Section 29-369. EMERGENCY PREPAREDNESS AND FIRST AID

 

369.1Each Child Development Facility shall have, at all times, on the premises and readily available to administer aid, at least two (2) staff members who possess current certification in First Aid and CPR for children, and the prevention, recognition and management of communicable diseases, or who have satisfactorily completed courses, approved by the Director, in all of the above disciplines; except that in a Child Development Home wherein there are two (2) or fewer Caregivers, each Caregiver and his or her substitute shall possess the above-mentioned qualifications.

 

369.2Each Facility shall obtain and shall maintain, on the Facility premises, a sufficient quantity of first aid supplies to meet the Facility's reasonably expected needs, based on the size of the Facility, the ages and developmental abilities of the enrolled children, and the Facility's program of activities. The Facility shall maintain these supplies in a designated location that is readily available to staff and inaccessible to the children.

 

369.3Each Facility shall provide the following items among its first-aid supplies:

 

(a)One (1) roll of one-half inch (1/2") non-allergenic adhesive tape;

 

(b)One (1) roll of two-inch (2") gauze roller bandage;

 

(c)Ten (10) individually wrapped sterile gauze squares in assorted sizes;

 

(d)Twenty-five (25) adhesive (e.g., band-aid) compresses in assorted sizes;

 

(e)Three (3) clean cotton towels or sheeting pieces, approximately twenty-four by thirty-six inches (24" x 36") each;

 

(f)One (1) pair of scissors;

 

(g)Safety pins in assorted sizes;

 

(h)One (1) flashlight;

 

(i)One (1) thermometer;

 

(j)One (1) measuring tablespoon or dosing spoon;

 

(k)One (1) pair of tweezers;

 

(l)One-third cup (1/3 c.) of powdered milk for dental first aid (for mixing to make a liquid solution);

 

(m)A current First Aid text published by the American Academy of Pediatrics or the American Red Cross, or an equivalent community first aid guide;

 

(n)The telephone number(s) of the local Poison Control Center;

 

(o)Rubbing alcohol and alcohol swabs;

 

(p)Cotton balls;

 

(q)One (1) ice pack or gel pack;

 

(r)Liquid sanitizer;

 

(s)Disposable, nonabsorbent gloves;

 

(t)All items needed for disposal of blood-borne pathogens;

 

(u)Written Facility protocol for standard precautions and treatment of injuries; and

 

(v)One-way valves for infants (if served), young children and adults.

 

369.4The Facility shall inspect and take inventory of its first-aid supplies at least weekly, and shall:

 

(a)Remove and replace sterile supplies if the package has been opened or damaged, or if the expiration date on the package has been reached; and

 

(b)Replace all supplies as they are used up or if they become damaged.

 

369.5Each Facility shall maintain at least one portable and complete first-aid kit, and shall ensure that such a kit is taken along by Facility staff on each outing, and when children under the care and supervision of the Facility are being transported.

 

369.6The Facility shall ensure that at least one person currently certified in First Aid and CPR for children is present whenever one or more children are taken on an outing or otherwise transported away from the Facility.

 

369.7Each Facility shall conduct practice evacuation drills, in accordance with guidelines and/or regulations adopted by the Department of Fire and Emergency Medical Services. The drills shall include all groups of children and all Facility staff, and shall be conducted at least every two (2) months, at varying times during the program day. The Facility shall document, on a form approved by the Director, the date, time and duration of each such evacuation drill, the number of children and staff participating, and the weather conditions.

 

369.8Each Facility shall develop and implement specific procedures for the safe and prompt evacuation of infants, toddlers and non-ambulatory children.

 

369.9Each Facility shall develop written emergency contingency plans and procedures to be followed in case of fire, natural or man-made disaster, loss of power, heat or water service, unsafe indoor temperatures, and any other dangerous environmental condition. These shall include procedures for evacuation as well as for sheltering in place, as deemed appropriate or as directed by authorized government officials.

 

369.10Each Facility shall provide, in each Facility building, at least one working, non-pay, stationary telephone accessible to staff.

 

source

Final Rulemaking published at 54 DCR 003793 (April 27, 2007).