Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 406 - LICENSING STANDARDS FOR DAY CARE HOMES › Section 406.14 - Health, Medical Care and Safety

Current through Register Vol. 48, No. 28, July 12, 2024
a) The caregiver shall conduct a daily,
				pre-admissions screening to determine if the child has obvious symptoms of
				illness. If symptoms of illness are present, the caregiver shall determine
				whether to provide care for the child, depending upon the apparent degree of
				illness, other children present, and facilities available to provide care for
				the ill child.
b) Children with
				diarrhea and those with a rash combined with fever (oral temperature of 101
				degrees Fahrenheit or higher or under the arm temperature of 100 degrees
				Fahrenheit or higher) shall not be admitted to the day care home while these
				symptoms persist, and shall be removed as soon as possible should these
				symptoms develop while the child is in care.
c) A medical report, on forms prescribed by
				the Department, shall be on file for each child, on the first day of care, and
				shall be dated no earlier than 6 months prior to enrollment.
1) The medical report shall be valid for 2
				years, except that subsequent examinations for school-age children shall be in
				accordance with the requirements of Section 27-8.1 of the School Code [105 ILCS
				5/27-8.1] provided copies of the exam are on file at the facility.
2) If the child is in a high risk group, as
				determined by the examining physician, a tuberculin skin test by the Mantoux
				method and the results of that test shall be included in the initial
				examination for all children who have attained one year of age, or at the age
				of one year for children who are enrolled before their first birthday. The
				tuberculin skin test by the Mantoux method shall be repeated when the children
				in high-risk groups begin elementary and secondary school.
3) The initial examination shall show that
				children from 6 months through 6 years of age have been screened for lead
				poisoning for children residing in an area defined as high risk by the Illinois
				Department of Public Health in its Lead Poisoning Prevention Code (77 Ill. Adm.
				Code 845) or that a lead risk assessment has been completed for children
				residing in an area defined as low risk by the Illinois Department of Public
				Health.
4) The report shall
				indicate that the child has been immunized as required by the rules of the
				Illinois Department of Public Health for immunizations (77 Ill. Adm. Code 695).
				These required immunizations are poliomyelitis, measles, rubella, diphtheria,
				mumps, pertussis, tetanus, hepatitis B, haemophilus influenza B, and varicella
				(chickenpox) or provide proof of immunity according to requirements in Part
				695.50
				of the Department of Public Health.
5) In accordance with the Child Care Act of
				1969, a parent may request that immunizations, physical examinations, and/or
				medical treatment be waived on religious grounds. A request for such waiver
				shall be in writing, signed by the parent, and kept in the child's
				record.
6) Exceptions made for
				children who for medical reasons should not be subjected to immunizations or
				tuberculin tests shall be so indicated by the physician on the child's medical
				form.