ICC CDC Standards of Care

COMAR Regulations

100

What is the minimum age to work in a childcare center?

16 years old

200

How many continued education training hours are required for aides OTHER than teachers?

6 hours

300

This age range is considered a toddler

What is 18 months old - 23 months old?

400

Name 5 items required in a childcare center first aid kit 

Band Aids (assorted sizes, antiseptic wipes)  

Flashlight (operable)

Gauze pads (2’x2” or 4”x4”)  

Gauze pad (large, thick size) or individually wrapped 

sanitary pads   

Gauze, flexible rolls (2 rolls)  

Gloves (disposable vinyl-latex free gloves) 

Ice Bag or Chemical Ice Pack, cold pack  

Paper Towels  

Safety Pins  

Scissors (blunt tip)  

Soap (liquid, fragrance-free)  

Adhesive Tape (hypo-allergenic)  

Thermometer (digital non-touch) or fever strip, no

glass, non-mercury thermometer 

Triangular bandage (pre-made or  

40”x40”x64” piece of clean cotton cloth  

Tweezers  

Wash cloths (disposable)  

Paper/plastic bag 

Whistle

500

This is how often staff are required to get a medical evaluation

What is Every 5 years?

Communicable Diseases

100

Symptoms:

white or yellow discharge, accompanied by pink or red conjunctivae, redness and swelling of lids and matted sticky lids.

What is Conjunctivitis infectious or Pink Eye ?

200

Symptoms:

-fever, sore throat, tender, enlarged lymph nodes, scarlet fever, red rash

What is Strep?

300

Symptoms are:

-redness, pain, drainage, swelling, fever, lymph node enlargement

What are Bee stings? 

400

Symptoms:

circular lesions that appear on the face or trunk

What is Ringworm?

500

Symptoms:

fever, weight loss, malaise, cough, night sweats. Children younger than 5 are more likely to present with weight loss, malaise, and failure to thrive.

What is Tuberculosis (TB)?

Safety

100

What type of bedding is appropriate for a crib?

Firm fitting mattress sheet, no blankets

200

How do you properly clean bodily fluids on carpet? 

Wear gloves, wipe as much as possible, sanitize using bleach solution, dry surface.

300

What do you do in circumstances of children biting?

separate the children, focus on the victim, and clearly tell the biter, "No biting; biting hurts". Identify triggers (teething, frustration, overstimulation), ensure close supervision

400

This document tells you about a child’s allergies and medical needs

What is an emergency or health form?

500

You are on the playground with 10 children.

• One child falls and may have a serious injury
• Two children begin fighting over a toy
• Another child is attempting to climb over the fence
• A parent approaches you with a question

You are the only teacher present.

In order, what are the first THREE actions you must take to ensure safety and maintain proper supervision?

What is:

1. Immediately stop the highest safety risk (child climbing the fence)
2. Secure the group and regain control (verbally direct children, position yourself to supervise all)
3. Assess and respond to the injured child (check for severity and call for help if needed)

Supervision

100

This supervision strategy means positioning yourself to see all areas

What is strategic positioning?

200

When moving from one area to another, this must always be done

What is a headcount/name-to-face check?

300

This means scanning, counting, and listening at all times

What is active supervision?

400

This is the term for anticipating where problems may happen before they do

What is proactive supervision?

500

You are supervising a classroom during center time. All children are visible and engaged. No one is hurt, no one is crying, and the room appears calm.

However, a child across the room is quietly stacking chairs near a shelf.

You do not intervene immediately.

What critical supervision failure is occurring, and why is this situation more dangerous than an obvious behavioral issue?

What is:
A failure of proactive (active) supervision, because the teacher is not scanning for and addressing potential hazards before they escalate.

This situation is more dangerous because:

• The risk is silent and building (stacking chairs = fall hazard)
• There is no immediate disruption to trigger a reaction
• Injuries often occur in calm, overlooked moments, not chaotic ones

Reportable Incidents

100

This type of incident must always be reported to MSDE Office of Childcare within 24 hours of the incident

What is:

• The death of a child while in care
• The death of a child from a contagious illness
• Any injury that requires medical treatment or a hospital visit 

200

A child bumps their head but continues playing normally. You still must do this

What is document and monitor the child?

300

A child has a severe allergic reaction and is given an EpiPen at the center.

 Is this a reportable incident?

What is:
Yes, because it is a medical emergency requiring immediate treatment.

400

A child begins crying after being lifted by the arm.
They refuse to use that arm and keep it close to their body.

What is the likely injury, and is this a reportable incident?

What is:
Nursemaid’s elbow, and yes, it is reportable because it requires medical evaluation and treatment.

500

A child falls in your classroom.

• They cry briefly
• No visible injury
• They return to play

You document the incident and inform the parent.

Later that evening, the parent takes the child to the doctor “just to be safe.”

Does this now become a reportable incident, even though the injury seemed minor at the time?

What is:
Yes, it becomes reportable because medical evaluation was required.