Phone (419) 784-5136 | Address: 1933 E 2nd Street Defiance, Ohio 43512

Lice

POLICY:

NOCAC staff will lower the risk of spreading Pediculosis (head lice) in our classrooms and centers through preventative health practices and appropriate reporting procedures recommended by the Center for Disease Control (CDC), American Academy of Pediatrics (AAP), The National Association of School Nurses and the NOCAC Health Services Advisory Board.

The goals of NOCAC Head Start are to:

  1. Decrease school absenteeism due to lice.
  2. Support families in their efforts to control and eliminate lice.
  3. Maintain confidentiality.

 

GENERAL GUIDELINES:

  • Routine or periodic classroom screening is not recommended. NOCAC will conduct two formal screenings per program year.
  • All suspected or identified infestations will be managed discreetly so the child is not ostracized, isolated, humiliated or psychologically traumatized.
  • Children should be discouraged from close head-to-head contact with others.
  • Education staff and Family Advocates follow-up with family to ensure that the infestation is being addressed appropriately until the infestation has ended.

PROCEDURES:

Prevention

  1. Every classroom will screen children two times per year for head lice.
    1. The first screening to be completed by the end of the second week at the start of the program year.
    2. The second screening to be completed by the end of the first week in January.
    3. Refer to How to Screen for Lice and Nits for guidance on checking hair.
  2. Each child will have their own personal comb that will remain in their cubby.
  3. Children and staff with long hair will be encouraged to keep it pulled back until treatment is complete.

 

When a child is found to have live lice:

  1. NOCAC staff will notify the family and a Head Lice Information Packet will be sent home with the child. Emergency Contacts do not need to be called, this is NOT an emergency.
  2. Children with live head lice can remain at the center and go home at the end of the school day and return to school after being treated with an effective pediculicide. The child must be excluded from head-to-head contact with other children or adults until treated.
  3. It is NOT mandatory that the child is immediately sent home from the center, however if the parent offers to pick up the child, that is acceptable.
  4. Staff will complete a Child Health Observation Form by the end of the class and send home the Communicable Disease/Exposure Notice parent letter with each child present that day.
  5. The family is instructed that the child should be treated is included in the Head Lice Information Packet.
    1. Ongoing communication between the staff and family during this process is essential.
    2. Families may be asked to show receipts, doctor notes or other forms of evidence of treatment, when a child returns to the center and it appears that no treatment has taken place.
  6. When a child has recurrent or repeated cases of live lice, the education staff, Family Advocates and the Health and Safety Manager will develop a plan with the family meeting the above noted goals, including frequency of Exposure Notice to parents requirements.
  7. In some cases (based on the Family Advocate and the Health and Safety Manager judgment), it may be appropriate to have the child’s head checked upon return to school.

 

When a child is found to have nits present (no live lice detected):

  1. The family is notified and a Head Lice Information Packet will be sent home with the child.
  2. Immediate or long-term exclusion is not required.
  3. The child is NOT required to be sent home from school but is required to be excluded from head-to-head activities and contact with other children while finishing out the day.
  4. The family is encouraged to follow indicated treatment plan their healthcare provider has given them and nit-pick (regularly for the next two weeks).
  5. If future checks reveal an increased number or nits present or it is obvious to the screener that the child’s hair has not been treated, the parent will be contacted by the teacher or Family Advocate for follow-up and support.

 

When to check beyond the identified child with live lice or nits:

  1. If the infected child has a sibling in the Center, he/she needs to be checked.
  2. NOCAC Staff will ask the family to check other siblings and family members and offer support as needed. On occasion NOCAC staff will be asked to provide additional support to families.

 

Classroom Environment

  1. The classroom is only one of many environments where head lice can be transmitted.
  2. Classroom tips:
    1. NOCAC Staff will vacuum the affected classroom
    2. Stuffed animals and pillows will be bagged for two weeks
    3. Past practices of separating coats, bleaching toys and furniture, combs, brushes or other personal items have been found not to be as important as research shows that lice cannot survive on inanimate objects. Hence, there is little, if any, reason to focus efforts.
    4. Pesticide sprays are NOT recommended as they have NOT been proven to be effective and they are a health hazard.

Note:

  1. The Health and Safety Manager will use professional judgment to determine when unusual measures are necessary to respond extraordinary cases.
  2. If the family is not compliant with the treatment options and the child misses several days of class, NOCAC may choose to implement the following measures:
    1. Home visits
    2. Referrals to outside agencies
    3. Report to protective services
  3. Collaborative sites or centers located in public schools may have a policy different from NOCAC.

