Model Child Care Health Policies

Model Child Care Health Policies


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Model Child Care Health Policies by Susan S., Ed. Aronson Ed.

Significantly revised and updated, the new Model Child Care Health Policies, 5th Edition is a must-have tool to foster adoption and implemenation of best practices for health and safety in group care settings for young children. These settings include early care and education as well as before and after school child care programs. These model policies are intended to ease the burden of writing site-specific health and safety policies from scratch. They cover a wide range of aspects of operation of early education and child care programs. Child care programs of any type can use Model Child Care Health Policies by selecting relevant issues for their operation and modifying the wording to make selected policies appropriate to the specific settings. These settings include early education and child care centers, small and large family child care homes, part day- programs for ill children, facilities that serve children with special needs, school-age child care facilities, and drop-in facilities. The model policies can be adapted for public, private, Head Start, and tuition-funded facilities. All of the most commonly covered health and safety topics the National Association of Child Care Resource and Referral Agencies found in state regulations are included in this guide.

Product Details

ISBN-13: 9781581108262
Publisher: American Academy of Pediatrics
Publication date: 10/01/2013
Pages: 250
Sales rank: 561,710
Product dimensions: 8.50(w) x 11.00(h) x 0.60(d)

About the Author

Susan S. Aronson, MD, FAAP, works at the Pennsylvania Chapter of the American Academy of Pediatrics as a pediatric advisor for the Early Childhood Education Linkage System–Healthy Child Care Pennsylvania. In 2011, she retired from her appointment as clinical professor of pediatrics at the University of Pennsylvania, The Children's Hospital of Philadelphia. A nationally recognized expert on health and safety issues in early education and child care settings, Dr Aronson is an ex officio member of the Executive Committee of the American Academy of Pediatrics Council on Early Childhood. She is the author/editor of Healthy Young Children, 5th Edition (2012). She is known to many educators from 2 decades of reading her column (“Ask Dr. Sue Your Health and Safety Questions”) in Exchange magazine.

Read an Excerpt

Model Child Care Health Policies

By Susan S. Aronson

American Academy of Pediatrics

Copyright © 2014 Pennsylvania Chapter of the American Academy of Pediatrics
All rights reserved.
ISBN: 978-1-58110-826-2




• Families and child care staff members must mutually understand and commit to working as partners in the child's care. All those involved in the child's care should be as well-informed as possible before the decision is made to share care of the child with the staff of the child care program and with whoever else will be in the facility when the child is there.

• The program staff members, family, and child will fare best in their ongoing relationship if everyone is prepared for a smooth transfer of responsibility for the child's care. The program should have written documentation of current information about the child and family pertinent to the child's care.

• To provide continuity of care for the child between the program and home and to be sure that each child is accounted for at all times, families and staff members must communicate every day about who is present or unexpectedly absent and about events and changes in routine for the child, the child's family, and the program on a need-to-know basis.

Required Action/Who Is Responsible/How Communicated

A. Admission (Information Gathering by Family and Program to Plan for Child's Care)

Diversity: __________________________________________________________________ NAME AND ADDRESS OF FACILITY

admits children from the ages of _______ (AGE) to _______ (AGE) without regard to race, culture, ethnicity,

sex, religion, national origin, ancestry, special health needs, developmental or behavioral concerns, or disabilities. The curriculum reflects respect for different cultures, without stereotyping of any culture. Program staff members try to communicate in the language best understood by the family. If that language is not spoken English or the family does not understand written English, the program will find a trusted adult who uses the family's language to translate for the family. In addition, the program will suggest ways for family members to communicate with program staff when the program does not have a translator available. For example, the program may help the family to identify a bilingual person in the family's community who can write out the family's communication in English and translate notes that the program writes in English for the family. Staff members will provide opportunities for the child to learn English.

