Health and Medical Care Information

Health Care

1. In case of an Accident or Emergency:
   
   
   1. Minor injuries will be treated and the child will be allowed to remain in the classroom.  All minor injuries will be recorded in the Accident Log found in each classroom.  Parents will receive an accident report form with relevant information.
      
      
   2. In the event of a life threatening emergency, staff will call 911.  Parents will be notified immediately.  They will be instructed as to the course of action taken.  A staff member will remain with the child until a parent or an authorized emergency contact person can assume responsibility.
      
      
   3. In the event of an illness or injury that is not life threatening, first aid will be given by attending staff.  Parents will be notified and we will follow parent instructions as to the best course of action in order to provide medical care.
      
      
   4. In case of a medical emergency, children will be transported either by private car, school van, or ambulance, to Children’s Orthopedic Hospital.
      
      
2. Hospitals Used for Emergencies:
   
   
   • Children’s Orthopedic Hospital
     4800 Sandpoint Way, Seattle, WA.  98105
     (206) 526-2000
     
     
   • University of Washington Medical Center
     1959 N.E. Pacific St.  Seattle, WA.  98195
     (206) 598-4000
     
     
   • Harborview Medical Center
     325 9^th Ave.  Seattle, WA.  98104
     (206) 731-3000
     
     
     
3. Policy on Medication:
   
   
   1. La Escuelita will disburse prescription medication if medication is in the original container with the physician’s instructions for administration on the label.  Medication will be placed in the Medication Container in the school’s refrigerator.  Waddlers and Toddlers medication will be stored in their cubbies.  Do not leave medication in lunch boxes, backpacks or anywhere that may be accessible to children.  A medication form (available at the sign-in sheet area) must be completed indicating time, dosage and duration of medication.
      
      
   2. There are certain groups of non-prescription medications that can be administered.  Parents must provide all medication inclusive of Tylenol.
      (WE WILL REQUIRE A PHYSICIAN’S PRESCRIPTION INDICATING DOSAGE FOR CHILDREN UNDER TWO YEARS OLD.)
      
      
      • Antihistamines
        (Benadryl,Sudafed)
        
        
      • Nonaspirin pain relievers and fever reducers
        (Tylenol, Datril, Liquiprin)
        
        
      • Cough Medicine
        (Robitussin, Triaminic)
        
        
      • Decongestants
        (Dimetapp, Pediacare, Robitussin)
        
        
      • Diaper Ointments
        (A&D, Desitin)
        
        
   3. ALL MEDICINE must be in the original container labeled with the CHILD’S name with clear instructions for use.  Medication must indicate dosage by age.
      
      
   4. It is suggested that parents request the pharmacist’s prepare two containers when the prescription is filled (one for home and one for child care.)
      
      
      OR
      
      
   5. Send the container with the pharmacist’s or manufacturer’s label to child care and keep a supply in self-labeled container at home.  Physician’s sample medications can only be given if accompanied by written directions from the health care provider for administration including:
      
      
      • Child’s first and last names
        
        
      • Date the prescription was filled
        
        
      • Dose, duration and method of administration
        
        
   6. For medications which are to be given for more than a one month duration (e.g. for asthma, epilepsy and other long term conditions), the parent authorization form will be signed monthly or when prescription is changed.  These policies also apply to homeopathic medicines.
      
   7. PARENTS MUST SIGN ALL MEDICATION AUTHORIZATION FORMS BOTH PRESCRIPTION AND NON-PRESCRIPTION FOR MEDICATION TO BE ADMINISTRATED BY STAFF.
      
   8. Parents must pick-up unused medication from the storage container.  If not picked-up, it will be properly disposed of.
      

Health Practices

Staff will conduct a daily health check of children when they arrive at the facility.  La Escuelita will report communicable illness to the nurse and the local Health Department.  We will follow their recommendations in terms of excluding children and notifying all parents in order to protect all the children.

1. Staff or parents in the classroom will wash hands after diaper changes or toileting, coming into contact with body fluids and before food preparation.
   
2. Parents and visitors need to wash their hands before entering a classroom if they come to interact with the children in our classrooms.
   
3. Children will be required to wash their hands upon arrival, after toileting, before meals and/or after their learning activities.
   
4. Diaper changing guidelines are posted at each changing station.  Cleanliness in the changing area is extremely important.  Staff will wash hands before and after each diaper change, and disinfect the diaper pail.  Soiled clothing and plastic pants will be placed in a plastic bag.  Soiled clothing must be removed by parents daily.  We request that only staff change diapers for our children, while they are in the center.
   Toilet training:  Toilet training is dependent on the child’s physical and emotional development.  Using the bathroom as “big kids” is also a socialization process.  Children need to feel comfortable and safe undertaking this new behavior.  Parents and staff will agree upon the appropriate time to begin toilet training.  Parents need to provide training pants or “disposable pull-ups” to assist in the process.  Children need to be encouraged and praised for their success.  Set backs need to be taken in stride.  We need to focus on the achievements.  Children can not be forced or coerced into toilet training.  Toilet training, however, is not successful if it is practiced only at home or the Center.  It needs a consistent and mutual effort.
   
   
5. Small toys will be disinfected on a daily basis.  Larger equipment will be disinfected weekly.
   
6. There are sufficient mat covers to change linen as needed.  Soiled linen is sanitized and washed on a weekly basis by the center.
   
   
7. Procedures for Excluding Children:
   Children will not be permitted at the day care with any of the following:
   
   • Fever of 101 F (auxiliary) or higher, 101 F mouth, 102 F rectal.
     
   • Vomiting on two or more occasions within the past 24 hours.
     
   • Diarrhea - three or more watery stools in a 24 hour period.
     
   • Draining rash.
     
   • Undiagnosed eye discharge or pink eye.
     
   • Fatigued, difficult to wake, confused or irritated.
     
   • Lice or nits
     
   • Undiagnosed rash not associated with heat, diapering or allergic reaction.
     
   • All Communicable Illnesses.
     
   • Staff informs the supervisors/director concerning an illness in the classroom.  Supervisors/director will determine if child needs to be excluded.  Parents and the Public Health nurse will be notified.