A - B - C - D - E - F - G - H - I - J - K - L - M - N - O - P - Q - R - S - T - U - V - W - X - Y - Z

INDEX

A

AAP. See American Academy of Pediatrics

ABC's of Safe and Healthy Child Care, The 99 , 352

Abdominal pain. See under Pain

Abrasions. See Cuts

Abuse. See Child abuse

Abusive language 64 , 337

Academic credentials 8 , 386 , 445

Academy of Breastfeeding Medicine 449

Accessibility 26 , 189-190 , 196 , 201 , 223 , 228 , 244 , 251-252 , 261 , 265 , 326 , 370 , 449

Accommodations 7 , 36 , 38 , 190 , 228 , 323 , 413

Accreditation xiv, xxi, 4 , 15 , 25-26 , 47 , 337 , 372 , 390 , 399 , 443-445

certificates 371 , 376

Acid aerosols 200

ACIP. See Advisory Committee on Immunization Practices, U.S. Public Health Service

Acrocyanosis 270

Action plan 320

ADA. See Americans with Disabilities Act

Adaptive equipment 20 , 153-154 , 195 , 228- 229 , 318 , 431-433 , 479

storage of 250

See also Equipment

Adhesives 219 , 226 , 233

Administrators. See Directors

Admission. See Enrollment

Admission agreements 67-68 , 359 , 362

Admission policy 336

Advisory Committee on Immunization Practices, U.S. Public Health Service 87-88, 395, 415, 479

Advisory groups

for child care facilities 70 , 333 , 393

for states 392 , 403

See also Governing body

Advocacy training 73

Advocates xiii, xxii, 73 , 158 , 336 , 387

See also Health advocates

Aflatoxin 175 , 479

Age requirement

of aides 14

of assistant teachers 14

of associate teachers 14

of directors 11

of drivers 14 , 60

of lead teachers 13

of volunteers 14

Aggressive behavior. See Behavior, aggressive

Aides 12-15 , 19 , 163-164 , 480

AIDS. See HIV

Air 51 , 98 , 109 , 111 , 121 , 191 , 198-199 , 203 , 205 , 489

exchange 198 , 235 , 253

fresh 197 , 200 , 233 , 253 , 276

indoor 51 , 197 , 231 , 274

quality 51-52 , 197-198

Air bags 61-62 , 275 , 350

Air conditioning 51 , 185 , 199 , 233 , 253 , 276

Air dry 94-95 , 97 , 102 , 108 , 180-181 , 227 , 417 , 419 , 483

Air fresheners

chemical 107, 232

Air pollution. See Indoor air pollution

Air recirculation systems 199 , 233 , 274

Airflow 198 , 205 , 253 , 480

Airways 8 , 11 , 13 , 15 , 21-22 , 23 , 27 , 30 , 32 , 60 , 89 , 119 , 121 , 132 , 168 , 224 , 226 , 413 , 479-480 , 482 , 484 , 490

Alarms 196 , 208

Alcohol 60-61 , 77 , 111 , 113 , 144 , 354

Allergies 72 , 107-108 , 111 , 121-122 , 127 , 135 , 152-156 , 198 , 203 , 219 , 272 , 276 , 353-354 , 361 , 363 , 413 , 438 , 440 , 449-450 , 493

plan 135

reactions 23 , 91 , 107 , 137 , 154-155 , 215 , 232 , 266 , 361 , 479 , 482 , 493

See also Food allergies

Alternate shelter. See Emergency shelter

Alternative means of compliance. See under Compliance

American Academy of Allergy, Asthma, and Immunology 449

American Academy of Family Physicians 25 , 134 , 345 , 415 , 449

American Academy of Pediatric Dentistry 449

American Academy of Pediatrics vii-viii , xiii , xiv , xvii , 9 , 12 , 20 , 22-23 , 25 , 28 , 32 , 37- 38 , 50 , 63-65 , 85-89 , 95 , 113-116 , 134 , 138 , 156 , 161 , 175 , 221 , 226 , 232 , 285-296 , 299-307 , 322 , 326 , 333-334 , 336 , 339-342 , 345-346 , 356 , 359 , 360-362 , 364 , 371 , 373 , 395-396 , 398 , 414-415 , 438 , 440 , 444 , 447 , 449 , 452 , 479 , 485

American Alliance for Health, Physical Education, Recreation, & Dance 449

American Association for Health Education 74-77 , 356 , 449

American Association of Family and Consumer Services 25 , 449

American Automobile Association 63 , 449

American Cancer Society 182-183 , 449

American College of Emergency Physician 360 , 438 , 449

American Diabetes Association 20 , 115 , 183 , 322 , 326 , 449

American Dietetic Association 25 , 182-183 , 411 , 449

American Furniture Manufacturers Association 249 , 450

American Gas Association 198 , 450

American Heart Association 22-24 , 26 , 115 , 182-183 , 450

American Lifeguard Association 450

American Lung Association 20 , 115 , 198 , 322 , 326 , 450

American National Standards Institute 202- 204 , 277 , 450 , 479

American Nurses Association 134 , 450

American Public Health Association vii , xiii- xiv , 12 , 25 , 143 , 182-183 , 269-270 , 333 , 345 , 395 , 444 , 447 , 450 , 479

American Red Cross 24 , 63 , 72 , 115 , 450

American School Food Service Association 450

American Society for Testing and Materials xvii , 110 , 193 , 205-206 , 219-223 , 232 , 247-249 , 254-255 , 258-260 , 265-266 , 277 , 435 , 450 , 480

American Society of Heating, Refrigerating, and Air Conditioning Engineers 198 , 450

Americans with Disabilities Act 7- 8 , 36-38 , 189-190 , 195-196 , 228 , 261 , 317 , 325- 326 , 336

Americans with Disabilities Act Accessibility Guidelines 196 , 449

Ammunition

storage of 354

See also Firearms

Anaphylaxis 153 , 155

Animals 97-98 , 111-112 , 170 , 212-213 , 306 , 335 , 352 , 422 , 432

food 112

waste 112 , 214 , 258 , 264-266

See also specific types (e.g. Dogs, Pets)

ANSI. See American National Standards Institute

Anthropometry of preschoolers 479

Antibiotic treatment 125-130 , 136 , 286-290 , 293 , 393 , 438 , 479-481 , 484-485 , 490-492

judicious use of 293 , 307

See also Medications; Medication administration

Anti-convulsant medications. See under Medications

Antihistamines. See Medications

Anti-scald aerators 202

Anti-scald bathtub spouts 202

Antisiphon ballcocks 209 , 479

APHA. See American Public Health Association

Appliances 170 , 177 , 200-203 , 207-208 , 229 , 274 , 438 , 450

abandoned 190

See also specific types, e.g. Refrigerators, etc.

Art activities 55 , 57-58 , 155 , 198 , 203 , 422

Art and Creative Materials Institute 232 , 450

Arts and crafts materials 110 , 198 , 230-232 , 410

Asbestos 190-191 , 230-232 , 258

encapsulated 231 , 484

Asphyxiation 116 , 200 , 247 , 479

Aspiration hazards 157 , 165-166 , 223-224 , 480

Assessment of facility. See under Children with special needs

Assistant teachers. See under Teachers

Associate teachers. See under Teachers

Association of Home Appliance Manufacturers 203 , 274 , 450

Asthma xiv , 51 , 60 , 115 , 120-122 , 198 , 275 , 293 , 327 , 339 , 361 , 413 , 414 , 422 , 449-450

care plan 422-423

symptoms 120-121

triggers 120-121 , 198 , 354

ASTM. See American Society for Testing and Materials

Attachment xv , 52 , 356 , 430 , 484

foster 149

Attendance records 59 , 368-370 , 375 , 414

Attendance sheets 359

Audiometry. See Hearing screening

Authorized caregivers 334-335 , 385

Authorized contact

for notification of emergencies 124

pick-up 334 , 349

records 367

Authorized service coordinator 319

Autoerotic activity 56

B

Baby bath support rings 113

Baby bottles. See Bottles

Baby food. See Foods, infant

Baby monitors 59

Baby walkers 221 , 487

Back injuries. See under Injuries

Back to sleep. See Sleep position

Backflow preventers 209

Background checks 7-8 , 384 , 386-387 , 480

Bacteria 91 , 97-98 , 101 , 107 , 126-129 , 151 , 157-158 , 160-161 , 172-173 , 175-176 , 178 , 180-181 , 228 , 236 , 260 , 270 , 285 , 307 , 352 , 429 , 480 , 482 , 484 , 487 , 489-491

definition 480

Ballcocks. See Antisiphon ballcocks

Balloons 109 , 223-224

Balls 223 , 232 , 431-433

Balusters 271 , 480

Bandages 116 , 226 , 294 , 439

Barriers 95 , 100-101 , 191 , 194 , 197 , 202 , 223 , 235 , 237 , 239 , 242-243 , 254-255 , 257 , 262 , 266 , 271 , 343 , 355 , 394 , 446 , 492

Baseboard heaters. See under Heating equipment

Basements 191 , 195 , 215 , 272-273

Bathing 9 , 113 , 241 , 243 , 250 , 486

Bathrooms xx , 105 , 107 , 112 , 170 , 192-193 197 , 207 , 235 , 238-241 , 417

for ill children 130

sanitation 101 , 105 , 491

supplies 227

See also Toilet learning/training

Bathtubs 112-113 , 214 , 243 , 268

BB guns 252

Beanbags 110 , 431 , 433

Beating. See Corporal punishment

Bedding 88 , 110 , 226 , 246-251 , 354 , 491

cleaning 110 , 245 , 306

See also Bunk beds; Cribs; Sleeping

Bedrooms. See Sleeping areas

Behavior management 8-10 , 12 , 17 , 20 , 25 , 41 , 55 , 58-59 , 63-66 , 114 , 117 , 158 , 166 , 169 , 182-183 , 235 , 337 , 344 , 400

Behavior, aggressive 9-10 , 65 , 114 , 129 , 301-302 , 338 , 360 , 398 , 420-421

Benefits. See Compensation and benefits

Bibs 165 , 209

Bicycles 276-277

helmets 225 , 277

routes 276-277

safety 75 , 77

Binding, restricting movement 65 , 337

Birds 112 , 266

Bites 23

animal 23 , 111 , 439

human. See Biting

insect 23 , 193 , 215 , 266 , 439

Biting 23 , 129 , 301-302 , 305 , 338 , 354 , 410 , 420 , 439

Blankets 106 , 110 , 246 , 248

Bleach solution 94-97 , 102-103 , 105 , 180 , 225 , 417-419 , 480 , 483

See also Cleaning and sanitation

Bleeding 23 , 28 , 94 , 129 , 227 , 301-304 , 420 , 424 , 434

Blisters 294-295 , 486

Blizzards

evacuation plan 347

Blocked airway. See Management of a blocked airway and rescue breathing

Blocks. See Building blocks

Blood 28 , 61 , 97-98 , 101-102 , 106 , 119 , 226 , 234 , 296 , 301 , 304-305 , 352 , 419-420 , 424 , 440 , 480-481 , 486 , 488-489 , 491-493

exposure 101

exposure prevention 18 , 28 , 101 , 227 , 300-305 , 419

in stools 94 , 125 , 130 , 135 , 140-141 , 424 , 483

tests 103

See also Standard precautions

Blood pressure 205 , 360 , 413 , 440 , 493

Bloodborne pathogens 29 , 101 , 300-304 , 483

regulations 8 , 28 , 31

transmission 28 , 101 , 300-305

See also Standard precautions

Blue baby syndrome 488

Board of directors. See Governing body

Body fluids 28 , 98 , 100-102 , 106 , 242 , 246 , 301 , 352 , 417 , 480-481

exposure prevention 18 , 28 , 100-104 , 213 , 218-219 , 227 , 239 , 242 , 301 , 304-305 , 419 , 483 , 487 , 492-493

