> For the complete documentation index, see [llms.txt](https://docs.caqualityearlylearning.org/printable-inspection-list-tool/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://docs.caqualityearlylearning.org/printable-inspection-list-tool/in-depth-checklist/children-records.md).

# Children Records

This resource is only for CQEL members and is not to be redistributed. Please have interested programs contact CQEL at hello\@caqualityearlylearning.org

<table data-full-width="true"><thead><tr><th width="194" align="center">Section Title</th><th width="404" align="center">Regulation/Statute Language</th><th width="144" align="center">Reviewed?</th></tr></thead><tbody><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-medical-assessments">Child's Medical Assessments CCR 101220(a)</a></td><td align="center">(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-medical-assessments">Child's Medical Assessments CCR 101220(a)(1)</a></td><td align="center">(1) Such assessment shall be performed by, or under the supervision of, a licensed physician, and shall not be more than one year old when obtained.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-medical-assessments">Child's Medical Assessments CCR 101220(b)</a></td><td align="center">(b) The medical assessment shall provide the following:</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-medical-assessments">Child's Medical Assessments CCR 101220(b)(1)</a></td><td align="center">(1) A record of any infectious or contagious diseases that would preclude care of the child by the licensee.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-medical-assessments">Child's Medical Assessments CCR 101220(b)(2)</a></td><td align="center">(2) Results of a test for tuberculosis.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-medical-assessments">Child's Medical Assessments CCR 101220(b)(3)</a></td><td align="center">(3) Identification of the child's special problems and needs.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-medical-assessments">Child's Medical Assessments CCR 101220(b)(4)</a></td><td align="center">(4) Identification of any prescribed medications being taken by the child.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-records">Child's Records CCR 101221(a) </a></td><td align="center">(a) The licensee shall ensure that a separate, complete and current record for each child is maintained in the child care center.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-records">Child's Records CCR  101221(b)</a></td><td align="center">(b) Each record shall contain information including, but not limited to, the following:</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-records">Child's Records CCR 101221(b)(1)</a></td><td align="center">(1) Name of child.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-records">Child's Records CCR 101221(b)(2)</a></td><td align="center">(2) Birthdate.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-records">Child's Records CCR 101221(b)(3)</a></td><td align="center">(3) Sex.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-records">Child's Records CCR 101221(b)(4)</a></td><td align="center">(4) Date of Admission.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-records">Child's Records CCR 101221(b)(5)</a></td><td align="center">(5) Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-records">Child's Records CCR 101221(b)(6)</a></td><td align="center">(6) A signed copy of the admission agreement specified in Section 101219.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-records">Child's Records CCR 101221(b)(7)</a></td><td align="center">(7) Name, address and telephone number of the child's physician and dentist and any other medical/dental or mental health providers.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-records">Child's Records CCR 101221(b)(8)</a></td><td align="center">(8) Medical assessment, including ambulatory status as specified in Section 101220, and the following health information:</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-records">Child's Records CCR 101221(b)(8)(A)</a></td><td align="center">(A) Dietary restrictions and allergies.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-records">Child's Records CCR 101221(b)(8)(B)</a></td><td align="center">(B) Instructions for action to be taken in case the child's authorized representative, or the physician designated by the authorized representative, cannot be reached in an<br>emergency.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-records">Child's Records CCR 101221(b)(8)(C)</a></td><td align="center">(C) A signed consent form for emergency medical treatment unless the child's authorized<br>representative has signed the statement specified in Section 101220(f).</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-records">Child's Records CCR 101221(b)(10)</a></td><td align="center">(10) Record of current medications, including the name of the prescribing physician, and instructions, if any, regarding control and custody of medications.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-records">Child's Records CCR 101221(b)(12)</a></td><td align="center">(12) Date of termination of services.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/childs-records">Child's Records CCR 101221(d) </a></td><td align="center">(d) All children's records shall be available to the Department to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements:</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/health-related-services">Health-Related Services CCR 101226(e)</a></td><td align="center">(e) In centers where the licensee chooses to handle medications:</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/health-related-services">Health-Related Services CCR 101226(e)(2)</a></td><td align="center">(2) All prescription and nonprescription medications shall be maintained with the child's name and shall be dated.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/health-related-services">Health-Related Services CCR 101226(e)(3)</a></td><td align="center">(3) Prescription medications may be administered if all of the following conditions are met:</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/health-related-services">Health-Related Services CCR 101226(e)(3)(A)</a></td><td align="center">(A) Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/health-related-services">Health-Related Services CCR 101226(e)(3)(B)</a></td><td align="center">(B) For each prescription medication, the licensee shall obtain, in writing, approval and instructions from the child's authorized representative for the administration of the medication to the child.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/health-related-services">Health-Related Services CCR 101226(e)(3)(B)1</a></td><td align="center">1. This documentation shall be kept in the child's record.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/health-related-services">Health-Related Services CCR 101226(e)(3)(B)2</a></td><td align="center">2. The instructions from the child's authorized representative shall not conflict with the label directions as prescribed by the child's physician.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/health-related-services">Health-Related Services CCR 101226(e)(4)(B)</a></td><td align="center">(B) For each nonprescription medication, the licensee shall obtain, in writing, approval and instructions from the child's authorized representative for the administration of the medication to the child.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/health-related-services">Health-Related Services CCR 101226(e)(4)(B)1</a></td><td align="center">1. This documentation shall be kept in the child's record.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/health-related-services">Health-Related Services CCR 101226(e)(4)(B)2</a></td><td align="center">2. The instructions from the child's authorized representative shall not conflict with the product label directions on the nonprescription medication container(s).