[DIVIDING LINE] [KEY POINT ICON] Some state laws prevent child care providers from providing medical care and supervision without appropriate authorization. This can include administering insulin, glucagon for severe hypoglycemia or other diabetes care. An () addresses these issues. It requires the center to apply to the state for permission to provide those specific types of care within five days of receiving a request from a family as long as it has received certain information about the condition and a medical management plan from the child’s physician. child’s [DIVIDING LINE] 6. Charges for services Generally child care programs may not charge families with children with disabilities more than other families are charged to cover any increased costs, including insurance costs the program incurs. The provider should treat any additional cost as overhead or spread the cost to all families in the program. You may charge for services that are beyond what is required by law. For instance, if a child requires complicated medical procedures that can only be done by licensed medical personnel and the center does not normally have such personnel on staff, the center would not be required to provide the medical services under the ADA. If the center chooses to go beyond its legal obligation and provides the services, it may charge the parents or guardians accordingly. On the other hand, if a center is asked to do simple procedures that are required by the ADA, such as finger-prick blood glucose tests for children with diabetes, it cannot charge the parents extra for those services. 7. Physical access [KEY POINT ICON] The ADA Standards for Accessible Design apply to facilities built for children, but until the 2010 standards were issued, there were no particular requirements for child-size elements, such as desks, toilet rooms and drinking fountains. The 2010 standards include specific provisions for play areas, as well as interior elements used by children, such as drinking fountains, toilet rooms, lavatories and sinks, dining surfaces, and work surfaces like desks. The provisions are found in sections 234.3, 240, 602.2, 604.1, 604.8.1, 604.9, 606.2, 609.4, 902.1, 902.4, and 1008.4.3. See Section 2.b.1 and Resources. See Section A.1 of the Resources for links to the current standards.
[DIVIDING LINE] [KEY POINT ICON] Some state laws prevent child care providers from providing medical care and supervision without appropriate authorization. This can include administering insulin, glucagon for severe hypoglycemia or other diabetes care. An () addresses these issues. It requires the center to apply to the state for permission to provide those specific types of care within five days of receiving a request from a family as long as it has received certain information about the child’s condition and a medical management plan from the child’s physician. [DIVIDING LINE] 6. Charges for services Generally child care programs may not charge families with children with disabilities more than other families are charged to cover any increased costs, including insurance costs the program incurs. The provider should treat any additional cost as overhead or spread the cost to all families in the program. You may charge for services that are beyond what is required by law. For instance, if a child requires complicated medical procedures that can only be done by licensed medical personnel and the center does not normally have such personnel on staff, the center would not be required to provide the medical services under the ADA. If the center chooses to go beyond its legal obligation and provides the services, it may charge the parents or guardians accordingly. On the other hand, if a center is asked to do simple procedures that are required by the ADA, such as finger-prick blood glucose tests for children with diabetes, it cannot charge the parents extra for those services. 7. Physical access [KEY POINT ICON] The ADA Standards for Accessible Design apply to facilities built for children, but until the 2010 standards were issued, there were no particular requirements for child-size elements, such as desks, toilet rooms and drinking fountains. The 2010 standards include specific provisions for play areas, as well as interior elements used by children, such as drinking fountains, toilet rooms, lavatories and sinks, dining surfaces, and work surfaces like desks. The provisions are found in sections 234.3, 240, 602.2, 604.1, 604.8.1, 604.9, 606.2, 609.4, 902.1, 902.4, and 1008.4.3. See Section 2.b.1 and Resources. See Section A.1 of the Resources for links to the current standards.
2015ADAComplianceGuide.docx