Osan Child & Youth

Programs Parent Handbook

Child Development Center School Age Care Youth Programs

Child & Youth

Programs

Osan Air Base,

Republic of Korea

May 2016

INDEX

Activity plans, classroom

Page

28

Outside Play Temperatures

Page

17, 18

Admission policy 9, 10, 11 Part Day Enrichment-CDC 5, 6

After hours policy 12 Parent Advisory Board 30

Biting 18 Parent Information 27-30

Child Abuse prevention 26, 26 Parent Orientation 13

Child Development Center-CDC 5, 6, 12 Philosophy 3

Clothing, dressing your child 28, 29 Preference for care 5

Conferences, Parents 29 Priority enrollment 4, 5

Curriculum 8, 9 Releasing children from care 11

Daily schedules 28 Request for care (Unmet Need) 13, 14

Diapers 9, 29 Reservation policy 14, 15

Eligibility 4, 5 Rest periods 19

Exclusion 16, 17 Separation anxiety 29

Family child Care-FCC 7, 8 Smoking policy 30

Fees & Charges 14, 15 Special diets 21

Fee waivers 15 Special needs 16

Field trips 19 Staff requirements 27

Goals 4 School Age-SA 6, 12

Guidance policies 22-25 SA Day/summer camps 6

Health Policy 16-17 Teething 18

High Risk Activity 18 Things (Toys) from home 1 1, 12

Holi days 21, 22 Toilet training 18, 19

Hourly care 12 Touch Policy 25

Hours of Operation 15, 16 Transportation of children 19

Illness 16, 17 Transition CDC 12

Immunizations Attch 3 Transition CDC to SA 12

Infant feeding 21 Vacations 15

Inspections 26 Wait List/Unmet need 14

Late pick up 12 Withdraw! from care 14

Lost & found 29 Youth Programs-Ye 6, 7

Meals, snacks 20, 21 Youth supervision policy Attch l

Medications 19, 20 Mission statement 3

Program Fees - Separate publication

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WELCOME

Welcome to the Osan Air Base Child Development (CDC), School Age Care (SAC) and

Youth Programs (YP). We operate within the guidelines of DoD and AF Instructions

(AFI 34-144) and policies/checklists, accreditation standards of the National Association

for the Education of Young Children (NAYEC) for the CDC and Council of

Accreditation (COA) for our SAC program. We also use Caring for O u r Children (4th

edition) and Managing Infectious D i s e a s e s in Child Care and Schools (American

Academy of Pediatrics publications). This handbook should answer the majority of your

questions about our services and inform you of our policies and procedures. Each

program may supplement this consolidated handbook with specific information about

their individual programs for additional clarification. Programs are not meant to

substitute, compete, or diminish the role of the parents, but act as a support system to the

family. Our programs are designed to provide a meaningful service by creating a

stimulating and enjoyable and safe environment for children. Our aim is to make both

you and your child happy, comfortable and encourage involvement in the various aspects

of your child's program. We look forward to seeing you! You are a welcomed visitor at

all times.

Mission Statement To assist DoD military and civilian personnel in balancing the competing demands of the

accomplishment of the DoD mission and family life by managing a delivering a system of

quality, available and affordable programs and services for eligible children and youth

birth through 18 years of age assigned to Eielson. To promote the cognitive, social,

emotional and physical development of youth through recreational and educational

programming. We want to be your first choice for child and youth programming.

Philosophy

We believe in the development of the "whole child". Our program acknowledges that

children learn through active, hands-on involvement with their environment, peers, and

caring adults. We respect each child's unique interests, experiences, abilities, and needs,

thus allowing us to be responsive to and appropriate for each child. Children are valued

as individuals, as well as part of a group. Likewise, our program respects and supports

the ideals, cultures, and values of families in their task of nurturing children. We

advocate for children, families, and early childhood professionals within our programs.

Child Development Center staff members believe children learn through active

participation with their environment. Infants, toddlers, and preschoolers learn about their

environment through meaningful "hands-on" experiences, which promote active thinking

and reasoning. The School Age Program continues to broaden and expand their

experiences. Developmentally age appropriate activities and practices are implemented

at the Child Development Center and the School Age Program. The Youth Program offers

children the chance to engage independently and make choices on how and when they will

join the various programs and activities.

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Goals

Our goal is for our programs to provide:

• Positive, warm interactions among adults and children

• A healthy and safe environment for children

• Opportunities to enhance social skills

• Encourage children to think, reason, question, and experiment

• Language and literacy development

• Appreciation and respectful cultural diversity

• Developmental initiatives and decision-making skills

• Opportunities for physical development and skills

• Encouragement and demonstrate sound health, safety, and nutritiona l habits

• Encouragement of creative expression, representation, and appreciation for the arts

and music

• Nutritious meals and snacks that meet United States Department of Agriculture

(USDA) Adult and Child Care Food Program standards

• Regular communication with parents

• Promotion of each child's self-esteem and a desire to reach his/her fullest potential

Eligibility

Children of all active duty military, DoD civilian personnel (APF/NAF), DoD

contractors, and ANG/Reservists are eligible to use Child Development, School

Age/Youth Center, and FCC Programs. Single/dual active duty, ANG/Reservists on

active duty, and DoD civilians whose spouse is employed and residing at Osan AFB are

given a higher priority than other groups for enrollment.

Enrollment of children when a spouse is no longer employed or attending school full time

may be terminated within 30 days when there is a list of priority eligible children waiting

to enroll in a full time program. Children 6 weeks through 5 years old are eligible to use

the Child Development Center. Children 5 -12 years old are eligible to use the School

Age Program. Decisions regarding eligibility in special circumstances will be handled on

a case-by-case basis.

Please see the Attachment 1 regarding DODI 2206 for Priority of Care.

Note: PCS inbound personnel with orders are considered assigned to Osan AFB for priority

placement considerations and can email their AF Form 2606 to the CDC/SA and be entered on

the wait list.

Priority determination is made at the time of registration or placement on the waiting list. Care

for children enrolled may be terminated if there are higher priority children on the waiting list. A

30 day written notice will be provided if care is terminated.

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Guidelines for Leaving Children Alone

See Attach 2 for Osan Youth Supervision Policy.

PROGRAMS CHILD DEVELOPMENT CENTER

The Child Development Center program has been Nationally Accredited by the National

Association for the Education of Young Children (NAEYC). We use the AF Creative

Curriculum in our program. Care for children ages 6 weeks through five years is

available on a full time or hourly basis. A dedicated and professional staff develops

individually based goals and activities for the children in each classroom. Ratios have

been established for each age group to ensure individual needs are met.

• 6 weeks - 12 months I staff per 4 children (maximum 8 children per room)

• I year olds I staff per 5 children (maximum 10 children per room)

• 2 year olds 1 staff per 7 children (maximum 14 children per room)

• 3 - 5 year olds 1 staff per12 children (maximum 24 children per room)

Note: Children attaining a higher age category will be involved in a transition phase to

the new age group. Children will be considered for transition 1 month prior to their

birthday. Children enrolled in the CDC and preparing for Kindergarten will be involved

in a transition program to acclimate them to the fall School Age program. Contact the

CDC/Youth Director for additional information. Five year olds in the CDC will remain

for the summer program and transfer to School Age at the start of school.

Additional Child and Youth Programs

Part Day Enrichment -is for children ages 3-5 years who are fully potty trained. This

call follows the Osan

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school district calendar. The Creative Curriculum is the same that is offered in the full

day program for ages 3-5.

Give Parents A Break -sponsored/funded by Air Force Aid through the Airman &

Family Readiness Center that offers eligible parents a few hours break from the stresses

of parenting. Active duty families eligible for the program would include those where a

parent is feeling unique stress due to: military member deployed or TDY, having a child

with special needs, emergency situation, unique circumstances or hardships , or a family

recently moving to the base. If care is provided on a day full day care is scheduled,

children must be taken out of the CDC/SA program for 1 hour prior to returning to any

evening care. Contact the CDC for additional information. Depending on the number of

children.

Kids Night Out - is a program the YC offers parents of children ages 5-12 (5 yr olds

during the summer attend the CDC). Children need to be out of the SA/YC program 1

hour prior to returning for the evening. This is normally offered in conjunction with

GPAB.

SCHOOL AGE PROGRAM

The Osan AFB School Age Program has been Nationally Accredited by the Council on

Accreditation (COA). They are affiliated with 4-H and the Boys & Girls Clubs of

America (BGCA). The School Age Program offers child care before and after school,

and day camps for school holidays and the summer, for children 5 (must be entered into

Kindergarten) to 12 years old. Space can be reserved by application at the SA program.

This program may have a waiting list, if so the priority list will be in effect. Detailed

contracts are available at the SA and YC Centers outlining all of the policies that apply

to this program.

When school is not in session, an all day camp is offered. Fees and charges are outlined

in the School Age Program Fee Payment Agreement. During the summer months, a

"Summer Day Camp" is offered. Age appropriate activities and field trips are planned

during the summer months. Parents can sign up for the specific weeks they want care for

summer and winter/spring camps.

YOUTH PROGRAMS

FAMILY CHILD CARE PROGRAM

Family Child Care (FCC) is care is not authorized on Osan AB. This is due to a safety issue. In the

event of a fire, the elevators cannot be used and it would dangerous for one adult to evacuate up to six

children typically under 5 years old. Per AFI 34-144, Child and Youth Programs, 2 Nov 2016 “Any

individuals caring for other families children a total of more than 10 hours per week (2 children for 2 hours

= 4 hours of care) on a regular basis must be licensed to provide care in on-base quarters.” However,

individuals MAY provide baby sitting on an occasional basis for other families during evening/weekend

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hours or child care may be provided in the parents own home. Temporary full time care of a child during

a parent’s absence for temporary duty or deployment by the person listed on the AF Form 357, Family

Care Plan, would be allowed. Violation of this regulation may revoke the housing privileges of the

individuals who provide child care.

Alcohol, Drugs, Tobacco Policy

At no time are alcohol, illegal drugs or tobacco products authorized for use within the

facilities. Children will not be released to parents/ guardians who are suspected of being

under the influence of illegal products (such as after GPAB/ Kids Night Out).

Closed Circuit Television Monitoring

Your child may be subject to CCTV monitoring and recording while in the CYP facilities.

Cu rriculum for Child a nd Youth Programs

The long-range curriculum goal for the Child and Youth Programs is to provide an

environment rich in experiences to enhance the social, emotional, cognitive, and physical

developmental areas for the child. Strong emphasis is placed on child-initiated play

experiences so that the child learns through discovery methods. The curriculum is

sensitive to individual learning styles and respects the range of differences within a single

child.

