YMCA School Age Care at Orchard Hill Elem

Medications: The center shall have written procedures for dispensing, storage, and authorization, and recording of all prescription and non-prescription medications. •Staff must be over 18 to administer medication. •All medications shall be stored in original containers with physician or pharmacist directions. Labels should be intact and stored so they are inaccessible to children and public. Nonprescription medications shall be labeled with the child’s name. •For every day an authorization for medication is in effect and child is in attendance, there shall be a notation of administration including the name of medicine, date, time, dosage, given or applied, and the initials of the person administering the medication or the reason the medication was not given. •For ongoing, long term medications, authorization shall be obtained for a period not to exceed the duration of prescription. •Staff shall not provide medications to a child if pre-service/orientation training for medication management has not been completed.

Rule 109.10(1).

Emergency instructions, phone numbers, and diagrams for fire, tornado, and flood shall be visibly posted and documented at least once a month for fire and tornado. Records shall be maintained for current and previous year.

Rule 109.10(13)b.

•Program structure that uses developmentally appropriate practices and written program of activities planned to the developmental needs of children served. •Program complements but does not duplicate school curriculum. •Schedule of program is posted in a place visible to parents.

Rule 109.12(1).

•Center shall serve each child a full, nutritionally balanced meal as defined by CACFP guidelines. •Staff shall provide supervision at table during snacks and meals. •Children at center two hours or longer shall be offered food of not less than two hours and no more than three hours apart unless child is asleep. •Menus shall be made available to parents and kept on file with substitutions noted. •Avoid foods with high incident rate of causing choking.

Rule 109.13(1 and 2).

109.4(2)

Rule 109.4(2).

All staff (within first three months of employment): •Iowa’s training for the mandatory reporting of child abuse. •At least one hour of training regarding universal precautions. •Certification in First Aid infant, child, and adult cardiopulmonary resuscitation (CPR) or equivalent certification approved by the Department. A valid certificate indicating the date of training and expiration date shall be maintained. •Certification in infant, child, and adult first aid that uses a nationally recognized curriculum or is received from a nationally recognized training organization including the American Red Cross, American Heart Association, American Safety and Health Institute, or MEDIC First Aid or an equivalent certification approved by the Department. A valid certificate indicating the date of training and expiration date shall be maintained. •Minimum health and safety trainings, (Essentials) approved by the Department. If significant changes occur to content, the Department may require the training be renewed.

Rule 109.7(1).

Ratio maintained in center as required: •Brief absence of staff person permitted for 5 or less minutes when another staff person is present •At least one staff is present in every room where children are resting. •If ratio reduced to one staff per room during nap time, does not exceed one hour and ratio in center is still maintained. •Ratio in infant rooms is always maintained. •When more than eight children are present on the licensed premises, at least two staff members shall be present. •For a period of two hours or less at the beginning and end of the center’s hours of operation, one staff member may care for eight or fewer children, provided no more than four of the children are under two years of age and there are no more than eight children in the center. •Ratio exceeded for school-age children when school classes unexpectedly start late, are dismissed early, or cancelled. For no more than four hours, care is limited to children already in the program and licensed capacity is not exceeded.

Rule 109.8(2).

All files contain: 1.Copy of a department criminal history record check form or any other permission form approved by Department of Public Safety for conducting an Iowa or national criminal history record check 2.Copy of a request for child abuse information form, when applicable. 3.Copies of results of Iowa record checks conducted through the SING for review by the department upon request. 4.Copies of national criminal history check results. 5.Any department issued documents sent to the center related to a record check, regardless of findings.

Rule 109.9(1)a.

All files contain a pre-employment physical exam report completed within six months prior to hire and at least every three years. Physical exams shall be documented on form 470- 5152, Child Care Provider Physical Examination Report.

Rule 109.9(1)b.

All files contain sufficient information to allow the center to contact the parent or emergency contact at any time child is in center’s care as well as who can pick up the child as authorized by the parent.

Rule 109.9(2)a-c.

Emergency instructions, phone numbers, and diagrams for fire, tornado, and flood shall be visibly posted and documented at least once a month for fire and tornado. Records shall be maintained for current and previous year.

