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

Vision Screenings

POLICY:

NOCAC Child Development will obtain or perform evidence based vision screenings on each participant within 45 calendar days of entry into the program.

PROCEDURES:

  1. Designated staff will complete a vision screening on every participant annually per the Health Advisory Committee and Early and Periodic Screening, Diagnostic and Treatment (EPSDT).
  2. The evidence based vision screener is PlusOptix for participants 1 year and older, 18 Vision Development Screening (VDM) age birth to 12 months is used for participants up to 12 months of age.
  3. Designated staff will be trained annually on the use of the vision screeners.
  4. Parents will be informed of all screenings at the time of enrollment during the first home visit. Staff will assist the family in completing the Enrollment Consent Form.
  5. Vision screenings (within normal limits) obtained from the participant’s “qualifying” EPSDT Well Child exam will be entered into ChildPlus for tracking.  In order for a vision to “qualify” it must be done on July 1st or later.
    1. Screenings must be current for the existing program year.
  6. If a child wears glasses an ROI must be sent to verify that the child has a current prescription.
  7. EHS:  To determine if the baby has met all vision milestones, begin with Page 2 of the 18 Vision Development Milestones From Birth to Baby’s First Birthday regardless of baby’s age.  Do not skip to the chronological or corrected age of the baby that is being screened.  Pages 2-9 are sent to the Central Office to the Data System Specialist to be entered into ChildPlus.  Pages 10-14 remain in the child’s center file for Home Visitor reference.
  8. Passed Vision Screenings:
    1. The designated staff will notify the parent about the results using the Parent’s Notification of Screening Results – PNSR for HS participants or by providing a copy of the 18 Vision Development Milestones From Birth to Baby’s First Birthday for EHS participants.
  9. Failed Vision Screening:
    1. Parents are notified using the Parent’s Notification of Screening Results – PNSR with a NOCAC Head Start Vision Report form attached or 18 Vision Development Milestones From Birth to Baby’s First Birthday.
    2. Parents are advised by the Family Advocate and/or teacher/home visitor (HV) to take the participant to an optometrist.
      1. The Family Advocate (FA) and/or teacher/Home Visitor (HV) shall assist the family in finding an optometrist if necessary.
      2. FA, teacher, and HV will discuss all findings at regularly scheduled meetings to be recorded on the Family Progress Notes or entered into communication under corresponding health event.
    3. The FA and/or teacher/HV will follow up with the family as needed.
    4. All followup is tracked in ChildPlus.
    5. At any time during the year, a parent or teacher may request another screening.
  10. Documentation of all screenings is maintained in ChildPlus.  The white copy of the screening results is sent to the Central Office and will be entered by the Data System Specialist.  All screenings requiring followup are forwarded to the Health and Safety Manager.
    1. PlusOptix – PSNR copies must be sent to the Central Office upon completion.
    2. Pages 2-9 on 18 month must be sent to Central Office upon completion of each page every month.
  11. The Health and Safety Manager monitors the screening and follow-up data via ChildPlus to ensure screenings are completed prior to the 45 day requirement and timely followup is received by each participant.

Forms and Additional Guidance:

This policy complies with the following

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

 

Effective Date:   8/7/17 Revision Date:   12/14/20
Approved By Policy Council:   8/7/17 Revision Approved By Policy Council:   1/6/20

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:    
Effective Date:   3/4/19 Revision Date:    
Approved By Policy Council:   3/4/19 Revision Approved By Policy Council:    

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 Revision Date:
Approved By Policy Council: 8/7/17 Revision Approved By Policy Council:

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 Revision Date:
Approved By Policy Council: 8/7/17 Revision Approved By Policy Council:

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 Revision Date:
Approved By Policy Council: 8/7/17 Revision Approved By Policy Council:

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 participant annually per the Health Advisory Committee and Early and Periodic Screening, Diagnostic and Treatment (EPSDT).
  2. The evidence based hearing screener Madsen Alpha OAE screener can be used for all participants from 0-5 and pregnant women if needed.
  3. Designated 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.  Staff will assist the family in completing the Enrollment Consent Form.
  5. Hearing screenings (within normal limits) obtained from the participant’s “qualifying” EPSDT Well Child exam will be entered into ChildPlus for tracking.  In order for a vision to “qualify” it must be done on July 1st or later.
    1. Screenings must be current for the existing program year.
  6. If a child has tubes or a history of ear infections and is under the care of an Ear, Nose, & Throat (ENT) doctor an ROI must be sent to verify that the child is under a current treatment plan.
  7. Passed Hearing:
    1. The designated Head Start Staff will notify the parent about the results using the Parent’s Notification of Screening Results – PNSR.
  8. 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 FA and/or teacher or Home Visitor will contact the parent and explain the screening results and the follow up procedures.
    4. Parents are advised by the Family Advocate and/or teacher/Home Visitor (HV) to take the participant to an ENT or formal hearing assessment.
      1. The FA and/or teacher/HV shall assist the family in finding an ENT if necessary.
      2. FA, teacher, and HV will discuss all findings at regularly scheduled meetings to be recorded on the Family Progress Notes or entered into communication under corresponding health event.
    5. The FA and/or teacher/HV will follow up with the family as needed.
    6. All followup is tracked in ChildPlus.
    7. At any time during the year, a parent or teacher may request another screening.
  9. Documentation of all screenings is maintained in ChildPlus.  The white copy of the screening results is sent to the Central Office and will be entered by the Health Data System Specialist.  All screenings requiring followup are forwarded to the Health and Safety Manager.
    1. Madsen Alpha OAE results – PSNR copies must be sent to the Central Office upon completion.
  10. The Health and Safety Manager monitors followups via data from 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 Revision Date:   10/28/20
Approved By Policy Council:   8/7/17 Revision Approved By Policy Council: