1) Where a public sewer is available, all
				  plumbing fixtures and building sewers shall be connected thereto;
(2) Where a public sewer is not available, a
				  private sewage disposal system of an approved type shall be installed and
				  connected to all plumbing fixtures and building sewers;
(3) Where water sewage disposal means are not
				  available or feasible, sewage and other liquid wastes shall be disposed in a
				  manner approved by the health authority;
(4) Where water carried sewage disposal is
				  available, water flush toilets shall be provided. Indoor toilets shall be
				  separated from cooking, sleeping, or eating areas;
(5) Where water carried sewage disposal is
				  not available, privies shall be used in accordance with local sanitary
				  requirements and shall be designed with step stools or with holes sized to the
				  age group;
(6) If toilet training
				  chairs are provided for use by children, the toilet training chairs shall be
				  emptied promptly, cleaned, and sanitized after use;
(7) Lavatories shall be provided in
				  quantities commensurate with toilet facilities. Hot water temperatures shall
				  not exceed one hundred degrees fahrenheit or thirty-eight degrees Celsius, at
				  outlets accessible to children;
(8)
				  Toilet facilities shall be child sized, or safe, sturdy step stools shall be
				  provided to allow standard sized toilets and lavatories to be used;
(9) There shall be a sink that is adequate
				  size for the rinsing of children. The sink shall be cleaned and disinfected
				  prior to and after use and shall not be used for handwashing, food preparing,
				  or cleaning; and
(10) The facility
				  shall ensure an adequate supply of sanitized bedding is available to any
				  program caring for infants and toddlers.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 8 - ENVIRONMENTAL HEALTH STANDARDS › Section 17-895.1-76 - Food preparation

Current through June, 2024
Food preparation shall be carried out in a kitchen with
					 proper equipment and cleanup facilities as follows:
(1) All dishwashing shall be performed in a
				  sanitary manner. A domestic dishwasher shall be acceptable, but if it is not
				  available, the dishes shall be washed and rinsed in a sanitizing
				  solution;
(2) In a child care
				  facility where food is prepared on the premises, adequate sized equipment for
				  the size of the program shall be available. An approved dishwasher or a three
				  compartment sink shall be used. Both the dishwasher and the three compartment
				  sink shall require approval by the state department of health;
(3) When food is prepared off the premises
				  and is transported to the child care facility from a licensed preparation
				  source, the food shall be kept in a safe and sanitary condition;
(4) When single service utensils are used,
				  the utensils shall be stored and handled in a sanitary manner and discarded
				  after a single use; and
(5) Cooking
				  utensils used in food preparation and service shall be cleaned and stored in a
				  sanitary manner.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 8 - ENVIRONMENTAL HEALTH STANDARDS › Section 17-895.1-77 - Food protection

Current through June, 2024
(a) Food protection
				  policies and practices, which comply with accepted practices of local sanitary
				  codes in chapter 11-50, shall be
				  developed and carried out in a manner that insures that all food is protected
				  from contamination during storage, preparation, and service.
(b) Refrigeration shall be available for
				  infant and toddler programs.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 8 - ENVIRONMENTAL HEALTH STANDARDS › Section 17-895.1-78 - Swimming activities and wading pools

Current through June, 2024
(a) When swimming
				  or wading pools are part of the child care facility, equipment, or program, the
				  swimming pools shall be constructed, maintained, and operated in accordance
				  with building and health rules.
(b)
				  When swimming or wading activities are a part of the child care program, the
				  following safety practices shall be observed:
(1) A certified lifeguard, who may be a
				  caregiving staff, shall be on duty at all times when swimming activities or
				  swimming pools are in use;
(2)
				  Wading pools less than twenty-four inches at the deepest part shall be exempt
				  from the requirements of section 17-895.1-78(b)(1), and the program shall
				  comply with the following requirements:
(A)
				  Wading pools shall be emptied immediately after each use; and
(B) Children shall be personally attended by
				  a responsible adult at all times; and
(3) Legible safety rules for the use of all
				  types of pools shall be posted in a conspicuous location and read and reviewed
				  at regular intervals by the caregiver responsible for the care of
				  children.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 9 - PHYSICAL FACILITY STANDARDS › Section 17-895.1-85 - Building codes and space requirements

