Volunteer Intro to the Baby Haven Childcare & Early Learning Center

Revised: 10/2/14

VOLUNTEER INTRO TO THE BABY HAVEN CHILDCARE & EARLY LEARNING CENTER

PURPOSE Thank you for your interest in being a volunteer at the Baby Haven! We thank you for sharing your time and talents as a volunteer. This packet is designed to acquaint volunteers with our program and provide information about the volunteer process, benefits, expectations policies and procedures. To learn more about us and our affiliated programs please visit www.havenfriends.org.

In this packet you will find: In this packet you will find: 1. Volunteer Checklist For Staff – To Be Completed By A Staff Member 2. Volunteer Introduction To Our Program a. The Baby Haven Program Introduction b. Giving Opportunities c. Classroom Volunteer Guide d. About The Haven Residential Treatment Programs 3. POI Form – to be completed by volunteer 4. Emergency Contact Form – to be completed by volunteer 5. Confidentiality Statement – to be signed by volunteer 6. Worker’s Compensation Waiver – to be completed & signed by volunteer 7. Background Check Agreement – to be completed & signed by volunteer 8. Volunteer Agreement – to be signed by volunteer 9. Universal Precautions / Communicable Disease Policy– to be signed by volunteer 10. Fraternization Policy – to be signed by volunteer 11. Tobacco Product Policy – to be signed by volunteer 12. Sexual Harassment Policy – to be signed by volunteer 13. Anti-Violence Policy – to be signed by volunteer 14. Drug & Alcohol Testing Policy – to be signed by volunteer 15. Child Abuse Statement & Signature – to be signed by volunteer 16. Mandated Reporter Training & Policy – to be signed by volunteer 17. Guidelines on Interactions – to be signed by volunteer 18. Why it’s Important to Wash Your Hands – to be signed by volunteer 19. Hand Washing Training – to be completed & signed by volunteer 20. Dress Code – to be signed by volunteer 21. Nut Aware Zone Notification – to be signed by volunteer 22. Behavioral Guidance – to be signed by volunteer 23. Whooping Cough Information – to be signed by volunteer

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VOLUNTEER CHECKLIST – TO BE COMPLETED BY STAFF MEMBER

Volunteer Name:

ARTS Supervisor:

Instructions: ARTS staff member please turn in this completed checklist and paperwork listed here to ARTS Administration, 3738 West Princeton Circle, Denver, CO 80236, 303-761-6703 Attn: JoAnna Ramirez-Darnell

1.  Introduction to Baby Haven 2.  POI Form 3.  Emergency Contact Form 4.  Confidentially 5.  Worker’s Compensation Waiver 6.  Background Check Agreement 7.  Volunteer Agreement 8.  Universal Precautions / Communicable Disease Policy 9.  Fraternization Policy 10.  Tobacco Product Policy 11.  Sexual Harassment Policy 12.  Anti-Violence Policy 13.  Drug & Alcohol Testing Policy 14.  Child Abuse Statement 15.  Mandated reporter training complete and certificate given to staff member - : http://coloradocwts.com/mandatedreporter/educators/ 16.  Guidelines on Interactions 17.  Why it’s important to wash your hands, Hand washing video completed http://www.cdc.gov/CDCTV/handstogether/ 18.  Dress Code 19.  Nut aware Zone 20.  Behavioral Guidance 21.  Whooping Cough Info 22.  Volunteer Schedule 23.  Check in Procedure 24.  Staff Introductions 25.  Has this volunteer been screened by a staff member? a.  Yes Date: Staff member who completed: b.  No c.  N/A 26.  Has this volunteer passed the University background check? a.  Yes Date: Staff member who verified: b.  No Page 2 of 51 Revised: 10/2/14

c.  N/A 27.  Has this volunteer passed the National Sex Offender Registry check? a.  Yes Date: Staff member who verified: b.  No c.  N/A 28.  Has this volunteer passed the Central Registry (TRAILS)check? a.  Yes Date: Staff member who verified: b.  No c.  N/A 29.  Has this volunteer passed the CBI fingerprint check? a.  Yes Date: Staff member who verified: b.  No c.  N/A 30.  Has this volunteer been approved to volunteer with the Haven or Baby Haven program? a.  Yes Date: Staff member who approved: b.  No c.  N/A 31.  Who does this volunteer report to? a.  Staff member name and title: b.  Staff member phone number and e-mail address 32.  What are this volunteer’s duties and responsibilities?

33.  Does this volunteer need a University e-mail address? (note: this must be approved by the Program Director) a.  Yes b.  No 34.  Does this volunteer need a University voicemail? (note: this must be approved by the Program Director) a.  Yes b.  No 35. Will the volunteer be driving? (note: this must be approved by the Program Director) a.  Yes i.  Please provide a copy of volunteer driver’s license ii.  Please provide a copy of insurance b.  No

VOLUNTEER INTRODUCTION TO THE BABY HAVEN CHILDCARE CENTER

THE BABY HAVEN PROGRAM INTRODUCTION The Baby Haven Child Care and Early Education Center located in Denver, Colorado is a state-of-the-art childcare facility offering the highest quality of care and educational services.

Licensed and Qualistar Rated The Baby Haven is a licensed and Colorado Shines quality rating and improvement system rated child care center that provides care to children ages 6 weeks through 5 years and is open Monday through Friday from 6 am to 6 pm. The Baby Haven values diversity and serves families affiliated with the ARTS programs as well as families in the community. Children and their families are at the heart of the Baby Haven program. The Baby Haven adheres to all childcare rules and regulations when meeting children’s and family’s needs and offers:  Low child to staff ratio  Brand new state of the art, built green building  Classes led by Certified Early Childhood Teachers  Use of evidenced based curriculums  Commitment to providing quality child care to all families in our community  Support for you and your child’s goals toward school readiness  Serves the whole family by offering services that enrich learning opportunities of children and caregivers

Baby Haven Activities:  Story time with Public Library  Engagement in social and emotional development activities  Complimentary family partnership and engagement activities  Healthy meal options  Music and movement  Sign language  And much more!

Purpose and Philosophy The Baby Haven provides a rich, nurturing environment for children’s cognitive, social, emotional and physical growth. Here children are respected, and our teachers work in partnership with families to challenge and nurture each child. In our center children come first and are at the heart of all that we do! The Baby Haven Child Care Center is based on the concept that young children should be active learners and develop at their own unique pace, with the support of parents and educators. In addition to its distinctive location, the center offers creative and flexible child care solutions for families. The Baby Haven Child Care Center helps to bring families together in a caring, nurturing environment and represents a community where parents and children can learn about and understand the needs of both parents and children.

Program Goals  To provide quality early child care, education and enrichment for all children and families served.  To assist children in their cognitive, physical, social, emotional, and creative growth. Page 4 of 51 Revised: 10/2/14

 To provide children with positive interaction and opportunities to establish healthy relationships with peers and adults.  To involve children and parents in a continuous program that encourages development and improvement.  To provide qualified, caring staff members who participate in regular training and education.

Ages Served The Baby Haven provides care to children 6 weeks through 5 years of age.

Tools and Curriculums:  Partners in Parenting and Education  Teaching Strategies GOLD  Creative Curriculum  Ages and Stages  ITERS  ECERS

Related Services: Baby Haven is part of the Addiction Research and Treatment Services (ARTS) program of the University of Colorado Denver. Today, The Haven is three facilities located on the Ft. Logan campus and can serve up to 26 pregnant or post-partum women and their infants. The Haven is a 65-bed Modified Therapeutic Community for women, mothers and their infants. Licensed by the Department of Behavioral Health, the program offers long- term, intensive treatment for clients with addictions. Clients are referred from the Department of Human Services, Temporary Assistance for Needy Families (TANF), the criminal justice system, homeless shelters, friends and family members, or through self-referral. Haven clients stay approximately 12 months in residential treatment, followed by an additional 12 months of outpatient MTC treatment services. Long-term outcomes are very positive. In fact, 90.1 percent of mothers who enter The Haven remain drug-, alcohol-, and crime-free two years after completion. Program staff is comprised of licensed professionals and certified addictions counselors from a variety of professional fields; many are themselves in recovery from substance addiction.

GIVING OPPORTUNITIES Friends of the Haven is a not-for-profit organization (501c.3) created to provide financial and volunteer support for the Haven and its programs. To find out more please visit www.havenfriends.org.

CLASSROOM VOLUNTEER GUIDE

Minimum Requirements:  Must be 18 or older  Must be able to volunteer for a minimum of 3 months, minimum of 4 hours per week  Must be able to volunteer on a weekly basis  Must be able to pass a background and fingerprint check, $50 cost paid by volunteer  Experience and enthusiasm for working with children  Patience with and compassion for children  Strong communication skills  Able to lift 30 pounds, sit, stand, kneel, squat, see and hear children

General Role Description: Childcare volunteers offer support and comfort to children. Volunteers assist Teachers in meeting children’s basic needs, providing children with positive and nurturing play experiences, and building trust and rapport with children.

Basic Responsibilities: 1. Volunteers play with, care for, and talk to children, offering them comfort and respect. 2. Volunteers assist Teachers with clean-up and general maintenance of the childcare area. 3. Volunteers maintain the strict confidentiality of the families in the Center. 4. Volunteers are present and on time for scheduled shifts. Volunteers are required to notify the Childcare Director in advance when they will be absent or late from a shift. 5. Volunteers greet every child and family. 6. Have fun!

