Ryerson Early Learning Centre Family Orientation Package

Ryerson Early Learning Centre
FaMily Orientation Package

Ryerson Early Learning Centre
FaMily Orientation Package

350 Victoria Street

Toronto, ON M5B 2K3

Phone: 416-979-5338

Fax: 416-979-5302

TABLE OF CONTENTS

Orientation Schedule………………………………………………………………………….………..3

Information Update Form………………………………………………………………………………4

Emergency Information and Medical Care Permission………………………………….………….5

Anaphylaxis Policy and Consent…………………………………………………………….………..7

Custody Authorization……………………..……………………………………………….…………..9

Family Background Information Sheet………………………………………………………………12

Initial Interview Questionnaire……………………………………………………………………..…14

Child Care Participation / Research Authorization Consent Form……………………………….18

Photograph Consent Form…………………………………………………………………………...19

Community Walk Consent Form……………………………………………………………….…….20

Fee Payment Policy …………………………………………….…………………………….………21

Parent Agreement to Fee Payment……………………………………………………….…………22

Policies and Procedures Agreement………………………………………………………..……….23

Appendix:

1. Current Fees…………………………………………………………..……………...24

ORIENTATION SCHEDULE

The orientation schedule is designed to be a FLEXIBLE guideline to follow in determining how to best meet the child and family’s needs in the first weeks of care.

Many factors need to be considered in determining the amount of time needed for orientation: the child’s age, communication skills, emotional adjustment, developmental needs, previous experience in child care, extra support needs, etc.

PLEASE FEEL FREE TO DISCUSS ANY ADJUSTMENTS TO THE SCHEDULE WITH THE CENTRE MANAGER OR YOUR CHILD’S CLASSROOM TEACHERS/RECES.

DAY 1 / 10:00 -11:30 / Parent or caregiver stays with child. Teachers/RECEs observe and interact with child, but the Parent is primarily responsible for the child.
DAY 2 / 9:00-12:30 (PS)
9:00-12:00 (TOD) / Parent leaves the playroom for part of the morning - usually short breaks of 15-30 minutes. Parents may stay to observe child behind the screen as available. Child stays for lunch time.

• A meeting with the child’s Teacher/RECE is scheduled during the first week.
• All enrollment forms must be completed and left with the Centre Manager or RECE before parent leaves the child in the centre.

DAY 3 / 9:00-2:30 / Parent may leave the centre if appropriate. Parent is on call and must be available to pick up the child earlier if the child is in distress. The parent calls the classroom periodically to discuss child’s level of comfort. Children may stay for nap time. Parent picks up child after nap time.
DAY 4 / 9:00-4:00 / Parent leaves the centre but remains available to support the child if needed throughout the day. Child stays for most of the day, with an early pick-up time designated.
DAY 5 / Regular Hours / First full day of care.

Please have only one parent or caregiver stay with the child during transition.

Child’s Name: ______D.O.B: ______

D / M / Y

Address:______Postal Code: ______

Parent/Guardian:______

Place of Work/Study:______

Home #:______Cell #:______

Work #:______Email:______

Address if different from child: ______

Parent/Guardian:______

Place of Work/Study:______

Home #:______Cell #:______

Work #:______Email:______

Address if different from child: ______

Emergency Contacts: (Make sure this person knows they are the contact and the responsibilities involved)

Name:______

Relationship to Child:______

Phone #:______Work #:______

Cell #:______

Address:______

Name:______

Relationship to Child:______

Phone #:______Work #: ______

Cell #:______

Address:______

Doctor’s Name:______

Doctor’s Address:______

Doctor’s Phone #:______

Additional Notes:

EMERGENCY INFORMATION AND MEDICAL CARE PERMISSION SHEET

CHILD’S NAME (as it appears on Health card) /
DATE OF BIRTH
CHILD’S ADDRESS /
POSTAL CODE
NAME OF PHYSICIAN /
PHYSICIANS PHONE NUMBER
KNOWN ALLERGIES TO MEDICATIONS (INCLUDE SEVERITY)
OTHER KNOWN ALLERGIES (INCLUDE SEVERITY)
OTHER KNOWN MEDICAL CONDITIONS:
DAILY MEDICATION NEEDED
SPECIAL DIET/DIETARY RESTRICTIONS (Special written instructions must be provided by parent explaining the details of any health related food restriction. This must be maintained in the child’s file and updated when there is a change and/or every six months.)
WHAT ACTION SHOULD BE TAKEN IF CHILD ACCIDENTALLY RECEIVES RESTRICTED FOOD?

