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10 Child Care Subsidy Provider Handbook MORE INFORMATION For more information about hazardous materials and equipment, visit: Child Care Technical Assistance Network childcareta.acf.hhs.gov/hazardous- materials-information-child-care- providers Caring for Our Children Online Standards Database nrckids.org/CFOC • All vehicles used for transporting children have proper insurance and registration. • Children are transported in age-appropriate child restraints (see page 15 for more information). • A first-aid kit is available in the vehicle. Prevention + Control of Infectious Diseases • A plan is in place for prevention and control of infectious diseases in the home/facility and appropriate infection control practices are used. • Each child’s immunization history is documented and records are maintained. » If immunizations are not up to date, the record must contain certification by the child’s physician, advanced practice registered nurse or physician assistant, or a written statement from the parent with their wishes and reasons for the decision (see page 16 for more information). • All animals on the premises are current on required vaccinations (particularly if they are susceptible to rabies) and have no history of aggression. Hazardous Materials + Equipment • Medications, cleaning agents, poisons and other potentially hazardous items, materials or equipment are inaccessible to children through locked storage. • Hazardous materials are properly handled, stored and discarded according to their labels. • All alcohol is inaccessible to children. • All weapons and firearms are unloaded and locked or stored in a locked cabinet or area. • All ammunition is stored in a locked cabinet and stored separately from the firearms. Emergency Preparedness + Safety • An evacuation plan for the children is in place for emergencies, including, but not limited to, fire and tornado drills and active shooter situations. • The home/facility is free from fire hazards, such as exposed wiring, combustibles stored near a fire source (e.g., furnace, water heater, stove) and blocked exits that are part of an established evacuation plan. • An emergency procedure is developed and used to reach children if they become locked in an area of the home/facility. • Operable smoke and carbon monoxide detectors, maintained according to the manufacturer’s recommendations, are located on each level of the home/facility used to provide care. • A non-expired, fully functional fire extinguisher is available on site. • Each child’s parent/caregiver has provided a signed authorization for emergency care. • Emergency preparedness and response plans have been completed, including past emergency drill forms. • A plan to notify parents/caregivers in the event of an emergency is developed and followed. • A reunification plan has been developed in the event of an emergency that requires evacuation, including a plan for how children with special needs will be kept safe. MEDICATION SAFETY Five Rights of Safe Medication Administration All staff who give or apply medication to children in their care must do so in accordance with the “Five Rights” as set out in the Medication Aid Act: 1. The right drug 2. The right recipient 3. The right dose 4. The right route 5. The right time