2. Review and Signing of Program Policies: The child's parent/legal guardian and

________________________________________________________________ ROLE OF THE STAFF MEMBER WHO IS RESPONSIBLE FOR ADMISSIONS

will review and discuss program policies applicable to the family. Then the parent/legal guardian and

________________________________________________________________ TITLE/NAME OF STAFF MEMBER

will sign a document that indicates the review was completed and the content was accepted.

a. Special Needs: When the parent or legal guardian of a child identifies that a child has special needs,

_________________________________________________________________ NAME OF PROGRAM DIRECTOR

and the parent or legal guardian will meet to review the child's requirements for care. The program accepts children for whom the facility is equipped or can be equipped to provide care and staff members can provide a safe, supportive environment. Program decisions about accepting children with special needs are consistent with the requirements of the Americans with Disabilities Act.

_________________________________________________________________ NAME OF PROGRAM DIRECTOR

will work with the parent/legal guardian to find a suitable environment for the child if the program is unable to accommodate the child's needs because the needs pose an undue burden as defined by federal law. The child's needs will be specified in a care plan completed by the child's health care professional(s) or in the Individual Family Service Plan/Individual Education Plan.

3. Admission Agreement:

a. Individual Agreement for Each Child:

_________________________________________________________________ TITLE/NAME OF STAFF MEMBER

and parent/legal guardian will complete, sign, and date an admission agreement for each child, copying relevant information for the files when more than one child from the same family is enrolled.

b. Contents of the Agreement:

i. Operating days and hours of the program

ii. Holiday closure dates

iii. Payment for services

iv. Drop-off and pickup procedures

v. Daily sign-in and sign-out procedures

vi. Authorized individuals for pickup of children and contact information

vii. Routines to periodically test contact information (to confirm whether it is current)

viii. Safe passenger and pedestrian practices

ix. Nonattendance and late pickup arrangements

x. Family access to the site (whenever the child is there)

xi. Requirement for exchange of information

xii. Payment of fees/deposits/refunds/late fees

xii. Content of records

xiv. Confidentiality and release of information.

xv. Policies for health and safety

xvi. Expectations for the family to provide information about the child's health and behavior (preenrollment with updates whenever a change occurs)

xvii. Opportunities/requirements for family involvement in program activities

xviii. Primary staff member for each child (the staff member who will be the primary contact for information about the child and the specific individual[s] who will provide most of the child's care) (See Appendix A: Child Care Admission Agreement.)

B. Enrollment (Orientation and Completion of Required Tasks Before Attendance)

1. Orientation: Prior to the child's attendance,

_________________________________________________________________ TITLE/NAME OF STAFF MEMBER

will arrange a visit to the facility by the parent/legal guardian and child to acquaint them with the environment, staff members, program schedule, and curriculum related to the child's care. During this visit, the parent/legal guardian will have an opportunity to observe care routines, the child care group, and the teachers/caregivers who will interact with the child. Staff members will complete any special training required to care for the child before the child is allowed to enroll. Each child will spend at least

_________________________________________________________________ MINIMUM NUMBER AND LENGTH OF VISITS

at the program with a family member before remaining in the program without a family member present.

The required forms will be checked to be sure necessary information is on file prior to attendance of the child without a family member present.

2. Forms, Confidentiality, and Required Information: The parent/legal guardian will complete the following forms and submit them to

_________________________________________________________________ TITLE/NAME OF STAFF MEMBER

prior to the child's first day of attendance. Program staff members will return any incomplete forms to the parent/legal guardian for completion prior to the child's first day of attendance and at any time during the child's enrollment and attendance when information that the facility requires needs updating.

