HomeMy WebLinkAboutORDINANCE - 1776 - 2/11/1986 - BOND INSURANCE OF VILLAGEORDINANCE NO. 1776
AN ORDINANCE AMENDING SEC. 11.103 BOND -
INSURANCE OF THE MUNICIPAL CODE OF THE VILLAGE
OF ELF. GROVE VILLAGE BY ELIMINATING THE
REQUIREMENT FOR EXCESS UMBRELLA LIABILITY INSURANCE
IN THE AMOUNT OF ONE MILLION DOLLARS IN INSTANCES
WHERE THE COMPREHENSIVE GENERAL LIABILITY INSURANCE AND
THE COMPREHENSIVE AUTOMOBILE LIABILITY INSURANCE ARE
INCREASED TO THE SUM OF FIVE HUNDRED THOUSAND DOLLARS
FOR EACH OCCURRENCE AND AN AGGREGATE SUM OF
ONE MILLION DOLLARS
BE IT ORDAINED, by the President and Board of Trustees
of the Village of Elk Grove Village, Counties of Cook and
DuPage, Illinois as follows:
Section 1: That subparagraph 4., of Sec. 11.103
Bond - Insurance of Article I, General Provisions of Chapter
11, Streets and Sidewalks of the Municipal Code be and the
same is hereby amended to read as follows:
4. Excess Umbrella Liability in the amount
of One Million Dollars to cover claims exceeding
the above principal coverages, provided that
such excess umbrella coverage shall not be
required if the amounts of the Comprehensive
General Liability Insurance and the Compre-
hensive Automobile Liability Insurance as
set forth in paragraphs 1. and 3. above are
increased to the sum of Five Hundred Thousand
Dollars for each occurrence and an aggregate
sum of One Million Dollars.
Section 2: That this Ordinance shall be in full
force and effect from and after its passage and approval
according to law.
VOTES: AYES: 5
NAYS: 0
ABSENT: 1
APPROVED:
Village President
T:
Village Clerk
PASSED this 11th day of February 1986.
APPROVED this 11th day of February , 1986.
-2-
I1 IOIS DEPARTMENT OF CHILDREN AND 1ILY S. ICES
TEXT OF ADOPTED RULES
SUBCHAPTER e: REQUIREMENTS FOR LICENSURE
PART 407: LICENSING STANDARDS FOR DAY CARE CENTERS [-
Section
407.1
Purpose
407.2
Definitions
407.3
Effective Date of Standards
407.4
Application for License
407.5
Application for Renewal of License
407.6
Provisions Pertaining to the License
407.7
Provisions Pertaining to Permits
407.8
Organisation and Administration
407.9
Finances
407.10
General Requirements for Personnel
407.11
Child Care Director
407.12
Child Care Workers and Group Workers
407.13
Child Care Assistants
407.14
Use of Students
407.15
Service Staff
407.16
Substitutes and Volunteers
407.17
Background Inquiry
407.18
Admission and Discharge Procedures
407.19
Discipline
407.20
Personal Care and Hygiene
407.21
Program
407.22
Equipment and Materials
407.23
Grouping and Staffing
407.24
Nutrition
407.25
Night Care
407.26
Children with Special Needs
407.27
Infants and Toddlers
407.28
School -Age Children
407.29
Health Requirements for Children
407.30
Transportation
407.31
Plant and Equipment
407.32
Records and Reports
407.33
Confidentiality of Records and Information ---
407.34
Records Retention
407.35
Severability of This Part
APPENDIX
A
MEAL PATTERN CHART FOR CHILDREN 0 TO 12 MONTHS
OF AGE
APPENDIX
B
MEAL PATTERN CHART FOR CHILDREN OVER ONE YEAR
OF AGE
APPENDIX
C
MINIMUM EQUIPMENT,AND SUPPLIES - PRESCHOOL PRO-
GRAMS
APPENDIX
D
MINIMUM EQUIPMENT AND SUPPLIES - INFANT AND
TODDLER PROGRAMS
APPENDIX
E
LICENSED OR REGISTERED PROFESSIONS
AUTHORITY: Implementing and authorized by The Child Care Act of 1969 (I11.
Rev. Stat. 1983, ch. 23, pars 2211 et. leg.).
SOURCE: Adopted and codified at 7 I11. Reg. 9215, effective August 15, 1983;
amended at 8 I11. Reg., effective June 15, 1984; amended at 8 I11. Reg.,
effective January 1, 1985.
LICENSING STAN! IS FO" `Ay CARE CENTERS
Section 407.1 Purbose
a) The purpose of this Part is to prescribe the standards for licensure as
a day care center and to describe bow to apply for a license.
b) The licensing standards set forth in this Part are applicable to day
care centers as defined in the Child Care Act of 1969.
Section 407.2 Definitions
"Accredited" means accredited by the North Central Association of Schools and
Colleges, its regional counterparts, or the National, Accreditation Council.
"Attendance" means the total number of children present at any out time.
"Authorized representative of the Department" means a licensing representa-
tive or any person acting on behalf of the Director of the Department.
"Child" means any person under 18 years of aye.
"Child care facility" means any person, group of persons, agency,
association, or organization, Which arranges for or cares for
children unrelated to the operator of the facility, apart from
the parents in any facility as defined in the Act. Child care
facilities may be established for profit or not-for-profit.
"Child care facility" is further defined in paragraph 2.05 in The Child Care
Act of I969.
"Child care staff" means all staff members providing direct care to children.
"Child care worker" means a staff member responsible for a group of infants,
toddlers, or preschool children.
"Consultant" means a person providing technical assistance or advice regard-
ing any aspect of the total operation of the program.
"Day care center" means any child care facility which-regerlarly
provides day care for less than 24 hours per day for mode than
8 children in a family home, or more than 3 children in;a faci-
lity other than a family home. i
Exclusions from this definition are listed in Section 2.09 of the Child Care
Act of 1969.
"Department" means the Illinois Department' of Children and
Family Services.
"Discipline" means the ongoing process of helping children to develop inner
Controls so that they can manage their own behavior in socially approved
ways.
R 407 (2)
LICENSING oTANDAwS FOR DAY CARE CENTERS
"Employee" means a paid member of the staff.
"Enrollment" means the total number of children served by the facility on
either a part-time or full-time basis.
"Governing body," as used in this Part, means the board of directors of a
corporation; otherwise, the term means the owner(s) or other person(s),
agency, association or organization legally responsible for the operation of
the day care agency.
"Group" means a specialized number of children who remain together at least
60 percent of the time they are at the facility.
"Group worker" means a staff member responsible for a group of school-age
children.
"Guardian" means the guardian of the person of a minor.
"Infant" means a child from 6 weeks to 15 months of age.
"License" means a document issued by the Department of Children and Family
Services which authorizes child care facilities to operate in accordance with
applicable standards and the provisions of the Child Care Act of 1969.
"License study", as used in this Part, means the review of an application for
license, on-site visit(s), interviews, and the collection and review of
supporting documents to determine compliance with the Child Care Act of 1969
and the standards prescribed by this Part.
"Licensee" means an individual, agency, or organization who holds a license
or permit issued by the Department of Children and Family Services.
"Licensing representative", for the purpose of this Part, means Department
staff authorized under the Child Care Act of 1969 to examine facilities for
licensure.
"Licensed capacity" means the maximum number of children permitted in the
facility at any one time.
"Newly employed" means a person employed within the facility subsequent to
the adoption of these standards.
"Parent(s)", as used in this Part, means person(i) assuming legal responsi-
bility for the care and protection of the child on a 24-hour basis; includes
guardian or legal custodian.
"Permit" as used in this Part, means a one-time only document issued by the
Department of Children and Family Services for a six-month period to allow
the individual(s), agency, or organization to become eligible for a license.
"Physician" means a person licensed to practice medicine in the State of
Illinois.
R 407 (3)
LICENSING STAN.ARDS kw( DAY CARE CENTERS
"Program" means all activities provided for the children during their hours
of attendance in the facility.
"Related" means any of the following relationships by blood, marriage, or
adoption: parent, grandparent, brother, sister, stepparent, stepbrother,
stepsister, uncle, aunt, or first cousin.
"Related services" refers to,'but is not limited to, supportive service
(psychological, medical, social, or health) for children in a facility.
"Resource personnel" means physicians, nurses, psychologists, social workers,
speech therapists, physical and occupational therapists, educators and other
technical and professional persons whose expertise is utilized in providing
specialized services to children with special needs.
"Resources" may include related services mentioned above and community
agencies such as, but not limited to, libraries, university laboratories and
their professional staffs, audiovisual materials, museums, and parks.
"School-age children" means children from 6 to 18 years of age.
"Service staff" means any staff member providing indirect care and services
to the children in the facility such as driver, cook, janitor, clerical
staff.
"Services to children with special needs" means services to children who
exhibit one or more of the following characteristics as confirmed by clinical
evaluation:
Visual impairment: the child's visual impairment is such that he or she
cannot develop to his or her potential without special services.
Hearing impairment: the child's residual hearing is not sufficient to
enable him or her to understand the spoken word and to develop language,
thus causing extreme deprivation in learning and communication; or the
child exhibits a hearing loss which prevents full awareness of -environ-
mental sounds and spoken language, limiting normal language acquisition
and learning.
Physical or health impairment: the -child exhibits a physical or health
impairment which requires adaptation of the physical plant.
Speech and/or language impairment: the child 'exhibits deviations of
speech and/or language processes which are outside the range of accep-
table variation within a given environment and which prevent full social
development.
Learning disability: the child exhibits one or more deficits in the
essential processes of perception, conceptualization, language, memory,
attention, impulse control or motor function.
R 407 (4)
LICENSING ANDAT FOR DAX CARE CENTERS
Behavioral disability: the child exhibits an effective disability and/or
malsdaptive behavior which significantly interferes with his learning
and/or social functioning.
Mental impairment: the child's intellectual development, mental capa-
city, and/or adaptive behavior are markedly delayed. Such mental im-
pairment ay be mild -moderate, -severe or profound.
"Staff" means all individuals who are in contact with children in a day care
center.
"Swimming pool," for purposes of this Part, means any natural or artificial
basin of water intended for public swimming or recreational bathing which
exceeds two feet six inches (21611) in depth. The term includes bathing
beaches and pools at private residences when used for children enrolled in a
child care facility.
"Toddler" means a child from 15 months to 2 years of age. The term may in-
clude a child up to 30 months of age depending upon physical or social deve-
lopment.
"Wading pool," for purposes of this Part, means any natural or artificial
basin of water less than two feet six inches (2'6") in depth which is in-
tended for recreational bathing, water play or similar activity. The term
includes recessed areas less than two feet six inches in depth in swimming
pools which ore designated primarily for children.
Section 407.3 Effective Date of Standards
The standards prescribed in this Part shall become effective upon the date
they are officially adopted and published and shall apply immediately to all
facilities which have never been licensed. Day care centers licensed at the
time this Part is officially adopted and published shall have one calendar
year to comply with the new or revised standards.
Section 407.4 Application for License
a) The application for license shall be. completed by the officers of the
governing body of the day care center, or its authorized representative,
on forms prescribed and furnished by the Department.
b) Attached to the application shall be:
1) Articles of incorporation and by-laws, if incorporated, indicating
that the center's corporate status is in good standing with the
Illinois Secretary of State;
2) Statement of purpose(s) and policies as required by Section 407.8c;
3) List of officers, board members and committees of the governing
body;
R 407 (5)
LICENSING STANDARDS FUR DAY CARE CENTERS
4) Three favorable personal references for each member of the governing
body attesting to their character, reputation, and ability to assume
responsibility for the services to be offered by the day care
center;
5) Annual operating budget showing anticipated expenses and income;
6) Staffing plan which includes job descriptions and the qualifica-
tions of the staff.
c) The license shall be issued when the standards prescribed by this Part
have been met. Upon receipt of an application for a license, the
Department shall 'conduct a license study in order to determine that the
day care center meets licensing standards. The licensing study shall be
in writing and shall be reviewed and signed by the licensing supervisor
and the licensing representative performing the study. The applicant
shall receive a copy of the license study upon written request and
payment of copying costs.
d) A new application shall be filed:
1) When an application for license has been withdrawn, and the center
seeks to reapply;
2) When there is a change of address of the day care center;
3) When there is a change of name, ownership or corporate status of
the center; or _
4) When the Department has revoked or refused to renew a license, and
a new license is sought.
e) Approval of the Department is required to effect changes in the license
capacity or the ages of children served in conformance with the re-
quirements of Section 407.23.
