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REV. AUGUST 8, 2004 NEBRASKA HEALTH AND CCS PROGRAM MANUAL LETTER # 42-2004 HUMAN SERVICES MANUAL 392 NAC 5-003 (2of2)

12. Maintain a record of the parent/guardian's work and home phone numbers and the phone number of the child(ren)'s physician; 13. Keep emergency numbers within easy access near the telephone; 14. In the case of a medical emergency, call 911 or the local medical emergency phone number; 15. Keep areas and equipment where care is provided clean and in good repair; 16. Have operable utilities, i.e., electricity, heat, water; 17. Serve nutritious meals and snacks to children in care; 18. Keep cooking and eating areas and equipment clean and in good repair; 19. Store perishable foods served to child care children in covered containers; 20. Have a sufficient number of safe, age-appropriate play materials available for the child care child(ren)’s use; 21. Have first aid supplies available, but inaccessible to children. Supplies are to include fever thermometer, soap, bandaids, gauze, tape, and scissors; 22. Dispense prescription and non-prescription medications only with prior written permission and written instructions from the child’s parent/guardian; 23. Keep firearms, medications and poisons, furnace and water heater inaccessible to children; 24. Develop and practice an evacuation plan with the children for use in emergencies such as fire or tornado. A plan must also be developed to handle medical emergencies; 25. Have available at least 35 square feet of indoor child care space for each child in care; 26. Provide and use clean and comfortable napping and sleeping arrangements for the children in care; 27. Maintain the home, including toilet facilities, clean and in good repair; 28. Maintain the home to be free from fire hazards such as exposed wiring, storage of combustibles near a fire source (furnace, water heater, stove), and blocked exits; 29. Develop an emergency procedure to reach children should they become locked into an area of the home which can be locked; 30. Maintain proper vaccinations for household pets susceptible to rabies; 31. Maintain an outdoor play area free of safety hazards; 32. When transporting children, use age appropriate restraints which comply with state law; and 33. During evening care, have children age 7 or younger sleep only on a floor level where an adult is present.