Caring for Our Children: National Health and Safety Performance Standards
559 Index
A
Abdominal pain. See Pain
Abrasions. See Cuts
Abuse. See Child abuse and neglect
Abusive head trauma. See Shaken baby syn-
drome/abusive head trauma
Accessibility as it relates to ADA
to exits, 208
to facilities, 199
Accessibility to facility records, 379
Accreditation of Program, 380, 384, 393
Activities. See also Developmental activities;
Physical activities
expressive, for preschoolers, 62
participation of older children and staff in
mealtime, 180
school-age, 63–64
to support learning of infants and tod-
dlers, 58–59
that are incompatible with eating,
178–179
ADA. See Americans with Disabilities Act
(1990) (ADA)
Adaptive equipment, storage for, 244
Administration, 347–393
governance, 347–348
human resource management, 375–377
policies, 348–375
records, 377–393
written delegation of authority in,
347–348
Admission agreement, contents of, between
child care program and parents/guardians,
388
Adults
animals that might have contact with,
119–121
number of children fed simultaneously
by one, 180
supervision by, of children who are learn-
ing to feed themselves, 180
Advocacy, 21, 80
Advocates, qualifications and responsibilities
for health, 16–18
AED. See Automated External Defibrillators
(AED)
Age, minimum, to enter child care, 7–9
Age-appropriate solid foods
feeding to infants, 173–174
introduction to infants, 172–173
Age groups, xxii
Age requirements
assistant teachers and, 13
directors and, 10*
drivers and, 288
lead teachers and, 12*
teacher aides and, 13
volunteers and, 13
Age-specific guidance for meals and snacks,
155
AIDS. See Human immunodeficiency virus
(HIV) infection
Air, fresh, 211–212
Airborne transmission of infections, 297
Air filters, maintenance of, 214
Air pollution, protection from, 94–95
Air quality index (AQI), 94
defined, 95
levels of, 95
Alcohol
beverages of, in family child care homes,
119
policies prohibiting, 363
Allergen triggering materials, removal of, from
outdoor areas, 260
Allergies. See also Asthma
exposure to animals, 120
food, 159, 160–161
peanut or tree nut, 161
AMBER alerts, 94
Americans with Disabilities Act (1990) (ADA)
children with chronic health conditions
and, 360
for children with special health care
needs and disabilities, 335, 341
goal of, 9
licensing agency role in communicat-
ing importance of compliance with,
402–403
on outdoor play areas, 265
on play equipment and surfaces, 270
reasonable accommodations for persons
with disabilities, 40
staff recruitment and, 9
Americans with Disabilities Act Accessibil-
ity Guidelines for Buildings and Facilities
(ADAAG), 199, 207, 270
Anaphylaxis, 158–161
Animals, 119–122
allergies to, 120
care for, 121–122
caregiver instruction on contact with,
119–120
exposure of immunocompromised chil-
dren to, 120
that have contact with children and
adults, 119–121
humane care for, 121
medical care for, 121
pregnant women’s exposure to cat
feces, 120, 122
prohibited, 121
Annual staff competency evaluation, 44
Antibiotics, judicious use of, 329–330
Anti-scald aerators, 216
Areas used by children for wheeled vehicles,
210
Arsenic, health effects related to, 269
Art and craft materials
proper use of, 231–232
ventilation when using, 213
Asbestos, preventing exposure to, 231
Aspiration hazards, 285
Assistant teachers, qualifications for, 13
Asthma. See also Allergies
air pollution and, 94
dust and dust mites and, 94
tobacco smoke and residue and, 119
winter as problematic, 94
Attendance records, children, 289, 371-373,
378, 381
Attendance records, maintenance of, for staff
who care for children, 393
Audits, reports of annual, monthly mainte-
nance checks of play areas and equipment,
375
Authorized persons to pick up child, 371–372
Autism, vaccines and, 299
Automated External Defibrillators (AED), child
care facilities and, 24–25
B
Babies. See Infants
Background screening, 9–11, 401–402, 408
maintenance of record, 392
process for substitutes, 32
Back injuries, facilities arrangements to mini-
mize, 241
Balloons, 284–285
Ball pits, 276
Balusters, 208, 210
Barriers/guards for heating equipment and
units, 216
Basements
condition of, 204, 261
exits, 206
use of, 201
Bathrooms. See also Bathtubs; Showers;
Toilets
floors, walls, and ceilings in, 240–241
monitoring of, 65
supplies for, 258–259
ventilation of, 213
Bathtubs
ratio and location of, 250–251
safety of, 251
Bedding
cleaning individual, 118
laundering of, 251, 321
prohibiting sharing of, 136, 251–252, 255
as personal item, 256
concerning safety, 96
storage of, 256
Beds
arrangement of, 252
bunk, 255
cleaning of, 118, 251
futons, 255
safety of, 251–252
for toddlers, 251
types, 251-255
Behavior
around swimming pool, 69
modeling of healthy and safe, 82–83
prohibited, for caregivers/teachers,
75–76
self-stimulatory, 63
sharing of information on, 80–81
during transportation, 291
Below grade areas, use of, 201
Bike routes, 209, 287
Bisphenol A (BPA), 165, 171, 178, 232–233
*Corrected page number in second printing, August 2011
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