What every volunteer needs to know:  We are a licensed and Colorado Shines quality rating and improvement system rated program. We are committed to quality and best practices for children and therefore follow stringent quality standards that have been set by the State of Colorado.  Personal belongings such as purses can be placed in a locked closet in each classroom.  Classroom attire – comfortable and clean clothing. We suggest no jewelry other than wedding bands. No shoes can be worn in the infant classrooms, socks or slippers may be worn.  Water bottles – if using a water bottle please use a water bottle with a large cap (diameter larger than a toilet paper roll) that can be securely fastened.  We wash our hands often (this applies to everyone!) o Every time we enter a room, even if we just washed in the restroom o After every diaper change o Before and after handling food water/sand/play dough play o After wiping or blowing a nose o After outside time  Your teacher will review special instructions for children such as allergies, reflux, meds, crib mattress elevated at one end, pacifier, swaddle up right after feeding etc. with you.  Feedings, diaper changes and naps are recorded on a daily activity log (DAL) kept in a binder on the counter.  Keys - Each teacher has a set of keys for the closets, outside doors and cabinets. Please return keys to hook after using. ALL cabinets and closet must remain locked at all TIMES!!  If you have any questions please feel free to ask the nearest teacher and she will be more than happy to answer any questions you may have.  Use gentle words and touches, find ways to say yes instead of no.  In our center children are redirected, please see more in our Behavioral Guidance Policy.  You may not always agree with all our procedures and policies, please keep in mind that these are based on stringent quality standards that have been set by the State of Colorado and Colorado Shines quality rating and improvement system using evidence based and evidence informed practices. Please refrain from providing advice or suggestions to families.  Follow privacy policies.

 Children come first in our center and are at the heart of all that we do.  We appreciate your time and commitment! We all hope you enjoy your time with us.

How you can help in each of our classrooms:

All classrooms: 1. Introduce yourself to teachers, families and children. 2. Wash your hands according to posted procedure every time you : a. Enter a room, even if we just washed in the restroom b. After every diaper change c. Before and after handling food water/sand/play dough play d. After wiping or blowing a nose e. After outside time 3. Clean high chairs & tables before and after each snack & meal a. Spray with soap and water and wipe each table top or high chair with a fresh paper towel, dispose of paper towel b. Spray with bleach and water solution, let sit for 2 minutes c. Wipe each table or high chair with a fresh paper towel, dispose of paper towel 4. Review your schedule with the teachers in your classroom.

Infant 1/The Yearling, Infant 2/The Stable, Infant 3/The Barrel Run Birth – 18 months

General: 1. Wear shoe covers or socks/ no bare feet. 2. Fold laundry, pick up toys, clean toys, take sheets off cribs at the end of the day, take dishes to kitchen

Diapering & Sanitation: 1. Volunteers do not change diapers 2. Wash baby’s hands after a diaper change 3. Sanitize the diaper changing station 4. Retrieve fresh clothing from child’s cubby if their clothing is wet or soiled

Naptime: 1. Always place babies on their backs for naps in their assigned crib 2. Use Safe Sleep Practices

Reading, Singing & Playing: 1. Our children love music and books! You are welcome to sing secular sings and read books. 2. Encourage children to play with books

Snacks & Meals: 1. Infants eat and sleep on demand 2. In general we feed every 1 ½ to 2 hours, change diapers every 2 hours or sooner if needed, if baby sleeps more than 3 hours we wake them 3. Hold baby to bottle feed, never prop bottle, look at baby 4. Clean high chairs & tables before and after each snack & meal Page 7 of 51 Revised: 10/2/14

5. Wash children’s hands according to posted procedure 6. Place bibs on children 7. Assist with children and visit them while they are eating, speak to them about their meal 8. Meal time clean up, wash children’s hands, high chairs, sweep floors

Safety: 1. Assist in picking up room and putting away toys 2. Serve as an extra set of eyes and ears on our little ones 3. Gently redirect children to a safer and more appropriate activity 4. Participate in fire drills

Toddler / Corral Classroom 18 months – 3 years

General: 1. Hand washing sink is located next to the changing table, this is the only sink used to wash hands 2. Soap water bottle Located next to hand washing sink Used before sanitizing or disinfecting 3. Disinfecting spray bottle Located next to hand washing sink Use after diaper changes (see diaper changing procedure) On any surface exposed to bodily fluids 4. Sanitizing spray bottle Located above food prep sink

Diapering & Sanitation: 1. Volunteers do not change diapers 2. Tables need to be cleaned before and after use, spray with soap water, wipe with paper towel, then spray with sanitizer and let sit for 10 seconds before wiping

Nap Time 1. Mats located in closet with sheets and blankets in labeled cubbies 2. After all kids are sleeping refer to Nap Time to Do List located on cupboard above hand washing sink 3. Mats sprayed down with sanitizer and air dried after nap

Snacks & Meals: 1. All food is delivered to the class 2. Plates, cups, napkins, bibs, etc. are in a labeled cupboard by food prep sink 3. Offer all food to all children 4. Whole milk is for children under two and 1% for children over two (see Birthday Board)

Preschool Round-Up Room Ages 3-5 years

General: 1. We are the preschool classroom. We love to have fun and do as much as we can on our OWN. We are Page 8 of 51 Revised: 10/2/14

learning to be independent. Diapering & Sanitation: 1. Most of us are potty trained but, some of our friends are still learning. So please ask the nearest teacher who still needs a little help and feel free to give them reminders. (We ask that you do not ask more than every 2 hours unless otherwise asked). 2. We wash our hands a lot in here…before and after mealtimes, after potty breaks, after blowing noses, after outside time, before and after water and sand play and after any art project that our hands might get dirty, just to name a few. So if you see that we are having trouble standing in line or not keeping bubbles on our hands for At LEAST 20 sec. Please feel free to remind me that my feet go on the feet and to sing my hand washing song…sometimes you might have to stand in line with us for a little extra support. 3. Our teachers clean and sanitize our tables just as much as we wash hands…Before and after meal times and before and after an art or cooking project. To do this please spray the tables with soapy water and wipe down with a paper towel than the tables need to be sprayed with teacher spray #1 which stays on the table for 10 sec. before you wipe it down with a clean paper towel. Now the tables are ready for us to use! Naptime: 1. All of our friends must go to the potty before they go down for a nap. Some of our friends still wear pull-ups @ nap time… there is a list of who needs one for nap so please check the list in our kid bathroom on the cabinet door. We may pick one book to take to our mat. We each have our own vinyl bag with our bedding in it… these are stored in the closet along with ours mats. Some of us might need a little help falling asleep. After nap we all put our bedding back in our bags and take our mats to the cozy corner to be sprayed with teacher spray #2 that hangs by the soapy water.

Snacks & Meals: 1. Meal time is one of those things we try and do on our own with some to little help from teachers. Let’s run through it…We must wash our hands first, find a seat at the table, and serve ourselves using the tongs and serving spoons and enjoy our meal with great conversation. When we’re all done we clean up after ourselves by putting our mess in the trash and our plates, fork/spoon and cups in the sink, then off to wash our hands again. We have good table manners, so if I forget to use them please remind us. You should hear us using words such as please pass the… no thank you… can you please help me open this? And many more (some of our friends have allergies so please check the allergy chart above the food prep sink).

Outside Time: 1. When we go outside we always put sunscreen on which is located under the food prep sink. Please use a clean glove for every friend you apply sunscreen to. We also have a few friends with sensitive skin so they have their very own sunscreen. There is a list in the basket to let you know who these friends are.

ABOUT THE HAVEN RESIDENTIAL TREATMENT PROGRAMS

The Haven programs, located in Denver, Colorado are intensive residential Modified Therapeutic Community (MTC) addictions treatment programs for adult women struggling with drug and alcohol addiction. The Haven programs provide a compassionate, stable, safe, and drug free environment to allow women to overcome the behaviors that led them to a lifestyle of addiction. Women are given an opportunity to learn different ways to cope with their feelings and are taught how to make appropriate and healthy choices. The Haven programs are licensed by the Colorado Division of Behavioral Health and were founded in 1992.

Programs The Haven House The Haven House is a 50 bed residential MTC program for women struggling with drug and/or alcohol addiction. We accept into residence:

 Women 18 years of age and older (do not need to be pregnant or parenting to be admitted)  May reside in any Colorado county

The Haven Mother’s House The Haven Mother’s House is a 16 bed residential MTC program for mothers with infants and pregnant women struggling with drug and/or alcohol addiction. Located on the same campus as the Haven House, The Haven Mother’s House is a Special Connections Program. Many women do not seek treatment as many are fearful of what will happen to their children. The Haven Mother’s House believes it is important for a mother to be with her infant as she progresses through treatment. The Haven was the first program in Colorado to accept infants into residence while their mothers received substance abuse treatment. We accept into residence:  Women 18 years of age and older who are pregnant or have infant children younger than 9 months of age at the time of admission  May reside in any Colorado county

Mission The Haven’s mission is to provide a safe and empowering environment where women can recover from addictions and co-occurring disorders and become self-sufficient, confident, and productive members of the community.

Vision Our vision is to change and influence social policy and societal attitudes towards the treatment of addiction by eliminating the long term incarceration of women and pregnant women who suffer from substance abuse and co-occurring mental health disorders. We strive to interrupt the intergenerational pattern of substance abuse; positively impact a woman’s quality of life; and end the social consequences and costs of addiction.

What is a Modified Therapeutic Community (MTC)? The primary goal of a Modified Therapeutic Community is to foster individual change and positive growth. This is accomplished by changing an individual’s lifestyle through a community of concerned people working together to help themselves and each other. Women in a MTC are members, as in any family setting; not patients, as in an institution. These members play a significant role in managing the MTC and acting as positive role models for others to emulate. High expectations and high commitment from both MTC members and staff Page 10 of 51 Revised: 10/2/14

VOLUNTEER INTRO TO THE BABY HAVEN CHILDCARE & EARLY LEARNING CENTER support this positive change. Insight into one’s problems is gained through group and individual interaction, but learning through experience, failing and succeeding, and experiencing the consequences, is considered to be the most potent influence toward achieving lasting change. The Haven’s MTC is a highly structured and scientifically supported treatment model.

Length of Stay Haven House and Haven Mother’s House women typically stay 12 months in residential treatment, followed by an additional 6-12 months of outpatient MTC treatment services.

University of Colorado Payroll & Benefit Services Phone: 303-735-6500 575 SYS Toll Free: 877-627-1877 3100 Marine Street, 6th Floor Fax: 303-735-6599 Boulder, CO 80309-0575 www.cu.edu/pbs

Emergency Contact Worksheet Employee: Please return the completed form to your department payroll representative for entry and record retention. This form should NOT be sent to PBS. Each employee must choose one PRIMARY emergency contact. Multiple emergency contacts may be submitted - please complete a separate form for each person.

