Preventive Health and Safety in the Child Care Setting a Curriculum for the Training of Child Care Providers FOURTH EDITION
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Preventive Health and Safety in the Child Care Setting A Curriculum for the Training of Child Care Providers FOURTH EDITION STUDENT VERSION DEVELOPED WITH FUNDING FROM THE CALIFORNIA DEPARTMENT OF EDUCATION UCSF California Childcare Health Program DEVELOPED BY: University of California, San Francisco (UCSF), School of Nursing Department of Family Health Care Nursing California Childcare Health Program (CCHP) The California Childcare Health Program is a community-oriented, multidisciplinary team dedicated to enhancing the quality of child care for California’s children by strengthening linkages between the health, safety and child care communities and the families they serve. Background and Acknowledgements This curriculum was first published in June 1998 and updated in 2001, 2018, and 2020. It is meant to be used by a qualified health and safety trainer to meet the preventive health and safety training requirements to become a licensed child care provider (Health and Safety Code, Section 1596.866) in California. We wish to acknowledge funding from the California Department of Education and the following people who contributed their time and expertise to the development of the original curriculum: Contributors Andrea Azevedo Diane Hinds Betty Bassoff Roberta Larson Robert Bates Pamela Murphy Judy Calder Pamm Shaw Adena Cohen Marsha Sherman Sara Evinger Karen Sokal-Gutierrez Lucy Chaidez Elise Stone Nadja Christian Rick Tobin Lyn Dailey Sara Woo Sandra Edelbrock A. Rahman Zamani Gail Gonzalez Tina Zenzola Curriculum Revision Team, Fourth Edition Bobbie Rose Kim Hazard Mira Liao Jueleah Spencer Abbey Alkon Note: The content of this curriculum is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. It is not intended to replace a clinical visit with a qualified healthcare provider who will complete a medical evaluation, make a diagnosis, and arrive at a treatment plan. You must seek the advice of a qualified health care provider with any questions you may have regarding your medical condition. 2 California Childcare Health Program Preventive Health and Safety in the Childcare Setting A Curriculum for the Training of Child Care Providers FOURTH EDITION INTRODUCTION: The core content of the Preventive Health and Safety training curriculum (excluding Pediatric CPR and First Aid) is arranged into three modules: Preventive Health and Safety Preventive Health and Safety Preventive Health and Safety in the Child Care Setting in the Childcare Setting in the Childcare Setting A Curriculum for the Training of Childcare Providers FOURTH EDITION A Curriculum for the Training of Childcare Providers A Curriculum for the Training of Child Care Providers FOURTH EDITION FOURTH EDITION MODULE 2 MODULE 3 MODULE 1 Prevention of Injuries Prevention of Infectious Disease Nutrition UCSF California Childcare Health Program UCSF California Childcare Health Program UCSF California Childcare Health Program Module 1: Prevention of Infectious Disease Module 2: Prevention of Injuries Module 3: Nutrition Each module stands on its own and has its own educational objectives and handouts. The three modules cover the required content of the Emergency Medical Services Authority Child Care 7 Hours Preventive Health and Safety Training Course and 1 hour of Nutrition training (total of 8 hours) and provide information and guidance on how to control infectious disease in the child care setting, prevent injuries, and provide healthy nutrition. Contents of the curriculum and handouts are in agreement with Title 22 regulations. The course is based on best practice evidence and expert opinion from the Caring for Our Children National Health and Safety Performance Standards Guidance for Early Care and Education Online Data Base, Managing Infectious Diseases in Child Care and Schools, 5th Edition, the Centers for Disease Control and Prevention, the California Department of Public Health, the United States Department of Agriculture, and the Environmental Protection Agency as of the date of EMSA-approval. The target audience for the training curriculum is child care providers. Trainers with questions on child health issues in these modules are encouraged to contact the California Childcare Health Program. For technical assistance, call 415-502-2825 or visit cchp.ucsf.edu. Preventive Health and Safety in the Child Care Setting 3 Curriculum Overview Include Families in Creating a Healthy Use Developmentally Appropriate Environment Practices when Teaching Children Families are the primary teachers and role models Healthy Habits for young children. Families will often say the most Developmentally appropriate practices are an important thing they look for when seeking child important part of a quality child care program. Child care is a healthy and safe environment. With this in care providers should keep the ability of the children mind, child care providers must include families, in their care in mind. As children develop differently, with cultural awareness and sensitivity, in their the actual age of the child is less important than the efforts to create healthy environments and promote ability of the child to act and understand concepts healthy habits. and tasks. The child care providers enrolled in the health and Infants and toddlers whose hands must be washed safety class may be new to the field or experienced after diaper-changing may need a different providers who are taking the course to refresh their approach, depending on how independent they knowledge and assure they are up-to-date. Whatever are. Some 24-month-olds may be able to step up their knowledge level is, encourage participants to to a sink, turn the water on, and wash their hands engage families in the health and safety messages in with minimal supervision; while others may need this curriculum. to be assisted at each step in the process. Both will probably want to spend a great deal of time learning You will find a short time period at the end of each from their experience with the water. section for the instructor to ask the class how and when they would communicate the concepts learned Children respond to a positive and constructive to the families in their programs. This will not only manner and learn best from consistent, clear, gentle stimulate students’ understanding of the importance and timely reminders that are pleasant and fun. For of communicating with families, but will also assure example, rather than irritably repeating “wash your that they understand the concepts themselves. hands,” try singing a song about hand washing. TIPS FOR COMMUNICATING WITH FAMILIES ●● Communicate without judgement — do not criticize anyone’s parenting skills ●● Review all health and safety policies prior to enrollment of a child. The health and safety of their children is a top priority, so this review will reassure the parent that the provider will be working to promote the well-being of the children in their care. ●● Communicate any changes in health and safety policies at family meetings, by written notice in the primary language of the family (when possible), and informally as you greet the families at the beginning and end of the day. ●● Communicate new knowledge gained on health and safety issues in newsletters, notes, handouts, emails, posted information, and social media — or any other method you can think of that will reach a particular family group. All of these steps will demonstrate to families that you are working in the best interest of their children. 4 California Childcare Health Program Because children love to sing and respond well to Length of Training positive reminders, your task will be easier, and the children will feel good about washing their hands. Title 22 California child care regulations require Incorporating action songs and blending health 16 hours of health and safety training to become practices into the natural flow of the daily program licensed: eight hours for CPR and First Aid (not makes it easier on everyone. Don’t forget to have fun! included in this class); seven hours for prevention of infectious disease and prevention of injuries; and Knowledge of the child care context and child one hour of child care nutrition. This curriculum care issues are woven into all content areas of the is designed to assist the trainer in meeting the Preventive Health Training curriculum, including licensing requirements, best practices, and providing information on child development; up-to-date sufficient information and resources for eight hours information on the required Preventive Health topics of prevention of infectious disease (four hours), in Community Care Regulations 100000.30 b and prevention of injuries (three hours), and child care California Health and Safety Code Section 1596.866; nutrition (one hour). and information about cultural awareness and cultural sensitivity to address the rich diversity of Class Completion Cards children and families in California. and Emergency Medical Services TARGET AUDIENCE: Child care providers Authority (EMSA) Stickers GROUP SIZE: 15 to 20 (ideal). No more than To become licensed, participants must earn a class 30 students per instructor. completion card with a valid EMSA sticker attached as proof of successfully completing eight hours of Preventive Health training. For access to class Who Can Train? completion cards and EMSA stickers, trainers are Experienced health and safety trainers, child care required to use an EMSA approved curriculum that health consultants and other registered nurses, covers