"The ability to drop our children off in the morning prior to work and know that they were going to be loved, cared for, and educated, made our decision an easy one." ~Sam & Sara
Child Care Health Policies
My goal is to keep your child as healthy as possible so his/her energy can be used to grow and learn instead of to fight germs. Read on to see how these child care health policies enable me to provide the healthiest possible environment.
Child Care Health - Anaphylaxic Allergies
Anaphylaxis is a rare, severe, life-threatening allergic reaction that is treatable, and often preventable. The key to preventing an anaphylactic reaction is identifying triggers and preventing exposure to these triggers. Next to food allergies, insect stings are the most common cause of anaphylaxis. To help safeguard your child's health you may wish to provide a medical alert bracelet for your child. If your child is at risk of anaphylaxis it is your responsibility to provide:
- Verification of the allergy and its cause, signed by a doctor.
- Complete and current health and medication forms.
- Updated emergency contact numbers on file and on the attendance form.
- A doctor's order for EpiPen, and/or any other necessary medications.
- Signed parental consent to administer medications.
- A sufficient supply of up-to-date medications.
Anaphylactic allergies will be posted and reasonable precautions to avoid exposure to known triggers will be taken. For instance, the use of insect repellants on a child who is allergic to bee stings. If a child experiences an allergic reaction while in care I will follow the procedures listed on the child's Health History and Emergency Care Form, and the procedures listed on any separate emergency plan provided by the parent.
Child Care Health - Communicable Disease
Amy & Kids Co. is a “well-child” program. One of my goals is to promote optimum health among our children, our families, and in our community. I am prohibited from caring for any child with a communicable disease such as chicken pox, measles, mumps, scarlet fever, infectious hepatitis or meningitis, and follow Wisconsin Department of Health Services' guidelines for Exclusion from Day Care. In addition, I am mandated by state law to report any confirmed cases of these communicable diseases to all enrolled families, my licensing specialist, and the Appleton Health Department. All communicable disease reports will be posted in the entrance area and will include signs and symptoms of the disease, but will omit the names of children who are ill and their families.
Child Care Health - Conjunctivitis
Although conjunctivitis, known as “Pink Eye,” is common in children, some forms of are highly contagious and spread quickly among children who are in close contact with each other. Children with red eyes, excessive tearing, clear or cloudy drainage, or other symptoms of conjunctivitis will be required to return home. If your child seems to have conjunctivitis, I will notify you and isolate him/her within my sight and hearing. You are expected to reply to the notification promptly, and pick up your child within one hour of notification. If a reply isn't received promptly, your child's emergency contact person will be called to pick up the child. Since conjunctivitis is generally contagious as long as there is discharge, children may return to care after the draining has cleared up.
Child Care Health - Diarrhea or Vomiting
Because vomiting and diarrhea are often contagious and make it difficult to maintain a clean and hygienic environment, I cannot care for a child who has diarrhea/is vomiting, or has had diarrhea/has vomited within the past 24 hours. One incident of diarrhea or vomiting while at Amy & Kids Co. will require that your child return home immediately. Your child may return to care after a full 24 hours has passed since the last bout of diarrhea or vomiting, and can tolerate a regular diet. A child who is unable to tolerate a regular diet is not ready to return to care.
Child Care Health - Environment
Each child's health is important to all of us as it can affect our families, our work and our home life. Due to my concern for the health and well-being of everyone at Amy & Kids Co., I strive to maintain a healthy learning environment by following the EPA's Healthy Child Care guidelines. To help prevent the spread of germs I encourate the children to sneeze and cough into their elbows, and to wash their hands frequently, especially before and after eating and after using the bathroom.
In addition, I follow the holistic, prevention-based approach based on the EPA's Healthy Child Care guidelines. These suggestions include strategies to help keep the environment clean, dry, comfortable, well-ventilated, and free of pests, toxic chemicals, and combustion by-products.
Floors are vacuumed daily and cleaned on a regular basis, and toys and surfaces are cleaned and sanitized regularly. Disinfectants and sanitizers used are registered with the U.S. EPA, and “Green” products and procedures are used whenever possible. In addition, our heating system includes an electrostatic furnace filter and whole-house dehumidifier to provide healthy air.
Some of the ways you can help provide a clean and healthy environment include teaching your child to sneeze and cough into his/her elbows and encouraging frequent hand-washing at home, wiping your feet on the outside mat before entering the center, and not allowing your vehicle to “idle” during drop off and pick up.
Child Care Health - Exclusion from Care
In order to provide the most positive daily experience for each of the children, licensing rules require that all children be observed for signs of illness upon arrival, and prohibit Amy & Kids Co. from caring for any child who is ill.
