OREGON KIDS: HEALTHY and SAFE Volume 4 Appendix
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OREGON KIDS: HEALTHY AND SAFE Volume 4 Appendix A health and safety guide for early care and education providers PUBLIC HEALTH DIVISION Office of Family Health ACCESSING VOLUME 3 AND VOLUME 4 OKHS Volume 3: E-Reference gives you detailed information about the health and safety subjects introduced in OKHS volumes 1 and 2. OKHS Volume 4 is an appendix to volume 3 that contains documents and forms to download and print. TO ACCESS ONE OR BOTH OF THESE DOCUMENTS Scan this quick response (QR) code with your smartphone, tablet or other handheld device to download the Volume 3, E-Reference, and Volume 4, Appendix to the E-Reference as either an interactive PDF or E-book OR Go to the following website: http://public.health.oregon.gov/HealthyPeopleFamilies/Babies/ HealthChildcare/Pages/OKHS.aspx Sign up for the OKHS Training Session — You will learn up-to-date information about: • Promoting children’s health; • Preventing common childhood illnesses and injuries. For trainings in your area, contact your local Child Care Resource & Referral office or visit the training calendar at www.oregonchildcaretraining.org. Oregon Kids, Healthy and Safe is a joint project among the following partners: State of Oregon Employment Department CHI LD C ARE PUBLIC HEALTH DIVISION DIVISIO N Office of Family Health OREGON KIDS: HEALTHY AND SAFE CONTENTS A Introduction GENERAL CONTACTS AND LINKS • Child Enrollment and Authorization form • Child Care Enrollment Infant and Toddler Information form • Safe n’ Sound: Child care health and safety tips CARING FOR CHILDREN WITH SPECIAL NEEDS • Americans with Disabilities Act Information for Childcare Providers • Bananas Handout: Inclusion — Caring for Children with Special Needs • Emergency Information Form for Children with Special Needs • Handouts on DHS Child Care Program subsidies for children with special needs: • DHS High Need Child Care Rate Information for Parents and Child Care Providers • DHS Child Care Program Special Needs Rate and High Need Rate: How are they different? • Targeted Populations Supplemental Subsidy Information for Parents and Child Care Providers • Including Children with Special Needs: Tips for Child Care Providers • Inclusive Child Care Program • Program flyer (English and Spanish) RESPONDING TO CHILD ABUSE AND NEGLECT • Child Abuse Reporting Phone Numbers, by county, revised 11-14-08 CONTENTS Promoting healthy growth B and development GENERAL HEALTH RESOURCES • Child Development SCREEN TIME RESOURCES • Marketing to Kids: Talking Points • You Have the Power: 5 Steps to Guide Your Child’s TV Time (English and Spanish) NUTRITION • CACFP Food Chart for the Child – age 1-12 • USDA Child and Adult Care Food Program Food Chart • It’s Time to Eat — Food for Your Baby ORAL HEALTH • National Children’s Dental Health Month resources • School-based Dental Sealant Program CONTENTS Preventing and responding C to illness GENERAL RESOURCES • Links to Information on Specific Illnesses • Medication Administration Form — Child Care Division • Plans • Asthma Action Plan • Seizure Care Plan • Special Health Care Plan • Posters • Cleaning, Sanitizing and Disinfecting with Bleach • Diapering Procedure — English and Spanish • How to Handwash (adults) • Infant Handwashing — English and Spanish • Mixing Sanitizing and Disinfecting Solutions • Washing Your Hands (child) — English and Spanish IMMUNIZATIONS • Oregon Certificate of Immunization Status CONTENTS Preventing and responding to D injuries and poisoning PREVENTING INJURIES • Injury Report Form PLANT POISONING PREVENTION • A Guide to Plant Poisoning Prevention and Treatment CHAPTER A RESOURCES: INTRODUCTION Child Enrollment and Authorization Child's Name Date Entered Care Child's Nickname Age at Entry to Care Birthdate ALLERGY ALERT: Does child have allergies? YES NO If yes, list all allergies on back side of form Parent or Guardian Contact Information Name (first, last) Relationship Street Address City Zip Home phone Cell phone Employer/Work Hours Work phone Name (first, last) Relationship Street Address City Zip Home Phone Cell phone Employer and Work Hours Work phone Required Emergency Contact Information- person other than parent or guardian that is authorized to pick up child Name (first, last) Phone Relationship Name (first, last) Phone Relationship Non-Emergency Contact Information- person other than parent or guardian that is authorized to pick up child Name (first, last) Phone Relationship Name (first, last) Phone Relationship Medical/Dental Contact Information Insurance Provider and Policy Information (if applicable) Primary Physician Name Phone Dental Provider (if child is school-age. If none, list dental provider for child care facility) Phone Parent or Guardian