Start Right Table of Contents

Start Right Table of Contents

1. Emergency Preparedness

1.1: Emergency preparedness plan/policy

Example template

1.2: Emergency drills

Example drill record sheet

1.3: Staff training in emergency drills

Example staff training log

2.1: Emergency radio, batteries, telephone

2.2: Emergency plan reviewed and updated

Example emergency plan review log

2.3: Parent education on emergency preparedness

3.1: Shelter in Place

Example shelter in place maintenance log

Supply list

3.2: Emergency backpacks

Suggested supplies

3.3: Grab and Go binder

Suggested list of information for binder

3.4:Trained in emergency preparedness/ready in 3

Staff training log

DHSS online training:

1. Indoor Safety

1.1: Play equipment

1.2: Facility ventilation

1.3: Window barriers

2.1: Product Safety

Consumer Product Safety Commission:

2.2: Parent education indoor safety

2.3: Poison Prevention for children

Child’s training certificate

3.1: Medication Administration training

Staff training log

3.2: Asthma management training

Staff training log

3.3: Medication Administration & Poison Prevention Policy

Example Medication Administration Policy

Medication Administration packet:

Example Poison Prevention Policy

List of non-poisonous and poisonous plants:

1. Outdoor Safety

1.1: Outdoor equipment

1.2: Children training for equipment use

Children training certificate

1.3: Sunscreen use

Example sunscreen authorization form

2.1: Playground safety

Playground inspection sheet

2.2: Parent education on carseat safety

2.3: Bike helmets

Bike helmet fact sheet:

3.1: Outdoor safety staff training

Staff training sheet

3.2: Simple Shelter

3.3: Outdoor safety policy

Example outdoor safety policy

1. Safe Sleep

1.1: Placed on back to sleep

1.2: No sharing crib, bed, bedding

1.3: Facility uses firm tight-fitting mattress

2.1: Infants observed at all times

2.2: Parent education on safe sleep

2.3: Designated sleep areas are labeled

Example label

3.1: Safe Sleep policy

Example policy

3.2: Safe Sleep training

Staff training sheet

3.3: Soft/loose bedding and blanket-free cribs

1. Communicable Disease

1.1: Immunization record on file

1.2: Tracking system for immunizations

1.3: Communicable disease policy

Example communicable disease policy

2.1: Trained in immunizations and or record keeping

Staff training log

2.2: Parent education on communicable diseases

2.3: Hand-washing classes

Children training certificate

2.4: Flu vaccination

Declination letter

3.1: 100% compliant initial immunization audit

3.2: Trained in communicable disease

Staff training sheet

DHSS online training:

3.3: Tdap vaccination

Declination letter

3.4: Surveillance site

Surveillance form

1. Physical Activity

1.1:Daily schedule of activities

1.2:Appropriate play

Reference sheet with example age-appropriate activities

1.3:Outdoor play

2.1:Structured play

2.2:Supervised infant play

2.3:Physical activity training

Staff training sheet

3.1:Physical activity policy (reference Model policies for creating a healthy nutrition & physical activity environment in child care settings)

Example 1 physical activity policy

Example 2 physical activity policy

3.2:Screen time

3.3:Daily physical activity

1. Nutrition

1.1:Drinking water

1.2:Nutritional requirements

Copy of diet plan:

1.3:Milk and meals

Weekly menu:

2.1:Staff eats with children

2.2:Parent education on breastfeeding

2.3:Trained in nutrition

Staff training log

3.1:Nutrition policy(reference Model policies for creating a healthy nutrition & physical activity environment in child care settings)

Example nutrition policy

3.2:Fresh fruits & vegetables

Weekly menu:

3.3:Beverages

Weekly menu:

1. General Safety

1.1:Read/reviewed licensing rules:

1.2:CPR/First Aid (1:20)

1.3:Background checks

2.1:CPR/First Aid (all staff)

