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![Page 1: Infant and Toddler Care: Improving Quality Through Health and Safety Practices Danette Swanson Glassy, MD, FAAP CA Head Start Association 2015 Health Institute.](https://reader035.fdocuments.in/reader035/viewer/2022062516/56649d8a5503460f94a7077d/html5/thumbnails/1.jpg)
Infant and Toddler Care: Improving Quality
Through Health and Safety Practices
Danette Swanson Glassy, MD, FAAPCA Head Start Association
2015 Health InstituteLos Angeles, CAApril 29, 2015
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School readiness begins with health!
Danette Swanson Glassy, MD, FAAP
• Mercer Island Pediatrics• Advisory Committee, Head
Start National Center on Health
• Co-Editor, Caring For Our Children, National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs, 3rd Edition
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School readiness begins with health!
Agenda• National Center on Health• Best-Practice/Standards/Regulations Oh My!• Infant/Toddler Care-a few highlights
– Medical Home– Infection Control– Immunizations: children and adults– Safe Sleep– Developmental Screening– Feeding solids (anemia/allergy issues)– Nutrition/Physical Activity– Others?
• Resources• Measure Your Quality
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School readiness begins with health!
What is Health?
“Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.”
World Health Organization, 1948
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School readiness begins with health!
•Program Management and Fiscal Operations
NCPMFO
•Quality Teaching and Learning
NCQTL
•Parent, Family, and Community Engagement
NCPFCE
•Cultural and Linguistic Responsiveness
NCCLR
•Early Head Start
EHSNRC
•HealthNCH
Office of Head Start National Centers
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School readiness begins with health!
Head StartNational Center on Health
Our Goal: Fostering a culture of health and wellness for children, families, staff, and communities
Our Foundation: School readiness begins with health!
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Sound Management Systems
Staff, Parent, and Community Engagement
Culturally & Linguistically Appropriate
Positively Associated with Improvement in
Learning
Applicable to Home Visits & Child Care
Settings
Safety & Injury Prevention
Oral Healt
h
Mental Health
Nutrition & Physi
cal Activi
ty
Health Literacy
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School readiness begins with health!
• American Academy of Pediatrics• Education Development Center, Inc. • Center for Child and Human Development at
Georgetown University• National Maternal and Child Oral Health Resource
Center at Georgetown University• UCLA Health Care Institute at the UCLA Anderson
School of Management
National Center on Health Partners
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School readiness begins with health!
NCH Resources
• Newsletters• Online courses• Webinars• Fact sheets• T/TA tools
http://eclkc.ohs.acf.hhs.gov/hslc/tta-system/health/center
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School readiness begins with health!
OHS Priority Health Issues
• Healthy active living • Mental health • Safety and injury prevention • Health literacy• Oral health and dental
homes• Asthma prevention with
special emphasis on tobacco exposure prevention
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School readiness begins with health!
Emerging Issues• Emergency preparedness and
response• Connecting children with
medical and dental homes• Health manager networks• Health and home visiting• Toxic stress and trauma in
early childhood• Orientation for new health
managers• Staff wellness
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School readiness begins with health!
Who’s Here Today?
• Health Managers?• Family Services
Managers?• Other Area Managers?• Classroom Staff, Home
Visiting Staff, or Family Child Care Providers?
• Parents or Family Members?
• Directors or Administrators?
• Governing Boards/Tribal Council/Policy Council?
• Community Partners?• TA Staff?• Federal Staff?• Other?• From California or
Other States?
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School readiness begins with health!
Quality
• Evidence-based, expert informed *
• Head Start Program Performance Standards
• Accreditation Requirements• State Child Care Regulations• Evaluator Interpretation
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School readiness begins with health!
Medical Home
Overall better health with true Medical Home
• accessible, • continuous, • comprehensive, • family-centered,• coordinated, • compassionate, and• culturally effective
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School readiness begins with health!
Medical Home• Access-Use local outreach advocates:
– Covered California Outreach and Education Grant Partners – http://
www.dhcs.ca.gov/services/medi-cal/eligibility/Documents/OE/OutreachandEducntygrantees.pdf
– Promote www.WellVisitPlanner.org
• Communication– Call, really, I mean it!
