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(1) The following staffing ratios apply at all times while children are swimming, wading or near a water source. The staffing ratios shall also apply at all times while children are near a water body that poses a potential risk based upon the age of the child. WATER SAFETY STAFF:CHILD RATIOS Child’s Age Staff: Child Ratio Birth to two years 1:1 Two to three years 1:2 Three to four years 1:3 Four and older 1:6 (2) All swimming activities shall be supervised by a person with current lifeguard training certification. If this is a staff person who has current lifeguard training certification, they may be included in the staff:child ratio. In instances in which all staff members can, without the ability to swim, quickly reach any child, a certified lifeguard is unnecessary. HISTORY: Amended by State Register Volume 19, Issue No. 5, May 26, 1995, by 114-515 eff 180 days after final publication in State Register; State Register Volume 29, Issue No. 6, eff June 24, 2005. 114–515. Health, Sanitation and Safety. A. Child health (1) Children shall be excluded from child care when they exhibit the conditions listed in the DHEC Exclusion Policy. (2) During hours of operation there shall be no smoking or consumption of alcoholic beverages in the areas used by children or in the food preparation or storage areas. Smoking shall be permitted only in designated areas, a safe distance from the group child care home. Consumption of alcoholic beverages or use of other non-prescription narcotic or illegal substances is prohibited on the group child care home premises. People who appear to be under the influence of alcohol or other drugs shall not be in the group child care home when children are present. B. Sanitation (1) Staff shall ensure that children’s faces and hands are clean. (2) Furniture, toys, and equipment that come into contact with children’s mouths shall be washed, rinsed, and sanitized daily and more often if necessary. (3) Furniture, toys and equipment soiled by secretion or excretion shall be sanitized before reuse. (4) Linens and blankets as well as cribs, cots, and mats shall be cleaned at least weekly. (5) If playpens are used, they shall have waterproof, washable, comfortable pads. (6) If children brush their teeth at the group child care home, each child shall have a separate, labeled toothbrush, stored with bristles exposed to circulating air, and not in contact with another toothbrush. C. Emergency medical plan (1) The group child care home shall have an emergency medical plan to address the following: (a) Medical conditions under which emergency care and treatment is warranted; (b) Steps to be followed in a medical emergency; (c) The hospital or source of health care to be used; (d) The method of transportation to be used; and (e) An emergency staffing plan. (2) Emergency information for the child shall be taken with the child to the hospital or emergency location. (3) A staff person shall remain with the child at the hospital or emergency location until the parent arrives. D. Medications or medical procedures