1. A. General health care.

   1. 1. A licensee shall have a written plan for meeting the preventive, routine, and emergency physical and mental health needs of children in care. The plan shall identify where and from whom children at a facility may obtain qualified health care, 24-hours per day, seven days per week.

   2. 2. A licensee shall ensure that children in care receive:

      1. a. Preventive health services, including routine medical examinations and dental cleanings and examinations; and

      2. b. The following health services, if necessary:

         1. i. Evaluation and diagnosis,
         2. ii. Treatment, and
         3. iii. Consultation.
   3. 3. A licensee shall ensure that a child in care receives a developmentally appropriate explanation of any health treatment the child receives, in a language and manner the child can understand.
   4. 4. A licensee shall not ignore a child’s complaints of pain or illness and shall document persistent complaints and any actions taken in response to the complaints.

2. B. Medical care.

   1. 1. A licensee shall arrange for a physician, physician’s assistant, or nurse practitioner to give a child a medical examination within one week of the child’s admission unless:

      1. a. A licensed medical practitioner examined the child within the 45 days preceding the child’s admission; and
      2. b. The licensee has a report of the examination as prescribed in R6-5-7438(E)(4)(a).
   2. 2. A licensee shall also arrange for a child in care to receive an annual medical exam from a physician, physician’s assistant, or nurse practitioner.

   3. 3. The initial and annual medical examinations shall include:

      1. a. Screening for communicable disease unless restricted by law;
      2. b. Vision and hearing screening; and
      3. c. For children who wish to participate in sports or physically strenuous activities such as backpacking, an evaluation of the child’s capacity to participate.
   4. 4. A licensee shall obtain a report of the examination, and, if applicable, a statement signed by the medical practitioner conducting the examination, or the practitioner’s designee, regarding the child’s capacity, fitness, and clearance to participate in sports or physically strenuous activities.
   5. 5. After attempting to determine a child’s immunization history, a licensee shall arrange for the child to receive any routine immunizations and booster shots within 30 days of admission.

3. C. Dental care.

   1. 1. A licensee shall arrange for each child to have a dental examination within 60 days of admission unless the licensee is provided the written results of a dental examination conducted within six months prior to admission.
   2. 2. A licensee shall arrange for each child age 3 and older to receive a dental examination every six months.
   3. 3. In cooperation with the placing agency or person, a licensee shall arrange for a child to receive any prescribed dental care.

4. D. First aid. A licensee shall equip the residence of each living unit with at least the following first aid supplies:

   1. 1. Adhesive strip bandages;
   2. 2. Sterile, individually wrapped gauze squares;
   3. 3. Roller gauze;
   4. 4. Adhesive tape;
   5. 5. Individually wrapped non-stick sterile pads;
   6. 6. A triangular bandage to be used for a sling;
   7. 7. Disposable latex gloves;
   8. 8. A pair of scissors;
   9. 9. A pair of tweezers; and
   10. 10. A cardiopulmonary resuscitation mouth guard or mouth shield.

Historical Note

Adopted effective July 1, 1997; filed with the Secretary of State’s Office May 15, 1997 (Supp. 97-2).