Examples: The 2nd Edition of Caring for Our Children, which is a joint partnership of the American Academy of Pediatrics, the American Public Health Association, and the National Resource Center for Health and Safety in Child Care, offers detailed diaper changing procedures that organizations may find useful when developing their own diapering practices.
Hand washing areas are designed to promote safety and limit the spread of infection including:
separating hand-washing sinks from food preparation sinks;
installing shatter-proof mirrors;
making hand washing sinks easily accessible to all children; and
having liquid soap and sanitary methods for drying off hands available.
Examples: The 2nd Edition of Caring for Our Children, which is a joint partnership of the American Academy of Pediatrics, the American Public Health Association, and the National Resource Center for Health and Safety in Child Care, has hand washing procedures that organizations may find useful when developing their own hand washing practices
Teaching staff promote good health habits by:
modelling and providing developmentally-appropriate instruction on health and hygiene practices;
Examples: Health and hygiene practices include, but are not limited to:
washing hands before and after eating;
washing hands after using the bathroom;
covering the nose and mouth when sneezing or coughing; and
regular tooth brushing.
Examples: Active play for infants may include “tummy time,” allowing infants to develop the muscles of their back and neck.
follow universal precautions;
identify and report suspected child abuse and neglect to prescribed authorities;
are informed about children in their care with special medical needs or allergies; and
are healthy and capable of performing the essential functions of the job with reasonable accommodation.
While an annual physical examination is preferred, teaching staff may receive a general health screening performed by a qualified medical practitioner, provided the screening addresses communicable diseases.
The organization ensures that staff are available to respond in a medical emergency by guaranteeing:
each classroom has at least one person present with current pediatric First Aid certification;
one person with current Cardiopulmonary Resuscitation (CPR) certification is on site at all times the program is in operation; and
individuals with First Aid and CPR certification are present on field trips away from the facility.
A health facility or qualified medical professional is available to provide:
medical consultation to the organization and parents;
a review of children’s health needs; and
a review of the organization’s health and safety practices.
The intent of this standard is not to require that organizations pay for this service, but to ensure they have access to medical professionals as needed.
Examples: Organizations may ensure access to medical professionals by having medical professionals on staff or by developing formal or informal relationships with medical professionals outside the organization to receive assistance when special health needs arise.
Bottles of breast milk and formula are:
labeled with the child’s full name and the date that it was brought in;
brought in daily and stored in a refrigerator upon arrival;
discarded if the bottle is not finished in one feeding;
warmed in water and never in a microwave oven; and
sent home at the end of the day so thawed breast milk and mixed formula are never stored overnight by the centre.
NAThe organization does not provide infant care.
Teaching staff take necessary precautions to reduce the risk of Sudden Infant Death Syndrome (SIDS) and other sleep-related infant deaths, including:
placing infants on their backs for sleep unless otherwise instructed by the child’s doctor;
placing infants on a firm sleep surface such as a safety-approved crib mattress with fitted sheet;
never allowing children to sleep in a device meant for sitting such as a carseat, bouncer, or swing;
removing soft materials or objects such as pillows, loose bedding, bumper pads, or toys from sleep areas;
ensuring sleep spaces are free of strangulation hazards such as dangling cords, electric wires, and window-covering cords; and
dressing infants appropriately for the environment.
NAThe organization does not provide infant care.
A safe environment is maintained through proper selection and maintenance of play equipment, including:
indoor and outdoor playground equipment that meets national safety standards;
installing equipment on an appropriate amount of impact absorbing surfaces in accordance with manufacturer’s instructions and/or industry practice;
conducting daily inspections of playground equipment and the surrounding area to immediately identify potentially hazardous conditions;
monthly inspections of playground equipment to identify signs of wear or damage using a standardized checklist and in accordance with manufacturer’s instructions; and
annual inspections and necessary maintenance of the play equipment by industry professionals.
Examples: Potentially hazardous conditions include standing water, broken glass, or damage to the play equipment. Signs of wear or damage include worn or damaged wood, bolts, chains, anchors, or insufficient amount of impact absorbing surfaces under equipment.
Stairwells have railings and are closed off from child care classrooms.
NANone of the organization's ECE facilities have stairwells.
The facility provides an optimal care and learning environment that is:
well lit, with natural light where possible and emergency lighting throughout;
maintained at a safe, comfortable temperature and noise level;
odour free; and
Smoking is prohibited anywhere on the premises, including outside entrances, outdoor play areas and program vehicles.
ensures equipment, toys, and materials are child-proof, non-toxic, and maintained in good repair; and
is aware of and responsive to any product recalls affecting equipment, toys, and materials.