Inspection · 2026-03-06

The provider, assistant(s), and substitute(s), must each submit a medical statement on forms furnished by the Office or an approved equivalent from a health care provider: before such person has any involvement in child care work.

The initial medical statement for providers, assistants, and substitutes must include the results of a Mantoux tuberculin test or other federally approved tuberculin test performed within the 12 months preceding the date of the application. Thereafter, tuberculin tests are only required at the discretion of the employee's health care provider or at the start of new employment in a different child care program.

The health care plan must describe the following; how a daily health check of each child for any indication of illness, injury, abuse or maltreatment will be conducted and documented;

The provider, assistant(s), and substitutes must each meet the following qualifications: be capable of providing, and agree to provide, safe and suitable care to children which is supportive of the children's physical, intellectual, emotional and social well-being;

Each applicant must complete the Office-approved training that complies with the federal minimum health and safety pre-service training requirements or three-month orientation period training requirements. This training must be obtained pre-service or within three months of starting such position. Individuals who have completed Office approved training that complies with federal health and safety requirements may be left unsupervised with children. Any teacher, director, or volunteer who does not complete this training must not be left unsupervised with children in care until such times as the training has been completed.

The caregivers, employees, volunteers and all members of the household must be in good health and be of good character and habits.

The program must maintain on file at the group family day care home, available for inspection daily attendance records that are filled out at the time a child arrives and departs, and must include arrival and departure times;

Peeling or damaged paint or plaster must be repaired.

Suitable precautions must be taken to eliminate all conditions in areas accessible to children which pose a safety or health hazard.

All required vaccinations must be kept current for all animals present at the program.

If television or other electronic visual media is used, it must be part of a planned developmentally appropriate program with an educational, social, physical or other learning objective that includes identified goals and objectives. Television and other electronic visual media must not be used solely to occupy time.

Television and other electronic visual media must be turned off when not part of a planned developmentally appropriate program activity.

Children cannot be left without competent supervision at any time. Competent supervision includes awareness of and responsibility for the ongoing activity of each child. It requires that all children be within a caregiver's range of vision except as provided in section 416.8(b) of this Part and that the caregiver be near enough to respond when redirection or intervention strategies are needed. Competent supervision must take into account the child's age, emotional, physical and cognitive development.

Only approved caregivers may be left unsupervised with day care children.