Section 407.5 Application for Renewal of License
a) Application forms for license renewal shall be sailed to the day care
center by the Department six months prior to the expiration date of the
license.
b) The application for the renewal of a day care center license must be
completed, signed by the governing body or its authorized representa-
tive, and submitted 'to the Department three months prior to the expira-
tion date of the current license for the application to be considered
timely and sufficient. In addition, revisions in items required by
Section 407.4b which have not previously been submitted to the Depart-
ment shall accompany .the application for the renewal of a license.
c) When a licensed day care center seeks to change its name, address,
corporate status or ownership, a new application reflecting the revised
R 407 (6)
LICENSINf 'TANDA°^S FOR DAY CARE CENTERS
status must be completed, signed by the governing body or its authorized
representative, and submitted to the Department thirty days prior to the
effective date of the change(s) for the application to be considered
timely and sufficient. In addition, a change of name, corporate status
or ownership shall be documented by the filing of a copy of the amended
articles of incorporation or ownership agreement with the Department
within thirty days of its effective date.
d) When a licensee has made timely and sufficient appl-
ication for renewal of a license or a new license
with reference to any activity of a continuing
nature and the Department fails to render a decision
on the application for renewal of the license prior
to the expiration date of the license, the existing
license shall continue in full force and 'effect for
up to thirty (30) days until the final Department
decision has been made. Upon a showing of good
cause by the licensee or the Department, the Depart-
ment shall further extend the period in which such
decision must be made in individual cases for up to
30 days. "Good cause" includes but is not limited
to shortages of staff or forced relocation of the
center. Both the request for the second extension
and the Department's decision on that request shall
be in writing.
e) Upon receipt of the application for license renewal, the Department
shall conduct a license study in order to determine that the day care
center continues to meet licensing standards. The licensing study shall
be in writing and shall be reviewed and signed by the licensing super-
visor and the licensing representative performing the study. The
licensee shall receive a copy of the license study upon written request
and payment of copying costs.
Section 407.6 Provisions Pertaining to the License
a) A day care center license is valid for 2 years unless revoked by the
Department or voluntarily surrendered by the licensee.
b) The license shall not be transferred or transmitted to another person,
organization, or sponsor.
C) The license shall not be valid for an address other than the address
shown on the license.
d) The current license shall be displayed At the facility at all times.
e) There shall be no fee or charge for the license.
f) The number of children specified on the license shall be the maximum in
attendance at the center at any one time.
R 407 (7)
LICENSING ST,_.jARDS ..R DAY CARE CENTERS
g) The facility shall operate within the license capacity, ages of children
served, and areas used for child care as specified on the license document.
h) Unless a day care center is in compliance with the standards prescribed
by this Part, it shall not expand its services or increase its licensed
capacity.
(Source: Amended at 8 Ill. Reg., effective June 15, 1984.)
Section 407.7 Provisions Pertaining to Permits
a) A permit shall not be -issued prior to the following:
1) Completion of the application for license and submission to the
Department;
2) Employment of child care director who meets the standards set forth
in Section 407.10 and development of a projected staffing plan
indicating the timetable by which qualified staff shall be hired;
3) Fire and sanitation clearances required by Section 407.31c docu-
mented by a letter or certificate issued by the agency which con-
ducted the inspection;
4) Proof of Public liability insurance as required by Section 407.8(i)
(such proof may consist of, but is not limited to, a copy of an
insurance policy, binder or certificate or a letter from the
insurance carrier);
5) Plan developed for emergency medical care as required by Section
407.8(c)(2)(i);
6) Plan developed for meeting the nutrition and food service require-
ments of Section 407.24; -
7) Furnishings and equipment have been acquired for the number of
children to be served the six month permit period in accordance
with Appendix C.
8) Medical reports as required by Section 407 and character references
as required by Section 407.32(c)(2) on file at the center for employed
staff;
9) Established procedures and forms for records and reports required
by Sections 407.32.
10) A written plan which indicates that requirements for a license
shall be met within the permit period; and
11) Demonstration of financial capability through an annual projected
budget showing anticipated operating expenses and income.
b) A permit shall not be issued retroactively.
R 407 (8)
LICENSING STANDARDS FOR DAY CARE CENTERS
c) The pemit shall not be renewable.
d) The permit shall not be transferred or transmitted to another person,
organization, or spcnsor.
e) The permit shall not be valid for an address different from the address
shown on the issued permit.
f) A current permit shall be on display at the center at all times.
g) The number of children specified on the permit shall be the maximum
allowed in the facility at one time.
h) The day care center shall not begin operations until isruance of a per-
mit has been recommended, in writing, by the licensing representative
and supervisor.
i) A license shall be issued anytime within the six months period covered
by thtt permit provided the facility achieves compliance with the
ste::o-c rrescribec by this Pert.
j) There shall be no fee or charge for the permit.
Section 407.8 Organization and Administration
a) The members of the governing body of the day care center shall be
legally responsible to the Depaatment for maintaining the standards set
forth in this Part. The members of the governing body shall be of
reputable and responsible character as attested by the three personal
references required by Section 407.4(b)(4). The governing body may
delegate responsibility for day-to-day compliance with the standards.
b) The governing body shall file with the Department written policies
outlining any delegation of responsibility for compliance with this Part
and lines of communication between the governing body, facility staff
and parents.
C) There shall be current written statements, publicly available, covering
the sponsorship, purposes, and goals of the service, a description of
the program and operating policies, procedures and forms.
1) Prior to enrollment, the parent(s) or guardian shall be provided
information about the program and given an opportunity to observe
during the hours of operation.
2) The following information shall be in writing, available to child
care staff, given to and discussed with the parent(s) or guardian
at the time of a child's enrollment:
A) Name(s), business address and telephone number of those
persons legally responsible for the program and of those
R 407 (9)
LICENSING STANDAR FOR 1 CARE CENTERS
persons having immediate responsibility for the daily conduct
of the program;
B) Statement of services, purposes and goals;
C) Description of the daily program;
D) Fees and plan for payment;
E) Policies regarding delinquent fees;
F) Types of insurance coverage for children;
G) Admission, enrollment, and discharge policies and procedures:
i) Hours of operation
ii) Information regarding part-time enrollment, if applicable
iii) Holiday and vacation schedules
H) Arrangements for arrival and departure of children (time,
location, transportation);
I) Provision for emergency medical care, treatment of illness and
accident, which includes:
i) A plan to obtain prompt services of physician and
hospitalization, if needed.
ii) A plan for immediately notifying the parent or guardian
of any illness, accident or injury to the child.
iii) A plan to acquire the services of a certified practi-
tioner for a child exempt from medical care on religious
grounds.
J). Formal religious observance or instruction, if any;
X) Visits, trips, or excursions off the premises;
L) Procedures concerning personal belongings brought to the
center;
H) Policy regarding release of personal information on the child
or family; and
N) Planned means of communication between the center and the
parent(s).
d) The facility shall distribute a summary of the licensing standards,
provided by the Department, to the parent(s) or guardian of each at
the time that the child is accepted for care in the facility. A
summary of licensing standards shall be issued to the parent(s) or
guardian of each child currently in care within sixty (60) days of
the effective date of this rule. In addition, consumer information
materials provided by the Department including, but not limited to,
information on reporting and prevention of child abuse and neglect
and preventing and reporting communicable disease, shall be distri-
buted to the parent($) or guardian or each child cared for when de-
signated for such distribution by the Department. Each child's re-
cord shall contain a statement signed by the thild's:parent(s) or
guardian, indicating that they have received a summary of licensing
standards and other materials designated by the Department for such
distribution.
e) Through interaction with the licensing representative, parents, and
children and through the operation of the day care center in compliance
R 407 (10)
LICENST STAN RDS FOR DAY CARE CENTERS
with requirements of this Part, the governing body and staff shall de-
monstrate a working knowledge of the Child Care Act of 1969, as amended,
the Abused and Neglected Child Reporting Act as amended, (I11. Rev.
Stat. 1981, ch. 23, pars. 2051 et seq.) and standards prescribed by this
Part which affect their particular functions or responsibilities.
f) The governing body shall be responsible for recruiting, hiring, and
maintaining staff as required by this Part.
g) The governing body, or others designated in writing to represent the
facility, shall immediately notify the Department of any major changes
affecting areas of the facility's operations regulated by this Part.
Such major changes include, but are not limited to, governance, loca-
tion, physical plant, finances, staff and equipment needed to meet re-
quirements of this Part.
h) Authorized representatives of the Department shall be admitted to the
center during the hours of operation for the purpose of determining
compliance with The Child Care Act of 1969 and standards set forth in
this Part.
i) The parent(s) or guardian shall be permitted to visit the facility,
without prior notice, during the hours their child(ren) is/are in care.
J) A day care center having more than four employees shall have written
personnel policies available to staff at all times. These may include,
but are not limited to, job description, salary, wages, pay dates,
fringe benefits, social security, worker's compensation, unemployment
insurince, holidays, sick time, vacations, probationary periods, griev-
ance procedures, promotions; termination of employment, and performance
evaluation.
k) The facility shall carry public liability insurance in the single limit
minimum amount of $100,000 per occurrence.
(Source: Amended at 8 Ill. Reg., effective January 1, 1985.)
Section 407.9 Finances
a) The day care center shall maintain a degree of financial solvency
to assure compliance with the standards prescribed in this Part. A
center is considered insolvent if its financial condition is such
that the sum of its debts is greater than all of its property, at a
fair valuation, exclusive of property transferred, concealed or
removed with intent to hinder, delay or defraud its creditors.
(This definition of "insolvency" is based on the definition con-
tained in the United States Bankruptcy Code of 1978, 11 U.S.C.
1011.)
b) The center shall maintain records which shall include projected and
current operating budget.
c) Financial records shall be maintained and kept in the State of
Illinois where they shall be available for licensing review.
R 407 (I1)
LICENSING STANDARDS FOR DAY CARE CEN'T'ERS
Section 407.10 General Requirements for Personnel
a) Staff shall generally have the skill and competence necessary to contri-
bute to each child's physical, intellectual, personal, emotional, and
social development. Factors contributing to the attainment of this
standard include:
1) Emotional maturity when working with children.
2) Willingness to cooperate with the aims of the facility.
3) Respect for children and adults.
4) Flexibility and patience.
5) Physical and mental health which do not interfere with child care
responsibilities.
6) Good personal hygiene.
b) Child care staff, in addition to meeting the requirements of Section
407.10(a), shall generally demonstrate skill and competence necessary to
assume direct responsibility for child care.
1) Child care staff shall demonstrate the skills to help children meet
their developmental and emotional needs. _
2) Child care staff shall demonstrate skill in planning, directing,
and conducting programs that meet the children's basic needs.
3) Child care staff shall be willing to participate in activities
leading to professional growth in child development.
c) No individual shall be in contact with children cared for in a day care
center who, within the preceding 10 years:
1) Has been identified through circuit court (juvenile, criminal,
civil) proceedings as having been a perpetrator of child abuse,
child neglect, or child sexual abuse or through the Department's
investigatory process in accordance with the Abused and Neglected
Child Reporting Act (I11. Rev. Stat. 1981, ch. 23, pars.2051 at se
as having been a perpetrator of an indicated incident of child
abuse, child neglect, or child sexual abuse; or
2) Is awaiting an investigative decision or trial on such charges.
3) For the purposes of Section 407.10c)l) identification through cir-
cuit court proceedings includes:
A) Specific findings by a court that a child's neglect or depend-
ency is the result of physical abuse inflicted by a parent,
guardian or legal custodian.
R 407 (12)
LICENSING STANDARDS FOR DAY CARE CENTERS
B) Criminal convictions and civil judgments regardless of the
type of sentence imposed or amount of damages recovered for
offenses relating to child abuse, child neglect or child
sexual abuse resulting from jury trials, bench (court) trials
or voluntary guilty pleas.
d) Except as stated in Section 407.10(c) an individual convicted of a crime
will not automatically be prohibited from contact with children cared
for in a day care center solely because of the conviction. Instead, the
governing body or its authorized representative shall consider the
following:
1) The type of crime for which the individual was convicted;
2) The number of crimes for which the individual was convicted;
3) The nature of the offense(s);
4) The age of the individual at the time of conviction;
5) The length of time that has elapsed since the last conviction;
6) The relationship of the crime and the capacity to care for
children;
7) Evidence of rehabilitation; and
S) Opinions of community members concerning the individual in
question.
e) Newly employed staff shall present the report of a physical examination
which took place no more than six months prior to employment which pro-
vides evidence that they are free of communicable diseases, including
active tuberculosis, or physical or mental conditions which could affect
their ability to perform assigned duties.
f) Cooks, kitchen helpers, and others assisting in the preparation, serving
and handling of food and cooking/serving utensils shall make their
positions known to the examining physician, and shall comply with the
rules and regulations of the Illinois Department of Public Health per-
taining to Food Service Sanitation (77 I11. Adm. Code 750).
g) Staff shall have physical re-examinations every two years, and whenever
communicable disease or illness is suspected.
h) A staff member experiencing fever, sore throat, vomiting or diarrhea
shall not be responsible for food handling or the care of children.
i) Except during the first hour of operation daily, the center shall have
at least one staff member trained in the administration of first-aid on
duty at all times.