2.2:Parent education on CPR/First Aid

2.3:Children Health Promotion

Children training certificate

2.4: Trained in facility safety

Staff training log

3.1:Call system for absent children

3.2:Smoke-free campus

Example policy

Tips for implementation

3.3:Critical violation environmental health

Sanitation report

Emergency Preparedness

1.1: Facility has an emergency preparedness plan/policy

• The plan will be visually checked off during a site visit
• An example plan is provided if the center does not have a plan developed
• Example plan can be found on the MO DHSS website label Emergency Plan Template

1.2: Holds emergency drills monthly and quarterly

• The drills will be checked using the drill record sheet included in this book
• Emergency drills include but not limited to: fire, tornado, and earthquake
• Fire drills will be conducted monthly and disaster drills every three months

1.3: All staff trained upon hire in facility emergency operations

• The trainings will be checked using the training log. Included in this book are example logs if the center does not have one developed
• Training for staff should include but not limited to: fire, tornado, earthquake, and basic “what to do in an emergency”
• The training is only required one time: upon hire

2.1: Has an emergency radio, batteries, and telephone at each site

• The emergency radio, batteries, and telephone will be visually checked off during a site visit and checked to be in working condition

2.2: Emergency preparedness plan is reviewed and updated annually by director or designee

• The plan review will be checked off using the “emergency plan review log” provided in this book during a site visit
• The purpose of reviewing the plan is to make any updates, changes, and to keep current on procedures

2.3: Parent education on emergency preparedness is displayed at pick-up/drop-off area

• The educational materials will be visually checked off during a site visit
• Educational brochures and fliers are available through the Independence Health Department, Center for Disease Control, Missouri Department of Health and Senior Services, Independence Emergency Management

3.1: Each site has created and maintained a (24 hr.) shelter in place kit

• The shelter in place kit will be visually checked and the maintenance log will be checked during site visits
• A list of supplies needed for the kit and maintenance log are included in this book
• The kit needs to be contained in a plastic durable container
• The kit should be checked annually for expired supplies and to replace or add supplies

3.2: Emergency backpack kit is in each classroom

• The backpacks will be visually checked during site visit
• A list of suggestions for the backpacks are included in this resource book

3.3: Grab & Go binder

• The binder will be visually checked during site visit
• A list of suggestions for what to include in the binder is included in this resource book

3.4: Trained one time in “Ready in 3”

• The trainings will be checked using the training log.
• Included in this book are example logs if the center does not have one developed

[Insert Child Care Facility] Emergency Drill Record

Date of Drill ______Time of Drill ______Type of Drill______

Brief Description of Drill:

Rooms Participating in Drill:

Lessons Learned & Future Changes:

Facility Director Signature:______Date:______

*record staff in attendance on the staff training sheet

Staff Member Training Log

Staff Member Name: ______Date Hired: ______

Does this staff member work with infants? YES NO

Training Topic:______Training Date: ______

Instructor Name: ______

Training Topic:______Training Date: ______

Instructor Name: ______

Training Topic:______Training Date: ______

Instructor Name: ______

Training Topic:______Training Date: ______

Instructor Name: ______

Training Topic:______Training Date: ______

Instructor Name: ______

Emergency Plan Review Log
Date / Changes Made (list sections for reference) / Reviewed By
Shelter In Place: Maintenance Log
Date / Supplies Needed / Supplies Added / Supplies Replaced / No Action needed / Checked By

Notes about supplies:

• Supplies can be expensive. To “grow” your stock of appropriate supplies:
• Review the lists and decide which supplies are priorities at your site.
• Develop a supply rotation system that allows you to use perishable supplies in your normal operations before the expiration date. For example, buy canned food that is normally on your menu, and plan to replace and serve it every 6 months.
• Team up with another program to buy supplies in bulk.
• Request a small disaster supply fee from families or specific donations.
• Seek specific donations from the community.

