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.

Qualifications for Drivers

In addition to meeting the general staff background check standards, any driver or transportation staff member who transports children for any purpose should meet certain requirements. The driver's license number and date of expiration, vehicle insurance information, and verification of current state vehicle inspection should be on file in the facility.

Immunization of Caregivers/Teachers

Caregivers/teachers should be current with all immunizations routinely recommended for adults by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) as shown in the “Recommended Adult Immunization Schedule”. The local or state health department will be able to provide guidelines for exclusion requirements.

Diaper Changing Procedure

Specific diaper changing procedure should be posted in the changing area and followed to protect the health and safety of children and staff.

Child Passenger Safety

When children are driven in a motor vehicle other than a bus, all children should be transported only if they are restrained in a developmentally appropriate car safety seat, booster seat, seat belt, or harness that is suited to the child's weight and age in accordance with state and federal laws and regulations. The child should be securely fastened, according to the manufacturer's instructions.

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.