R 407 (13)
LICENSING S1ANi;.1 FuR ; L.'.i1: (_P,TLRS
Section 407.11 Child Care Lirector
a) Except during the center's first hour of operation drily, the child ca.. -e
director or a designated employee meeting the requirements of this
Section shall be at the facility at all times.
b) A qualified individual shall be designated as full-time director of each
facility.
1) The child care director shall be at least 21 years of age.
2) The child care director shall have a high school diploma or equi-
valency certificate.
3) In addition to meeting the requirements of Section 407.10, the
child care director of a facility serving the same number of groups
of preschool and school age children or more groups of preschool
children than groups of school age children shall have achieved:
A) Two years of credit from an accredited college or university
with 18 semester or equivalent quarter hours in courses
related directly to child care and/or child development from
birth to age six; or
B) Two years (3120 clock hours) of child development experience
in a nursery school, kindergarten, or licensed day care
center, one year of college credits with 10 semester or
equivalent quarter hours in courses related directly to child
care and/or child development, and proof of enrollment in an
accredited college or university until two years of college
credit have been achieved. A total of 18 hours in courses
related directly to child care and/or child development is
required to be obtained within the total two years of college
credits; or
_i C) Completion of the credentialing program of the CDA National
Credentialing Award System (The Child Development Associate,
1982) with a current credential as a Child Development Asso-
ciate, completion of 12 semester or equivalent quarter hours
in courses related to child care and/or child development
from birth to age six at an accredited college or university,
and 2 years (3120 clock hours) child development experience
in a nursery school, kindergarten or licensed day care center.
4) In addition to meeting the requirements of Section 407.10, the
child care director of a facility serving more groups of school
age children than groups of preschool children shall have achieved:
A) Two years of credit from an accredited college or university
with 18 semester or equivalent querter,houcs in courses re-
lated to child care and/or child development, including
courses related to school-age children; or
B) Two years (3120 clock hours) of child development experience
in a recreational program or a licensed day care center
serving school-age children, one year of college credits with
10 semester or equivalent quarter hours in courses related
directly to child care and/or child development, and proof of
enrollment in an accredited college or university until two
years of college credit have been achieved. A total of 18
hours in courses related directly to child care and/or child
R 407 (14)
LICENSING (ANDA. FOR DAY CARE CENTERS
development, including courses related to school-age children,
is required to be obtained within the total two years of
college credits.
5) Completion of a teacher training program accredited by the American
Montessori Society or Association Montessori Internationale may be
substituted for the courses directly related to child care and/or
child development required by this Section. Persons holding a
Montessori pre-primary credential may supervise children through
age 6; persons holding a Moniessori primary or elementary creden-
tial may supervise children 6 years of age or older.
6) Persons who are currently employed as a director and who meet the
qualifications of the position at the time of their most recent
employment are considered qualified. Persons who are currently
employed as directors and are working toward becoming fully quali-
fied for the position of director under the standards in force at
the time of their most recent employment must continue to work to
meet those qualifications until completed and shall complete them
within two years of the effective date of this rule.
c) The child care director shall be responsible for the planning and super-
vision of the program and activities of the children; orientation to
newly employed staff; on-site supervision of all staff; and in-service
training totaling a minimum of 15 clock hours per year for each member
of the child care staff. Orientation and training shall include health
and safety procedures, planned program activities, and meal patterns at
the center; and special health, developmental or nutritional needs of
children assigned to individual child care staff.
d) Day care centers licensed for fifty or fewer children, or half-day
programs with children attending no longer than three consecutive hours
per day regardless of capacity, may employ a child care director who
serves also as child care worker. Where the director serves in both
capacities, he/she must meet the qualifications of child care director.
When the director must attend to non -teaching responsibilities, his/her
group must be supervised by a person qualified to be in charge of a
group.
(Source: Amended at 8 I11. Reg., effective January 1, 1985.)
Section 407.12 Child Care Workers and Group Workers
a) Child care workers shall be at least 19 years of age.
b) Child care workers shall have a high school diploma or equivalency
certificate.
c) In addition to meeting the requirements of Section 407. 10, the child
care worker responsible for a group of children under age six shall have
achieved:
1) Two years of credits from an accredited college or university with
six semester or equivalent quarter hours in courses related
R 407 (15)
LICENSING STANDARDS FOR DAY CARE CENTERS
directly to child care and/or child development, from birth to age
six; or
2) One year (1560 clock hours) child development experience in a nursery
school, kindergarten, or licensed day care center and one year of
credits from an accredited college or university with six semester
or equivalent quarter hours in courses related directly to child -
care and/or child development, from birth to age six; or
3) Completion of the credentialing program of the CDA National Creden-
tial Award System (The Child Development Associate, 1982) with a
current credential as a Child Development Associate (CDA).
d) Group workers shall be at least 19 years of age and at least five years
older than the oldest child with whom they work.
e) In addition to meeting the requirements of Section 407.10, the newly
employed group worker responsible for a group of school-age children
shall have achieved:
1) Two years of credits from an accredited college or university with
six semester or equivalent quarter hours in courses related
directly to child care and child development for school-age
children; or
2) One year (1560 clock hours) of experience working, directly with
school-age children and iix semester or equivalent quarter hours
from an accredited college or university in psychology, recreation
or child development; or
3) A high school diploma or equivalency certificate plus two years of
full-time experience in a field related to programming for school-
age children.
f) Completion of a teacher training program accredited by the American Mon-
tessori Society or Association Montessori Internationale may be sub-
stituted for the courses directly related to child care and/or child
development required by this Section. Persons holding a Montessori
pre-primary credential may supervise children through age 6;_ persons
holding a Montessori primary or elementary credential may supervise
children 6 years of age or older.
g) Persons who are currently employed with the responsibilities of a child
care worker or group worker and who meet the qualifications of the
position or a comparable position at the time of their most recent
employment are considered qualified. Persons who are currently employed
with the responsibilities of child care worker or group worker and are
working toward becoming qualified for the position of child care worker
or group worker or a comparable position under the standards in force at
the time of their most recent employment must continue to work to meet
those qualifications until completed and shall complete them within two
years of the effective date of this rule.
R 407 (16)
LICENSING STANDARD'S FOR DAY CARE CENTERS
h) Child care workers and group workers shall be responsible for the
planning and supervision of a group of children. Child care workers and
group workers shall also be responsible for supervising persons assigned
to assist their group who are not similarly qualified.
Section 407.13 Child Care Assistants
a) Child care assistants shall meet the requirements of Section 407.10,
with the exception of subsection (b).
b) Child care assistants shall have a high school diploma or equivalency
certificate (CED).
c) Child care assistants shall work under the direct supervision of a child
care worker or group worker and shall not assume full responsibility for
a group of children.
Section 407.14 Use of Students
a) Students in a field study placement, a practicum, or vocational child
care training program may assist in the care of the children only under
the direct supervision of a child care worker or group worker.
b) Students 14 years of age or older who assist in -the classroom must be at
least 5 years older than the oldest child for whom they care and may not
be counted for purposes of maintaining the child/staff ratio except as
provided in Subsection 407.14(c).
c) Students who have completed one year of a vocational child care training
program and are 16 years of gge or older who assist in the classroom must
be at least 5 years older than the oldest child for whom they care.
These students may be child care assistants when they regularly work
less than four hours per day, except during vacation periods, when they
may not work more than six (6) hours per day. In these cases they may
be counted for purposes of maintaining child/staff ratio requirements
provided the number of students does not exceed one-third of the total
staff required to be present at any one time.
d) Employment or use of students shall not be in violation of the Illinois
Child Labor Law (Ill. Rev. Stat. 1981, ch. 48, pars. 31.1 et seg) or the
child labor provisions of the federal Fair Labor Standards Act (29 U.S.C.
214).
e) A plan for student participation shall be mutually agreed upon, in
writing, by the staff, the representative from the educational insti-
tution, and the student participant where students are enrolled in a
vocational child care training program, a field study placement, or a
practicum course. The written plan shall be in the student's personnel
file within the facility.
f) There shall be a written agreement regarding the procedures for termi-
nating an unsatisfactory student.
(Source: Amended at 8 I11. Reg., effective June 15, 1984.)
R 407 (17)
LICENSING STANU.ucOS F0h DAY CARE CENTERS
Section 407.15 Service Staff
a) Service staff shall have the some personal qualifications as required of
other staff (Section 407.10x).
b) There shall be sufficient service staff so that assignment of service
duties shall not interfere with the child care staff's responsibilities
for the direct care of the children.
Section 407.16 Substitutes and Volunteers
a) Substitutes shall have the some personal, health, administrative, and
professional qualifications required of staff for whom they substitute.
b) Persons agreeing to be available as substitutes or for use in emer-
gencies shall sign a written statement, kept on file in the facility,
certifying to their availability and agreement to serve in this ca-
pacity. This file shall be kept current.
c) Volunteers shall meet the same personal and health requirements required
of other staff (Section 407.10).
d) Volunteers may serve. in any capacity for which they are qualified.
Section 407.17 Background Inquiry
As a condition of issuance or renewal of a license by the Department, the day
care center shall require all prospective and current employees who have
direct contact with children to furnish written information on any offenses
for which they have been convicted in accordance with 89 I11. Ada. Code 358:
Background Inquiry for Purchase of Service Providers. The governing body, at
its discretion, may require volunteers and subcontractor employees who have
direct contact with children to respond to written questions about their back-
grounds.
Section 407.18 Admission and Discharge Procedures
a) The center staff shall ensure that admission procedures provide suffi-
cient information to enable the parent and the child care staff to make
decisions or act on behalf of the child with regard to his or her life
at the facility. Admission data obtained shall be on file at the fa-
cility and shall include:
1) Identifying information and social and personal information to
describe the child, recorded as prescribed in Section 407.32,
Records and Reports.
2) Reports of health examinations, unless waived in accordance with
Section 407.29(x).
3) Professional evaluations required for admission of children with
special needs.
R 407 (18)
LI.CENSI` STAN'" RDS FOR DAY CARE CENTERS
4) Signed consent forms from parents, guardian, or persons designated
by the parents in writing, including:
A) Health care and treatment, including emergency first aid.
B) Formal religious instruction, if applicable.
C) Use of photographs of children for publicity, purposes, if
applicable.
D) Visits, trips or excursions off the premises, when appro-
priate.
E) Child's involvement in research, if applicable.
F) Daily release of the child.
G) Participation in athletic activities such as swimming or
gymnastics.
H) Use of facility transportation, if applicable.
b) The center shall admit only those children eligible under the facility's
written admission policies.
c) Evidence of child abuse shall be reported immediately to authorities as
required by the Abused and Neglected Child Reporting Act, as amended
(I11. Rev. Stat. 1981, ch. 23, pars.2051 et segJ.
d) Children served in the day-care center shall not remain on the premises
for more than 12 hours in any 24-hour period.
e) Children shall be admitted and discharged under circumstances which en-
sure protection of their own and other children's physical and emotional
well-being.
1) The staff shall be alerted to the child's arrival and given the
information necessary to help make the child's initial adjustment
as comfortable as possible.
2) The staff shall understand and consider the child's individual
background and needs.
3) The staff directly responsible for the child shall be alerted to
any personal circumstances which may require special handling.
4) Any child who, after attempts have been made to meet the child's
individual needs, demonstrates inability to benefit from the type
Of care offered by the facility, or whose presence is detrimental
to the group, shall be discharged from the facility.
R 407 (19)
LICENSING S..,SDARDS fOR DAY CARE CENnPS
5) In all instances, when a facility decides that it is in the best
interest of the child to terminate enrollment, the child's and
parents' needs shall be considered by planning with the parent(s)
to meet the child's needs when he or she leaves the facility, in-
cluding referrals to other agencies or facilities.
6) The child care staff shall conduct a daily, pre -admissions screening
to determine if the child has obvious symptoms of illness. If symp-
toms of illness are present, the child care staff shall determine
whether or not to provide care for the child, depending upon the
apparent degree of illness, other children present, and facilities
available to provide care for the ill child.
7) Any child in attendance who becomes ill or who is suspected of
illness shall be immediately isolated from the group and shall be
removed from the facility as soon as possible.
8) A child who does not appear to be fully recovered from an illness
shall not be readmitted to the center unless there is a statment
by an attending physician that the child is able to return and
participate in the activities of the facility.
f) A child shall be discharged from the facility only to the child's parents
or guardian or to a person designated in writing by the parent(s) or
guardian to receive the child.
g) The staff shall refuse to release a child to any person, whether related
or unrelated to the child, w_ho has not been authorized, in writing, by
the parent(s) or guardian to receive the child. Persons not known to
the staff shall be required to provide a driver's license (with photo) or
photo identification card issued by the Illinois Secretary of State to
establish their identity prior to a child's release to then.