Information concerning the child will not be made available to anyone, by any means, other than as described in this paragraph, without the expressed written consent of the parent/legal guardian. Parents/legal guardians will be informed that the information will be shared with the child's teacher/caregiver, other staff members who are involved in caring for the child, consultants, and accreditation or regulation inspectors only as required to meet the needs of the child or certification of the program's operation. Except for unannounced inspections, the parent/legal guardian will be given the name(s) of the individual(s) who will be given access and the reason for giving access to confidential information.

a. Application for Child Care Services/Enrollment Information: Name, address, date of birth of the child; attendance date; and names, home and work addresses, all phone numbers that might be used (eg, home, cell, work), and e-mail addresses to enable contact with parents/legal guardians. Families will provide this same contact information for at least 2 additional individuals who will provide backup at any time the parents/legal guardians cannot be reached. (See Appendix B: Application for Child Care Services/ Enrollment Information.)

b. Child Health Assessment: Documentation of performance and findings of a checkup that includes all preventive health services, including oral health services, that the child needs according to current recommendations of the American Academy of Pediatrics. Documentation must be signed and dated by the child's physician, licensed pediatric or family nurse practitioner, or family practice physician. The information on the submitted form must be updated, initialed, and dated at each subsequent age-appropriate health assessment, or a new form must be completed, signed, and dated. Information generated by a health care professional's electronic medical record system is acceptable as long as it provides the required information. (See appendixes C: Child Health Assessment and D: Recommendations for Preventive Pediatric Health Care.

If on review of a child's health record it is determined that a nationally recommended preventive health service (eg, vision, hearing, dental examination, immunization) has not been performed,

_________________________________________________________________ TITLE/NAME OF STAFF MEMBER

will notify the parent/legal guardian that the program requires that the health service is performed before attendance can begin or the child can continue to receive care in the program.

_________________________________________________________________ TITLE/NAME OF STAFF MEMBER

will provide health care referrals when requested or needed. The parent/legal guardian must obtain the required health services within 6 weeks

_________________________________________________________________ CHANGE TIME TO A PERIOD BASED ON STATE REQUIREMENTS OR PROGRAM REQUIREMENTS IF DIFFERENT

of being notified that the health service record is not up to date before the child's eligibility for enrollment is withdrawn or the child is excluded if already attending the program. If the parent/legal guardian chooses to refuse or delay the child's receipt of nationally recommended vaccines, our program _________ (WILL/WILL NOT) allow the child to receive care at our facility.

If the facility accepts children whose parents refuse vaccines, add: "Our program will review, be sure parents understand, and require parents to sign and date the Refusal to Vaccinate form" and/or waivers as required by state law.

Under-immunized children may be excluded if an outbreak of a vaccine-preventable disease occurs. (See Appendix E: Refusal to Vaccinate.)

c. Child Care Program Emergency Information: Completed and signed by a parent/legal guardian for each child enrolled. Staff members must provide emergency information for themselves as well. Parents/legal guardians and staff members will include home, work and cell phone numbers, and name and address of the home and workplace for individuals who are their emergency contacts, and update this form quarterly and whenever information changes. (See Appendix F: Staff and Child Emergency Contact and Child Pickup Information.)

d. Special Care Plan: When a child has a special health care need, developmental or behavioral concern, or a disability, the parent/legal guardian must inform the facility staff about this condition or concern and work with the child's specialist or health care professional(s) to complete a special care plan for that child. (See appendixes G: Special Care Plan Forms and H: How to Use Special Care Plans.) For children with special health care needs, the parent/legal guardian will have the child's health care professional complete the nationally recognized Emergency Information Form for Children With Special Needs. (See Appendix I: Emergency Information Form for Children With Special Needs.) At each health care visit, the parent/legal guardian will ask the health care professional to update information on this form and initial and date the update. To comply with the federal Health Insurance Portability and Accountability Act of 1996 regulations, the child's health care professional may require that the parent/legal guardian sign a separate form giving permission to release confidential information to the child care program. Such consent will be required if the program requires clarification from the child's health care professional of any health concerns staff members have about the child. If the program needs such information,

____________________________________________________________ TITLE/NAME OF STAFF MEMBER

will ask the parent/legal guardian to authorize release of information to and from providers of special services for the child to enable coordination among all services involved with the child. (See Appendix J: Authorization for Release of Information.)

e. Consent for Child Care Program Special Activities: For field trips and special events involving a change from the usual arrangements for child care, a special consent form must be completed by a parent/legal guardian. (See Appendix K: Consent for Child Care Program Special Activities.)

