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Child CareChild CareMorning ReportMorning Report
11/12/1011/12/10
Emily White and Andrea StoutEmily White and Andrea Stout
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Child Care
Quality child care gives young children
valuable opportunities to learn, to relate
effectively with peers and adults, to explorethe diverse physical and social world, and to
develop confidence in their abilities to learn
new skills.
-Bright Futures, AAP; Third Edition
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Home Care; single provider
Home Care; two providers
In-Home Care Shared Care
Before and After School Programs
Preschool and Head Start
Types of Child Care
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Licenses and State Checks
Provider experience/education
Children separated by age Providers sick policy
Schedule flexibility
Cost
Illness
Pros and Cons
In-home vs. Center
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Risk of injury associated with day careattendance Injury rate of 1.5 injuries per 100,000 child care
hours
Injuries included: Lacerations (31%)
Bumps/bruises (15%)
Fractures (10%)
Dental injuries (8%)
51% of injuries occurred on the playground
Pediatrics. 1996 Nov; 98(5): 1005.
Literature Review
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Literature Review
How safe are day care centers? Day care versushome injuries among children in Norway Children aged 6mo - 6yr
For children aged 6mo to 2 years, the rate of injuries wassignificantly lower in day care settings than a home
For children ages 3 to 6 years the rates of injury weresimilar
Pediatrics. 1996 Nov; 98(5): 1005.
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Literature Review
Risk of injury to children less than 5 years of
age in day care versus home care settings
2.5 per 100,000 child-hours (center) 4.88 per 100,00 child-hours (home)
NOT statistically significantly different
Pediatrics. 1990 Nov; 86(5): 807-809.
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Supervision Rates
Utah Dept. ofHealth
ui i e an ae o pressor
are nee e to see this pi ture.
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Physical Equipment Ensure building, grounds, toys, and equipment are safe
Maintain clean and safe environment
Maintain adequate cooling, heating, and light Outdoor area must have a shaded area
Must provide access to drinking water
Outdoor play equipment must be surrounded by protectivecushioning
Must be free of safety hazards (chemicals, matches,lighters, sharp objects, open flames)
Utah Dept. ofHealth
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Activities Offer activities and materials to support physical, social, and
cognitive development
Activity plan and daily schedule must be posted in rooms forchildren ages >2
Awake infants/toddlers must receive interaction at leastonce every 20 minutes
Utah Dept. ofHealth
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Animals Must inform parents of the types of animals present at the
facility
Ensure that animals are clean, in good health, and notdangerous/aggressive
Children not allowed to handle reptiles or amphibians
Utah Dept. ofHealth
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Records Provider is required to have for each child:
Admission form
Annual health assessment
Immunization record
Transportation permission (if providing transportation)
Written daily records for infants/toddlers
Utah Dept. ofHealth
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Staff Qualifications Director must be at least 21 years of age
Director must be on site at least 20h per week during
operating hours Caregivers must be at least 18 years of age
May have assistant caregivers who are at least 16 years ofage; but assistants can never be left alone with children
Utah Dept. ofHealth
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Infection Control
Staff and children must wash hands regularly
Clothing must be changed promptly if the child has a toiletingaccident
Toys/materials must be sanitized weekly Center may not care for children who are ill
Parent must be contacted if the child becomes ill
If child or provider has an infectious disease, notification must beposted for 5 days
Diapers must be checked every 2 hours
Utah Dept. ofHealth
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Child Care What to look for
Checklist
http://www.childcare.utah.edu/learn/index.htm
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Child Care Finding a provider
http://health.utah.gov/licensing/
www.childcare.utah.edu/options/index.htm
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Child Care Citations
http://www.utahsright.com/h_childcare.php
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Child Care Questions?
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