1. (a) General. All caregivers are familiar with emergency plans and procedures. Written plans and procedures are:

   1. (1) developed by the primary caregiver;
   2. (2) maintained on site;
   3. (3) individualized to the program and operating hours; and
   4. (4) followed, unless children's safety is at risk or emergency personnel provide alternative instructions during an emergency.

2. (b) Emergency medical care plans. Emergency medical care plans include:

   1. (1) a planned source of medical care, such as a hospital emergency room, clinic, or other medical facility or physician acceptable to parents; and
   2. (2) available emergency transportation.

3. (c) Situations. Emergency plans and procedures are maintained in a readily available and portable manner and include procedures for:

   1. (1) serious injuries;
   2. (2) serious illnesses;
   3. (3) poison exposure;
   4. (4) communicable disease outbreaks, including pandemic influenza;
   5. (5) weather conditions, including tornados, floods, blizzards, and ice storms;
   6. (6) fires, including wildfires;
   7. (7) man-made disasters, including chemical and industrial accidents;
   8. (8) human threats, including individuals with threatening behaviors, bomb threats, and terrorist attacks;
   9. (9) lost or abducted children;
   10. (10) other natural or man-made disasters that could create facility structural damage or pose health hazards; and
   11. (11) utility disruption.

4. (d) Child location and considerations. Emergency plans include procedures:

   1. (1) accounting for each child's location during an emergency; and

   2. (2) addressing each child's considerations, with additional considerations for children:

      1. (A) 2 years of age and younger; and
      2. (B) with special needs or chronic medical conditions.
5. (e) Shelter-in-place. Emergency plans include procedures for short and extended stay situations requiring children stay inside the home, such as tornados or other weather emergencies.

6. (f) Lock-down. Emergency plans and procedures for situations threatening children and adults' safety include:

   1. (1) notifying adults present in the home;
   2. (2) keeping children in designated safe locations inside the home;
   3. (3) encouraging children to remain calm and quiet;
   4. (4) securing home entrances;
   5. (5) preventing unauthorized individuals from entering the home; and
   6. (6) responding when outdoors and on field trips.
7. (g) Evacuation. Emergency plans include procedures for situations, such as a fire, requiring children leave the home and meet at pre-determined locations.

8. (h) Relocation. Emergency plans include procedures for situations requiring children move to an alternate location, such as bomb threats and wildfires, and include:

   1. (1) pre-determined primary and secondary alternate locations, with prior approval from the contact individual at alternate locations;
   2. (2) relocating children, including a pre-determined transportation plan; and
   3. (3) reuniting parents and children.

9. (i) Reporting. Emergency plans include procedures for notifying:

   1. (1) emergency authorities, including the poison control center, when necessary;
   2. (2) parents, including a method and backup method for how and when parents are notified; and
   3. (3) Licensing.

10. (j) Posted emergency information. Emergency information posted next to the phone or in a prominent place includes:

    1. (1) the home's address;
    2. (2) a licensed physician or clinic;
    3. (3) the fire department;
    4. (4) the police department;
    5. (5) poison control, 1-800-222-1222; and
    6. (6) a substitute caregiver.

11. (k) First aid supplies. First aid supplies are available but made inaccessible to children. Supplies are stored together in a portable container .

    1. (1) Supplies in the home at least include:

       1. (A) non-glass, non-mercury thermometer;
       2. (B) disposable non-porous, latex-free gloves;
       3. (C) blunt-tipped scissors;
       4. (D) tweezers;
       5. (E) bandage tape;
       6. (F) sterile gauze pads;
       7. (G) rolled flexible or stretch gauze;
       8. (H) non-medicated adhesive strips; and
       9. (I) current first aid guide.

    2. (2) In addition, the first aid supplies in vehicles at least include:

       1. (A) a cold pack;
       2. (B) liquid soap and water or individually packaged moist, disposable towelettes for cleaning wounds;
       3. (C) hand sanitizer and moist disposable towelettes for hand hygiene;
       4. (D) plastic bags for disposal of items contaminated with blood or other body fluids; and
       5. (E) a pen or pencil and note pad.
12. (l) Poisoning. The caregiver immediately contacts poison control, 1-800-222-1222, with any suspected child poisonings.

13. (m) Emergency supply kit. Records and supplies available during an emergency include:

    1. (1) Emergency records. Records at least include the:

       1. (A) emergency plans and procedures, alternate location addresses, phone numbers, and contacts;
       2. (B) emergency contacts for all caregivers and enrolled children; and
       3. (C) full names of children and caregivers currently in attendance; and

    2. (2) Emergency supplies. Supplies gathered at the time of an emergency or maintained in a portable container at all times at least include:

       1. (A) first aid supplies; and
       2. (B) children's prescribed medications, including life-threatening condition medications.

14. (n) Drills. Drills are conducted, documented, and follow the pre-determined emergency plans and procedures.

    1. (1) Monthly. Monthly drills include:

       1. (A) fire drills conducted by evacuating and meeting at pre-determined locations; and
       2. (B) tornado drills conducted by sheltering in pre-determined on-site locations.

    2. (2) Annual. Annual drills conducted include:

       1. (A) locking-down by sheltering in pre-determined on-site locations;
       2. (B) relocating according to preparation procedures but physical relocation is not required;
       3. (C) sheltering-in-place, requiring children stay inside the home, such as tornados and other weather emergencies; and
       4. (D) evacuating and meeting at pre-determined locations.

15. (o) Emergency plans and procedures reviews. The primary caregiver updates, when necessary, and reviews emergency plans and procedures:

    1. (1) at least once every 12 months;
    2. (2) when children with special needs or chronic medical conditions enroll;
    3. (3) after a drill when procedural issues are identified; and
    4. (4) after an emergency, as identified in this Section.

Added at 34 Ok Reg 200, eff 11-22-16 (emergency)

Added at 34 Ok Reg 1652, eff 9-15-17

Amended at 40 Ok Reg 1033, eff 9-15-23