Body mastery 56

Boiler rooms 192 , 194

Bomb threat

evacuation plan 347

Booster seats 61

Bottle feeding 157 , 159-160 , 163

Bottle holders 431

Bottle propping 157 , 353 , 480

Bottle straws 431

Bottled water. See under Water

Bottles 156-161 , 353

cleaning and sanitizing 159-161 , 353

fed to wrong child 103

proper labeling 158-160

ready-to-feed 159

refrigeration 158-160

warming 159-160

Bottles, spray. See Spray bottles

Bows and arrows 252

Boy Scouts 451

Braces 229

Brain development 3 , 5 , 9 , 161 , 409 , 441 , 448

Breakfast 426-427

Breaks, work 27 , 39 , 220 , 357 , 410

amount of time 117 , 357

Breast milk. See Human milk

Breastfeeding 149 , 155-156 , 486

See also Human milk

Breathing, rescue. See Management of a blocked airway and rescue breathing

Bright Futures 361-362 , 395

Bronchitis 111 , 292-293 , 307 , 480 , 490

Bruises 28 , 117 , 420

Buckets 110 , 113 , 268-269

Budgets 164 , 333 , 374 , 443

Building blocks 432

Building code xxi , xxii , 189 , 194 , 195 , 208 , 257 , 271 , 273 , 371

Building inspection. See under Inspections

Building Officials and Code Administrators International 208 , 451

Buildings xxi , 58 , 189-200 , 204 , 208 , 231 , 234 , 251 , 257-258 , 273

wood construction 191

Bulk foods. See under Food

Bullets. See Ammunition

Bunk beds 249

See also Bedding

Burnout 40 , 192 , 357

Burns 23 , 28 , 116 , 170 , 173 , 200-202 , 204 , 207 , 221 , 251 , 256 , 270 , 348 , 420 , 424, 493

electrical 206

hot water 160 , 167 , 170 , 180 , 202 , 240 , 420

See also Sunburn

Buses. See under Motor vehicles

C

CACFP. See Child and Adult Care Food Program, U.S. Department of Agriculture

Camp sinks. See under Sinks

Campylobacter gastroenteritis 135-136 , 175 , 299 , 410 , 480

Canadian Paediatric Society 143 , 451

Canadian Standards Association 202 , 451

Candles 203-205 , 236

Candy 109 , 168

Cap pistols 252

Capture velocity 172 , 480

Car safety. See Vehicle child restraint systems

Car seats. See Vehicle child restraint systems

Carbon monoxide 200

poisoning 200

Cardiac arrhythmia 21-22

Cardiopulmonary resuscitation 24 , 44 , 113 , 480 , 482

Care coordinator 320-321 , 324 , 480

Caregivers. See Staff

Carpets 107-108 , 194 , 205 , 207 , 218-219 , 259 , 274 , 422

cleaning and maintenance 101-102 , 106 , 108 , 120 , 218 , 419

Carriages 220

Carrots 168

Cars. See under Motor vehicles

Case management 321

Catastrophes 16

Catheterization 122 , 480

Cavities. See Dental caries

CD players in vehicles 63

CDA. See Child Development Associate

CDBG. See Community Development Block Grants

CDC. See Centers for Disease Control and Prevention

Ceftriaxone 288 , 481

Ceilings 107 , 191 , 199 , 206 , 215 , 218-219

acoustical 205

height of 235

Cellar 193 , 215 , 273

Cellular phones 63

Center for Career Development in Early Care and Education. See Wheelock College Institute for Leadership and Career Initiatives

Center for the Child Care Workforce 14-15 , 358 , 451

Centers

benefits for staff 29-30 , 40 , 358

child-staff ratios 3

communication with parents 70 , 139 , 356

definition xviii , 384 , 481

dishwashing 179

food service staff 163 , 173

licensing inspections 389-390 , 444 , 446

location 189-190

policies 38 , 40 , 59 , 341 , 350- 351 , 354 , 357-358

posting of documents 376

prohibition of firearms 252 , 354

qualifications of staff 8-11

records 29 , 368

separation of age groups 236

substitutes 31

training of staff 8 , 17 , 21-24 , 27-31

use of health consultants 32-35

See also Directors; Staff; Ill children, facilities for; Drop-in care; and specific topics (e.g. Exclusion)

Centers for Disease Control and Prevention 87-101 , 113 , 225 , 227 , 294-295 , 298 , 304 , 307 , 341-342 , 352 , 395-396 , 415 , 451 , 481

Centers for ill children. See Ill children, facilities for

Certification

CPR 21-22

facility 371 , 441 , 444

Food Service Manager's Protection 27 , 374

pediatric first aid 11 , 13 , 15 , 30 , 32 , 60

staff 6 , 13 , 16 , 29-30 , 367 , 374 , 383 , 385-386 , 396 , 445

Chairs vii , 218-219 , 236 , 353

Changing tables. See under Diapering

Charcoal grills 200

Checking references 7

Chemical air fresheners. See under Air fresheners

Chemicals 121 , 127 , 199-200 , 209 , 214-216 , 229-233 , 258 , 263 , 273 , 372 , 418 , 489 , 493

lawn care 229-230

pool 268

sanitizing 132 , 177 , 180-181 , 225 , 245 , 417 , 483

storage 107 , 229 , 268 , 273

Chemoprophylaxis 288

Chewing tobacco. See under Tobacco use; Smoking

Chickenpox 36 , 87-88 , 123 , 125 , 127 , 129 , 131 , 135 , 139 , 294-295 , 304 , 360 , 410 , 415 , 493

Child abuse viii , 8 , 28 , 39 , 59 , 67 , 116-118 , 142 , 337 , 366 , 368 , 454 , 481

children's abuse of peers 19

collection of data 397

consultants 116

convictions 7 , 30 , 60 , 385 , 387

education 27-28 , 389 , 397

emotional 28 , 65 , 337 , 346 , 391 , 420 , 481

extreme temperatures 65

physical 8 , 28 , 39 , 65 , 118 , 337 , 346 , 377 , 391 , 440 , 481

prevention 27-28 , 67 , 117-118 , 255 , 363 , 369 , 377 , 386 , 389 , 397 , 421 , 443

psychological 28 , 337

recognizing signs and symptoms 8 , 16 , 18 , 25-28 , 33 , 117 , 389 , 420

registries 7-8 , 367 , 384 , 386-387

reporting 8 , 18 , 27-28 , 33 , 116-117 , 363 , 368 , 370 , 375-377 , 391 , 402

sexual 7-8 , 28 , 59 , 65 , 337 , 346 , 368 , 391 , 420 , 481

verbal 65 , 362

See also Neglect

Child and Adult Care Food Program, U.S. Department of Agriculture 27 , 150 , 153 , 182-183 , 443

Child Care Bureau ix , xv , 404 , 451 , 454 , 457

Child care caregivers. See Staff

Child care health consultants. See Health consultants

Child care homes. See Large family child care homes; Small family child care homes

Child Care Law Center x , 325 , 442 , 451

Child Care Nutrition Resource System 182-183 , 451

Child care nutrition specialist. See Nutrition specialists

Child care workers. See Staff

Child development

definition xv

program activities based on 47 , 75-76 , 132 , 355-356 , 403 , 409

training about 8 , 11 , 13-15 , 24 , 77 , 131 , 389

Child Development Associate 14 , 400 , 481

Child health insurance program. See Childrens health insurance program

Child neglect. See Neglect

Child passenger restraint system. See Vehicle child restraint systems

Child protective services 116

Child records. See Records

Children 3 to 5 years old. See Preschool age children

Children from birth to 35 months. See Infants; Toddlers

Children with special needs 315-327 , 389 , 409

assessment of child 318-320 , 336

assessment of facility 325 , 336

child-staff ratios 4-5

community resources for 11-12 , 73 , 399

consultation services 34-35 , 73-74 , 323 , 343 , 399

coordinating services 323

definition 481

emergency plan 115 , 119 , 226 , 338 , 360 , 424 , 437

facility for

definition xviii , 384

food service and nutrition needs 150-153 , 182-183

funding for services 317-318 , 323 , 399

furnishings and equipment 228 , 431-433 , 479

injuries 243

parent relations 68 , 77 , 318 , 325

physical access to and from facility 195-196

planning for services 318-322 , 325-326

play areas and equipment 261

policies 334 , 336 , 409

program activities 47-48 , 317 , 325 , 355-356

records 359-364 , 438

reevaluation process 324-325

space requirements 235

staff orientation 18-20

staff qualifications 13

toilet learning/training 49 , 239

Children with special needs (cont.)

training about 8 , 19-20 , 24 , 26 , 33 , 75 , 122 , 322 , 325 , 400-401

transition process 344-345

transportation 60 , 62

See also Individuals with Disabilities Education Act; Inclusion; Individualized Education Program; Individualized Family Service Plan; Americans with Disabilities Act

Children, ill. See Ill children

Children, preschool. See Preschool age children

Children, school-age. See School-age child

Children's Safety Network 451

Childrens Health Insurance Program (CHIP) 72 , 341 , 401 , 481

Child-resistant caps 138

Child-resistant packaging 138

Child-staff ratios xv , xx , 3-5 , 25-26 , 30 , 39 , 58-59 , 335 , 338 , 347 , 355 , 368 , 404 , 445

centers 3-5 , 444

during transportation 6 , 58-60

in facilities for ill children 133

in facilities serving children with special needs 5

large family child care homes 3-5 , 444

small family child care homes 3

wading and swimming 6 , 24

Chimneys 201

CHIP. See Childrens Health Insurance Program

Chlordane 481

Chlorine levels in pools 270

Chlorine pucks 270

Chlorine. See Bleach solution

Choking

first aid 22 , 132 , 153

hazards 109 , 157 , 161 , 166 , 168 , 182 , 217 , 223-224

statistics 168 , 224

Chronic hepatitis B virus infection. See Hepatitis B virus infection

Chronic illness 286 , 315-317 , 344 , 362-363 , 401 , 421 , 481

Class roster 348 , 350 , 376-377

Classrooms 4-5 , 189 , 241 , 249 , 333 , 485

cleaning 106

closed rooms 54

space requirements 235

Cleaning and sanitation

animal areas 112

areas used by ill children 130 , 249 , 297

art materials 198

bedding 106 , 110 , 246 , 248

bottles 158-160

carpets 101-102 , 218-219

definition 481 , 483 , 491

diaper changing areas 93-97 , 106 , 241-242

diapers 91-92

equipment and materials used for 105-107 , 178 , 192 , 230

floors 218

food service areas and equipment 106 , 150 , 161 , 165 , 167 , 170-171 , 173 , 177-180 , 353 , 430

frequency 104 , 106

furnishings 218

hats 106

heating and ventilation systems 199 , 201 , 203 , 274

helmets 225

objects 109 , 301

outdoor play areas 262

policies 21 , 41 , 351-352

pools 270

sandboxes 258-259

sanitizer 94-96 , 102 , 180 , 210 , 225 , 245 , 419 , 480

hand 210

selecting 97 , 417

schedule 178 , 273 , 430

sinks 99 , 106

spills of blood and body fluids 101-102 , 106 , 419 , 492

storage areas 177 , 229 , 251 , 273

surfaces 101 , 108 , 171 , 218 , 417

toilets and bathrooms 105-107 , 197 , 239-240

tooth brushing areas and equipment 227

toys 106-109 , 218 , 301 , 351

training on 8 , 19 , 21 , 100 , 299 , 401

vehicles 276

waste and garbage containers 107 , 214

water play tables 225

See also Handwashing

Climbing equipment 259 , 431

Clinic Assessment Software Application 341-342

Closed rooms. See under Classrooms

Closet doors 251

Closing facility 30 , 334 , 347

Cloth diapers. See under Diapering

Clothing 51 , 91-93 , 106 , 129 , 201 , 217 , 226 , 245-246 , 252 , 261 , 276 , 294-295 , 306 , 419 , 432

soiled 91-95 , 213 , 240-242 , 419

storage 250-251

See also specific articles of clothing (e.g. Coats)