EMERGENCY INFORMATION AND MEDICAL CARE PERMISSION SHEET con’t

Consent for Medical Treatment:

1. If neither parent can be reached, in case of an emergency, I understand that the staff members of the Ryerson Early Learning Centre are obligated to secure medical care for my child until I/we can be contacted.
2. I give permission for members of the Ryerson Early Learning Centre staff to give my child prescription and/or non-prescription medication that has been authorized by a dated note from my child’s doctor regarding dosage, time of day and length of time medication is to be given. (Medications can only be administered if presented in original container with the prescription label indicating the above information. A signed Medication Form must accompany each medication to be administered.)
3. I give permission for the members of the Ryerson Early Learning Centre staff to phone my child’s doctor, with my prior knowledge, as the need arises.
4. I give permission to the members of the Ryerson Early Learning Centre to use and disclose my child’s personal information for the purpose of facilitating medical treatment pursuant to this consent.

Parent Signature:______

Date:______

Witness:______

ANAPHYLAXIS POLICY AND CONSENT

1. Definition of Anaphylaxis

Anaphylaxis means a severe systemic allergic reaction which can be fatal, resulting in circulatory collapse or shock. (Sabrina’s Law, 2005)

COMMON CAUSES:

-Food

-Medication

-Insect stings

-Latex

SIGNS / SYMPTOMS

1

Ryerson Early Learning Centre
FaMily Orientation Package

-Itching

-Metallic taste in the mouth

-Hives

-Sensation of warmth

-Asthma symptoms

-Swelling of the mouth and throat area

-Difficulty breathing

-Vomiting

-Diarrhea

-Cramping

-A drop in blood pressure

-Loss of consciousness

1

Ryerson Early Learning Centre
FaMily Orientation Package

Symptoms may begin in as little as five to five to fifteen minutes to up to two hours after exposure to the allergen, but life-threatening reactions may progress over hours. In some cases, reactions may re-occur two to three hours later.

Often symptoms occur in the respiratory tract and take the individual by surprise.

REDUCING THE RISK OF EXPOSURE TO ALLERGIC RESPONSES

-Families’ will give the centre a list of any items that their child is allergic to and this will be incorporated into The Food Allergies and Diet Information list that is distributed to all rooms for staff and students to see

-Limited outside food or drink is allowed in the Early Learning Centre. Children who require outside food to supplement or replace food offered by the Centre must consult with the manager. (Please check the signs on the entry doors)

-Cook/nutritionist, centre manager and staff will read all dietary labels and product labels (sunscreen, creams, hand sanitizers) to check for allergens

-All children, family members, staff, students and visitors are asked to wash hands and mouth after eating and before entering the centre, with soap and water

-The outdoor environment is checked daily: a) to reduce insect habitation and b) to eliminate nutshells from squirrels and c) eliminate seeds from birds

-Non-Latex products are available in the centre (Band-Aids, gloves).

Families must inform the centre if their child has had an anaphylactic reaction in the past 24 hours.

1. Abide by all centre regulations around limited food and drink.
2. Provide any information about their own child’s allergies and offer anaphylactic information that pertains to their child and update the Centre Manager and staff on any changes (e.g. diagnosis of an additional allergy, outgrowing an allergy).
3. Provide all necessary medication i.e. EPI-PEN that is not expired prior to enrollment or upon diagnosis if already enrolled with prescriptive label attached (1 pen is required). (2 pens are recommended)
4. Be responsible for replacing expired Epi-pens.
5. Be conscious of the foods they serve their children prior to coming to the Ryerson Early Learning Centre.
6. Wash with soap and water, their own hands and their child’s face and hands before entering the centre daily.
7. Complete an Emergency Anaphylaxis Plan in cooperation with the Ryerson Early Learning Centre (with the child’s photograph, allergy information, emergency contact numbers, emergency protocol, and signature of the parent/guardian and their doctor’s signature.
8. Complete the medical consent form located in the medicine binders that allows centre staff to administer an Epi-Pen when they consider it necessary in an allergic emergency.
9. Meet with the Centre Manager and cook/nutritionist to inquire about allergy policies and menu items, if their child is to eat foods prepared at the centre.
10. Provide a medical identification bracelet that clearly identifies their allergy. In the case of very young children, families will work in cooperation with the Ryerson Early Learning Centre to determine the most strategic method of identification on a day to day basis.
11. begin to educate their child at risk ( from 2 years on) about avoidance strategies

It is our hope that in writing and following this policy we will be able to provide a safe learning environment for our children.