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Infants (6 weeks-12 months): are provided individual schedules that best suit their

needs, including diapering, eating, and rest times. Infants are exposed to a multitude of

experiences that provide auditory, visual, and tactile stimulation.

Infancy is an important period for social and emotional development. Children form their

first attachment to their caregivers during infancy, and our caregivers provide quality care

to meet the individual needs at this very early age. Due to minimal space, hourly care

may be very limited for the 6 weeks to 1 year age group. To personalize our infant

program, parents are asked to give the caregivers daily information about their child to

include: meal schedule, types of food to be fed, nap schedules, particular ways of

communication, and health history. In turn, the Child Development Program staff

ensures the parent is informed of their infant's day through daily written reports.

Diaper/Wipes for Infants: Parents are encouraged to provide sufficient diapers for their

young children (8-10 per day for infants, 6-8 for toddlers). Parents will be provided a

courtesy notice when they need to replaced so you will have time to replenish the supply.

The CDC does not keep additional Diapers on hand.

Pre/Toddlers (1-3 years old): are provided experiences and materials that enhance the

development of positive self-concept. Toddlers learn by exploring their environment and

through active play. The curriculum stresses communication skills, fine and gross motor

skills, and self-help skills appropriate to this stage of development.

Preschoolers (3-5 year old): are provided learning experiences through the curriculum,

according to individual interest and abilities. Activities provide social interactions and

problem-solving skills that build self-esteem while developing a positive feeling towards

learning.

School-Age Youth (5-12 years old): are provided learning experiences to build on their

interests and assist them grow into competent, independent and productive citizens.

Activities provide a safe, healthy, nurturing and stimulating environment for all our

children.

Youth (ages 9-18): is a recreation program that incorporates BGCA and 4-H curriculums

in an open and instructional format that provide youth opportunities to learn life skills.

Communication with Parents: Informal, daily conversation with parents as a “check in”

should occur regularly. CDC/SA Parents can expect at least one formal conferenced offered

by the teachers once per year. However, parents can request a formal conference at any time.

Parent should receive a room specific monthly newsletter or the center as a program

newsletter.

ADMISSION POLICY

REGISTRATION (Admission) for CDC, School Age Program, Youth Center

1. Initial: Upon enrollment, a parent or sponsor must present the following:

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• Child's immunization record. Immunizations received after initial admission must

also be verified by providing the CDC/SA/YC with an updated immunization record. If

your child has not received the required immunizations, he/she will not be admitted in

the centers (this includes hourly care).

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Flu shots are mandatory for all enrolled children. There may be a waived t ime pe r iod ,

dependent on immunization availability at the medical services.

• See attached 2012 schedule for immunization. See www .cdc.gov for the

current immunization schedule

• Completed and signed AF Form 1181, Air Force Youth Flight Program Patron

Registration. • CDC enrollees require a CDC Health Assessment Form

• DD Form 2606 Request for Care

• DD Form 2652 Application for DoD Child Care Fees

• Current Leave & Earnings Statement (LES), pay stub, or income tax return for both

parents is required to calculate Total Family Income and fee category

• USDA Food Program Application

• Credit Card Authorization -Credit cards are run each Wed if parents have not paid

their bills.

• Photo/Video Release Form

Note: The child's AF Form 1181 is kept at the centers and updated annually or more

frequently if additional or new information about the child occurs. Additionally the CDC

and School Age Programs request your email address to keep you up to date on the

programs happenings.

2. Annual

• Review of AF Form 1181 and AF Form 2652 to update information and complete a

new payment contract.

3. Daily

• Desk sign in/sign out. Each day a child is present, the parent signs the child in/out at

the front desk of the CDC and SA on the CYSMs computer. The AF Form 1182,

Child Care Center Register will be used. The child is signed IN with the time noted

and signed OUT with time noted and a legible parent signature.

• Classroom sign in/sign out. Each day a child is present, the parent must accompany

the child to his/her room and sign AF Form 1930, Daily Attendance Record. At the

end of the child's stay at the center, parents go to the appropriate room, sign the AF

Form 1930, and pick up their child.

VERY IMPORTANT: Signing in and out at the front desk and the classroom is

the staff's primary way to account for children's safety in case of an emergency

that may result in the evacuation of the building.

Note: Children, 9 years and older may sign themselves in/out of the SA program with

written permission from their parent. This policy is designed to teach responsibility in our

older children. Parents desiring to provide written consent can initial the appropriate box

on their contract.

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Use of the Child Development and School Age Program is a privilege. This privilege

may be denied to a family for, but not limited to, the following reasons:

• Children too ill to participate in everyday activities

• Failure to provide required information, immunizations, emergency contact/numbers

(before the established deadlines)

• Children presenting severe behavior problems

• No telephone number or inability to reach parent or designated responsible adult

• Consistent failure to observe closing hours

• Consistent failure to pay for the contracted service. Commanders and 1st Sgts may be

contacted for assistance prior to taking other steps to obtain payment.

• Failure to follow program rules and policies

• Inappropriate guidance techniques while at the center

• Rudeness to program personnel, including inappropriate language

Releasing Children from Care: Children under 9 years of age must arrive and depart

under adult supervision. Only individuals parents designate on AF Form 1181 and with

proper identification will be allowed to sign children in/out of the program. Children may

not leave the child and youth programs or be released to older siblings under the age of 14

unless authorized in writing by the parents. Divorces or separated parents who do not

have legal custody of a child may not pick up a child unless authorized by the legal

parent/guardian. Children will not be released to parents who appear to be under the

influence of a drug or alcohol, or in any way a threat to themselves or the child's welfare.

SFS will be notified to determine the parents' sobriety or fitness to drive. SFS will be

notified if parents do not pick up their children 30 minutes after closing.

THINGS FROM HOME

1. (CDC only) please bring disposable diapers, wipes and infant formula (if CDC

formula is not requested) daily.

• Formula in a factory sealed, unopened, labeled canister (if non CDC formula is used)

• Non-glass bottles (3-5 bottles depending on feeding per day)

• Diapers and wipes are provided by parents, staff will advise for replacement in a

timely manner

• A comfortable area will be provided nursing mothers if they chose to come to the

CDC.

2. All children are prone to accidents that may soil their clothing. Please bring an

EXTRA SET OF CLOTHING (including underwear, socks, and shoes) for your child. Be

sure to label all clothing with child's name. Younger children may require more than one

change of clothing.

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3. CDC/SA : (No TOYS from home.) Children are not permitted to bring toys from

home except on Show & Share days. Sufficient toys are provided in each classroom

that are developmentally appropriate.

The CDC, Youth Center, SA, YC and FCC will not be responsible for items brought

from home that are lost or broken or clothing that is lost or damaged. Please label all

clothing.

AFTER HOURS

When children are left at the center after the close of operation, the staff will make every

attempt to contact the parent or emergency contact by phone. If these attempts are

unsuccessful, the sponsor's unit will be contacted. Security Forces may be contacted for

assistance in finding the parents or finding temporary placement for the child if they are

not picked up by 30 minutes after closing. A late fee of $1.00 per minute will be

incurred. Consistent abuse of not picking up children will not be tolerated.

TRANSITION: (CDC/SA)

Individual needs, age and developmental readiness of the child determine transition time

to a new classroom. When children transition from one room to another room, temporary

visitation in the new room may occur daily for a determined amount period of time to

ensure the child and parent will be comfortable in the new environment. A child may

begin transition, if ready, l month prior to their next birthday. Contact the CDC for their

specific transition policy. There will be CDC transition to School Age program time

frame each autumn, prior to the 1st day of school. Parents will be advised when the trips

are planned.

RESERVATION POLICY HOURLY CARE

Hourly care may be reserved by telephoning the Child Development Center (784-4966) or

the School Age program (784-6830) 2 4 h o u r s in advance or on the same day care is

needed. Parents are responsible for making hourly care reservations. Space is approved

on a space­ available, first-come, first-served basis. The space is held for one-half hour

after the reserved time begins. If parents fail to show in that allotted one-half hour, the

space may be given to the next family in need of child care. Parents may change

reservation time up to one hour in advance of your reserved time. Failure to cancel a

reservation will result in a charge for 2 hours. Payment for hourly care is due on the day

of care.

FULL DAY CARE & SCHOOL AGE PROGRAMS

Weekly and school age care may be reserved by completing a contract agreement at the

CDC,SAC or Youth Center. These programs may have

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a waiting list depending on the age of each child. Detailed contracts are available at each

center outlining policies that apply. Advance payment is required at the CDC and SA

program and is due as required by the contract. A weekly service charge is imposed for

delinquent payments, and repeated delinquent payments may result in the loss of the

reserved space. Since fees are calculated based on consistent, year-round usage, periods of

care not used are not reimbursable or prorated due to a holiday, illness, and vacation or

program closure. Children that are absent from the center for extended periods of time due

to parents' personal reasons, i.e. vacations, without terminating their contract will be

charged upon their return for the time period they would have been present. Any day your

child will not attend the program, we request you notify the respective program so they

will not give you a call when your child does not come in at their normal time.

A parent orientation provides parents new to our program an opportunity to meet the

respective Director/Coordinator and their child's provider, tour the facility and review

their contract. The individual classroom teachers, Director/Coordinator, or other program

staff, as necessary, will detail policies and procedures of the Child Development and

School Age Programs . The Directors/Coordinator and Flight Chief have an open door

policy for any concerns, suggestions, or questions. Please contact the respective

Director/Coordinator first.

Parents are also required to fill out an Application for Department of Defense Child Care

Fees, DD Form 2652 which will be retained in each child's file after enrollment. This

form is used to calculate the family income to assess the fees.

Parents that do not provide income verification will be required to pay the highest

category fee.

REQUEST FOR CHILD CARE

DD Form 2606, Request for Child Care (CDC and SA), is filled out by patrons when

child care services are not available for their child. This form must be updated every two

months. Expectant parents may submit a request for care 90 days prior to the expected

delivery date. They will be placed on the inactive list until the program is notified of the

birth. There is an active wait list where parents need care within 2 weeks and an inactive wait list where parents want care, but do not have an immediate need for care.