Club activities 57

CMV. See Cytomegalovirus

Coat hooks 250

Coats 250-251

Coffee pots 167

Coins 109 , 223

Cold sores 100 , 130 , 294

Combs 106 , 226 , 246 , 250-251 , 306 , 486

Comforters 110 , 248

Comforting 9 , 123

Commission on Child Care 403

Communicable diseases. See Infectious diseases

Communication with parents. See Parent relations

Community clinics 343

Community colleges 27 , 164 , 386 , 400 , 411

Community Development Block Grants 318-319 , 323

Community resource file 375

Community service 57 , 398 , 402 , 446

Community services 25 , 27 , 33 , 398

Compactor 213

Compensation and benefits 13-14 , 29-30 , 37 , 39 , 40 , 358 , 404 , 442 , 445

educational 40 , 357

for health consultants 345

health 37 , 341

merit increases 357

related to children with special needs assessments 399

salaries 13 , 404

See also Leave; Workers' compensation

Complaints

about child care providers 42 , 368 , 376 , 389-391 , 445

procedures 70 , 376 , 391 , 445-446

records 42 , 391

Compliance

alternative means 387

definition 482

with standards xvii , xix , 55-56 , 59 , 61 , 63 , 69 , 74 , 91 , 105 , 108 , 165 , 167 , 183 , 190 , 193 , 212 , 222 , 235 , 237 , 245 , 253 , 255 , 269 , 325 , 361 , 377-378

with state regulations 8 , 28-29 , 32 , 41-42 , 211 , 333 , 341 , 367 , 371-373 , 376 , 383 , 386 , 388-391 , 393 , 444 , 446

Conferences 5 , 68 , 320-321 , 324 , 335

Confidentiality of records 336 , 365 , 409

Conflict management 75 , 77

Conjunctivitis 123 , 127 , 482 , 492

nonpurulent 127 , 129 , 489

purulent 125 , 127 , 129-130 , 140 , 490

Consent, written. See Parental consent

Constipation 49

Construction of facility 189-190 , 198 , 205 , 234-235

Consultants. See Health consultants

Consultation records 35 , 134 , 374 , 376

Consumer Product Safety Commission, U.S. 53 , 99 , 113 , 193 , 198 , 200 , 207 , 216-217 , 221-222 , 224-225 , 231-234 , 243 , 247 , 249 , 252 , 254-256 , 258-260 , 265 , 267 , 269 , 274 , 277 , 373 , 451 , 482

Continuing education 13 , 19 , 24 , 41-42 , 299 , 386 , 396

for center staff 24-26

for large family child care home staff 24-26

for licensing inspectors 389

for small family child care home providers 26

payment for 30

records 29 , 368

Continuity of care 37 , 366

Contract services 378

Contracts 35 , 274 , 276 , 323 , 378

Control of Communicable Diseases in Man 395

Convex mirrors 59

Convulsions 23

Cooks. See Food service, staff

Cooling 197-199 , 202

Cooperative State Research, Education, and Extension Service 451

Cords 204 , 207 , 247 , 252

See also Electrical cords; Extension cords

Corporal punishment 64-66 , 337 , 362-363 , 376-377 , 482

Corrective action 42 , 233 , 333 , 374 , 439

Corridors 196-197 , 204-205 , 208 , 235

Costs

of health exams 37 , 40 , 357

of implementing standards xx

Cots 110 , 246-247 , 251

Coughing 98 , 104 , 121 , 124 , 291 , 293 , 422 , 486 , 489-490

Counting children 58-59 , 348

Court orders 67

CPR. See Cardiopulmonary resuscitation

CPSC. See Consumer Product Safety Commission

CPSI. See Playground safety inspectors

Crawl spaces 261

Credentialing, individual 8 , 14 , 74 , 385-386 , 396 , 400 , 443

Crib death 247 , 479

Crib gyms 224

Crib mattresses. See Mattresses

Cribs 110 , 224 , 246-248 , 252

cleaning 106 , 110

portable 248

surfaces 110

See also Bedding; Sleep position; Mattresses

Criminal records 7 , 30 , 60 , 367 , 375 , 384-387

Crock pots 160

Crossing streets 74

Crosswalks 61 , 271

Croup 292-293 , 482

Crying 124 , 135 , 157 , 421

Cryptosporidium 136 , 298-299 , 304 , 482

CSHN. See Children with special needs

CSN. See Children with special needs

Cubbies 106 , 110 , 250

Cuddling 52

Cultural competence 10

Cultural diversity 50 , 392 , 400 , 409

Cultural expectations 49

Cultural groups 11 , 19 , 401

Cultural sensitivity 57 , 397-398

Cups 156-158 , 162 , 229

labeled 227

single service 165 , 179-180 , 244

sippy 157

Curriculum 11-12 , 20 , 24 , 26 , 47 , 50 , 55-57 , 74-76 , 78 , 97 , 218 , 355

Cuts 23 , 98 , 100 , 102 , 225 , 273

Cutting boards 179

Cytomegalovirus 104 , 295-296 , 396 , 410 , 481-482

D

Daily health assessment 18 , 21 , 85 , 335

Daily log 69-70 , 85 , 94

Dairy Council 26 , 182-183 , 451

Dairy products 174 , 176

Dancing 55

Darts 252

Death 27 , 60 , 113 , 116 , 121 , 154 , 175 , 252 , 370

coping with 16 , 142

reporting 140-142 , 346 , 370 , 397

statistics 111 , 113 , 190 , 207 , 224 , 251-252 , 257 , 268 , 275 , 277 , 304 , 348 , 350

See also Sudden Infant Death Syndrome; Crib death

Decibel level 482

Decongestants. See Medications

Dehumidifier 203 , 274

Deinstitutionalization 482

Demand feedings 157 , 353 , 482

Denmark 48

Dental caries 37 , 90 , 151 , 156-157 , 482

Dental decay. See Dental caries

Dental health. See Oral health; Tooth brushing; Toothbrushes

Dental sealants 90-91 , 482

Deodorizers 230 , 422

Departure from child care facility. See Leaving the child care facility

Depth Required for Tested Shock-absorbing Surfacing Materials for Use Under Play Equipment 435

Detergents 202 , 229

Development, child. See Child development

Developmental activities programs. See Program activities

Developmental disabilities 13 , 20 , 32 , 34 , 115 , 321-326 , 375 , 397-398 , 401 , 421 , 481 , 487

See also Children with special needs; Disabilities

Developmental skills 49 , 166 , 316

Developmentally appropriate xiv , xv , 27 , 48 , 50 , 55 , 58 , 74 , 132 , 149 , 165 , 168 , 182 , 218-219 , 222 , 235 , 259

Diabetes 60 , 155 , 275 , 361 , 413

Diaper containers 106 , 212-214 , 242 , 268

Diaper cream 93-94 , 242

Diaper dermatitis 91-93

Diaper service 96

Diapering 9 , 91-92 , 97 , 118 , 174 , 192

changing areas/tables 93-96 , 101 , 106-107 , 131 , 213 , 219 , 241-245 , 351 , 483

check for need to change 92

cloth diapers 91-93 , 96 , 213

disposable diapers 91-93 , 96 , 213

disposal of diapers 18 , 31 , 93 , 96 , 101 , 213 , 252

procedure 18 , 31 , 77 , 91-95 , 335 , 493

pull-on pants 91-92

table paper 93 , 101 , 242 , 492

training 8

Diapers. See Diapering

Diarrhea 85 , 127-128 , 169 , 230 , 296-297 , 410 , 480 , 482-485 , 491-492

care in special facilities for ill children 131

exclusion because of 124 , 126 , 128- 129 , 135-136 , 140 , 297-299

incidence of 91 , 97 , 100 , 104 , 123 , 155 , 298

parent notification 139-140 , 298-299 , 304 , 395

records 300

reporting 297-300

restricted food handling 173-174

Salmonella 124 , 126 , 135 , 297 , 299 , 491

staff education on 299 , 395

Dietary medications. See Medications

Dietary modifications 86 , 152 , 182-183 , 363

Dietitians 25 , 34 , 73-74 , 170 , 182-183 , 343 , 411 , 489

Diets 72 , 149 , 150 , 152-153 , 363

Dining areas 164 , 178

Dinner. See Supper

Diphtheria-tetanus-pertussis vaccine 440 , 483

Directors xx , 4 , 16 , 38 , 75 , 301-302 , 386 , 396 , 443 , 480

continuing education 13 , 24 , 442

of facilities for children with special needs 318

of facilities for ill children 131 , 133 , 136

qualifications 7 , 8 , 11-12 , 131 , 445

responsibilities 7 , 16-17 , 19 , 21 , 28-31 , 37 , 42 , 61 , 65 , 131 , 136 , 139 , 149 , 170-171 , 182 , 299 , 304 , 333 , 348 , 355 , 365-366 , 372 , 386 , 393

role 12 , 392

training 8 , 27-29 , 385 , 389 , 445

Disabilities 7 , 20 , 27 , 34 , 49 , 73 , 89 , 123 , 189-190 , 195-196 , 234 , 250 , 261 , 315-319 , 322 , 325 , 336 , 339 , 357 , 360 , 363 , 385 , 409 , 421 , 481 , 488-489

See also Children with special needs; Developmental disabilities; Americans with Disabilities Act

Disability and Business Technical Assistance Centers 7 , 37-38 , 452

Disasters 16 , 349 , 490

evacuation 335 , 347-348

food supply 177

preparedness 178

See also specific types (e.g. Floods, etc.)

Discharging staff. See Termination

Disciplinary action. See under Staff

Discipline 64 , 400

methods 18 , 25 , 27 , 31 , 41 , 64-65 , 68 , 337-338 , 363 , 377

policy 18 , 41 , 65 , 334-337 , 362 , 368 , 376

Discrimination 190, 317

policy of non-discrimination 7 , 336 , 376

See also Americans with Disabilities Act

Diseases, communicable. See Infectious diseases

Diseases, infectious. See Infectious diseases

Diseases. See Illnesses and specific diseases (e.g. Head lice, Tuberculosis, etc.)

Dish pans 109 , 179-180

Dishes 130 , 161 , 165-166 , 291

cleaning/sanitizing 161 , 179-180 , 202 , 218

Dishwashers 108-109 , 160 , 164 , 179-180 , 202 , 218 , 483

detergents 229-230

Dishwashing 179-180

Disinfection. See Cleaning and sanitation

Dismissal. See Termination

Disposable diapers. See under Diapering

Diversity. See Cultural diversity

Doctor. See Health professionals; Physicians

Documents, posting 64 , 119 , 211 , 349 , 375-376 , 391

Dog bites 111

Dogs 111

Domestic violence 77 , 421

Doors 191 , 193-197 , 208 , 215 , 230 , 233 , 239 , 272-273

boiler room 194

closet 251

finishes 197

fire 191

hardware, panic 196

safety guards 193

toilet room 237

Doorways 194 , 207

Double deck beds. See Bedding; Bunk beds

Drama 55

Drawing. See Art activities

Drawstrings 252

Dress-up clothes 432

Drinking fountains 189 , 244

Drinking water. See under Water

Drivers 5- 6 , 61 , 63 , 85 , 133 , 350 , 413 , 492

qualifications 14 , 60-61 , 350

training 60 , 350

Drop and roll procedure 116

Drop-in care xviii , 378 , 384 , 481

definition xviii , 384 , 483

Drop-off points 61 , 271 , 336 , 350

Drowning 6 , 22-24 , 112-113 , 243 , 257 , 262 , 265-266 , 268

Drug testing 61

Drugs 489 , 492

children's use 66 , 113

community programs 77 , 354

illegal 111 , 354

staff use 60-61 , 111 , 354

See also Medications

Drunk parent. See under Parents, intoxicated

Dry milk. See under Milk

Dryers 245

DTP. See Diphtheria-tetanus-pertussis vaccine

Dust 190-193 , 231 , 234-235 , 245 , 272-273 , 422

Dust mites 107-108 , 121 , 203 , 481 , 489

E

E. coli 0157.H7 124 , 126 , 129 , 135-136 , 140-141 , 175 , 297 , 429 , 483

Ear infections 72 , 111 , 123 , 155 , 157 , 290 , 292-293 , 307 , 339 , 485 , 489

Early childhood education xiii , xv , 12-14 , 115 , 131 , 356 , 389 , 392 , 397 , 443 , 446

degree 11 , 13-15 , 222

Early Childhood Education Linkage System 345 , 414 , 452

Early intervention 72 , 315-316

Early Periodic Screening and Diagnostic Treatment 341 , 361-362 , 484

Earphones 63

Earthquakes 177 , 393

evacuation plan 347-348

Eating 52 , 75 , 90 , 97-98 , 104 , 149 , 151 , 153 , 156-157 , 162-169 , 182-183 , 217 , 316 , 400

problems 68 , 122 , 162 , 169 , 422

supervision 168

See also Family style meal service; Food service

Eating utensils 130 , 153 , 165-167 , 171 , 179-180 , 229 , 242 , 417 , 483 , 486

