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Module 1: Health and Safety in Child Care

Sponsored by the Colorado Department of Public Health and Environment

Content provided by Boulder County Public Health


Welcome to the Child Health Liaison Course The Child Health Liaison online course serves as a training resource for early care and education providers interested in improving health and safety in their programs. As a student in this course, you are encouraged to maintain a Child Health Liaison notebook. As you finish each module, add your completed workbook to the notebook, along with any resources you found helpful. Upon completion of the course, you can use this notebook as an on-going resource in your role as a health and safety advocate for your child care program.

Curriculum The Child Health Liaison online course includes the following ten modules: • Module 1: Health and Safety in Child Care • Module 2: Preventing Illnesses and Communicable Diseases • Module 3: Immunizations and Emergency Preparedness • Module 4: Safety and Injury Prevention • Module 5: Nutrition and Food Safety • Module 6: Oral Health • Module 7: Social and Emotional Health • Module 8: Child Abuse and Neglect Prevention • Module 9: Medical Home and Children with Special Health Care Needs • Module 10: Staff Health Take the CHL final exam after completing all ten modules. Upon passing the exam, you will be able to print out a certificate of course completion.

Additional Information The Child Health Liaison online course can be accessed at no charge at http://www.CO.TRAIN.org. From this web page, you will be asked to create a CO.TRAIN user name and password. If you have any questions about CO.TRAIN or the Child Health Liaison course, please send an email to cdphe.pscash@state.co.us and include Child Health Liaison in the subject line of the email.

Acknowledgments The Child Health Liaison online course is based on the curriculum developed by Boulder County Public Health. Additional content and support for the project has been provided by the Colorado Department of Public Health and Environment and Healthy Child Care Colorado.

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Notes

Workbook Icons The following icons are used throughout this workbook to identify tasks being performed. Identifies the module objectives.



Identifies the steps required to complete the module. Identifies a required reading assignment, such as reading an article, document, or chapter in a book. When you see this icon, you will be instructed to access the module web page and read items listed below the Reading Assignments heading. Identifies a required web activity, such as browsing a web site or taking an online course. When you see this icon, you will be instructed to access the module web page and view web sites listed below the Web Activities heading. Identifies an activity that can be performed with the parents and staff in your child care program. When you see this icon, you will be instructed to access the module web page and download, read, and print various resources listed below the Parent and Staff Resources heading. You can then share these resources with parents and staff. Identifies questions to answer for review. When you see this icon, you will be instructed to answer questions following a Reading Assignment, Web Activity, or Parent and Staff Activity. Identifies a note or additional information you should know. Identifies goals that you should add to your Health and Safety Improvement plan. Identifies a review of the module objectives.

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Module 1 Objectives In this module, you will learn how to: Identify the components of safe and healthy child care. Utilize regulations, standards, and resources to improve health and safety in your child care program. Describe the roles and responsibilities of a Child Care Health Consultant in child care programs. Describe the roles and responsibilities of a Child Health Liaison (CHL) in child care programs. Develop at least one goal related to health and safety in child care for the Health and Safety Improvement Plan for your child care program.

 Steps for Completing Module 1 Visit the Module 1: Health and Safety in Child Care web page and do the following:

 Download and print the Health and Safety in Child Care workbook.  Complete the Reading Assignments when directed in the workbook and answer the questions for review.

 Complete the Web Activities and visit the web resources when directed in the workbook.

 Download and read the articles and handouts listed below Parent and Staff Resources when directed in the workbook. Print these resources and share them with your child care program’s staff and families. Let’s get started!

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Overview of Health and Safety in Child Care Parents, staff, Child Health Liaisons, and Child Care Health Consultants have many opportunities to improve the health and safety of children in child care programs. For example: A child care provider can turn hand washing into a lesson on disease prevention. A health care provider, such as a nurse or physician, can offer to give talks on child development to the staff at a nearby preschool. A mother and father can study the health and safety policies of several child care programs before deciding where to enroll their child. These three scenarios are similar in their simplicity and power. Small but meaningful efforts such as these, multiplied by millions, can combine to exert a profound impact on the health and safety of our nation’s children in child care programs. In your role as a CHL, it is important to continuously communicate with the Child Care Health Consultant and other staff members to protect the health of all children in your program. It is equally important to communicate with parents/guardians on health issues. During this course, there will be many opportunities for you to build relationships with the children in your care. There will also be various opportunities to build relationships with the parents or guardians of these children, as well as with your staff and other members of the community.