Rule 109.10(15)b.

The center and supervisor shall ensure that staff knows names and number of children assigned. Staff shall provide careful supervision.

Rule 109.10(16)a.

Children’s hand washing: Center shall ensure staff assist children in personal hygiene. For each infant or child with a disability, a separate cloth for washing and one for rinsing may be used in place of running water. Children’s hands shall be washed: 1.Immediately before eating or participating in food service activity. 2.After using the restroom or being diapered. 3.After handling animals.

Rule 109.10(8).

Center shall ensure that: 1.Facility and premises are sanitary, safe, and hazard free. 2.Adequate indoor and outdoor space is provided. The outdoor area shall include safe play equipment and area of shade. 3.Sufficient space provided for dining. 4.Sufficient lighting shall be provided. 5.Sufficient ventilation. 6.Sufficient heating. 7.sufficient cooling. 8.Sufficient bathroom and diapering facilities. 9.Equipment, including kitchen appliances, are maintained so as not to result in burns, shock, or injury to children. 10.Sanitation and safety procedures for the center are developed and implemented to reduce risk or injury or harm to children and reduce transmission of disease.

Rule 109.11(3)a.

Record of monthly inspections of outdoor recreation area and equipment shall be kept.

Rule 109.11(3)d.

•Center shall follow minimum CACFP menu patterns for meals and snacks. •Menus planned one week in advance, made available to parents, and kept on file with substitutions noted. •Avoid foods with high incident rate of causing choking.

Rule 109.15(2).

Postings are required for: •Mandatory reporter requirements. •Notice of availability of handbook. •Program activities. These shall be posted in area frequented by parents or public.

Rule 109.4(3)b.

Child Care Centers and Preschool Licensing Standards and Procedures shall be available in the center and a notice stating a copy is available for review. Contact information of the child care consultant shall be included in the notice.

Rule 109.4(5).

The child care license shall be posted in a conspicuous place and shall state the particular premises in which child care may be offered and the number of children who may be cared for at any one time.

Rule 109.4(6).

School-age (for children five years and older and enrolled in school): Annual statement of health status signed by parent is submitted prior to admission, certifies that the child is free of communicable disease, and lists allergies, medications and acute/chronic conditions.

Rule 109.10(1)b.

Emergency instructions, phone numbers, and diagrams for fire, tornado, and flood shall be visibly posted and documented at least once a month for fire and tornado. Records shall be maintained for current and previous year.

Rule 109.10(15)b.

The center and supervisor shall ensure that staff knows names and number of children assigned. Staff shall provide careful supervision.

Rule 109.10(16)a.

Record of monthly inspections of outdoor recreation area and equipment shall be kept.

Rule 109.11(3)d.

Telephone: Working non-pay phone with posting adjacent for emergency numbers for police, fire, and poison control center. Center street address and phone included in posting. List of emergency numbers for children kept near phone.

Rule 109.11(5).

Postings are required for: •Mandatory reporter requirements. •Notice of availability of handbook. •Program activities. These shall be posted in area frequented by parents or public.

Rule 109.4(3)b.

Child Care Centers and Preschool Licensing Standards and Procedures shall be available in the center and a notice stating a copy is available for review. Contact information of the child care consultant shall be included in the notice.

Rule 109.4(5).

Ratio maintained in center as required by age.

Rule 109.8(2).

All files contain: 1.A signed copy of DHS criminal history record check or any other permission form approved by the Department of public Safety for conducting an Iowa or national criminal history check. 2.A copy of Request for Child Abuse Information. 3.Copies of the results of Iowa records checks conducted. 4.Copies of national criminal history check results. 5.Any Department-issued documents sent to the center related to records check.

Rule 109.9(1)b.

All files contain documentation to indicate that ongoing staff training requirements are met, including current certifications in first aid/CPR and mandatory child abuse training.

Rule 109.9(1)e.

All files contain sufficient information to allow the center to contact the parent or emergency contact at any time child is in center’s care.

Rule 109.9(2)a.

All files contain sufficient information and authorization to allow the center to secure emergency medical and dental services at any time child is in center’s care.

Rule 109.9(2)b.