ECELS. See Early Childhood Education Linkage System

ECELSTRAK 342

Ectoparasites. See Head lice; Scabies

Edison Electric Institute 452

EDITH. See Exit drill in the home

Education coordinators 13

qualifications 13

Education of All Handicapped Children Act,The 315

Education. See Continuing education; Early childhood education; Health education; Qualifications under specific positions; Training

Educational leave. See under Leave

Educational therapists 74

EEO. See Equal Employment Opportunity Act

Egg products 175

Eggs 153 , 174-175 , 353 , 428

Electric space heaters. See Heating equipment

Electrical cords 110 , 167 , 207-208

Electrical fixtures and outlets 205-207 , 218-219 , 267

maintenance 273

safety covers 206-207

Electrical shock 206-207 , 268 , 274

Electrotechnical Laboratory 199-200

Emergency contact 32 , 60 , 114 , 226 , 275 , 360 , 367-368 , 377

Emergency exits. See under Exits

Emergency information form for children with special needs 360 , 437

Emergency medical facility 61 , 72

Emergency medical services 23 , 114-115 , 122 , 135 , 141 , 154-155 , 178 , 343 , 359-360 , 377 , 392 , 401-402 , 424

See also Urgent medical care

Emergency Medical Services for Children National Resource Center 25 , 115 , 134 , 360 , 452

Emergency plans 16 , 34 , 114-115 , 269 , 334 , 347-349 , 354

for children with special needs 16 , 23 , 115 , 118-119 , 275 , 338 , 360 , 437

See also Evacuation of children

Emergency procedures 4-5 , 8 , 18-19 , 22-24 , 31-32 , 60 , 114 , 132 , 150 , 153 , 232 , 275 , 338 , 363 , 424 , 484 , 486

Emergency rooms 72 , 155 , 221 , 343 , 347

Emergency shelter 195 , 335 , 348

Emetics 115

Emotional abuse. See under Child abuse

Employee pay. See Compensation and benefits

Employee turnover. See Turnover

Employment history 7 , 368

EMS. See Emergency medical services

Encapsulated asbestos. See under Asbestos

Enclosures 220 , 257

Endotracheal suctioning 484

Enforcement of regulations. See under Regulations

Enrollment xiii

diversity 50

exclusion 484

immunization documentation 71 , 87 , 342

policies 129 , 292 , 334 , 336

pre-admission information 301 , 359-360 , 363

procedures 21 , 34 , 337 , 340 , 342 , 359 , 362

process 318 , 335

records 350

restricting 445

Enrollment/Attendance/Symptom Record 414

Enteric infections 136 , 296-299 , 484

Entrapment risks 190 , 193-194 , 197 , 217 , 220 , 225 , 237 , 248 , 251 , 257 , 271-272

in bunk beds 249

in cribs 247-248

in play equipment 261

in pools 267

Environmental hazards. See specific types (e.g. Radon, Lead Poisoning, etc.)

Environmental Protection Agency 52 , 97 , 198 , 200 , 209 , 215-216 , 231 , 233-234 , 244 , 418 , 452 , 483-484 , 491

EPA. See Environmental Protection Agency

Epilepsy 118-119 , 326 , 413

Epinephrine 23 , 154-155

Epi-Pen 155

Equal Employment Opportunity Act 7

Equipment 189 , 216 , 235 , 262 , 484

contamination of 104 , 218 , 352

maintenance of 274 , 334 , 351 , 373

placement of 53 , 218- 219

records 373

safety of 216-219

second-hand 217 , 373

selection of 55 , 107

storage of 250-251

surfaces of 218

See also Adaptive equipment and specific types (e.g. Cribs, Play equipment, etc.)

Ergot 175 , 484

Erythromycin 125 , 289 , 484

Ethnic backgrounds 11

ETL. See Electrotechnical laboratory

Evacuation of children 5 , 59 , 195-196 , 248 , 404

children with special needs 195-196

drills 27 , 334 , 347-348

records 371-372 , 376

plan 32 , 195 , 334-335 , 347-349 , 372 , 376

See also Emergency plans

Evaluation 484

of a child 71 , 72 , 124 , 126 , 129 , 140

of a child with special needs 318-325

of facility 70 , 164 , 371 , 399

of staff. See under Staff

of training 17 , 22 , 24-26 , 31 , 100 , 132 , 374

Evening care xviii , 243 , 390

plan 334 , 353-354

Excavations 190 , 257

Exclusion 18 , 87 , 484

conditions that do not require exclusion 128-129 , 385

in facilities for ill children 135-136

of children 20 , 88 , 123-127 , 140 , 289-301 , 335 , 339 , 342 , 369 , 385 , 389

of staff 129 , 297 , 302 , 357

policies 8 , 21 34 , 124-129 , 133 , 335 , 338 , 393 , 401

Exercise 57 , 75 , 77 , 356 , 489

excessive 65

rings 261

Exhaust systems 107 , 172 , 212

Exit Drill in the Home 349

Exits 191-197 , 204-205 , 257 , 262 , 264 , 326 , 348-349

emergency 193 , 195-197 , 205

Exploitation 116

Exposure control plan 28-29

See also Blood; Standard precautions

Exposure to blood. See under Blood

Exposure to body fluids. See Body fluids

Expressed human milk. See Human milk

Extension cords 207

Extension service offices 26-27 , 72 , 153 , 170 , 451

Exterior maintenance 272

Extermination of pests. See Pest control

Eye injuries 23 , 204 , 224

Eyeglasses 229

F

Facilities for ill children. See Ill children, facilities for

Facilities. See Centers; Large family child care homes; Small family child care homes; School-aged child care; Drop-in care

Failure to thrive 86 , 420 , 484

Fainting 23

Fall zones 217 , 435

Falls 114 , 212 , 220-221 , 242-243 , 248-249 , 256 , 260-262 , 271-273 , 410

Family and Medical Leave Act of 1993 404

Family child care homes. See Large family child care homes; Small family child care homes

Family health 343

Family history 343

Family leave. See under Leave

Family style meal service 166-167 , 176 , 182

Fans 198-199 , 233

FBI. See Federal Bureau of Investigation

FDA. See Food and Drug Administration

Febrile. See Fevers

Fecal coliform 104 , 270 , 484

Feces 91-92 , 96-97 , 101-102 , 129 , 174 , 239 , 258 , 298 , 300 , 352

Federal Bureau of Investigation 386 , 452

Feeding 9 , 56 , 86 , 97 , 149 , 152 , 159 , 162 , 168 , 170 , 182 , 411 , 489

children with special needs 20 , 122 , 152 , 361

infants 53 , 103 , 149 , 155-157 , 161 , 168 , 335 , 353

plans 150 , 153 , 155 , 352

policies 334-335 , 352-353

self-feeding 149 , 162 , 166-168 , 182

Feeding chairs. See High chairs

Fees 5 , 335 , 357

Fences 6 , 113 , 223 , 254-258 , 264-265

height 254-255 , 258 , 264

Ferrets 112

Fevers 123-126 , 129-130 , 135 , 140 , 288-295

Fiberglass 231

Field trips 58 , 60 , 63 , 154 , 226 , 350 , 354 , 422

child-staff ratios 58 , 60

policies 334 , 350

Fifth disease. See Parvovirus B19

Fighting 64 , 166 , 182 , 338

Filters 172 , 199

Financial management 333

See also Budgets

Finger-pinch protection devices 194

Fingerprinting 7

Finland 48

Fire alarms. See Smoke detection systems

Fire codes 189 , 191 , 193 , 202 , 205 , 208 , 219 , 443

Fire departments 200 , 348-349 , 377

Fire doors. See under Doors

Fire evacuation drills. See under Evacuation of children

Fire evacuation plans. See under Evacuation of children

Fire extinguishers 115 , 208 , 372 , 376

inspection 372

Fire inspectors 189 , 191-192 , 195 , 208 , 273 , 348 , 371

Fire marshal 205 , 208 , 219 , 392

Fire prevention 189 , 202 , 206 , 208 , 251 , 349 , 372 , 393 , 395

Fire protection equipment. See Smoke detection systems; Fire extinguishers

Fire safety xv , 4 , 75 , 189 , 191 , 397-398 , 402 , 443 , 446

Fire warning systems. See Smoke detection systems

Firearms 252 , 354

See also Ammunition 252

Fireplaces 201

inserts 201

Fires 370 , 490

causes of 111 , 200-202 , 204 , 207 , 251 , 274

egress from 59 , 115 , 133 , 193-197 , 209 , 254 , 262 , 347-348

response to 116

Firing staff. See Termination

First aid 11 , 13 , 15 , 21 , 30 , 32 , 60 , 75 , 77 , 114 , 118 , 198 , 230 , 232 , 338 , 347 , 363 , 369 , 439 , 484 , 489

statistics on use 22 , 226

training 8-9 , 21 , 23 , 27-29 , 132

First aid kits 226 , 347

contents of 226

in vehicles 226 , 275

on field trips 63

Fish

as a food item 175-176 , 425-427 , 429

Fish ponds 257 , 264

Fitness. See Exercise

Flammable materials 200 , 204 , 251

Flashlights 205

Flies 215 , 481

Floods 212 , 393

evacuation plans 347-348

Floor level 58 , 191 , 195-196 , 201 , 208 , 236-237 , 272

Floor mats 431 , 433

Floor space 235-236 , 250

for children with special needs 235

Floors 94 , 104 , 106-107 , 171 , 191 , 193 , 197 , 215 , 218-219 , 246 , 491

cleaning 101 , 106 , 113 , 197 , 218-219 , 417 , 419

Flotation device 113-114

Fluoride 89-90 , 489

Folk medicine. See Medications

Food allergies 152-155 , 326 , 353 , 479

Food and Drug Administration, U.S. 27 , 173 , 181 , 457

Food and Nutrition Information Center 26 , 451

Food code 173 , 176 , 181

Food Guide Pyramid 149 , 425

Food habits 149

Food handling 8 , 18 , 27 , 31 , 97 , 107 , 132 , 173-174 , 177 , 182 , 298 , 334-335 , 352

Food intolerance. See Food allergies; Allergies

Food jags 162

Food poisoning. See under Poisoning

Food preparation 18 , 31 , 130 , 163-164 , 170 , 174 , 192 , 352-353

Food preparation areas 96 , 106 , 112 , 170 , 171 , 173 , 176 , 178 , 192 , 204 , 219 , 229 , 235 , 240 , 242 , 417

Food preparation sinks. See under Sinks

Food Research Action Center 452

Food safety 31 , 169 , 170-175 , 181 , 298 , 352 , 457

Food sanitation standards 173

Food sensitivity 152

Food service 130 , 163 , 242 , 352-353 , 401

aides 163-164 , 411

off-site 181

personnel 149

records 374

staff 163-164 , 299 , 411

training 25 , 27

Food service equipment. See Kitchen equipment

Food service manager 149-150 , 163-164 , 411

Food Service Manager's Protection (Sanitation) Certificate 27 , 374

Food storage 18 , 31 , 112 , 120 , 172 , 176-178 , 181 , 192 , 273 , 428

Food supply

for disasters 177

Food temperature 172 , 175-176 , 181

Food warmers 353

Foodborne illness 27 , 169 , 171 , 173-176 , 178 , 352 , 485

Foods 149 , 168 , 182 , 409

brought from home 161 , 164 , 169 , 175 , 335

bulk 177

categories 151

choking hazards 109 , 168

cold 172 , 175-176 , 181

forcing 65 , 162 , 169 , 337

frozen 175

home-canned 174-175

hot 167 , 170 , 172 , 175-176 , 181

infant 160-161 , 353 , 488

introduction of new foods 152 , 156 , 167

leftovers 161 , 176

perishable 169 , 175-176 , 181

plastic 108

prohibited uses of 169

sharing 161 , 169 , 294

solids 155-156 , 159 , 161

uncooked 97

withdrawal of 65 , 337

See also types of foods (e.g. Meats, Fruits, etc.)