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School readiness begins with health!
Infection Control
• Infants and Toddlers more vulnerable
• Infants with fever hospitalized if under 2-3 months
• With flu hospitalized at the same rate as senior citizens
• Diarrheal illness significantly reduced with proper hand hygiene, sanitizing/disinfecting
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School readiness begins with health!
Infection Control
Cleaning, Sanitizing, Disinfecting– Written policy– Which-for-What: CFOC Appendices J and K
• http://cfoc.nrckids.org
– Alameda County Green Child Care:• http://acgov.org/ece/green_childcare.htm
– Coalition for Safety and Health in Early Learning:• http://cshelwa.org/downloads/13_Disinfect_E15L.pdf
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School readiness begins with health!
Infection Control
Hand Hygienehttp://www.cdc.gov/CDCTV/handstogether
/
http://www.cdc.gov/CDCTV/WashYourHands/
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School readiness begins with health!
Infection Control
• Diapering– Use posters:
• http://www.ecels-healthychildcarepa.org/• http://here.doh.wa.gov/materials/how-to-change-a-dia
per/12_DiaperCCsm_E12L.pdf
• Policy for parents using the diapering area• Hand washing nowhere near food and bottle
prep sink/area
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School readiness begins with health!
Infection Control
• Inclusion/Exclusion• Written policy shared with
parents-Plan B• Help from health professional-
– Child Care Health Consultant– Health Services Advisory
Member (Weaving Connections)– Specific child’s Health Care
Provider (call, really)
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School readiness begins with health!
Immunizations• Timing critical for Infants and
Toddlers• Trusted Advisor• Parent Friendly resources• Staff Immunizations a must• Parent Immunizations• http://www.cdph.ca.gov/
programs/immunize/Pages/Schools-and-Childcare-Centers.aspx
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School readiness begins with health!
Immunizations
Resources• CA DOH:
http://www.cdph.ca.gov/programs/immunize/Pages/Schools-and-Childcare-Centers.aspx
• AAP: https://www2.aap.org/immunization/index.html
Measles Simulation:http://fred.publichealth.pitt.edu/measles/results.php
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School readiness begins with health!
Developmental Screening
Critical Elements-• Evidenced based tool• Easy to understand
and use• Practice
communicating results• Know how to refer• Always share results
with health care provider
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School readiness begins with health!
Developmental Screening
• EHS tip sheet No. 6• Learn the Signs, Act Early
– Home page- http://www.cdc.gov/ncbddd/actearly/index.html
– Free online training for Early Education and Child Care Providers- http://www.cdc.gov/ncbddd/watchmetraining/index.html
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School readiness begins with health!
Safe Sleep
• More than SIDS, think SUIDS—Sudden Unexplained Infant Deaths
• Positioning AND Environment-cribs, blankets, temperature, cords, bumpers
• Resources and Free online training-
http://www.healthychildcare.org/sids.html
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School readiness begins with health!
Safe Sleephttp://www.healthychildcare.org/sids.html
• A Parents' Guide to Safe Sleep ( Also available in Spanish)This brochure includes information for parents about infant sleep positioning and practices as well as describes how parents can work with child care providers to ensure that safe sleep practices are used in all child care settings as well as at home. (Updated April 2012)
• A Child Care Provider's Guide to Safe Sleep (Also available in Spanish)This easy-to-read brochure provides child care providers with information about ways to promote safe sleep practices and reduce the risk of SIDS. (Updated April 2012)
• Tummy Time This brochure provides information about the importance of supervised tummy time and how it promotes healthy development. (Revised 2011)
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School readiness begins with health!
Safe Sleep
•More information about the new play yard standards. Links to keeping babies safe in their sleeping environments is at the Crib Information Center on CPSC’s website.
Safe Sleep Practices and SIDS/Suffocation Risk Reduction
This spinoff includes safe sleep practice standards from Caring for Our Children, 3rd Edition.