Initial Information Additional Contact Info Replacement Contact Info Update Existing Contact Info

Employee Employee Name: (Last Name, First, Middle) Employee ID #(preferred) or SSN: Date:

Emergency Contact Address/Phone Contact Name: Relationship to Employee: Primary Contact? (Required)

Yes No

Address Same as Employee Phone Same as Employee Address 1:

Address 2:

City: State: Postal Code: County:

Phone Numbers: Phone Type Preferred Number

Cellular Business Campus Dorm Emergency Fax Home Main Other Pager Telex Phone Type Alternate Number 1

Cellular Business Campus Dorm Emergency Fax Home Main Other Pager Telex Phone Type Alternate Number 2

Cellular Business Campus Dorm Emergency Fax Home Main Other Pager Telex

Professional Resources. Quality Service. Educated Decisions. Rev. 3-26-07

CLIENT CONFIDENTIALITY

EFFECTIVE DATE: July 15, 2008 REVIEWED DATE: July 15, 2008 SCOPE: Agency REPLACES: All Previous Policies REGULATORY REFERENCES : CCCS 2-070; 42 CFR Section 2.1 to 2.67; ADAD 15.210.h.2; 45 CFR 164.508; 164.522(a); 164.530(c); ARTS Child Abuse Reporting Policy; HIPAA, University of Colorado Department of Psychiatry; 42 U.S.C. Section 290dd-2a; C.R.S. Section 25-1-312 POLICY: It is the policy and practice of Addiction Research and Treatment Services (ARTS) that all client information is held in strict confidence. It is also the policy that all faculty, volunteers and trainees sign this affidavit yearly as a reminder of our patients’ rights to confidentiality. Breach of confidentiality is described as any indication of sharing knowledge about any aspect of any client’s treatment without appropriate consents in all settings. Such indication might include the client’s name or any identifying reference to the case except in situations as specifically defined by Federal Law 42 C.F.R. Part 2 (See Attached). All client records are to be carefully safeguarded as are billing records, correspondence, and reports generated. PROCEDURES: 1. A client is defined as a person who has made contact with the program in order to request referral, information, intake, and those admitted into any program. 2. A written consent form must be completed and signed by client in order for any ARTS volunteer to release information regarding any information regarding client. 3. Disclosures made within the organization are made on a need to know basis. 4. Qualified Service Organizations or subcontractors who provide services to the organization sign agreements to maintain client confidentiality. If you are uncertain if such an agreement has been signed, please consult your supervisor before releasing confidential client information. 5. In a medical or psychiatric emergency, information may be disclosed if necessary to address the client’s condition. 6. Information may be disclosed in such a way that individual clients are not identified for research purposes. 7. A judge may court order information to be released. 8. If child abuse or neglect is suspected a report will be filed with appropriate agency (see child abuse reporting policy). 9. Crimes on the premises, against program staff or the threat to commit a crime can be reported to authorities. Only information that is related to the crime may be released. I. Relevant Laws and Regulations A. Federal Law Federal law provides that records regarding the identity, diagnosis, prognosis, or treatment of any patient which are maintained in connection with the performance of any program or activity relating to substance abuse, education, prevention, training, treatment, rehabilitation, or research, which is conducted or regulated by a department or agency of the United States, shall be confidential. The law permits disclosure in a limited number of circumstances. For example, when the individual has given consent, in a medical emergency, for scientific research, or pursuant to a court order. A court order may only be issued upon a finding of good cause. Federal regulations provide that in order to make a determination that good cause exists, the court must find that (1) other ways of obtaining the Page 15 of 51 Revised: 10/2/14

VOLUNTEER INTRO TO THE BABY HAVEN CHILDCARE & EARLY LEARNING CENTER information are not available or, (2) the public interest and need for disclosure outweigh the potential injury to the patient, the physician-patient relationship, and treatment services. Upon the granting of a court order, the court must determine the extent to which records may be disclosed and impose safeguards against unauthorized disclosure. In addition, a court order may only be issued if the disclosure is in connection with litigation or a proceeding in which the patient offers testimony or other evidence pertaining to the content of the confidential records. B. State Law In addition to Federal law, Colorado law provides that the registration and other records of alcohol treatment facilities shall remain confidential and are privileged to the patient. The only exception is for research that is conducted regarding the causes and treatment of alcoholism. In addition, Colorado law prohibits professional counselors, social workers, therapists, or licensed addiction counselors, from testifying about any communications between the client and the professional that occurred in the course of professional employment. Approvals: Tom Brewster

POLICY: It is the policy and practice of Addiction Research and Treatment Services (ARTS) that all client information is held in strict confidence. It is also the policy that all faculty, volunteers and trainees, and any contractors who have access to client information sign this affidavit yearly as a reminder of our patients’ rights to confidentiality. Breach of confidentiality is described as any indication of sharing knowledge about any aspect of any client’s treatment in all settings. Such indication might include the client’s name or any identifying reference to the case except in situations as specifically defined by Federal Law 42 C.F.R. Part 2 (See Attached). All client records are to be carefully safeguarded as are billing records, correspondence, and reports generated. If such breach of confidentiality occurs, inadvertent or purposeful, it will be regarded as willful misconduct and may result in disciplinary action which might include dismissal. I have read this policy and understand and concur:

______Volunteer Signature Date

University of Colorado, Addiction Research & Treatment Services, The Haven Programs Volunteer Agreement and Notice to Authorized Volunteers of Risk and Waiver of Responsibility Volunteer Activity: Baby Haven Classroom Volunteer Volunteer Dates: Volunteer Name: Emergency Contact Phone Numbers:

The University of Colorado welcomes you as an authorized volunteer in this activity. Please read through the following important information. The Colorado Workers’ Compensation Act (C.R.S. § 8-40-202) provides that a volunteer is not an volunteer for workers’ compensation purposes. Therefore, as a volunteer, you are not an volunteer or agent of the University of Colorado for workers’ compensation purposes. You are not entitled to receive workers compensation benefits or any other benefits of employment from the University of Colorado, including, but not limited to, health care, vacation, or sick time. In the event of an injury requiring medical care, you or your personal health insurance will be responsible for payment of all medical care. Separate and apart from workers’ compensation, pursuant to the Colorado Governmental Immunity Act (C.R.S. § 24-10-103(4)(a)), an authorized volunteer is defined by as a "Public Volunteer" for governmental immunity purposes only. Use of a privately owned vehicle, including the operation or as a passenger, may be an option while participating in the volunteer activity. The University of Colorado does not provide liability or physical damage insurance coverage on privately owned vehicles. The liability and physical damage insurance coverage for privately owned vehicle must be provided by the vehicle owner. In the event of an emergency, I grant the University of Colorado permission to authorize emergency medical care and treatment for ______, (minor volunteer) for the duration of his/her participation in this designated activity. I exercise my own free choice to participate in the designated activity. I understand and assume all associated risks. These risks include, but are not limited to (add risks specific to event here): Caring for children including but not limited to lifting, squatting, kneeling, sitting, walking, running, bending, cleaning, feeding of children I agree to assume all risk of personal injury or loss, bodily injury (including death), damage to or loss of, or destruction of personal property, resulting from or arising out of participation in the designated volunteer activity. I also release, waive, indemnify, hold harmless, and discharge the University of Colorado from all claims, damages, and injuries arising out of my volunteer activities. I hereby certify that I have read and understand the provisions above. For volunteers under 18 years of age, the parent or guardian accepts the above terms and grants permissions for the student’s participation on behalf of said minor, as permitted by C.R.S. § 13-22-107.

Authorized Volunteer Signature Date

Parent or Guardian for Minor Date

Approved By Name/Department Date

REQUIRED BACKGROUND CHECKS The University is committed to equal opportunity. All persons working with children at the Baby Haven must complete the following background checks and the checks must come back as clear:

1. National Sex Offender Registry Check – must be completed and clear before any individual can work with children 2. University background check – must be completed and clear before any individual can work with children 3. CBI (fingerprint) 4. Child Abuse Registry

I, ______, certify that:

1. I will have a clear background checks. If there are items on the check, they will have nothing to do with child abuse, crimes involving children, or crimes against persons.

2. I will have a clear child abuse registry check, finger print check and National Sex Offender Registry check.

3. I understand that failure to comply with these stipulations could result in termination.

Volunteer’s Signature: ______Date: ______

Staff Signature: ______Date: ______

VOLUNTEER’S AGREEMENT

I ______(print name) agree to participate as a student/intern/volunteer at the ARTS/Peer I and The Haven Programs. I agree to abide by the rules, policies and procedures as established at the ARTS Peer I and The Haven Programs. I understand that as a student/intern/volunteer, I am not covered by Worker’s Compensation and hereby release the University of Colorado Denver, ARTS, and its staff from any liability concerning personal injury or other accidents involving myself and/or my personal property.

