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4240-4 A. GENERAL HEALTH, MEDICATION, AND NUTRITION REQUIREMENTS A family using an In-home caregiver must ensure their children have up-to-date age-appropriate immunizations and follow the general health, medication, and nutrition requirements below.

1. General Health In-home caregivers must: a. Take precautions against the spread of infectious disease by washing their hands for at least ten (10) seconds with soap and water and rinses them with water: • Before food handling, preparation, serving, eating, or table setting; • After toileting or assisting a child with toileting or diapering; • After handling an animal, animal waste, or an animalcage; • Before and after giving medication; • Before and after participating in moist play, including painting, cooking, or molding clay; and • If hands are contaminated with body fluid, including from nose wiping; b. Encourage children to wash their hands at similar times as described in 1.a. above; c. Ensure children have been immunized as required by 7AAC 57.550(a)-(e); and

d. Ensure an opportunity for a supervised rest or sleep period is provided for each child younger than five (5) years of age who is in care more than five (5) hours, and for any other child, if desired by the child. Provide supervised time and space for quiet play for a child who is unable to sleep. Only an infant, a nonclimbing toddler, or a child identified as having special needs, if appropriate, may be placed in a crib.

2. Administration and Storage of Medication In-home caregivers must meet the requirements for the administration and storage of medication: a. Administration of Medication In-home caregivers may administer medication only with written permission for the administration of prescription medication from the parent of a child upon admission or when a new medication is prescribed. Prescription medication and