-h) When a child is released, in accordance with the written instructions of
the parent(s) or gdardian, to a person other than the parent(s) or
guardian, the facility shall maintain a record of to whom the child was
released, and the date and time that the child was released.
i) Other discharge provisions of this Section notwithstanding, a child
leaving the day care center to attend school shall be released in
accordance with the written authorization of the parent(s) or guardian.
Such authorization shall include the time that the child is to be
released and the means of transportation the child is to use.
Section 407.19 Discipline
a) The facility staff shall use disciplinary measures designed and carried
out in such a way as to help individual. children develop self-control
and to assume responsibility for their own acts.
1) Simple, understandable rules shall be established in writing for
both children and staff. These rules shall set the limits of be -
R 407 (20)
LICENSIN' 7AND/ 'S FOR DAY CARE CENTERS
havior required for the protection of the group and individuals
within it.
2) Discipline shall be the responsibility of adults who have an
ongoing relationship with a child.
3) Discipline shall be developmentally related to the child's act and
shall not be out of proportion to the particular inappropriate
behavior. The child shall be made aware of the relationship bet-
ween the act and the consequences.
4) Removal from the group as a means of helping a pre-school child
gain control shall be for periods not to exceed 15 minutes per
occurrence.
5) If there is an assessment of a child's pattern of unacceptable be-
havior, the entire staff shall be aware of it and cooperate in
carrying out the specific plan developed for him or her.
6) Firs, positive statements about or redirection of behaviors shall
be the effective controlling techniques used with infants and
toddlers.
7) Discipline shall encourage self-discipline, including, when appro-
priate, allowing school-age children to solve their own inter-
personal conflicts.
b) No child shall be subjected, under any circumstances, to corporal
punishment inflicted in any manner upon the body or to verbal abuse, or
be deprived of regularly scheduled meals or any part of meals as punish-
ment, or punished for toilet accidents.
C) Methods of discipline and scans of managing the behavior of a child
which are not cited in this Section shall be in accordance with 89 I11.
Adm. Code 384: Discipline and Rehavior Management in Child Care Faci-
lities.
Section 407.20 Personal Care and Hygiene
a) A child's wet or soiled clothing shall be changed immediately.
b) Children's hands shall be washed before and after meals and after
toileting.
C) Children shall have shower, tub or sponge baths to ensure bodily clean-
liness when necessary.
d) Toilet articles such as comb, brush, toothbrush, towels, and washcloths
used by children shall be individually provided by parent(s) or fa-
cility, plainly marked and stored individually in a sanitary manner in
areas which promote drying. Single -use and disposable articles are
acceptable.
R 407 (21)
LICENSING STANDARDS FOR DAY CARE CENTERS
Section 407.21 Program
a) Each child shall be recogni2ed as an individual whose personal privacy,
choice of activities, cultural, ethnic, and religious background shall
be respected.
b) The staff of the facility, shall demonstrate that the parents are en-
couraged to visit the facility and observe and participate in the
experience of their children.
c) The program shall include opportunities for a child to have free choice
of activities to play alone, if desired, or with one or several chosen
peers.
d) The facility shall provide a basic program of activities geared to the
age levels and developmental needs of the children served. The daily
program shall be posted, and shall provide:
1) Regularity of such routines as eating, napping, and toileting with
sufficient flexibility to respond to the needs of individual
children;
2) A balance of active and quiet activity;
3) Daily indoor and outdoor activities in which children make use of
both large and small muscles;
4) Occasional trips and activities away from the facility (frequency
to be determined by the day care center);
S) A supervised nap period for children under six years of age who
remain five or more hours. This nap period for the group should
not normally exceed two and one-half hours. Children who remain
for as long as four consecutive hours shall have a supervised rest
period.
e) The daily program of the facility shall provide experiences which pro-
mote the individual child's growth and well-being and the development of
self-help and communication skills, social competence, and positive
self-identity.
f) Program planning shall provide the following:
1) A variety of activities which takes into consideration individual
differences in interest, attention span, and physical and intel-
lectual maturity;
2) Sufficient time for activities and routines, so that the children
can manage them and progress at their own developmental rate;
3) Sufficient materials and equipment to avoid excessive competition
and long waits;
R 407 (22)
LICENSIK ;TAND ,3 FOR DAY CARE CENTERS
4) Program planning so that the children are not always required to
move from one activity to another as a total group.
S) A program that avoids long waiting periods between activities and
prolonged periods during which the children must stand or sit; and
b) Provision for privacy through arranging a small, quiet area that is
easily accessible to the child who seeks or needs time to be alone.
S) The program shall take into account the stress and fatigue that result
from constant pressures and stimulation of long hours in a group living
situation.
h) Activity areas, equipment, and materials shall be arranged so that staff
can be easily aware of the child's presence and activity at all times.
i) Equipment shall be arranged in orderly, clearly defined areas of inter-
est, with sufficient space in each area for the children to see various
activities available to them.
J) Staff assignments shall be such that children experience comfortable,
ongoing relationships with adults; every attempt shall be made to
establish a primary relationship between each child and one adult.
Section 407.22 Equipment and Materials
a) Equipment and materials for both indoor and outdoor use shall be appro-
priate to the age and developmental needs of the children served. Such
equipment and materials for infants, toddlers and pre-school children
shall be provided in the quantity and variety specified in Appendix C
(Minimum Equipment and Supplies - Pre -School Programs) and Appendix D
(Minimum Equipment and Supplies - Infant and Toddler Programs).
b) Outdoor equipment shall be placed so as to avoid collisions and acci-
dents while still permitting freedom of action by the children.
c) Supports for climbing apparatus and large equipment shall be securely
fastened to the ground.
d) There shall be a soft, resilient surface or a pad under all climbing
equipment from which children may fall.
e) Sandboxes shall be covered when not in use and shall be cleaned daily of
animal fecal matter if present.
f) Outdoor storage shall be available for equipment not permanently secured
to the ground unless indoor storage space is available.
g) Healthy household pets which present no danger to children are permitted
on the premises unless prohibited by local health regulations. A li-
censed veterinarian shall certify that the animals are free of diseases
R 407 (23)
LICENSING S1..BDARDS rDR DAY CARE CEN'T'ERS
that could endanger the children's health and that dogs and cats have
been inoculated for rabies.
1) All animals shall be physically separated from children both in-
doors and outdoors except as a portion of a specifically planned
program activity under the direct supervision of a staff member.
2) Immediate treatment shall be obtained for any child who sustains a
bite or scratch from an animal and the child's parent(s) shall be
notified. In addition, the county animal control administrator, or
designated agent, shall be notified and provisions of the Illinois
Animal Control Act (I11. Rev. Stat. 1981, ch. 8, pars. 351 et sea.)
shall be followed.
Section 407.23 Grouping and Staffing
a) The facility shall provide staff to ensure the care and safety of the
children at all times.
1) The ratio of child care staff to children present at any one time
shall be as follows:
Age
Infants (6 wks. to
Staff
Children
15 mos.)
1
4
Toddlers (15 mos. to -
2-5 years
1
2 years)
1
5
2 years —
1
8
3 years
1
10
4 years
1
10
5 years & kindergarten
1
20
School-age
1
20
Mixed Ages -
Staff
Children
2-3 years
1
8
2-5 years
1
8
3-4 years
1
10
3-5 years
1
10
4-5 years
1
10
School-age
1
20
2) The total number of children in
any one group
shall not
exceed the
following maximum number at any
one time:
Infants
12
Toddlers
15
Infants/Toddlers
14
two to three year olds
16
two to four year olds
16
two to five year olds
16
R 407 (24)
LICENST STANr'RDS FOR DAY CARE CENTERS
three to four year olds 20
three to five year olds 20
four to six year olds 20
six year olds and older 30
3) The following exception to Section 407.23(a) is permitted: a child
care worker or group worker aided by a child care assistant, may
supervise s group of up to 30 children S years of age or older.
However when the number of school-age children in a group exceeds
20, the group shall be supervised by a group worker.
4) Facilities licensed for 10 or fewer three to five year old children
operating with only one regular staff person shall provide:
A) A daily assistant to help at those times when attention must
be given to activities other than direct care of children;
B) At least two persons who can respond to a call and be on the
premises within five minutes, so that the adult in charge will
not have to leave the children unattended;
C) A substitute who shall be familiar with the children and pro-
gram.
b) The facility shall have developed a staffing plan which organizes the
staff and enables them to give continuity of care and supervision to the
children on a day-by-day basis.
1) Staff changes shall be minimized so that the child can experience
consistent relationships with as few adults as possible.
2) Staff shall be aware of the presence and activities of the children
under their care.
3) Substitutes shall be provided for staff needed to meet the require-
ments of this Part.
4) Substitutes shall visit the facility to become generally familiar
with the program in advance of the time they may be called.
5) With the exception of' infants and toddlers, children may be under
the direct supervision (staff in the same room) of 50% of the staff
required by this Section during nap times, provided the required
staff -to -child ratio is maintained on the premises. Infants and
toddlers shall be under the direct supervision of staff required by
this Section at all times.
6) Children shall not be left unattended at any time.
(Source: Amended'at 8 Ill. Reg., effective June 15, 1984.)
R 407 (25)
LICENSING STA. ARDS i - DAY CARE CENTERS
Section 407.24 Nutrition
a) Food requirements for children between 6 weeks and the age of eating
table food shall be geared to the needs of the individual child and
determined by consultation with the parents.
b)- The main meal for children between birth and the age of eating table
food shall be nutritionally balanced, conforming to age-appropriate
portions and variety as reflected on the Meal Pattern Chart for Children
0 to 12 Months of Age, (Appendix A) unless otherwise indicated by
parent(s) in consultation with a physician.
c) Children one year of age and older in attendance for more than two but
less than five hours shall be served a mid -session snack consisting of
one-half cup of pure fruit juice or full-strengtb canned or frozen
fruit juice which contains at least 30 miligrams of vitamin C per serving,
or one to one-half cup of pasteurized milk, or one serving of citrus
fruit. If the child's hours at the facility coincide with any meals
and snacks that are provided by the facility, the child shall be served
those meals and snacks.
d) Children one year of age and older who are in attendance five to ten
hours shall be served a quantity of food that will supply 1/3 to 1/2 of
their recommended dietary allowances. This shall include a mid-morning
and a mid-afternoon anack which conforms to Section 407.24(c) and a
nutritious meal conforming to age-appropriate portion reflected in the
Meal Pattern Chart For Children Over One Year of Age (Appendix B).
e) The main meal shall be a hot -meal, except during the months of June
through September when a cold meal conforming to Meal Pattern Chart
(Appendix B) may be substituted.
f) A snack in conformance with Section 407.24 (c) shall be served to
school-age children when they arrive at the facility after school.
g) Children who come to the facility from school for a lunch program shall
be served a nutritionally balanced meal in accordance with the Meal
Pattern Chart (Appendix B).
h) School-age children shall be served alone or with younger children if
this can be accomplished without disruption to the ongoing program.
i) Menu requirements:
1) Menus shall be planned, dated, and posted for one week in advance,
and corrected as served. Corrected menus shall be on file at the
center and available for review by the licensing representative.
Current menus shall be posted.
2) Menus shall be planned with consideration for cultural and ethnic
patterns, but must also be nutritionally equivalent to the require-
ments of this Section.
R 407 (26)
LICENSING-TANDAP^q FOR DAY CARE CENTERS
3) Catered foods shall meet the requirements of this Section.
4) Lunches shall not be brought from home as a substitute for a meal pro-
vided by the facility. Picnic lunches which conform to Meal Pattern
Chart for Children Over One Year of Age (Appendix B) may be served.
j) Provisions of this Section notwithstanding, a child requiring a special diet
due to medical reasons, allergic, reactions, or religious beliefs shall be
provided meals and snacks in accordance with the child's needs and the writte:
instructions of the child's parent(s), guardian, or a licensed physician.
Such instructions shall list any dietary restrictions/requirements and shall
be signed and dated by the child's parent(s), guardian, or physician request-
ing the special diet. The center may request the parent(s) or guardian to
supplement food served by the center. When food is supplied by the parent(s)
or guardian, the center shall be responsible for assuring that it is properly
stored and served to the specific child in accordance with the diet instruc-
tions on file at the center. Records of food intake shall be maintained when
indicated by the child's physician.
k) Food service requirements:
1) Children shall be served small servings of bite -size pieces.
2) All meals shall be suitable for children and shall be prepared by
methods designed to conserve nutritive value, flavor, and appearance.