Volunteer Signature: ______Date: ______

UNIVERSAL PRECAUTIONS/COMMUNICABLE DISEASES EFFECTIVE DATE: July 15, 2008 REVIEWED DATE: July 15, 2008 SCOPE: Agency REPLACES: ALL PREVIOUS POLICIES ON TOPIC REGULATORY REFERENCES: CDHS; DYC; ADAD 15.219.21.D; CCCS 4-010; University of Colorado Policies POLICY: The increasing prevalence of the human immunodeficiency virus (HIV) and hepatitis B virus (HBV) infections poses a risk of occupational exposure. Universal Precautions will be practiced by all ARTS employees handling human blood and other potentially infectious body fluids to prevent occupational exposure in the workplace. Universal precautions include: 1. Assume all human blood, body fluids, and unfixed tissues are contaminated with HIV, HBV and other potentially infectious materials. 2. These materials are considered biohazardous in any workplace. 3. Any direct contact with biohazardous materials is to be avoided. 4. Chose and use appropriate protective barriers to prevent exposure. PROCEDURES: 1. Universal Precautions involve the use of protective barriers such as gloves, gowns, aprons, masks, or protective eyewear, which can reduce the risk of exposure of the health care workers skin or mucous membranes to potentially infective materials. 2. All employees should take precautions to prevent injuries caused by needles, scalpels, and other sharp instruments or devices. 3. All employees should routinely use appropriate barrier precautions to prevent skin and mucous membrane exposure during contact with any client’s blood or body fluids. 4. Gloves should be worn for touching blood and body fluids requiring universal precautions, mucous membranes or non-intact skin of all clients. 5. Gloves should be worn for handling items or surfaces soiled with blood or body fluids. 6. Hands and other skin surfaces should be washing immediately or as soon as client safety permits if contaminated with blood or body fluids. 7. Food Service Workers (FSW) or client in training as such must always practice universal precautions. 8. FSW at ARTS residential facilities are required to wear gloves during meal preparation. 9. Individuals with communicable diseases are not permitted to work in food service areas. 10. A sink will be readily accessible to all work areas. 11. Gloves and bleach are to be kept on hand at all facilities and readily accessible to staff at all times. 12. A Red biohazard container will be utilized for all materials containing potentially infectious materials. In order to prevent the spread of Communicable Diseases: 1. All residential clients will receive physical examinations and appropriate lab work upon admission. The Medical Director is aware of communicable diseases requiring reporting and the need to notify the designated authority in the event of a need for hospitalalization, medical care, and quarantine or to limit activity (e.g., no FSW). 2. Staff should immediately remove ill clients from FSW and arrange for a medical evaluation. 3. All residents will be informed of the following: 1. Never share personal items such as razors, toothbrushes, and/or towels. 2. Sexual activity between clients in not permitted. Page 20 of 51 Revised: 10/2/14

3. How HIV is transmitted and prevented. 4. To clean their own blood spills and avoids contact with others’ body fluids. 5. Use latex gloves when cleaning areas such as bathrooms. 6. Utilize proper hand washing techniques and maintain good hygiene.

POLICY: Universal Precautions will be practiced by all ARTS employees handling human blood and other potentially infectious body fluids to prevent occupational exposure in the workplace.

By signing below I’m acknowledging that I understand and that I received a copy of this policy and procedure and that I will abide by the above policy and procedures regarding the use of Universal Precautions.

Approvals:

Tom Brewster

Volunteer Signature: ______Date: ______

ETHICAL RELATIONSHIPS/ CONDUCT/FRATERNIZATION EFFECTIVE DATE: July 15, 2008 REVIEWED DATE: July 15, 2008 SCOPE: Agency REPLACES: All Previous Policies on this topic REGULATORY REFERENCES CCCS 2-070; ADAD 15.215, C.R.S. Title 12, Article 43; 42 CFR Part 2; 45 CFR Parts 142, 160, 162, 164; University of Colorado Policies POLICY: The program shall maintain current personnel policies that define ethical and professional conduct between staff or agents and the client populations we serve. This policy applies to volunteers, interns, clinical, administrative, support, and managerial staff. This policy also covers fraternization with clients who are currently enrolled in treatment, or have been enrolled within the past year. PROCEDURE: a. Staff positions are not to be used to secure or receive advantages, gifts or favors. Staff members must never accept for themselves or any member of their family, any personal (tangible or intangible) gift, favor or service from a client or from a client’s family or close associate, no matter how trivial the gifts or service may seem. On a rare occasion, a staff member may accept an appropriate termination gift from a client who is ending treatment. This must have little or no monetary value and may only be accepted if approved by a supervisor. b. Agency staff shall not display favoritism or preferential treatment of one client or group of clients over another. c. No agency employee shall enter into any personal or business relationships with clients or their family members (i.e. selling, buying or trading personal property) or employ them in any capacity. d. Staff shall not assign work duties to clients that improve the value of the facility or provide personal benefit to any staff or agent of the program. Because some ARTS programs are therapeutic communities, clients are encouraged to contribute in small ways to their community. Some minor facility improvements can be performed by clients but all materials will be purchased by the program and these projects must be approved by the Program Coordinator. e. It is inappropriate for a staff member to have a social or sexual relationship with a client or previously enrolled client, or her/his family or close associates. If any relationships exist that could give any person a reason to suspect unethical behavior, the staff member will immediately disclose these issues to their immediate supervisor who will in turn report them to the Program Director and Executive Director to seek clarification. f. If a relationship existed before the client’s entry into treatment, the staff member shall review the relationship with the supervisor before resuming the relationship. g. If there is any violation or attempted violation of these guidelines you are required to report it first to your supervisor who then in turn will report to the program director. Any exception to the above must be approved, in writing, by the program director. Where staff certification for licensure is involved, the Department of Regulatory Agencies (DORA) will be notified. If the incident requires a Critical Incident Report, all agencies that require these reports will be notified (ADAD, CDHS, DORA, DCJ, etc.). Approvals: Tom Brewster

By signing below I’m acknowledging that I understand that I need to abide by the above policy and procedures, and that I will also report any misconduct that I have knowledge of to my supervisor immediately.

I agree that failure to comply with the above policy will result in a formal reprimand, including the possibility of a Corrective Action and/or termination and if a certified counselor that DORA will be contacted.

Revised 07/15/08

ADDICTION RESEARCH AND TREATMENT SERVICES POLICY AND PROCEDURES

TOPIC: Tobacco Policy

EFFECTIVE DATE: January 1, 2009

REVIEWED DATE: January 1, 2009

SCOPE: AGENCY

REPLACES: ALL PREVIOUS POLICIES ON THIS TOPIC

REGULATORY/STANDARDS REFERENCES ARTS, CDHS Division of Child Care

POLICY: Effective January 1, 2009, ARTS will establish tobacco free zones in all of its treatment programs, requiring that all staff and clients abide by the following policy. As a University of Colorado Denver addiction treatment setting, we will ensure a tobacco and smoke free, healthy and safe environment for patients, visitors and personnel. Creating a tobacco free environment is in keeping with ARTS overall mission to reduce death, illness and suffering from substance use via research, education and treatment.

ARTS nicotine related policies and procedures are based on current addiction research, which indicates that a smoke and tobacco free environment facilitates concurrent treatment of tobacco and other drug/alcohol use disorders and more positive treatment outcomes for our clients.

The difficulty in quitting and abstaining from addictive drugs is recognized; therefore staff and patients will be offered support, interventions and resources to assist them in quitting. The policies compliment Federal, State, University and various program licensing regulations including the Colorado Clean Indoor Act of 2006; the Division of Child Care regulations for child care facilities (Synergy TRCCF, Haven/Baby Haven).

This policy is applicable to all ARTS employees and to clients, students, vendors, volunteers, and contractors. It is applicable to all outpatients and inpatients.

A ban on tobacco does not take away an individual’s rights as there is “no right to smoke” in Colorado. ARTS does not require staff, clients or visitors to stop using tobacco; however, it is required that people do not smoke or use other tobacco products in ARTS facilities or on the Ft. Logan campus or during work time.

The purpose of this policy is to describe how the tobacco-free workplace requirements will be implemented. Definitions: Tobacco Products-Cigarettes, pipes, pipe tobacco, tobacco substitutes, (e.g. clove cigarettes), chewing tobacco, or cigars. Tobacco Paraphernalia- combustible material is contraband unless authorized Nicotine Replacement Products-gum, patches, lozenges, inhalers. Workplace-ARTS Workplace means facilities or properties including but not limited to client care buildings, clinics, facilities, office buildings, parking lots, ARTS or state-owned/leased vehicles. This policy applies Page 24 of 51 Revised: 10/2/14

VOLUNTEER INTRO TO THE BABY HAVEN CHILDCARE & EARLY LEARNING CENTER regardless of whether an ARTS facility is owned and whether or not the other tenants follow similar guidelines. Employees and clients at off-site patient activities and employees, when conducting sessions in the community/patient home, shall not use tobacco products.

PROCEDURES:

Facilities and Grounds-General Provisions 1. All ARTS facilities, sites and offices shall be designated as tobacco free. Signage at entrances and in conspicuous locations will be used as reminders to visitors. Use of tobacco products by clients, visitors and/or staff in agency facilities, on-grounds is prohibited. 2. Specifically this means that there is no use of tobacco on the Fort Logan Campus on which the ARTS residential treatment facilities are located and not on the premises nor within 50 feet or within the vicinity at the other ARTS treatment sites. The Outpatient sites may have unique restrictions or rules based on the configurations of the building entrances and proximity to client entrances, parking lots, etc. 3. Furthermore visitors, employees are asked to assist by refraining from providing tobacco products to any person on ARTS premises and securing any tobacco products or related items (lighters, matches, pipes) elsewhere such as personal vehicle. No tobacco products or related items shall be sold or bartered anywhere within ARTS facilities, Ft. Logan campus or within Outpatient facility tobacco free zones. 4. Those facilities located on the grounds of the Colorado Mental Health Institute/Ft. Logan have coordinated efforts between ARTS Administration and State Facilities to ensure a tobacco free campus. Accountability  It is the responsibility of all staff members to enforce the ARTS tobacco-free environment policy by encouraging their colleagues, clients, visitors and other to comply with the policy.  Supervisors are responsible for implementing and enforcing ARTS Tobacco Free Policy.

ARTS Personnel University of Colorado Denver Human Resources has participated via a representative in the ARTS dialogue, efforts and planning related to the tobacco free environment and endorses the following policies. 1. All ARTS personnel including volunteers, students, interns are expected to comply with the tobacco free workplace designation for grounds and facilities. 2. Respectful enforcement of this policy is the responsibility of all ARTS employees. 3. ARTS Job Announcements/Postings shall reference ARTS Tobacco Free Employment Conditions and Policies 4. New Employee/Volunteers will be informed of the policy, provided resource information and offered assistance if requested. 5. Use of tobacco products by staff (also clients/visitors) is prohibited in ARTS facilities, grounds, in ARTS/state vehicles and/or in the presence of clients, their families/visitors. This policy also applies to the occasions when staff members, such as MST/ACC therapists provide home and community based services in clients’ homes and means that the staff member shall not use tobacco products while conducting ARTS business in the context of clients/families. It applies to the use of tobacco in personal vehicles while they are in use or parked on facility grounds or during transport of clientele. 6. Tobacco products and or related items should be secured in staff or visitor vehicle in order to prevent the introduction of them into the facility. Providing or selling tobacco products to any person within the ARTS programs or on premises is prohibited and in the case of an adolescent illegal. 7. In consideration of others who are tobacco free, others’ health and in particular infants/children, and triggers of those abstaining, employees are encouraged to ensure that they and their clothing do not smell strongly of smoke when they report during work. Page 25 of 51 Revised: 10/2/14

8. Employees who wish to quit smoking or reduce use of tobacco products including during their work shifts, are encouraged to contact their program Director for cessation assistance resources. 9. Breaks during shifts are not mandatory and requests for breaks to leave grounds will not routinely be granted. 10. Violation of the aforementioned ARTS Policies will result in immediate supervision. Also, depending on the severity of the infraction, or with repeated violations, an employee may be considered for the full range of in-house, performance improvement/evaluation and/or graduated disciplinary actions.

