Page 439

412

The caregiver must observe the following requirements for bottle feedings if caring for infants: • An infant must be fed on demand; • A child on bottle feedings must either be held or fed sitting up. If the child is unable to sit up they must be held during the feeding; and • A bottle may not be propped for a child and a child is not permitted to hold or carry its bottle at times other thanthe feeding.

The caregiver must obtain information concerning any food allergies or special dietary needs of each child and plan that child’s meals accordingly.

Except for medical reasons, a provider may not deny a meal or snack to a child, force feed a child, or otherwise coerce a child to eat against the child’s will for any reason.

4240-4 B. ENVIRONMENTAL HEALTH AND SAFETY REQUIREMENTS A family using an In-home caregiver must ensure the basic environmental health and safety of their children. The family must ensure their home has the following:

1. At least two (2) means of emergency escape that are remote from each other and provide unobstructed access to the outside of the building. At least one (1) means of emergency escape must be an exterior door;

2. At least one (1) working smoke detection device that is less than ten (10) years old and that is alternating current (AC) primary power or monitored battery powered smoke detection device and at least one fully charged 2A:10BC dry chemical fire extinguisher strategically located on each level;

3. At least one (1) operating carbon monoxide detector on each level;

4. A functional telephone or other identified means of communication;

5. An ample supply of safe, drinkable water;