OAR 414-300-0220
Illness or Injury

(1)

Illness:

(a)

A center shall not admit or retain in care, except with the written approval of the local health officer, a child who:

(A)

Is diagnosed as having or being a carrier of a child care-restrictable disease, as defined in Health Division administrative rules, OAR 333-019-0010 (Disease Related School, Child Care, and Worksite Restrictions: Imposition of Restrictions); or

(B)

Has one of the following symptoms, or combination of symptoms, of illness:
(i)
Fever over 100 degrees F taken under the arm;
(ii)
Diarrhea (more than one abnormally loose, runny, watery or bloody stool);
(iii)
Vomiting;
(iv)
Nausea;
(v)
Severe cough;
(vi)
Unusual yellow color to skin or eyes;
(vii)
Skin or eye lesions or rashes that are severe, weeping, or pus-filled;
(viii)
Stiff neck and headache with one or more of the symptoms listed above;
(ix)
Difficult breathing or abnormal wheezing; or
(x)
Complaints of severe pain.

(b)

A child who shows signs of illness, as defined in this rule, shall be isolated and the parent(s) notified and asked to remove the child from the center as soon as possible;

(c)

If a child has mild cold symptoms that do not impair his/her functioning, the child may remain in the center and the parent(s) notified when they pick up their child;

(d)

A specific place for isolating a child who becomes ill shall be provided. The isolation area:

(A)

Shall be located where the child can be seen and heard by staff; and

(B)

Shall be equipped with a cot, mat, or bed for each sick child.

(e)

An outbreak of a child care restrictable disease, as defined in OAR 333-019-0010 (Disease Related School, Child Care, and Worksite Restrictions: Imposition of Restrictions), or food poisoning shall be reported immediately to the local health department and posted for the parents of all children who attend the facility.

(f)

If a child with allergies is enrolled who needs a specific plan for caring for that child, such a plan shall be developed in writing between center staff, parents, and if necessary, outside specialists. All staff who come in contact with that child shall be fully aware of the plan.

(2)

Injuries:

(a)

All caregivers shall take appropriate precautions to prevent shaken baby syndrome and abusive head trauma.

(b)

The operator shall have written procedures for handling injuries that shall be made known to all staff, including:

(A)

Procedure for taking a child to emergency medical care;

(B)

Routine for treatment of minor injuries; and

(C)

First aid measures for serious accidents.

(c)

First aid supplies and a chart or handbook of first aid instructions shall be maintained in one identified place away from food and food-contact surfaces and be available for staff use but kept out of reach of children:

(A)

The first aid supplies shall include Band-Aids, adhesive tape, sterile gauze pads, soap or sealed antiseptic towelettes or solution to be used as a wound cleaning agent, scissors, disposable plastic gloves for handling blood spills, chlorine bleach for sanitizing after a blood spill, and a sanitary temperature-taking device;

(B)

Separate first aid supplies and a copy of each child’s medical release form shall be taken on all field trips away from the immediate neighborhood.

(d)

Injuries or accidents shall be reported to the child’s parent(s) on the day of occurrence:

(A)

A written report of the injury or accident shall be maintained on file;

(B)

The report shall include the date, child’s full name, nature of the injury, witnesses, action taken, and the signatures of reporting staff and parent(s).

(e)

The injury to or death of a child shall be reported to OCC in accordance with OAR 414-300-0030 (General Requirements)(5)(a) and (c).

(3)

Emergency Medical Care:

(a)

The operator shall identify a licensed physician, hospital, or clinic to be used for emergency medical care;

(b)

In the event of an illness or injury which requires immediate medical care, the director or the substitute director is responsible for securing such care and notifying the parent(s).

Source: Rule 414-300-0220 — Illness or Injury, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=414-300-0220.

414‑300‑0000
Applicability of Rules 414‑300‑0005
Definitions 414‑300‑0010
Application for a Child Care Certificate 414‑300‑0015
Issuance of a Child Care Certificate 414‑300‑0020
Exceptions to Rules 414‑300‑0030
General Requirements 414‑300‑0040
Enrollment 414‑300‑0050
Arrival and Departure 414‑300‑0060
Record Keeping 414‑300‑0070
General Requirements 414‑300‑0080
Director — Qualifications and Duties 414‑300‑0090
Head Teacher — Qualifications and Duties 414‑300‑0100
Teacher 414‑300‑0110
Teacher Aides 414‑300‑0115
School-Age Multi-Site Programs — Additional Staff 414‑300‑0120
Staff Training 414‑300‑0130
Staff/Child Ratios and Group Size 414‑300‑0140
Indoor Space 414‑300‑0150
Outdoor Space 414‑300‑0160
Fire Protection 414‑300‑0170
Hazards and Emergencies 414‑300‑0180
Sanitation 414‑300‑0190
Toilet Facilities 414‑300‑0200
Kitchens 414‑300‑0205
Testing for Lead in Drinking Water 414‑300‑0210
Furniture 414‑300‑0215
Infant and Toddler Furniture and Equipment 414‑300‑0220
Illness or Injury 414‑300‑0230
Medications 414‑300‑0240
Animals in the Center 414‑300‑0250
Food Selection, Storage, and Preparation 414‑300‑0260
Cleaning, Sanitizing, and Storage of Food Service Equipment and Utensils 414‑300‑0270
Nutrition 414‑300‑0280
Meals and Snacks 414‑300‑0290
Program Plan 414‑300‑0295
Program of Activities for All Children 414‑300‑0300
Infant and Toddler Program of Activities 414‑300‑0310
Preschool-Age Program of Activities 414‑300‑0320
School-Age Program of Activities 414‑300‑0330
Guidance and Discipline 414‑300‑0340
Equipment and Materials 414‑300‑0350
Transportation 414‑300‑0360
Night Care 414‑300‑0380
Swimming Activities 414‑300‑0390
Drop-in Care 414‑300‑0400
Suspension, Denial and Revocation 414‑300‑0415
Civil Penalty
Last Updated

Jun. 8, 2021

Rule 414-300-0220’s source at or​.us