ARTS Clients and Clinical Standards ARTS’ philosophy and practice is concurrent and integrated treatment of substance use disorders one of which is nicotine abuse/dependence. 1. All clients shall be provided with a copy to sign, of their treatment component’s rules attached to ARTS policies including the complete prohibition of use of tobacco products in or around any ARTS facilities; that no residential clients and adolescent day treatment clients are not permitted to keep cigarettes, lighters, matches, other smoking paraphernalia or any tobacco products in their possession. Such items are considered contraband for residential clients and will be disposed of if found by staff with provisions for consequences for the patient 2. Employees who encounter clients who are violating the tobacco policy are encouraged to politely explain the policy, and report the violation to the client’s counselor, case manager or treatment team. 3. Assessment for nicotine abuse/dependence, benefits/liabilities of use and motivation for cessation shall occur in the context of each client’s evaluation for any ARTS treatment program. Clients using any form of tobacco should be advised to stop use and offered assistance to discontinue use. The presence or lack of such assessments will now be included as an element in the ARTS internal Quality Improvement Audits as a gauge of outcome of these policies. 4. Clients will be informed of the policy at admission, provided with resources and offered assistance if requested. 5. Assessment information will be utilized in treatment planning to include goals and objectives specific to the client’s motivation and cessation/relapse prevention and other factors, e.g. pregnancy, significant physical illness. Interventions and strategies may include Nicotine Replacement Therapy, incentives and/or other pharmacological adjuncts as indicated. Treatment plans will be evaluated for inclusion of nicotine related goals/objectives and planning via the ARTS Internal QPI audits. 6. Nicotine Replacement Therapy Protocols are available to guide practice in each ARTS Component (Haven, Synergy, ARTS OP, Peer I) for patients in residential treatments or outpatients whose NRT is provided via ARTS. These protocols include specific guidelines for administration/medication management, information about side effects, consents including parental consents for adolescents under age 18. ARTS programs will assist clients in obtaining nicotine replacement or other prescriptions medications. 7. Violation of these policies by a client is a treatment issue to be addressed by the therapist and/or treatment team appropriate for each ARTS Component and delineated in that component’s client rules. 8. The aim is integration fully of tobacco cessation into the usual practices related to counseling, individual/group and family therapies, the therapeutic milieu, motivation enhancement, cognitive behavioral and other effective addictions treatment programming. Use of the “5 A’s, a tobacco specific curriculum, Nicotine Anonymous or other support groups, Helping Teens Stop Using Tobacco- TAP are suggested additions to current treatment efforts.

Visitors  Signage conspicuously located notifies visitors of these policies Page 26 of 51 Revised: 10/2/14

 Employees who encounter a visitor who is violating the tobacco policy are encouraged to politely explain the ARTS Tobacco Policy  Visitors who become agitated or unruly or repeatedly refuse to comply when informed of the tobacco-free policy should be addressed according to clinic or facility guidelines for such situations (e.g. contacting security) if they cannot be deescalated via usual techniques.

Outside Groups  Outside groups who use ARTS facilities for meetings will be advised of this policy. Violations of the policy will result in the rescinding of approval for the group’s use of ARTS meeting areas.

Approvals: Tom Brewster

I, have received a copy of the Tobacco Policy and agree to abide by policy.

Volunteer Signature Date

SEXUAL HARASSMENT POLICY EFFECTIVE DATE: July 15, 2008 REVIEWED DATE: July 15, 2008 SCOPE: Agency REPLACES: ALL POLICIES PREVIOUS REGULATORY REFERENCES: University of Colorado Sexual Harassment Policy POLICY/PROCEDURE: As an employee of the Addiction Research and Treatment Services (ARTS), University of Colorado, you are expected to conduct yourself in a manner that is both professional and courteous. Inappropriate behavior or conduct unbecoming of an ARTS employee will not be tolerated. Examples of inappropriate behavior include:  Sexual Harassment  Inappropriate ethnic, racial, gender, religious, or sexual comments  Excessive profanity In addition you are expected to follow the University of Colorado Sexual Harassment Policy which is attached.

Approvals:

Tom Brewster

I, ______, have received a copy of the Sexual Harassment Policy on ______, and agree to abide by policy.

07/15/08

Policy Title: Anti-Violence Policy Source: Human Resources Prepared by: Assistant Vice Chancellor for Human Resources Approved by: James H. Shore Chancellor Effective Date: September 1, 2005 Replaces: November 1, 2001 (HSC) May 19, 2000 (Denver) Referral: NA Applies to: All campuses ______A. Introduction The University of Colorado at Denver and Health Sciences Center strives to maintain a campus free of intimidating, threatening, or violent behavior, including but not limited to, verbal and/or physical aggression, attack, threats, harassment, intimidation, or other disruptive behavior in any form or by any media, which causes or could cause a reasonable person to fear physical harm by an individual(s) or group(s) against any person(s) and/or property. This policy applies to academic, administrative, research, and service departments, programs activities and/or services wherever University business is conducted, including extended studies and international locations. B. Table of Contents A. Introduction B. Table of Contents C. Policy Statement D. Reporting Procedures E. Disposition, Task Force Team and Training C. Policy Statement University employees, students, affiliates, and visitors who engage in prohibited behavior shall be held accountable under University policy and local, state, and federal law. Any employee or student who commits or threatens to commit prohibited behavior may be subject to disciplinary action, up to and including, dismissal or expulsion, as well as arrest and prosecution. Any visitor or affiliate who commits or threatens to commit prohibited behavior may be subject to exclusion from campus, arrest, prosecution, termination of his or her business relationship with the University, and/or any other appropriate action.

Examples of prohibited behaviors may include, but are not limited to: (1) disturbing the peace by violent, tumultuous, offensive, or obstreperous conduct; (2) engaging in intimidating, threatening, or hostile statements or actions that unreasonably disrupts the work or learning environment, causes undue emotional distress to another, or creates a reasonable fear of injury to a person; (3) making gestures that convey threats; (4) raising one's voice in anger or using fighting words; (5) uttering ethnic, racial, or sexual epithets; (6) using unseemly, profane, offensive, or obscene language or making obscene gestures; (7) making bizarre comments about, or references to, violent events and/or behaviors; (8) waving fists, pushing, stalking, bullying, hazing; (9) engaging in the abusive exercise of legitimate authority; (10) destroying personal property in the workplace; (11) destroying university property; (12) throwing objects at persons of property; (13) physically assaulting or attacking persons or property; (14) engaging in vandalism, arson, or sabotage. The possession, display, or use of any weapon, including any firearm, or the display or use of any object as a weapon, by any person other than a law enforcement officer in the course of his/her duty or by any person who has written permission from the Chief of Police or from the Chancellor after consultation with the Chief of Police, in any location where University business is conducted, is a violation of Regent Policy 14-I and is strictly prohibited. This policy applies even to individuals who are carrying a weapon pursuant to a valid concealed weapons permit; such a permit does not operate to remove an individual from the scope of this policy. Possession of a firearm or weapon on University owned, leased, or controlled property or the Auraria Campus may be cause for immediate termination of employees, removal of visitors, expulsion of students, arrest and/or prosecution or any other action the University deems appropriate. D. Reporting Procedures 1. Emergency or Life-Threatening Situations In the case of an emergency or life-threatening situation, immediately call 911. A call to 911 will go to the appropriate Campus, City, or County law enforcement agency. A call to 911 from any telephone automatically registers the location of the telephone on which the 911 call was placed, even if no words are spoken. 2. Non-Emergency Situations In all other situations, notify Human Resources (303) 315-2700. If before or after normal business hours, if Human Resources is otherwise unavailable, or if the situation involves a Human Resources employee, notify Health Sciences Center Campus Police at (303) 315-8888, Anschutz Medical Campus Police at (303) 724- 4444, or Auraria Campus Police at (303-556-3271). 3. Responsibility to Report Anyone witnessing or receiving a report of prohibited behavior, or possession, display or use of any weapon shall immediately notify the appropriate authority, as listed above. Any supervisor who fails to make such a report shall be subject to corrective/ disciplinary action. 4. Workplace Violence Incident Report Form The Workplace Violence Incident Report Form will be used by Human Resources and University Police to document each alleged violation of this policy. Copies of the form are available at Human Resources. 5. Non-retaliation and Confidentiality To the extent possible, no adverse action will be taken against anyone truthfully reporting a violation of this policy. Further, every effort will be made to protect the confidentiality of all personal identifying information provided in reports of violations of this policy. 3

E. Disposition Task Force Team and Training 1. Disposition All reports of threatened, potential, or actual violent behavior or possession, display or use of any weapon will be investigated, verified, documented, and confronted. 2. Task Force Team When determined to be necessary by Human Resources or University Police if the situation involves a Human Resources employee, a report will be referred to the Task Force Team. The Task Force Team will investigate reports regarding prohibited behavior or possession, display, or use of any weapon, and coordinate the University’s response to violent behavior. The following departments will designate individuals to serve on the Task Force Team: • Human Resources • University Police • Risk Management • Legal • Health and Safety

3. Additionally, a licensed psychiatrist from the Department of Psychiatry shall be available for consultation with the Task Force Team in regard to mental health issues. 4. Training The University encourages the training of all employees, students and affiliates in this area. Please contact Human Resources for more information.