 

Forms and Additional Guidance:

 

This policy complies with the following

Head Start Program Performance Standard:   http://eclk.ohs.acf.hhs.gov/sites/default/files/pdf/health-services-newsletter-201507.pdf
ODJFS Child Care Manual:    
CACFP Regulation:    
Caring for Our Children:   http://nrckids.org/CFOC/Database/7.5.8.1  Pediculosis Capitis (Head Lice)
Other Sources:    
Adopted with Board & Policy Council Approvals:    
Revised with Board & Policy Council Approvals:    
Effective Date 3/4/19 Revision Date  
Approved by Policy Council 3/4/19 Revision Approved by PC  
Approved by Board of Director 3/4/19 Revision Approved by BD  

Employee Health Requirements

POLICY:

A NOCAC Child Development employee will have a completed medical statement on file on or before the first day of employment. NOCAC will ensure staff do not, because of communicable diseases, pose a significant risk to the health or safety of others in the program.

 

PROCEDURES:

Physical Examination

  1. All NOCAC Child Devlopment employees must have an initial physical exam completed on or before their first day of employment and as their physician recommends thereafter.
  2. The completed original form, signed by a physician, is sent to the Director of Child Development.
    1. The Data Entry Specialist scans and enters the physical into ChildPlus.
    2. A copy of the physical is sent to the Center Manager for the employees Day Care Licensing file on site.

 

Immunizations

  1. As of January 1, 2018, ODJFS Day Care Licensing requires all employees to have on file written verification of being immunized against measles, mumps and rubella (MMR), pertussis (Tdap), tetanus, and diphtheria.
  2. Immunization records are maintained in ChildPlus and the employee’s Day Care Licensing File.
  3. Employees must complete the Employee Immunization Exemption Form in lieu of providing immunization records.

 

Tuberculosis (TB)

  1. NOCAC Child Development Employees need to be free of TB upon hire and as recommended by their physician, which is assumed by a complete medical exam that has been marked “physically fit”.
  2. The Annual TB Questionnaire will be used to screen all NOCAC Child Development Employees.
  3. TB guidelines are based on the Community Health Assessment and recommendation of the Health Services Advisory Committee.
    1. Initial clearance is documented on the new hire physical form.
    2. The Health and Safety Manager initiates the annual TB clearance at Fall Orientation and reviews each question to determine necessary medical follow-up on a case by case basis.
    3. Screening are tracking in ChildPlus.

 

Forms and Additional Guidance:

This policy complies with the following

Head Start Program Performance Standard:    1302.93
ODJFS Child Care Manual:    5101:2-12-08
CACFP Regulation:    
Caring for Our Children:    1.7.0.1
Other Sources:    

 

Effective Date:   8/7/17
Approved by Policy Council:   8/7/17

Communicable Disease Statement

POLICY:

NOCAC Child Development will reduce the spread of communicable diseases among children and staff through proper hygiene, housekeeping and infection control practices.

 

PROCEDURES:

  1. NOCAC staff follows the most updated version of the ODJFS (Ohio Job and Family Services) Communicable Disease Chart and all state food service requirements.
    1. The ODJFS Communicable Disease Chart should be posted in a location that is easily accessible by parents and staff.
  2. The program temporarily excludes a child who exhibits recognizable signs of communicable disease or illness to protect the health of the affected child, other children and staff.
  3. Classroom teaching staff perform routine health checks of all children before children daily.
  4. If a child is suspected of having a communicable disease, Classroom Teaching Staff will isolate the child and contact the parent/guardian to pick up their child.
    1. A child isolated will be:
      1. Within sight and hearing of a staff member at all times.
      2. Cared for in another room or portion of a room away from other children
      3. Provided a cot, if necessary and made comfortable.
        1. After use, the cot shall be properly cleaned and sanitized.
  5. Classroom teaching staff notify the parents of the children in the same classroom (at a minimum) if any child has been diagnosed with a communicable disease and distribute Contagious Disease Parent Letter when applicable.
  6. All staff and children practice good hygiene when toileting, hand washing, and diapering.
  7. Classroom teaching staff disinfects contaminated articles and surfaces by using approved disinfectant solution per the Classroom Sanitation Policy.
    1. Disinfectants must be kept out of reach of children.

 

Forms and Additional Guidance:

This policy complies with the following

Head Start Program Performance Standard:    1302.42(C)(2)
ODJFS Child Care Manual:    5101:2-12-16(D)
CACFP Regulation:    
Caring for Our Children:    3.1.1, 3.6.4, 7.1
Other Sources:   3717-1, 3717-1-02.1

 

Effective Date:   8/7/17
Approved by Policy Council:   8/7/17

Health Services Advisory Committee

POLICY:

NOCAC Child Development will establish and maintain a Health Services Advisory Committee (HSAC) which will be comprised of Head Start/Early Head Start (HS/EHS) parents, professionals, community representatives, volunteers and NOCAC Program staff.