1-Day Supplies per 50 people

SURVIVAL

Water

32 oz per person and child (2 plastic water bottles) - Required

 1 gallon of water per adult – (recommended)

 1/2 gallons of water per child – (recommended)

any tools needed to open water containers

cups to dispense water

Stored: ______

Food

Emergency Food:

Is easy to serve

Does not require cooling or heating

Has a long shelf life

Is stored protected from heat, cold, and pests

Our emergency food is part of our regular menu rotation. Food for 1 extra day is always on site. (Familiar food can be a comfort during a disaster.) It is rotated ______(how often) by ______(whom).

We have a separate supply of emergency food. Expiration dates are checked ______(how often) by ______(whom).

We include food for those with food allergies or on special diets.

We include age-appropriate food, such as formula and pureed food for infants (when enrolled).

Supplies kept with food include:

Plastic dishes and utensils

Manual can opener

Bottles for infants

Stored: ______

General

flashlight w/ extra set of batteries per every 2 staff person

blanket (fleece, wool, &/or “______”) per person

(5) extra blankets

(10) plastic sanitation bags

privacy shelter

(10) rolls toilet paper

(25) sanitary napkins

(10) plastic garbage bags

(10) rolls paper towels

(250) soap towelettes packets or baby wipes

(5) bars of soap (recommended)

(2) 5 gal plastic buckets for

sanitation/emergency toilets (recommended)

(10) 12-hour light sticks

battery-operated lanterns w/ extra batteries - recommended

battery powered or handcrank radio (NOAA Weather Radio, if possible)

multipurpose tool

first aid kit

medications

(1) small bottle bleach

plastic sheeting

duct tape

(25) dust masks

Stored: ______

Special Equipment/Other

Medical supplies for children with special health care needs: ______

______

______

Stored: ______

Backpack Kit Supply List

Be sure the back packs are located somewhere you can grab it on the way out the door every time your class leaves the classroom!

□ Backpack, labeled for easy identification

□ Emergency forms for students (& staff)

□ “Rescue” medications with authorization forms

□ First aid kit

□ Flashlight(s) & batteries

□ Whistle

□ Bottle of water with small paper cups &/or (infant) bottles

□ Tarp or ground cover

□ (2) Mylar blankets

□ Tissues, toilet paper, &/or wipes

□ Age-appropriate snacks (including infant formula)

□ Diapers (& plastic bags for disposal) for infants, toddlers, & children with special needs

□ Age-appropriate time passers (books, crayons, paper, etc…)

What is a “Grab & Go” bag?

A Grab & Go bag contains essential items for an emergency. It includes things that you may

need in the first hour or so following an emergency/disaster. A Grab & Go bag contains only a small portion of your disaster supplies, but is a key part of your preparedness and response. A Grab & Go bag should be easy to transport. A backpack (daypack) usually makes the best carrier.

What should our Grab & Go bag contain?

A Grab & Go bag should include current emergency contact information, a first aid kit, “rescue” medications* with paperwork, and a flashlight. Tarps and/or blankets are also helpful for all ages. Include other items appropriate to the age(s) of children served. (Just make sure that you can easily carry your Grab & Go bag!)

Should the Grab & Go bag have enough formula and diapers for all infants?

No. Remember that this bag is designed to meet immediate needs for a limited time. Make sure that you have additional supplies in your 24 hour disaster supply kit.

How many Grab & Go bags do we need?

A Grab & Go bag should be assembled for each class in your child care center or for each child care area of your home.

Where should we keep our Grab & Go bags?

Your Grab & Go bag should accompany your class everywhere. In the classroom, the best place to keep it is on a hook by the door that you usually use to exit (and that you are most likely to evacuate through). When you leave the classroom, always take it along. Your Grab & Go bag should be with you on the playground, field trips, fire drills, or any other planned or unplanned classroom departure. Some programs have installed hooks on their playgrounds to hang their Grab & Go bags when they are outside. The Grab & Go bag should be out of children’s reach at all times. (Again, don’t make it too heavy – no one should be tempted to set it on the ground where it would be easily accessible to children.)

