Management staff/ Nurse Specialist will monitor myHS tool to ensure that documentation of efforts by agency/ parents are tracked in myHS. Family Engagement Outcome: 1. Family 5. Family Engagement in Transitions 6. Family Connections to and Community 7. Families as Advocates and Leaders School Readiness Outcome: PHYSICAL HEALTH and DEVELOPMENT (b) Ensuring up-to-date child health status. (1) Within 90 calendar days after the child first attends the program or, for the home-based program option, receives a home visit, with the exceptions noted in paragraph (b)(3) of this section, a program must: (i) Obtain determinations from health care and oral health care professionals as to whether or not the child is up-to-date on a schedule of age appropriate preventive and primary medical and oral health care, based on: the well-child visits and dental periodicity schedules as prescribed by the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program of the Medicaid agency of the state in which they operate, immunization recommendations issued by the Centers for Disease Control and Prevention, and any additional recommendations from the Health Information form is used to determine each child’s medical/ dental home. Strengths and Needs Assessment revisits the question of medical and dental home. Center Base/ Family Child Care licensing forms require medical and dental home information. It be best practice for families to provide a copy from providers but it may be necessary for staff to Fax or mail for records from each provider. Review medical and dental history and records. Determine need for initial examination, further care and follow-up. Track need for initial examination, follow-up care and ongoing treatments using myHS. Staff will record Medical Provider and Dental Provider in myHS within 5 business days of receipt of information. Staff will document medical /dental home on Table of Content in individual file. A 90 Day Determination of EPSDT Status is completed within 90 days of a child’s initial entry into the program. This documentation is used to determine a child’s 90 day status. The document is kept in the child’s file throughout the child’s participation in the program. Family Engagement Outcome: 1. Family 5. Family Engagement in Transitions FSW HV Spec CDS AM *Child Health Information *Strengths and Assessment *myHS Tracking *90 Day Determination of Health Status Child Visit/ Well Child Visit with laboratory reports Child Immunization Record Dental Examination Record
Provide family with local community resources. Educate family on importance of making and keeping appointments. Use brochures, pamphlets, agency magnets, newsletters and education materials for m reliable sources. Connect family with local community resources. Record family education activities connected to a referral in myHS. Family Engagement Outcome: 1. Family 5. Family Engagement in Transitions School Readiness Outcome: PHYSICAL HEALTH and DEVELOPMENT (2) A program must implement periodic observations or other appropriate strategies for program staff and parents to identify any new or recurring developmental, medical, oral, or mental health concerns. SEC. 657A. PARENTAL CONSENT REQUIREMENT FOR NONEMERGENCY INTRUSIVE PHYSICAL EXAMINATIONS. (a) Definition- The term `nonemergency intrusive physical examination' with respect to a child, a physical examination that-- (1) is not immediately necessary to protect the health or safety of the child involved or the health or safety of another individual; and (2) requires incision or is otherwise invasive, or involves exposure of private body parts. Staff monitor children, on an ongoing basis for behavioral/ health changes. Staff will discuss concerns with parents as they arise. Document conversations. Track communications in myHS. Obtain documentation from providers for changes to that may require classroom/ diet modification during center base for children enrolled in center base programs. Annual enrollment activities include review of Child Information From, Child Nutrition Forms and Individual Health Plans. CACFP Meal Modification Form, Over the Counter Medication Form, KDHE Medication Form and Doctors orders for Medications to be provided during center base hour will be reviewed and new orders obtained annually. Heights/ Weights 0-3 Heights and weight information is obtained from the Medical Home following the ESPDT/ Well Child Scheduled. Height/weight is tracked in myHS. Parents are provided growth chart with educational information as indicated. 3-5 Heights/weights are completed at enrollment and again in January and April. All Staff Coord AM CDS Home Visit Reports/Plans KDHE Notification of Injury, Illness or Critical Incident Infant/ Toddler Daily News Staffing Request Staff/ Management Meeting Minutes Mental Health Visit Report myHS Tracking
behavior, illness, recurring medical conditions or dental changes. A staffing may be needed if teacher/ home visitor/ Community Partner determine need for more comprehensive assistance and guidance from Management Team. Track communication in child file and myHS. (3) A program must facilitate and monitor necessary oral health preventive care, treatment and follow-up, including topical fluoride treatments. In communities where there is a lack of adequate fluoride available through the water supply and for every child with moderate to severe tooth decay, a program must also facilitate fluoride supplements, and other necessary preventive measures, and further oral health treatment as recommended by the oral health professional. Determine each child’s dental home during enrollment activities and no later than 30 days of enrollment. It be best practice for families to provide a copy from the dentist of dental examination but it may be necessary for staff to Fax or mail for dental records from each child’s dental provider. Obtain release for dental records during enrollment activities. Review child’s dental history and records. Determine need for initial examination, further care and follow-up. Track need for initial examination, follow-up