Infant Daily Care Log John Doe

Date: ______
Arrival Time : ______
My baby seems…
Happy
Fussy
Sleepy
Contact person for today (check one):
Mom : Jane Doe
work 703-
alt 703-
Dad : John Doe, Sr.
work 703- alt ______
Other : ______
phone ______
Pick-up person today is: ______
(if different than contact)
Pick-up time today : ______/ Special Instructions from home…
______
______
______
______
______
Teacher’s Notes
Tummy time today was …
______
(time of day) (duration)
______
(time of day) (duration)
______
(time of day) (duration)
Total of 30 min. REQUIRED each day.
Feeding Instructions / Medication Instructions
Bottle : about every 3-4 hours
(on demand)
Solids : breakfast from home & school snacks & lunch J
Naps : after snack…after lunch

Please turn this sheet over and fill in the information for what happened at home this morning. Thank you!

Infant Daily Care Log John Doe

Feeding / Diapering / Sleeping
Time : ______
Nursed Bottle ___oz
Solids :
/ Time : ______
Dry BM
Wet Loose Stool / Awoke at : ______
Slept peacefully
Woke Often
______
time teacher initials
Nursed Bottle ___oz
Solids :
/ ______
time teacher initials
Dry BM
Wet Loose Stool / ______
time down teacher initials
______
time up teacher initials
______
time teacher initials
Nursed Bottle ___oz
Solids :
/ ______
time teacher initials
Dry BM
Wet Loose Stool / ______
time down teacher initials
______
time up teacher initials
______
time teacher initials
Nursed Bottle ___oz
Solids :
/ ______
time teacher initials
Dry BM
Wet Loose Stool / ______
time down teacher initials
______
time up teacher initials
______
time teacher initials
Nursed Bottle ___oz
Solids :
/ ______
time teacher initials
Dry BM
Wet Loose Stool / ______
time down teacher initials
______
time up teacher initials
______
time teacher initials
Nursed Bottle ___oz
Solids :
/ ______
time teacher initials
Dry BM
Wet Loose Stool / ______
time down teacher initials
______
time up teacher initials