Hawaii Hawaii

Licensing Standards for DayCare Centers

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Section 17-895-23
Admission of Ill Infants and Toddlers


   

        (a)  Acutely ill infants and toddlers may only be    

admitted with adequate provision for isolation and    

adequate personnel to provide individual care.  Acutely    

ill is defined as temperature above 99 degrees (axillary),    

100 degrees (oral), and 101 degrees (rectal) and other    

symptoms, such as vomiting, diarrhea, undiagnosed general    

rash, contagious diseases, severe cough, or difficulty in    

breathing.         

        (b)     When health policies of the facility allow ill    

infants or toddlers to be admitted to, or to remain in the    

facility, medical consultation shall be available    

regarding special care and medication.     

        (c)     When medication prescribed by a physician is    

administered in the facility:     

        (1)     The medication shall be kept in the original    

container bearing the prescription label, which shows the    

infant's or toddler's name, a current date, and the    

physician's directions for use;   

        (2)     Medication shall be stored:   

                (A)     In a refrigerator, if refrigeration is    

required; medication shall be separated from food by being    

enclosed in a covered container; or   

                (B)     In a cool, dry, dark, and secured    

enclosure, which is inaccessible to the infants and    

toddlers, if refrigeration is not required.   

        (3)     Medication shall be returned to parents or    

guardians when no longer in use; and     

        (4)     There shall be an authorization signed by the    

parent or guardian for the facility staff to administer    

medication.     

     (d)  When over the counter medication is recommended    

by the infant's or toddler's doctor, parent, or guardian,    

medication shall be administered at the facility as    

directed in writing by the doctor, parent, or guardian.   

        (e)  Both the caregiving staff and the parents or    

guardians shall be familiar with policies of the facility    

relevant to ill infants and toddlers.   

     (f)  The facility shall, in consultation with its    

health consultant, establish a readmission policy for    

children who have been absent because of illness. 


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