Chapter 2: Program Activities for Healthy Development
2.4 Health Education
2.4.2 Health Education for Staff
188.8.131.52: Health and Safety Education Topics for Staff
Health and safety education for staff should include physical, oral, mental, emotional, nutritional, physical activity, and social health of children. In addition to the health and safety topics for children in Standard 184.108.40.206, health education topics for staff should include:
- Promoting healthy mind and brain development through child care;
- Healthy indoor and outdoor learning/play environments;
- Managing emergency situations;
- Monitoring developmental abilities, including indicators of potential delays;
- Nutrition (i.e., healthy eating to prevent obesity);
- Food safety;
- Water safety;
- Safety/injury prevention;
- Safe use, storage, and clean-up of chemicals;
- Hearing, vision, and language problems;
- Physical activity and outdoor play and learning;
- Gaining access to community resources;
- Maternal or parental/guardian depression;
- Exclusion policies;
- Tobacco use/smoking and electronic cigarette (e-cigarette) use/vaping;
- Marijuana use;
- Safe sleep environments and SIDS prevention;
- Breastfeeding support;
- Environmental health and reducing exposures to environmental toxins;
- Children with special needs;
- Shaken baby syndrome and abusive head trauma;
- Safe use, storage of firearms;
- Safe medication administration and appropriate antibiotic use;
- Safe storage of medications;
- Safe storage of marijuana (in all forms, including oils, liquids, and edible products); and
- Safe storage of toxic substances.
RATIONALEWhen child care staff are knowledgeable in health and safety practices, programs are more likely to be healthy and safe (1). Compliance with twenty hours per year of staff continuing education in the areas of health, safety, child development, and abuse identification was the most significant predictor for compliance with state child care health and safety regulations (2). Child care staff often receive their health and safety education from a child care health consultant. Data support the relationship between child care health consultation and the increased quality of the health of the children and safety of the child care center environment (3,4).
COMMENTSCommunity resources can provide written health- and safety-related materials. Examples of materials can be found here: https://eclkc.ohs.acf.hhs.gov/hslc/tta-system/health and http://www.childhealthonline.org/. Consultation or training can be sought from a child care health consultant (CCHC) or certified health education specialist (CHES).
Child care programs should consider offering “credit” for health education classes or encourage staff members to attend accredited education programs that can give education credits.
The American Association for Health Education (AAHE) and the National Commission for Health Education Credentialing (NCHEC) provide information on certified health education specialists.
TYPE OF FACILITYCenter, Large Family Child Care Home
RELATED STANDARDS220.127.116.11 Ratios and Supervision for Swimming, Wading, and Water Play
18.104.22.168 Additional Qualifications for Caregivers/Teachers Serving Children Birth to Thirty-Five Months of Age
22.214.171.124 Initial Orientation of All Staff
126.96.36.199 Orientation for Care of Children with Special Health Care Needs
188.8.131.52 Orientation Topics
184.108.40.206 First Aid and Cardiopulmonary Resuscitation Training for Staff
220.127.116.11 Topics Covered in Pediatric First Aid Training
18.104.22.168 Cardiopulmonary Resuscitation Training for Swimming and Water Play
22.214.171.124 Continuing Education for Directors and Caregivers/Teachers in Centers and Large Family Child Care Homes
126.96.36.199 Continuing Education for Small Family Child Care Home Caregivers/Teachers
188.8.131.52 Training of Staff Who Handle Food
184.108.40.206 Child Abuse and Neglect Education
220.127.116.11 Training on Occupational Risk Related to Handling Body Fluids
18.104.22.168 Education of Center Staff
22.214.171.124 Training Time and Professional Development Leave
126.96.36.199 Payment for Continuing Education
188.8.131.52 Child Care Health Consultants
184.108.40.206 Health, Nutrition, Physical Activity, and Safety Awareness
220.127.116.11 Monitoring Children’s Development/Obtaining Consent for Screening
18.104.22.168 Supervision Near Bodies of Water
22.214.171.124 Discipline Measures
126.96.36.199 Health and Safety Education Topics for Children
188.8.131.52 Use of Tobacco, Electronic Cigarettes, Alcohol, and Drugs
184.108.40.206 Medical Emergency Procedures
220.127.116.11 Preventing and Identifying Shaken Baby Syndrome/Abusive Head Trauma
18.104.22.168 Inclusion/Exclusion/Dismissal of Children
22.214.171.124 Medication Administration
126.96.36.199 General Plan for Feeding Infants
188.8.131.52 Use and Storage of Toxic Substances
184.108.40.206 Immunization Documentation
220.127.116.11 Unimmunized Children
18.104.22.168 Immunization of Caregivers/Teachers
22.214.171.124 Community Resource Information
126.96.36.199 Contents of Child’s Primary Care Provider’s Assessment
Alkon, A., J. Bernzweig, K. To, M. Wolff, J. F. Mackie. 2009. Child care health consultation improves health and safety policies and practices. Academic Pediatrics 9:366–70. http://www.academicpedsjnl.net/article/S1876-2859(09)00123-5/abstract.
Crowley, A. A., M. S. Rosenthal. 2009. Ensuring the health and safety of Connecticut’s early care and education programs. Farmington, CT: The Child Health and Development Institute of Connecticut.
Alkon, A., et al. 2014. NAPSACC intervention in child care improves nutrition and physical activity knowledge, policies, practices, and children’s BMI. BMC Pediatrics 14: 215.
Alkon, A., et al. 2016. Integrated pest management intervention in child care centers improves knowledge, pest control, and practices. Journal of Pediatric Health Care 30(6): e27-e41.
Rosenthal, M. S., A. A. Crowley, L. Curry. 2009. Promoting child development and behavioral health: Family child care providers’ perspectives. J Pediatric Health Care 23:289-97.
Centers for Disease Control and Prevention. Get smart: Know when antibiotics work. http://www.cdc.gov/getsmart/.
American Lung Association. E-cigarettes and Lung Health. 2016. http://www.lung.org/stop-smoking/smoking-facts/e-cigarettes-and-lung-health.html?referrer=https://www.google.com/.
National Institute on Drug Abuse. DrugFacts - Marijuana. 2016. https://www.drugabuse.gov/publications/drugfacts/marijuana.
Gupta, R. S., S. Shuman, E. M. Taveras, M. Kulldorff, J. A. Finkelstein. 2005. Opportunities for health promotion education in child care. Pediatrics 116: e499-e505. http://pediatrics.aappublications.org/content/116/4/e499.
Centers for Disease Control and Prevention. Education and community support for health literacy. 2016. http://www.cdc.gov/healthliteracy/education-support/index.html.
Content in the STANDARD was modified on 1/10/2017.