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Unmet Need: This list is maintained for children whose parents are unable to work

because available, quality and affordable child care is not available. Spaces offered may

be in the Child Development or School Age. If parents refuse care in either program, the

child's name will be removed from the unmet need list. If you are called when there is a

space available for your child, you will have 24 hours to respond. If you haven 't

responded within 24 hours or you refuse services, you will be removed from the waiting

list. If you wish to remain on the waiting list, you will need to complete another DD

Form 2606 and your name will be placed at the bottom of the list. You will be expected

to begin care within 2 weeks from your acceptance unless otherwise authorized by the

program Director/Coordinator. The waiting list is prioritized IAW AF, PACAF, and base

policies.

WITHDRAWAL FROM CARE

Parents must provide the Child Development Center and the School Age Program at

least TWO WEEKS ADVANCE WRITTEN NOTICE if the contract is to be

terminated. Emergency situations (i.e. emergency leave, TDY, etc.) will be handled on

a case-by-case basis and approved by the Director/Coordinator. If two (2) weeks’

notice is not given, the child(ren) will be dropped from regular status and fees will be

collected. If fees are not paid, the Director/ Coordinator/FCC provider may contact the

sponsor's Commander or First Sergeant for assistance in collecting fees or bill collection

procedures will be initiated.

A two week notice is not required for children transferring from the CDC program to the

SA program when they enter Kindergarten. Parents do need to notify both programs that

they intend to remain in the base child care system vs enrolling them in a different

before/after school program.

FEES AND CHARGES

ENROLLMENT FEES

The Military Child Care Act of 1989 (Public Law 1809, Section 1504) requires that the

DoD establish uniform fees for child care based upon total family income (TFI). It is not

required that families provide income verification ; however, if verification documentation

is not provided , the family will be placed in the highest fee category. Verification

documentation is only required for placement in a lower fee category.

To calculate total family income, a copy of the service member's, spouse's, and any other

adult (18 years of age or older) income-earning member of the household's most recent

LES/pay stub must be provided at the time of enrollment.

All fees should be paid weekly on the Friday before the week of service. Fees are due no

later than the second business day of the week that care is provided. Cash, personal

check, money order, or MasterCard/Visa credit card are accepted. Payment will be

accepted up to 1700 at the CDC and SA. If payment has not been received by Tue 1700

the credit/debit card parents have on record at the CDC and SA will be run on Wed

during the week of care. Fees are based upon the normal operational hours of care per

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day. (See individual contract for specific fees). There will be not rebates for severe

weather , vacations, illness, holidays, or suspensions .

If full payment is not received 15 calendar days from the original payment due date,

your contract will be terminated.

Scheduled Extended CDC/ SA operation hours. A per hour rate based on the family

category fee rate will be charged for each child that remains in the CDC/SA centers past

the normal closing time. If a weekly parent has a child in care during extended hour for

exercise or real world, they will be charged an hourly rate equivalent to no more than the

per hour weekly rate the parent is paying in their fee category.

FEE WAIVERS

Parents may submit a letter with documentation and justification for a CDC/SA fee

waiver. Prior to requesting a waiver, parents should pursue all avenues to obtain financial

assistance (Family Support, Unit Commander/First Sergeant, CCA, or other on/off base

agencies). The Mission Support Group Commander may temporarily adjust individual

family fees (based on hardship or other special circumstances on a case-by­ case basis).

Parents must submit a waiver request signed by the sponsor's Unit Commander or 1st Sgt

along with a budget prepared by Airman & Family Readiness Center prior to submitting

to the center Director/Coordinator. The Director/Coordinator will then forward the

request up channel to the Mission Support Group Commander for approval/disapproval.

Parents should solicit the Child Care Assistance (CCA) - (information is available at

CDC, SA and Youth Center) prior to requesting a fee waiver . If parents qualify, this

state agency may assist parents to meet their child care fee obligations IAW their

established income category.

OTHER CHARGES/FEES All additional field trip (SA/YC) fees are the responsibility of the parent. At least 24

hour notice will be given to parents in the event the child will be departing the center for

a special event or field trip. Use the individual center monthly calendars for planning

purposes. Youth sports/instructional fee reimbursement will be on a case-by-case basis.

HOURS OF OPERATION (CDC/SA Only)

The Installation Commander approves each program’s hours of operation. The hours of

operation are based on utilization and the needs of the majority of the base populace.

Parents should be aware of these hours of operation. The hours are posted at the facility

and a late fee will be charged for children remaining in the center past the posted closing

times.

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Note: Children cannot be signed into the centers prior to the scheduled opening times.

Normal hours of operation: 0700-1800, Mon-Fri .

CHILDREN WITH SPECIAL NEEDS

AFI 34-248, Child Development Centers, Attachment 1 , defines children with "special

needs" as those with a "...physical or mental impairment that substantially limits one or

more major life activities, has a record of such an impairment, or is regarded as having

such an impairment." CDC, School Age, and Youth Programs are authorized to accept

these children under certain conditions provided they can meet the needs of the child.

The Medical Advisor will determine a child's special need and type of care. A child with

special health problems or special needs will be admitted with the written concurrence of

the Medical Advisor. A written plan of care developed jointly by medical personnel,

special education professionals, staff, and parents must be on file and followed for each

child or youth designated as having special needs. Staff caring for special needs children

must receive specialized training prior to providing care. Every effort will be made to

meet the needs of the child in a timely manner. Any information on special health,

physical, or diet requirements (must be a medical statement) must be specified and

documented in the child's records.

HEALTH POLICIES

Caregivers will visually check each arriving child for signs of illness. If your child has a

fever of above 101 degrees, appears unhealthy, or has symptoms of a communicable

disease, he/she may be refused admittance or be required to bring a note from a doctor

stating that the child is well enough to participate in all activities and is not contagious. If

a child develops signs of illness after being admitted, the parents will be contacted, asked

to pick up the child within one-half hour, and must comply with the flight inclusion/

exclusion/dismissal policy . Children unable to participate in activities should be kept at

home until they are well enough to be involved in all aspects of our program. It is very

important to inform us if your child comes down with a communicable disease and has

attended the Child Development Center, S chool Age Program or Youth Center at any

time during the incubation period. When necessary, we inform the parents of other

children who were exposed to the illness so they can be alerted to symptoms in their own

child.

Some conditions merit exclusion from programs due to contagious infections, such as

strep, because they render the child unable to participate in the usual program activities or

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require a program worker to spend extra time caring for that child causing inattention to

the other children. Some examples of conditions that require exclusion from our

programs are: (see Attach 2 Managing Infectious Diseases in Child Care and Schools this

is a part of the book we use with our medical advisor to provide you the guidance for

exclusion)

• Any illness that renders your child unable to participate comfortably in daily activities

• Fever from unknown cause above 101 degrees, child may require medical assistance

• Lethargy, irritability, persistent crying

• Difficulty breathing, persistent cough

• Diarrhea - Parents will be notified after the second loose stool and discharged after

the third. (Not to be confused with exclusion due to a stool that is not contained in

the diaper -that would require parents to pick up after the 1st one)

• Vomiting 2 or more times in the past 24 hours unless it is determined to be due to a

non-communicable condition and there is no danger of dehydration

• Mouth lesions that cause a child to drool or be unable to drink or eat

• Rash with fever unless it has been determined non-communicable

• Impetigo, until on antibiotics for 24 hours, a doctor's note may be required

• Strep tonsillits-pharyngitis, until on antibiotics for 24 hours and no fever for 24 hours.

• Head lice, until after first treatment

• Scabies, until after the treatment has been completed

• Chickenpox - may return sooner if all the lesions have scabbed and are dry. Lesions

on the scalp, palm, and soles do not usually scab.

• Ring worm -may return once treated and covered

Note: Children that are sent home due to symptoms that would exclude them from

group participation may return the next duty day if they are not exhibiting those

symptoms that cause them to be excluded.

Not all illnesses require medical intervention, nor do they require medication. If any

condition is persistent, lasting over 72-96 hours, parents are advised to seek a medical

opinion. This can alleviate the spread of many childhood illnesses, ensuring the health of

both the children in the child care, their families, and the adults who care for them.

In order to help prevent the spread of illness throughout the center, we ask that all

children and staff wash their hands upon entering and exiting the classrooms. This will

cut down on the spread of germs and help us provide a healthy environment for your

child.

Outdoor play is very important for children. Each classroom is scheduled to go

outside twice a day weather permitting. Please dress your child according to the weather.

Shoes must be suitable for running and climbing and completely enclose the child's foot.

Open toed sandals are not permitted in CDC/SA programs. Children will only be kept

inside during inclement weather, situations involving air quality, sleet, hail,

thunderstorms, extreme

Temperatures. etc. With your written permission, sunscreen and bug spray

18

approved by

the medical

advisor, will be applied to your child prior to outdoor activities.

High Risk Activities

There are established ratios when dealing with children of various age groups in the CDC,

SA and Youth. During specific activities, i.e. working with tools, swimming, outdoor

adventures, ratios are reduced to increase the safety of the children.

TEETHING Teething does not cause true fever (> 100.4 degrees F), but there may be loose stools,

some irritability.

BITING Biting is bothersome but is natural in the developmental milestones of most toddlers. It

usually is self-limited and does not require intervention. In the event that a child is

bitten and the skin is broken, the parent will be notified to determine if medical

attention is necessary. Biting children will receive positive reinforcement, redirection,

and behavior modification. Every attempt will be made to work with the parents of

the biting child to change the behavior pattern. In some cases the child may be

temporarily removed from the center until the child outgrows the behavior. In

general, there is no specific minimum or maximum number of bites prior to removal

from the program (case by case). Biters do not present a true public health hazard.

TOILET TRAINING

(CDC Only)

Toilet training is a major milestone in your child's life! We would like to support you in

this endeavor. Parents and staff must work together to ensure success for your child. Our

goal is to be consistent in working together. Children should have successful toileting

experiences at the center. Some children have difficulty toilet training in pull-ups

because of its similarity to a diaper. If this becomes a problem, the caregivers will

ask you to begin to use underwear/training pants only.

Toilet training should not be rushed. When the child begins to show signs of

readiness (i.e., wakes up dry after nap, seems to be aware of bodily functions) toilet

training should be initiated. If your child does not show an interest in toilet

training, the training should be postponed until an interest is shown.

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Each child should have several changes of clothes each day in case of accidents. Wet or

soiled clothing will be placed in a plastic bag and tied. For health reasons, dirty garments

will not be rinsed, washed or dried by caregivers. All clothes brought to the centers

should have a label with the child's name for identification.