Authorization Please list any restrictions to permission of the following: My child may be taken on field trips or excursions by bus or private motor vehicle, as well as on neighborhood walking excursions under required supervision (see special transportation arrangements section on back of form). My child may participate in swimming or other water activities under required supervision (CCD requires approved lifeguard). My child may be photographed for publicity or news purposes On-site Off-site My child may be given non-prescribed medication as indicated on the container. This may include sunscreen, children's pain reliever, antibacterial first aid cream, and diapering ointment. Syrup of ipecac may be administered if deemed necessary by the poison control operator. The child's parent or guardian will be contacted prior to administering non-prescription pain relievers. Prescription medications must be current and a permission slip is required per each medication. In an emergency, the child care facility has my permission to call an ambulance, or take my child to any available physician or hospital at my expense to obtain medical treatment. In most emergencies, 911 is called and the child is transported to the nearest hospital and treated by the on-call physician. The parent or guardian of the child is notified as soon as possible. Parent/Guardian Signature Date Continued on back (additional signature and date) WorkSource Oregon Employment Department-ChildCareDivision-www.childcareinoregon.org TA-806 01/09/08 OREGON KIDS: HEALTHY AND SAFE Child Information Has your child previously been in child care? If yes, what type of care, and for how long? Reason for requesting care Child General Information- please include all information that will assist us in providing quality care for your child Likes and Dislikes Eating Habits and Schedule Sleeping Habits and Schedule Play Fears Special Words and their Meanings Child Medical Information Does your child have allergies? Has your child had chickenpox? Yes No Yes No List all allergies or other health problems, including instructions for providing best possible care in regard to stated conditions. Do any of the medical conditions restrict the child's activities? Other Children in Home Name (first, last) Nickname Age Sex Name (first, last) Nickname Age Sex Name (first, last) Nickname Age Sex Name (first, last) Nickname Age Sex Special Transportation Arrangements CCD requires a written plan of the transportation arrangements between the child care facility and the parent ofr guardian of the child for extracurricular activities. The following indicates the child care facility's transportation plan: (child) attends (school). He/she will be transported/escorted between the child care facility and the school by (check applicable type): school bus, Head Start bus, child care facility, or will arrive/depart unescorted with my permission. If my child is not at the designated pickup site, or does not arrive as planned, please contact (check applicable type): parent or guardian, or the school , in order to confirm the child's whereabouts, as well as devise a plan as needed to locate the child. My child also has permission to (specify, ie: work with teacher after school, attend an extracurricular class or meeting, depart for home at specific time, etc): Parent/Guardian Signature Date OREGON KIDS: HEALTHY AND SAFE OREGON KIDS: HEALTHY AND SAFE OREGON KIDS: HEALTHY AND SAFE OREGON KIDS: HEALTHY AND SAFE 2 OREGON KIDS: HEALTHY AND SAFE Asthma Triggers 4 Care of Bed Linen 5 Cleaning, Disinfecting, and Sanitizing 6 Diaper Changing and Disposal 7 General Instructions for Exposure to Body Fluids 8 Family Style Meal Service 9 Storage and Handling of Food 10 Hand Washing 11 Bathing Infants 12 Pets in Child Care Settings 13 Restrictable Diseases 14 Serving of Formula, Storage and Handling of Bottles and Feeding Infants 15-16 Symptoms That Require Family Notification and Exclusion 17 Tooth Brushing 18 3 OREGON KIDS: HEALTHY AND SAFE Asthma is a health condition that can make it hard for a child to breathe at times. Asthma affects the airways that carry the air they breathe into their lungs. When a child has asthma, their airways can get irritated and swollen and cause an asthma attack, making it hard to get enough air into and out of the lungs. Their chest may feel tight and they may cough or wheeze. To keep a child with asthma well and avoid breathing problems, many children need to take daily “controller” medicines and only use “rescue” medicines that relieve symptoms when having problems. Things that cause asthma attacks are called “triggers.” Asthma triggers are different for each person. If you know a child in your enter has asthma, discuss the condition with the child’s parents to find out what is being done for the