3) Adults shall sit at the tables with the children during meals.
4) Delays in food service shall be avoided so that children do not have
to sit and wait. -
S) Meals shall be relaxed and unhurried.
6) Children shall not be forced to eat.
7) Tables, chairs, dishes, glasses, and eating utensils shall be of
design and size suitable for children of the age served.
1) The facility shall have drinking water freely available to all children.
Water shall be offered at intervals to infants and toddlers.
m) Drinking fountains and/or disposable cups for individual use shall be providec
(Source: Amended at 8 I11. Reg., effective June 1S, 1984.)
Section 407.25 Hight Care
a) A center receiving children for night care shall comply with standards for all
day care centers except when inconsistent with the special requirements pre-
scribed by this Section.
b) Staff counted for purposes of meeting child/staff ratio requirements
shall be awake at all times.
R 407 (27)
LICENSING STANDARDS POR DAY CARE CENTERS
c) Each child shall have an individual cot, bed, or crib equipped with
comfortable bedding appropriate to the indoor room temperature and
maintained in sanitary and safe condition.
d) Each child shall have an individual washcloth, towel, toothbrush, comb
or brush, and sleepwear furnished either by the center or the child's
parent (a)
e) The night care program shall facilitate a relaxed atmosphere character-
ized by informal quiet activities.
1) Scheduling shall reflect the need for regularity in meeting basic
needs such as relaxation,- meals, self-care, and sleep.
2Y Evening activities shall be primarily self-selected by individuals.
Selections shall be chosen from activities such as, but not limited
to, outdoor play, reading, lounging, study, table games, group
games, conversation, listening to music, watching television,
dramatic play, and art.
3) Self-care routines shall include:
A) Brushing teeth at bedtime or upon rising;
B) Brushing the hair upon rising; and
C) A routine for toileting scheduled at bedtime and upon rising.
4) Sleeping arrangements shall be such that the children who stay all
night are not disturbed by the departure of those who stay only a
portion of the night.
f) An evening meal shall be served at a regular time each evening to all
children then in attendance, and shall be available to other children
who may arrive without having first eaten.
S) A bedtime snack shall be served to each child.
h) Breakfast shall be provided for all children who have been at the
facility throughout the night and are present between 6:30 and 8:30 a.m.
Section 407.26 Children with Special Needs
a) A center receiving children with special needs shall comply with stan-
dards for all day care centers except when inconsistent with the special
requirements prescribed in this Section.
b) There must be written evidence on file that resource personnel with
appropriate expertise have been consulted and their recommendations
` considered in planning program activities for children identified as
having special needs.
R 407 (28)
LICENSI STAN' DS FOR DAY CARE CENTERS
c) Recommendations made by the resource personnel and designed into a
program plan by the resource team for the child with special needs shall
be implemented. The resource team shall consist of the director, direct
child care staff, and registered, licensed, and/or certified resource
personnel such as physicians, psychologists, social workers, speech
therapists, physical and occupational therapists, educators, and other
technical and professional personnel, as indicated by the child's
special needs.
d) All program recommendations from resource persons related to a child's
special needs shall be evaluated and reviewed at least twice a year.
e) Parents shall be fully informed and in agreement with all procedures
undertaken in relation to the child's needs.
f) When a facility agrees to accept a child with special needs who attends
school, school records shall be obtained by the facility, and communica-
tion with school personnel and parents regarding the child's special
needs and progress shall be maintained.
S) Building and equipment shall be designed so that every child can make
maximum use of the facility as safely and as independently as possible.
1) The facility areas to be utilized by a child with special needs
shall be adapted as necessary to accommodate special devices which
may be required to function independently.
2) Hinimum space requirements per child with special need(s) shall be
35 square feet.
3) A special area shall be maintained for the purpose of providing
privacy for diapering, dressing, and other personal care proce-
dures.
h) Persons rendering special professional services to these children must
be registered according to state registration and/or certification laws
currently in effect, if applicable, or must function under the direction
of a person so qualified. (See Appendix E for professions requiring
license or registration.)
I) When a facility serves eight or more children with special needs, the
identified staff person or persons directly responsible for planning and
coordinating activities for these children shall have achieved training
at the college and(or university level which includes:
1) A course that deals with normal child development;
2) A course that deals with problems and treatment of exceptional
children.
R 407 (29)
LICENSING STAiDARD5 r0R DAY CARE CENTERS
j) The staff serving children who require special program services shall
receive in-service training that relates to the specific needs of the
children served.
k) When children with special needs are served as a group, the ratio of
child care staff to the number of children served shall be 1:4. This
ratio excludes student helpers under 18 years of age and adults who are
also served in the program.
1) Medical consultation and direction shall be available to staff. Other
medical services, such as direct medical care to the child, shall be
administered as required by a physician, subject to receipt of appro-
priate releases from parents. These shall be on file for each child for
administration of any and all prescribed medicine.
m) Individual records shall be made available to parents and shall include
information needed to assist the staff in planning effectively to meet
each child's needs, and shall be kept confidential. No record or por-
tion thereof shall be transferred without written parental permission.
1) The individual record shall include:
A) All assessments;
B) Program recommendations;
C) Program provisions to meet recommendations;
D) Program evaluations; and
E) Program adjustments as indicated by the evaluations.
2) Facilities shall make known to the parents that records are avail-
able.
Section 407.27 Infants and Toddlers
a) A center receiving children within the infant and toddler age range
shall comply with standards for all day care centers, except when
inconsistent with the special requirements prescribed by this Section.
b) A center serving infants and toddlers shall have a licensed physician,
registered nurse, licensed practical nurse or licensed physician's
assistant with training or experience in infant care to instruct child
care staff in the. proper health care of infants and toddlers. The
person shall visit the facility to observe the child care techniques of
the staff and provide in-service training. Visits shall be at least
weekly during the permit period and monthly thereafter.
c) A facility for infants and toddlers shall have sufficient indoor and
outdoor space and appropriate furniture to provide for support functions
necessary to the program.
R 407 (30)
LICENSIN TAND, ;FOR DAY CARE CENTERS
1) Separate space for infants and toddlers shall be available away
from older children except in facilities enrolling 10 or fewer
children.
2) When infants play and sleep in the same room there shall be a
minimum of 25 square feet of space per child for play area plus a
minimum of 30 square feet of space per child for sleeping area,
with at least two feet between each crib or cot.
3) When infants play and sleep in separate rooms there shall be a
minimum of 25 square feet of play space per child and a minimum of
30 square feet of space per child for sleeping area with at least
two feet between each crib or cot.
4) When toddlers play and sleep in the same room using stackable cots
there shall be 35 square feet of space per child.
5) When toddlers play and sleep in the same room using cribs there
shall be a minimum of 55 square feet of space per child. However,
when children are in their cribs there must be a minimum of two
feet between the cribs.
6) When toddlers play and sleep in separate rooms there shall be a
minimum of 35 square feet of play space per child and a minimum of
30 square feet of space per child for sleeping with at least two
feet between each cot or crib.
7) A sink or lavatory for the infant/toddler program shall be easily
accessible for the use of staff for hand washing and for use by the
children.
8) A toilet for the infant/toddler program shall be easily accessible
so that the contents of cloth diapers, if used, may be disposed of
before platin$ diapers in the diaper pail.
9) One toilet with training seat, child -size toilet or potty chair
shall be provided for every three toddlers being toilet -trained.
:0) No extension cords shall be used in areas accessible to children.
All electrical cords not in use with supervision of an adult shall
be unplugged and the outlets covered.
:1) There shall be a heating unit for warming bottles and food access-
ible only to adults.
:2) Safe, sturdy, well -constructed individual free-standing cribs,
portable cribs, or playpens used for sleeping shall be equipped
with good, firm, fitting mattresses made of materials that can be
washed. Stacking cots constructed of washable materials or full-
size cribs shall be provided for toddlers.
R 407 (31)
LICENSING STANDARDS FOR DAY CARE CENTERS
13) There shall be no more than 1h inches of space between the mattresf
and bedframe when the mattress is pushed flush to one corner of the
crib.
14) A refrigerator shall be available and easily accessible to the
children's room.
15) Conveniently located, washable, plastic -lined covered receptacles
shall be provided for soiled diapers and linens.
d) Indoor and outdoor play materials and equipment suitable for staff to
use with infants and toddlers to stimulate learning, growth, health, and
development shall be provided.
1) Equipment and play materials shall be durable and free from
characteristics that may be hazardous or injurious to infants and
toddlers. Hazardous or injurious characteristics include sharp,
rough edges; toxic paint; and objects small enough to be swallowed.
2) Equipment and play materials shall be maintained in sound, clean
condition at all times.
e) Care of the children shall be given in such a manner as to ensure that
the health and safety needs, as well as the nurturing requirements, of
the children are met.
1) Diapering and toileting:
A) Infants and toddlers shall be diapered in their own cribs, at
a central diapering area on a surface that is sanitized after
each use, or on a disposable paper sheet which is disposed of
after each diapering.
B) The child's hands shall be washed, prior to the anal area with
a clean, damp, soapy cloth, then rinsed with a second clean
cloth in the same order.
C) The fecal contents of the diaper shall be disposed of into a
flushing toilet, with the diaper then being placed in a diaper
pail.
D) Adults shall wash hands with soap and running water after each
diaper change.
E) Bathroom odors shall be controlled.
F) There shall be a parent -staff consultation prior to toilet
training.
2) Feeding:
R 407.(32)
LICENSIN ?AND/ S FOR DAY CARE CENTERS
A) Hands of staff members shall be washed and dried with indivi-
dual or disposable towels before each feeding of individual
children. Each child's hands shall be washed and dried with
individual or disposable towels before each feeding.
B) Flexible feeding schedule of infants shall be established to
coordinate with parents' schedules at home and to allow for
nursing infants.
C) Infants up to 6 months of age shall be held while being bottle
fed. Infants of more than 6 months may be held, if needed.
Bottles shall not be propped at any time. When infants are
old enough to hold their own bottles, they may feed themselves
without being held. The bottle must be removed once the child
has fallen asleep.
D) If the child's formula is brought in by the parent it shall be
labeled and placed in the refrigerator.
E) Foods stored or prepared in jars shall be served from a
separate dish for each infant. Any leftovers from the serving
dish shall be discarded. Leftovers in the jar shall be
labeled with the infant's name, dated, refrigerated, and
served within 24 hours or discarded.
F) Children shall be allowed and encouraged to feed themselves.
Supportive help to the child from the staff shall be main-
tained for as long as the child needs such help.
3) Sleeping:
A) Each child shall be placed in a separate bed that has the
child's name visible.
B) Very young infants who cannot turn over alone shall be placed
on their abdomen for their naps and immediately after a feed-
ing unless a physician has ordered otherwise.
C) Sheets shall be changed when soiled. All sheets shall be
changed routinely two times per week.
D) All beds shall be wiped clean as often as necessary and
cleaned twice a week with a germicidal solution.
E) All beds shall be thoroughly cleaned when each child is no
longer enrolled in the'nursery. At no time will two children
be allowed to share the same bed during their time of enroll-
ment unless it is thoroughly cleaned between each child's use.
F) Routines, such as naps and feeding, shall take into considera-
tion parents' information and wishes about the routines fol-
lowed in the home.
R 407 (33)
LICENSING STANDARDS FOR DAY CARE CENTERS
4) Sanitary procedures:
A) All cooking and feeding utensils shall be washed after each
use.
B) Toys and equipment shall be cleaned daily with a germicidal
solution.
C) A child's toilet seat or potty shall be cleaned and sanitized
after each use.
f) Infants and toddlers shall be provided a daily program that is designed
to meet the developmental needs of children of this age.
1) The same staff member shall feed, diaper, and play with a child
every day so as to establish interaction and to establish conti-
nuity in the child's relationship with as few adults as possible.
2) Children shall be free to creep, crawl, toddle, and walk as they
are physically able.
3) Children shall be taken outdoors for a portion of every day,
weather permitting.
4) A variety of toys shall be accessible on low open shelves for the
children to use and these shall be rotated with stored toys.
5) For those infants who cannot move about the room, the staff shall
frequently change the place and position of the child and the
selection of toys available.
6) Information shall be kept and made available to parents when the
child is picked up at the end of the day.- This shall include
information important for parents to know, such as facts of feeding
and elimination.
7) Opportunities for interaction with parents, brothers and sisters,
other relatives, and older children in the facility shall be pro-
vided for and encouraged on a continuing basis.
g) The daily program for infants and toddlers shall provide experiences
which promote the individual child's growth and well-being in the de-
velopment of gross and fine motor skills, sensory learning, language,
cognition, and positive self-concept.
h) Infants who are awake shall be moved to different positions at least
every 30 minutes and shall be held, rocked, and carried about.
i) Self-care such as washing, dressing, toileting, brushing, and combing
shall be encouraged as each child shows evidence of ability to do so.