Reading Assignment To get started in learning about health and safety in child care, read the following listed below Reading Assignments on the Module 1: Health and Safety in Child Care web page: Quality Early Education and Child Care From Birth to Kindergarten Healthy Children Learn

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Notes

Questions for Review 1. List three basic elements of quality child care.

2. How can high quality child care effect children’s health?

3. As a CHL, identify ways you can protect the health and safety of children in your care.

4. Statistically, children enrolled in child care programs are exposed to more learning opportunities than children who are not enrolled in a program. Identify the different ways learning is encouraged in your child care program.

5. What are some steps you can take to promote high quality child care in your program?

High quality child care programs promote healthy and safe environments, stimulation, individual growth, positive relationships with adults and children, and preparation both socially and emotionally for a child’s goals of participating in society. In your role as a CHL, you continuously have opportunities to promote and implement high quality care in your child care program.

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Great Job! Now you’ll be introduced to the regulations and standards you need to follow as a CHL and advocate for health and safety in your child care program.

Regulations, Standards, and the Blueprint for Action As a CHL, you are responsible for ensuring the children in your care are healthy and safe. You can promote health and safety in your child care program by referencing the various regulations and standards that are available.

Regulations Governing Health and Safety in Child Care A regulation is a requirement for compliance by an operating agency. It originates in an agency with either governmental or official authority and has the power of law. The state of Colorado has various agencies that issue regulations that child care providers must follow in their programs. These regulations are issued in order to guide and direct providers to ensure they display and exhibit appropriate behavior. For example, the Department of Public Health and Environment in Colorado regulates and supervises the quality of sanitation in child care programs.

Reading Assignment On the Module 1: Health and Safety in Child Care web page, read the following documents listed below Reading Assignments: Rules and Regulations Governing the Health and Sanitation of Child Care Facilities Sections 7.702.62 Health Care; 7.702.63 Personal Hygiene, and 7.702.64 Physical Care in Colorado Child Care Licensure Regulations: Child Care Facility Licensing Find out if your child care program already has copies of these documents on file. If so, verify that the regulations are the most current version. These documents will be an important resource that you will need to refer to often. If copies are not already available in your child care program, download and print copies from the Module 1: Health and Safety in Child Care web page and create a binder or file folder for future reference of this information.

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Notes

Questions for Review 1. According to the current regulations governing child care programs, which of the following practices are considered appropriate for a child care facility? ___ Drinking fountains installed on restroom hand washing sinks ___ Hand-towel dispensers lowered within reach of the children ___ Toys stored in the bathroom ___ Pillows with clean covers for naps ___ After a feeding, discarding unused portions of formula or breast milk not consumed by the child ___ Washing infants’ hands after changing their diapers ___ Using bar soaps for hand washing ___ Reptiles in a classroom of 3-4 year olds 2. Why does a CHL need to be aware of state regulations and rules?

3. How might these rules and regulations be used as a reference for this course as you learn about the roles and responsibilities of a CHL?

4. What are some health and safety issues that could be improved in your child care program?

5. In your child care program, do you have established health and safety policies and procedures? Do they align with the state rules and regulations?

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Standards for Health and Safety in Child Care A standard is a statement that defines a goal of practice. A standard differs from a regulation in that compliance of a standard is not always required. Standards are based on scientific or epidemiological data and represent the widely agreed upon, state-of-the-art, high quality level of practice. Throughout this course, we will be referencing the Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Out-ofHome Child Care, 2nd Edition book and reading appropriate chapters as identified in course activities and reading assignments. This book identifies various standards written to establish best practices for child care health and safety. It was published as a joint effort between the American Public Health Association, the Maternal and Child Health Bureau and the American Academy of Pediatrics as a collaborative effort between health and child care professionals to fill in the gap between knowledge and practice.

Reading Assignment On the Module 1: Health and Safety in Child Care web page, read through the Introduction and Table of Contents of the Caring for Our Children book listed below Reading Assignments. The full version of the Caring for Our Children book is also available on the Resources page of the Child Health Liaison Program and various chapters within the book are located on individual module web pages. If your child care program already owns a copy of this book, you can use their existing edition to complete the activities and reading assignments that use this book.

Healthy Child Care America: Blueprint for Action The Healthy Child Care America campaign is coordinated by the American Academy of Pediatrics in partnership with the United States Department of Health and Human Services Child Care Bureau and the Maternal and Child Health Bureau. The campaign is based on the principle that families, child care providers, and health care providers in partnership can promote the healthy development of young children in child care programs and increase access to preventive health services and safe physical environments for children. Linking health care providers, child care providers, and families makes good sense for maximizing resources, for developing comprehensive and coordinated services, and most importantly, for nurturing children.

