Infant and Toddler Care: Improving Quality Through Health

Infant and Toddler Care: Improving Quality Through Health and Safety Practices Danette Swanson Glassy, MD, FAAP CA Head Start Association 2015 Health Institute Los Angeles, CA April 29, 2015 Danette Swanson Glassy, MD, FAAP Mercer Island Pediatrics

Advisory Committee, Head Start National Center on Health Co-Editor, Caring For Our Children, National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs, 3rd Edition School readiness begins with health! Agenda

National Center on Health Best-Practice/Standards/Regulations Oh My! Infant/Toddler Care-a few highlights Medical Home

Infection Control Immunizations: children and adults Safe Sleep Developmental Screening Feeding solids (anemia/allergy issues) Nutrition/Physical Activity Others? Resources Measure Your Quality School readiness begins with health! What is Health?

Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. World Health Organization, 1948 School readiness begins with health! Office of Head Start National Centers School readiness begins with health!

Head Start National Center on Health Our Goal: Fostering a culture of health and wellness for children, families, staff, and communities Our Foundation: School readiness begins with health! School readiness begins with health!

Health Literacy School readiness begins with health! National Center on Health Partners American Academy of Pediatrics Education Development Center, Inc. Center for Child and Human Development at Georgetown University National Maternal and Child Oral Health Resource Center at Georgetown University UCLA Health Care Institute at the UCLA Anderson

School of Management School readiness begins with health! NCH Resources http://eclkc.ohs.acf.hhs.gov/hslc/tta-system/health/center

Newsletters Online courses Webinars Fact sheets T/TA tools School readiness begins with health! OHS Priority Health Issues

Healthy active living Mental health Safety and injury prevention Health literacy Oral health and dental homes Asthma prevention with special emphasis on tobacco exposure prevention School readiness begins with health!

Emerging Issues Emergency preparedness and response Connecting children with medical and dental homes Health manager networks Health and home visiting Toxic stress and trauma in early childhood Orientation for new health managers Staff wellness

School readiness begins with health! Whos Here Today? Health Managers? Family Services Managers? Other Area Managers? Classroom Staff, Home Visiting Staff, or Family Child Care Providers? Parents or Family Members?

Directors or Administrators? Governing Boards/Tribal Council/Policy Council? Community Partners? TA Staff? Federal Staff? Other? From California or Other States? School readiness begins with health! Quality

Evidence-based, expert informed * Head Start Program Performance Standards Accreditation Requirements State Child Care Regulations Evaluator Interpretation School readiness begins with health! Medical Home Overall better health with true Medical Home

accessible, continuous, comprehensive, family-centered, coordinated,

compassionate, and culturally effective School readiness begins with health! Medical Home Access-Use local outreach advocates: Covered California Outreach and Education Grant Partners http:// www.dhcs.ca.gov/services/medi-cal/eligibility/Documents/ OE/OutreachandEducntygrantees.pdf Promote www.WellVisitPlanner.org

Communication Call, really, I mean it! School readiness begins with health! Infection Control Infants and Toddlers more vulnerable Infants with fever hospitalized if under 2-3 months With flu hospitalized at the same rate as senior citizens Diarrheal illness significantly

reduced with proper hand hygiene, sanitizing/disinfecting School readiness begins with health! Infection Control Cleaning, Sanitizing, Disinfecting Written policy Which-for-What: CFOC Appendices J and K http://cfoc.nrckids.org Alameda County Green Child Care: http://acgov.org/ece/green_childcare.htm

Coalition for Safety and Health in Early Learning: http://cshelwa.org/downloads/13_Disinfect_E15L.pdf School readiness begins with health! Infection Control Hand Hygiene http://www.cdc.gov/CDCTV/handstogether/ http://www.cdc.gov/CDCTV/WashYourHands/ School readiness begins with health! Infection Control

Diapering Use posters: http://www.ecels-healthychildcarepa.org/ http://here.doh.wa.gov/materials/how-to-change-a-dia per/12_DiaperCCsm_E12L.pdf Policy for parents using the diapering area Hand washing nowhere near food and bottle prep sink/area School readiness begins with health! Infection Control Inclusion/Exclusion

Written policy shared with parents-Plan B Help from health professional Child Care Health Consultant Health Services Advisory Member (Weaving Connections) Specific childs Health Care Provider (call, really) School readiness begins with health! Immunizations Timing critical for Infants and Toddlers

Trusted Advisor Parent Friendly resources Staff Immunizations a must Parent Immunizations http://www.cdph.ca.gov/ programs/immunize/Pages/ Schools-and-ChildcareCenters.aspx School readiness begins with health! Immunizations Resources Measles Simulation: http://

CA DOH: fred.publichealth.pitt http://www.cdph.ca.gov/progr .edu/measles/ ams/immunize/Pages/Schoolsresults.php and-Childcare-Centers.aspx AAP: https://www2.aap.org/immuni zation/index.html School readiness begins with health! Developmental Screening

Critical Elements Evidenced based tool Easy to understand and use Practice communicating results Know how to refer Always share results with health care provider School readiness begins with health!

