The program promotes and protects the health of children and staff.
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The research identifies health promotion as a key indicator of quality and a strong predictor of positive outcomes.
|Self-Study Evidence||On-Site Evidence||On-Site Activities|
A health record is maintained for each child that includes:
Interpretation Emergency contact information includes the names of the family physician, clinic, or hospital to be used in emergencies. When a child has allergies or health issues, the acknowledgment form must include specific information regarding the allergy such as which foods or materials the child cannot eat or come in contact with, and any activities in which the child cannot participate.
All parents receive a written health policy and procedures that address:
Child health problems and injuries, including changes in appearance or behavior, are promptly recorded and reported to parents and administration, and follow-up is conducted as needed.
Procedures for regularly cleaning and sanitizing the classroom limit the spread of infection and include:
To limit the spread of infection, diaper changing areas:
Diapering procedures meet nationally recognized guidelines for sanitary diapering practices, and include:
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 programs may find useful when developing their own diapering practices.
Hand washing areas are designed to limit the spread of infection by:
Interpretation Sanitary methods for drying off hands include disposable paper towels or electric dryers that turn on and off automatically.
Hand washing procedures meet nationally recognized guidelines for hand washing and include:
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 programs may find useful when developing their own hand washing practices.
Teaching staff promote good health habits by:
Interpretation Examples of health and hygiene practices include, but are not limited to:
Interpretation Active play for infants may include “tummy time,” allowing infants to develop the muscles of their back and neck.
Research has shown that healthy eating habits and active lifestyles are established in infancy.
Children are protected from injuries, accidents, and illnesses through practices that ensure teaching staff:
Interpretation Regarding element (a), the program should ensure that it complies with any applicable legal and regulatory requirements regarding risk of exposure to contagious and infectious disease. COA recommends that programs consult with local health authorities or a qualified professional about how to minimize the risk of contagious and infectious diseases to program personnel and participants, which may include voluntary adherence to CDC guidelines.
Regarding element (f), 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, including tuberculosis when required by relevant health authorities. See CYD-ECE 4.14 for more information regarding the applicability of tuberculosis testing.
Bottles of breast milk and formula are:
Interpretation Breast milk or formula should not stored overnight by the child care center. Bottles that are unused at the end of the day should be sent home with the parent.
The facility provides an optimal care and learning environment that is:
Smoking is prohibited anywhere on the premises, including outside entrances, outdoor play areas and program vehicles.
The program implements a targeted tuberculosis testing program for personnel who are in direct contact with children, as appropriate given the identified service population and as required by law or regulation.
Interpretation Local and state public health authorities should be a program’s primary source of information when determining if there is a need to implement a targeted testing program among its staff. Local public health authorities have access to epidemiological data analysis, guidance from national authorities, and local rates of TB infection, which will help programs assess the risk for TB. Programs should consult annually with their local health department for any new information or changes in the local population that might affect the risk of TB.
NA The program does not serve high risk groups and is not required by law to conduct TB testing.
The Centers for Disease Control and Prevention discourages TB testing among individuals with a low risk for developing tuberculosis because it utilizes resources that should be maintained for populations at greater risk of infection and increases the prevalence of false positives. Mandated skin-testing programs should be avoided unless a large percentage of the program population is defined as “high risk” by local authorities.
A health facility or qualified medical professional is available to provide:
Interpretation The intent of this standard is not to require that programs pay for this service, but to ensure they have access to medical professionals as needed. Some programs, particularly those that serve a higher risk population, might have medical professionals on staff; others will develop formal or informal relationships with medical professionals outside the program to receive assistance when special health needs arise. Some programs may also find it beneficial to consult with health professionals when developing procedures for minimizing the risk of contagious and infectious diseases, or responding to situations such as accidents and medical emergencies, in order to ensure that their procedures are sufficient and appropriate.
The literature identifies physical health as one predictor of future academic success. As such, programs should consider each child’s physical health and well-being when making program decisions.