R 407 (34)
LICENSING r'%NDARD° TOR DAY CARE CENTERS
Section 407.28 School -Age Children
a) A center receiving children within the school-age range shall comply
with standards prescribed for all day care centers except when incon-
sistent with the special requirements prescribed by this Section.
b) The facility shall provide a designated area so that the older
children's presence shall not interfere with the needs and care of
younger children.
c) Clear definitions of legal responsibility and procedures shall be esta-
blished between parent, facility and school when children move to and
from school.
1) A parent shall be legally responsible for the child enroute unless
transportation is provided by the facility or the school.
2) Procedures shall be established and agreed upon in writing by the
parents, the school and the facility including, but not limited to:
A)
Children
leaving
the facility to go to school;
B)
Children
leaving
school to go to the facility;
C)
Children
leaving
the facility; and/or
D)
Children
leaving
school for regular school activities or
visiting
friends.
-
d) Indoor equipment shall be available so as to provide for active and
quiet play appropriate to the age levels and developmental needs of the
children.
e) Outdoor equipment appropriate to the developmental levels of the chil-
dren in care shall be provided, including sports equipment, outdoor
games and activities.
f) The facility shall provide a program and activities that recognize the
developmental and educational needs of school-age children who need
group care before and after school.
1) Quiet activities such as, but not limited to, puzzles, small games,
reading books, simple art or special projects, and opportunities to
do homework shall be accessible on a free choice basis to children
waiting in the facility to leave for school during the morning
hours.
2) Children who have been in school all day shall have time set aside
for relaxation and recreation immediately upon arrival from school.
3) Opportunity shall be available for the development of skills in
areas such as, but not limited to, sports, art, and music.
R 407 (35)
LICENSING STANDARDS FOR DAY CARE CENTERS
4) Special projects outside the confines of the facility shall be
provided, such as trips to the library.
5) The program shall be flexible to allow the children to participate
in after-school activities sponsored by the school.
Section 407.29 Health Requirements for Children
a) A medical report, on forms prescribed by the Department, shall be on filo
for each child and shall be dated no earlier than 6 months prior to enrollmen
1) The medical report shall be valid for two years, except that sub-
sequent examinations for school-age children shall be in accordance
with the requirements of the Illinois School Code (I11. Rev. Stat.
1981, ch. 122, par. 27-8.1), provided copies of the exam are on file
at the facility.
2) A tuberculin test shall be included in the initial exam only.
3) The report shall indicate that the child has been immunized as required
by the Rules and Regulations of the Illinois Department of Public
Health for immunizations. These required immunizations are poliomye-
litis, measles, rubella, diphtheria, mumps, pertussis and tetanus.
4) In accordance with the Child Care Act of 1969, as amended, a parent
may request that immunizations, physical examinations, and/or medical
treatment be waived on religious grounds. A request for such waiver
shall be in writing, signed by the parent, and kept in the child's recor,
5) Exceptions made for children who for medical reasons should not
be subjected to immunizations or tuberculin test shall be so indi-
cated by the physician on the child's medical form.
b) Necessary medications may be administered to a child at the facility
provided that:
1) The facility shall maintain a record of the dates, hours, dosages,
and the name of the person administering them;
2) Prescription medications shall be labeled with the child's name,
directions for administering the medication, the date and the
physician's name, the prescription number. and drug store or pharmacy;
3) The medications shall be administered as required by a physician
subject to the receipt of appropriate releases from parents, and
these shall be on file for each child for the administration of any
and all prescribed medications;
4) Nonprescription medication may be administered upon written
parental permission. Such medication shall be administered in
accordance with package instructions, and, except for aspirin and
R 407 (36)
LICENSING STANDA°nS FOR DAY CARE CENTEFS
aspirin substitute, shall be labeled with the child's name and
dated.
5) Medications shall be kept in locked cabinets or containers which
are in an area well -lighted and out of reach of children even if
medications must be refrigerated.
6) The following additional procedures shall be followed for infants
and toddlers:
A) A bulletin board or clipboard shall be placed in a visible
position with the child's name, medication times, and pre-
scription number listed on the board. Also listed shall be
the name of the person administering the medication.
B) Each time the medication is given, the medication time shall
be crossed off the board.
C) The same person on a shift shall be responsible for admini-
stering medication.
(Source: Amended at 8 I11. Reg. , effective June 15, 1984.)
Section 407.30 Transportation
a) A center providing transportation services shall comply with the driver
licensing, Rules of the Road, -financial responsibility, vehicle equip-
ment and vehicle inspection provisions of the Illinois Vehicle Code
(I11. Rev. Stat. 1981, ch. 95� pars 6-101, 6-102, 7-100 et seg, 11-100
It seg and 12-100 et seg). -
b) The driver of a vehicle transporting children on behalf of a day care
center shall be at least 21 years of age.
c) The driver and attendants shall meet the requirements of Section 407.10.
d) The driver shall not leave the vehicle unattended at any time while
transporting children.
e) The driver shall see that each child boards and leaves the vehicle from
the curb side of the street and/or is safely conducted across the
street.
f) The driver shall see that a responsible person as designated by the
child's parent(s) or guardian is present to take charge of a child when
delivered to his home or to the center.
S) The driver shall see that order is maintained in the vehicle for safety
of the children in transit.
h) The number of children transported in a vehicle shall not exceed the
manufacturer's rated passenger capacity.
R 407 (37)
LICENSING STANDARDS FOR DAY CARE CENTERS
i) A driver alone may transport 2 infants or 3 toddlers, and shall be assis_ed
by an adult attendant for each additional 1 to 3 infants or 1 to 4 todc:.rs.
j) A driver alone may transport 8 children between 2 and 5 years of age, an
shall be assisted by an adult for each additional I to 9 children between_
2 and 5 years of age.
k) When infants or toddlers are transported with children over 30 months of
.age or when children over 5 years of age are transported, the staff -to -
child ratio shall be in accordance with Section 407.23,
1) Age-appropriate safety restraints which are federally approved and
labeled as such shall be used at all times when transporting children
in vehicles having a gross weight of less than 10,000 pounds, except
that individual safety restraints shall not be required when children
ride as passengers in taxicabs or common carriers or public utilities
operating under the jurisdiction of the Illinois Commerce Commission.
"Age-appropriate safety restraint" for a child under four (4) years
of age means a child restraint system (infant carrier, infant/toddler
seat, or convertible safety seat); "age-appropriate safety restraint"
for a child four (4) years of age or older means a child restraint
system or seat belt (lap belt or lap -shoulder belt combination).
m) A vehicle used by the center to transport children shall be maintained
in mechanically safe condition at all times.
n) Any vehicle designed for the transportation of more than 10 persons (in-
cluding the driver) shall be -equipped with a first aid kit when used for
transporting children. The first aid kit shall consist of Band-Aids, ste-
rile gauze pads, 40 -inch triangular bandage with two safety pins, wire or
wood splint, adhesive tape, scissors and instructions for use of the con-
tents of the kit.
(Source: Amended at 8 Ill. Reg., effective January 1, 1985.)
Section 407.31 Plant and Equipment
a) The physical facilities provided both indoors and outdoors shall protect
the health and safety of children.
1) The building housing a center shall be approved prior to occupancy
and license renewal by the Illinois Department of Public Health and
the Office of the State Fire Marshal or local agencies authorized
by those State agencies to conduct inspections on their behalf.
Otherwise, inspection and approval shall be in accordance with the
regulations of the proper health and fire authorities.
2) The building or portion of the building to which children from the
center have access shall be used only for a program of child care
during the hours that the center is in operation. This shall not
be construed to mean that the space used for the program cannot be
shared by other groups or persons when the children enrolled are
not present.
3) There shall be a posted emergency plan for evacuation, and monthly
fire drills shall be conducted at the center for the purpose of
R 407 (38)
LICENSING SIANDARDS rOR DAY CARE CENTERS
removing children from the center as quickly as possible. Records
shall be _aintained of the dates and times fire drills are conducted.
4) In facilities established after the effective date o° this ruin, in-
fants anc toddlers shall be housed and cared for at i fund level.
Travel distance between any point in a room used for .nfants anc,
toddlers and an exit discharging directly outside shall not exceed
150 feet.
5) The program shall be modified, as needed, when there are adverse
environmental conditions caused by weather, heating or cooling
difficulties, or other such problems.
b) There shall be sufficient indoor space to conduct the program.
1) There shall be a minimum of 35 square feet of activity area per
child in centers for normal children two years of age and older.
This space is exclusive of exit passages and fire escapes, which
must clear. This space is also exclusive of administrative
space, ssorage areas, bathrooms, kitchen, space required for ecuip-
cen_ is not used for direct activities with children, an:; C;mina-
sit s or other areas used exclusively for large muscle activity or
active sports.
2) During nap time, there shall be at least two feet of space on at
least two sides between cots.
3) Storage space shall be provided for cots, bedding, and other equipment.
4) One room, no matter how large, shall accommodate only one group,
except that room dividers or program equipment at least 3'6" in
height may be used to define and separate the space for each group
of children up to age five. Gymnasiums and similar sized areas may
accommodate two groups, without dividers, when used for large
muscle activity and active sports.
5) All rooms or spaces accommodating more than one group shall be pro-
vided with an acoustical ceiling or its equivalent in carpeting or
wall covering. If carpeting is used to control noise, it shall not
be required in water play, painting, and similar areas.
c) Indoor space shall provide a safe, comfortable environment for the children.
1) Adjustable window shades, drapes, or venetian blinds shall be provided.
2) The floors and floor coverings shall be washable and free from
drafts, splinters, and dampness.
3) Toxic paints or finishes shall not be used on walls, window sills,
beds, toys or any other equipment, materials or furnishings which
may be used by children or within their reach. Peeling or damaged
paint or plaster shall be repaired promptly to protect children
from possible hazards.
R 407 (39)
LICENSING STANDA. , FOR .S CARE CENTERS
4) Any thermal hazards (radiators, hot water pipes, steam pipes,
heaters) in the space occupied by children shall be out of the
reach of children or be separated from the space by partitions,
screens, or other means.
5) Sharp scissors, knives, matches, lighters, flammable liquids,
drugs, power tools, cleaning supplies and any other such items
which might be harmful to children shall be kept in areas
inaccessible to children.
6) The facility shall be well ventilated, and shall maintain a
temperature of not less than 68 degrees Fahrenheit and not more
than 74 degrees Fahrenheit measured 3 feet above the floor. Rela-
tive humidity shall be maintained at between 35 and 60 percent.
7) Areas where children read, paint, or participate in other activi-
ties requiring close eye work shall be provided with a minimum of
50 foot candles measured 2 feet above the floor. Artificial light
sources shall be protected from hazards of breakage by installation
of covers or shields. Other areas may be provided with foot
candles of varying intensity, depending on the usage; the average
foot candles for the entire classroom area shall be at least 30
foot candles measured 2 feet above the floor.
d) A safe outdoor play area shall be provided.
1) The outdoor play area shall accommodate 25 percent of the licensed
capacity at any one time.
2) There shall be a minimum of 75 square feet of safe outdoor play
area per child for the total number of children using the area at
any one time.
3) Play space shall be safely enclosed or otherwise protected from
traffic and other hazards.
4) Protective surface, such as, but not limited to, grass, P -gravel,
and mulching shall be provided in areas where climbing apparatus is
used.
5) There shall be provided a surface that is suitable for children's
wheeled vehicles and pull toys.
6) Play areas shall be well drained and maintained in a safe, clean,
and sanitary manner.
7) There shall be open and sheltered areas to permit children to enjoy
activities in either sun or shade and to protect them from exces-
sive exposure.
3) If an area not connected with the facility, such as a public park
or playground, is used for play or recreation, the children shall
R 407 (40)
LICENSING 1NDART °OR DAY CARE CENMRS
be closely supervised both during play and while traveling to and
from the area.
e) Toilets and lavatories shall be readily accessible to the children.
1) If toilets and lavatories are not child -sized, safe steps shall be
provided.
2) Hot and cold running water shall be provided.
3) Mild soap and individual towels shall be available and used.
Towels may be disposable.
4) Hot water supplied to lavatories, bathing facilities, and other
plumbing fixtures used by children shall be tempered or thermo-
statically controlled to less than 120°F.
5) The following ratios of lavatories and toilet facilities shall be
provided.
Number of Children
in day care facility Toilets -Lavatories
1
to
10
1 1
11
to
25
2 2
26
to
50
3 3
51
to
75
4 4
76
to
100
5 5
•101
to
125
6 6
126
to
150 -
7 7
151
to
175
8 8
6) Toilet and handwashing areas for school-age children shall provide
for privacy.