REST PERIODS Rest periods or naps are scheduled following lunch and after 2000 hours during special

openings. Hourly care patrons who do not want their children to rest should take this into

consideration when scheduling their child care. During naptime, children are required to

sit/lie quietly on sleeping mats/cots with a book until children desiring rest are asleep.

Then, they may engage in quiet activities at a table or activity center until the other

children awaken. School Age day camps offer children a quiet/reading time after lunch.

TRANSPORTATION OF

CHIDLDREN

CDC children are only transported away from the facility for emergency situations. All

other travel out and about the facility is by buggy or walking. SA and Youth transport

children by bus, van or by supervised walks. Children are never transported by personal

vehicle. All staff authorized to transport children have a valid driver's license and have

passed a driving record/background check. Children are required to wear seat belts at all

times when a vehicle is equipped with such.

A signed permission slip is required when going off the installation for field trips. All

on-base field trips require authorization on AF Form 1181, Youth Flight Program

Registration. If a child is reported missing from a field trip, parents will be notified

immediately in conjunction with a search for the child.

ADMINISTERING MEDICATIONS In accordance with AFI 34-248, Child Development Centers, AFI 34-249, Youth

Programs, and AFI 34-276 Family Child Care programs, and the Medication Policy,

programs will adhere to the following guidelines when administering medication:

Only medications prescribed by a medical authority will be administered. Prior to

administering medication, the parent or guardian must complete AF Form 1055 Youth

Flight Medication Permission and the parents must give daily written permission. School

Age staff will administer medications IAW AFI 34-249, para A.4. 11.2.3.3. Youth or

teens attending any Youth program activities must administer their own medications.

Special considerations can be arranged with the Youth Director for youth with special

needs.

Prescription medication shall be in the original container, stored according to instruction,

labeled with specific child's name, name of medication and dosage strength, along with

instructions (to include a start and stop date) for use and the physician's name and date of

prescription . The prescription must be current (within the year). No "over-the-counter"

20

medications, including aspirin-like products, Tylenol, antihistamines, and cough syrup

will be administered unless a medical authority has prescribed them for a

20

particular child. This includes Orajel. If an over-the-counter medication is

prescribed , the guidelines below are required in order for staff to administer

medications:

• Only sunscreen and bug repellent approved by the medical advisor will be used in the

program and will be applied with parental permission each year

• Medications will only be administered by trained staff members.

• Tylenol will only be given with a medical prescription.

• The parent will administer the first dose of any new medication.

• The center will not give medication on an "as needed" basis.

• Medication times will be as follows: If the medication schedule is twice a day, the

center will not administer the medication. It should be administered at home. If the

medication schedule is three times a day, the medication will be administered at 1430

-1500. If the medication schedule is four times a day, the medication will be

administered at 1030-1100 and 1430-1500. Medications will only be administered at

the above times, Monday through Friday. Special situations will be taken into

consideration.

• Children will be on oral medication at least 24 hours before dosage is administered.

• Diapering ointments will not be applied as preventative. They will only be used to

aid in curing a rash.

Note:

• SA children may self-administer non-prescription medicines with written parent

permission (All medicines are stored by staff).

• Only designated and trained staff administer medications

MEALS AND SNACKS

The CDC and SA programs participate in the United States Department of Agriculture

(USDA) Child and Adult Care Food Program. Nutritious foods are provided for all

children during meal/snack times at no additional charge. Only food prepared at or for

the programs is served. Parents and staff are not permitted to bring in food. All Child

and Adult Care Food Program guidelines for the preparation of balanced, proportioned,

nutritional meals/snacks are followed. The HQ PACAF Child Development Specialist or

Air Force dietitian approves program menus. A weekly menu is posted on the parent's

bulletin board. Menu changes may occur occasionally and are noted daily on the main

menu. All children signed in at the centers are served meals and snacks (except for infants

not on solid foods yet) prepared in the centers. This requirement also applies to foods for

special celebrations i.e. birthdays.

CDC Children eat in their rooms with their caregivers in a family-style setting. Children

are encouraged to serve themselves and are encouraged to try all the food. Caregivers

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model good table manners. Parents are invited to join their child for breakfast, lunch, or

snack at any time. SA offers family style meals.

Infant feeding: Parents are requested to bring in 6 plastic bottles (to include with each

bottle lids and nipples) each day. This will permit staff to ensure infants are fed in a

timely manner each day.

Each bottle will be labeled with child's bottle, formula the child drinks and any other

special information, i.e. oz provided each feeding.

The CDC offers 2 types of formula (one is a soy milk and regular formula). Parents that

do not want to use the CDC formula will be required to provide their own formula to

the kitchen staff.

Parents that breast feed can bring prepared bottles/bags directly to the room. Mothers that

desire to visit the CDC during feedings are welcome; there is a designated area for your

comfort.

SPECIAL DIET REQUIREMENTS

Parents are reminded not to bring any food items into either program, per USDA Child

and Adult Care Food Program regulations. If your child requires a special diet, you

should contact the Director. A Food Substitution Form must be completed by a doctor

for each child. We will work with you to satisfactory meet your child's special dietary

requirements.

HOLIDAYS

The activities offered must be developmentally appropriate for the ages of the children in

the program. NOTE: Since the children in the Child Development Program are less than

five years of age and have limited ability to understand abstract concepts, such as, sharing

and giving thanks, and have limited ability to differentiate fantasy from reality, there are

very few aspects of the seasonal holidays that are developmentally appropriate.

Seasonal decorations must be limited to activities suitable for presentation within the

curriculum. Activities may include creating decorations to limit the use of commercial

decorations. Holidays will not be used as the primary activity to teach cultural diversity.

Holiday activities are used as part of other activities.

Activities introducing traditions and holidays of every culture group represented in the

classroom shall be planned. Staff will avoid treating some holidays as regular and others

as unusual. Respect for every cultural group's traditions is demonstrated throughout the

activities and celebrations . Parents are encouraged to share family cultural traditions with

their child’s classroom throughout the year.

Staff is sensitive to families whose beliefs do not permit participation in holiday

celebrations. Parents are consulted to develop alternatives for their children within the

activity room. Alternative activities are planned and offered to children who do not

desire participation in holiday activities.

The CDC, SA and Youth centers will be closed on the following Federal Holidays:

Jan -New Year's Day Sep -Labor Day

Martin Luther King Day Oct -Columbus Day

Feb - Presidents' Day Nov -Veterans' Day

May - Memorial Day Thanksgiving Day

Jul -Independence Day Dec -Christmas Day

Note: Please check the school calendar, schools may be open on certain Federal

Holidays when the CDC, SA and YC are closed. You will need to take and pick your

children up at the school that day.

If the President declares a federal holiday during the year, that day will also be observed.

Goal or Family Day Policy: Goal or Family days are earned by all personnel in the 51

Fighter Wing. Each Goal/Family Day will be reviewed by leadership for essential

personnel and determine if the CDC/SA is required to be open. Depending on the total

number of children requiring care, we may consolidate the CDC/SA program, if it is

determined the programs will open. There are no refunds for these days.

Emergency Closure Procedures: In the event of base closure due to inclement

weather , all programs will be closed. If children are in the facilities, parents will be

notified and the facility will remain open until all children are picked up. There are no

refunds for these days.

In the event that the facility is damaged or has to evacuate, children will be removed and

transported to a designated safe haven IAW the Wing Disaster Preparedness Plan (in

coordination with the Fire Department). Children will shelter in place in the event of an

active shooter incident. Evacuation will be implemented prior to a natural disaster, if

possible. Staff will remain with children until the situation is secure. Parents will be

notified as soon as possible, care for the children comes first. Contact will be made

utilizing the daily attendance sheets (DD1930 and DD1182), using the contact

information left by parents when checking in each morning.

GUIDANCE POLICY

Each center provides a caring environment that encourages growth in self-control and

respect for the rights of others. A child's attempts to learn, participate, and respond to

people and activities in the center are respected as an important part of his/her overall

development. Children are protected from hurting themselves and others. Guidance

should be a process of teaching and learning which allows socialization to take place.

Adults are the models for children. We practice techniques that are fair, consistent, and

22

respectful of children and their needs on a case by case basis. In this way, a child will

know the importance of similar behavior in his/her own life.

The following children's behavior is considered inappropriate in the child and

youth programs:

• Intentionally causing physical harm to another child or adult by hitting, biting,

kicking, throwing, or any other physical action.

• Use of inappropriate language, spitting, or other forms of verbal abuse or degradation

by children directed at other children or adults.

• Repeated refusal by a child to comply with center or classroom rules and/or failure to

listen to caregivers.

• Behavior that is potentially harmful to themselves or others.

Acceptable guidance techniques include:

• Redirecting the child to another activity.

• Planning ahead to prevent problems.

• Encouraging appropriate behavior.

• Having consistent, clear rules that are developed in conjunction with children and

discussed with them to make sure they understand.

• Describing the situation to encourage children's evaluation of the problem rather than

imposing a solution.

• Applying logical and natural consequences in problem situations.

Unacceptable guidance techniques include:

• Humiliating or frightening punishment is strictly forbidden. This includes physical

punishment such as spanking, slapping, hitting, pinching, or shaking.

• Verbal abuse, threats, or derogatory remarks about the child or family.

• Restrictions or confinement by physical means.

• Withholding of meals/snacks to change behavior.

Occasionally, there are children who have difficulty adjusting to large groups.

Should a child repeatedly behave in a way that is detrimental to himself/herse lf, other

children, or adults, the caregiver will bring the problem to the attention of the

Director/Coordinator or designee. At this time, parents will be contacted to discuss the

problem. After documented attempts have been made to work with the child on these

challenges, the Director/Coordinator or designee may suggest professional guidance or

temporary removal from the program. (Example: repeated incidents of biting or any other

behavior considered inappropriate in the center without any signs of progress) Parents are

required to follow the center's approved guidance methods while in the center.

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24

NOTE:

• When inappropriate behavior cannot be controlled, the CDC and Youth centers

reserve the right to contact the parents immediately. This may result in immediate

removal from the center.

• Parents contacted to assist staff with the behavior of their child may not discipline

them inappropriately while in the CDC or on the CDC grounds. Ex spanking, raising

their voices.

• Parents not in agreement with the center's decision to have their child removed from

the program may request a review using the following chain:

a) Chief, Airman and Family Services (Chief, A&FS Flt)

b) 51 FSS Panel: (Chaired by Commander FSS) consists of clinic

representatives (Pediatrics and Family Advocacy), Chief A&FS, CDC or Youth

Director, or their designee.

c) 51 MSG/CC has final decision authority (during this period of review, the

child may be temporarily removed from the center, pending final decision).

d) If results of the review process determine that the child may return to the

center, a probationary period will be established. The panel (again, during this

period of review, the child may be temporarily removed from the center, pending

final decision) will then have final authority to determine continuation or removal

from the program based upon the results of the probationary period.