ANTI VIOLENCE POLICY EFFECTIVE DATE: September 1, 2005 REVIEWED DATE: July 15, 2008 SCOPE: Agency REPLACES: ALL POLICIES PREVIOUS REGULATORY REFERENCES: University of Colorado Denver

POLICY/PROCEDURE: Click here

Approvals:

Tom Brewster

I, ______, have received a copy of the Anti Violence Policy on ______, and agree to abide by policy. I understand that I may access this or any University policies and updates on the University website.

07/15/08

DRUG FREE WORK PLACE/TESTING EFFECTIVE DATE: July 15, 2008 REVIEWED DATE: July 15, 2008 SCOPE: Agency REPLACES: All Previous Policies on this topic REGULATORY REFERENCES : CCCS 2-090; ADAD 15.212, 15.214, 15.215, 15.216; DORA; University of Colorado Policies POLICY The University of Colorado has an administrative policy regarding the use of illegal drugs and alcohol. To ensure ARTS program integrity, staff may be required to submit to pre-employment urine testing. Employees suspected of using illegal drugs, or appearing intoxicated while at work, will be subject to immediate drug/alcohol testing and possibly suspension as described below. This policy is applicable to all employees having direct contact with clients, including all staff working in any of ARTS’ clinical programs. There are no exclusions. This policy shall be distributed to all current ARTS’ employees and new employees prior to their commencement of work. State employees are also required to follow the State of Colorado Substance Abuse Policy, which is attached. 1. PROCEDURES: 1. A reasonable suspicion may be found when indicators of substance use are observed regarding an employee’s behavior, appearance, and/or speech while at work. Formal written statements signed and submitted to ARTS from the community alleging illegal substance abuse by an ARTS employee may also constitute reasonable suspicion. Such allegations must be specific and contemporaneous. 2. If an employee is suspected of using illegal drugs or being under the influence of drugs or alcohol while at work the executive director, program director or their designee may immediately order the employee to report for testing at one of the authorized workers’ compensation medical providers. The employee may also be placed on administrative leave pending the outcome of the testing and may be reviewed for disciplinary action. Should an employee appear intoxicated and unable to safely operate a motor vehicle, transportation to the test site, and/or to their home, will be arranged by ARTS (taxi, family member or responsible friend). 2. TESTING 1. Drug testing will be performed at one of the authorized workers’ compensation medical providers. Employees required to provide a drug test will be given instructions on where to report. 2. All tests will be conducted to protect the integrity of the testing process, to ensure the validity of the test results, to ensure the results are attributed to the correct employee, and to protect the privacy of each employee to the maximum extent possible. ARTS Administration will be informed of positive tests that have been ruled as suspicious. 3. In the case of a positive test result, employees will be interviewed by their supervisor to determine what further action, if any, is necessary. The employee may be required to submit to random drug/alcohol testing on an on-going basis. 4. Employees testing positive with a finding that they have used an illegal substance or were under the influence of a drug or alcohol at the worksite may be reported in accordance with any licensing or professional certification standards or contractual obligations of ARTS to both the Alcohol and Drug Abuse Division and Colorado Department of Regulatory Agencies (DORA). 5. Refusal to submit to testing, or failure to provide a drug test may result in an administrative suspension and review for disciplinary action.

6. Employees found to have used illegal drugs or being under the influence of alcohol while at work will be referred to the Colorado Employee Assistance Program, but may also receive a disciplinary action. 7. All records will be maintained by ARTS administration pursuant to this policy, are strictly confidential, and will be maintained separately from employee personnel records. Employee information contained in these records may not be released except as required or authorized by law. 3. RANDOM TESTING 1. Following a positive laboratory finding indicating that an employee has used illicit drugs or was under the influence of alcohol while at work, they may be required to provide random drug testing to be arranged by their supervisor.

Attachments: State of Colorado Substance Abuse Policy Approvals:

Tom Brewster

By signing below I am acknowledging that I understand that I received a copy of this policy and will abide by the above policy and procedures. ______Volunteer Name Date ______Volunteer Signature

7/15/08

CHILD ABUSE REPORTING EFFECTIVE DATE: July 15, 2008 REVIEWED DATE: July 15, 2008 SCOPE: Agency REPLACES: ALL PREVIOUS REGULATORY REFERENCES: ADAD 15.214; 15.229.1.H; 15.230.1.B.2 COLORADO CHILDRENS CODE 19-1-103 C.R.S; CDHS POLICY: Staff will report known or suspected child abuse and/or neglect in accordance with State Law C.R.S. 19-1-103, to the county Department of Social Services, Child Protection Team or local law enforcement. The making of a child abuse report in compliance with state law is one of the exceptions to the federal regulations governing the confidentiality of alcohol and drug abuse client records. See definitions below outlining what constitutes child abuse or neglect. Definitions: 1. Any case in which a child exhibits skin bruising, bleeding, malnutrition, failure to thrive, burns, fracture of any bone, subdural hematoma, soft tissue swelling, or death and either: such condition or death is not justifiably explained; the history given concerning such condition is at variance with the degree or type of such condition or death; or the circumstances indicate that such condition may not be the product of an accidental occurrence; 2. Any case in which a child is subjected to sexual assault or molestation, sexual exploitation, or prostitution; 3. Any case in which a child is a child in need of services because the child’s parents, legal guardian, or custodian fails to take the actions to provide adequate food, clothing, shelter, medical care, or supervision that a prudent parent would take, subject to the provisions of C.R.S. 19-1-103 regarding religious healing. 4. Any case in which a parent, guardian, or legal custodian has suffered or allowed another to mistreat or abuse the child without taking lawful means to stop such mistreatment or abuse and prevent it from recurring; 5. A child’s environment is injurious to his or her welfare. There are many situations which may indicate that a child has been neglected and that the neglect is a serious threat to the child’s health or welfare, or that a child is not receiving the supervision that a prudent parent would provide. Staff who encounters any such situations as the above should contact his or her supervisor for guidance. Supervisors should consult with the program director about any questions they may have. Use or abuse of drugs or alcohol during pregnancy is not included in the definition of child abuse in the State of Colorado, although delivering a child who tests positive for drugs/alcohol at birth may result in a child abuse report. PROCEDURES: 1. ARTS staff who have reasonable cause to know or suspect that a child has been subjected to abuse or neglect as defined above, or who have observed the child being subjected to circumstances or conditions which would reasonably result in abuse or neglect shall immediately contact their supervisor who will consult with the program director. If the director is not available, then the person delegated to fill in for Director will be contacted. The Director shall ensure that the circumstances meet the definition of child abuse or neglect before any further action is taken. If the Director or person acting for Director agrees that the circumstances meet the above definition, then a verbal child abuse report will immediately be made to the appropriate county department of social services. The adult client or parent will be encouraged to make this report as verified by a clinical staff member. If the adult client or parent is unwilling or unable to make the report in staff’s presence, then ARTS staff will make the report. All Page 35 of 51 Revised: 10/2/14

ARTS staff will also comply with any licensing or contracting requirements related to incident reporting. 2. The clinical staff person who receives this information will complete an “Initial Report of Suspected Child Abuse” form (see attached). This report will be forwarded to the supervisor and program director. 3. The verbal report to authorities shall include the following information when available: 1. The manner in which the evidence was discovered; 2. The exact nature of the evidence which led to the report; 3. Any information available regarding the current condition of the child; 4. Name, address, age, race and gender of the child; 5. Name, address and phone number of the parent, guardian, or custodian of the child; 6. The nature and extent of the child’s injuries, including evidence of suspected abuse to the child or child’s siblings; 7. Name, address and phone number of the person(s) alleged to be responsible for the suspected abuse or neglect; 8. The name and address of the person making the report unless the reported chooses to remain anonymous as allowed by law. 4. The individual making the report shall document the following items in the client record using the DAP format: 1. The manner in which the evidence was discovered; 2. The exact nature of the evidence which lead to the report; 3. Any information available regarding the current condition of the client; 4. The name and time of contact with the supervisor; 5. The name of the person to whom the report was made and the agency which employs that individual; 6. The information which was reported; 7. Instruction or further information given by the person the report was given to, and; 8. Plan to address the issue in the treatment of the client. 5. Once an initial report of suspected child abuse has been made, no additional information may be released except in compliance with the requirements of the Federal Alcohol and Drug Abuse confidentiality regulations.

Approvals:

Tom Brewster

POLICY: Staff will report known or suspected child abuse and/or neglect in accordance with State Law C.R.S. 19-1-103, to the county Department of Social Services, Child Protection Team or the local law enforcement. The making of a child abuse report in compliance with state law is one of the exceptions to the federal regulations governing the confidentiality of alcohol and drug abuse client records.

By signing below I’m acknowledging that I understand that I need to abide by the above policy and procedures regarding the reporting of suspected child abuse, and that I will report any suspected child abuse to my supervisor immediately. I agree and understand that failure to comply with the above policy will result in a formal reprimand, including the possibility of a Corrective Action. Page 36 of 51 Revised: 10/2/14

______Volunteer Name Date

______Volunteer Signature

7/15/08

MANDATED REPORTER TRAINING AND POLICY

All volunteers are required to complete the on-line mandated reporter training located at: http://coloradocwts.com/mandatedreporter/educators/. This training must be completed annually and the certificate of completion must be provided to the Baby Haven Volunteer Supervisor.

I agree to complete the training and provide my certificate of completion to the Baby Haven on an annual basis.