Online learning module:
www.healthychildcare.org/sids
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School readiness begins with health!
Feeding Solids
• “Cue feed”, just like feeding bottles
• New recommendations:– Promote iron-rich foods
early on– Introduce allergy-prone
foods before 12 months
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School readiness begins with health!
Nutrition/Physical Activity
Remember NCH website: • http://
eclkc.ohs.acf.hhs.gov/hslc/tta-system/health/nutrition/nutrition.html
• http://eclkc.ohs.acf.hhs.gov/hslc/tta-system/health/healthy-active-living/healthy-active-living.html
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School readiness begins with health!
Little Voices for Healthy Choices
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School readiness begins with health!
Nutrition/Physical ActivityContainers Resources to keep infants and toddlers moving:• Motion Moments-http
://nrckids.org/index.cfm/products/videos/motion-moments1/
• Bright Futures-http://www.brightfutures.org/physicalactivity/pdf/Infancy.pdf
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School readiness begins with health!
Others
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School readiness begins with health!
Resources
• Caring For Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education, 3rd Edition
• http://cfoc.nrckids.org• Available in print or online
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School readiness begins with health!
ResourcesCFOC Spinoffs:• Caring for Infants and Toddlers in Early Care
and Education• Stepping Stones*• Preventing Childhood Obesity in ECE
Programs*• Safe Sleep Practices and SIDS/Suffocation
Risk Reduction• Oral Health in Child Care and Early Education• Environmental Health in ECE• Coming Soon: Caring for Children with
Special Health Care Needs in ECE
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School readiness begins with health!
Resources
• Healthy Child Care America
– www.healthychildcare.org– AAP– Information, resources,
trainings– Sign up for newsletter
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School readiness begins with health!
Resources
National Resource Center for Health and Safety in Child Care and Early Education• www.nrckids.org• Houses CFOC and Spin Offs• Search state child care regulations• Child Care Health and Policy
information• Sign up for E-Resources Newsletters
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School readiness begins with health!
ResourcesAAP books• Managing Infectious
Diseases in Child Care and Schools, 3rd Edition
• Easy to use guide with specific diseases and conditions
• Easy to copy information about inclusion and exclusion
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School readiness begins with health!
ResourcesAAP Books• Managing Chronic Health
Conditions in Child Care and Schools
• Easy to use format, specific conditions addressed, easy to reproduce forms and handouts
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School readiness begins with health!
Resources
AAP Books• Model Child Care Health Policies, 5th
edition• Also available online at http://
www.ecels-healthychildcarepa.org/publications/manuals-pamphlets-policies/item/248-model-child-care-health-policies
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School readiness begins with health!
Resources
AAP Books• PedFACTs-Pediatric First Aid
for Caregivers and Teachers, 2nd edition
• Manual and a training program
• www.pedfactsonline.com
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School readiness begins with health!
Resources
Health Consultation Websites• California Child Care Health:
http://www.ucsfchildcarehealth.org/• Disinfecting/Sanitizing Worksheets• Integrated Pest Management Toolkit• Health and Safety Checklist
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School readiness begins with health!
ResourcesHealth Consultation Websites• Early Childhood Education Linkage System
– http://www.ecels-healthychildcarepa.org/ – Professional Development, Training, Tools
• Public Health Seattle King County Child Care Health Program– http://
www.kingcounty.gov/healthservices/health/child/childcare.aspx
– Trainings, Tools, Model Policy recently updated
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School readiness begins with health!
Measure Your Quality
• Head Start Health and Safety Checklist• Stepping Stones to Caring for Our Children,
3rd Edition Compliance/Comparison Checklisthttp://nrckids.org/index.cfm/products/stepping-stones-to-caring-for-our-children-3rd-edition-ss3/
• CCCH Health and Safety Checklisthttp://www.ucsfchildcarehealth.org/pdfs/Checklists/HS_Checklist.pdf
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School readiness begins with health!
National Center on Health Contact Information
Toll-free: 888-227-5125E-mail: [email protected]: http://eclkc.ohs.acf.hhs.gov/hslc/tta-
system/health/center