Parent/ GuardianSignature:______

Date: ______

CUSTODY AUTHORIZATION

I, ______, am the legal and custodial parent of the child(ren) listed below:

Child #1: ______

Child #2: ______

Child #3: ______

This will serve as the complete authority for staff at the Ryerson Early Learning Centre to release my child(ren), ______into the custody of any of the persons whose names, addresses, and telephone numbers appear below when notified inadvance. This notification must be provided in advance: (please circle one) only by myself/ by either parent. I understand that any person who is authorized to pick up my child must provide proper identification when it is requested by the Centre staff.

It is understood that children will not be released to anyone other than those listed here without written instructions from the parent. Children cannot be released to anyone under 12 years of age. If anyone listed is between 12-16 years of age, parents must complete an Authorization for Youth Escort form.

NAME / RELATIONSHIP / PHONE NUMBER
ADDRESS
NAME / RELATIONSHIP / PHONE NUMBER
ADDRESS
NAME / RELATIONSHIP / PHONE NUMBER
ADDRESS

CUSTODY AUTHORIZATION con’t

The following are the people who may be contacted to pick up my child in an emergency situation when parent(s) cannot be reached.

NAME / RELATIONSHIP / PHONE NUMBER
ADDRESS
NAME / RELATIONSHIP / PHONE NUMBER
ADDRESS
NAME / RELATIONSHIP / PHONE NUMBER
ADDRESS

PARENTS SIGNATURE: ______

DATE: ______

WITNESS: ______

AUTHORIZATION FOR YOUTH ESCORT

(Youth must be 12 years of age or older)

I, ______the parent/legal guardian of ______hereby authorize the said child(ren), ______to leave the Ryerson Early Learning Centre, on an occasional basis, escorted by ______, whose date of birth is ______.

I hereby release and relieve the Ryerson Early Learning Centre from any and all responsibility for and in respect to the said child after leaving the Early Learning Centre.

I understand and accept that the Centre Manager (or designate) has the right to refuse to release the said child into the care of the aforementioned youth; this is only to be done if the Centre Manager (or designate) has reason to believe that the child may be at risk in the care of the youth.

Dated in the City of Toronto this ______day of ______20__.

Signed: ______

Witnessed by: ______

FAMILY BACKGROUND INFORMATION SHEET

Child’s Name / Date of Birth
Name of Parent / Custodial
YES NO / Name of Parent / Custodial
YES NO
Home Address / Home Address
Postal Code / Phone Number / Postal Code / Phone Number
Place of Business/Study / Place of Business/Study
Usual Hours / Phone Number / Usual Hours / Phone Number

First Person to call in an emergency if the parent is not available:

Name / Relationship / Phone Number

Is there anyone who is strictly forbidden from visiting or picking up your child(ren) by way of Court Order or any other legal action?

□No

□Yes (copy must be kept in child’s file) Date of most recent Court Order:______

Name:______Reason:______

Family Background/Heritage:

1. What language(s) are spoken in your home?

______

2. Would you give us a list of essential words in your language? (ie. mom/dad is coming back,

toilet/diaper change, hungry/food, thristy/drink, sleep, etc.)

______

______

3. Could you provide the name of someone who could act as an interpreter for you?

______

4. Are there any celebrations/special days that you would like incorporated into our program?

______

______

5. Would you or any family member be willing to assist the centre staff to enhance the children’s program with knowledge of your diverse background?

□Yes

□No

I understand that the personal information provided will be used for the purpose of facilitating my child’s entry into the Early Learning Centre and to provide appropriate child care on an ongoing basis. By providing this information I consent to the use of personal information for these purposes.

Parents’ Signature: ______

Date: ______

INITIAL INTERVIEW QUESTIONNAIRE

Date of Enrollment: ______

Date of Interview: ______Classroom Assignment: ______

Those present at interview: ______

Child’s Name: ______Nickname: ______

Child’s Date of Birth: ______

Parent’s Names:

Parent #1: ______Parent #2: ______

Expected hours of care: ______

Who will be dropping off and picking up your child?

