Section H
Care for Children with Developmental Disabilities
In addition to the preceding regulations, when developmentally disabled children
are cared for in the center, the following requirements shall be met. A definition
of developmental disability is provided in Section A.
If a developmentally disabled child is enrolled in the center, a statement shall be obtained from a licensed practicing physician and/or licensed mental health professional indicating the particular nature of the child's disability and recommendations concerning special care needed by the child.
If a developmentally disabled child is enrolled in the center, he/she shall receive the same care and participate in the same program activities as other children, with necessary adaptations to enable his/her to participate.
Adaptations to the environment shall be directed toward normalizing the lifestyle of the developmentally disabled child by helping him/her become independent and develop self-help skills.
Any efforts to provide specialized services (such as speech/hearing therapy, physical therapy, or psychological evaluation) shall be planned in cooperation with the parent(s)/guardian(s) and documented in the child's record. Any informational exchange regarding these services shall also be documented.
Staff/child ratios shall be at least that required for other children. Lower staff/child ratios (additional staff) may be required depending on the number of developmentally disabled children enrolled in the center, and the degree/type of their disabilities.