HACAP Head Start-Marita Theisen

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).

Each infant and toddler shall be diapered in a sanitary manner as frequently as needed at a central diapering area. Diapering, sanitation, and hand-washing procedures shall be posted and implemented in every diapering area. There shall be at least one changing table for every 15 infants.

Rule 109.12(4)b.

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).

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.

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

Rule 109.11(4)b.

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).

Infectious disease control: Centers shall establish policies and procedures related to infection disease control and use of universal precautions with handling of bodily fluid. Soiled diapers shall be stored in containers separate from other waste.

Rule 109.10(5).

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.

•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).

All staff(within first 3 months of employment) •Two hours of approved training FOR the mandatory reporting of child abuse. •At least one hour of training regarding universal precautions and infectious disease control. •Certification in American Red Cross, American Heart Association, American Safety and Health institute or MEDIC 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, approved by the Department. If significant changes occur to content, the Department may require the training be renewed.

Rule 109.7(1).

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)d.

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.

•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).

•Infants diapered in a sanitary manner as needed in central diapering area. •One changing table for every 15 infants/toddlers needing diaper changes. •Diapering, sanitation, and handwashing procedures posted and implemented in central diapering area.

Rule 109.12(5)b.

•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).

•Sanitary and safe methods in food preparation, serving, and storage sufficient to prevent transmission of disease, infestation, and spoilage are followed. •Staff preparing food that have injuries on hands wear protective gloves. •Staff serving food use clean serving utensils and have clean hands/wear protective gloves.

Rule 109.15(5)b.

Daily written records are maintained for each child under two years of age and include time periods slept, amount of/time food consumed, time/irregularities of elimination patterns, general disposition, and general summary of activities.

Rule 109.9(4).