Because it is often difficult to determine whether symptoms are due to illness or another reason, Amy & Kids Co. excludes for symptoms. Please do not bring your child if he/she has any of the following symptoms:
- Fever above 100° in the past 24 hours
- Constant, thick, colored nasal discharge
- Vomiting or diarrhea in the past 24 hours
- Excessively runny nose
- Breathing issues (wheezing, excessive congestion, croup)
- Contagious or unexplained rash
- Has been on a prescribed medication for less than 24 hours
- Shows other signs of illness not listed above
- Requires constant attention
- Refuses to play
- Cries, whines, and/or wants to be held constantly
- Is unable to tolerate a regular diet
- Generally seems unwell or unable to participate in a full day's activities
This is not an all-inclusive list. If your child arrives exhibiting any previously listed symptom, or any other questionable symptom, I am not allowed to accept him/her for care that day. If your child develops any of these symptoms while in my care, he/she is required to return home. In this case I will notify you and isolate the child within my sight and hearing. I will do my best to keep your child comfortable, but he/she must remain isolated until you arrive. You are expected to reply to the notification promptly, and pick up your child within one hour of notification. If your child is not picked up within one hour your child's emergency contact person will be called to pick up the child.
Your child may return to care when he/she is symptom free for 24 hours; has been appropriately treated by a health care provider; and/or has been given written medical approval to return to child care. Please inform me if your child has been ill recently or if there is an illness in your family, even if the illness occurred over the weekend. I will notify you when members of my family become ill. Parental cooperation is essential to maintaining a healthy environment for everyone present at Amy & Kids Co.
Child Care Health - Fever
Since a fever often is a symptom of contagious infection or illness, I cannot care for a child who has a fever above 100° or has had a fever above 100° in the past 24 hours. If I suspect that your child has developed a fever while in my care, your child’s temperature will be taken at least twice at 10-minute intervals, and each temperature recorded. Two readings of fever over 100° require that your child return home immediately and the above Exclusion from Care procedures will be followed. Your child may return to care after a full 24 hours has passed after the fever has ended naturally, without use of fever reducer. If a doctor determines that the fever is due to an infection, the child may return 24 hours after beginning an antibiotic, or with the doctor's written note.
Child Care Health - Illness Reports
An Illness Report will be filled out whenever a child is required to return home due to health issues. After both the provider and a parent sign the report you will receive one copy to take home and the other copy will be placed in your child's file. Illnesses requiring a child to return home will also be recorded in the medical log. Parents have access to medical log entries concerning their child.
Child Care Health - Lice & Nits
Children in child care are often physically close to each other, which makes them very susceptible to head lice. Head lice is not caused by a lack of cleanliness; lice can be found on persons of any age, ethnicity, hair color, hair type, and on persons with clean hair. Parents have the primary responsibility for the detection and treatment of head lice, however I will work with families to prevent the spread of head lice within the center.
Because lice spread so easily, children with head lice cannot attend child care. If your child is found to have head lice or nits (eggs) while in my care I will notify you and isolate the child within sight and hearing. You are expected to reply to the notification promptly, and pick up your child within one hour of notification. If a reply isn't received promptly, your child's emergency contact person will be called to pick up the child. If you discover lice or nits in your child's hair while at home, please let me know immediately so I can notify the other families and take precautions against the spread of lice in the center. Plan to keep your child home until he/she is completely free of lice and nits. Often a second treatment 7-10 days after the first is necessary to completely treat the condition.
Contact your doctor for the proper way to treat your child, as well as effective procedures to rid your home of lice and prevent a re-infestation. Your child may return to care after the condition has been properly treated and all lice and nits have been removed from his/her head. A signed doctor's note stating that the child has been properly treated and is free of all lice and nits is required before the child can be accepted for care. In order to prevent the spread of lice through the center, children who have been treated for lice will be checked at the door and must be free from lice and nits in order to enter the building. Confirmed cases of lice be will posted near the attendance form and will include signs and symptoms, but will omit the names of affected children and their families. Confirmed cases of head lice will also be recorded in the Medical Log. Parents have access to medical log entries concerning their child.
Child Care Health - Medical Log
According to licensing regulations, Medical Log book is maintained for as long as the center is in operation. Entries in the medical log are made in ink and include the date and time the entry was recorded, the first and last name of the child, and the initials of the person making the entry. No lines are skipped or pages removed; pages were numbered before the first entry was made. Parents have access to medical log entries concerning their child.
