OREGON KIDS: HEALTHY AND SAFE Volume 3 E-Reference 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 http://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 ACKNOWLEDGMENTS The Oregon Kids: Healthy and Safe volumes 1, 2, 3 and 4 are the result of a collaborative effort among many early care and education and health care partners. We wish to thank the following individuals and organizations for guiding the development of this E-Reference: Name Title Organization Kim Ashley Former Project Coordinator/ Oregon Child Care Resource Contract Analyst & Referral Network Chris Bosak, RD, LD Child Nutrition Specialist, Child Office of the Superintendent, Nutrition Programs Oregon Department of Education Beverly Briggs, PhD Training and Education Oregon Center for Career Coordinator Development in Childhood Care and Education, Portland State University Terry Butler, MSW Program Coordinator Inclusive Child Care Program, Oregon Council on Developmental Disabilities Deborah Carnaghi, LCSW Program Coordinator, Child Oregon Department of Human Protective Services Services Jen Coleman Outreach Director Oregon Environmental Council Pam Deardorff, MS Director Oregon Center for Career Development in Childhood Care and Education, Portland State University Beth Epstein, MD Former Medical Consultant Office of Family Health, Public Health Division, Oregon Health Authority Francine Goodrich, RN Nurse Consultant, Maternal and Office of Family Health, Public Child Health Health Division, Oregon Health Authority Adrienne Greene, MPA Injury Prevention Coordinator Office of Disease Prevention and Epidemiology, Public Health Division, Oregon Health Authority Name Title Organization Macy Guppy, PhD Writer/Editor Oregon Department of Human Services and Oregon Health Authority Dan Harrington Graphic Designer Oregon Department of Human Services and Oregon Health Authority Laurie Johnson Dental Hygienist Office of Family Health Public Health Division Oregon Health Authority Mike Kubler, MS Planner Emergency Preparedness, Public Health Division, Oregon Health Authority Chris Kuran Training Coordinator Child Care Resource and Referral in Washington and Columbia Counties Alissa Leavitt, MPH, CHES Health Educator, Oral Health Unit Office of Family Health, Public Health Division, Oregon Health Authority Richard Leman, MD Epidemiologist Acute and Communicable Disease Prevention Program, Public Health Division, Oregon Health Authority Stacy Liskey Former Project Coordinator/ Oregon Child Care Resource Contract Analyst & Referral Network Nancy Lowry, RN, MN Nurse Consultant, CaCoon Oregon Center for Children and Program Youth With Special Health Needs Barbara Malloy Director Presbyterian Preschool and Child Care Center Tammy Marino, MBA Education and Training Oregon ASK Coordinator Beatrix Marron-Molina Family Services Specialist Oregon Child Development Coalition Shanie Mason, MPH, CHES Manager, Oral Health Unit Office of Family Health, Public Health Division, Oregon Health Authority Name Title Organization Lisa Matos Environmental Health Specialist Multnomah County Environmental Health Stacy de Assis Matthews, MPH School Law Coordinator, Office of Family Health, Immunization Program Public Health Division, Oregon Health Authority Linda Nelson Licensing Specialist Child Care Division, Oregon Employment Department Dianna Pickett, RN, MN Nurse Consultant, Maternal and Office of Family Health, Child Health Public Health Division, Oregon Health Authority Sara Sloan, MS, RD Nutrition Consultant, Oregon Office of Family Health, WIC Program Public Health Division, Oregon Health Authority Diane K. Smith Early Childhood Health Clackamas Education Service Specialist District Sonia Thomas Training, Education and Oregon Center for Career Incentives Specialist Development in Childhood Care and Education, Portland State University Robin Stanton, MA, RD, LD Nutrition Consultant Office of Family Health, Public Health Division, Oregon Health Authority Nhu To-Haynes, MPA, HA Outreach and Integration Office of Family Health, Coordinator, WIC Public Health Division, Oregon Health Authority Beth Unverzagt Director OregonASK Nicole Walter, RN, MPA, Former Team Lead, Office of Family Health, IBCLC, CDE Perinatal Health Public Health Division, Oregon Health Authority Barbara R. Zeal Program Coordinator Office of Family Health, Public Health Division, Oregon Health Authority CONTENTS A Introduction • Using the E-Reference ..........................................................................5 • The family-provider partnership .............................................................8 • Caring for children with special needs ................................................. 12 • Responding to child abuse and neglect .............................................. 18 • Promoting and protecting the health of early care and education providers ............................................................................ 21 • Resources .......................................................................................... 32 Promoting healthy growth B and development • The basics of child growth and development ......................................43 • Physical activity................................................................................... 50 • Healthy indoor air ................................................................................ 61 • Nutrition ..............................................................................................63 • Making food safe for children .............................................................. 79 • Oral health ..........................................................................................86 • Resources ..........................................................................................94 CONTENTS Preventing and C responding to illness • Preventing Illness in early care and education settings ........................113 • Child illnesses and what to do ........................................................... 123 • Immunizations................................................................................... 165 • Resources ........................................................................................ 172 Preventing and responding to D injuries and poisoning • Preventing Injuries ............................................................................. 185 • Indoor, outdoor and transportation safety checklists.......................... 221 • First aid ............................................................................................ 229 • Preparing for emergencies and natural disasters ............................... 232 • Resources ........................................................................................ 239 Index ................................................................................................... 249 CHAPTER A INTRODUCTION CHAPTER A CONTENTS Using the E-Reference • What is the purpose of the E-Reference? ..............................................5 • How is the E-Reference organized? ......................................................6 • How do I know the difference between a best practice and a state early care and education regulation? ...................................6 The family-provider partnership • Beginning the family-provider partnership..............................................9 • Continuing to build the relationship ...................................................... 11 Caring for children with special needs • Early care and education program responsibilities ............................... 13 • Working with families .......................................................................... 13 • Developing a plan to serve children with special needs ....................... 14 Responding to child abuse and neglect • Definitions of abuse ............................................................................ 18 • Duties of the early care and education provider ................................... 19 • Signs of abuse and neglect ................................................................. 19 • How to report suspected abuse .......................................................... 19 Promoting and protecting the health of early care and education providers • Following good health practices .......................................................... 21 • Learning to recognize