Developmental Screening EHS tip sheet No. 6 Learn the Signs, Act Early Home pagehttp://www.cdc.gov/ncbddd/actearly /index.html Free online training for Early Education and Child Care Providershttp://www.cdc.gov/ncbddd/watchm etraining/index.html School readiness begins with health! Safe Sleep

More than SIDS, think SUIDS Sudden Unexplained Infant Deaths Positioning AND Environmentcribs, blankets, temperature, cords, bumpers Resources and Free online traininghttp:// www.healthychildcare.org/sids.ht ml School readiness begins with health! Safe Sleep http://www.healthychildcare.org/sids.html

A Parents' Guide to Safe Sleep ( Also available in Spanish) This brochure includes information for parents about infant sleep positioning and practices as well as describes how parents can work with child care providers to ensure that safe sleep practices are used in all child care settings as well as at home. (Updated April 2012) A Child Care Provider's Guide to Safe Sleep (Also available in Spanish) This easy-to-read brochure provides child care providers with information about ways to promote safe sleep practices and reduce the risk of SIDS. (Updated April 2012) Tummy Time This brochure provides information about the importance of

supervised tummy time and how it promotes healthy development. (Revised 2011) School readiness begins with health! Safe Sleep More information about the new play yard standards. Links to keeping babies safe in their sleeping environments is at the Crib Information Center on CPSCs website.

Online learning module: Safe Sleep Practices and SIDS/Su ffocation Risk Reduction This spinoff includes safe sleep practice standards from Caring for Our Children, 3rd Edition. www.healthychildcare.org/sids School readiness begins with health! Feeding Solids

Cue feed, just like feeding bottles New recommendations: Promote iron-rich foods early on Introduce allergy-prone foods before 12 months School readiness begins with health! Nutrition/Physical Activity Remember NCH website: http://

eclkc.ohs.acf.hhs.gov/hslc/tta-system/h ealth/nutrition/nutrition.html http:// eclkc.ohs.acf.hhs.gov/hslc/tta-system/h ealth/healthy-active-living/healthy-acti ve-living.html School readiness begins with health! Little Voices for Healthy Choices School readiness begins with health!

Nutrition/Physical Activity Containers Resources to keep infants and toddlers moving: Motion Moments-http ://nrckids.org/index.cfm/prod ucts/videos/motion-moments 1 / Bright Futures-http://www.brightfut ures.org/physicalactivity/pdf/I nfancy.pdf

School readiness begins with health! Others School readiness begins with health! Resources Caring For Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education, 3rd Edition http://cfoc.nrckids.org

Available in print or online School readiness begins with health! Resources CFOC Spinoffs: Caring for Infants and Toddlers in Early Care and Education Stepping Stones* Preventing Childhood Obesity in ECE Programs* Safe Sleep Practices and SIDS/Suffocation

Risk Reduction Oral Health in Child Care and Early Education Environmental Health in ECE Coming Soon: Caring for Children with Special Health Care Needs in ECE School readiness begins with health! Resources Healthy Child Care America www.healthychildcare.org AAP Information, resources, trainings

Sign up for newsletter School readiness begins with health! Resources National Resource Center for Health and Safety in Child Care and Early Education www.nrckids.org Houses CFOC and Spin Offs Search state child care regulations

Child Care Health and Policy information Sign up for E-Resources Newsletters School readiness begins with health! Resources AAP books Managing Infectious Diseases in Child Care and Schools, 3rd Edition Easy to use guide with specific diseases and conditions

Easy to copy information about inclusion and exclusion School readiness begins with health! Resources AAP Books Managing Chronic Health Conditions in Child Care and Schools Easy to use format, specific conditions addressed, easy to

reproduce forms and handouts School readiness begins with health! Resources AAP Books Model Child Care Health Policies, 5th edition Also available online at http:// www.ecels-healthychildcarepa.org/p ublications/manuals-pamphlets-polic ies/item/248-model-child-care-healt h-policies

School readiness begins with health! Resources AAP Books PedFACTs-Pediatric First Aid for Caregivers and Teachers, 2nd edition Manual and a training program www.pedfactsonline.com School readiness begins with health!

Resources Health Consultation Websites California Child Care Health: http://www.ucsfchildcarehealth.org/ Disinfecting/Sanitizing Worksheets Integrated Pest Management Toolkit Health and Safety Checklist School readiness begins with health! Resources Health Consultation Websites

Early Childhood Education Linkage System http://www.ecels-healthychildcarepa.org/ Professional Development, Training, Tools Public Health Seattle King County Child Care Health Program http:// www.kingcounty.gov/healthservices/health/child/childc are.aspx Trainings, Tools, Model Policy recently updated School readiness begins with health! Measure Your Quality

Head Start Health and Safety Checklist Stepping Stones to Caring for Our Children, 3rd Edition Compliance/Comparison Checklist http://nrckids.org/index.cfm/products/stepping-sto nes-to-caring-for-our-children-3rd-edition-ss3 / CCCH Health and Safety Checklist http:// www.ucsfchildcarehealth.org/pdfs/Checklists/HS_Ch ecklist.pdf School readiness begins with health!

National Center on Health Contact Information Toll-free: 888-227-5125 E-mail: [email protected] Website: http://eclkc.ohs.acf.hhs.gov/hslc/ttasystem/health/center School readiness begins with health!

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