• The Child Development, School Age Program and Youth Center all have written

guidance policies that all staff have read and signed. All violations of the guidance

policy by staff are reported in writing to the Director and by the Director to the Flight

Chief. Staff who violate the child guidance policy are not permitted access to

children until retrained. Also, they may be assigned to a position not in child

development or youth, or have their employment terminated.

• Our programs strive to maintain a quality program to meet the needs of the children

enrolled and provide training to staff in order for them to expand their experience and

education level. One way is to utilize consultants to observe the classroom and make

recommendations for improvement to the Directors. Consultants may consist of

representatives from Pediatrics, Family Advocacy, Military Life Consultants (MFLC)

or outside experts. This may be accomplished using the following:

1. Individual centered consultation -working with the teacher to develop a plan that

will enable the teacher to better respond to particular individuals in the classroom

environment for smoother transitions between activities, reduce potential

situations that may cause stress between children and help orchestrate the

curriculum delivery. Parents will be invited to be part of this process and an

Individual Education Plan (IEP) would be developed and used by the teacher.

2. Teacher centered consultation -working with a teacher to enhance their

performance in delivering services to a particular individual or group. The focus

is on the teacher's skills, knowledge, ability and/or objectivity. This will better

prepare the teacher to meet special needs of children within a particular child care

environment.

3. Program centered administrative consultation -working with the Director and Training

& Curriculum Specialist to resolve problems related to an existing program.

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Note: Parental consent for the use of consultants in the CDC, School Age and Youth

Centers will be annotated on the annual contracts.

TOUCH POLICY

Positive physical contact is a significant part of the CDC, Youth and FCC's approach to

child care. Positive physical contact is essential to a child's emotional/social growth.

Warm, positive adult relationships help children develop a sense of trust and security in

the world and directly affect children's self-esteem. Appropriate touching is touching

that creates a positive emotional/social growth in the child and affects the safety and well­

being of the child (i.e. holding the child's hand while crossing the street, holding the child

gently but firmly during temper tantrums). Appropriate touching includes hugs, lap

sitting, reassuring touches on the shoulder or hand and naptime back rubs for a tense

child.

Inappropriate touching is touching that creates an improper/negative emotional effect on

the child and is a touching that violates the law and societal norms. Inappropriate

touching may involve coercion or other forms of exploitation of a child solely for the

satisfaction of adult needs or attempts to change a child's behavior with adult physical

force, often applied in anger and physically striking a child to solve a problem.

Inappropriate touching includes forced kissing, corporal punishment, slapping, pinching

or striking, prolonged tickling, fondling or molestation. Staff are trained on appropriate

touch policies. Adults engaging in inappropriate touching are reported to the Family

Advocacy Office for investigation and may be removed from working with children.

CHILD ABUSE PREVENTION PROGRAM

The child and youth programs have taken steps to protect children from abuse and neglect

and to support children, parents, staff and providers. The Air Force ensures protection

through the following policies:

If you or anyone else, suspects child abuse or neglect in any way, in any Family Member

Programs Flight program, report it immediately to the Director/Supervisor. All suspected

cases of child abuse and neglect are reported to the Family Advocacy Office at

3774041/4042, the Safety Office at 377-4263 and HQ PACAF Child Development

Project Officers within 24 hours.

There is a Department of Defense (DoD) Child Abuse and Safety Hotline for

individuals to report suspected child abuse or safety violations at military Child

Development, Youth Centers or Family Child Care homes. The hotline is housed in the

Office of the Deputy Assistant Secretary of Defense (Family Support, Education, and

Safety), Office of the Family Policy and Support. The telephone number is: 1-877-790-

26

1197. It is recommended to use the local reporting procedures (Family Advocacy,

Director, etc.) prior to using the DoD hotline.

The entire child and youth staffs are trained in identification of child abuse and

procedures to be followed in reporting suspected cases -they are mandatory reporters.

The following precautions are taken to minimize the potential for child abuse to occur:

• All volunteers and visitors (such as guests, base support personnel) are required to

sign in and out when entering the facility.

• No staff member or volunteer may take a child from the center unless it is for

emergency medical treatment or as part of a group activity such as a field trip with the

parent or guardian written permission.

• All visitors are escorted while visiting the building or program.

• Friends or family members of staff may not be present in activity rooms or staff break

room unless approved as volunteers (regular volunteers may not work at the center

until local background checks are completed and they have completed mandated child

abuse and child guidance training) by the Director/Coordinator and their participation

noted in advance.

• Night care at the Child Development Center will be scheduled near the main entrance

for ease in supervision.

• All personnel in the child and youth programs undergo background checks which

review the past two years of the potential employee's file. This helps ensure that the

applicant is free of any incidents or characteristics that would indicate that the

applicant would not be suitable to work with children. The screening would detect

incidents of child abuse and/or neglect, violence in the household, drug dependency,

and other similar characteristics of non-suitability. Personnel also receive a National

Agency Check that screens them for criminal activity for the past seven years.

INSPECTIONS

The Military Child Care Act of 1989 and current Department of Defense and Air Force

policy require four (5) unannounced inspections of Child Development Programs (CDC,

SA, and YC) per year. These include comprehensive fire, safety, & health, multi­

disciplinary and higher headquarters inspections. (The multi-disciplinary team includes

individuals with expertise in each of the areas of the standards and parent s from all

programs offered). Facilities are certified by the Air Force Civil Engineering and Safety

Agency (AFCESA) to ensure they are compliant with all federal requirements for child

care use. Additionally, we have frequent inspections from military public health, fire, and

safety throughout the year. Task-certified individuals at the centers accomplish

daily/monthly health, safety, and playground inspections. The Flight Chief makes regular

checks on all programs, activities, personnel, and equipment. These inspections ensure

the program’s high quality of care is maintained.

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STAFF REQUIREMENTS

The key to maintaining excellence in the child and youth programs staffing these

programs with well trained personnel. These professionals are dedicated to the

wellbeing of your child. They must pass a physical, receive a food handler certification,

and undergo an Installation Records Check through Security Forces and a National

Agency Check (not required for FCC providers). Before any new employee is allowed

to work with children they must participate in a briefing that includes safety and

emergency procedures, sanitation and health practices, and positive guidance

techniques. The new employee is then assigned to work with an experienced caregiver

in each age group.

When the background checks are returned, the new caregiver may be given the

responsibility for a group of children.

Staff training at CDC, School Age, and FCC programs is an on-going process. The Air

Force has developed 15 comprehensive, and developmentally appropriate, modules for

CDC, School Age, and YC staff to enhance the caregivers' skills and ensure competency

with specific ages. The 15 primary titles of the Program Assistant Certification Training

(PACT) modules include: (module information is tailored for the caregivers work

environment ex: infant, toddler, family setting, and school age etc.)

1. Keeping Children Safe I0. Providing Positive Guidance

2. Promoting Good Health and Nutrition 11. Working with Families

3. Environments for Learning 12. Being an Effective Manager

4. Promoting Physical Development 13. Commitment to Professionalism

5. Promoting Cognitive Development 14. Identifying & Reporting Child

6. Promoting Communication 14. Identifying & Reporting Child

7. Promoting Creativity Abuse

8. Building Children's Self-Esteem 15. Preventing & Responding to

9. Promoting Social Development Abuse

Some CDC staff members have also achieved the Child Development Associate (CDA)

credential. Youth Development Credential (YDC) is for SA and YC staff. The CDA/

YDC credential certifies the caregivers' training and demonstrated skill in child/youth

development. Additionally, the staff participates in training each month that is focused

on child growth and development, classroom management, curriculum planning, or

professional and personal development. The Director, Training and Curriculum

Specialist, outside resource persons, or staff members who have a particular area of

expertise conduct these training sessions. The staff is also trained in First Aid and CPR

(CDC are required to have pediatric first aid).

School Age and Youth, assisted by the Training and Curriculum Specialist, conduct their

own specific training designed for staff professional and personal development.

PARENTS CAN HELP TOO!

Communication between parents and the staff enhances the care of your child. It's

important that you give the desk clerk and/or the caregivers as much information about

28

your child as possible. Any suggestions or concerns should be brought immediately to

the attention of the respective Director/Coordinator.

Parents are welcome and encouraged to visit and participate in the classroom activities

and special events. Information on upcoming events is posted at the front desk, parent

bulletin board, and in the classroom. With an email address on record, information can

be sent parents.

If you think separation might be difficult for your child, we recommend that you visit

with your child on several occasions before you leave your child with us. Then, if

possible, plan to leave your child for only short periods of time. All children are anxious

when they are separated from their parents. It's important to make that separation as

pleasant as possible for your child. Let's work together to make this a positive

experience!

Get to know the people who care for your child. Let the caregiver know about such

things as a TDY, illness, visiting relatives, or other events that might affect your child's

behavior. Find out what your child did during the day and let your child introduce you to

favorite playmates or show you favorite learning areas or centers.

A daily schedule is posted in each CDC and School Age classroom and at the FCC home.

In addition, a detailed plan of the week's activities is prepared for each classroom or

FCC home. The plan is used by the caregivers to ensure the children have a variety of

rich experiences. We encourage you to read the plan, be aware of the things your child is

doing and talk about them at home. This will help reinforce your child's learning and

make the adjustment from your home to the program easier for your child.

Your child should be dressed in play clothes. Although the children wear smocks for the

messier projects, spots of paint or other stains may appear on clothes. Children are often

uncomfortable or upset if their clothes are wet or soiled in an accident, during mealtime,

water play, etc. Due to sanitation regulations the Child Development Center or Youth

Center will not wash children's clothes that become soiled during the child's day at the

center. An extra set of clothing should be brought for your child. Children are scheduled

for outdoor activities every day and should be dressed appropriately for the weather. The

centers are not responsible for lost or damaged clothing.

Remember: Play IS a Child's Work.

All clothing should be easy for your child to put on or take off with minimal help. This

encourages your child to develop feelings of confidence and independence. Older

children should be able to take care of their own toilet needs without depending on the

staff to undo pins, difficult fasteners, or suspenders. All CDC children, excluding infants,

must wear shoes (sneakers or closed-toed shoes. No sandals, jelly shoes, or flip-flop

types of footwear are permitted, Exception: Water/Pool Activities). This is a safety precaution

in order to help prevent stubbing of toes on learning center materials used on the floor,

and in the event of emergency evacuation of the building. In the SA program,

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sandals are a tripping hazard and we discourage children wearing them to the center

for safety and health reasons. Remember to label everything brought into the center.

