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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?