Maryland Family Law Section 5-573

      (a)      The State Superintendent shall adopt rules and regulations for licensing and operating child care centers.

      (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 otherwise providing for centers that are in residences or other facilities and serve between 7 and 12 children and facilities having 6 or fewer children required to be licensed under § 5-574 of this subtitle;

            (6)      carry out otherwise the purposes and requirements of this Part VII of this subtitle, including imposition of intermediate sanctions to ensure compliance;

            (7)      prohibit a child from remaining at a child care center for more than 14 hours in 1 day unless the Department issues an exception for that child based on guidelines set by the State Superintendent;

            (8)      (i)      require that a child care center have in attendance at all times at least 1 individual who is responsible for supervision of children, including children on field trips, and who holds a current certificate indicating successful completion of approved:

                        1.      basic first aid training through the American Red Cross or through a program with equivalent standards; and

                        2.      cardiopulmonary resuscitation (CPR) training through the American Heart Association or through a program with equivalent standards appropriate for the ages of children for whom care is provided in the child care center; and

                  (ii)      require that a child care center serving more than 20 children have in attendance certificate holders described in item (i) of this item in a ratio of at least 1 certificate holder for every 20 children; and

            (9)      (i)      require that a child care center that receives notice of a contaminated drinking water supply from the child care center's supplier of water, in accordance with § 9-410 of the Environment Article or otherwise, send notice of the drinking water contamination to the parent or legal guardian of each child attending the child care center; and

                  (ii)      require that the notice sent by the child care center shall:

                        1.      be sent within 10 business days after receipt of the notice of contamination from the child care center's water supplier;

                        2.      be in writing;

                        3.      identify the contaminants and their levels in the center's water supply; and

                        4.      describe the child care center's plan for dealing with the water contamination problem until the child care center's water is determined by the appropriate authority to be safe for consumption.