1. A. A provider shall assign one staff member primary responsibility for each infant and toddler in care during each staff shift.

2. B. Upon enrollment of an infant or a toddler, the provider shall, in consultation with the parent of the child, 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 a toddler, the written activity plan required at the time of the child's admission to care shall be:

   1. (1) Available 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 provider 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, 9.5-301—9.5-308, 9.5-310—9.5-312, 9.5-320, and 9.5-321; 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: February 6, 2012 (39:2 Md. R. 142)

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

Regulation .01C adopted effective July 20, 2015 (42:14 Md. R. 884)

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. 17)