(1) ONB programs must have and ONB providers must follow a written health policy reviewed and approved by the department that includes the topics listed in subsection (2) of this section. The health policy must be reviewed and approved by the department when changes are made, and as otherwise necessary.

(2) ONB programs' health policies must comply with the requirements described in these standards including, but not limited to:

(a) A prevention of exposure to blood and body fluids plan;

(b) Meals, snacks, and food services including guidelines for food allergies and food brought from home;

(c) Handwashing and hand sanitizer use;

(d) Toileting;

(e) Observing children for signs of illness daily;

(f) Exclusion and return of ill children, staff, or any other person in the ONB program space;

(g) Contagious disease notification;

(h) Medical emergencies, injury treatment and reporting;

(i) Immunization tracking;

(j) Medication management, storage, administration and documentation;

(k) Care for pets and animals that have access to licensed space, how children may engage with pets and animals, and the health risks of interacting with pets and animals;

(l) How general cleaning will be provided and how areas such as food contact surfaces, kitchen equipment, toys, toileting equipment, and laundry will be cleaned, sanitized and disinfected;

(m) Pest control policies;

(n) Caring for children with special needs or health needs, including allergies, as listed in the child's record; and

(o) Dental hygiene practices and education.