care and ongoing treatments using myHS. Reminders and/ or contact is made with the parent/guardian as needed according to individual child/family needs for follow-up care. Track conversations with families concerning any follow-up. Assist family as needed to keep dental appointments. Planning with families takes place for continued care when a child /family transitions out of Head Start/ Early Head Start. Documentation is tracked using myHS. Agencies and Dentists will provide children with fluoride treatments when age appropriate. Staff refer families to local agencies (Health Department/ WIC/ Health Partnership Clinics). Individual Dentists and providers apply fluoride to children’s teeth as determined by personal practices and American Dental Association guidelines. Parents are educated on the importance of fluoride in oral health. Parents will be provided educational information on the use and purpose of fluoride and be encouraged to use fluoridated toothpaste at home. Use brochures, newsletters, parent meetings and activities, socializations and other events sponsored by ECKAN. HV FSW Nurse Spec AM CDS Dental Examination record WIC document showing fluoride treatment myHS tracking
(i) Learn about preventive medical and oral health care, emergency first aid, environmental hazards, and health and safety practices for the home including health and developmental consequences of tobacco products use and exposure to lead, and safe sleep; use educational materials that are reliable when sharing information with families. Examples: Environmental Protection Agency, Safekids.org, Centers for Disease Control, Medic First Aid Pediatric First Aid/CPR, Office of Head Start-ECLKC, American Academy of Pediatrics- healthychildren.org, Kansas Department of Health & Environment, March of Dimes, WIC, myplate.gov, K-State Nutrition and other sources and publications provided and approved by ECKAN. Educational information may be presented in a variety of media including written, info bites, pointed visual aids, videos and conversation. Materials are provided in the language that family is able to read and understand. Staff listen for cues from parents/ families when determining what educational materials a family may benefit from. ECKAN provides opportunities for families to participate in trainings that they have voiced an interest in. Family Engagement Outcome: 1. Family Well-Being 5. Family Engagement in Transitions 6. Family Connections to Peers and Community 7. Families as Advocates and Leaders School Readiness Outcome: PHYSICAL HEALTH and DEVELOPMENT All Management Staff Meeting minutes Sign in sheets Family Engagement- Strength & Needs Family Engagement Goals- documentation Home Visit Plan myHS ??? (ii) Discuss their child’s nutritional status with staff, including the importance of physical activity, healthy eating, and the negative health consequences of beverages, and how to select and prepare nutritious foods that meet the family’s nutrition and food budget needs; Parent and staff discuss nutrition and diet while completing enrollment/ 45 day activities (Nutrition Assessment, First Home Visit Questionnaire, Child Health Information, Protective Factors Survey). provide opportunities for families to participate in program activities that model healthy habits such as preparing meals and snacks for socializations, eating in classrooms in center base programs, volunteering in the classroom, planning for home visits All staff AM Coord Health Coor/ Nurse Spec Nutrition Assessment First Home Visit Questionnaire Child Health Information Parent sign in sheet Parent Meeting Minutes DOT Plan
and socializations and parent meetings that include active play, menu planning and budging, etc. Staff use approved curriculum during program activities that encourage nutrition and physical activity. Staff listen for cues from parents/ families when determining what educational materials a family may benefit from. Staff use reliable educational materials when sharing information with families. Examples: Growing Kids, March of Dimes, WIC, myplate.gov, K-State Research and Extension- Food, Nutrition & Health, CACFP Kansas, USDA, American Academy of Pediatrics- healthychildren.org, Office of Head Start-ECLKC and other sources and publications provided and approved by ECKAN. Track child/ family direct service in myHS. ECKAN provides opportunities for families to participate in trainings that they have voiced interest in. ECKAN provides opportunities for families to become active members in community events and participate on committees that address community health and nutrition. Family Engagement Outcome: 1. Family Well-Being 5. Family Engagement in Transitions 6. Family Connections to Peers and Community 7. Families as Advocates and Leaders School Readiness Outcome: PHYSICAL HEALTH and DEVELOPMENT Brochures/ pamphlets Menus/ Recipes Lesson Plans/ Home Visit Plans Approved Curriculums myHS (iii) Learn about healthy pregnancy and postpartum care, as appropriate, including treatment options for parental mental health or substance abuse problems, including perinatal depression use reliable educational materials when sharing information with families. Examples: Growing Kids, March of Dimes, WIC, Office of Head Start-ECLKC and publications provided and approved by ECKAN. Educational information may be presented in a variety of media including written, info bites, pointed visual aids, videos and conversation. HV FSW Health Coord/ Nurse Spec AM Home Plan IFPA Contact notes myHS