Foot candles 204 , 485

Formal evaluation. See Evaluation

Formaldehyde 219 , 230 , 233

Formula 155-161 , 175 , 426 , 488

preparation 18 , 31 , 158-160 , 353

storage 159-160 , 353

Fractures 23 , 421

France 48

Freezers 159-160 , 175 , 428

cleaning 177 , 430

temperatures 172

Friable materials 191 , 231 , 485

See also Asbestos

Frozen foods. See under Foods

Fruit juice. See Juice

Fruits 151 , 168-169 , 175 , 425-427

Fungicides 215

Furnaces 201 , 273

rooms 235

Furnishings 94 , 104 , 107-108 , 216-219 , 228 , 235 , 373

Furniture 196 , 200 , 218 , 236 , 291

adaptive 153 , 316

for meals 165

safety of 248

size of 217-220

surfaces of 218

See also types (e.g. Chairs, etc.)

Futons 246 , 248

G

Garbage 97 , 107 , 120 , 178 , 211-213 , 215 , 265 , 430

Garbage containers 96 , 106-107 , 212-214 , 227 , 238-239 , 252

GAS. See Group A streptococcal infections

Gas heaters. See under Heating equipment

Gas lines 210 , 274

Gas stoves. See under Stoves

Gases 173 , 198 , 200 , 231 , 233 , 255 , 418 , 483

leak 173

Gasoline 208 , 251

Gastric tube feedings. See Tube feeding

Gastrointestinal problems 91 , 100 , 126 , 131 , 136 , 139-141 , 154 , 160 , 226 , 297-299 , 413

Gates 170 , 220 , 272

accordion 272

pressure gates 272

self-closing 257 , 264

self-locking 6

Gender identity 75

German measles. See Rubella

Get well rooms 131 , 133 , 340

GFCI. See Ground-fault circuit interrupter

Giardia lamblia 135-136 , 270 , 298 , 299 , 410 , 480 , 485

exclusion criteria 135

Gloves 95 , 210

disposable 93 , 103 , 108-109 , 173 , 226 , 419

feeding human milk 101-102

for food handling 173-174

latex 108-109 , 173 , 224

preventing exposure to blood or body fluids 31 , 100-102 , 419 , 492-493

procedure for removing gloves 93-94 , 412

utility 103 , 105 , 419

when brushing teeth 227

when diapering 93 , 95 , 242 , 493

Goals of facility 18 , 164 , 183 , 316 , 320-324 , 333 , 358 , 409 , 482

Governing body 70 , 333

See also Advisory groups

Grandparents 321 , 383

Grapes 109 , 168

Grief. See Death

Grills. See Charcoal grills

Ground level. See Floor level

Ground-fault circuit-interrupter 206-207 , 268 , 485

Group A streptococcal infections 246 , 290 , 307 , 485

exclusion criteria 290

Group size xv , xviii , xx , 3-5 , 25-26 , 30 , 39 , 335 , 338 , 355 , 400 , 404 , 444-445 , 485

definition 5

Growth data/charts 86 , 150

Guardians 21 , 85 , 124 , 135-138 , 152 , 169 , 297 , 337-340 , 344 , 347 , 359-362 , 365-366 , 369-370 , 376 , 383 , 409 , 422 , 424 , 436-437 , 439-440

Guardrails 249 , 254 , 271

Guards

door 193

fountain 244

heaters 202 , 240

splash 172

stairs 272

window 193

Guide to ADA Accessibility Guidelines for Play Areas 190 , 261

Guiding Principles for the Standards 409

Guns. See Firearms

H

Haemophilus influenzae type b infections 87 , 139 , 285-286 , 415 , 480-481 , 484-487 , 489 , 491

exclusion criteria 130

immunizations 285 , 415

Hairbrushes 106 , 226 , 306 , 486

Hallways 130 , 192 , 196-197 , 245 , 262

Halogen lamps. See under Lamps

Hand guns. See Firearms

Hand sanitizers 210

See also Soap

Handrails 271-272 , 480

Handwashing xx , 37 , 49 , 93-99 , 335 , 412 , 493

assisting children 49 , 94 , 99 , 155 , 167 , 225

during diapering 93-95 , 241

procedures 8 , 18 , 31 , 75 , 77 , 91 , 98-99 , 132 , 294 , 352-353

Handwashing (cont.)

situations requiring handwashing 97 , 100 , 112 , 130 , 159 , 174 , 227 , 294 , 486

training 75 , 99 , 100 , 294 , 298-299

Handwashing sinks 99 , 131 , 164 , 171-172 , 202 , 210 , 214 , 236 , 239 , 240-241

cleaning 106 , 417

location 236 , 239 , 241 , 244 , 249

prohibited uses 240-241

ratio to number of children 238

supplies 227 , 240 , 351

Harness 61 , 93

Hats. See Head gear

HAV. See Hepatitis A virus

Hazards 157 , 190-192 , 207 , 210 , 212 , 214-215 , 217 , 219-221 , 229-231 , 238 , 243 , 247 , 253 , 262 , 266-267 , 347 , 392 , 443

fire 172 , 204 , 219 , 245 , 273 , 348

food 168-169

outdoor 255

recognizing 13 , 15-16 , 18 , 39 , 59 , 389 , 402

removal 262 , 264

See also Aspiration hazards; Choking, hazards; Occupational hazards; Play equipment; Water hazards

HBV. See Hepatitis B virus infection

HCCA. See Healthy Child Care America Campaign

HCV. See Hepatitis C virus infections

Head gear 51 , 104 , 106

Head lice 110 , 127 , 139 , 225-226 , 246 , 250-251 , 306 , 410 , 487 , 489

exclusion criteria 124-125 , 127 , 130 , 135 , 306

nits 85 , 104 , 225 , 306

Health advocates 69 , 72 , 78 , 357

qualifications 16

Health assessments

for children 297 , 335 , 340-341 , 360-362 , 367 , 440 , 484

daily 18 , 21

for staff 36-37 , 40 , 291 , 357 , 367-368 , 375 , 387 , 413

daily 37

Health care, preventive. See Preventive health care

Health check 85

Health consultants xx , 25 , 32 , 34 , 72 , 85-86 , 123-127 , 139 , 293 , 334 , 338 , 345-346 , 349 , 355 , 365-366 , 370 , 374 , 390 , 397-398 , 401 , 485

documentation of visits 374

for facilities serving children with special needs 34 , 319 , 324 , 326 , 343

for facilities serving ill children 133-136 , 393

frequency of visits 35

knowledge and skills 33-34

mental health 10 , 398

on child abuse and neglect 116

parents as 134 , 345

policy 335

program consultants 397

qualifications xvii . 33-34

serving children with special needs 345 , 399

when to contact 16

Health departments 209-214 , 227 , 233 , 238 , 267 , 392

authorization role 96 , 112 , 158 , 180 , 209-211 , 270 , 483

child care licensing role 388 , 394 , 402

communicable disease identification and control role 125 , 127-130 , 139 , 140 , 141 , 285-295 , 298 , 302 , 388 , 392-395

consultant role 116 , 125 , 134 , 166 , 175 , 345 , 396 , 398 , 401

injury prevention and control role 392-394

inspection of food service equipment 171

inspection of pools 269

lead testing 233

notification of a death 370

notification of injury 370 , 395

notification of reportable diseases 8

notification to health department of a communicable disease 132 , 141 , 288 , 290 , 297-300 , 302 , 338 , 369-370 , 395

recommendations for sanitation 104

resource for materials xx , 25 , 72 , 74 , 77 , 89 , 153 , 170 , 182-183 , 339 , 395-396

training from 9 , 25 , 27

written plans 394

Health education 74

for children 18 , 63 , 74 , 90 , 166 , 182 , 335 , 355 , 409

topics 75 , 355

for parents 18 , 33 , 76-77 , 91 , 183 , 333 , 355-356 , 364 , 395-396 , 400

methods 76-77

plan 77

topics 77 , 356

for staff 76 , 132 , 164 , 174 , 295 , 299 , 302 , 305 , 318 , 351-352 , 396

topics 75-76

oral health 90

policies 334 , 336

Health education specialist 16 , 74-77 , 356

Health hazards 36 , 232 , 410

Health history 36 , 68-69 , 326 , 359 , 361 , 363 , 440

Health information sharing 71 , 73

Health insurance 40 , 72 , 318-319 , 323 , 341 , 357-358 , 373 , 401

See also Childrens Health Insurance Program (CHIP)

Health plan 119 , 340 , 486

Health policies. See under Policies

Health professionals 16 , 86 , 115 , 485

child care licensing role 388

conflicting opinions 125 , 127

consultation from 9-10 , 32-35 , 86 , 107 , 116 , 124 , 134-135 , 155-156 , 161 , 294-295 , 325 , 355 , 374

health assessment of staff 37

medication administration 138

training from 9 , 398

on medical procedures 122 , 158 , 317-318

transfer of information 365

See also Physicians; Nurses; etc.

Health record. See Records

Health report. See Records

Health resources 32 , 34 , 72 , 345 , 398

Health supervision 37 , 86 , 341-342 , 362 , 401

Healthy Child Care America Campaign 9 , 32-33 , 345 , 395 , 400 , 403 , 452

Hearing aids 229

Hearing impairment/loss 189 , 205 , 296 , 325 , 361 , 396

Hearing screening 36 , 77 , 362

Heat exhaustion/stroke 23

Heat index 51

Heat stress 52 , 60

Heat vent 173

Heating

of the facility 191 , 198

of vehicles 276

See also Water heating

Heating equipment

gas heaters 200

guards 202

inspection 199 , 201

kerosene heaters 200

maintenance 199

oil heaters 200

protective screens 201

space heaters 200

See also Water heating

Heavy metals 165

Helmets 225 , 277

Hepatitis A virus infections 91 , 123 , 139 , 141 , 296-300 , 394-396 , 410 , 480 , 484

exclusion criteria 125 , 130 , 297

immunizations 36 , 297-299 , 415

Hepatitis B immune globulin 302 , 415

Hepatitis B virus infections 101-104 , 300-303 , 410 , 483 , 485-486

carrier 302-303 , 485

injuries to 303

exclusion criteria 129 , 301

immunizations 28 , 36-37 , 88 , 104 , 301- 302 , 415

transmission prevention 302-303

Hepatitis C virus infections 102 , 104 , 300 , 303 , 410

exclusion criteria 303

transmission prevention 303

Herbal medicine. See Medications

Herbicides 215

Heritage. See Cultural groups

Herpes 6 410

Herpes 7 410

Herpes cold sores. See Herpes viruses

Herpes labialis 294

Herpes viruses 293

herpes simplex 293-294 , 410 , 486

exclusion criteria 125 , 130 , 293

herpes zoster 295 , 410

exclusion criteria 125

Herpetic gingivostomatitis 293-294 , 486

Hib. See Haemophilus influenzae type b infections

High chairs 220 , 432

High schools 27 , 400

Hiring staff. See Staff

Hitting 65 , 338

HIV 77 , 103 , 286 , 294 , 300 , 303 , 305 , 410 , 479 , 486

confidentiality 304

exclusion criteria 129 , 303

high risk for Tb 36

policies 303

prevention 77 , 101 , 305

protecting HIV-infected children and adults 304

tests 103

transmission of 103 , 303 , 305

Holding 9 , 49 , 52 , 66

Holidays 40 , 50 , 357

Holland 48

Home-canned foods. See under Foods

Homerooms 5

Homework 57 , 236

Hospitalization 52 , 54 , 121 , 236 , 294 , 346 , 361

Hospitals 9 , 135 , 340

as a resource 72

route to 61 , 114

See also Emergency rooms

Hot dogs 109 , 168

Hot liquids 167 , 170 , 420

Hot tubs 6 , 266 , 268

Hot water. See Temperature, water

Hugging 52

Human immunodeficiency virus infection. See HIV

Human milk 149 , 155-156 , 305 , 426

cleaning up spills 101-102

discarding 158-159

fed to another child 103

feeding 101-102 , 158 , 353

frozen 158-159

infant meal pattern 426

labeling 159-160

storage 160 , 353

warming 160

See also Breastfeeding

Humidifiers 203 , 274

Humidity 51 , 121 , 191 , 198 , 203

Humiliation 65 , 337

Hunger 157 , 420

Hurricanes

evacuation plans 347-348

Hygiene 41 , 49 , 75 , 91-92 , 96 , 99-100 , 104 , 128 , 178 , 218 , 227 , 295 , 298-299 , 334-335 , 351-352 , 356 , 401