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Notes

Reading Assignment On the Module 1: Health and Safety in Child Care web page, read Healthy Child Care America: Blueprint for Action listed below Reading Assignments.

Questions for Review 1. The Blueprint for Action identifies ten steps that communities can take to promote safe and healthy child care. What are three steps you would prioritize for your center? Priority area #1:

Priority area #2:

Priority area #3:

To learn more about Healthy Child Care America, click the Healthy Child Care America and Healthy Child Care America Resources links below Web Activities on the Module 1: Health and Safety in Child Care web page.

Roles and Responsibilities of the Child Care Health Consultant in Child Care Programs All child care programs should have access to a Child Care Health Consultant, such as a nurse, nurse practitioner, or physician experienced in monitoring the health care of young children. The Colorado Department of Human Services, Division of Child Care requires that all licensed child care programs regularly schedule health consultation visits.

Web Activity On the Module 1: Health and Safety in Child Care web page, click the Building Better Child Care Through Health Consultation (Video) link below Web Activities. When the National Training Institute for Child Care Health Consultant web page appears, click the View Entire Video link to watch the video. You may need to install additional software to view the video.

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Note

When you have completed watching the video, view the American Academy of Pediatrics: Child Care Health Consultation web site listed below Web Activities.

Reading Assignment On the Module 1: Health and Safety in Child Care web page, read the Child Care Health Consultant Job Description listed below Reading Assignments. After reading this, refer to the Colorado Child Care Licensure Regulations: Child Care Facility Licensing, section 7.702.55 C. 1 listed below Reading Assignments for Colorado-specific qualifications required for Child Care Health Consultants.

Questions for Review 1. Does your child care program have a Child Care Health Consultant? If yes, what is his/her name and contact information?

You should also find out when the Child Care Health Consultant will be visiting next, so you can introduce yourself to them and describe your role as a CHL. 2. List some responsibilities of a Child Care Health Consultant.

3. Your Child Care Health Consultant will most likely provide consultation on which of the following topics? ___ Developing health and safety improvement plans ___ Decreasing infant and toddler injuries ___ Encouraging the inclusion of children with special needs ___ Designing playground structures ___ Infant nutrition ___ Preventing infectious diseases ___ Providing medication administration training

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Notes

Roles and Responsibilities of the Child Health Liaison in Child Care Programs As a CHL, it is important to become very familiar with health and safety regulations, standards, and resources. In your role as a CHL, you are an advocate for these practices and a teacher to those unaware of them. In your role as a CHL, you are responsible for implementing effective changes and ensuring these changes are long-term. Your efforts, combined with those of the staff, parents, and the Child Care Health Consultant, will lead to continued success in creating effective policies, practices, and behaviors.

Reading Assignment On the Module 1: Health and Safety in Child Care web page, do the following: Click Caring for Our Children below Reading Assignments and read Chapter 1. Be sure to read Standard 1.021 Qualifications for Health Advocates on pages 16-17. The CHL program is based on this standard. Read the CHL Job Description below Reading Assignments.

Questions for Review 1. Of the areas listed what knowledge and skills should a Child Health Liaison have? ___Control of the infectious disease Sudden Infant Death Syndrome (SIDS) ___Recognizing and handling emergencies ___Recognizing and reporting child abuse and neglect ___Health promotion for children and staff ___Recognizing safety hazards and injury prevention strategies 2. List five specific duties of a CHL.

Parent and Staff Activity On the Module 1: Health and Safety in Child Care web page download and read the Child Health Liaison Program and the Working Your Way Through the Child Care Maze documents listed below Parent and Staff Resources.

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Providing these documents to parents and staff will allow you the opportunity to introduce the Child Health Liaison program and your role as a CHL. Print copies of these documents and distribute them to the staff and parents in your child care program. Host a meeting(s) with staff and parents and explain the following: The goals of the CHL program. Your role as a CHL. The areas you have been or are currently being trained in. Solicit feedback from the parents and staff on the CHL program, as well as feedback on what you can do in your role as a CHL to impact health and safety in your child care program. 1. What did you learn from the meeting(s)?

2. Based on the feedback you received, what suggestions or changes to improve health and safety in your child care program will you implement?