PROCEDURES:

  1. The HSAC meets as an entire body one time each program year.
    1. During the meetings, when the entire committee is convened, the committee summarizes the area plans and offers advice and input.
    2. NOCAC HS/EHS parents, professionals, community representatives, volunteers, program staff and other persons identified through the needs of our local communities should be present at the meeting.
    3. Program staff does not have any voting rights.
    4. Additional meetings may be convened as needed throughout the program year.
  2. Purposes of the HSAC include helping the program stay abreast of current community health needs and recommending necessary interventions for children and families.
  3. Listed below are some activities that HSAC and subcommittees may be involved in:
    1. Provides input into health program planning for staff, children and families
    2. Assists in solving health program problems
    3. Evaluates the Health, Mental Health, Disabilities and Nutrition programs
    4. Provides new ideas for services and education
    5. Advises on Dental resources and procedures
    6. Facilitates provisions of health services and education
  4. NOCAC HS/EHS parents are active participants on the HSAC and are encouraged to
    1. Share their concerns, experiences, knowledge and feelings regarding the health of their children in the NOCAC HS/EHS Program
    2. Share their concerns and interests to health and program requirements and services
    3. Provide feedback on the utilization of health resources.
  5. HSAC meeting minutes include dates of meeting, attendees, agendas and topics discussed.
    1. The Health and Safety Manager is responsible for maintaining the roster of current HSAC Members.

Forms and Additional Guidance:

This policy complies with the following

Head Start Program Performance Standard:    1302.40 (b)
ODJFS Child Care Manual:    
CACFP Regulation:    
Caring for Our Children:    
Other Sources:    

 

Effective Date:   8/7/17
Approved by Policy Council:   8/7/17

Hearing Screenings

POLICY:

NOCAC Child Development will obtain or perform evidence based hearing screenings on each child within 45 calendar days of the child’s entry into the program.

 

PROCEDURES:

  1. Designated staff will complete a hearing screening on every child per the Health Advisory Committee and Early and Periodic Screening, Diagnostic and Treatment (EPSDT).
  2. The evidence based hearing screener is the Madsen Alpha OAE screening.
  3. Designated NOCAC staff will be trained annually on the use of the 0-5 hearing screener.
  4. Parents will be informed of all screenings at the time of enrollment or during the first home visit. NOCAC staff will assist the family in completing the Enrollment Consent Form.
  5. Hearing screenings (within normal limits) obtained from the child’s Physical exam will be entered into ChildPlus for tracking.
  6. Passed Hearing:
    1. The designated Head Start Staff will notify the parent about the results using the Parent’s Notification of Screening Results – PNSR.
  7. Failed Hearing Screening:
    1. Parents are notified using the Parent’s Notification of Screening Results – PNSR.
    2. The child is re-screened within 3 weeks
    3. If the child fails the second screening, the parents are sent a second PNSR with a NOCAC Head Start Hearing Report Form attached.
      1. The Family Advocate and/or teacher will contact the parent and explain the screening results and the follow up procedures.
    4. The followup is tracked in ChildPlus.

 

Forms and Additional Guidance:

This policy complies with the following

Head Start Program Performance Standard:    1302.42(b)(2)
ODJFS Child Care Manual:    
CACFP Regulation:    
Caring for Our Children:    
Other Sources:    

 

Effective Date:   8/7/17
Approved by Policy Council:   8/7/17

Daily Health Check

POLICY:

Children will be observed for signs of illness or injury which could compromise their health and safety or the health and safety of others.

PROCEDURES:

  1. NOCAC Head Start Teaching staff will observe children as they enter the classroom each morning for any adverse signs indicating illness or injury. Particular attention will be given to children who have been absent due to illness or who have been exposed to a communicable disease.
    1. Overall appearance
    2. Color/condition of skin, face and arms (pale or flushed appearance, rash or injuries)
    3. Eyes (redness, drainage, injuries, swelling or itching)
    4. Nose (drainage or discharge)
    5. Mouth (dry/cracked lips, rash/lesions on or around lips, drooling)
    6. Movement (unusual walk, limp, or overly protecting any area of the body)
  2. If it is determined that a child is not able to actively participate in the daily routine due to illness, the parent/guardian will be contacted to come pick up the child as soon as possible.
  3. NOCAC Staff observations of illness will be documented on the Child Health Observation Form.
    1. The white copy of the Child Health Observation form will be sent to the Health and Safety Manager at the Central Office.
    2. The yellow copy of the Child Health Observation form will be placed in the child’s center file.
  4. If the child has to be excluded, staff will make every attempt to preserve the child’s self- esteem. NOCAC Head Start Staff will follow the Communicable Disease Policy when handling conditions found during a health check.
  5. If NOCAC Head Start Staff suspect that the child’s illness/injury is due to abuse and/or neglect, the child will remain in the classroom and a Child Abuse/Neglect report to ODJFS Child Protective Services will be made immediately. Staff will follow the Child Abuse/Neglect Policy.
  6. NOCAC Head Start Staff will follow the Hand Washing Policy and Sanitation Policy in all instances.

Forms and Additional Guidance:

This policy complies with the following

Head Start Program Performance Standard:    1302.47(b)(7)
ODJFS Child Care Manual:    5101:2-12-16(D)
CACFP Regulation:    
Caring for Our Children:    3.1.1
Other Sources:    

 

Effective Date:   8/7/17
Approved by Policy Council:   8/7/17