1. A. An operator shall assign one staff member primary responsibility for each infant or toddler in care during each staff shift.

2. B. Upon enrollment of an infant or toddler, the operator shall arrange for the director or senior staff, in consultation with the parent of the child, to prepare a written individualized activity plan for the child that:

   1. (1) Addresses the child's normal pattern of activities, sleeping, and eating;
   2. (2) Is consistent with the child's needs and capabilities;
   3. (3) Identifies the staff member who is assigned primary responsibility for the care of the child during each staff shift;

   4. (4) Ensures that the child is:

      1. (a) Held, played with, and talked to;
      2. (b) Except when sleeping, given opportunities to sit, crawl, toddle, or walk outside the infant's crib or playpen;
      3. (c) Except in inclement weather, taken outdoors daily; and
      4. (d) Diapered as needed and in accordance with the approved diapering procedure.

3. C. For an infant or toddler, the written activity plan required at the time of the child's admission to care shall be:

   1. (1) Posted for reference in the space used by the child's group;
   2. (2) Implemented by each staff member having responsibility for care of the child;
   3. (3) Modified in consultation with the child's parent as necessitated by the child's developmental needs; and
   4. (4) Reevaluated at least every 3 months.
4. D. Upon the request of a parent of a child in care, the operator shall assist the parent with scheduling a time and convenient location for the local lead agency responsible for administering the Maryland Infants and Toddlers Program to provide the appropriate screening for the child.

Authority: Education Article, §§9.5-115, 9.5-401, 9.5-404—9.5-411, and 9.5-413—9.5-418; General Provisions Article, §4-333;
Human Services Article, §1-202; Annotated Code of Maryland
Agency Note: Federal Statutory Reference — Americans with Disabilities Act of 1990 (42 U.S.C. §12101 et seq.);
Pro-Children Act of 1994 (20 U.S.C. §6081 et seq.);
Child Care Development Block Grant (45 CFR Parts 98 and 99 and 42 U.S.C. 9858 et seq.);
Social Security Act §418 (42 U.S.C. 618)

Effective date: October 20, 2008 (35:21 Md. R. 1826)

Regulation .01A amended effective April 29, 2024 (51:8 Md. R. 367)

Regulation .01C adopted effective July 20, 2015 (42:14 Md. R. 883)

Regulation .02D adopted effective March 17, 2025 (52:5 Md. R. 238)

Regulation .04 amended effective April 29, 2024 (51:8 Md. R. 367)

Regulation .04G adopted effective January 13, 2020 (47:1 Md. R. 14)