GUIDELINES ON INTERACTIONS 1. Above all, we shall not harm children. We shall not participate in practices that are emotionally damaging, physically harmful, disrespectful, degrading, dangerous, exploitative, or intimidating to children. 2. Center staff, volunteers, and program participants at no time may be alone with a single child where they cannot be observed by others. As staff supervise children, they should space themselves in a way that other staff can see them. 3. Children should only use bathrooms with half doors in the classrooms and multipurpose room when in childcare. For children who can toilet themselves, staff may stand nearby the doorway while children are using the restroom. This allows privacy for the children. If staff is assisting younger children with toileting, the upper portion of the half door must remain open at all times. 4. Staff should conduct or supervise private activities in pairs diapering, changing a child’s clothing, etc. When this is not feasible, staff should check in with other staff and inform them of where they will be going, why and when they are expected to return. Staff should also be positioned so that they are visible to others. 5. Staff, volunteers and anyone working with children in the center will respect children’s rights to not be touched in ways that make them feel uncomfortable, and children’s rights to say no. Other than diapering and assistance with toileting, children are not to be touched in areas of their bodies that would be covered by a bathing suit. 6. Staff, volunteers and anyone working with children in the center will refrain from intimate displays of affection towards others in the presence of children, parents, and staff. 7. Profanity, inappropriate jokes, sharing intimate details of one’s personnel life in the presence of children or parents is prohibited. 8. If a child must be removed from a scheduled activity such as for a family’s religious beliefs, the child must be accompanied by a teacher to the multipurpose room or lobby area and must remain visible to others at all times. This shall be documented in the DAL. If the child requires a diaper change or toileting the teacher and child shall return to the classroom to complete this task. 9. Children should be clothed at all times, except for changing diapers and clothing as needed. 10. If addressing a child’s genitals during diapering or toileting, use anatomically correct terminology (vagina, vulva, breasts, nipples, penis, testicles, buttocks). 11. Asking children to keep secrets is prohibited. 12. Giving gifts to children or families is prohibited unless approved in advance by Center Director. Gifts should be provided to all children or should be provided in a transparent and consistent way i.e. birthday sticker, holiday craft. 13. Showing favoritism or allowing a child special privileges are prohibited. 14. Lights should remain on in a room with children at all times unless a child is sleeping. 15. If we have concerns about a colleague’s behavior, and children’s well-being is not at risk, we may address the concern with that individual. If children are at risk or the situation does not improve after it has been brought to the colleague’s attention, we shall report the colleague’s behavior to a supervisor.

EMAIL, PHONE, PHOTOS, SOCIAL MEDIA 1. Private electronic communication with any family or child is prohibited including but not limited to: a. Texting b. E-mailing c. Twitter, Facebook, Instagram, and other social media d. Cell, home phone

OFF SITE ACTIVITIES 1. Please see the ARTS Fraternization Policy. 2. Staff, volunteers and anyone working with children in the center is prohibited from babysitting or caring for outside of school, any child enrolled at the Baby Haven. 3. Staff, volunteers and anyone working with children in the center should not attend children’s birthday parties or family events. 4. Staff, volunteers and anyone working with children in the center should not privately tutor children. 5. In the event that a staff member, volunteers or anyone working with children in the center has a previously established relationship with a family in the center or wishing to enroll their child in the center this should be discussed with the center director and operations manager prior to enrollment.

TOUCHING CHILDREN

Verbal Communication Physical Behavior Appropriate  Praise  Pats on the back or shoulder  Positive reinforcement  Hugs/side hugs when child initiated for good work/behavior  High fives / fist bumps  Hand holding when appropriate (walking on sidewalk)  Holding to comfort a child  Should always occur in an area that can be observed by others  Physical touch is stopped if the child appears uncomfortable or resists in any way

Verbal Communication Physical Behavior Inappropriate/harmful  Sexually provocative or  Patting the buttocks degrading comments  Intimate/romantic/sexual contact  Risqué jokes  Corporal punishment  Showing pornography or involving youth in pornographic activities  Kissing  Requesting or pressuring children to give or receive hugs  Tickling, piggy back rides, hair stroking  Massaging shoulders or backs, rubbing legs  Repeatedly brushing against a child’s body  Touching genitals  Showing genitals

Body Safety Rules The Baby Haven practices body safety rules. 1. No one is allowed to touch your private body parts except to help you clean them. 2. You are not allowed to touch someone else’s private body parts. 3. No one else is allowed to show their private body parts. 4. It is okay to touch your own private body parts in private. 5. No one is allowed to take pictures of your private parts or show you pictures of naked people. 6. When playing, play with your clothes on. 7. You are allowed to have privacy when dressing or using the toilet. If you need help a teacher will help you.

Why Wash Your Hands? Keeping hands clean is one of the most important steps we can take to avoid getting sick and spreading germs to others. Many diseases and conditions are spread by not washing hands with soap and clean, running water.

How germs get onto hands and make people sick Feces (poop) from people or animals is an important source of germs like Salmonella, E. coli O157, and norovirus that cause diarrhea, and it can spread some respiratory infections like adenovirus and hand-foot-mouth disease. A single gram of human feces—which is about the weight of a paper clip—can contain one trillion germs. Germs can also get onto hands if people touch any object that has germs on it because someone coughed or sneezed on it or was touched by some other contaminated object. When these germs get onto hands and are not washed off, they can be passed from person to person and make people sick.

Washing hands prevents illnesses and spread of infections to others Hand washing with soap removes germs from hands. This helps prevent infections because:  People frequently touch their eyes, nose, and mouth without even realizing it. Germs can get into the body through the eyes, nose and mouth and make us sick.  Germs from unwashed hands can get into foods and drinks while people prepare or consume them. Germs can multiply in some types of foods or drinks, under certain conditions, and make people sick.  Germs from unwashed hands can be transferred to other objects, like handrails, table tops, or toys, and then transferred to another person’s hands.  Removing germs through hand washing therefore helps prevent diarrhea and respiratory infections and may even help prevent skin and eye infections.  Teaching people about hand washing helps them and their communities stay healthy. Hand washing education in the community:  Reduces the number of people who get sick with diarrhea by 31%  Reduces diarrheal illness in people with weakened immune systems by 58%  Reduces respiratory illnesses, like colds, in the general population by 21% Page 41 of 51 Revised: 10/2/14

Not washing hands harms children around the world About 2.2 million children under the age of 5 die each year from diarrheal diseases and pneumonia, the top two killers of young children around the world.  Hand washing with soap could protect about 1 out of every 3 young children who get sick with diarrhea and almost 1 out of 6 young children with respiratory infections like pneumonia.  Although people around the world clean their hands with water, very few use soap to wash their hands. Washing hands with soap removes germs much more effectively.  Hand washing education and access to soap in schools can help improve attendance.  Good hand washing early in life may help improve child development in some settings.

Wash, Wash, Wash Your Hands

When to Wash Your Hands:  Every time you enter a classroom, even if you just washed your hands in the restroom  Before and after preparing food  Before and after feeding a child  After changing a diaper  Before and after treating a cut or wound  After blowing your nose, coughing, or sneezing  After touching any bodily fluids such as wiping a nose, mouth or eyes or coming into contact with vomit or diarrhea  After handling any soiled items such as clothes, burp clothes, toys children put in their mouths  After touching garbage  After playing outside

When to Wash a Baby’s Hands:  Before and after being fed  After playing outside  After touching any soiled items such as clothes, burp clothes, toys children put in their mouths  After a diaper change  After touching garbage

Hand Washing Training

Baby Haven volunteers are required to completed the hand washing training located at: http://www.cdc.gov/CDCTV/handstogether/

I have completed the hand washing training listed above.

Staff and Volunteer Dress Code Policy

Dress, grooming and personal cleanliness standards contribute to the morale of all employees and affect the image The Baby Haven presents to parents and their children, visitors and guests. Our philosophy is to provide a culture that allows staff to dress in a style which presents a neat, business-like appearance and that promotes confidence and professionalism to the public. All employees are expected to present a neat and clean appearance and to dress appropriately for their position and duties.

 Clothing should be clean and in good repair at all times. Clothing must be appropriate to engage children in all types of activities throughout the day. Jeans, shorts, or Capri’s are allowed: however, they must fit loosely with no holes or lavish accessories. Shorts and skits should be at least mid-thigh in length. Undergarments should never be visible.  Clothing that is not permitted includes, halter tops, spaghetti straps, mid drift shirts, low cut shirts, cut-offs, ripped or torn clothing, low cut pants.  Clothing that is soiled, unlaundered or ripped is not permitted.  Ensure your pockets are empty at all times including hair accessories, medications, coins, candy and gum as small items that fit into pockets also pose safety hazards for children.  Please do not wear clothing with offensive or inappropriate logos, writing or art.  Classroom staff and children go outside rain or shine and having the seasonally appropriate dress is mandatory. Please model the seasonally appropriate dress and attire for weather for your and the children’s safety.  No jewelry other than wedding bands may be worn to ensure staff and children’s safety.  Shoes must be neat and in good repair at all times. Since you are expected to engage the children in activities on the playground the shoes should be appropriate for the situation. No bare feet at any time.  Shoes cannot be worn in the infant classrooms, socks or slippers may be worn. Feet must covered by socks or slippers at all times.  Teachers should keep an extra change of clothing (shirt, pants and socks) stored in the staff room at all times.

I agree to abide by the Baby Haven dress code.

THIS IS A PEANUT AND NUT AWARE ZONE Please do not bring any nuts or nut products into our school as we serve children with severe nut allergies.

Thank you for helping to keep our children safe!

Discipline Policy 7.702.41 I

BEHAVIOR GUIDANCE:

BACKGROUND: Behavior Guidance is a teaching process which helps a child learn to develop and maintain self-control, self- reliance, self-esteem and orderly conduct. The purpose of behavior guidance is to educate. Behavior guidance should not stifle creativity or learning and shall be used to help a child learn acceptable behavior. Behavior guidance shall not be used as punishment or retribution. The Baby Haven shall maintain consistent reasonable rules that set the limits of acceptable behavior. We welcome parents as partners in teaching children about socially acceptable behaviors.

ACCEPTABLE BEHAVIOR GUIDANCE METHODS: Baby Haven Child Care Center uses positive guidance approaches. Individual children will respond to different methods based on age, personality and life experiences. All behavior guidance is to be age appropriate as well as developmentally appropriate to meet the social emotional needs of each child.

