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Emergency and Disaster Preparedness 3.6.4.5 Death 5.6.0.1* First Aid and Emergency Supplies 9.2.4.3* Disaster Planning, Training, and Communication 9.2.4.4 Written Plan for Seasonal and Pandemic Influenza 9.2.4.5* Emergency and Evacuation Drills/Exercises Policy Appendix P Situations that Require Medical Attention Right Away Quick Reference: Safe Sleep, Handwashing, Diaper Changing and Toileting Appendices Appendix G Recommended Immunization Schedule for Persons Aged 0-6 Years (only 1st and 3rd page of Appendix) 93 Appendix H* Recommended Adult Immunization Schedule Appendix J* Selecting an Appropriate Sanitizer or Disinfectant Appendix K* Routine Schedule for Cleaning, Sanitizing and Disinfecting Appendix M Recognizing Child Abuse and Neglect: Signs and Symptoms Appendix O* Care Plan for Children with Special Health Care Needs Appendix P Situations that Require Medical Attention Right Away Appendix X Adaptive Equipment for Children with Special Health Care Needs Appendix AA Medication Administration Packet Appendix II Bike Helmets: Quick Fit-Check Appendix JJ Our Child Care Center Supports Breastfeeding (Editor’s Note: All other appendices are located in (I/T) is a collection of 232 nationally recognized health and safety standards applicable to the infant and toddler population in early care and education settings.

These materials and the associated 11 Appendices are a subset of materials available in standards included in this (I/T) collection are designated with an asterisk (*).

It is critical that they have the opportunity to grow and learn in healthy and safe environments with caring and professional caregivers/teachers.

Following health and safety best practices is an important way to provide quality early care and education for young children (1). A citizen’s guide to radon: The guide to protecting yourself and your family from radon. The full edition is available on the National Resource Center for Health and Safety in Child Care and Early Education (NRC) website at

To obtain the hardcopy version of may be reproduced without permission only for educational purposes and/or personal use.

To reproduce any portion of this publication, in any form, for commercial purposes, please contact the Permissions Editor at the American Academy of Pediatrics by fax (847/434-8780), mail (PO Box 927, Elk Grove Village, IL 60007-1019), or email ([email protected]).

Document Design & Layout: Betty Geer, Lorina Washington 1.1.2.1 Minimum Age to Enter Child Care 9.2.1.3 Enrollment Information to Parents/Guardians and Caregivers/Teachers 9.4.2.3 Contents of Admission Agreement Between Child Care Program and Parent/Guardian A.

Staff Qualifications and Training 1.2.0.2* Background Screening 1.3.1.1* General Qualifications for Directors 1.3.2.2* Qualifications of Lead Teachers and Teachers 1.3.2.3 Qualifications for Assistant Teachers, Teacher Aides, and Volunteers 1.3.2.4 Additional Qualifications for Caregivers/Teachers Serving Children Three to Thirty-Five Months of Age 1.3.2.7 Qualifications and Responsibilities of Health Advocates 1.3.3.1* General Qualifications of Family Child Care Caregivers/Teachers to Operate a Family Child Care Home 1.4.1.1* Pre-service Training 1.4.2.2* Orientation for Care of Children with Special Health Care Needs 1.4.2.3* Orientation Topics 1.4.3.1* First Aid and CPR Training for Staff 1.4.5.2* Child Abuse and Neglect Education 1.5.0.2* Orientation of Substitutes 7.4.0.2 Staff Education and Policies on Enteric (Diarrheal) and Hepatitis A Virus (HAV) Infections 7.7.1.1 Staff Education and Policies on Cytomegalovirus (CMV) B.

Medication Administration 3.6.3.1* Medication Administration 3.6.3.2* Labeling, Storage, and Disposal of Medications 3.6.3.3* Training of Caregivers/Teachers to Administer Medications 9.4.2.6* Contents of Medication Record Appendix AA: Medication Administration Packet F.

Abuse/Neglect 3.4.4.1* Recognizing and Reporting Suspected Child Abuse, Neglect, and Exploitation 3.4.4.3* Preventing and Identifying Shaken Baby Syndrome/Abusive Head Trauma 3.4.4.5 Facility Layout to Reduce Risk of Child Abuse and Neglect Appendix M Recognizing Child Abuse and Neglect: Signs and Symptoms G.

These noted standards represent the most critical standards for ensuring a healthy and safe environment for infants and toddlers.

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