We’ll have to update our Grab & Go bag from time to time, won’t we?

Absolutely, Make sure you have a system in place for keeping emergency contact information current. Check expiration dates of food, water, batteries, and any medication, and replenish those items regularly. Keep first aid supplies fully stocked.

*Rescue medications include EpiPens®, asthma inhalers, or any other medications that a specific child may need to keep him/her alive.

**Information provided by Missouri Department Health and Senior Services and Seattle & King County Public Health Department

Grab and Go Binder

The grab and Go binder should be located in the facility and the designated person in charge should have access to the binder for emergency purposes. The binder should include but not limited to the following items:

• Emergency contact information for each child
• Medical information for each child (rescue medications, allergy information, list of medications, etc)
• Release information for each child
• Basic information on each child (name, age, parents/guardian)

This binder should be kept current and updated throughout the year and reviewed annually by director or designee.

Indoor Safety

1.1: Play equipment and materials are cleaned daily & in good working condition

• This will be visually checked during site visit
• A log is provided in this book and it will be checked during site visit

1.2: Facility is dry, well-ventilated, free of drafts and temperature controlled

• This will be visually checked during site visit

1.3: Barriers to prevent children from falling into or through windows are in place

• This will be visually checked during site visit

2.1: Facility is on a listserve for product safety and recall notifications

• Print outs of recalls will be visually checked
• Recalls should be posted at pick-up/drop-off area
• To sign up to receive recall information visit: Consumer Product Safety Commission

2.2: Parent education on indoor safety is displayed at pick-up/drop-off area

• This will visually checked during site visit
• Safety information can be obtained online at Center for Disease Control and Prevention, Missouri Department of Health and Senior Services, and Safe Kids USA or you can contact the Independence Health Department

2.3: Poison prevention education is provided for preschool age children annually

• Training log will be checked

3.1: Director or designee are trained in medication administration and in turn train staff

• Director and staff will need to complete training every three years after initial training
• The training log will be checked for staff training

3.2: Director or designee are trained in asthma management and in turn train staff

• Director and staff will need to complete training every three years after initial training
• The training log will be checked for staff training

3.3: Has a written policy on medication administration and poison prevention

• Policies will be checked and reviewed during site visit
• Example policies on both medication administration and poison prevention are provided in this book if the site does not have a policy developed
• Included in the book are forms that can be used for medications (permission form, receiving medications, medication log, incident report, check list for giving medication). These can be used if site does not have forms developed
• An informational list of poisonous and non-poisonous plants is also included in this book

Independence Start Right Childcare Program

Written Policy on Use of Medications

Administering medication requires skill, knowledge and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/ teacher written authorization to administer medication to the child. Caregivers/teachers must be diligent in their adherence to the medication administration policy and procedures to prevent any inadvertent medication errors, which may be harmful to the child

Consent Forms:

The use of written parental/guardian consent forms for each prescription and OTC medication to be administered at the child care facility. The consent form should include:

• The child’s name

• The name of the medication

• The date(s) and times the medication is to be given

• The dose or amount of medication to be given

• How the medication is to be administered

The period of time the consent form is valid, which may not exceed the length of time the medication is prescribed for, the expiration date of the medication or one year, whichever is less.

The use of the prescribing health professional’s authorization forms for each prescription and OTC medication to be administered at the child care facility.

Medication:

The circumstances under which the facility will agree to administer medication. This may include the administration of:

• Topical medications such as non-medicated diaper creams, insect repellants, and sun screens

• OTC medicines for fever including acetaminophen and ibuprofen

• Long-term medications that are administered daily for children with chronic health conditions that are managed with medications

• Controlled substances, such as psychotropic medications

• Emergency medications for children with health conditions that may become life-threatening such as asthma, diabetes, and severe allergies

• One-time medications to prevent conditions such as febrile seizures.

The circumstances under which the facility will not administer medication, this should include: