1. (b) Physical examinations.

   1. (1) At least thirty days prior to admission to school, each child shall have a completed physical examination by a physician, including an appropriate vision screening, audio testing, laboratory tests as indicated and a dental examination. A written statement signed by the examining physician shall be furnished to the school.
   2. (2) All children shall have a yearly physical examination by a physician and a dental examination by a dentist.
   3. (3) A detailed cumulative medical record shall be kept of all examinations, illnesses, accidents and any treatment given to a child.
   4. (4) A daily health check of each child shall be made by the teacher or another responsible person who is familiar with the child and is trained to recognize symptoms of illness and communicable disease.

   5. (5) No medication shall be administered to children except by order of a physician.

      (c) Arrangements for emergency care.

      In preparation for illness or accident the school shall:

   6. (1) have parents' telephone number easily accessible;
   7. (2) have a doctor on call;
   8. (3) have an automobile available to take child to a hospital;
   9. (4) have first aid materials easily available;
   10. (5) have a room available for isolation of child until parent arrives;

   11. (6) allow no child to return until the school has the doctor's assurance that the child is free of a communicable disease and is ready to resume activities.

       (d) Permission to provide emergency treatment.

       Schools shall have on file written permission from the parents or guardians for the care of any child who has or develops symptoms of illness or is injured. Such statements shall include notification of the child's parents, guardian or other person having legal custody, and provision for emergency medical care or first aid. If a child should have or develops symptoms of illness, he shall be isolated from the other children until he is seen by a physician or removed from the school. In the event of an accident or illness requiring immediate medical care, the director of the school or other person in charge shall be responsible for securing such care and notifying the parents, guardian or person having legal custody of the child. There shall be an understanding with such person or persons that an ill child shall be removed as soon as possible upon the request of the school and shall not be readmitted until it is determined upon physician's assurance that he is free from communicable or contagious disease.

       (e) Nutrition.

   12. (1) Schools that operate a program of less than three hours shall provide snacks.
   13. (2) Schools with programs of more than three hours shall provide snacks and lunch.
   14. (3) Schools that provide lunch shall consult with a dietitian to insure adequate and nutritional food.

   15. (4) When lunches are served, menus shall be prepared in advance, dated and posted in a conspicuous place for parents and visitors to see.

       (f) Balanced activities.

       A registered school shall include balanced activities with quiet and vigorous pursuits, indoor and outdoor play, acceptable to the department.

       (g) Staff.

       All staff shall have a regular physical examination by a physician. All staff shall have a chest x-ray biennially.

(a) Sanitation.

Schools shall comply with all sanitation requirements of local and State departments of health.