See also Cleaning and sanitation; Handwashing

I

ICC. See Interagency Coordinating Council

IDEA. See Individuals with Disabilities Education Act

IEP. See Individualized Education Program

IFSP. See Individualized Family Service Plan

Iguanas 112

Ill children 25 , 130

care arrangements 123

information needed about child 134-135 , 140

isolation of 123 , 131 , 135 , 297 , 339 , 385

plan for care 338-339 , 385 , 388 , 393

policies 334-335 , 338 , 393

public-private collaboration on care 402

space for 235 , 249

See also Exclusion

Ill children, facilities for 123 , 130-136 , 339-340 , 492

child-staff ratios 133

definition xviii , xix , 384

director qualifications 131

exclusion criteria 135-136

health consultants 133-134

licensing 134 , 136

play equipment 136

procedures for care 123

program requirements 131-132

separate areas 297

space requirements 130-131

staff qualifications 132-133

training 132 , 393

See also Exclusion

Illegal substances. See Prohibited substances

Illnesses

documentation 338-339 , 369-370 , 393 , 397

accessibility 370-371

levels of severity 123 , 132

notification of parents 139-140

recognizing symptoms 13 , 15 , 21 , 26 , 85 , 124 , 126 , 132 , 140 , 292 , 396

reporting 37 , 85 , 140-141

training about 8 , 21 , 131-133 , 339 , 393 , 395

transmission

preventing 8-9 , 19 , 21 , 37 , 91 , 95-101 , 107 , 110 , 123 , 128 , 165-166 , 218 , 241 , 246 , 250 , 357 , 395 , 417

See also specific illnesses (e.g. Mumps); Exclusion; Ill children; Infection control

Illumination. See Lighting

Immune globulin 297 , 299 , 302 , 304 , 415 , 486

Immunizations 28 , 33 , 77 , 86-88 , 128 , 130-132 , 378

definition 486

exemptions 87-88 , 127 , 285-286 , 342

for staff 33 , 36-37 , 40 , 88 , 357

of pets 111-112

policies 335 , 340-341

records 17 , 87 , 340-342 , 359- 362 , 375 , 413 , 438 , 440

training about 8 , 401

under-immunized 87 , 341 , 493

See also under specific diseases requiring immunizations (e.g. Hepatitis B); Recommended Childhood Immunization Schedule

Impetigo 125 , 130 , 140 , 410

Incapacitated parent. See Parents

Incense 232

Incidence logs 369-370

Incident report form 439

Inclusion

criteria 34 , 124 , 133 , 299 , 301 , 338 , 389 , 393 , 401

of children with special needs 33-34 , 315-318 , 336 , 389

See also Children with special needs

Individualized Education Program 47-48 , 317-324 , 399 , 487

Individualized Family Service Plan 47 , 316-324 , 399 , 487

Individuals with Disabilities Education Act 20 , 47 , 115 , 315-325 , 399 , 487

Part B 315-317 , 320 , 487

Part C 12 , 315-320 , 322 , 487

Part H. See Part C

See also Children with special needs

Indoor air pollution 190 , 198 , 231 , 233 , 410

Indoor air. See under Air

Indoor play areas. See Play areas

Indoor space 192 , 195

for ill children 130

for infants 53

for school-age children 57

for toddlers 53

See also Play areas

Infant walkers. See Baby walkers

Infants

breastfed 156

caregiver relationships 52-53

child-staff ratios 3-4 , 6 , 168

definition xix , 487

IDEA Part C 315-316

indoor space requirements 235

nutrition 155-156

feeding 149 , 155-161 , 166 , 168 , 335 , 353

meal plans 155 , 426

play areas 108 , 236 , 253

program activities 52-54 , 355

separation from older children 54 , 236

sleeping areas 235 , 245 , 248

See also specific topics (e.g. Breastfeeding; Toys; etc.)

Infection control 16 , 19 , 34 , 104 , 128 , 131 , 139 , 293 , 299-301 , 303 , 339-340 , 395-396 , 400

See also Standard precautions

Infectious diseases 110 , 285-307 , 410

child record 360

definition 481

fact sheets 395-396

Infectious diseases (cont.)

health department role 388 , 392-395

isolation of child 123-126 , 292 , 340 , 385 , 393 , 487

notifying health department 132 , 141 , 370 , 393 , 395

notifying parents about 21 , 139 , 377

outbreaks 128 , 394-395 , 402

parents notifying facility about 140-141

policies 34 , 41 , 133 , 339

prevention 8 , 21 , 40 , 77 , 85 , 96 , 99 , 101 , 104 , 123 , 131 , 133 , 141 , 178 , 218 , 240 , 249 , 339 , 352 , 357 , 385 , 417 , 419

training on 9 , 25 , 131 , 401

transmission 8 , 128 , 131 , 228 , 269

See also Infection control; Standard precautions; Exclusion; and see specific disease (e.g. Tuberculosis, Head lice, etc.)

Infectious waste

disposal 214

storage 214

Infestation. See Head lice; Insects; Pest control

Informed consent. See Parental consent

Inhumation 190

Injuries 487

as part of child's record 361

back 39 , 219 , 243 , 410 , 413

cold 23 , 51

dental 23 , 206 , 208 , 347

during transport 61-62

eye 23 , 224

from animals 111

head 23 , 109 , 260

heat-related 23 , 51

incidence of 22 , 60 , 111 , 193 , 207 , 217 , 221 , 223 , 225-226 , 243 , 249 , 274-275 , 277 , 393

collecting data 397

musculoskeletal 23 , 194 , 275

notifying health department 395

notifying parents 338

parents notifying facility 85

policies 134

reporting 37

plan 346

report forms 369-371 , 375

space for injured child 249

suspicious 116-118 , 420

thermal 116 , 493

to HBV carrier 303

to HIV infected individual 304

to staff 37-38 , 40 , 357 , 410

treating 16 , 23 , 25 , 116 , 232 , 303 , 351 , 424

water-related 6 , 22 , 113 , 257 , 265-268

See also specific types (e.g. Burns, etc.)

Injury prevention xx , 16 , 33 , 51 , 189-190 , 192 , 194 , 201 , 204 , 206 , 212 , 218 , 220 , 232 , 235 , 237 , 245 , 251 , 254 , 262-268 , 271-274 , 374 , 376 , 392 , 482 , 493

health department role 392-395

in play areas 212 , 222 , 255 , 256-261

methods 18

of staff 38

policies 34 , 345 , 347-348 , 351 , 360

training on 8-9 , 27-28 , 31 , 63 , 400-401

with toys 224-225

Insect bites. See Bites

Insects

breeding hazard 190 , 258 , 266 , 272

protection from 177-178 , 193 , 212-215 , 266 , 273

risk of disease from 108 , 190

See also Pest control

Inservice training. See Training

Inspections xxii

building xxi , 189 , 192 , 195 , 231 , 273 , 371 , 395

electrical 206 , 267 , 371

fire safety 189 , 192 , 195 , 208 , 273 , 348 , 371-372

for lead 234

heating systems 201

of equipment 171 , 199 , 209 , 351 , 373

of facility 33 , 253 , 351 , 367 , 383 , 385 , 390 , 443-446

duplication 402

frequency 389-390 , 446

of food 174 , 181 , 374

of pools 269

of records 370

of vehicles 61 , 275

playground safety 222 , 255 , 263-264 , 351

reports 371-377

sanitation 211 , 371

unannounced 3 , 5 , 390

water quality 211

Institute of Electrical and Electronics Engineers 268

Insulation 198 , 231 , 233

Insurance 373

accident 373

liability 39 , 194 , 373

records 371 , 373 , 375

vehicle 61 , 373

See also Workers' compensation; Health insurance

Intellectual skills 49 , 53 , 420 , 442

Interagency Coordinating Council 399

Interior maintenance. See under Maintenance

Intestinal infections. See Gastrointestinal problems

Intoxicated parent. See under Parents

Inventory of equipment 171 , 351

Irrigation ditches 112

Isolation of a child. See under Infectious diseases

Isolation of staff 8 , 27 , 118

J

Janitor closets 107 , 192

Jaundice 125 , 136 , 297 , 487

Job descriptions 37 , 367

Job security 39

Juice 151 , 155-159 , 174-175 , 353 , 425- 427

Juvenile Products Manufacturers Association 220-221 , 452

K

Keeping Healthy 95 , 99 , 105-106

Kerosene heaters. See under Heating equipment

Kissing 52 , 130 , 294

Kitchen equipment 170-171 , 178

design of 170

Kitchen sinks. See Sinks

Kitchens 130 , 164 , 170 , 235 , 245 , 353

access to 170 , 192

central 181

cleaning 178 , 491

for ill children 130

See also Food preparation areas; Food service

L

La Leche League International 452

Lamps

halogen 204

high intensity 204

mercury 204

multi-vapor 204

Landings 203 , 271-272

Language development 50-51 , 53 , 55-56 , 150 , 166 , 205 , 363 , 432 , 442

Large family child care homes

background checks 387

benefits for caregivers 29 , 40

child-staff ratios 3-5

communication with parents 70 , 139 , 356

definition xviii , 384 , 487

dishwashing 180

food service staff 163 , 173

handwashing sinks 241

inaccessibility to firearms 252 , 354

insurance 373

licensing inspections 389-390 , 444 , 446

mixed use of rooms 192

networks 16-17

policies 40 , 59 , 336 , 350 , 357

posting documents 376

qualifications of caregivers 15

records 29 , 375-376

separation of age groups 54

substitutes 31 , 347

Tb screening 291

training of caregivers 17 , 21 , 24-30

use of health consultants 32 , 35

Latex sensitivity 95 , 108-109 , 161 , 173

Laundry 170 , 192 , 235 , 245

equipment 245

hamper 98

sanitation of 203

service 93 , 245

Laundry sinks. See under Sinks

Lawn care chemicals. See under Chemicals

Layout of facility. See Physical layout

Lead

abatement 234

in buildings 190 , 233

in dishes 165-166

in paint 217 , 233-234 , 258 , 371

in soil 234 , 258

in toys 109 , 233

in water 211 , 244

testing 211 , 233-234 , 244 , 258 , 360 , 371 , 440

Lead agency (under IDEA) 20 , 115 , 316 , 319 , 321-324 , 487

Lead poisoning 234 , 258

Lead teachers. See under Teachers

Leave

bereavement 357

educational 29 , 357

family 40 , 48 , 357

medical 40 , 357

parental 40 , 48 , 357 , 404

personal 40 , 357 , 404

sick 39 , 40 , 339-340 , 357-358 , 402 , 404

vacation 40 , 357 , 404

Leaves, plant. See Plants

Leaving the child care facility 58-59

child attempts to leave 196 , 257

to receive care elsewhere 344 , 365

Leftover foods. See under Foods

Legal actions against the facility 350 , 371 , 375-376

Legal custody 66-67 , 365

Legal guardians. See Guardians

Legal records 371 , 375-376

Lesions 129-130 , 294-295 , 301 , 306 , 493

Lethargy 85 , 124 , 126 , 135-136 , 140-141

Levels of illness 123

Liabilities 30 , 137 , 342 , 349 , 351 , 370

product 222

regarding staff 38 , 337 , 410

Liability insurance. See under Insurance

Libraries

community service experiences 57

lending 76 , 318 , 323

Lice. See Head lice

License for vehicles. See under Motor vehicles

Licensing xxii , 33 , 384 , 409

definitions and categories of facilities to be licensed 384

facilities for ill children 134 , 136 , 385

inspections 370-372

frequency 389-390

NAEYC position statement 441

pre-licensing procedures 386-387

recommendations xiv , 383-404

records 371 , 375-376

state mandate for 383

updating regulations xx-xxii

See also Regulations

Licensing agencies xix , 17 , 27 , 32 , 141-142 , 192 , 202 , 210 , 339 , 370 , 372 , 376 , 383 , 389 , 446

administration of 388

complaints to 42 , 391

funding 388

notified of death 141-142 , 370

notified of injury/illness 370

reporting to 189 , 341 , 359 , 367 , 397

role of 383-403

staffing 334 , 388-391

training of 388-389 , 401

Licensing and Public Regulation of Early Childhood Programs 441

Licensure of staff 6

Life Safety Code. See NFPA-101 Life Safety Code

Lifeguards 6 , 113 , 450

Lifeline 268

Lifesaving equipment 268

Light bulbs 204

Lighters 251

Lighting 191 , 193 , 203-204 , 236 , 271 , 273 , 479

artificial 203

emergency 204-205

natural 203

Linens, bed. See Bedding

Listening 51 , 56

Literacy 10

Lizards 112

Loading and unloading children 61

Local health departments. See Health departments

Location of the facility 11 , 164 , 189-190 , 196 , 205

Lockers 164 , 235 , 250

Locks 196 , 215 , 220 , 237

Loss 48

Loss of consciousness 23 , 424 , 491

Lost child 346 , 370

Lunch 162-163 , 169 , 426-427

Lunch meats 428

M

Mainstreaming 488

Maintenance

exterior 272

interior 273

of bedding 110 , 353

of changing tables 96

of electrical fixtures 273

of equipment 373

of food service equipment 170-171 , 177-178

of heating and ventilation equipment 199 , 203 , 273-274

of pets 112

of play areas 262-263 , 351 , 374

of play equipment 109 , 374

of plumbing and gas apparatus 274

of pools 267 , 269

of records 367-368 , 371 , 375

of storage areas 273

of surfaces 107 , 171

of the facility 104 , 131 , 191 , 272-273 , 333-334 , 351 , 392

of toileting areas 105

of toys 108

of vehicles 276 , 350

of walkways 271-272

shop 192

Maintenance workers 5-6 , 299

Making Food Healthy and Safe for Children 150 , 352 , 395 , 429

Management of a blocked airway and rescue breathing 8 , 11 , 13 , 15 , 21 , 23 , 27 , 30 , 32 , 132 , 226 , 489-490

