WILLIAM DONALD SCHAEFER, Governor Ch. 514

(i) a nonpublic kindergarten in which an
instructional program is offered or provided for children who are
at least 5 years old; [or]

(ii) a nonpublic elementary school in which an
instructional program is offered or provided for children who are
in grades 1 through 8[.];

[(4) "Child care center" does not include] (III) (a)
child care home, a child care institution, or other child care
facility that offers or provides a residential placement for a
child and is established, licensed, or registered under Title 5,
Subtitle 5 of this article or Titles 6 or 10 of the Health -
General Article; OR

(IV) A FAMILY DAY CARE HOME THAT IS REQUIRED TO
BE REGISTERED OR IS REGISTERED UNDER THIS SUBTITLE.

(G) "LETTER OF COMPLIANCE" MEANS A LETTER ISSUED BY THE
DEPARTMENT OF HUMAN RESOURCES TO A RELIGIOUS ORGANIZATION THAT
MEETS THE REQUIREMENTS UNDER § 5-573 OF THIS SUBTITLE.

5-573.

(b) These rules and regulations shall:

(1)  ensure safe and sanitary conditions in child care
centers;

(2)  ensure proper care, protection, and supervision
of children in child care centers;

(3)  ensure the health of children in child care
centers by:

(i) monitoring children for signs and symptoms
of child abuse;

(ii) instructing licensees and staff concerning
child abuse detection and reporting;

(iii) monitoring health practices to help
prevent the spread of disease; and

(iv) monitoring the care of infants and
children with special needs;

(4) promote the sound growth and development of
children in child care centers;

(5) encourage the care of children in a homelike
environment by reflecting the impracticability of conforming a
residence to standards that are appropriate for institutions and

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