7) Toilets shall be within close proximity to the children's activity
areas. If this is not possible in existing facilities, an adult
shall accompany children four years of age and younger.
f) Toilet and lavatories shall be readily accessible to the staff.
g) Kitchen sinks used for food preparation shall neither be used as hand -
washing lavatories, nor included in the total number of handwashing
lavatories required.
h) Space shall be provided for a child who becomes ill at the center. Such
space shall be ventilated and heated; equipped with a cot and materials
that can be easily sanitized; and shall be within sight and hearing of
an adult.
i) A safe and sanitary water supply shall be maintained. If a private
water supply is used instead of s public water supply, the center shall
1 407 (41)
LICENSING STANDARDS FOR DAY CARE CENTERS
supply written records of current test results indicating the water
supply is safe for drinking. New test results must be provided prix-
relicensing. If nitrate content exceeds 10 parts per million, bott. 9
water must be used for infants.
j) Swimming and wading pools shall be safely maintained and supervised.
1) All swimming pools, whether at the facility or elsewhere, shall
meet the Minimum Sanitary Requirements for the design and operation
of swimming pools and bathing beaches of the Illinois Department
of Public Health (to be codified at 77 Ill. Adm. Code 820).
2) All in -ground or above -ground swimming pools located in areas
accessible to children shall be fenced. The fence shall be at
least 3�" in height and secured with a locked gate.
3) When children are swimming, supervision shall at all times include
at least one person currently certified as a lifeguard or water
safety instructor by the American Red Cross (Lifesaving: Rescue
and Water Safety, Prepared by American Red Cross, 1981) or equivalent
water safety program.
4) All staff, volunteers, and other adults who are counted in the staff/
child ratio for swimming shall receive basic water safety instruction
from the person certified in life saving per Section 407.31(j)(3).
5) The following staff/child ratio shall be maintained when children
are swimming, whether at—the facility swimming pool or at other
public or private swimming pools, lakes, parks, or recreational
swimming facilities:
M
staff
children
infants/toddlers
1
1
2 years
1
4
3 years
l
6
4 years
1
8
5 years
1
10
scbool-age
1
15
6) Portable wading pools, splash pools, and other basins used for
water play (activities) which are not required to be licensed by
the Illinois Department of Public Health shall be emptied after
use and cleaned with a germicidal solution before being air-dried.
k) Kitchen areas shall be clean and equipped for preservation, storage,
preparation, and serving of food. Provision shall be made for the
cleaning and sanitation of dishes.
1) All garbage and refuse within the center shall be collected daily and
stored in a manner that will not permit the transmission of disease,
create a nuisance or a fire hazard, or provide harborage for insects,
rodents or other pests.
R 407 (42)
LICENSIi. STANL. JS FOR DAY CARE CENTERS
1) An adequate number of covered, durable, water-tigbt, insect/ro-
dent-proof garbage and refuse containers shall be provided for use.
2) Garbage and refuse containers used to discard diapering supplies,
food products, or disposable meal service supplies shall be cleaned
daily with a germicidal solution unless plastic liners are used and
disposed of daily.
m) Insect and rodent control shall be maintained.
1) All outside doors, operable windows, and other openings shall be
screened. Doors with operable self-closing devices do not have to
be screened.
2) Chemicals for insect and rodent control shall not be applied in
areas accessible to children when children are present in the
facility.
n) The facility shall be cleaned daily and kept in a sanitary condition at
all times.
1) The facility shall provide necessary cleaning and maintenance
equipment.
2) Toys, table tops, furniture, and other similar equipment used by
children shall be washed when they become soiled or contaminated
with matter such as food, body secretions, or excrement.
3) Cleaning equipment, creaning agents, aerosol cans, and other
hazardous chemical substances shall be stored in a space designated
solely for this purpose and shall be inaccessible to children.
4) Exit areas shall be kept clear of equipment and debris at all
times.
5) There shall be no smoking in food preparation areas or in child
care areas when children are present.
6) Major cleaning shall not be done while children are present.
7) Water tables and toys used in water tables shall be emptied daily
and cleaned with a mild germicidal solution before being air-dried.
o) Facilities shall provide a separate crib, bed, or cot and individual
sheets and other bedding.
1) Cots, cribs, or beds used by children in a day care facility may be
used for other children at night if separate sets of clean sheets
and other bedding are provided to each user.
2) Clean sheets and blankets shall be provided at least once a week or
as frequently as needed when wet or soiled.
R 407 (43)
LICENSING STANDARDS FOR DAY CARE CENTERS
3) Waterproof mattress covers or undersheets for cribs, beds, or
canvas cots shall be provided for all children who are bedwetters.
4) Each cot, bed, or crib shall be identified with the name of the
child.
5) Bed linens shall be tightly fitting and washable.
p) Facilities and equipment shall be kept in safe repair so as not to ex-
pose children to hazardous situations.
1) Any interior or exterior painted surface including walls, floors,
ceilings, equipment, toys, furnishings, and cribs shall be main-
tained in good order free of lead paint.
2) Electrical outlets within the reach of children up to age 5 shall
be covered or be otherwise shockproof.
q) Furnishings and equipment shall be durable, safe and scaled to the size
of the children.
1) Child -size chairs shall be provided for pre-school children.
2) Tables shall be of appropriate height and of a size to accommodate
comfortably a small group of not more than 8-10 children.
3) Individual lockers, cubicles, or separate hooks and shelves shall
be provided for the children's personal belongings.
4) Low, open shelves for play materials and books shall be provided
and within easy reach of the children.
5) Storage for surplus toys and supplies not currently in use shall be
provided.
6) A cot must be provided for each preschool -age child in an all -day
program. Floor pillows, sofa, carpet, bean bag chairs, or padded
chairs shall be provided for school-age children for lounging or
resting.
7) A first aid kit and a chart or handbook of first aid instructions
shall be available for staff use. The first aid 'kit shall consist
of band-aids, sterile bandages, sterile compresses, adhesive tape,
scissors, mild soap, magnifying glass with needles and tweezers for
removing splinters.
r) There shall be means for communication for emergency purposes.
1) An operable telephone shall be on the premises, easily accessible
for use in an emergency and other communications.
R 407 (")
LICENSI STANr IS FOR DAF CARE CENTERS
2) A list of emergency telephone numbers, such as the fire department,
police department, and emergency medical treatment, shall be posted
next to the telephone.
3) Facilities operating on two or more floors shall have intercom
service or other means of formal communications between floors.
(Source: Amended at 8 Ill. Reg., effective January 1, 1985.)
Section 407.32 Records and Reports
a) A facility shall maintain a record file on the children enrolled.
1) A written application for admission of each child shall be on file
with the signature of the parent or guardian.
2) An alphabetic card or register on each child shall be maintained
and shall include:
A) Name, date of birth, and sex;
B) Date of admission and discharge;
C) Scheduled days and hours of care;
D) Name(s) of parent(s) or guardian(s), home address and business
address and telephone numbers, marital status, and the working
hours of the parent(s) or guardian(s);
E) Name, address and telephone number of child's physician (or,
if applicable, of certified Christian Science Practitioner);
F) Name(s), addresses and telephone numbers of others authorized
to pick up the child; and
G) Names, addresses, and telephone numbers of others to contact
within the immedi'ste area if parents or guardian cannot be
contacted in case of emergency.
H) Information regarding the child's personal development,
habits, medical needs, and other information critical to the
child's well-being.
3) Accidents or illnesses which have occurred to the child at the fa-
cility shall be recorded in the file. When a child is not
permitted to attend the facility because of an accident or illness,
the date of readmission to the facility shall be recorded.
4) All required health and medical reports as required by Section 407.29.
5) Written agreements and consents as required by Section 407.18a
shall be in the child's record file.
6) A statement signed by the parent(s) or guardian indicating receipt
of a summary of licensing standards and other materials as required
by Section 407.8(d) shall be in the child's record file.
R 407 (4S)
LICENSING ST._.,JARDS a�R DAY CARE CENTERS
b) A facility shall maintain accurate daily attendance records on all
children enrolled. If a child attends on a part-time or irregular
basis, this shall be recorded in the attendance record.
c) Records shall be maintained on all employees and shall contain all
pertinent information relative to character, suitability, and qualifi-
cations for the position; -health; three character references verified
by the day care center; history of employment for the previous five
years; date of employment by the day care center; and, if applicable,
date and reason(s) for separation from the day care center.
d) The day care center shall maintain a separate file of responses to the
background inquiry required by Section 407.17 and 89 Ill. Adm. Code 358:
Background Inquiry for Purchase of Service Providers.
e) Records of student helpers shall include name, home address, telephone
number and a copy of the last medical exam from the school. In addi-
tion, the record maintained by the center shall include the name of the
school, name and telephone number of the faculty member responsible for
each student, the course in which the student is enrolled,. and who at
the facility is responsible for supervising the student.
f) The day care center shall maintain financial and other business records
essential to the operation of the facility.
S) The facility shall maintain and submit when requested by the Department
accurate information and statistics on children enrolled in the
facility.
h) The day care center shall enter in the child's record and orally report
immediately to the child's parent, guardian, and the Department any
serious occurrences involving children. Oral reports shall be confirmed
in writing within two working days of the occurrence. If the center is
unable to contact the parent, guardian or Department immediately, it
shall document this fact in the child's record. These occurrences
include serious accident or injury requiring extensive medical care or
hospitalization; death; arrest; alleged abuse or neglect; major fire or
other emergency situations.
I) The Department shall be notified within seven days, in writing, if
notice is received of legal action against the facility.
J) Evidence of child abuse or neglect shall.be .reported mediately in
accordance with the Abused and Neglected Child Reporting Act. (Ill. Rev.
Stat. 1981, ch. 23, pars. 2051 et seq.)
k) The facility shall maintain and submit reports on staff and volunteers
to the Department on forms provided by the Department.
1) An individual report on each new employee (including owner, oper-
ator, or directors) shall be filed with the Department; a copy of
this report shall be kept at the facility.
R 407 (46)
LICENS STAN DS FOR DAY CARE CENTERS
2) All staff changes shall be reported to the Department immediately.
3) Copies of documentation of medical information, verification of
educational achievement, and character references of employees
shall be provided upon request by the Department.
1) The facility shall promptly report any known or suspected case or
carrier of communicable disease to local health authorities, and -shall
comply with the Illinois Department of Public Health's Rules and Regula-
tions for the Control of Communicable Diseases (1977).
m) Authorized Department licensing representatives or other Department
representatives who have the Director's written authorization which
specifies the statutory authority or administrative rule under which the
access is granted shall have access to records and reports. All persons
who have access to the records and reports shall respect their confi-
dential nature.
(Source: Amended at 9 I11. Reg., effective January 1, 1995.)
Section 407.33 Confidentiality of Records and Information
a) The facility personnel shall respect the confidential nature of the
child and personnel records.
b) Information pertaining to the admission, progress, health, or discharge
of an individual child shall be confidential and limited to facility
staff designated by the Child Care Director and Department representa-
tives dales& the parent(s) of the child has granted written permission
for disclosure or dissemination.
1) The facility shall have confidentiality release forms signed by the
parent(s) which specify to whom information may be released and how
long the release form is valid. Such release forms shall be on
file at the facility prior to the release of confidential informa-
tion.
2) If information is requested by outside persons or agencies, a
specific written request signed by the person requesting the
information shall be obtained and placed on file at the facility
prior to the release of the information.
3) Except in extreme emergency or when there is evidence of child
abuse or neglect, any child 12 years of age or older must be
informed of such disclosure of information.
Section 407.34 Records Retention
a) Personnel, general and financial records required of the day care center
shall be maintained 'for five years. Children's records shall be main-
tained for five years after the child has been discharged from care or
services.
R 407 (47`,
Ll
LICENSING SI. .1ARDS A DAY CARE CENTERS
b) The provisions of this Section notwithstanding, records required by this
Part shall be maintained until all audits have been completed and no
litigation is pending or anticipated.
Section 407.35 Severability of This Part
If any court of competent jurisdiction finds that any rule, clause, phrase,.
or provision of this Part is unconstitutional or invalid for any reason what-
soever, this finding shall not affect the validity of the remaining portions
of this Part.
