Section He-C 4002.10 - Child Record Requirements(a) Child care staff shall ensure that for each child, upon the child's first day in attendance in the program, there is a "Child Care Registration and Emergency Information" (April 2022) form or an equivalent form provided by the child care program completed and signed by the parent, on file, which contains: (1) Full legal name of the child;(2) Child's date of birth;(3) Child's physical address and mailing address;(4) Child's home telephone number;(5) Date of enrollment in the program;(6) The name, physical address, and mailing address of the parent(s) responsible for the child, if different from the child's address;(7) Telephone numbers for the child's parents and instructions as to how the parents can be contacted during the hours that the child is at the program;(8) Email addresses for the parents, if available;(9) Names and telephone numbers of at least one person who will assume responsibility for the child, if for any reason, the parents cannot be reached immediately in an emergency;(10) Any chronic conditions, allergies, or medications in case of sudden illness or injury;(11) Written parental permission for first aid treatment;(12) Written parental permission for emergency medical transportation and treatment;(13) The name and telephone number of each child's physician or health care provider; and(14) Names and telephone numbers of any person(s) other than parents who are authorized to remove the child from the program.(b) The program shall require each child's parent(s) to review, sign, and date, on an annual basis, the "Child Care Registration and Emergency Information" (April 2022) form, or its equivalent, to ensure that accurate, current information is on file.(c) The program shall ensure each child's registration and emergency information form contains the following statements: (1) "NOTE TO PARENT/S or GUARDIAN/S: The licensing authority for this program is the bureau of licensing and certification, child care licensing unit. Child care programs are required to post a copy of the statement of findings and corrective action plan for the most recent visit in a location which is accessible to parents, and must maintain copies of the statement of findings and corrective action plan for the preceding visit and make them available for parents to review upon request. Statements of findings and corrective action plans are also available on-line at: or by calling the unit at 603-271-9025; or 1-800-852-3345 ext. 9025";(2) "During visits to programs, licensing staff speak with children regarding the care they receive at a program if in the judgment of the licensing staff the children's response would be valuable in determining compliance with licensing rules. Licensing staff are experienced in working with children and trained to speak with children in a manner that is respectful and non-leading. Children will remain with their class or group during these conversations with licensing staff, and at no time will a child be forced to speak with a licensing coordinator. Please indicate whether licensing staff may speak with your child while they are with their class or group: a. I give permission for child care licensing staff to speak with my child while with their class or group;b. I do not give my permission for child care licensing staff to speak with my child while with their class or group."; and(3) "If licensing staff believes your child may have specific information regarding an alleged event at the program, and determines that it is best to interview your child separately and not with their class or group, please indicate your preference among the following options:a. I give permission for child care licensing staff to interview my child at the child care program separate from their class or group;b. I wish to be notified prior to child care licensing staff interviewing my child at the child care program separate from their class or group;c. I do not give my permission for child care licensing staff to interview my child at the child care program separate from their class or group."(d) The program shall request and maintain on file for each child documentation of immunizations in accordance with RSA 141-C:20-a, RSA 141-C:20-b, and He-P 301.14.(e) The documentation described in (d) above shall be on file on the first day the child is in attendance at the program or, pursuant to 45 CFR § 98, 41(a)(1)(i)(C), for children experiencing homelessness or for children in foster care within 60 days of the first date of attendance, to allow families or persons responsible for their care to obtain and provide documentation of immunizations.(f) Exemptions from the immunizations required under (d) above shall be in accordance with RSA 141-C:20-c.(g) Programs shall complete the department's annual report of children's immunizations in accordance with RSA 141-C:20-e and He-P 301.15(d).(h) The program shall maintain on file a completed child health screening form "New Hampshire Early Childhood Health Assessment Record" (May 2012) provided by the department, or an equivalent record of physical examination which is available for review by the department for each child no more than 60 calendar days after the date of admission.(i) A written record of a health screening or physical examination update shall be on file in accordance with the following:(1) For children younger than 6 years of age, programs shall have on file a copy of a physical examination completed within 60 days of the date of expiration of the last record of physical exam on file; and(2) For children ages 6 and older, programs shall have on file a copy of the physical examination record completed within the year prior to enrollment.(j) Programs shall not be required to obtain physical examination records for children whose parents object in writing, on the grounds that such physical examination is contrary to their religious beliefs.N.H. Admin. Code § He-C 4002.10
#2664, eff 3-30-84, EXPIRED 3-30-90
New. #4871, eff 7-24-90; ss by #5203, eff 8-16-91; ss by #6558, INTERIM, eff 8-16-97, EXPIRED: 12-14-97
New. #6719, eff 3-25-98; ss by #7294, eff 5-26-00; ss by #9160, INTERIM, eff 5-26-08, EXPIRES: 11-22-08; ss by #9310, eff 11-23-08 (from He-C 4002.11)
Amended by Volume XXXVI Number 49, Filed December 8, 2016, Proposed by #12046, Effective 11/19/2016, Expires 5/18/2017.Ss by #12174, EMERGENCY RULE, eff 5-17-17, EXPIRES: 11-13-17;Amended by Volume XXXVII Number 50, Filed December 14, 2017, Proposed by #12415, Effective 11/6/2017, Expires 11/6/2027.Amended by Volume XLII Number 19, Filed May 12, 2022, Proposed by #13373, Effective 4/22/2022, Expires 4/22/2032