Front Cover -- Inside Front Cover -- Copyright Page -- Table of Contents -- Introduction -- Sources for This Edition -- What is a Child Care Health Policy? -- Use of Model Child Care Health Policies -- Developing Site-Specific Health and Safety Policies -- Format and Vocabulary for Model Policies -- Help to Improve and Update Model Child Care Health Policies -- Section 1 Admission/Enrollment/Attendance -- A. Admission -- 1. Diversity -- 2. Review and Signing of Program Policies -- 3. Admission Agreement -- B. Enrollment -- 1. Orientation -- 2. Forms, Confidentiality, and Required Information -- C. Attendance, Daily Record Keeping/Daily Health Checks -- 1. Daily Forms -- 2. Transition to Other Programs -- 3. Termination of Enrollment -- Section 2 Supervision and Provision of Social-Emotional Supportive Care -- A. Child:Staff Ratios, Group Size, and Staff Qualifications -- 1. Overall Supervision Requirements -- 2. Supervision During Nap Time -- 3. Ratios for Specific Activities -- B. Supervision of Children -- 1. Line of Sight and Hearing -- 2. Counting Children -- 3. Evaluation and Removal of Environmental Barriers to Supervision -- 4. Limits on Independence and Privacy -- 5. Community Outreach and Involvement for School-aged Children -- 6. Active Supervision Measures -- 7. Mixed-Age Groups -- 8. Substitutes and Volunteers -- C. Supervision of Active (Large-Muscle) Play -- 1. Supervised Play -- 2. Counting Children at Timed Intervals -- D. Swimming, Wading, Gross Motor Water Play -- 1. Water Activities -- 2. Supervision of Large-Muscle Water Play -- E. Consultants and Child Care Health Advocate -- 1. Health Consultant -- 2. Health Advocate -- 3. Early Childhood Mental Health Consultant -- 4. Early Childhood Educational Consultant -- F. Family/Staff Communication -- 1. Types of Communication.

2. Frequency of Communications -- 3. Use of Documented Communications -- Section 3 Planned Program, Teaching, and Guidance -- A. Philosophy of Teaching, Guidance, and Behavior Management -- B. Permissible Methods for Teaching, Behavior Management, and Discipline -- 1. Teacher/Caregiver Interactions With Children -- 2. Coordinated Approach to Discipline -- 3. Handling Physical Aggression and Other Behaviors of Concern -- 4. Prohibited Behaviors -- C. Developmentally Appropriate Care -- 1. Routines for All Age Groups -- 2. Infants and Toddlers -- 3. Preschool-aged Children -- D. Required Clothing for Children and Staff Members -- 1. Suitable Clothing -- 2. Footwear -- 3. Spare Clothing -- E. Transitions -- 1. Communications for Transitions -- 2. Advance Planning for Transitions -- Section 4 Nutrition, Food Handling, and Feeding -- A. Acceptable Food and Drink -- 1. Staff Role -- 2. Beverages -- 3. Fruits and Vegetables -- 4. Meat and Meat Alternatives -- 5. Grain and Bread -- B. Food Brought From Home -- 1. Informing Families About Acceptable Foods -- 2. Supplementation of Food Brought From Home -- 3. Situations When Food May Be Brought From Home -- 4. Preparation, Transport, and Safe Food Temperatures -- 5. Leftovers -- C. Food Prepared at or for the Facility and Served at the Facility -- 1. Food and Nutrition Service Plan -- 2. Supplies, Equipment, Furnishings, and Maintenance for Food Service -- D. Infant/Toddler Feeding -- 1. Written Feeding Instructions -- 2. Breastfeeding Is Welcome -- 3. Formula Feeding -- 4. Feeding Procedure -- E. Preschool/School-age Feeding -- 1. Foods for Meals and Snacks -- 2. Meal Procedures -- F. Feeding of Children With Special Nutritional Needs -- G. Prevention of Obesity -- H. Staff Training for Food and Feeding -- Section 5 Physical Activity and Screen Time.

A. Encouragement of Physical Activity and Outdoor Play -- 1. Role of Teachers/Caregivers -- 2. Teacher/Caregiver Participation in Physical Activity With Children -- 3. Appropriate Clothing -- B. Types of and Plans for Physical Activity -- 1. Types of Physical Activity -- 2. Frequency of Structured Activity -- 3. Daily Active Play -- C. Equipment and Setting to Support Physical Activity -- 1. Sun and Wind Protection -- 2. Hazards -- 3. Equipment for Infants -- D. Weather and Clothing for Outdoor Play -- 1. Adjustment of Outdoor Play for Weather -- 2. Adjustment of Outdoor Play for Health Conditions -- 3. Outdoor Clothing Appropriate for the Weather -- 4. Avoiding Ultraviolet Radiation Exposure -- E. Limitations for Screen Time (TV, DVD, Computers) -- 1. Infants and Young Toddlers -- 2. Children 2 Years and Older -- 3. Screen-free Meals and Snacks -- 4. Computer Time -- 5. Content of Screen Media -- Section 6 Daytime Sleeping, Evening, Nighttime, and Drop-in Care -- A. Sleep Practices -- 1. Area/Arrangements for Sleeping and Napping -- 2. Supervision of Sleeping/Resting Children -- 3. Safe Sleep Arrangements for Infants -- B. Sleep/Rest Equipment -- 1. Allowable Sleep/Rest Equipment -- 2. Labeling of Sleep Equipment -- 3. Separation of Sleeping Children -- 4. Bedding -- 5. Storage of Sleep Equipment and Bedding -- C. Evening and Nighttime Care -- 1. Applicable Policies -- 2. Evacuation Drills -- 3. Preparation for Bed -- D. Drop-in Care -- 1. Definition of Drop-in Care -- 2. Intermixing of Child Groups -- 3. Accessibility of Parents/Legal Guardians -- Section 7 Sanitation and Hygiene -- A. Hand Hygiene -- 1. Hand Hygiene Signs -- 2. When to Practice Hand Hygiene -- 3. Hand Washing -- 4. Hand Sanitizers -- B. Diapers, Clothing, and Changing Areas Soiled by Body Fluids -- 1. Type of Diapers.

