Integrated Pest Management

Programs should adopt an integrated pest management program to ensure long-term, environmentally sound pest suppression through a range of practices including pest exclusion, sanitation and clutter control, and elimination of conditions that are conducive to pest infestations.

Child Care Health Consultants

Child care health consultants are health professionals who know about child health, child development, and health and safety in child care settings.

Inclusion/Exclusion/Dismissal of Children

The program should notify parents/guardians when children develop new signs or symptoms of illness. Parent/guardian notification should be immediate for emergency or urgent issues. Staff should notify parents/guardians of children who have symptoms that require exclusion, and parents/guardians should remove children from the early care and education setting as soon as possible. For children whose symptoms do not require exclusion, verbal or written notification to the parent/guardian at the end of the day is acceptable. Most conditions that require exclusion do not require a primary health care provider visit before re-entering care.

Contents of Child Records

Programs should maintain a confidential file for each child in one central location on-site and should be immediately available to the child's caregivers/teachers (who should have parental/guardian consent for access to records), the child's parents/guardians, and the licensing authority upon request. The file for each child should include specific items.

Children and Youth Task Force in Disasters: Guidelines for Development

Children and youth are at heightened risk in disasters and public health emergencies. In an effort to meet the challenge of addressing the complex needs of children, youth, and families in disasters, the Administration for Children and Families (ACF), Office of Human Services Emergency Preparedness and Response (OHSEPR) and partners from across the nation developed a model. It was designed to bring together Whole Community child-and youth-serving agencies, organizations, and professionals in a single forum for shared strategic coordination to meet the needs of children and youth. The Children and Youth Task Force model has emerged as a promising practice to promote effective coordination of these diverse systems and agencies.

Preventing Expulsions, Suspensions, and Other Limitations in Services

Programs should have a comprehensive discipline policy that includes developmentally appropriate social-emotional and behavioral health promotion practices as well as discipline and intervention procedures that provide specific guidance on what caregivers/teachers and programs should do to prevent and respond to challenging behaviors.

Pre-service Training/Orientation

Before or during the first three months of employment, training and orientation should detail health and safety issues for early care and education settings. All directors or program administrators and caregivers/teachers should document receipt of training.

Infectious Disease Outbreak Control

During an identified outbreak of any reportable illness at the program, a child or staff member should be excluded if the local health department official or primary health care provider suspects that the child or staff member is contributing to transmission of the illness, is not adequately immunized when there is an outbreak of a vaccine-preventable disease, or the circulating pathogen poses an increased risk to the individual.