Health, Medication, Illness and Injury

HEALTH and SAFETY EDUCATION

We hope you will reinforce our health and safety education program at home. We’ll be having monthly fire drills. In the fall a fireperson visits to tell us how to prevent fires and what to do if one occurs. We’ll learn about the importance of cleanliness and handwashing in preventing the spread of germs. A dentist will visit to show us how and why we brush our teeth. Our School rules that limit behaviors that could hurt ourselves or others are a continuing topic of discussion. Even if your rules at home are different, please support what is expected at School.

HEALTH APPRAISALS / CHILD HEALTH REPORT FORMS

Within 30 days after a child begins School, and as age-appropriate thereafter, child health records must document that the child is current for routine screening tests and immunizations according to the schedule recommended, published in print, and posted on the Web sites of the American Academy of Pediatrics and the Centers for Disease Control/Advisory Committee on Immunization Practices. The state-approved Child Health Report form is available on our School site under School Forms, but we can also accept customized forms from pediatric practices, providing the forms include the following information:

  • Results of health examinations, showing up-to-date immunizations and screening tests with an indication of normal or abnormal results and any follow-up required for abnormal results;
  • An assessment of, and instructions for, any of the child’s special health needs such as allergies or chronic illness (e.g., asthma, hearing or vision impairments, feeding needs, neuromuscular conditions, urinary or other ongoing health problems, seizures, diabetes) or requirements for medication;
  • A statement that the child is able to participate in child care and appears to be free from contagious or communicable disease; and
  • A statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

We are forced to deny continued enrollment to children for whom we do not have the necessary documentation.  Please help us by ensuring that you have timely appointments.

IMMUNIZATIONS

Our licenses require that children have current immunizations according to the ACIP (Advisory Committee on Immunization Practices).

MEDICATION ADMINISTRATION

  1. General
  • The School will administer prescription medication, ordered or approved by your child’s physician, to your child, if necessary, only with your written approval on the Classroom Medication Log.
  • The School will administer non-prescription medication only when provided by you, accompanied by Physician’s Standing Orders, and with your written approval on the Classroom Medication Log.
  • Because having medication in the facility is a safety hazard and administration of medication poses an extra burden on Staff we must ask that you limit your request to medication dosages that cannot be given by you at the ends of your child’s day at School, or during other hours at home. This would include vitamins or antibiotics that are administered twice daily.
  • The first dose of medication should be given at home to see if your child has any type of reaction.
  • As always, you are welcome at School. Some parents might prefer to visit to administer medication during the school day.
  1. How, What, etc.
  • Blank Medication Logs are kept in the hanging folders near each classroom’s telephone.
  • Complete a Medication Log when you require that we administer medication at School.
  • All prescription medications must include the prescription label.  We must have Physicians Standing Orders on file for any over-the-counter medications that you would like us to administer to your child.
  • Hand the completed Log and the medication to the Teacher. For safety, it is important that medication not be left on counters or in lunch boxes.
  • Teachers will administer the medication and complete the time/dosage data on the Log.
  1. PA state regulations also require that:
  • We administer only medications that are provided by you and labeled with your child’s first and last names.
  • All medications must be in their original containers with directions and labels attached.
  • All prescription medicines must be in your child’s name and not that of another family member.
  • We are not permitted to cut pills.
  • We cannot administer medications that have expired dates.  Please be sure to keep abreast of the expiration dates of any medication you leave for your child, especially if it is a medication that you leave here for long periods of time (e.g. Epipens, Tylenol, etc.)
  • A physician may order that a certain medication may be given for a recurring problem,emergency situation, or chronic condition. Please be sure to obtain your Doctor’s prescription. The parent must fill out a Medication Log and provide the prescription.  Examples include:

o Asthma medicine before vigorous active play; or

o Epinephrine for a serious allergic reaction to a specific substance.

 

WHEN CHILDREN ARE ILL

When young children are in group programs, illness is a fact of life. This happens at whatever point they begin school. Young children get sick more frequently than adults, because their immune systems cannot fight disease as well. The good news is that exposure seems to improve their immunity, so that when they are a little older, they seem to get sick less frequently.

Children are excluded from School if:

o The illness prevents the child from participating comfortably in activities that the School routinely offers for well children;

o The illness requires more care than the Staff are able to provide without compromising the needs of the other children in the group; and/or

o Keeping the child in care poses an increased risk to the child or to other children or adults with whom the child will come in contact.