Communication in the Child Health Liaison Program Strong communication skills are essential for working with both staff and families in child care programs to achieve desired performance. Effective communication is the key to becoming a successful CHL. "Strong communication skills are the cornerstone of fruitful and trusting relationships between providers and families." Nelkin, 1996. Remember, when you are addressing an important issue with your director, supervisor, staff, or parents, it is often a good idea to write down the issues and the possible solutions prior to actually addressing these issues. This practice will help you state your ideas clearly and focus on

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Notes

what you are trying to communicate, so that you do not get diverted into speaking about other topics. If you have a mentor, you can practice communicating your points and get their feedback before presenting your ideas. Especially in controversial or challenging situations, it is often a good idea to practice, get feedback and ensure you have clearly outlined what you intend to communicate.

Web Activity On the Module 1: Health and Safety in Child Care web page, visit the following web sites below Web Activities: National Network for Child Care: The Magic of Skillful Listening Inc.com: A Crash Course in Communication 1. Identify ways that you can open the lines of communication in your child care program.

2. What are the three types of feedback you can give to a parent who is communicating a problem to you?

3. After listening closely to their concerns, how might you respond? ___I think what you are saying is… ___Tell me more about your concern. ___I understand why you are concerned about… ___What would have to happen for you to be more comfortable with… 4. Select other possible ways you can increase communication pertaining to your goals as a CHL in your child care program. ___Handouts ___Newsletters ___Posters ___Parent meetings ___Health fair for families ___Articles and other documents in both English and Spanish

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Ensuring Successful Communications There are additional communications skills that will help you achieve your goals as a CHL, such as: Clearly stating your intentions. Clarifying roles and mapping out clearly who does what. Understanding your resources and what or who is available to help. Defining accountabilities. Documenting and managing timeframes. Empowering yourself and others by keeping everyone excited and motivated. Brainstorming solutions to health and safety challenges with staff and parents. Listening to the health and safety concerns of parents and staff in your child care program.

Improving Your Child Care Program In your child care program, you have many opportunities to work with the families and staff to improve the health and safety of the children. The following list includes starting points that you can consider. Position the CHL program as a resource for families. Work with your Child Care Health Consultant to improve policies and procedures in your child care program. Establish liaisons with pediatricians, nursing professionals, and community health agencies. Ensure that each child in your program has a medical and dental home. Plan health and safety training sessions for staff. Ensure annual vision, hearing, and dental screenings through primary health care offices or local health departments. Serve as the key contact for pediatricians or other primary care clinicians who want to discuss a child’s special needs or status. Ensure that each child is up-to-date with immunizations and has a current child health appraisal form on file. Work with your Child Care Health Consultant to ensure that all children with special health care needs have a health care plan in place. Become an advocate for breastfeeding. Support mothers who choose to continue breastfeeding after they return to work by establishing a system and designating a location for the storage of expressed breast milk. Align your program with health professionals or health organizations interested in serving as advisors or consultants in your program.

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Recognize your program’s enormous potential to complement and augment the work of health care professionals in educating families about child development, health, and safety. Sponsor a health fair or educational seminar for parents. Take advantage of opportunities to teach children about health and safety. The information and knowledge necessary to become a certified CHL is vast. In this first module, you probably felt a bit overwhelmed, since there is so much information available on how to improve the health and safety of children in child care programs. Hang in there! You don’t have to know everything after one module! As you are exposed to various child care situations, your responsibilities as a CHL will become more apparent and this information will become familiar to you.

Complete the Health and Safety Improvement Plan for Module 1 Now it’s your turn to begin applying what you have learned in this module! You can begin by creating your own Health and Safety Improvement Plan. 1. On the Module 1: Health and Safety in Child Care web page, download and print the Health and Safety Improvement Plan listed below Parent and Staff Resources. 2. Create the first goal in your improvement plan to: Complete all ten modules of the Child Health Liaison online course and pass the final exam. 3. You will be able to add health and safety goals to this improvement plan as you complete each CHL module. As your plan evolves, review it with staff in your child care program and discuss ways the plan can be implemented. Keep track of the actions that have been taken.

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Objective Review After completing this module, you should now be able to:

5 Identify the components of safe and healthy child care. 5 Utilize regulations, standards, and resources to improve health and safety in your child care program.

5 Describe the roles and responsibilities of a Child Care Health Consultant in child care programs.

5 Describe the roles and responsibilities of a Child Health Liaison in child care programs.

5 Develop at least one goal related to health and safety in child care for the Health and Safety Improvement Plan for your child care program. Congratulations! You have completed the Module 1 workbook. When you have completed all ten of the CHL modules, you will be ready to take the CHL final exam.

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المستوى الأول لمنهج الصحة والسلامة