Referrals are made, when appropriate, for pregnant families needing substance abuse or mental health support. Track referrals in myHS. Follow up monthly on ongoing referrals. Health Coor/ Nurse Spec (iv)Discuss with staff and identify issues related to child mental health and social and emotional well-being, including observations and any concerns about their child’s mental health, typical and atypical behavior and development, and how to appropriately respond to their child and promote their child’s social and emotional development; and, obtain parent input on child’s mental health, while developing trusting relationships and acknowledging diversity and cultural differences, through conversation with parents during: Staff and parent complete ASQ:SE behavior screening within 45 days of enrollment. Staff document results and concerns on ASQ-SE form to help clarify questions. First Home Visit Questionnaire is completed as part of enrollment procedure. Staff document observations to share with parents. Staff use time with parents as teachable moments sharing information through written materials, newsletters, video, group & individual discussions which focus on: Typical development/ milestones and progress Behavior strategies parents may use with their children Informing parents of separation issues in children. Facilitate attachment and security: assist parents in learning about attachment and security by developing trust, affection, and positive self-esteem in children by using written information, videos, and group and individual discussion. Staff make referrals to Mental Health Consultant within 4 days of signed MH referral. Staff uses knowledge of local resources identified in the Resource Book to assist parents in linking them to MH services in local communities. The program may offer assistance with child care needs, transportation as appropriate and when funds are available. Mental Health Consultant will be available to staff and parents. Teachers Community Partner Staff FSW HV AM CPS CDS MH Coordinator AM CDS ASQ-SE First Home Visit Questionnaire Anecdotal Home Plan Mental Health Consultation Notes myhs (v) Learn about appropriate vehicle and pedestrian safety for keeping children safe. Car seat safety educational materials are included in the parent handbook. Home Visitors Center Staff Acknowledgment of Parent Handbook
determine operability in an emergency. See Office of the State Fire Marshal Kansas Regulation Sites will be up-dated to meet most recent Federal, State and Local Surveyors. (vii) Free from firearms or other weapons that are accessible to children; Storage of weapons No child in care shall have access to weapons. All weapons shall be stored in a locked room, closet, container, or cabinet. Ammunition shall be kept in locked storage separate from other weapons. Center Staff/ Child Care Partnership Sites Area Manager CPS CPS Coordinators Area Managers Health & Safety Checklist Daily Classroom Checklist Monitoring Tools Annual Calendar (viii) Designed to separate toileting and diapering areas from areas for preparing food, cooking, eating, or children’s activities; Staff use health & safety checklists, Environmental Rating Scales and monitoring tools to monitor sites for hazards. Staff report hazards to supervisor immediately. make potentially hazardous area inaccessible to children and families until problem is resolved. will be up-dated to meet most recent Federal, State and Local Surveyors Center Staff/ Child Care Partnership Sites Area Manager CPS CPS Coordinators Area Managers Health & Safety Checklist Daily Classroom Checklist Monitoring Tools Annual Calendar Kept safe through an ongoing system of preventative maintenance. Staff use health & safety checklists, Environmental Rating Scales and monitoring tools to monitor sites for hazards. Staff report hazards to supervisor immediately. Staff make potentially hazardous area inaccessible to children and families until problem is resolved. Sites will be up-dated to meet most recent Federal, State and Local Surveyors Center Staff/ Child Care Partnership Sites Area Manager CPS CPS Coordinators Monitoring Tools Annual Calendar Maintenance Records
children safe during all activities, including, at a minimum: (iii) Appropriate indoor and outdoor supervision of children at all times; All staff counted in child-staff ratio receive training on child supervision within 7 days of employment and before placed in child-staff ratio. programs, caregivers/teachers will directly supervise children by sight and sound at all times. Family childcare settings, caregivers will directly supervise children by sight or sound. When children are sleeping, caregivers may supervise by sound with frequent visual checks. Family Childcare sites will have a written supervision plan. (See Kansas Licensing Regulations for Licensing Day Care Homes & Group Day Care Homes for Children. Developmentally appropriate ratios will be met during all hours of operation. Area Manager CPS CPS Coordinators Area Managers Environmental Rating Scales Health & Safety Checklist Daily Classroom Checklist Monitoring Tools Annual Calendar (iv) Only releasing children to an authorized Staff is educated on policy for child pick up/ release. Parent is educated on policy for child pick up/ release using parent handbook. A child will not be released to anyone who is not on the emergency contact list. Parents may make changes to the emergency contact list, at any time, by submitting a written request to the center staff. The written request must contain the full name of the person added, the parent or legal guardian’s signature and the date of notification. Staff will request photo identification of any person they do not recognize. Center Staff/ Child Care Partnership Sites Area Manager CPS CPS Coordinators Area Managers Acknowledgement of Parent Handbook myhs File Sign-out documents (v) All standards of conduct described in §1302.90(c). See 1302.90 (c) 6) Hygiene practices. All staff systematically and routinely implement hygiene practices that at a minimum ensure: (i) Appropriate toileting, hand washing, and diapering procedures are followed; Toileting: Toileting facilities meet Federal, State and local regulation and codes. Children will be allowed to use the toilet at their request, at any time during the day. Toileting is incorporated as part of the daily routine. will assist children, as needed with toileting. Staff and children follow handwashing procedure. Handwashing: Center Staff/ Child Care Partnership Sites Area Manager CPS CPS Coordinators Professional Development Plans Employee File Monitoring tools Annual Calendar