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following: 2. Handling emergency medical care, including where the Children will be taken for emergency medical care; 3. Administering medication and recording noticeable adverse reactions to medication;

Health, Safety, and Discipline 290-2-3-.11(1)(b) Parental Notification. Parents must be notified of incidents, illnesses, or injuries as follows: Immediately notify Parent(s) and obtain specific instructions until child can be picked up or returned to group: When professional medical attention is required, or When child experiences symptoms of moderate discomfort such as elevated temperature, vomiting or diarrhea, or When child is involved in an incident that puts their health and/or safety at risk (e.g., missing from program, left on vehicle, escaped from building/playground, etc.) Notify Parent(s) by the end of the day: When professional medical attention is not required, or When child experiences symptoms of less than moderate discomfort, or When child experiences an adverse reaction to prescribed medication which does not constitute moderate discomfort.

iii. All CCDF-eligible licensed in-home care. Provide the standard:: The following standards are applicable to infants, toddlers, preschoolers, and school-age children in all CCDF-eligible regulated (but not licensed) informal in-home care providers and are found in the Health & Safety Standards for Informal Providers Appendix HH.

I. Medications (2) Dispensing Records. The Informal Provider shall maintain a record of all medications dispensed to children by Personnel to include the date, time and amount of medication that was administered; any noticeable adverse reactions to the medication; and the signature or initials of the person administering the medication.

J. Policies and Procedures (1) The Informal Provider shall have a written policy regarding the following: (d) The prevention of and response to food and allergic reactions O. Staff Training (2) Health and Safety Orientation. Each Informal Provider, Employees, and Provisional Employees with direct care responsibilities shall complete health and safety orientation training within the first 90 days of employment. The state- approved training hours obtained will count toward required annual training hours. The training must address the following health and safety topics: (d) Prevention of and response to emergencies due to food and allergic reactions;