C. Attendance, Daily Record Keeping/Daily Health Checks

1. Daily Forms:For each child, a family member and staff member will collaborate to complete 2 forms daily.

a. Family-Teacher/Caregiver Information Exchange: On daily arrival at the program site, the child's teacher/caregiver will talk with the family member and child, observe each child for signs of illness/ injury that could affect the child's ability to participate in the day's activities, and with the family member, document the information. The teacher/caregiver may update the information documentation if the status of the child changes during the day. (See appendixes L: Family/Teacher-Caregiver Information Exchange Form and M: Instructions for Daily Health Check.)

b. Enrollment/Attendance/Symptom (E/A/S) Record: The

____________________________________________________________ TITLE/NAME OF STAFF AND/OR FAMILY MEMBER

will complete the daily E/A/S record to log attendance, noting any symptom of illness/injury the child is known to have. The program will keep the written record of illness findings from these daily checks for at least 3 months and review them at least monthly to help identify outbreaks and patterns of illness for individual children and within groups of children. The E/A/S records will be reviewed by

____________________________________________________________ TITLE/NAME OF STAFF MEMBER

to identify patterns of illness. (See Appendix N: Enrollment/Attendance/Symptom Record.)

2. Transition to Other Programs (See also Section 3.E: Transitions): To aid in the transition process from the facility to another school or program,

____________________________________________________________ TITLE/NAME OF STAFF MEMBER

will inform parents/legal guardians about the availability of a summary of the child's records, needs, and special characteristics for their use. If parents/legal guardians provide written consent for sharing such information, the

_____________________________________________________________ TITLE/NAME OF STAFF MEMBER

will prepare and provide a written or verbal summary to the new source of service.

3. Termination of Enrollment: If the parent/legal guardian terminates the child's enrollment,

_____________________________________________________________ TITLE/NAME OF STAFF MEMBER

will suggest an approach to provide a comfortable transition for the child. Refund of payments for services will be limited to ________ (TIME AND AMOUNT OF ALLOWABLE REFUND.)

In the event of noncompliance with the conditions described in the admission agreement and policies that the parent/legal guardian reviewed, accepted, and signed,

_____________________________________________________________ TITLE/NAME OF STAFF MEMBER

will meet with the parent/legal guardian to make a plan for corrective action that specifies the expected action and the period after which termination will occur for continued noncompliance. Program staff members will offer support to the family to achieve compliance and provide a grievance procedure that the parent/legal guardian can use. If the corrective action plan is not successful, unless the grievance procedure results in an alternative approach, termination of services will occur.


Excerpted from Model Child Care Health Policies by Susan S. Aronson. Copyright © 2014 Pennsylvania Chapter of the American Academy of Pediatrics. Excerpted by permission of American Academy of Pediatrics.
All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.
Excerpts are provided by Dial-A-Book Inc. solely for the personal use of visitors to this web site.

Table of Contents

Section 1 Admission/Enrollment/Attendance
A.  Admission
      1. Diversity
      2. Review and Signing of Program Policies
      3. Admission Agreement
B.  Enrollment
      1. Orientation
      2. Forms, Confidentiality, and Required Information
C.  Attendance, Daily Record Keeping/Daily Health Checks
      1. Daily Forms
      2. Transition to Other Programs
      3. Termination of Enrollment

