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

Daily Health Check

POLICY:

Participants 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 Child Development Center staff will observe participants as they enter the bus or classroom each morning and NOCAC Home-Base Staff will observe every participant at each Home Visit (HV) and/or socialization for any adverse signs indicating illness or injury. Particular attention will be given to participants 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 participant is not able to actively participate in the daily routine or HV due to illness, the parent will be contacted to come pick up the participant as soon as possible or HV will end.
  3. NOCAC Staff observations of illness at the center will be documented on the Child Health Observation Form whether they go home or not.
    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 participant has to be excluded, staff will make every attempt to preserve the participants self- esteem. NOCAC Staff will follow the Communicable Disease Policy when handling conditions found during a health check.
  5. Participants with a short-term injury or contagious illness are temporarily excluded from program activities only when they cannot be readily accommodated for program participation or there is a significant risk to the health or safety of the participant or anyone in contact with the participant.
  6. Parents receive information about this policy provided in the Family Handbook.
  7. Any participant absent from the center due to illness for more than three (3) school days MAY BE required to provide proof from a physician releasing him/her to school if directed by Health & Safety Manager or Family Community Engagement Manager.
  8. If NOCAC Staff suspect that the participant’s illness/injury is due to abuse and/or neglect, the participant 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.
  9. NOCAC 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:   8/7/2017 Revision Date:   9/30/20
Approved By Policy Council:   8/7/2017 Revision Approved By Policy Council:    

Bed Bugs

POLICY:

NOCAC staff will lower the risk of spreading bed bugs in our classrooms and centers through preventative health practices and appropriate reporting procedures.

The Goals of NOCAC Head Start are to:

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

PROCEDURES:

Detection of and treatment for bed bugs when discovered in a facility:

  1. When an insect is found in a classroom, staff must preserve the insect for identification purposes. Securing the insect with clear tape of in a baggie is an effective way of preserving. Email picture to the Health and Safety Manager for identification purposes.
  2. NOCAC Staff must notify the Center Manager and Health and Safety Manager.
  3. The Center Manager will schedule the Pest Management Company to conduct a preliminary inspection and identify the bug if necessary.
  4. The Pest Management Company will determine if it is a single inset or infestation and recommend a treatment plan for approval from the Director of Child Development.

When an insect is confirmed to be a bed bug, the following procedures will be followed:

  1. NOCAC Staff will launder sheets, blankets, dress up clothes in hot water and dry them on high heat.
  2. Soft toys and other items that cannot be laundered will be bagged and held for pest control operator’s inspections and recommendations.
  3. NOCAC Staff and families need to inspect outside clothes brought into the classroom, including backpacks (it is highly recommended that backpacks not be brought into the room at this time). Advise families to use plastic grocery bags temporarily.
  4. NOCAC Staff and families will shake out clothes, inspect for bugs, and bag up clothes and jackets left in the rooms and need to follow laundering guidelines above.
  5. The Center Manager will ensure staff will thoroughly vacuum carpets, seal and discard the sweeper bag.

When a child is found to have bite marks or lesions on the skin:

  1. NOCAC Staff will follow Common Childhood Illness (CCI) procedures.
  2. Children should not be excluded from class.

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 policy statements different form NOCAC.

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

Health Services General Statement

POLICY:

NOCAC Child Development provides high-quality health, oral health, mental health, and nutrition services.

PROCEDURES:

  1. NOCAC Head Start and Early Head Start (HS/EHS) provides high-quality health, oral health, mental health and nutrition services that are developmentally, culturally, and linguistically appropriate that supports each child’s growth and school readiness.
  2. NOCAC HS/EHS establishes and maintains a Health Services Advisory Committee that includes HS/EHS parents, professionals and other volunteers from the community.

Forms and Additional Guidance:

This policy complies with the following

Head Start Program Performance Standard:    1302.40
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:

Health Care Coverage and Insurance

POLICY:

NOCAC Child Development will determine if each participant has an ongoing source of health care coverage or insurance within 30 calendar day of enrollment.