Some common reasons for exclusion:

Fever.  Parents will be notified of any fever > 100° axillary. (The child can return to School after he or she is free from fever for 24 hours, or with a note from their pediatrician indicating they may return to School).

Signs of possible severe illness, including unusual lethargy, irritability, persistent crying, difficult breathing.

Uncontrolled diarrhea, defined as an increased number of stools compared with the child’s normal pattern with increased stool water and/or decreased form that is not contained by the diaper or toilet use.

Unexplained rashes that could be contagious.

If we see the beginnings of symptoms, we’ll let you know by phone that your child seems to not be feeling well, and that we may have to call you later.

  • If a Director is uncertain about whether a child’s illness poses an increased risk to others, the child will be excluded until a physician or nurse practitioner notifies the School that the child may attend. When a question arises, the School will rely on the judgment of the child’s pediatrician.
  • If a Director determines that a child is too ill to stay in School based upon the above criteria, you will be called immediately and the child will be provided a place to rest (usually in the Office) until the parent or designated person arrives.
  • The child must be picked-up by an approved escort within one (1) hour of our call to you. The School does not have the resources to allow ill children to remain in the facility. Please be sure to have someone available in case this situation occurs.
  • We will provide information to families verbally and in writing about any unusual level or type of communicable disease to which their child was exposed, signs and symptoms of the disease, mode of transmission, period of communicability, and control measures that are being implemented at the School and that families should implement at home.
  • Many exclusions require that the child be symptom free for 24 hours before returning to School.
  • Our School has a No-Nits policy.   If your child has head lice, we ask that your child stay home until his or her head is completely clear of nits (eggs).  The School has on-hand a number of education supplies and resources to help you treat head lice, but because of the nature of the early childhood teaching environment, we have always found a No-Nits policy to be the most effective way of controlling head lice outbreaks.

We know that these policies can be difficult for parents, who need to work, and we commit to not being more restrictive than we need to be to keep everyone healthy.

 

IF YOUR CHILD IS INJURED AT SCHOOL

The School is always operated in a manner that minimizes accidents and injuries to children and others.

However, as you’ve most likely experienced at home, as children play and experience their world, accidents can occur. Most injuries at School are of a minor nature requiring TLC and reassurance.  However, we must be prepared for the possibility that something more serious could occur.

It is of utmost importance that we be able to reach you, especially in an emergency. Please be sure that we have at least one (1) phone number that will always be answered by a person rather than a machine, when your child is at School.

In the event that you might be out of town, be sure that someone has your Power of Attorney to authorize emergency medical treatment, if required.

The following are our procedures for emergencies, accidents & minor incidents involving a child being injured at School.

  • Should an accident, injury or medical condition occur, Staff will act immediately to administer first-aid as required.
  • A Director will be notified, as soon as practical, and given the nature of the incident.
  • The situation will be assessed. In all but the most minor incidents we will call to apprise you.
  • Possible scenarios include:

o No further action is required. We’ll discuss the incident further with you at pick-up time.

o We seek the advice of your Pediatrician.

o We ask you to come to School to advise us.

o We determine that your child needs to be medically examined.

  • We request that you come to School to transport your child to your Pediatrician’s office, an emergency treatment facility, or Pediatric Dentist.

OR

  • We transport your child in a personal vehicle to an emergency facility and wait for you to arrive. Unless you advise otherwise, we use the Pediatric Emergency room at Bryn Mawr Hospital. Dr. Stanley Horowitz in Ardmore, or your designated dentist, would see dental emergencies.
  • If a serious injury or medical condition occurred, we would immediately call 911.

Whenever an injury occurs, our Staff will also notify you in writing via our Incident Report. We will ask for your signature to confirm your notification.A copy of the Report will be filed in your child’s permanent file.

The School maintains Student Accident insurance and will reimburse parents for up to $3,000.00 of out-of-pocket expenses related to required treatment.

 

FOOD

BREAKFAST

We know that children sometimes have difficulty finishing their breakfast before an early arrival. If you’d like to set up breakfast food for your child before you leave the School in the morning, you may do so. However, keep in mind that, in the interest of starting our morning program as scheduled for children over two years old, we must put away breakfast food by the 8:30 a.m. Be sure to arrive in time for your child to finish.