The Medical Log is used to record:
- Medications. When medication is administered to a child: the first and last name of child, name of medication, dosage, time, date and initials of person administering the medication will be recorded in the medical log. This record will be made on the same day that the medication is administered.
- Injuries. When an injury that requires any kind of treatment occurs: the first and last name of child, affected part of body, description of injury, location where and description of how the injury occurred, treatment provided, and initials of person who provided the treatment will be recorded. If more than one child is involved in an incident separate entries will be made for each child. If a parent was contacted about the injury a record of how and when the parent was advised of the injury and any follow-up action will also be recorded.
- Observations. When an injury received outside of child care and/or signs of child abuse or neglect are observed: the first and last name of child, a description of the injury or sign of neglect, and the initials of the person who made the observation will be recorded. If the observation is discussed with parents a summary of the discussion will also be recorded.
Child Care Health - Medication
If you feel your child needs medicine during the evening hours when he/she is home with you, please seriously consider if he/she is well enough to attend child care. If so, he/she most likely will also need medication during the day when he/she is in care. Please either give your child long-lasting medicine before arrival, or bring medicine to be administered throughout the day. Because I am not medically trained, I cannot administer medication through special procedures like a nebulizer, inhaler, etc. Due to licensing rules and in order to avoid accidents and mistakes, I am able to give your child medicine only if you have completed, signed and submitted a Medication Authorization form. You can download a copy to bring with the medication, or use one of the copies behind the attendance form. Both prescription and non-prescription medications must be in the original container with the original label, and have your child's name, the correct dosage and administration directions written on it. All medication administered is recorded in the medical log, along with the dosage and time it was administered, and the initials of the caregiver who administered it. Parents have access to medical log entries concerning their child.
Child Care Health - Preventative Care
Routine immunizations help protect us all from life-threatening diseases. Your child's immunizations must be kept up to date and his/her Immunization Record kept updated and on file with me. Licensing requires that immunization forms are kept up to date. Failure to do so will result in your child being excluded from care until the form is updated. Due to the possibility of an adverse reaction to an immunization, children should not be brought to care after receiving immunizations. Please schedule immunizations at the end of the day and plan to keep your child home afterward.
If your child will not be immunized due to medical or religious reasons, you must indicate this on the licensing immunization form. Un-immunized children may be excluded from care during outbreaks of vaccine-preventable illness, as directed by the health department.
To make sure that your child is able to participate in all of our activities, he/she must have a physical within 30 days of his/her first day of care, and at regularly scheduled intervals afterward. At each physical a Health Report must be completed and signed by a health provider, then submitted to me for your child's file. Due to licensing regulations, failure to keep Health Reports up to date will result in your child being excluded from care until the forms are updated.
Child Care Health - Pandemic
In the event that a pandemic is declared, Amy & Kids Co. will monitor the CDC, DCF, and other health organizations, and adjust policies and procedures as needed. Rapid changes in the pandemic may require temporary implementation of emergency procedures. All amendments and emergency procedures will be shared with parents via email, and will supersede current policies.
Child Care Health - Rash
Because children play so closely together and share each other's "personal space" frequently, I cannot care for a child who has a contagious or an unexplained rash. If your child develops a rash while in my care I will notify you and isolate the child within sight and hearing. You are expected to reply to the notification promptly, and pick up your child within one hour of notification. If a reply isn't received promptly, your child's emergency contact person will be called to pick up the child. Your child may return to care after the rash vanishes, a non-contagious cause is found for the rash, or a doctor's written note allows the child to return.
Child Care Health - Returning Home
If your child becomes ill while in my care I am not allowed to care for him/her. I will isolate your child within sight and hearing and notify you immediately. You are expected to reply to the notification promptly, and pick up your child within one hour of notification. If a reply isn't received promptly, your child's emergency contact person will be called to pick up the child. Your child may return to care when he/she is symptom free for 24 hours; has been appropriately treated by a health care provider; and/or has been given written medical approval to return to child care.
Child Care Health - Smoking
To maintain a healthy environment for our lungs, smoking is not allowed anywhere on the premises of Amy & Kids Co. when children are present.
Child Care Health - Universal Precautions
As protection against blood-related modes of disease transmission, all caregivers will use universal precautions when exposed to blood or bodily fluids containing blood. Single use disposable gloves shall be worn if there is contact with blood-containing body fluids or tissue discharges. Gloves shall be used only for the care of one child, then discarded in plastic bags. Hands shall be washed with soap and running water after removal of gloves.
Child Care Health and Safety
Planning for children's health and safety is an important component of high quality child care. Now that you've discovered how I work to keep your child healthy, visit the child care safety page to see what steps I take to keep your child safe too.