Page 1380

(a) A full-time care facility shall either obtain evidence of immunization as specified in this section for each child in care or initiate immunizations as specified in this section no later than 30 days after the child is in care. A full-time care facility shall ensure that each child in care has or is given, in a manner consistent with the timetable prescribed by the department’s childhood immunization schedule, immunizations appropriate to the child’s age against

(1) diphtheria, tetanus, polio, measles, and rubella;

(2) if the child is less than seven years of age, pertussis; and

(3) mumps, hepatitis A, hepatitis B, chicken pox, and Haemophilus influenzae type B; if a child has not received all immunizations as provided in the schedule, the facility shall initiate completion of immunizations as rapidly as is medically indicated. (b) A full-time care facility shall obtain health information on each child under care when the child is accepted for care, to the extent possible. In addition to the information required to be obtained by 7 AAC 50.300(a), health information to be obtained by the facility must include

(1) the date of the child’s last physical examination and the name of the medical provider who conducted it;

(2) a report of any health problems of the child; and

(3) the child’s immunization history. (c) If a child over three years of age has not been under regular medical supervision or has not had a health examination by a licensed physician, physician assistant, or public health nurse within one year before the child’s admission to the full-time care facility, a full-time care facility shall arrange for an examination to be completed within 30 days and shall provide continuing medical and dental services. A full-time care facility shall arrange for the examination of a child three years of age or younger not later than 30 days after receiving the child for care, unless the child has had a health examination within three months of admission, and shall provide continuing care according to any recommendations of the health care provider. (d) A full-time care facility shall ensure that each child in care three years of age or older is given a dental examination by a licensed dentist at least once a year and provided dental treatment as needed. (e) A full-time care facility may not have human immunodeficiency virus and acquired immune deficiency testing done on a child in care. (f) A full-time care facility shall

(1) maintain medical, dental, immunization, and treatment records; and

(2) document any medical or dental care or treatment for which documentation was not provided by the medical or dental provider of service. (g) A residential child care facility must have a plan for maintaining and promoting the