Has your child attended any other formal care situations? No ___ Yes ___

Are there any other children in the household?______

Name______Age______Relation______

Name______Age______Relation______

Name______Age______Relation______

Are there any other adults in the household (i.e. grandparent)? No Yes

Name ______Relation ______Length of Stay ______

Name ______Relation ______Length of Stay ______

Do both parents live with the child? Yes ___ No ___

If not, please describe your child’s relationship with his/her absent parent.

What does your child like to play with or do at home?

Information About Your Child’s Diapering Needs

Does your child wear diapers? Yes ___ No ___

What type of diapers does your child wear? Disposable ___ Cloth ___

How often is your child usually changed? ______

Does your child have regular bowel movements? No ___ Yes ___

When? ______Colour? ______Consistency? ______

Does your child suffer from diaper rash? No ___ Yes ___

Do you use any ointments, creams or powders? No ___ Yes ___

If yes, what kind?

Does your child signal when he/she needs to urinate or have a bowel movement?

Information About Your Child’s Toileting Needs

How long has your child been using the toilet? ______

Does your child wear diapers at any time? No ___ Yes ___ When? ______

What words does your child use to refer to urination and bowel movements?

Does your child have any special toileting needs?

Information About Your Child’s Sleeping Habits

What are your child’s sleeping patterns? ______

With a specific toy, blanket or soother: No ___ Yes ___ If yes, identify:______

Is he/she rocked to sleep? No ___ Yes ___ Is he/she patted to sleep No ___ Yes ___

With noise in the background or in silence: Noise ___ Silence ___

With lights on or off: On ___ Off ___

What routine do you follow to help put your child to sleep? ______

Information About Your Child’s Feeding Needs

Has your child had any feeding/eating problems? No ____Yes ____

If so, please explain: ______

Does your child have any food allergies or restrictions? No ___ Yes ___

If yes, please list: ______

What are your child’s favourite foods?

Information About Your Child’s Social Skills & Experiences

How does your child indicate that he/she is upset?

What do you do when your child is upset?

What sort of things upset your child?

How do you help to calm or relax your child?

I understand that the personal information provided will be used for the purpose of facilitating my child’s entry into the Early Learning Centre and to provide appropriate child care on an ongoing basis. By providing this information I consent to the use of personal information for these purposes.

Parents’ Signature: ______

Date: ______

PARENTAL CONSENT ON CENTRE ENROLLMENT

Child Care Participation/Research Authorization Consent Form

Re: ______
(Child’s full name)

I hereby give permission for my child to participate in all activities of the Ryerson Early Learning Centre. I understand that enrollment in the Ryerson Early Learning Centre means that my child will be observed and interacted with by students in the Early Childhood Education program as well as other programs of study at Ryerson University under supervision of qualified Early Childhood Education staff.

I understand that the Early Learning Centre will record and maintain a file that includes personal information pertaining to my child for the purpose of providing appropriate child care and assessing the development/progress of my child. I understand that personal information in this file is not disclosed except as required or authorized by law. By signing this document I consent to this treatment of personal information.

I also understand that non-obtrusive observation for internal or external research purposes, as approved by the Ryerson University Ethics Review Board, may be conducted without my additional consent.

I consent to the use of audio and/or videotaping as well as still pictures for educational and/or promotional purposes. Individual identities of the children will be kept strictly confidential in any report or publication, including written and/or visual representations. In cases where a request is made to publish visual material externally, I understand that my additional consent will be requested prior to publication.

Signed:______

Witnessed:______

Date:______

Any restrictions to use of pictures and/or videotape?

 NO YES

If yes, please specify: ______

PHOTOGRAPH CONSENT FORM

I, ______, authorize the use of photographs of my child

(name of parent/guardian)

______to be used for display in the classrooms and
(name of child)

adjacent hallways of the Ryerson Early Learning Centre.

I ______authorize the use of photographs of

my child, ______in the printed version of other children’s individual stories. (These are the stories in the binders which RECEs prepare to document children’s learning and who they are as people.) When families leave the centre, they take the binders with them.

I understand that when group celebrations occur, my child may be photographed with other children on behalf of the centre. This may include, birthdays, gardening days, pancake breakfasts and more. Unless otherwise specified, these may also be added to children’s binders.

I understand that I may not take photos of other families’ children without first obtaining permission from the parent or guardian.