LUNCH

Send foods prepared as you’d like them served to your child. Fruits, meats and other foods should be cut so as to prevent choking. Use microwavable containers if you’d like us to heat any foods that you include. We’ll serve our own milk and juice, or you can send your own if you prefer. Children under two years are served whole milk; those over two are served 2% milk. Infant formula is provided by parents.  We have microwave ovens in the classrooms and can heat up foods sent in microwave-safe containers.

SNACKS AT SCHOOL

We provide a morning and afternoon snack that consists of at least one (1) serving of milk each day and a snack food such as crackers or pretzels. We stock 10-12 varieties. These snacks should be seen as a supplement to your child’s daily milk and carbohydrate requirements. We regret that we do not have the Staff resources to serve fresh foods (e.g. fruit) other than milk and juice.

EVENING SNACK

We provide a morning and afternoon snack consisting of milk, water, and occasionally juice, with crackers or other low sugar snack foods. If you’d like to give your child an additional snack before leaving the School or on the way home, pack it separately so that we know to save it.

NOTES REGARDING FOOD BROUGHT FROM HOME

Our NAEYC Standards Require That:

  • Parents bring lunch each day and place it in the refrigerator when they arrive.
  • All food brought from home must be in a lunch bag labeled with the child’s name.
  • Lunch brought from home should meet the guidelines of the Child and Adult Care Food Program for the types of foods and portion sizes. We are required to remind you of children’s requirements to have good nutrition and healthy meals. We maintain information on nutritional guidelines and are happy to supply it to you upon request.
  • Please send food that is cut or peeled the way you would like it served to your child.
    • For Infants, food should be cut into pieces no larger than ¼ inch square.
    • For Toddlers/Twos, we may not serve pieces larger than ½ inch square, according to each child’s chewing and swallowing capability.
  • We cannot serve the following foods to children younger than four (4) years old:
    • Hot dogs, whole or sliced into rounds,
    • Whole grapes,
    • Nuts,
    • Popcorn,
    • Raw peas,
    • Hard pretzels,
    • Spoonfuls of peanut butter,
    • Chunks of raw carrots,
    • Meat larger than can be swallowed whole.
  • Food brought from home for sharing among the children must be either whole fruits or commercially prepared packaged foods in factory-sealed containers.
  • Baked goods may be made at home, if they are fully cooked, do not require refrigeration, and were made with freshly purchased ingredients. In addition,
    • There must be enough for all the children.
    • They must be prepared and transported in a sanitary fashion, including maintenance of safe food temperatures for perishable items.

BREAST MILK – The School is very supportive of breastfeeding with its the many documented benefits.

  • We will accept, appropriately store, and serve expressed human milk for feedings;
  • Human milk should be brought to School in ready-to-feed sanitary containers labeled with your infant’s name and date;
  • We can store it in the refrigerator for no longer than 48 hours (or no more than 24 hours, if the breast milk was previously frozen) or in the freezer at 0 degrees Fahrenheit or below for no longer than three (3) months;
  • Staff will gently mix, not shake, the milk before feeding to preserve special infection-fighting and nutritional components in human milk; and
  • We have a rocking chair in the Infant Room that we hope you will find comfortable, if you choose to feed your baby at School. Please let us know how we can assist you.

FOOD ALLERGIES

  • We’ll ask for a Special Care Plan prepared in consultation with family members, your child’s health provider, and the specialists involved in your child’s care.
  • The School will make every attempt to protect children with food allergies from contact with the problem food. We will ask that you give consent for posting information about your child’s food allergy in the food preparation area and in the areas of the facility your child uses so it is a visual reminder to all those who interact with your child during the Program day.
  • We will ask you to review a listing of the foods the School provides for snacks and give your consent for those foods that are permitted.
  • It may be necessary for you to supplement our snacks with those you’d like provided to your child.

OTHER FOOD RESTRICTIONS

  • You may have a number of reasons for controlling the types of food your child consumes at School. These could be religious, dietary or cultural preferences. The School is not equipped to supply the possible variety of food restrictions. If you have food preferences not met by our snack offerings:
    • We will ask you to review a listing of the foods the School provides for snacks and give your consent for those foods that are permitted.
    • It may be necessary for you to supplement our snacks with those you’d like provided to your child.

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