Baby Haven uses:

1. Limit Setting - In order for children to build trusting relationships and feel confident to explore, they must clearly know what is expected of them. Rules are kept basic, clear and concise. Boundaries and expectations expand in keeping with the abilities of the children. Limits are explained in an age appropriate way to children. 2. Modifying the classroom environment – Classroom routines and environments may be modified in order to attempt to prevent problems before they occur. 3. Consistency - Children know what to expect and learn to anticipate, predict and change their own behavior accordingly. Limits and expectations are consistent throughout the classrooms. All adults respond in a consistent manner to conflict situations. 4. Tone - The message a child receives from an adult intervening is: you are safe, the situation is under control, and we can work it out. A firm, kind, serious tone with a relaxed demeanor reinforces this message. 5. Modeling - The adults in the center set an example of compassionate, caring individuals who are able to express their own feelings and needs clearly and calmly. Showing by example the behavior expected from the child i.e. “Ms. Smith washes her hands before she eats.” 6. Passive Intervention - Children are given time to work through their own problems. If a situation does not escalate to destructive or aggressive behavior, a teacher may choose to observe as the children seek a solution, or their presence can serve as a gentle reminder to use words instead of action. Teachers trust Page 45 of 51 Revised: 10/2/14

children to 'figure it out' but are there to help if they should need it. When additional intervention is necessary to facilitate the resolution process, it is as non-intrusive as possible. 7. Physical Intervention- Children will be physically stopped when hurting each other. The focus will then turn to resolving the conflict at hand. 8. Identifying/Interpreting- "You both want the truck." Such a simple statement can clarify the problem, diffuse tension and help the problem solving begin. Children also need help to consider other's emotions or needs especially when they are upset themselves. For example, "Your friend is crying. It really hurt when you kicked him. Please check in and ask if your friend is okay." 9. Validating Feelings - Constructive thinking is difficult when a child is overcome by an emotion such as anger, sadness, fear or frustration. Acknowledging the emotion is imperative before any other learning can occur. It is important that all children in a conflict be honestly listened to and their feelings and needs respected. Children are not told to say "I'm sorry," but rather, to actively comfort or offer help to the child they hurt/upset. Adults may say, "I'm sorry you got hurt" and at some point children will spontaneously do the same. 10. Giving Choices/Offering solutions - Adults offer clear and simple choices and possible solutions to children who are having a difficult time finding them on their own. Some options given are negotiating and collaboration. 11. Natural Consequences- Consequences for behavior are those that are logical to children. "If you are not able to stop throwing the sand, then you will need to come out of the sandbox." When children are able to understand the results of their own behavior they are better able to modify it. 12. Redirection - Substituting an acceptable behavior for an unacceptable one. Redirection is most effective when used as a tool for teaching concepts like; self-control, dignity, respect, and trust. Redirection is the most practiced form of behavior guidance and promotes respect of others, keeps safety first, and prevents behavioral escalation. 13. Positive Communication - Using language in positive terms to describe what you want, rather than what you don’t want i.e. “Walk to the door,” rather than, “Stop that running!” 14. Encouragement/Praise - Identifying specific behaviors and strengths that encourage the child to develop and increase self-esteem. “Great job walking to the door.” 15. Cooling down time – Cooling down may be used when a child(ren) are causing harm to self, other children, staff, or property. Cooling down time is not used a punishment but rather provides space to help a child be safe and encourage the child to make safe choices. Cooling down time is to be brief and appropriate for child’s age, one minute per year of age. The child must be in a safe lighted, well-ventilated area and be within sight and hearing of an adult. Children between the ages of six weeks and 16 months must not be separated from the group as a means of behavior guidance.

UNACCEPTABLE BEHAVIOR GUIDANCE METHODS: Baby Haven Child Care Center will not use corporal (physical) or other harsh punishment, including but not limited to rough handling, yelling, pinching, shaking, spanking, biting, kicking, rough handling, hair pulling, or any humiliating or frightening method of behavior guidance. Baby Haven Child Care Center staff and associates will not associate behavior guidance with food, rest, or toileting.

Behavior guidance methods shall not be detrimental to the physical health or emotional needs of a child. 1. Behavior guidance shall not be associated with eating, sleeping, toileting or the withholding of food or water. 2. A child may not receive behavior guidance by any person other than center staff or associates. 3. The cooling down technique will not be used for any child under 16 months of age.

4. Baby Haven shall not use unacceptable behavior guidance methods as described here regardless of whether permission to do so is received from the child’s parent or guardian.

The Baby Haven does NOT: 1. Subject any child to verbal abuse or derogatory remarks about the child or the child’s family. 2. Use threats, bribes, name-calling, labeling, or other forms of emotional abuse. 3. Use measures that frighten or humiliate a child. 4. Use chemicals, medications, mechanical restraints or devices. 5. Make fun of, yell at, threaten, make sarcastic remarks about, use profanity, or otherwise verbally abuse the children. 6. Shame or punish children when bathroom accidents occur. 7. Isolate a child or lock in any structure or room. 8. Use abusive or profane language. 9. Leave the children alone, unattended or without supervision. 10. Allow behavior guidance of children by children.

Dear Baby Haven Staff, Volunteers, & Families,

We recommend that anyone who cares for or comes into contact with infants at the Baby Haven have a Whooping Cough vaccine 2 weeks prior to working with children at the Baby Haven. While we recommend that everyone be up to date on their vaccinations, the Whooping Cough vaccination (Tdap) is especially critical for persons coming in contact with infants. Please help us to keep out little ones healthy!

 If you have had your Tdap vaccination, please provide Toni with a copy for your file.  If you are not sure if you have had the Tdap vaccination please contact your health care provider and ask.  If have not yet had your vaccination please contact your medical provider. In many cases this vaccination is free or very low cost.  Once you have your Tdap vaccination, please provide Toni with a copy for your file. Help Us Protect Babies from Whooping Cough http://www.cdc.gov/features/pertussis/

Whooping cough is a serious disease that can cause babies to stop breathing. You can help protect babies from whooping cough by getting your vaccine and making sure your baby gets his vaccines. Whooping cough, which is also called pertussis, is very contagious and most serious for babies. People with whooping cough usually spread the disease by coughing or sneezing while in close contact with others, who then breathe in the bacteria that cause the disease. Many babies who get whooping cough are infected by parents, older siblings, or other caregivers who might not even know they have the disease.

When babies catch whooping cough, the symptoms can be very serious. Young babies could get pneumonia (lung infection), and many have trouble breathing. About half of babies younger Page 48 of 51 Revised: 10/2/14

than 1 year of age who get whooping cough end up in the hospital, and a few even die from the disease.

Understanding Whooping Cough Vaccines: DTaP and Tdap There are two vaccines used in the United States to help prevent whooping cough: DTaP and Tdap. These vaccines also provide protection against tetanus and diphtheria. Children younger than 7 years old get DTaP, while older children and adults get Tdap.

If you are pregnant, you’ll need the whooping cough vaccine in your third trimester. Because the disease can make babies so sick, and they can catch it from anyone around them, they need protection. These are the three important ways you can help protect them with vaccines:

 If you are pregnant, get vaccinated with the whooping cough vaccine in your third trimester.  Surround your baby with family members and caregivers who are up-to-date with their whooping cough vaccine.  Make sure your baby gets all his doses of the whooping cough vaccine according to CDC's recommended schedule [316 KB].

Pregnant Women Need Whooping Cough Vaccine If you are pregnant, talk with your doctor or midwife about getting the whooping cough shot called Tdap, to protect yourself and your baby. CDC recommends you get your Tdap vaccine between the 27th and 36th week of each pregnancy. After you get the shot, your body will create protective antibodies and pass some of them to your baby before birth. These antibodies provide your baby some short-term protection against whooping cough in early life when your baby is too young to get vaccinated. These antibodies can also protect your baby from some of the more serious complications that come along with whooping cough, such as pneumonia and encephalopathy (disease of the brain).

Everyone around Your Baby Needs to Be Up-to-Date with their Whooping Cough Vaccine You can provide indirect protection to your baby by making sure everyone who comes in close contact with your baby, from older siblings and cousins to grandparents and caregivers, is up- to-date with their whooping cough vaccine. The table below shows the age that whooping cough vaccines are routinely recommended in the United States. Age Whooping Cough Vaccine Recommendations

Birth through 6 DTaP is recommended at years  2 months

 4 months  6 months  15 through 18 months  4 through 6 years

11 through 18 One dose of Tdap is recommended at 11 or 12 years of age years  Teens who didn't get Tdap as a preteen should get one dose the next time they visit their doctor

19 years and One dose of Tdap is recommended for adults who did not get Tdap as a preteen older or teen  Tdap can be given no matter when you got your last tetanus shot Anyone who isn't up-to-date with their whooping cough vaccine should get vaccinated at least two weeks before coming into close contact with a baby. These two weeks give your body enough time to build up protection against whooping cough.

Keep Your Baby's Whooping Cough Vaccine Current Getting the whooping cough vaccine during pregnancy provides your baby some short-term protection, but he needs his own vaccine (called DTaP) to protect him as he grows up. For best protection against whooping cough, children need five doses of DTaP. The first dose is recommended when your baby is 2 months old. He will need 2 more doses after that, given at 4 months and 6 months, to build up high levels of protection. Vaccine protection for whooping cough decreases over time, so booster shots are recommended at 15 through 18 months and at 4 through 6 years to maintain that protection.

Know the Signs of Whooping Cough Whooping cough disease starts like the common cold, with a runny nose or congestion, sneezing, and maybe a mild cough or fever. But after 1–2 weeks, severe coughing can begin. Unlike the common cold, whooping cough can become a series of coughing fits that continues for weeks. Whooping cough can cause violent and rapid coughing, over and over, until the air is gone from the lungs and you are forced to inhale with a loud "whooping" sound. It is important to know that many babies with whooping cough don't cough at all. Instead, it can cause them to stop breathing. When you or your child develops a cold that includes a prolonged (lengthy) or severe cough, it may be whooping cough. The best way to know is to contact your doctor.

Pertussis in Denver and Colorado The number of people getting p ertussis is rising all over the country and is still high in Denver and Colorado. The outbreak started in 2012 with 219 cases and there were 150 cases in 2014, Page 50 of 51 Revised: 10/2/14

VOLUNTEER INTRO TO THE BABY HAVEN CHILDCARE & EARLY LEARNING CENTER more than twice the amount we saw in recent years. Most cases are seen in infants and young children, who often experience the most severe illness. Curious to learn more? Check out the updated statistics on pertussis in Denver, tracked by Denver Public Health.