PROCEDURES:

  1. During the first home visit, the teacher or Home Visitor (HV) will review the “Source of Health Care Questionnaire” with the family.
    1. If a center based family does not have coverage, the questionnaire will be forwarded by the teacher to the Family Advocate (FA) who will provide followup with the family and set goals when needed to assist the family on the Medicaid application process to be documented in the “Health Information” tab, under medical/dental coverage notes.
    2. For home based families without ongoing source of coverage the HV will set goals when needed to assist the family on the Medicaid application process to be documented in the “Health Information” tab, under medical/dental coverage notes.
    3. The family will be given information on Medicaid (https://medicaid.ohio.gov) including managed care options provided by the HSM.
    4. The form is sent in to the Central Office for tracking in ChildPlus.
    5. The status will be recorded in ChildPlus as the “at enrollment” for PIR purposes.
  2. During the second parent teacher conference, the teacher will review the “Source of Health Care Update Questionnaire” to ensure the family has not lost or changed coverage.  Home Visitors will review during the month of May.
    1. Center based staff will forward all changes or concerns to the FA for followup.
    2. Home based staff will forward all changes or concerns to the FA for followup.
    3. The form is sent into the Central Office for tracking in ChildPlus.
    4. This status will be recorded in ChildPlus as the “end of enrollment” for PIR purposes.
  3. NOCAC is the last source of payment. Staff may refer to the Funding for Uninsured Policy.
  4. Center staff will document efforts to access other available sources of payment in ChildPlus in the Health Tab under the “Health Information” notes section before NOCAC funds are used.
  5. The Health and Safety Manager will provide annual Medicaid training to update staff on the basics of Medicaid and HealthCare.gov and the Affordable Health Care Act.
  6. The Health and Safety Manager will provide families with enrollment information throughout the program year through newsletters and NOCAC social media.
  7. The Health and Safety Manager and Staff will assist the FA or Home Visitor when having difficulties with families that need to understand how to navigate with the health care system to meet the needs of their children.
  8. The Health and Safety Manager will monitor ChildPlus “At Enrollment” and “At End of Enrollment” status each Fall and Spring.

Forms and Additional Guidance:

This policy complies with the following

Head Start Program Performance Standard:    1302.42, 1302.43
ODJFS Child Care Manual:    
CACFP Regulation:    
Caring for Our Children:    
Other Sources:    

 

Effective Date:   8/7/17 Revision Date:   2/27/20
Approved By Policy Council:   8/7/17 Revision Approved By Policy Council:    

Administration of Medication

POLICY:

NOCAC Head Start/Early Head Start (HS/EHS) classroom staff will follow procedures which allow for safe and timely administration of medications that have been prescribed by a Physician or Nurse Practitioner. Medication Administration will occur only after reasonable attempts have been made to schedule the medication outside of classroom hours.

 

PROCEDURES:

  1. Medication is not administered to a child while attending class unless there is a signed Request for Administration of Medication and Medical Care Plan on file.
  2. The Center Manager will be notified whenever a parent requests that a medication be given in the classroom.
    1. The Center Manager will then designate the staff member(s) who will be responsible for administering the medication in the classroom.
      1. The designated staff member will document each administration on the Request for Administration of Medication.
    2. If the Center Manager determines that staff members are not adequately prepared to administer medication safely, the Center Manager and the Health and Safety Manager will develop a formal plan to insure that the medication can be administered safely and appropriately.
    3. Substitute teachers are not permitted to administer medications.
  3. The teacher will have the parent fill out the Request for Administration of Medication as soon as possible so that notes can be entered into ChildPlus.
  4. The teacher will ensure all prescription medication is kept in the original container, which must be child resistant and properly labeled by the pharmacist.
  5. The label information must include:
    1. Child’s name
    2. Frequency and amount of dosage
    3. Name of the drug
    4. Duration of administration
    5. Method of administration
    6. Expiration date
    7. Storage instructions
    8. Date filled
    9. Name of the prescribing physician
  6. Teacher should never administer a medication if they have concerns or do not feel adequately trained to do so. Teacher will discuss the information with the parent and request information about possible adverse actions. If the teacher is confused or concerned about the appropriateness of the medication, they must seek support from the Center Manager and/or the Health and Safety Manager.
  7. NOCAC staff will not administer medications, food supplements, or topical products until after the child has received the first dose at home to avoid unexpected reactions.
  8. Medication will be kept in a locked drawer or cupboard. Medication that requires refrigeration will be kept in a container in the site refrigerator.
    1. In cases in which medication are to be used for emergencies (rescue inhalers and epinephrine) the Health and Safety Manager and Center Manager will develop a procedure to assure that medication is out of reach of children but easily accessible to staff for emergencies.
  9. Parent will be notified if:
    1. The child refuses to take the medication
    2. Has an adverse reaction
    3. Has any problems related to medication administration
  10. If a parent requests to have non-prescription medications administered in the classroom, the Health and Safety Manager must be notified. The Health and Safety Manager will confer with the Physician or Nurse Practitioner and the parent to determine whether it is appropriate to administer the non-prescription medication in the classroom, and then provide staff with written instructions.
  11. Teacher will return unused or expired medications to the parent as needed or at the end of the program year.
  12. A plan will be developed when a parent requests to administer the medication at the center and does not train or authorize NOCAC staff to do so.
  13. NOCAC staff will follow the ODJFS Serious Risk Non-Compliance reporting procedures as outlined in 5101:2-12-03 Appendix.

Forms and Additional Guidance:

This policy complies with the following

Head Start Program Performance Standard:    1302.47(b)(4)(C), (7)
ODJFS Child Care Manual:    5101:2-12-25
CACFP Regulation:    
Caring for Our Children:    3.6.3
Other Sources:    
Effective Date:   8/7/2017 Revision Date:   8/7/2017, 6/11/21
Approved By Policy Council:   8/7/2017 Revision Approved By Policy Council:   8/7/2017

Health Tracking and Follow-up Statement

POLICY:

NOCAC Child Development ensures that each child with a known or suspected health, dental, or developmental problem receive further testing, examination and treatment by a licensed or certified health care professional.

PROCEDURES:

  1. NOCAC Head Start Staff provides assistance to the parents as needed to give support in obtaining prescribed medications, aids or equipment for medical and dental conditions.
    1. NOCAC Staff will assist families in completion of necessary Medical Care Plans.
  2. Dental follow-up and treatment includes:
    1. Fluoride supplements and topical fluoride treatments as recommended by dental professionals.
    2. Other necessary preventative measures and further dental treatment as recommended by the dental professional.
  3. The Center staff and the Disability/Intervention Coordinator will assist with the provision of related services addressing health concerns in accordance with an IEP.
  4. NOCAC Head Start funds may be used for professional medical and dental services when no other source of funding is available. When Head Start funds are used for such services the program must have written documentation of efforts to access other available sources of funding.
  5. NOCAC Head Start/Early Head Start supports parents/families in taking appropriate follow-up actions.
  6. Family Engagement staff and support staff enter the determination of needed whether testing, examination, or treatment into ChildPlus and keep the documentation in the child’s file.
  7. Follow-up plans are implemented as appropriate.

Forms and Additional Guidance:

This policy complies with the following

Head Start Program Performance Standard:    1302.42
ODJFS Child Care Manual:    
CACFP Regulation:    5101:2-12-15
Caring for Our Children:    
Other Sources:    

 

Effective Date:   8/7/17 Revision Date:   6/11/21
Approved By Policy Council:   8/7/17 Revision Approved By Policy Council: