Caring for Our Children: Index 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 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 , 400-40 1 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