Forms, Policies, and Checklists

Nutrition and Feeding Care Plan

The development and implementation of a care plan for a child with feeding and/or nutritional issues should be determined by each child's unique needs. This form defines all members of the child's care team; specifies the communication approaches of the team members; details the strategies for appropriately caring for the child with special dietary and/or feeding concerns in group care settings, and identifies accommodations/modifications necessary while the child is in care.

Medication Administration Form

Child care programs must have a written policy for the use of any medication (prescription and nonprescription) that the facility keeps on hand to use with parental consent. This form documents such authorization of administration of medication for a child while in care. The reverse side of the form is a monthly medication log that allows the monitoring and tracking of medication dispensation.

Information Exchange on Children with Health Concerns

Working with a parent/guardian, a child care provider can obtain relevant information on a child's health and development from the child's health care provider in an effort to better understand and address the child's unique needs. This form authorizes the exchange of information. It is completed by the child care provider and signed by the parents, giving consent for release of such information from the health care provider to the child care provider.

Toy Safety Checklist

Use this checklist to help keep children safe while using the learning equipment and materials provided in the child care settings.

This form was developed by CCHP staff and is excerpted from Health and Safety in the Child Care Setting: Prevention of Injuries, A Curriculum for the Training of Child Care Providers, 2nd Ed.

Quality Inclusive Child Care Checklist

Quality care provides a safe and healthy learning environment that supports the social, physical, intellectual, creative and emotional development of all children. This checklist assists parents of children with disabilities or special needs in looking, listening and asking questions in the process of selecting the child care setting that best meets the needs of their child and family. It can also assist programs in identifying the necessary components of a quality inclusive child care setting as they evaluate their program and services provided.

CCHP Health and Safety Policies Checklist

The California Childcare Health Program Health and Safety Policies Checklist (2005) was developed to objectively assess written health and safety policies in early care and education programs. The Checklist can be used by child care providers or directors, child care health advocates, child care health consultants, health professionals, and researchers. It assesses the quality of written health and safety policies and helps child care and health professionals identify how to improve written policies and target interventions.

CCHP Health and Safety Checklist Summary

The CCHP Health and Safety Checklist Summary is designed to be completed after a health and safety assessment in an early care and education program is conducted using the CCHP Health and Safety Checklist-Revised. The Summary Form is organized by subscale and there are three columns to complete for each subscale: # of standards (items) which meet the National Standards, # of standards (items) which do NOT meet the National Standards, and action steps needed to meet the National Standards.   
 

CCHP Health and Safety Checklist

The Health and Safety Checklist is a 112-item tool developed to assess key health and safety standards and identify ways to improve health and safety in early care and education (ECE) programs. The Checklist includes 72 out of the 138 key health and safety standards in Stepping Stones Third Edition. The Checklist was reviewed by an advisory committee of health and safety experts and pilot tested by child care health consultants. The Checklist is user-friendly, easy-to-understand and has links to the Caring for Our Children standards and other related resources.

Pages