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Envelope State License #DC630021715

Health Practices and Policies

Diaper Procedures

Diapers are to be changed in designated diapering areas only. One changing table is located in the toddler room the other is located in the infant room. Be prepared: Gather all needed supplies, clean diaper, wipes, plastic bag and Clean clothes (if needed).

• Place child on a clean changing table; remove dirty diaper and set aside, always keeping one hand on the child while he/she is on the table. The child should always be lying during diaper changing.
• Use wipe to clean genital area front to back. Do not reuse wipes. Place wipes in the soiled diaper.
• This is the time to notice any rash or reddened areas. Diaper ointment provided by the parent may be applied as directed.
• Remove gloves (if wearing them), fold the soiled diaper, wipes and gloves together and discard in diaper pail.
• Place clean diaper on the child.
• Clean the child’s hands and then remove them from the changing table.
• Clean changing table surface with detergent and water and rinse.
• Wet the surface with sanitizing solution and let air dry. Or wipe after 2 minutes.
• Wash your hands vigorously and thoroughly with soap and water.
• Record the diaper change if Applicable.

Hand Washing Procedure

• Turn on the water to a comfortable temperature.
• Wet hands, and apply liquid soap.
• Rub hands together vigorously until a soapy lather appears, and continue for at least 20 seconds. Rub areas between fingers, around nail beds, under fingernails, jewelry, and the back of hands.
• Rinse hands under running water until they are free of soap and dirt. Leave the water running while drying hands.
• Dry hands with a clean, disposable paper or single use cloth towel,
• Turn of water using the paper towel.
• Throw paper towel in trash container.

Proper Storage and disposal of formula

All bottles are prepared at home by the parent. The bottles must be brought to the center labeled with child’s name, date and contents. Bottles are to be placed in the refrigerator upon the child’s arrival. Unused bottles must be returned to the parent by the end of the day.  Each bottle and nipple supplied by a parent shall be used for a single feeding only.  Contents left in the bottle shall be dumped and the bottle shall be rinsed, and returned to the parent.

Proper Storage and disposal of baby food

Baby food must be place in a clean bowl for feeding, DO NOT FEED FROM THE CONTAINER. Open baby food may be stored for 24 hours, after that it must be discarded.
All opened baby food must contain child’s name and date that it was opened.

Proper Storage and disposal of milk

Milk will be provided by the center, Milk cartons shall be dated as to the day that they are opened. Milk shall be kept in the refrigerator. Milk shall be discarded 7 days after opening or by expiration date which ever comes first. Milk left in the cup at the end of a meal must be discarded.

Proper Storage and disposal Food

All opened perishables must be stored in the refrigerator, and must contain the date as to when it was opened.  Food must be discarded after 24 hours.

All opened non-perishables must be placed in a air tight container, and place on food shelf and be dated with the expiration date located on the original container. All expired foods must be discarded.

Maintenance of sleeping equipment

Cribs: all cribs shall be sturdy and in good working condition. Never should a child be placed in a broken or unsteady crib. Entire crib shall be washed down and sanitized on a weekly basis, or when used by another child. Sheet shall be changed weekly or sooner if soiled. Each infant is assigned to a crib and shall not be placed in someon else’s crib.

Cots: shall be cleaned and sanitized daily, after the children leave for the day.

Blankets: Blankets provided by the parent, must be returned on Friday for laundering
Blankets provided by the center will be placed in the hamper on Friday for washing.
Children receive clean fresh blankets on Monday. Blankets are to be stored in the child’s basket at the bottom of the cubby; the blanket may not be sticking out or lying on the floor.

Procedures for cleaning and or sanitizing

All surfaces must be thoroughly cleaned with soap and water, and rinsed prior to sanitizing.

Sanitizing solutions:

• Bleach and water, mix 1 tablespoon of chlorine bleach to 1 gallon of water. Be sure to label as “Bleach water” Must be made fresh everyday.
• Clorox Anywhere Hard surfaces; spray and let air dry
• Enviro Care Neutral Disinfectant ; 1 once to 1 gallon of water

Spray with one of three solutions and let air dry or wipe with clean disposable towel after 2 minutes.

