When caring for a child who has or is at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who requires health and related services of a type or amount beyond that required by children generally, a school-age center must have a written care plan that includes:
(1) A list of the child’s diagnosis/diagnoses;
(2) Contact information for the primary care provider and any relevant sub-specialists (i.e., endocrinologists, oncologists, etc.);
(3) Medications to be administered on a scheduled basis;
(4) Medications to be administered on an emergency basis with clearly stated parameters, signs, and symptoms that warrant giving the medication written in language that is easy to understand;
(5) Procedures to be performed and person responsible for training staff members;
(6) Allergies;
(7) Dietary modifications required for the health of the child;
(8) Activity modifications;
(9) Environmental modifications;
(10) Stimulus that initiates or precipitates a reaction or series of reactions (triggers) to avoid;
(11) Symptoms for staff to observe;
(12) Behavioral modifications;
(13) Emergency response plans – both if the child has a medical emergency and special factors to consider in a programmatic emergency, like a fire;
(14) Any necessary special skills training and education for staff and the person responsible for training staff members; and

1. (15) Any individualized services (e.g. occupational therapy, speech services) that will be provided at the center. If the individualized service required the child be out of direct supervision of child care staff, parental permission is required.

Statutory/Other Authority

ORS 329A.280

Statutes/Other Implemented

ORS 329A.280

History

DELC 115-2024, minor correction filed 05/09/2024, effective 05/09/2024
DELC 140-2023, amend filed 12/06/2023, effective 01/01/2024
ELD 10-2022, temporary suspend filed 07/06/2022, effective 07/06/2022 through 12/31/2022
ELD 7-2022, adopt filed 07/01/2022, effective 07/01/2022