See also First aid

Management of center 12 , 15 , 333-334

Management plan 24 , 26

Mantoux intradermal skin test 36 , 291-292 , 413 , 488

Marbles 109 , 223

Masturbatory activity 56

Matches 251

Material Safety Data Sheets 215-216 , 231

Maternal and Child Health Bureau vii , ix , xiii , xx , 32 , 72 , 113 , 345 , 452

Mats. See Sleeping mats

Mattresses 106 , 110 , 120 , 247-248

MCHB. See Maternal Child Health Bureau

Meal patterns 18 , 31 , 150

for infants 155-156 , 426

for preschoolers 162 , 427

for school-age children 163 , 427

for toddlers 162 , 427

Meal supervision 154 , 162-163 , 165 , 167-168

Meals 150-151 , 155 , 162-163 , 166-169 , 335 , 374 , 480

from outside vendors 181

See also Foods; Breakfast; Lunch; Supper

Measles 36 , 87-88 , 125 , 127 , 129 , 135 , 139 , 304 , 410 , 415 , 488

Measles-mumps-rubella vaccine 36 , 88 , 415 , 486 , 488

Meats 156 , 168 , 174-176 , 425 , 427-428 , 483

Medicaid 318-319 , 323 , 341 , 361 , 401 , 481 , 488

Medical home 72 , 361 , 398

access to 72

definition 398

identification of 342 , 356 , 363

Medical leave. See under Leave.

Medical reports 361-362

Medication administration 33-35 , 75 , 97 , 118 , 120-121 , 123 , 132 , 137-138 , 154 , 363

health department role 393

insurance 373

policies 8 , 18 , 34 , 334-335 , 338 , 346

records 21 , 132 , 135 , 138 , 346 , 359-364 , 436 , 438 , 440

training 8 , 18 , 138 , 346 , 361

Medications 135 , 137 , 488

allergy 154

anti-convulsant 118-120

asthma 120-122 , 422-423

availability 60 , 226 , 275

folk 66

herbal 66

inappropriate use of 66 , 137 , 354

Medications (cont.)

labeling and storage 138 , 229

nonprescription 137-138 , 346 , 489

prescription 60 , 137-138 , 346 , 360 , 363 , 490 , 492

See also Antibiotic treatment

Meningitis. See Nesseria meningitidis infections

Meningococcus. See Nesseria meningitidis infections

Mental health xv , 8-10 , 27 , 32-33 , 72-73 , 77 , 343 , 375 , 392 , 397-398 , 401 , 404

Mental health professional 10

Menus 152-153 , 168 , 374-377 , 411 , 427

Merry-go-rounds 256

Mice. See Rodents

Microorganisms 107 , 161 , 165-166 , 171-176 , 180 , 199 , 203 , 205 , 274 , 481

Microwave ovens 160 , 173 , 175

Milk 156 , 161 , 174-175 , 425 , 427 , 483 , 488

allergy to 153-154 , 353

dry 161 , 174

low-fat 161 , 174-175

skim 161 , 174

whole 161 , 174-175

See also Human milk

Mini-blinds 234

vinyl 233-234

Missing children 346

Mites. See Dust mites

Mixed age groups 4 , 6 , 27 , 54 , 238

MMR. See Measles-mumps-rubella vaccine

Model Child Care Health Policies 37 , 81 , 138 , 334 , 336 , 339 , 341 , 346 , 362 , 364 , 371 , 374 , 414

Model exposure plan. See Exposure control plan

Modeling behavior 19 , 20 , 56 , 64-65 , 67 , 75-76 , 166 , 354

Mold 121 , 174 , 183 , 190-191 , 197-198 , 219 , 260 , 422

Mop sink. See under Sinks

Mops 104-108 , 419

Morbidity and Mortality Weekly Report 395

Moth balls/crystals 232

Motor skills xv , 51 , 89-90 , 156 , 163 , 167 , 217 , 485

Motor vehicles 274

backup 276 , 350

buses 61

cars 60 , 275

child placement 60

crashes 275 , 349-350 , 490

interior temperatures 276

license 274 , 350

maintenance 276 , 350

no smoking 63

supplies 226 , 275

unattended child prohibited 6 , 60

vans 61

See also Vehicle child restraint systems

Mouth guards 90

Mouth sores, secretions 125 , 140 , 293

MSDS. See Material Safety Data Sheets

Multicultural activities 50

Mumps 36 , 88 , 125 , 127 , 135 , 410 , 415 , 488

Museums 57 , 316

Music 55 , 58 , 63 , 123

N

Naming of objects 50 , 53

Nap times 31 , 89 , 110 , 203 , 335 , 348

area 89 , 192 , 203 , 245

child-staff ratios 3 , 5

See also Sleeping

Napkins 165 , 430

National Asbestos School Hazard Abatement Act of 1984 231

National Association for Family Child Care 15-16 , 25 , 47 , 134 , 345 , 453

National Association for Regulatory Administration ix , 383

National Association for Sick Child Daycare 124 , 385 , 454

National Association for the Education of Young Children xiv , 4 , 9 , 12 , 14 , 25 , 37-38 , 47 , 53 , 63 , 95 , 99 , 128 , 134 , 137-139 , 322 , 334 , 336-337 , 341 , 345 , 348 , 356 , 362-363 , 377 , 384 , 390 , 396 , 414 , 443 , 453 , 488

Licensing position statement 441

National Association of Child Care Resource and Referral Agencies 322 , 453

National Association of Diaper Services 453

National Association of Governor's Councils of Physical Fitness and Sports 453

National Association of Pediatric Nurse Practitioners 25 , 134 , 345 , 453

National Association of WIC Directors 454

National Center for Cultural Competence 454

National Center for Education in Maternal and Child Health 352 , 429 , 454

National Child Care Association 12 , 14 , 25 , 47 , 454

National Child Care Information Center 454

National Clearinghouse on Child Abuse and Neglect Information 28 , 454

National Commission for Health Education Credentialing, Inc. 74-77 , 454

National Committee for the Prevention of Child Abuse 27 , 454

National Electrical Code 206 , 267

National Fire Protection Association xv , 3-4 , 74 , 189 , 194-196 , 206 , 208 , 271 , 454 , 489

National Food Service Management Institute 454

National Healthy Mothers, Healthy Babies Coalition 455

National Highway and Transportation Safety Administration 62 , 275 , 455

National Immunization Program 341

National Information Center for Children and Youth with Disabilities 455

National Institute of Child Health and Human Development ix , 113 , 455

National Maternal and Child Health Clearinghouse 150 , 455

National On-Site Wastewater Recycling Association, Inc. 212

National Recreation and Park Association 222 , 456

National Resource Center for Health and Safety in Child Care vii , xiii , 9 , 25 , 32 , 345 , 400 , 444 , 456

National Safety Council 456

National Sanitation Foundation 170-171 , 179 , 209-210 , 267 , 456

National School-Age Care Alliance 57 , 456

National SIDS Resource Center 89 , 142 , 456

National Technical Information Service 352 , 456

National Training Institute for Child Care Health Consultants 9 , 32 , 33 , 134 , 345 , 456

National Weather Service 51 , 456

Native language 35 , 50 , 120 , 324 , 359 , 365 , 375 , 377 , 409

Natural disasters. See Disasters

Natural environments 315-316 , 323 , 356

Natural lighting. See under Lighting

Neglect 16 , 18 , 28 , 33 , 60 , 64 , 86 , 116-117 , 346 , 366 , 368 , 387 , 391 , 397 , 420-421 , 443 , 481

See also Child abuse

Neisseria meningitidis infections 126 , 129 , 139 , 155 , 287-288 , 410 , 481 , 489

exclusion criteria 130 , 288

Networking 27 , 399 , 443

Neurotoxicant 234 , 489

NFPA-101 Life Safety Code 3 , 4 , 189 , 194-196 , 206 , 208 , 271

Night care. See Evening care

1988 Lead Contamination Control Act 244

Nipples 102 , 157-160

Nitrogen dioxide 200

Nits. See under Head lice

Noise 39 , 63 , 190 , 205 , 410 , 482

control measures 205

levels 205-206

transmission 54

Noise reduction 206

See also Sound-absorbing materials

Non-custodial parents. See Parents

Non-discriminations policy. See under Discrimination

Nonprescription medications. See under Medications

Nonpurulent conjunctivitis. See Conjunctivitis

Norway 48 , 143

Nose-blowing 100

Notebook 58 , 69-70

Notification of illnesses/infectious diseases

to facility by parents 140

to health department 21 , 132 , 141 , 286-288 , 291 , 300 , 302 , 338 , 369-370 , 481

Notification of illnesses/infectious diseases (cont.)

to health provider 103 , 338 , 369 , 392

to parents 21 , 124 , 127 , 139 , 140 , 285-291 , 294 , 299 , 304 , 306 , 338 , 369-370 , 392 , 395

training on 8

Nurses xx , 34-35 , 73 , 114-116 , 338 , 364 , 369 , 393

Nutrition 149-183 , 375 , 392

assessments 86 , 360

consultants 32 , 33 , 182-183 , 343 , 377

education 164 , 166 , 182-183 , 353

children 75 , 182-183

parents 183 , 494

staff 76

for ill children 132

for infants 155-157 , 335 , 353

for preschoolers 56 , 162

for school-age children 163

for toddlers 162

plan 149 , 150 , 164 , 182 , 335 , 352

policies 334 , 352-353

records 374

resources 26 , 182-183 , 395

special needs 153

staffing 163-164

training on 8 , 18 , 25-27 , 31 , 76 , 389 , 400-401

See also Food service; Foods; and different types of food (e.g. Milk, Meats, etc.)