</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/health-related-services">Health-Related Services CCR 101226(e)(5)</a></td><td align="center">(5) The licensee shall develop and implement a written plan to record the administration of prescription and nonprescription medications and to inform the child's authorized representative daily when such medications have been given.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/health-related-services">Health-Related Services CCR 101226(e)(6)</a></td><td align="center">(6) When no longer needed by the child, or when the child withdraws from the center, all medications shall be returned to the child's authorized representative or disposed of after an attempt to reach the authorized representative.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/immunizations">Immunizations CCR 101220.1(a)</a></td><td align="center">(a) Prior to admission to a child care center, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, commencing with Section 6000.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/immunizations">Immunizations CCR 101220.1(g)</a></td><td align="center">(g) The licensee shall document each child's immunizations and shall maintain such documentation in the center for as long as the child is enrolled.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/immunizations">Immunizations CCR 101220.1(g)(1)</a></td><td align="center">(1) This requirement includes updating each child's immunization record when the child is due to receive required immunizations after enrollment in the child care center.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-needs-and-services-plan">Infant Needs and Services Plan CCR 101419.2(a)</a></td><td align="center">(a) Prior to the infant's first day at the center, the infant care center director or assistant director shall complete a needs and services plan for the infant.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-needs-and-services-plan">Infant Needs and Services Plan CCR 101419.2(a)(1)</a></td><td align="center">(1) Such plan shall be completed with the assistance of the infant's authorized representative at the personal interview specified in Section 101218.1.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-needs-and-services-plan">Infant Needs and Services Plan CCR 101419.2(a)(2)</a></td><td align="center">(2) The authorized representative shall sign the plan to verify that he/she has participated in preparing it.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-needs-and-services-plan">Infant Needs and Services Plan CCR 101419.2(b)</a></td><td align="center">(b) The needs and services plan shall be in writing and shall include the following:</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-needs-and-services-plan">Infant Needs and Services Plan CCR 101419.2(b)(1)</a></td><td align="center">(1) The individual feeding plan.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-needs-and-services-plan">Infant Needs and Services Plan CCR 101419.2(b)(2)</a></td><td align="center">(2) Infants up to 12 months of age shall have a completed Individual Infant Sleeping Plan [LIC 9227 (3/20)], which is incorporated by reference.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-needs-and-services-plan">Infant Needs and Services Plan CCR 101419.2(b)(2)(A)</a></td><td align="center">(A) This plan shall be signed and dated by the infant’s authorized representative.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-needs-and-services-plan">Infant Needs and Services Plan CCR 101419.2(b)(3)</a></td><td align="center">(3) The individual toilet-training plan, if applicable.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-needs-and-services-plan">Infant Needs and Services Plan CCR 101419.2(b)(3)(A)</a></td><td align="center">(A) Any special exercises for infants with physical disabilities.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-needs-and-services-plan">Infant Needs and Services Plan CCR 101419.2(b)(4)</a></td><td align="center">(4) Any services needed by the infant that are different from those provided by the center's normal program. Such items shall include but not be limited to:</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/infant-needs-and-services-plan">Infant Needs and Services Plan CCR 101419.2(b)(5)</a></td><td align="center">(5) A plan for subsequent personal interviews with the authorized representative.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/modifications-to-infant-needs-and-services-plan">Modifications to Infant Needs and Services Plan CCR 101419.3(a)</a></td><td align="center">(a) The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/modifications-to-infant-needs-and-services-plan">Modifications to Infant Needs and Services Plan CCR 101419.3(a)(1)</a></td><td align="center">(1) The director, the assistant director or a teacher shall update the plan with the assistance of the infant's authorized representative.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/modifications-to-infant-needs-and-services-plan">Modifications to Infant Needs and Services Plan CCR 101419.3(a)(2)</a></td><td align="center">(2) The authorized representative shall sign the plan to verify that he/she has participated in updating it.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/responsibility-for-providing-care-and-supervision-for-infants">Responsibility for Providing Care and Supervision for Infants CCR 101429(a)(2)(C)</a></td><td align="center">(C) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following:</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/responsibility-for-providing-care-and-supervision-for-infants">Responsibility for Providing Care and Supervision for Infants CCR 101429(a)(2)(C)(1)</a></td><td align="center">(1) Date</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/responsibility-for-providing-care-and-supervision-for-infants">Responsibility for Providing Care and Supervision for Infants CCR 101429(a)(2)(C)(2)</a></td><td align="center">(2) Infant's name</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/responsibility-for-providing-care-and-supervision-for-infants">Responsibility for Providing Care and Supervision for Infants CCR 101429(a)(2)(C)(3)</a></td><td align="center">(3) Time of each 15-minute check</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements-1/responsibility-for-providing-care-and-supervision-for-infants">Responsibility for Providing Care and Supervision for Infants CCR 101429(a)(2)(C)(4)</a></td><td align="center">(4) Initials of person who conducted each check</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/sign-in-and-sign-out">Sign In and Sign Out CCR 101229.1(a)</a></td><td align="center">(a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following:</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/sign-in-and-sign-out">Sign In and Sign Out CCR 101229.1(a)(1)</a></td><td align="center">(1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/sign-in-and-sign-out">Sign In and Sign Out CCR 101229.1(c)</a></td><td align="center">(c) A person who removes the child from the center during the day, and returns the child to the center the same day, shall sign the child in/out.</td><td align="center">Y / N</td></tr><tr><td align="center"><a href="https://t22.caqualityearlylearning.org/continuing-requirements/sign-in-and-sign-out">Sign In and Sign Out CCR 101229.1(d)</a></td><td align="center">(d) The sign-in and sign-out sheets with the signatures required by this section and by Section 101226.1 shall be kept for one month and shall be available at the center for review by the Department.</td><td align="center">Y / N</td></tr></tbody></table>

**Inspection Findings:** \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Last review completed on:** \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_  **Signature:** \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_


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