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(ii) Each child’s immunization record must include: (1) Documentation of age-appropriate immunization; (2) Certification by a physician, advanced practice registered nurse, or physician assistant that immunization is not appropriate for a stated medical reason; or (3) A written statement that the parent or guardian does not wish to have the child immunized and the reasons for that decision. (B) Prevention of sudden infant death syndrome and use of safe sleeping practices: (i) Providers must practice and ensure safety for nap or sleep times: (1) Infants must sleep on their back unless there is a medical reason and written note from a physician; and (2) Providers must have appropriate sleeping surfaces for all children. (ii) The following must not be used as sleeping surfaces: (1) The top level of a bunk bed for children age five and under; (2) Stackable cribs; (3) Waterbeds for children age three and under; and (4) Cots, cushions, futons, mats, or pillows for infants 12 months or under. (C) Administration of medication: (i) Providers who give or apply medication must follow the Five Rights: (1) The right drug; (2) The right recipient; (3) In the right dose; (4) By the right route; and (5) At the right time. (D) Prevention and response to emergencies due to food or allergic reaction.

(i) Providers must keep records that include but are not limited to, the following: list of child’s allergies and intolerance to food, or other factors Page 32 of 41