Nutrition Specialist and Child Care Food Service Staff Qualifications 411

Nutrition specialists 25-26 , 149-152 , 163-164 , 167 , 169 , 353 , 398 , 489

qualifications 411

Nutritionists 25 , 73 , 170 , 183 , 353

Nuts 109 , 153 , 168 , 427

O

Obesity 151 , 161 , 169 , 413

Occupational exposure 28-29

Occupational hazards 18 , 27 , 36 , 38 , 40 , 219 , 230-231 , 338 , 410

Occupational Safety and Health Administration 8 , 28 , 31 , 101 , 200 , 227 , 377 , 489

Occupational therapists 35 , 73 , 153 , 343

Occupational therapy 489

equipment 250 , 431

space for 249

Office of Special Education and Rehabilitative Services 316

Office space 192

Oil heaters. See under Heating equipment

On-the-job training. See Training

Open-door policy 67-68 , 363 , 376-377

Oral health 23 , 32-33 , 36 , 89-90 , 157 , 335 , 343 , 346-347 , 359-360 , 362 , 398 , 440

consultation 392 , 397

education 75-77 , 90-91 , 355 , 401

policies 34

See also Tooth brushing; Toothbrushes

Oral herpes. See Herpes viruses

Orange juice. See Juice

Order of responsibility 13

Orientation of parents 333

Orientation of staff 14 , 17 , 19 , 21 , 41 , 47 , 333 , 352 , 357

for care of children with special needs 19

for care of ill children 132

of substitutes 31-32

records 29 , 368

training 17 , 19 , 21 , 31 , 132

OSHA. See Occupational Safety and Health Administration

Otitis media. See Ear infections

Outdoor space 51 , 57 , 195 , 236 , 253-254 , 257 , 262-263 , 272 , 354

See also Maintenance; Play areas

Outlet covers. See under Electrical fixtures and outlets; Safety covers

Overnight care. See Evening care

Over-the-counter medicine. See under Medications, nonprescription

Overtime 357

Oxygen 122 , 195

P

Pacifiers 109-110 , 252

Pads

elbow 225

knee 225

Pails 112 , 268

Pain 23 , 65 , 85 , 125 , 129 , 424 , 479 , 482 , 490 , 493

abdominal 125-126 , 136 , 141 , 491

eye 127 , 129-130 , 489-490

Paint

chipped or peeling 109 , 217 , 263 , 273

enamel 197

lead 217 , 233-234 , 258 , 371

oil-based 208

Painting. See Art activities

Panic hardware. See under Doors

Paper cups. See Cups

Paper towels. See Towels

Parabolic mirrors 118

Parent education 18 , 183 , 333 , 395-396 , 400-402

choosing child care 403

fact sheets 395-396

on child abuse 28

plan 77-78

See also Health education for parents

Parent groups 70

Parent relations 16-18 , 27 , 66 , 363 , 409

conferences 68-69

designated staff per parent 69

information exchange 48 , 51 , 66-74 , 85 , 103 , 120 , 152-154 , 252 , 335 , 337 , 343-344 , 354-361 , 364 , 375-377 , 390 , 409

parent input 70-71 , 319-320 , 324 , 333 , 387-388 , 392 , 394 , 399 , 403

training on 8

visits 67-68 , 376-377 , 390

Parental consent 19 , 34-35 , 57-58 , 66-67 , 71 , 73-74 , 86 , 119 , 120 , 137 , 152-153 , 287 , 315 , 317-318 , 320-321 , 324 , 340 , 342-346 , 349 , 359 , 361-366

Parental leave. See under Leave

Parental notification of illnesses/diseases. See Notification of illnesses/infectious diseases

Parents

as child advocates 73

as health consultants 33 , 134 , 345

availability of records to 42

coping with separation 48-49

definition 489

intoxicated 67 , 349 , 377

of children with special needs 19-20 , 35 , 318-319 , 323 , 325 , 399

of ill children 132 , 135 , 339-340 , 385 , 394

Parent-to-parent communication 67

Parking area 61

Parrots 112

Part B. See Individuals with Disabilities Education Act

Part C. See Individuals with Disabilities Education Act

Parvovirus B19 36 , 129 , 139 , 292 , 304 , 410

Passenger safety 60 , 63 , 356

See also Vehicle child restraint systems

Peak flow meter 121

Peanut butter 155 , 168 , 427

Pedestrian crosswalks. See Crosswalks

Pediatric first aid certificate 60

Pediatric nurse practitioners 34

Pediatricians. See American Academy of Pediatricians; Physicians

Pediculosis capitis. See Head lice

Pennsylvania 32 , 342 , 414

Performance evaluation. See under Staff

Perishable foods. See under Foods

Personal items. See specific items (e.g. Combs, Toothbrushes, etc.)

Personal leave. See under Leave

Personnel. See Staff

Pertussis 288-289 , 410 , 489

antibiotics 288-289 , 484

exclusion criteria 125 , 127 , 130 , 135 , 139 , 141 , 289

immunization 87 , 288 , 415 , 483 , 486

Pest control 211 , 214-216

Pesticides 214-216 , 229 , 422 , 489

Pets 8 , 97-98 , 111 , 121 , 352 , 479

care of 112 , 335 , 352

immunization 112

prohibited 112 , 120

waste of 260 , 264

See also Animals; Specific types (e.g. Dogs, etc.)

Pharmacists 120 , 138

Philosophy of the facility 18

Phones. See Cellular phones; Telephones

Physical abuse. See under Child abuse

Physical fitness. See Exercise

Physical layouts 59 , 118

Physical punishment 64-65

Physical restraints. See Restraint methods

Physical therapists 35 , 73 , 153

Physical therapy 489

equipment 250 , 431

space for 249

Physician's assistants 116 , 485

Physicians 9 , 21 , 34 , 72-73 , 88 , 103 , 114-116 , 119 , 122 , 125 , 134-135 , 154 , 216 , 230 , 291 , 294-295 , 338 , 364 , 367 , 393 , 396 , 424 , 485

See also Health professionals

Pick-up points 61 , 271 , 336 , 349-350

See also Authorized caregivers

Pillows 88 , 110 , 246-248

Pinching 65 , 109 , 194 , 260

Pink eye. See Conjunctivitis

Pipes 202 , 210 , 231 , 261 , 267

Pit bulls 111

Pits 91 , 190

Plants

as a barrier 255

poisonous 221 , 232 , 262 , 434

safe 434

Plates 104 , 165 , 167 , 169 , 176 , 179-180 , 229 , 432

Play 3-4 , 19 , 47 , 52-57 , 59 , 64 , 74 , 88-89 , 97 , 108-109 , 112-114 , 166 , 170 , 190 , 192 , 218 , 253-254 , 262 , 316 , 356 , 422

indoor 123

outdoor 51-52 , 58 , 123

Play areas 108 , 120 , 234 , 245 , 253-254 , 258 , 262

capacity 254

elevated 254

hazardous materials 258

indoor 219 , 235-236 , 253 , 262 , 351

infant 108 , 236

inspections 263 , 351

lighting 203

location 190 , 195 , 212 , 253 , 256-257

maintenance 214 , 216 , 229 , 262-263 , 351

national recommendations 222

off-site 264

outdoor 189-190 , 212 , 236 , 253-255 , 257-258 , 262 , 351 , 354

records 373 , 376

rooftops 51 , 254

safety 34 , 75 , 216 , 222 , 351

space requirements 235 , 253 , 255

supervision of 60 , 351

toddlers 236

Play dough 155 , 431-432

Play equipment 222 , 225 , 233 , 252-253

clearance space 255-256

design 259-261

developmentally appropriate 55 , 222 , 259

for children with special needs 261

for facilities for ill children 136

hazardous 223 , 260-263

height of 222 , 435

inspections 263 , 351

installation 259

location 256

maintenance 216 , 218 , 263

national recommendations 222

records 373 , 376

safety check 109 , 264

storage 251

surfacing for 223 , 259-260 , 263-264 , 374 , 435 , 489 , 493

See also specific equipment (e.g. Swings, etc.)

Play tables. See Water play tables

Play yards 220

Playground equipment. See Play equipment

Playground safety inspectors 34 , 222 , 351

Playground safety. See under Play areas

Playground surfacing. See under Play equipment

Playgrounds. See Play areas

Playpens 110 , 246

Playrooms. See Play areas

Plumbing 99 , 120 , 202 , 209-210 , 240 , 274 , 371

Pneumonia 36 , 111 , 490

Poison control center 115 , 215 , 226 , 229-230 , 232 , 377 , 434

Poisoning 23 , 138 , 169 , 178 , 199 , 200 , 216 , 230 , 232

food 126 , 141 , 169 , 491

lead. See Lead poisoning

Poisonous materials 178 , 200 , 216 , 230 , 232

Poisonous plants. See under Plants

Police 67 , 116 , 275 , 277 , 349 , 377

Policies 33-34 , 41 , 333 , 335 , 409

acts of aggression 338

admission 334 , 336

availability 355 , 367

children with special needs 315

confidentiality 336 , 365-366 , 368

content of 334

discipline 41 , 65 , 334-335 , 337 , 368 , 376

drop-in facilities 378

emergency care 334 , 338 , 347

evacuation 334 , 347

evening care 334

exclusion 8 , 21 , 129 , 301 , 338 , 357 , 393

exposure to blood/body fluids 28

feeding 334-335 , 352-353

firearms 252 , 334 , 354

food handling 18 , 31 , 169 , 334-335 , 352

health 9 , 16 , 18 , 31 , 34 , 334 , 345 , 368

health consultants 334-335

health education 334 , 336

ill children 123 , 132-133 , 135 , 334-335 , 339

immunizations 335

infectious diseases 295 , 299 , 303

informed consent 365

maintenance 334

medication administration 8 , 18 , 334-335 , 338 , 346

nondiscrimination 7 , 336

notifying health department 21 , 141

nutrition 334 , 352 , 398 , 411

occupational health 38

open-door 67 , 363 , 376-377

parent relations 18 , 365

payment 335

pick up authorized persons 334 , 349

play areas 263 , 351

public child care 392 , 397 , 403

public posting 376

regulatory 383 , 390 , 442

review 334 , 355 , 372 , 390

safety 16 , 18 , 334 , 345

sanitation 21 , 334-335 , 351-352

sleep position 335

sleeping 334

smoking and prohibited substances 75 , 334 , 336 , 354

staff 335 , 357-358 , 368

staff benefits 40

staff recruitment 7

staff stress 117

supervision 59 , 334

termination 335

training 347

transportation 334-335 , 350

welfare-to-work xxi , 390

Policymakers 404 , 443

Polio vaccine 415

Polycyclic aromatic hydrocarbons 200

Ponds 112-113 , 257 , 264

Pools 207 , 257 , 264-269

above-ground 265

behavior 114

chemicals 268

child-staff ratios 6

construction 269

CPR 24 , 27 , 32

deck surfaces 114 , 266

drain covers 267

enclosures 6 , 258 , 262-265

equipment 264 , 267-268

inspection 269

maintenance 267 , 269

portable wading 269

pump 267

safety 267

safety covers 6 , 266

safety rules 269 , 376-377

supervision 112-113 , 267

toys 114

water quality 269-270

water temperature 270

See also Swimming

Popcorn 109 , 168

Porches 271-272

Portable cribs. See under Cribs

Postural drainage 122 , 490

Pot handles 167

Potable water 224

Pottery 165

Potty chairs 105-106 , 238-239 , 417

Poultry 97 , 175-176 , 425-426

Power lines 255

PPD. See Purified protein derivative

Pre-admission information 359

Pre-employment health appraisal. See Health assessments

Pregnancy

infection risks 40 , 286 , 294-296 , 358 , 396 , 482 , 486 , 488

of a parent 77

of staff 18 , 38 , 40 , 130 , 234 , 288

Preschool age children

activities 54-57

bathroom fixture ratios 238

body mastery 56

child-staff ratios 3-4 , 6

definition xix , 490

equipment for 55 , 431

IDEA Part B 315-317

indoor space requirements 235

language development 56

nutrition 162 , 167-168 , 425 , 427

play equipment 222

relationship with staff 54

staff qualifications 10 , 13

Prescription medications. See under Medications

Preservice qualifications. See Qualifications

Presidents Challenge Physical Fitness Program 456

Pretzels 168

Preventive health care 72 , 340-341

Primary language. See Native language

Procedures. See Policies

Product recalls. See Recalls

Program activities xviii , 47-78 , 355-356 , 409 , 431

for children with special needs 47-48

for infants 52-54

for preschoolers 54-56

for school-age children 57-58

for toddlers 52 , 54

plan 18 , 27 , 31 , 47 , 355

Program development 42 , 47 , 397 , 401

Prohibited substances 111

policies 336 , 354

Prophylaxis 125 , 128 , 130 , 286-288 , 297 , 305 , 308 , 438 , 479

Prosthetic devices 229 , 490

Protrusions 110 , 225 , 252 , 261

Providers, child care. See Staff

Providers, health. See Health professionals

Pseudomonas aeruginosa 270 , 490

Psittacine birds 112

Psychiatrists 10 ,