Current through June, 2024
(a) Child care
				  facilities shall conform to the zoning, building, electrical, plumbing, and
				  fire codes of the county or political subdivision in which the facility is
				  located and to state rules as may be applicable to the facility.
(b) The child care facility shall:
(1) Be located in a safe and reasonably quiet
				  area or employ suitable noise control devices to limit exterior noises to the
				  child care operation;
(2) Have
				  ventilation and a sunny exposure or be well-lighted; and
(3) Keep all buildings, building
				  appurtenances, outdoor space, equipment, and all other parts of the facility
				  repaired, safe, and sanitary at all times.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 10 - PROGRAM MODIFICATIONS › Section 17-895.1-90 - Program modifications for drop-in care

Current through June, 2024
(a) All
				  requirements set forth in this chapter shall be met by the provider except for
				  section 17-895.1-41(a) and (d).
(b)
				  Infants and toddlers receiving drop-in care shall be cared for in separate
				  areas or groups from the other infants and toddlers who attend the program
				  regularly.
(c) If a facility serves
				  both drop-in children and children who attend regularly, the grouping of the
				  children and the program shall be planned so that the needs of both groups are
				  met.
(d) The facility shall have
				  the following information in writing:
(1) The
				  ages of the infants and toddlers accepted for drop-in care;
(2) The procedures for admittance and release
				  of drop-in children; and
(3)
				  Arrangements for staffing and separate activities for drop-in
				  children.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 10 - PROGRAM MODIFICATIONS › Section 17-895.1-91 - Program modifications for night care

Current through June, 2024
A child care facility offering night care shall meet the
					 requirements of this chapter and the following additional requirements:
(1) In consultation with parents, special
				  attention shall be given by the caregiver to provide for transition into night
				  care;
(2) A selection of
				  developmentally appropriate toys for quiet activities shall be
				  available;
(3) Comfortable cribs,
				  beds or cots that comply with the safe sleep requirements in sections
				  17-895.1-96 and 17-895.1-97, complete bedding and night clothes shall be
				  available or supplied by the parents;
(4) Cribs or beds shall be placed at least
				  three feet apart;
(5) Staff shall
				  be available to assist the infants and toddlers, as required by their age and
				  developmental level, during eating and pre-bedtime hours and during the morning
				  period when dressing;
(6) During
				  sleeping hours, staff shall be within hearing distance at all times to provide
				  for the needs of the infants and toddlers and to respond immediately in an
				  emergency;
(7) An infant or toddler
				  shall not sleep in a building detached from the main facility; and
(8) Night care facilities shall include at
				  least one shower, bathtub, or bathing facility for infants and
				  toddlers.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 10 - PROGRAM MODIFICATIONS › Section 17-895.1-92 - Program modifications for demonstration projects

Current through June, 2024
(a)
				  An infant and toddler child care facility may establish a demonstration project
				  for a specific purpose, or set of purposes, upon receiving written approval
				  from the department.
(b) The
				  facility shall submit a written proposal to the department indicating the
				  following:
(1) Purpose of the
				  project;
(2) Description of the
				  project;
(3) Length of the
				  project;
(4) Specific infant and
				  toddler child care center rules that shall be exempted by the project;
				  and
(5) Justification for the
				  proposed exemptions.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 11 - SAFE SLEEP › Section 17-895.1-96 - Program requirements

Current through June, 2024
(a) A child care
				  facility shall have a written operation policy regarding safe sleep when
				  permitted to care for children less than one year of age.
(b) All employees and volunteers of the child
				  care facility caring for children less than one year of age shall review the
				  child care facility's written operation policy regarding safe sleep and
				  complete training in safe sleep practices that is approved by the department,
				  upon hire and on an annual basis, and the child care facility shall maintain a
				  record of policy reviews and trainings completed.
(c) The child care facility shall ensure the
				  following for sleeping children less than one year of age:
(1) Children shall be placed on their backs
				  to sleep or in accordance with the written instructions on file at the child
				  care facility from a health care practitioner for alternate sleep
				  positioning;
(2) Sleeping children
				  are physically monitored and periodically checked; and
(3) A child who falls asleep in a location or
				  equipment other than a crib or playpen shall be moved to a crib or playpen for
				  the remainder of the nap.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 895.1 - LICENSING OF INFANT AND TODDLER CHILD CARE CENTERS › Subchapter 11 - SAFE SLEEP › Section 17-895.1-97 - Sleep environment