Daily Clean

• Bathroom sink, faucet, toilet, door handles
• Kitchen or food preparation area
• Diaper changing tables
• Toys
• Door knobs
• Cots
• Tables
• Anything a child may put their mouth on


• Cribs
• Toy shelves
• Floors

Soft and Absorbent objects: Stuffed toys, bedding and dress-up clothes shall be laundered in hot water and done no less than once a week.


Health Awarness and Practices

Observation of general health of children

Illness signs; things to look for

• Change in sleep habits
• Change in eating habits
• Obvious change in behavior
• Fussy or difficult to console
• Frequent loose bowel movements

Developmental signs; things to look for

• Non-responsive
• More than three months behind in motor development
• More than 3 months behind in emotional and social skills

Day Care Plus Illness Policy

Policy regarding communicable disease and illness is as follows: If any of these symptoms should occur, the parent will be asked to keep the child home.

• Common signs or symptoms of communicable disease
• Thick, colored discharge from nose.
• Persistent and productive cough.
• Red or running eyes
• Persistent sneezing
• Fever more than 1 degree above normal
• Sore throat
• Diarrhea and or abdominal pain
• Nausea and vomiting
• Headache and or stiff neck
• Swelling and tenderness of glands
• Sores and crusts on the scalp, face, or body, particularly if red, swollen or draining
• Skin eruptions
• Rashes
• Yellowing of eyes or skin
• Visual signs of lice
• Sores in the mouth

Should any of these symptoms be noted while the child is in day care the staff will contact the parent or authorized persons from emergency card for prompt removal of the child. Parents are strongly urged to contact their physician and the child must be excluded from the center until they are symptom free, and have obtained a note from their physician..

We insist that children running fevers must remain home for a period of no less than 24 hours after the fever breaks. The rationale behind this is that many symptoms show up after the initial fever.

Steps to minimize the spread of disease

• Parents will be notified if their child has been exposed to a communicable disease.
• Frequent hand washing
• Teach children to cough or sneeze into a tissue or arm fold.
• Wash rinse and sanitize all food service utensils
• Wash and sanitize toys and equipment
• Wash and sanitize sleeping equipment

Minor injuries: bumps, bruises or minor cuts and scraps

• Thoroughly clean area with soap and water
• Perform preliminary first aid.
• Prepare a minor injury report.
• Notify parent

Serious injury/death of child or staff

• First staff member call 911.
• Second staff member staff with the victim.
• Additional staff clear area and isolate the victim.
• Perform preliminary first aid.
• Do not remove the victim unless an immediate emergency situation dictates evacuation.
• Designate a staff person to accompany the injured or ill to the hospital.
• Administrative follow up will include the following.

1. Notify parent of child or next of kin if employee.
2. Prepare an accident report.
3. Notify Department of Human Services-follow up with a written report.

Health forms and Immunizations

The purpose of the health evaluation is to give information about a child’s health history, special needs, and current health status to allow the center to provide a safe setting and healthful experience for each child. Physicals for children are to be completed within the first 30 day of attending day care.

Physical evaluations shall be updated as follows:

• Yearly for children under 2 ½
• Every two years for children over age 2 ½

Day Care plus obtains immunization records through MCIR. The class roster is checked at the beginning of each new month parents are notified if their child is behind on any shots..

Medication procedures

When a Parent request that the center administer medication, the following shall apply:

• Medication, including prescription drugs, over the counter drugs, or individual special medical procedures, will be given or applied only with written permission from the Parent. Prescription medication shall have the pharmacy label indicating the physician’s name, child’s name, instructions, and name and strength on the medication and shall be given in accordance with those instructions. Provider will not honor any instructions from a parent which contradicts the instructions of the physician (for prescription drugs) or the instructions on the label (for over the counter drugs.)
• Provider/caregiver will maintain a record as to the time and amount of any medication given or applied.
• The medication shall be in the original container, stored according to the instructions and clearly labeled for the specific child. The Provider/caregiver will keep medication out of the reach of children, and will return the medication to Parent or destroy it when no longer needed.

Record keeping

A continuing record is kept for each child under 12 months of age. The record will include food intake, sleeping, patterns, bowel movements, and developmental milestones.