Section 2: Supervision and Provision of Social-Emotional Supportive Care
A.  Child:Staff Ratios, Group Size, and Staff Qualifications
      1. Overall Supervision Requirements
      2. Supervision During Nap Time
      3. Ratios for Specific Activities
B.  Supervision of Children
      1. Line of Sight and Hearing
      2. Counting Children
      3. Evaluation and Removal of Environmental Barriers to Supervision
      4. Limits on Independence and Privacy
      5. Community Outreach and Involvement for School-aged Children
      6. Active Supervision Measures
      7. Mixed-Age Groups
      8. Substitutes and Volunteers
C.  Supervision of Active (Large-Muscle) Play
      1. Supervised Play
      2. Counting Children at Times Intervals
D.  Swimming, Wading, Gross Motor Water Play
      1. Water Activities
      2. Supervision of Large-Muscle Water Play
E.  Consultants and Child Care Health Advocate
      1. Health Consultant
      2. Health Advocate
      3. Early Childhood Mental Health Consultant
      4. Early Childhood Educational Consultant
F.  Family/Staff Communication
      1. Types of Communication
      2. Frequency of Communications
      3. Use of Documented Communications

Section 3: Planned Program, Teaching, Guidance
A.  Philosophy of Teaching, Guidance, and Behavior Management
B.  Permissible Methods for Teaching, Behavior Management, and Discipline
      1. Teacher/Caregiver Interactions With Children
      2. Coordinated Approach to Discipline
      3. Handling Physical Aggression and Other Behaviors of Concern
      4. Prohibited Behaviors
C. Developmentally Appropriate Care
      1. Routines for All Age Groups
      2. Infants and Toddlers
      3. Preschool-aged Children
D.  Required Clothing for Children and Staff Members
      1. Suitable Clothing
      2. Footwear
      3. Spare Clothing
E.  Transitions
      1. Communications for Transitions
      2. Advance Planning for Transitions

Section 4: Nutrition, Food Handling and Feeding
A.  Acceptable Food and Drink
      1. Staff Role
      2. Beverages
      3. Fruits and Vegetables
      4. Meat and Meat Alternatives
      5. Grain and Bread
B.  Food Brought From Home
      1. Informing Families About Acceptable Foods
      2. Supplementation of Food Brought From Home
      3. Situations When Food May Be Brought From Home
      4. Preparation, Transport, and Safe Food Temperatures
      5. Leftovers
C.  Food Prepared at or for the Facility and Served at the Facility
      1. Food and Nutrition Service Plan
      2. Supplies, Equipment, Furnishings, and Maintenance for Food Service
D.  Infant/Toddler Feeding
      1. Written Feeding Instructions
      2. Breastfeeding Is Welcome
      3. Formula Feeding
      4. Feeding Procedures
E.  Preschool/School-age Feeding
      1. Foods for Meals and Snacks
      2. Meal Procedures
F.  Feeding of Children With Special Nutritional Needs
G. Prevention of Obesity
H. Staff Training for Food and Feeding

Section 5: Physical Activity and Screen Time
A.  Encouragement of Physical Activity and Outdoor Play
      1.  Role of Teachers/Caregivers
      2. Teacher/Caregiver Participation in Physical Activity With Children
      3. Appropriate Clothing
B.  Types of and Plans for Physical Activity
      1. Types of Physical Activity
      2. Frequency of Structured Activity
      3. Daily Active Play
C.  Equipment and Settings to Support Physical Activity
      1. Sun and Wind Protection
      2. Hazards
      3. Equipment for Infants
D.  Weather and Clothing for Outdoor Play
      1. Adjustment of Outdoor Play for Weather
      2. Adjustment of Outdoor Play for Health Conditions
      3. Outdoor Clothing Appropriate for the Weather
      4. Avoiding Ultraviolet Radiation Exposure
E. Limitations for Screen Time (TV, DVD, Computers)
      1. Infants and Young Toddlers
      2. Children 2 Years and Older
      3. Screen-free Meals and Snacks
      4. Computer Time
      5. Content of Screen Media

Section 6: Daytime Sleeping, Evening, Nightime and Drop-in Care
A.  Sleep Practices
      1. Area/Arrangements for Sleeping and Napping
      2. Supervision of Sleeping/Resting Children
      3. Safe Sleep Arrangements for Infants
B.  Sleep/Rest Equipment
      1. Allowable Sleep/Rest Equipment
      2. Labeling of Sleep Equipment
      3. Separation of Sleeping Children
      4. Bedding
      5. Storage of Sleep Equipment and Bedding
C.  Evening and Nighttime Care
      1. Applicable Policies
      2. Evacuation Drills
      3. Preparation for Bed
D.  Drop-in Care
      1. Definition of Drop-in Care
      2. Intermixing of Child Groups
      3. Accessibility of Parents/Legal Guardians

Section 7: Sanitation and Hygiene
A.  Hand Hygiene

      1. Hand Hygiene Signs
      2. When to Practice Hand Hygiene
      3. Hand Washing
      4. Hand Sanitizers
B.  Diapers, Clothing, and Changing Areas Soiled by Body Fluids
      1. Types of Diapers
      2. Soiled Diapers, Training Pants, and Other Clothing Soiled by Body Fluids
      3. Changing Location
      4. Separation of Food Preparation From Items Soiled by Body Fluids
      5. Disinfecting Changing Surfaces
      6. Checking Children for Need to Be Changed
      7. Procedure for Changing/Checking Diapers or Clothing Soiled by Body Fluids
C.  Toileting
      1. Location of Toilets
      2. Adaptation of Toilets for Independent Use
      3. Potties (Potty Chairs, Training Chairs, Non-flushing Toilets)
      4. Monitoring of Toileting Procedures
      5. Privacy for Toileting
      6. Maintenance of Toilet Areas
D.  Oral Hygiene
E.  Facility Cleaning, Sanitizing, and Disinfecting

      1. Routine Schedule
      2. General Cleaning Personnel
      3. Personnel Responsible for Cleaning and Sanitizing Toys
      4. Bedding
      5. Water Play
      6. Spills
      7. Rugs/Carpets
      8. Instruction of Staff for Cleaning, Sanitizing, and Disinfecting
F.  Exposure to Blood and Other Potentially Infections Materials
     1. Risk Reduction
     2. Standard Precautions to Avoid Exposure to Body Fluids
     3. Soiled Clothing
     4. Hand Hygiene After Handling Contaminated Materials
     5. Blood-bourne Pathogen Exposure Plan
G. Animals, Including Pets
     1. Allowable Animals
      2. Supervision of Animal Contact
      3. Cleaning Animal Habitats
      4. Supervision of Animal Care in the Facility

Section 8: Environmental Health
A.  Avoiding Significant Noxious/Toxic/Infectious Disease Environmental Exposures
      1. Air Quality/Temperature/Humidity
      2. Cleaning/Sanitizing/Disinfecting and Other Maintenance; Toxic Supplies and Pesticides
      3. Water Quality
      4. Noise
      5. Food Safety
      6. Plastics
      7. Mold
      8. Furnishings and Equipment
      9. Art Supplies and Sensory Materials
     10. Plants
     11. Sun Safety
     12. Lead
     13. Soil and Play Area
     14. Mercury
     15. Asbestos and Fiberglass
     16. Radon
     17. Recycling
B.  Hazard/Safety Checks and Corrective Actions
     1. Total Facility Hazard/Safety Checks
     2. Outdoor and Indoor Large-Muscle Play Areas
     3. Toys
     4. Documentation of Safety Inspections, Incidents, and Corrective Action Plans

Section 9: Transportation
A.  Motor Vehicles and Drivers Used for Program Activities
      1. Vehicle Type, Vehicle License, Driver License/Certification, and Insurance
      2. Emergency Equipment and Supplies
      3. Vehicle Climate Control
      4. Prevention of Inappropriate Use
      5. Forms Carried in Vehicles
      6. Driver Training
B.  Use of Motor Vehicles
      1. Selection of Drivers
      2. Emptying and Locking Vehicles
      3. Drop-off and Pickup
      4. Child:Staff Ratios During Transport
      5. Number of People Transported
      6. Child Passenger Safety
      7. Field Trips
      8. Wheelchair Transport
      9. Prohibited Activities in Vehicles
     10. Education About Child Passenger Safety
     11. Seat Restraint Use by Families
     12. Route/Trip Planning
     13. Oversight of Transportation Policies
C.  Walking and Walking Trips
     1. Teaching and Modeling Pedestrian Safety
     2. Keeping the Group of Children Together
     3. Identification of Safety Crosswalks, Drop-off/Pickup Locations, and Bike and Walking Routes
D.  Biking, Riding, and Use of Wheeled Toys

Section 10: Health Plan
A.  Child and Staff Health Services
      1. Child Health Assessment
      2. Adult Health Assessment
      3. Tracking and Updating Immunizations and Checkup Records
B.  Oral Health
      1. Food Choices
      2. Pacifiers and Teething Rings
      3. Bottles and No-Spill Cups
      4. Oral Hygiene
      5. Fluoride in Drinking Water
      6. Dentist for Each Child
      7. Tooth Decay and Dental Emergencies
      8. Oral Health Education
C.  Hazard/Safety Checks and Corrective Actions
D.  Obesity Prevention
E.  Children With Special Needs and Disabilities

      1. Care Plan
      2. Orientation and Training of Staff Members
      3. Specific Conditions
F.  Medication Administration
      1. Acceptable Requests for Medication Administration
      2. Symptom-Triggered Medication Administration
      3. Staff Members Authorized to Give Medication in this Facility
      4. Storage of Medications
      5. Expired Medications
      6. Documentation of Medication Administration
      7. Medication Errors and Reactions to Medications
      8. Medication Incidents
G.  Health Education
      1. Topics
      2. Health Education Methods
      3. Calendar-Focused Health Educaition
      4. Notification of Families About Sensitive Topics

Section 11: Care of Acutely Ill or Injured Children and Staff Members
A.  Admission and Exclusion

      1. Sharing Information
      2. Situations That Require a Note From a Health Care Professional
      3. Authority for Decision to Admit or Exclude for Acute Illness
      4. Criteria for Excluding Children Who Are Acutely Ill or Injured
      5. Criteria for Excluding Staff Members Who Are Acutely Ill or Injured
      6.  Permitted Attendance and Care for Mild Illness
      7. State Regulations That Apply to Exclusion
B.  Procedure for Management of Short-term Illness
      1. Complete an Admission Symptom Record
      2. Develop a Care Plan
      3. Complete a Symptom Record
      4. Increasing Symptoms While in Child Care
C.  Reporting Requirements
      1. Reportable Diseases
      2. Responsibility for Reporting Illness
      3. Notification of the Public Health Department
D.  Obtaining Immediate Medical Help
      1. Reporting Outbreaks of Infectious Diseases
      2. Plan for Seasonal and Pandemic Influenza (Flu)

Section 12: Security
A.  Background Screening for All Workers
B.  Prevention of Access by Threatening Individuals and Sign-in, Sign-out System

      1. Entrances
      2. Outdoor Play Areas
      3. Access for Families
C.  Sign-in/Sign-out Procedure
      1. Who Must Follow the Sign-in/Sign-out Procedure
      2. Method of Documentation
      3. Pickup of a Child
D.  Action When No Authorized Person Arrives to Pick Up a Child
      1. Efforts to Contact Each Authorized Contact
      2. Repeated Failure to Meet Agreed Pickup Arrangement
E.  Communications and Documentation About Attendance
      1. Daily Attendance Record
      2. Notice of Planned Nonattendance

Section 13: Emergencies and Disasters
A.  Urgent Medical or Oral Health Care

      1. First Aid Kits
      2. First Aid and CPR Training for Staff
      3. Management of Injuries or Illnesses That Require Medical or Oral Health Professional Care
B.  Emergency/Urgent Contact and Health Information
      1. Access to Emergency Contact and Health Information
      2. Updating and Verifying Emergency Contact and Health Information
C.  Emergency Repairs
D.  Serious Illness, Hospitalization, and Death