2. Soiled Diapers, Training Pants, and Other Clothing Soiled by Body Fluids -- 3. Changing Location -- 4. Separation of Food Preparation From Items Soiled by Body Fluids -- 5. Disinfecting Changing Surfaces -- 6. Checking Children for Need to Be Changed -- 7. Procedure for Changing/Checking Diapers or Clothing Soiled by Body Fluids -- C. Toileting -- 1. Location of Toilets -- 2. Adaptation of Toilets for Independent Use -- 3. Potties (Potty Chairs, Training Chairs, Non-Flushing Toilets) -- 4. Monitoring of Toileting Procedures -- 5. Privacy for Toileting -- 6. Maintenance of Toilet Areas -- D. Oral Hygiene -- E. Facility Cleaning, Sanitizing, and Disinfecting -- 1. Routine Schedule -- 2. General Cleaning Personnel -- 3. Personnel Responsible for Cleaning and Sanitizing Toys -- 4. Bedding -- 5. Water Play -- 6. Spills -- 7. Rugs/Carpets -- 8. Instruction of Staff for Cleaning, Sanitizing, and Disinfecting -- F. Exposure to Blood and Other Potentially Infections Materials -- 1. Risk Reduction -- 2. Standard Precautions to Avoid Exposure to Body Fluids -- 3. Soiled Clothing -- 4. Hand Hygiene After Handling Contaminated Materials -- 5. Blood-borne Pathogen Exposure Plan -- G. Animals, Including Pets -- 1. Allowable Animals -- 2. Supervision of Animal Contact -- 3. Cleaning Animal Habitats -- 4. Supervision of Animal Care in the Facility -- Section 8 Environmental Health -- A. Avoiding Significant Noxious/Toxic/Infectious Disease Environmental Exposures -- 1. Air Quality/Temperature/Humidity -- 2. Cleaning/Sanitizing/Disinfecting and Other Maintenance -- Toxic Supplies and Pesticided -- 3. Water Quality -- 4. Noise -- 5. Food Safety -- 6. Plastics -- 7. Mold -- 8. Furnishings and Equipment -- 9. Art Supplies and Sensory Materials -- 10. Plants -- 11. Sun Safety -- 12. Lead -- 13. Soil and Play Area.

14. Mercury -- 15. Asbestos and Fiberglass -- 16. Radon -- 17. Recycling -- Section 9 Transportation (Motor Vehicle, Bicycle/Tricycle, or Other Wheeled Toys), Pedestrian Safety, and Field Trips -- A. Motor Vehicles and Drivers Used for Program Activities -- 1. Vehicle Type, Vehicle License, Driver License/Certification, and Insurance -- 2. Emergency Equipment and Supplies -- 3. Vehicle Climate Control -- 4. Prevention of Inappropriate Use -- 5. Forms Carried in Vehicles -- 6. Driver Training -- B. Use of Motor Vehicles -- 1. Selection of Drivers -- 2. Emptying and Locking Vehicles -- 3. Drop-off and Pickup -- 4. Child:Staff Ratios During Transport -- 5. Number of People Transported -- 6. Child Passenger Safety -- 7. Field Trips -- 8. Wheelchair Transport -- 9. Prohibited Activities in Vehicles -- 10. Education About Child Passenger Safety -- 11. Seat Restraint Use by Families -- 12. Route/Trip Planning -- 13. Oversight of Transportation Policies -- C. Walking and Walking Trips -- 1. Teaching and Modeling Pedestrian Safety -- 2. Keeping the Group of Children Together -- 3. Identification of Safety Crosswalks, Drop-off/Pickup Locations, and Bike and Walking Routes -- D. Biking, Riding, and Use of Wheeled Toys -- Section 10 Health Plan -- A. Child and Staff Health Services -- 1. Child Health Assessment -- 2. Adult Health Assessment -- 3. Tracking and Updating Immunizations and Checkup Records -- B. Oral Health -- 1. Food Choices -- 2. Pacifiers and Teething Rings -- 3. Bottles and No-Spill Cups -- 4. Oral Hygiene -- 5. Fluoride in Drinking Water -- 6. Dentist for Each Child -- 7. Tooth Decay and Dental Emergencies -- 8. Oral Health Education -- C. Hazard/Safety Checks and Corrective Actions -- D. Obesity Prevention -- E. Children With Special Needs and Disabilities -- 1. Care Plan.

2. Orientation and Training of Staff Members.