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(i) Name and telephone number of individual to be contacted in emergencies when the parents or guardians are not available;
(j) Emergency Medical Treatment Authorization form, as approved by OSSE, for emergency medical care, to be used only when the parent(s) or guardian(s) cannot be reached;
(k) Language(s) spoken in the home;
(l) Race and ethnicity;
(m) Health information and records, as required by this chapter;
(n) Written authorization(s) for the administration of medication as required pursuant to this chapter, if applicable;
(o) For children in out-of-school-time care:
(1) The name of the school the child attends;
(2) The name and number of a contact person from that school; and
(3) If the child arrives at and leaves the Facility alone, the days and times at which the child should arrive and leave the Facility and the mode(s) of transportation that the child uses to travel to and from the Facility.
(p) A record of educational and developmental progress; and
(q) Admission agreement signed by the parent or guardian at enrollment.
130.3 If a child is no longer enrolled, the Licensee shall include the date and reasons for the child’s withdrawal, if available, in the child’s record. The child’s complete record shall be retained by a Licensee for three (3) years following the termination of the child’s enrollment.
130.4 A Licensee shall maintain and provide to OSSE upon request, for each enrolled child, the initial and annual health record documentation and information, including:
(a) Full name, gender, date of birth, and home address of the child;
(b) Parent(s) or guardian(s) name(s), an emergency phone number for the parent(s) or guardian(s), the name and number of an emergency contact if the parent(s) or guardian(s) are unavailable;