We make every effort to keep a child's belongings together, but sometimes items are

misplaced or given to the wrong child. Children or caregivers may inadvertently

place belongings in the wrong bag or cubby. If the child's name is permanently

marked on each article, items can be found more readily and returned to the owner.

Only disposable diapers are used in the center. Please bring plenty! If your child is

being potty-trained, several changes of training pants, plastic pants, and clothing

should be included in their bag.

We understand that for some children, a "security" possession (special blanket or

stuffed toy) may be needed during rest periods. If your child needs such a

possession, please be sure to clearly label the item with your child’s name. We do not

assume responsibility for the loss of any personal item. Toys from home are very

special to each child. We ask that parents use discretion when their child asks to

bring a toy for a Show and Share day. Guns or any type of weapon, Ninja Turtle and

Power Rangers figures or toys that promote violence as well as video games

representing violence are not appropriate.

We have a Lost and Found box where all unclaimed items are placed. Please check for

missing items periodically. As a rule, we try to clear this box once a week. Items, which

appear to be of some value, will be left in the box for an additional week. All other

items not claimed will be appropriately donated.

Please check with your child each day to see if there is any "work" to take home.

These projects are important to your child's development. Take the time to look at

and discuss the projects with your child. Try to understand the effort involved, not

just the end result. The process involved in doing the project is more important than

the finished product.

Find a special area in your house to keep these projects, such as on the refrigerator

door or in a book. By keeping these projects, you can compare later "work" to see

how your child is progressing.

Parent conferences are held at least annually to discuss your child's progress and

challenges. During this time, parents and staff establish goals for each child.

Anytime you would like an additional conference, contact your child's caregiver. If

parents decline, they will be asked for a written statement that they declined the

conference .

The Training and Curriculum Specialist (T&C) provides various training throughout the

month. Parents and other primary caregivers are welcome to attend any of these training

sessions. Contact the CDC Director, SA/FCC coordinators for dates, times and

locations.

Field trips are an integral part of our programs for children 3 years old and up. The

30

children may be taken to different facilities on base, such as a nature walk, the Bowling Center,

Fitness Center, Pool, Library/Community Center, or off base to an event in town.

Parents are responsible for signing the permission slips that allow their children to

attend

30

the trips. Keep in mind that parents and volunteers are always welcome to assist the

center staff on these trips.

IAW Air Force policy, No smoking (please extinguish all smoking material before

arriving at the centers/sports fields), use of alcohol, or illegal drugs is not allowed in or

around facilities used for child care or around youth sports fields. For the safety of

children, parents under the influence of drugs/alcohol will require an individual to assist

them if driving. Security Forces may be called for assistance.

For the safety of the children, we would encourage parents not to leave children under

10 yrs in the car while retrieving children from the CDC/SA programs. Please turn off

the vehicle engine. Vehicles have been known to engage and could damage to the facility

and place children in harm's way.

Wanted: Interested Parents

PARENT ADVISORY BOARD

The Airman and Family Services Flight has a Parent Advisory Board, which is composed

of parents of children attending the various programs. The Board encourages active

parent participation, supports parent education and serves as an advocate for children.

The purpose of this Board is to increase parent involvement in the Child Development,

School Age/Youth programs. When parents are involved in the program in meaningful

ways, everyone benefits. Parents feel that they are a part of the program and learn about

the program and the staff s goals, which will help them extend and reinforce learning at

home. Caregivers benefit when parents share their knowledge about their children and

contribute to the program by donating their time and resources to enrich the curriculum.

Children benefit the most when the significant adults in their lives are working together to

give them the support and guidance they need to grow and develop. Trust in their center's

environment is more easily established when children see that their two worlds are

linked closely together.

The Board meets quarterly. Watch for notices at the respective facility. You can be

involved in the program in many ways. You can share a particular interest, skill or even

an aspect of your cultural heritage. You can plan and implement a special cooking,

science, art, or other activity with the children. You can also come in and read a story to

the children or you can offer support to the caregiver by helping prepare materials.

Parents are welcomed in the programs at any time.

The School-age Quality Improvement Team (QIT) is involved with the School Age staff.

This group of people consists of parents, base personnel, and community members who

are dedicated to the ongoing process to work goals and issues identified during the NAA

(COA) Accreditation process.

31

This Parent Handbook is the primary guide for parent information for our child and

youth programs. Program directors may supplement this handbook to provide more

specific information on the various programs within their centers that may occur

throughout the year. Any additional information requiring changes will be made by

policy letter and incorporated in the parent handbook revision next year.

NOTES

31

WEATHER POLICY •If the temperature is 80-89 degrees, including heat index; play must be stopped every 15 minutes to ensure children/youth drink plenty of water to hydrate. • If the temperature 90 degrees plus (Black Flag), play will be canceled. • Play will be canceled if temperature is below 20 degrees Fahrenheit, including wind-chill factor. • Children must be dressed appropriately for weather. It is the parent responsibility to make sure their child is dressed appropriately for the weather, including footwear.

AIR QUALITY The Youth Director and coaches are responsible to call Bioengineering (784-2623) to check the air quality index (AQI) to determine whether or not the air quality is safe for outdoor play. AQI may also be checked at http://aqicn.org/city/korea/gyeonggi/pyeongtaek-si/. AQI is divided into six categories; each category corresponds to a different level of health concern. The six levels of health concern and what they mean are: a) “Good” AQI is 0 - 50. Air quality is considered satisfactory, and air pollution poses little or no risk. b) “Moderate” AQI is 51 - 100. Air quality is acceptable, however, for some pollutants there may be a moderate health concern for a very small number of people. For example, people who are unusually sensitive to ozone may experience respiratory symptoms. c) “Unhealthy for Sensitive Groups” AQI is 101 - 150. Although general public is not likely to be affected at this AQI range, people with heart and lung disease, older adults, and children are at a greater risk from exposure to ozone and the presence of particles in the air. d) “Unhealthy” AQI is 151 - 200. Everyone may begin to experience some adverse health effects, and members of the sensitive groups may experience more serious effects. e) “Very Unhealthy” AQI is 201 - 300. This would trigger a health alert signifying that everyone may experience more serious health effects. f) “Hazardous” AQI greater than 300. This would trigger a health warning of emergency conditions. The entire population is more likely to be affected.

- -

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RECOGNIZING THE ILL CHILD: INCLUSION/EXCLUSION CRITERIA •••39

Recognizing the Ill Child:Inclusion/Exclusion Criteria

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Daily Health Check

The staff of a child care program or school who are familiar

with the behavior and appearance of the enrolled children can

easily assess each child's health status both when the child

arrives and periodically throughout the day. This assessment

involves observing the child, speaking with parMts, and,

if applicable, talking with the child . Doing the daily health

check and ,kecping symptom records is a good way for child

care professionals to monitor trends and watch for signs

of an infectious disease emergency or outbreak.

Staff should be instructed to observe, receive information

from 'the child's family, and document the following:

• Changes in behavior or appearance

• Any skin rashes and itchy skin or scalp

• Any boils or weeping skin rashes

• Signs of fever, such as flushed appearance or shiver-

ing (Temperature·monitoring, in the absence of behavior

change, is not recommended .)

• Complaints of pain or not feeling well

• Vomiting, diarrhea, or drainage from eye(s)

When a child or family member has been exposed to a

harmful communicable disease

By routinely sharing this information among caregivers/

teachers and families, everyone remains on the lookout for

signs and symptoms of illness. When a potential problem

arises, the information is necessary so the staff can discuss

what to do and, if necessary, obtain appropriate advice about

how the program should rcpond from a health professional

(see Chapter 10, "Outbreaks, Epidemics, and Other Infectious

Disease Emergencies," on page 169).

When to Call Emergency Medical Services (and Also Notify Parents)

• Call emergency medical services (EMS) (usually 911)

immediately for any of the following:

- Anytime you believe a child needs immediate medical

assessment and treatment that cannot wait for parents to

take the childfor bare

- Fever in association with abnormal appearance, difficulty

breathing, br a problem with circulation indicated by an

abnormal skin color, such as looking exceptionally pale,

having a bluish skin tone, or having skin that is excep­

tionally pink

- Multiple children affected by injury or serious illness at

the same time

- A child is acting strangely, is much less alert, or is much

more withdrawn than usual

- Difficulty breathing or unable to speak

- Skin or Lips that look blue, purple, or gray

- Rhythmic jerking of arms and legs and a loss of respon-

siveness (seizure -except for a child who is known to

have seizures and for00whorn a care plan is in place for

management of sei:.wres without calling 91l)

- Unresponsive

- Decreasing responsiveness

- After a head injury, decreasing level of alertness, confu-

sion, headache, vomiting, irritability, difficulty walking

- Vomiting blood

- Severe stiff neck (limiting child 's ability to put his or her

chin lo chest) with headache and fever

- Severe dehydration with sunken eyes, lethargy, no tears,

and not urinating

- Suddenly spreading purple or red rash

- A large volume of blood in the stools

- Hot or cold weather injuries (eg, frostbite, heat exhaustion)

Situations That Require Urgent Medical Attention

(These conditions do not necessarily need EMS or ambulance

transport fparent notification and transport to medical care

can be achieved within an hour or so.)

• FGver in a child of any age.who looks more than mildly ill

• Elevated temperature for a child who is younger than

2 months (60 days), with an axillary (armpit) temperature

of more than L00.5°F (38.1°C) or 101°F (38.3°C) rectally

• Appearing and acting very iU for a child of any age

• Severe vomiting and/or diarrhea

• An injury that may require medical treatment, such as a cut

that does not hold together after it is cleaned

• Any animal bite that breaks the skin

Venomous bites or stings with spreading local redness and

swelling, or evidence of general illness

• Any medical condition that is outlined in the child 's care

plan as requiring medical attention

Conditions That Do Not Require Exclusion to Control Spread of Disease to Others

• Common colds, runny noses (regardless of color or consis­

tency of nasal discharge), and coughs.

• Watery eye discharge without fever, eye pain, or eyelid redness.

• Yellow or white eye drainage that is not associated with

pink or red conjunctiva (ic, the whites of the eyes).

40 ••• MANAGING INFECTIOUS DISEASES IN CHILD CARE AND SCHOOLS

• Fever without any signs or symptoms of illness in children

who are older than 4 months. For this purpose, fever is

defi.ned as temperature above 101°F (38.3°C) orally, above

I 02°F (38.9°C) rectally, or 100°F (37.8°C) or higher taken

axillary (armpit) or measured by any equivalent method.

Fever is an indication of the body 's response to something,

but is neither a disease nor a serious problem by itself.

Body temperature can be elevated by overheating caused

by overdressing or a hot environment, reactions to medica­

tions, and response to infection. If the child is behaving

normally but has a fever, the child should be monitored,

but does not need to be excluded for fever alone.

Rash without fever and behavioral changes.

• Lice or nits without lice (exclusion for treatment may be

delayed until the end of the day).

• Ringworm (exclusion for treatment may be delayed until

the end of the day).

• Thrush (ie, white spots or patches in the mouth).

• Fifth disease (slapped check disease, parvovirus B19)

• Methicillin-resistant Staphylococcus aureus, or MRSA,

without an infection or illness that would otherwise require

exclusion. Known MRSA carriers or colonized individuals

should not be excluded.

• Pinkeye (bacterial conjunctivitis). Pink or red conjunctiva

(ie, whites of the eyes) with white or yellow eye mucus

drainage (signs of bacterial infection), often with matted

eyelids after sleep and eye pain. Exclusion is no longer

required for this condition. Health professionals may vary

on whether to treat this condition with antibiotic drops.

The role of antibiotics in treatment and preventing spread

is unclear. Most children with pinkeye get better after 5

or 6 days without antibiotics. Parents should discuss care

of this condition with their child's health professional,

and follow the health professional's advice. Some health

professionals do not think it is necessary to examine the

child if the discussion with the parents suggests that the

condition is likely to be self-limited and an office visit

can be arranged if the condition does not resolve. Ifno

treatment is elected, the child should be allowed to remain

in care.

• Cytomegalovirus infection.

• Chronic hepatitis B virus infection.

• Human immunodeficiency virus (HIV) infection. Exclusion

of an HIV-infected child whose immunologic deficiency

poses a risk from .exposure of the HIV-infected child to

other children's infections should be decided on a case-by­

case basis by health professionals.

• The presence of infectious germs in stool or urine without

illness symptoms (exceptions include potentially seri-

ous organisms (eg, Escherichia coli (E coli) 0157:H7,

Shigella, Salmonella serotype Typhi]). Children with E

coli 0157:H7 or Shigel/a must be excluded until 2 stool

cultures are negative and the child is cleared to return by

local health department officials. Children with Sserotype

Typhi must be excluded until 3 stool cultures are negative,

and they are cleared by a health professional or local health

department officials.

• Children with chronic infectious conditions that can be

accommodated in the program according to the legal

requirements of federal law in the Americans with

Disabilities Act (eg, HIV infection). The act requires that

child care programs and schools make reasonable accom­

modations for children with disabilities and/or chronic ill­

nesses, considering each child individually.

When a child becomes ill but does not require immediate medical help, a

determination must be made regarding whether the child should be sent

home (ie, should be temporarily "excluded" from child care or school).

Most illnesses do not require exclusion. The caregiver/teacher should

determine if the illness

Prevents the child from participating comfortably in activities

Results in a need for care that is greater than the staff can provide

without compromising the health and safety of other children

Poses a risk of 'spread of harmful disease to others

If any of these criteria are met, the child should be excluded, regardless

of the type of illness.

When taking a child's temperature remember that

The amount of tempera ore elevation varies at different body sites.

The height of fever does not indicate a more or less severe illness.

The method chosen to take a child's temperature depends on the need

for accuracy, available equipment, the skill of the person taking the

temperature, and the ability of the child to assist in the procedure.

Oral temperatures usually are not reliable for children younger than

4 years.

Rectal temperatures should be taken only by persons with specific

health training in performing this procedure.

Axillary (armpit) temperatures are accurate only when the thermome­

ter remains within the closed armpit for the time period recommended

by the device.

Electronic devices for measuring temperature require periodic

calibration and specific training in proper technique.

Any device used improperly may give inaccurate results.

Mercury thermometers should not be used.

42 ••• MANAGING INFECTIOUS DISEASES IN CHILD CARE ANO SCHOOLS

example, an infant with a fever, but who behaves nor­

mally, on the day after an immunization that is known

to sometimes cause fever docs not require exclusion.

(Exception: Any infant younger than 2 months with

af ever should get urgent medical attention.) See

sidebar on page 40 for important information about

taking temperatures.

- Diarrhea-defined by more watery stools or decreased

form of stool that is not associated with changes of diet

Exclusion is required for all diapered children whose

stool Is not contained in the diaper, and toilet-trained

children if the diarrhea is causing "accidents." I.n addi­

tion, diapered children with diarrhea should be excluded

if the stool frequency exceeds 2 or more stools above

normal for that child, because this may cause too much

work for the teacher/caregiver and thereby challenge the

tcacher 's/caregiver's ability to maintain sanitary diaper­

changing techniques . Readmission after diarrhea can

occur when diapered children have their stool contained

by the diaper (even if the stools remain loose) and when

toilet-trained children do not have toileting accidents.

Special circumstances that require specific exclusion

criteria include the following:

•> Toxin-producing E coli or Shigella infection, until the

diarrhea resolves and the test results of 2 stool cultures

are negative for these organisms.

<> Salmonella serotype Typhi infection, until diar-

rhea resolves. In children younger than 5 years with

Salmonella serotypc Typhi, 3 negative stool cultures

are required.

- Blood or mucus in the stools not explained by dietary

change, medication, or hard stools.

- Vomiting more than 2 times in the previous 24

hours, unless the vomiting

is determined to be caused by a non-communicable con­

dition and the child is not in danger of dehydration.

- Abdominal pain that continues for more than 2 hours or

intermittent pain associated with fever or other signs or

symptoms.

- Mouth sores with drooling unless the child's physician

or local health department authority stales that the child

is noninfectious.

- Rash with fever or- behavioral changes, until a physician

has determined that the illness is not a communicable

disease.

- Tuberculosis, until the child's physician or local health

department states child is on appropriate treatment and

can return.

- impctigo, until 24 hours after treatment has been started.

- Streptococcal pharyngitis (ie, strep throat or other strep-

tococcal infection), until 24 hours after treatment has

been started.

- Head lice or nits, until after the first treatment.

(Note: exclusion is not necessary before the end of the

program day.)

- Scabies, until after treatment bas been given.

- Chickenpox (varicclla) until all lesions have dried or

crusted (usually 6 days after onset of rash).

- Persistent abdominal pain (continues for more than

2 hours) or intermittent abdominal pain associated with

fever, dehydration, or other signs or symptoms of illness.

- Rubella, until 6 days after the rash appears.

- Pertussis, until days of appropriate antibiotic treatment.

- Mumps, until 5 days after onset of parotid gland swelling.

- Measles, until 4 days after onset of rash.

- Hepatitis A virus infection, until I week after onset of

illness or jaundice or as directed by the health depart­

ment (if the child 's symptoms are mild). (Note: protec­

tion of the others in the group should be checked to be

sure everyone who was exposed has received vaccine

or receives vaccine immediately.)

- Any child determined by the local health department

to be contributing to the transmission of illness during

an outbreak.

For more details and other diseases, see Chapter 6, "Signs

and Symptoms Chart," on page 47.

Procedures for a Child Who Requires Exclusion

The caregiver/teacher will

• Provide care for the child in a place where the child will

be comfortable and supervised by someone who knows the

child well and who will continue to observe the child for

new or worsening symptoms.

• Ask the family to pick up the child as soon as possible.

• Talk to the family member wbo picks up the ill child about

their observations of symptoms and what is required for

the child to return. Ask the family to relay the observations

made by the program staff to the child's health profes­

sional and any advice received from the health professional

to the program staff. The health professional 's informa­

tion does not need to be in written form unless a medical

visit is deemed necessary by the health professional or the

program staff require clarification directly from the health

professional of instructions affecting the child's care.

Telephone advice and electronic transmissions of instruc­

tions are acceptable without an office visit. (See form for

programs to share information with parents on page 177.)

• Follow the advice of the child's health professional.

• Contact the local health department if there is a question

of a reportable (harmful) communicable disease. If there

are conflicting opinions from different health professionals

about the management of a child with a reportable com­

municable disease, the health department has the legal

authority to make a final determination.

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Conditions Requiring Temporary Exclusion

Temporary exclusion is recommended when

• The illness preycoe child from participating comfort­

ably in activities as determined by the staff of the child

care program or school.

• The illness results in a greater need for care than the staff

of the program determine they can provide without com­

promising their ability to care for other children.

• The child has any of the following conditions, unless a

health professional determines the child's condition does

not require exclusion:

- Appears to be severely ill This could include lethargy/

lack of responsiveness, irritability, persistent crying, dif­

ficult breathing, or having a quickly spreading rash.

- Fever (temperature above l 0l °F [38.3°C] orally, above

102°F [38.9°C] rectally, or 100°F [37.8°C] or higher

taken axillary armpit] or measured by an equivalent

method) and behavior change or other signs and symp­

toms (cg, sore throat, rash, vomiting, diarrhea). An

unexplained temperature above l00°F (37.8°C) axillary

(armpit) or 101°F (38.3°C) rectally in a child younger

than 4 months should be medically evaluated. For

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Botulism. food-borne Botulism,infant

Botulism, other (wound & unspecified)

Brucellosis

Influenza-associated pediatric mortality

Legionellosis

Listeriosis

Lyme disease

Syphilis, primary

Syphilis,secondary

Syphilis, latent

Syphilis, early latent

Chancroid Malaria Syphilis, late latent

Chlamydia trachomatis, genital infections Measles Syphilis, latent, unknown duration

Cholera Meningococcal disease Neurosyphilis

Coccidioidomycosis Mumps Syphilis, late, non-neurological

Cryptosporidiosis Novelinfluenza A virus infections Syphilitic stillbirth

Cyclosporiasis Pertussis Syphilis, congenital

Diphtheria Plague Tetanus

Ehrlichiosis/anaplasmosis Poliomyelitis,paralytic Toxic-shock syndrome (other than

Ehrlichia chaffeensis Poliovirus infection, nonparalytic streptococcal)

Ehrlichia ewingii Psittacosis Trichinellosis (trichinosis)

Anaplasma phagocytophilum Q fever Tuberculosis

Undetermined Rabies Tularemia

Giardiasis Rabies, animal Typhoid fever

Gonorrhea Rabies, human Vancomyci n-intermediate Staphylococcus

Haemophilus influenzae, invasive disease Rocky Mountain spotted fever aureus (VISA)

Hansen disease (leprosy) Rubella Vancomycin-resistant Staphylococcus

Hantavirus pulmonary syndrome Rubella, congenital syndrome aureus (VRSA)

Hemolytic uremic syndroms: post-diarrheal Salmonellos is Varicella (morbidity)

Severe acute respiratory syndrome­ Varicella (deaths only) .:J associated coronavirus (SARS-CoV) Vibriosis

J disease Yellow fever

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RECOGNIZING THE ILL CHILD: INCLUSION/EXCLUSION CRITERIA •••43

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• Document actions in the child's file with date, time,

symptoms, and actions taken (and by whom); sign and

date the document.

• Sanitize toys and other items the child may have put in

his or her mouth, and continue to practice good hand­

washing techniques.

Reportable Conditions

The infectious diseases designated as notifiable in the United

States at the national level by the Centers for Disease Control

and Prevention (as of 2008) are listed in the table on page 41.

See www.cde.gov/nephi/disss/nndss/phs/infdis.htm for the

most current list.

The caregiver/teacher should contact the local health

department

• When a child or staff member who is in contact with others

bas a reportable disease

• [f a reportable illness occurs among the staff, children, or

families involved with the program

• For assistance in managing a suspected outbreak (Note:

Generally, an outbreak can be considered to be 2 or more

unrelated [eg, not siblings] children with the same diagno­

sis or symptoms in the same group within l week. Clusters

of mild respiratory illness and car infections arc common

and generally do not need to be reported.)

Caregivers/teachers should work with their health consul­

tants to develop policies and procedures for alerting staff and

families about their responsibility to report illnesses to the

program and for the program to report diseases to the local

health authorities.

Preparing for Managing Illness

Caregivers/teachers should

• Prepare families for inevitable illnesses ahead of time.

• Review with families the inclusion/exclusion criteria

and clarify that the program staff (not the families) will

make the final decision about whether ill children whose

families want them to participate may stay based on the

inclusion/exclusion criteria and their ability to care for the

ill child without compromising the care of other children

in the program.

• Develop, with a health consultant, protoc0ls and procedures

for handling children's illnesses, including care plans and

an inclusion/exclusion policy.

• Only ask for a health professional's note to readmit a child

if the health profcssional's advice is needed to determine

whether the child is a health risk to others, or the health

professional's guidance is needed about any special care

the child requires.

• Rely on the family's description of the child's behavior to

determine whether the child is well enough to return, unless

the child's status is unclear from the family's report.

DTaP

Hib

DTaP

DTaP

IPV

IPV

2012 Recommended Immunizations for Children from Birth Through 6 Years Old

4

months

DTaP

Hib

PCV

IPV

RV RV

DTaP

Hib

PCV

IPV

Shaded boxes indicate

the vaccine can be

giv.enduring shown

age range.

r--

Varicella

HepA§

Varicella

'---

NOTE: If your child misses a

shot,you don't need to

start over,just go back

to your child's doctor for

the next shot. The doctor

will keep your child up­

to-date on vaccinations.

Talk with your doctor if

you have questions.

For more information, call toll free

1-800-CDC·INFO (1-800-232-4636)

or visit

http://www.cdc.gov/vaccines

FOOTNOTES t Children 2 years oldand older withcertain medical conditions may need a dose of pneumococcalvaccine (PPSV) and

meningococca lvaccine (MCV4). See vaccine-speci fic recommenda tions at http://www.cdc.gov/vaccinesfpubs/ACIP-list.htm.

• Two doses given at least four weeks apart are recommended for children aged 6 months through 8 years of age who are gettinga flu vaccine for the first time.

1 Two doses of HepA vaccine are needed for lasting protection.The first dose of HepA vaccineshould begiven between 12 months and 23 months of age.The second dose should be given 6 to 18months later. HepA vaccination may be given to any child 12 months and older to protect against HepA. Children and adolescents who did not receive the HepA vaccine and are at high-risk,should be vaccinated against HepA.

American Academy of Ped iatrics L>EOLCAT W TO TH< HEALT H 01' Al CHILOR E-

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AMERICAN ACADEMY OF

FAMILY PHYSICIANS STRONG MEDICINE FOR AMERICA

Vaccine-Preventable Diseases and the Vaccines that Prevent Them

Disease Vaccine Disease spread by Disease symptoms Disease complications

Chickenpox Varicella vaccine protects against chickenpox. Air, direct contact Rash, tiredness,headache, fever Infected blisters, bleeding disorders,encephalitis (brain swelling), pneumonia (infection in the lungs)

Diphtheria DTaP*vaccine protects against diphtheria. Air, direct contact Sore throat, mild fever,weakness, swollen glands in neck

Swelling of the heart muscle, heart failure, coma, paralysis, death

Hib

H ib vaccine protects against Haemophilus influenzae type b.

Air, direct contact

May be no symptoms unless bacteria enter the blood

Meningitis (infection of the covering around the brain and spinal cord}, mental retardation, epiglottis {life- threatening infection that can block the windpipe and lead to serious breathing problems) and pneumonia (infection in the lungs), death

HepA

HepA vaccine protects against hepatitis A. Personal contact, contaminated food or water

May be no symptoms, fever,stomach pain, loss of appetite, fatigue, vomiting, jau ndice (yellowing of skin and eyes), dark urine

Liver failure

HepB

HepBvaccine protects against hepatitis B. Contact with blood or body fluids

May be no symptoms, fever, headache, weakness, vomiting, jaundice (yellowing of skin and eyes), joint pain

Chronic liver infection, liver failure, liver cancer

Flu Flu vaccine protects against influenza. Air, direct contact Fever, muscle pain, sore throat, cough, extreme fatigue

Pneumonia (infection in the lungs)

Measles MMR** vaccine protects against measles. Air,direct contact Rash, fever,cough, runny nose, pinkeye Encepha litis (brain swelling), pneumonia (infection in the lungs), death

Mumps

MMR**vaccine protects against mumps.

Air,direct contact Swollen salivary glands (under thejaw), fever, headache, tiredness, muscle pain

Meningitis (infection of the covering around the brain and spinal cord), encephalitis (brain swelling), inflam- mation of testicles or ovaries, deafness

Pertussis DTaP*vaccine protects against pertussis (whooping cough).

Air,direct contact Severe cough, runny nose, apnea (a pause in breathing in infants)

Pneumonia (infection in the lungs), death

Polio IPV vaccine protects against polio. Through the mouth May be no symptoms, sore throat, fever, nausea, headache

Paralysis, death

Pneumococcal PCV vaccine protects against pneumococcus. Air,direct contact May be no symptoms, pneumonia (infection in the lungs)

Bacteremia (blood infection), meningitis (infection of the covering around the brain and spinal cord), death

Rotavirus RV vaccine protects against rotavirus. Through the mouth Diarrhea, fever, vomiting Severe diarrhea, dehydrat ion

Rubella MMR** vaccine protects against rubella. Air,direct contact Children infected with rubella virus sometimes have a rash, fever, and swollen lymph nodes.

Very serious in pregnant women -can lead to mlscar- riage, stillbirth, premature delivery, and bi rth defects

Tetanus DTaP* vaccine protects against tetanus. Exposu rethrough cuts in skin Stiffness in neck and abdominal muscles, difficulty swallowing, muscle spasms,fever

Broken bones, breathing difficulty, death

* DTaP is a combination vaccine that protects against diphtheria, tetanus, and pertussis. ** MMR is a combination vaccine that protects against measles,mumps, and rubella. 1..1updotfd on02101/1012 • C5119911 8

HepB + DTaP + PCV + Hib + Polio + RV 12mos

DTaP + PCV + Hib + Polio + RV

HepB + DTaP + PCV + Hib + Polio + RV 6·18mos" 6 18mos"

MMR + PCV + Hib + Varicella + HepA 12 15 mos• 12·15mos• 12 15 mos• 12·15 mos• 12 23mos•

DTaP 15·18mos•

Vaccine Descriptions:

HepB: protects against hepatitis B

DTaP: a combined vaccine that protects against diphtheria, tetanus, and pertussis

(whooping cough)

Hib: protects against Haemophilus influenzae type b

PCV: protects against pneumococcal disease

Polio: protects against poiio, the vaccine is also known as IPV

RV: protects against infections caused by rotavirus

Inf luenza: protects against influenza (flu)

MMR:protects against measles, mumps, and rubella (German measles)

Varicella: protects against varicella,also known as chickenpox

HepA: protects against hepatitis A

For more information,call toll free 1-800-CDC-INFO (1-800-232-4636)

or visit http://www.cdc.gov/vacci nes

(Influenza) 6mos through 18 years-

(Influenza) 6 mosthrough 18years**

(Influenza) 6 mosthrough 18years**

NOTE: If your child misses a

shot, you don't need to start

over, just go back to your

doctor for the next shot.

The doctor will help you keep

your child up-to-date on his

or her vaccinations.

* This is the age range in which

this vaccine should be given.

** Children 6 months or older

should receive flu vaccination

every flu season. If this is the

first time for flu vacc ine, a child

6 months through 8 years of

age should receive two doses,

separated by at least 4 weeks.

<S299•2-0

The recommended immunization schedules for children birth

through 18 years old are approved by the Centers for Disease

Control and Prevention (http://www .cdc.gov/vaccines/recs /acip),

the American Academy of Pediatrics (http://www.aap.org),and the

American Academy of Family Physicians (http://www.aafp.org).

U.S.Department of Health and Human Services Centers for Disease

Control and Prevention

CHIEF, AIRMAN AND FAMILY SERVICES Bldg 937 Mon-Fri

0730-1630

Office: 784-6584

CHILD DEVELOPMENT CENTER BLDG 738

Mon-Fri 0700-1800

Nights and Saturdays as scheduled

Exercises -As Directed

784-4966

SCHOOL AGE PROGRAMS BLDG 750

Mon-Fri 0700-1800

Exercises - As Directed

784-6830

YOUTH CENTER Bldg 433

Mon-Fri 0900-1900

Sat 1300-1900

Teen Center -BLDG 781

Mon – Thur 1500-2000

Friday 1500-2100

Sat only during summer

Child Development Center, School Age & Youth Programs

Offices are CLOSED on all Federal Holidays.

All Directors and SA Coordinators have an open door policy for parents and staff

to express concerns or suggestions at any time.