Current through June, 2024
(a) A child care
				  facility shall use cribs and playpens that have not been recalled by the United
				  States consumer product safety commission; provided that a recalled item may be
				  used if repaired in accordance with the manufacturer's standards, and the child
				  care facility maintains a record of the repair.
(b) Soft bedding, bumper pads, and other
				  objects shall not be placed in the crib or playpen for children less than one
				  year of age.
(c) A clean, tightly
				  fitted crib sheet shall be used to cover the crib or playpen for children less
				  than one year of age.
(d) Sleeping
				  areas shall be kept ventilated and at a safe temperature.
(e) Bed-sharing is not allowed.
(f) The child care facility shall not use
				  recalled items for children, such as cribs, playpens, and other equipment
				  unless the item has been repaired in accordance with the manufacturer's
				  standards and the child care facility maintains a record of the
				  repair.
(g) For children ages one
				  year and older, the following sleeping equipment shall be available:
(1) Individual bed, crib, cot, mat, or rug
				  for each child who rests; and
(2) A
				  clean sheet or cover to be used on the bed, crib, cot, mat, or rug for each
				  child.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 896 - LICENSING OF BEFORE AND AFTER SCHOOL CHILD CARE FACILITIES (REPEALED) › Subchapter 1 - LICENSING PROCEDURE › Section 17-896-2 - Application

Current through June, 2024
(a) A completed application to operate a
				  before and after school child care center must include the following:
(1) A signed department application
				  form;
(2) A written-statement of
				  operation policies;
(3)
				  Verification that the facility meets the applicable county codes;
(4) Completed employment history clearance
				  forms;
(5) Results of the criminal
				  history clearance and child abuse/neglect history check as indicated in (A) and
				  (B) below:
(A) Applicants and employees shall
				  provide such criminal history records, child abuse/neglect history, employment
				  information, and consent to conduct such checks as may be required by state or
				  federal law. Such information and consent shall be given upon forms supplied by
				  the department.
(B) The department
				  shall conduct criminal history, employment history and child abuse/neglect
				  history checks on all applicants and their employees; applicants shall conduct
				  employment history checks on all prospective employees.
Hawaii Administrative Rules › Title 17 - DEPARTMENT OF HUMAN SERVICES › Department of Human Services › Chapter 896 - LICENSING OF BEFORE AND AFTER SCHOOL CHILD CARE FACILITIES (REPEALED) › Subchapter 1 - LICENSING PROCEDURE › Section 17-896-3 - Inspection, and issuance of license

Current through June, 2024
(a) In exercising
				  its authority to license a before or after school program or renew, suspend, or
				  revoke the license, the department shall analyze the qualifications of staff,
				  review the facility's written policies and program provisions, and inspect the
				  facility.
(b) Authorized
				  representatives of the department and parents or guardians of the children in
				  care may visit the facility at any time during the hours of operation for
				  purposes of observing, monitoring or inspecting the facilities, activities,
				  staffing, and other aspects of the program and facility.
(c) The department may call on political
				  subdivisions and governmental agencies for appropriate assistance within the
				  agencies' uthorized fields.
(d) The
				  applicant or licensee shall cooperate with the department by providing access
				  to its facilities, records, and staff. Failure to comply with reasonable
				  requests may constitute grounds for denial, suspension, or revocation of
				  license.
(e) After the initial
				  licensure, the licensee shall ensure that new employees comply with section
				  17-896-2(a)(5).
(1) New employees and rehires
				  shall be fingerprinted no later than five working days of employment.
(2) Any applicant, employee, or rehired
				  employee who has left the state for six consecutive months or more is required
				  to be fingerprinted again within five working days of beginning
				  employment.