Caring for Our Children (CFOC)

Chapter 9: Administration

9.2 Policies

9.2.4 Emergency/Security Policies and Plans Review of Written Plan for Urgent Care and Threatening Incidents

Content in the STANDARD was modified on 08/27/2020.

The early care and education program written plan(s) for urgent medical care and threatening incidents should be reviewed and updated annually or as needed. It should be reviewed with each employee on employment and yearly thereafter to ensure that policies and procedures are understood and followed in the event of such an occurrence. The plan(s) and associated procedures should be reviewed with a child care health consultant once a year, signed, and dated.

In the event that there is an urgent medical care or threatening incident, the facility should plan to review the process within 1 to 2 months after the incident to determine opportunities for improvement and any changes that need to be made to the plan for future incidents.

The care plan for a child with special health care needs should cover emergency care needs and be shared with and discussed between parents/guardians and caregivers/teachers prior to an emergency situation.1


Emergency situations are not conducive to calm and composed thinking. Developing a written plan and reviewing it in preservice meetings with new employees, and annually thereafter, provides the opportunity to prepare and to provide guidance for good decision-making under the stress of an emergency. An organized, comprehensive approach to urgent care response and control based on current practice and evidence is necessary to ensure that a safe environment is provided to children in child care. Such an approach requires written plans, policies, procedures, and record keeping so that there is consistency over time and across staff. It also promotes understanding between parents/guardians and caregivers/teachers about concerns for, and attention to, the safety of children.

Center, Early Head Start, Head Start, Large Family Child Care Home, Small Family Child Care Home
RELATED STANDARDS Medical Emergency Procedures Use of Fire Extinguishers Response to Fire and Burns Care Plan for Children with Special Health Care Needs Written Plan and Training for Handling Urgent Medical or Threatening Incidents Disaster Planning, Training, and Communication
Appendix KK: Authorization for Emergency Medical/Dental Care
Appendix CC: Incident Report Form
Appendix O: Care Plan for Children with Special Health Care Needs
Appendix P: Situations that Require Medical Attention Right Away
  1. American Academy of Pediatrics. Managing Chronic Health Needs in Child Care and Schools: A Quick Reference Guide. Donoghue EA, Kraft CA, eds. 2nd ed. Itasca, IL: American Academy of Pediatrics; 2019


Content in the STANDARD was modified on 08/27/2020.