      1. Attention to Child Witnesses
      2. Notification of EMs and Next of Kin
      3. Controlling the Scene, Subsequent Communications, and Support
      4. Notification of Agencies and Authorities
E.  Lost or Missing Children
      1. Counting and Identifying Location of Each Child
      2. Prevention and Recovery of Missing Children
      3. Procedure for Unrecovered Missing or Lost Children
F.  Emergency and Evacuation Plan, Drills, and Closings
      1. Emergency Preparedness Planning
      2. Risk Analysis Results
      3. Evacuation and Lockdown Plans
      4. Review of Emergency Plans
      5. Location and Content of Emergency Supplies
      6. Emergency Contact and Health Information
      7. Notification of Families About an Emergency
      8. Evacuation Procedure
      9. Emergency Drills
     10. Emergency Training for New Staff
G.  Media Inquiries

Section 14: Child Abuse and Neglect
A.  Preventing Overwhelming Situations

      1. Relief for Stressed Staff Members
      2. Care for Stressed Children
B.  Layout and Staffing to Reduce the Risk of Child Abuse or Neglect
      1. Visibility of All Activities
      2. Two Adults Per Group
      3. Limiting Privacy
C.  Mandated Reporters of Child Abuse or Neglect
      1. Who Is a Mandated Reporter
      2. Where to Report Suspected Abuse or Neglect
      3. Protection of the Mandated Reporter
      4. Staff Members Suspected of Child Maltreatment
      5. Documentation of Observations
D.  Training and Supportive Resources About Child Abuse and Neglect
      1. Staff Member Participation in Training About Child Abuse and Neglect
      2. Arrangements for Child Abuse and Neglect Training
      3. Source of Specialized Resources and Training to Care for Children Who Have Experienced Child Abuse or Neglect
E.  Informing Parents/Legal Guardians About Mandated Reporting

Section 15: Smoking, Prohibited Substances, and Weapons
A.  Prohibited Substances

      1. Adherence to Policies Related to Prohibited Substances
      2. Informing Adults About Prohibited Substances
B.  Weapons
      1. Specific Types of Prohibited Items
      2. Response to Any Attempts to Bring a Weapon Into the Facility

Section 16: Human Resources/Personnel Polices
A.  Background Screening

      1.  Enforcing Background Screening
      2. Background Screening Includes Verification of Each Individual's Information
B.  Staff Health Assessment
C.  Benefits

      1. Medical Insurance
      2. Vacation and Holidays
      3. Sick Leave
      4. Retirement Benefits
      5. Personal and Family Medical Leave
      6. Substitures for Allowed Absences
      7. Other Benefits
D.  Breaks and Stress Management
      1. Staff Entitlement to Breaks
      2. Scheduling of Breaks
      3. Maintenance of Child:Staff Ratios
      4. Stress-reduction Measures
E.  Professional Development/Training
      1. Compensation for Time Spent on Professional Development
      2. Preservice Training
      3. First Aid/CPR/Water Safety Training
      4. Ongoing Professional Development
F.  Performance Evaluation
      1. Evaluation Procedure
      2. Needs Assessment for Professional Development
      3. Probation and Termination
G. Grievances

Section 17: Design and Maintenance of the Physical Plant and Contents
A.  Building and Fire Inspections
B.  General Cleaning of the Facility
C.  Storage and Use of Potentially Toxic Materials
D.  Use of Facility and Grounds
E.  Facility Design, Space Allocation, and Maintenance

Section 18: Review and Revision of Policies, Plans, and Procedures
A.  Routine Review of Policies

      1. Review and Acceptance of Policies by Parents/Legal Guardians
      2. Review and Acceptance of Policies by Staff Members
      3. Revision of Policies
B.  Review and Approval of Program Policies (Administrators and Consultants)
C.  Review and Acceptance of Applicable Policies by Staff Members or Parents/Legal Guardians
D.  Acceptance of Occupational Risk by Staff Members


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