9.4.2.5: Health History

The file for each child should include a health history completed by the parent/guardian at admission, preferably with staff involvement. This history should include the following:

1. Identification of the child’s medical home/primary care provider and dental home;
2. Permission to contact these professionals in case of emergency;
3. Chronic diseases/health issues currently under treatment;
4. Developmental variations, sensory impairment, serious behavior problems or disabilities that may need consideration in the child care setting;
5. Description of current physical, social, and language developmental levels;
6. Current medications, medical treatments and other therapeutic interventions;
7. Special concerns (such as allergies, chronic illness, pediatric first aid information needs);
8. Specific diet restrictions, if the child is on a special diet;
9. Individual characteristics or personality factors relevant to child care;
10. Special family considerations;
11. Dates of infectious diseases;
12. Plans for medical emergencies;
13. Any special equipment that might be needed;
14. Special transportation adaptations.

RATIONALE

A health history is the basis for meeting the child’s medical and psychosocial needs in the child care setting. This information must be obtained and reviewed at admission by the significant caregiver/teacher. This information may be the only health information on file for up to the first four weeks following enrollment.

COMMENTS

This history will complement the child’s health history which is completed by the primary care provider.

TYPE OF FACILITY

Center, Early Head Start, Head Start, Large Family Child Care Home, Small Family Child Care Home

RELATED STANDARDS

9.4.2.1 Contents of Child’s Records