Title 7 . Health and Social Services

Chapter 50 . (Reserved)

Section 455. Health in full time care facilities

7 AAC 50.455. Health in full time care facilities

(a) A full time care facility shall either obtain evidence of immunization as specified in this section for each child in care or initiate immunizations as specified in this section no later than 30 days after the child is in care. A full time care facility shall ensure that each child in care has or is given, in a manner consistent with the timetable prescribed by the department's childhood immunization schedule, immunizations appropriate to the child's age against

(1) diphtheria, tetanus, polio, measles, and rubella;

(2) if the child is less than seven years of age, pertussis; and

(3) beginning July 1, 2001, mumps, hepatitus A, hepatitus B, chicken pox, and Haemophilus influenzae type B. If a child has not received all immunizations as provided in the schedule, the facility shall initiate completion of immunizations as rapidly as is medically indicated.

(b) A full time care facility shall obtain health information on each child under care when the child is accepted for care, to the extent possible. In addition to the information required to be obtained by 7 AAC 50.300(a) , health information to be obtained by the facility must include

(1) the date of the child's last physical examination and the name of the medical provider who conducted it;

(2) a report of any health problems of the child; and

(3) the child's immunization history.

(c) If a child over three years of age has not been under regular medical supervision or has not had a health examination by a licensed physician, physician's assistant, or public health nurse within one year before the child's admission to the full time care facility, a full time care facility shall arrange for an examination to be completed within 30 days in accordance with the early periodic screening, diagnosis, and treatment (EPSDT) schedule set out in 7 AAC 43.452 and shall provide continuing medical and dental services according to that schedule. A full time care facility shall arrange for the examination of a child three years of age or younger within 30 days of receiving the child for care, unless the child has had a health examination within three months of admission, and shall provide continuing care according to the EPSDT schedule.

(d) A full time care facility shall ensure that each child in care three years of age or older is given a dental examination by a licensed dentist at least once a year and provided dental treatment as needed.

(e) A full time care facility may not have human immunodeficiency virus and acquired immune deficiency testing done on a child in care.

(f) A full time care facility shall

(1) maintain medical, dental, immunization, and treatment records; and

(2) document any medical or dental care or treatment for which documentation was not provided by the medical or dental provider of service.

(g) A residential child care facility must have a plan for maintaining and promoting the health of children in care that addresses

(1) the prevention of illness, the correction of health defects, and the provision of routine and emergency medical and dental care;

(2) ongoing appraisal of the general health of each child in care;

(3) the care of minor acute illnesses;

(4) action to be taken in the event of medical emergencies; and

(5) administration of medication.

History: Eff. 1/1/96, Register 136; am 3/1/98, Register 145; am 12/30/2000; Register 156

Authority: AS 44.29.020

AS 47.35.010

Editor's note: Alaska's childhood immunization schedule prescribed by the department's Division of Public Health may be obtained from the Division of Public Health, P.O. Box 110610, 350 Main Street, Room 503, Juneau, Alaska 99811-0610 or any other office of the division in the state.