(1) Each provider shall adopt and follow written policies for first aid consistent with recommendations from the American Red Cross. These policies must include but are not limited to:

(a) procedures for handling medical emergencies, including calling the Emergency Montana Poison Control center at 1 (800) 222-1222 when a child is suspected of having ingested any poisonous or toxic substance; and

(b) directions for calling parents or someone else designated as responsible for the child when a child is sick or injured.

(2) A first aid kit must be kept on site at all times and must at a minimum contain:

(a) unexpired syrup of ipecac (one ounce bottle) which may be administered only upon directive from the Emergency Montana Poison Control Center or upon directive of the local emergency service program (i.e., 911 operator, local hospital, or physician) ;

(b) sterile, absorbent bandages;

(c) a cold pack;

(d) tape and a variety of band-aids;

(e) tweezers and scissors;

(f) the toll free number for the Emergency Montana Poison Control Center, 1 (800) 222-1222;

(g) disposable single use gloves;

(h) the director, owner, manager, or person in charge of the day care facility shall take appropriate precautions to minimize the risk of any child suffering sunburn and to minimize the risk of any child contracting West Nile virus; and

(3) each day care provider is responsible for notifying the department of any environmental danger or other hazard on the facility property that the provider is aware of that could affect the health, welfare, or safety of children in care.

(4) A portable first aid kit containing at least the items listed in (2) must accompany staff and children on trips away from the facility.

(5) The provider shall submit a report to the appropriate local office of the department within 24 hours after the occurrence of an accident causing injury to a child which resulted in the child being hospitalized, requiring ambulance transport or intervention, or physician treatment, or any fire in the facility when the services of the fire department were required. A copy of the report shall be provided to the parents of the children involved, and a copy retained on file at the day care facility.

(6) A notation of all injuries must be made on the child's medical record including the date, time of day, nature of the injury, treatment, and whether the parent was notified.