R 407 (48)
LICENSII STAND )S FOR DAY CARE CENTERS
APPENDIX A
MEAL PATTERN CHART FOR CHILDREN
0. 12 MONTHS OF AGE
or 641 ounces of whole milk and 03 ounces of full strength fruit juice
These items are suggested, not required. Parents should ask their doctor if they have questions about what their baby should to
R 407 (49)
Ages Od
Ayes 4.8
Ages 8-12
MEAL
Months
Months
Months
BREAKFAST
Infant Formula (iron fortified)
4-6 ounces
6-8 ounces
6.8 ounces'
Infant Cereal Bron tortifiedl
0
1-3 tablespoons
2-4 tablespoons
SNACK (Supplement)
Infant Formula (iron fortified)
4.6 ounces
2-4 ounces
2-4 ounces
or full strieto fruit
0
2.4 ounces
2-4 ounces
or whole fluid milk
0
0
2-4 ounces
Enriched or whole -grain breed
0
0.1/4 slice"
0.1/4 slice"
or erscker-type product (suitable for infants)
0
02 crackers"
0.2 crackers"
LUNCH OR SUPPER
Infant Formula (iron fortified)
4-6 ounces
6-8 ounces
6-8 ounces'
Infant Cereal (iron fortified)
0
1.2 tablespoons
strained fruit and/or vegetable (to total)
0
1-2 tablespoons
3.4 tablespoons
Strained most, fish, poultry, or an yolk
0
0.1 tablespoon"
1-4 tablespoons
or cheese
0
0.1/2 ounce"
1/2.2 ounces
or cottage cheese, cheese food, or cheese spread
0
0.1 ounce"
1-4 ounces
or 641 ounces of whole milk and 03 ounces of full strength fruit juice
These items are suggested, not required. Parents should ask their doctor if they have questions about what their baby should to
R 407 (49)
Li
LICENSING STANDARDS FOR DAY CARE CENTERS
APPENDIX B
MEAL PATTERN CHART FOR CHILDREN
OVER ONE YEAR OF AGE
MILK
Milk, fluid
VEGETABLES AND FRUITS4
Vegetable(s) and/or fruit(s)
or
Full-strength vegetable or fruit juice
or an equivalent quantity of any
combination of vtgetable(s). fruit(s).
and juice.
BREAD AND BREAD ALTERNATES3
Bread
or
Cornbread, biscuits, rolls, muffins, etc.
or
Cold dry cereal
BREAKFAST LUNCHISUPPER
Anes Aoss
1 to 3 3106 6 to 12 1 to 3 3 to 6 6 and Woe,
112 cup2 3/4 cup 1 asp
1/2 tap2
3/4 tarp
1 tarp
1/4 alp 1/2 cup 1/2 cup
1/4 cop
1/2 tap
3/4 tam
or
Cooked pasta or noodle products 1/4 cup 1/4 cup 1/2 cup
total
total
total
1/4 cup 1/2 cup 112 tap
1/2 slice 1/2 slice
1 dice
1/2 serving 1/2 serving
1 serving
1/4 cup or 1/3 cup or
3/4 tarp or
1/3 oz. 1/2 oz.
1 oz.
1/2 slice 1/2 dice
1/2 serving 1/2 serving
1 slice
1 serving
or
Cooked cereal 1/4 cup 1/4 cup 1/2 cep
or
Cooked pasta or noodle products 1/4 cup 1/4 cup 1/2 cup
or
Cooked cereal grain or an equivalent ---
quantity of any combination of
broad/broad alternate 1/4 cup 1/4 cup 1/2 cep
Cooked pasta or noodle products or
cooked cereal grains or an equivalent
quantity of any combination of
bread/bread alternate
1/4 cup
1/4 cep
/R cup
MEAT AND MEAT ALTERNATES
Lean meat or poultry or fishS
1 oz.
1 1/2 oz.
2 oz.
or
Cheese
1 oz.
1 1/2 oz.
2 oz.
or
Eggs
1 egg
1 em
1 an
or
Cooked dry beans or peas '
1/4 cup
3/8 cop
1/2 cop
or
Peanut butter of an equivalent quantity
of any combination of meat/meat alternate
2 tbsp.
3 tbsp.
4 tbsp.
1Children age /2 and up meq be mrved sdun4ite portions bawd on the great" food nosds of alder boys end Olds, Out "I be ser- not hew a
1119 minimum Quantities sWeified for Chikken age a cep to 12.
2For purposes of the rowirements oudkwd, a Cup means a sun" d Meawrirq Cup.
39rud, pats. or noodle products and C"eM grains (hall to w4wleWain or enriched. CombnW. blseuhs, rolls. Madfkta, sec., shun be Mede twit"
whole -grain or enriched most or flour. Goal shall be wiholegrain or enriehed or fortified.
"Serve 2 or more kinds of vegetoblefs) and/or INitlal. Full strength vegetable or fresh luau may a counted to mwt not more than om-helf of
this requirement.
"Cooked lean mut wdthout bone.
R 407 (50)
LICENSING ANDAY FOR DAY CARE CENTERS
APPENDIX C
MINIMUM EOUIPMENT AND SUPPLIES
PRESCHOOL PROGRAMS
FOR EVERY 20 CHILDREN
(Quantity of equipment is to increase in proportion to licensed capacity of facility)
PERMIT
Furniture: 1. Sufficient tables and chain with backs for
children (one chair per child — no folding
chain).
2. One cot per licensed capacity.
3. First-aid kit.
4. Cot with blanket (for ill child).
5. Chairs with backs (for staff).
6. Low open shelves and bookcases (one foot
per child).
7. Space/equipment for maintenance of
children's records.
8. Individual spaces for outer Nothing.
9. Area rug or carpeting.
Active, large -muscle 1. Large building blocks (May be of non -durable
Play: (for indoors) material) — at least 24.
2. Two pieces of durable large -muscle equip-
ment par every 20 children such as:
climber
rocking boat _
triangle set
tunnel
walking plank
wheel toys
Active, large -muscle 1 1. Two pieces of durable large -muscle equip -
May: (for outdoors)
ment such as:
dimber
(Sea Section 407.31d)
slide
large Whe- toys
swing
sand4)ox
"ter play materials
balls
Art and music
1. Phonograph
activities:
2. Records - At least six
3. One double easel.
ft
LICENSE
(additional equipment and
1. Durable large building blocks —at least 48 pe
every 20 children.
2. Three pieces of durable large -muscle equipm
per every 20 children.
1. Three pieces of durable large -muscle equipm
2. Records - At least ten.
3. Double easels — one for each 15 children
4. Rhythm band.
R 407 (51)
Dramatic Play
Ponder Play
Expendable supplies:
Fine -motor
Development:
Language
Development:
Food Service
Supplies:
R 407 (52)
LICENSING STAnDARDS rOR DAY CARE CENTERS
PRESCHOOL PROGRAMS (Continued)
PERMIT
1. Small blocks — at least 200 pieces.
2. Three small durable transportation toys.
3. One spontaneous dramatic play area with at
least two pieces of permanent equipment:
pretend area
work bench Iwood work and tools)
housekeeping area: e.g., doll bed, stove,
sink, refrigerator, cupboard, etc.
4. Accessories: dolls, dishes, pots and pans.
1. Books — one per every child.
2. Puzzles — one per every four children.
3. Cognitive games — one -per every four
children: e.g., number concepts, letter
concepts, shape concepts, size concepts,
Color Concepts.
1. Gay or playdough.
2. Tempera or finger paints (non-toxic).
3. Piper (colored and white).
4. Paste (non-toxic).
S. Scraps — collage materials.
6. Paint brushes. _
7. Crayons.
B. Blunt scissors.
9. Aprons — smocks.
1. Manipulative toys —one per every four
children: e.g., pegs and pegboards, beads
and strings, jnteriocking plastic forms,
puzzles, nesting blocks.
2. Sand or water play equipment.
1. Pictures.
2. Bulletin boards.
3. Flannel board and flannel sets.
1. Dishes, silverware, and cups, if meals
are to be served.
LICENSE
(additional equipment and ampl'res)
2. Six small durable trartsportation toys per
every 20 children for block area.
3. At least. two areas for spontaneous drmat
play. each having at least three piacas of
equipment.
4. At least one full-length mirror.
5. Dress -up clothes.
1. Two per every child.
2. One per every two children.
2s. Puzzle rack.
3. One per every two children.
4. Science items: a.g., magnet, magnifying gl
Pets. plants.
1. One per every three children.
LICENSII STAND IS FOR DAY CARE CENTERS
APPENDIX D
MINIMUM EOUIPMENT AND SUPPLIES
INFANT AND TODDLER PROGRAMS
FOR EVERY 20 INFANTS AND TODDLERS
(Quantity of equipment is to increase in proportion to licensed capacity of facility)
Furnishings:
INFANTPROGRAMS
TODDLER PROGRAMS
1. Sufficient infantsized tables and chairs with
1. Some as furniture for preschool programs p
becks for infants able to sit alone. One chair
2. Training chairs.
per infam: no folding chairs.
(Stackable cots may be substituted for naps
2. One crib with mattress and blanket per infant
in attendance.
3. Ton -unit first-aid kit.
4. Gib with mattress and blanket for ill infant.
5. Chaire with backs (for stiff I.
S. Low open shelves and bookcases (one foot per
child).
7. Space and equipment for maintenance of
children's records.
8. Adult rocker.
9. Individual space for outer clothing.
10. High chairs.
11. Infant Sets.
12. Baby walkers (optional),
13. Bathing tub.
13. Bathing tub.
14. Changing table with changeable covering.
14. Changing table with chargeable covering.
15. Diaper pail with liners.
15. Diaper pail with liners.
16. Area rug or carpeting. —
Toilet with training seat, child -size toilet or
17. May pens (optional).
potty chair.
18. Gates a needed for safety.
18. Gates as needed for safety.
19. Refrigaramr.
Active largetnusde
1. Large building blacks (may be of nondurable
SAME AS PRESCHOOL PROGRAMS.
play:
material) --at least 20
2. Five pima of durable large-nusele equipment
2. Five pieces of durable, large -muscle equipm
for every 20 infants such as:
for every 20 toddlers, such as:
Baby bouncers
Two-step slide
Large turning bells
Rocking boat
Body wheels
Indoor gym house
Riding stools
Swing
3. Large open plastic bell.
Tunnel
4. Wow -play equipment
Climber
R 497 (53)
LICENSING S'InaDARDS rOR DAY CARE CENTERE
INFANT AND TODDLER PROGRAMS (Continued)
Art and music
INFANTPROGRAMS
1. Phonograph
activities:
2. Records — at least six.
1. For each crib: bumpers, sheets (cotton, plus
3. Muicei pull toys.
rubber and/or plastic), blankets.
4. Rattles.
2. Bath towels.
S. Drum (without stocks).
FINE MOTOR
1. Matching and feeling toys — one per every
DEVELOPMENT:
two children such as:
S. Cover(s) for lunging table.
plastic dutch toys
S. Sterile cotton balls.
form toys
7. Facial tissues.
rattles
B. Soap.
pull toys
9. Petroleum jolly or bland diaper -rash
feeling balls
ointment
2. Manipulative toys — one per every two
10. Rubber4xAk ear syringe with blunt plastic
children such as:
or rubber tip.
teething toys
11. Bottle wasnwr.
wooden rattles
shape toys
clutch balls
Language
1. Pictures.
Development:
2. Bulletin boards.
LINENS AND
1. For each crib: bumpers, sheets (cotton, plus
SUPPLIES:
rubber and/or plastic), blankets.
2. Bath towels.
3. Wash doths.
4. Diapers.
S. Cover(s) for lunging table.
S. Sterile cotton balls.
7. Facial tissues.
B. Soap.
9. Petroleum jolly or bland diaper -rash
ointment
10. Rubber4xAk ear syringe with blunt plastic
or rubber tip.
11. Bottle wasnwr.
R 407 (i4)
TODDLER PROGRAMS
SAME AS PRESCHOOL PROGRAMS.
SAME AS PRESCHOOL PROGRAMS.
SAME AS PRESCHOOL PROGRAMS.
SAME AS PRESCHOOL PROGRAMS.
3. Wash doths.
4. Dispers.
7. Facial thums.
!L Soap.
9. PstrNeun jelly or blard diaper -rash
olnurwnt.
1
L,
LICENSIN TANDI 3 FOR DAY CARE CENTERS
APPENDIX E
LICENSED OR REGISTERED PROFESSIONS
The following professions cited in this Part require license or registration in the State of Illinois:
1) NURSE Illinois Nursing Act (Ill. Rev. Stat. 1981, ch. 111,
par. 3404.)
2) PHYSICIAN
3) PHYSICIANS ASSISTANT
4) PHYSICAL THERAPIST
5) PSYCHOLOGIST
6) SOCIAL WORKER
Medical Practice Act (Ill. Rev. Stat. 1981, ch.111,
par. 4409.)
Physician's Assistants Practice Act (Ill. Rev. Stat. 1981,
pars. 4751 et seq.)
An Act in Relation to Physical Therapy (Ill. Rev. Stat.
1981, ch. 111, par. 4202.)
Psychologist Registration Act (Ill. Rev. Stat. 1981,
ch.111, par. 6303.)
Social Workers Registration Act (Ill. Rev. Stat. 1981,
ch.111, par. 6304.)
R 40) (55)