Voluntary Certification Program Standards

Transcription

1 Food/Nutrition Voluntary Certification Program Standards (1) Current BCC approved food service training for at least one staff member responsible for the operation of the kitchen. A person with BCC approved food service training will be present whenever meals or snacks are served. (2) A cleaning schedule is posted in the kitchen and used. (3) If kitchen is not approved for dishwashing, only disposable/single use dishware is used for meal serving and they are not re-used. (4) Acceptable written weekly menus including meals/snacks provided by the facility shall be posted in a conspicuous place for all parents to review and in the kitchen. (5) For children one year or older, a period of not less than 2 hours and not more than 3.5 hours shall separate meals and snacks, unless children are sleeping. (6) At least 1½ ounces of high protein food (such as meat, poultry, cheese, eggs or dried beans) are served at lunch and dinner. (7) A good source of Vitamin A (such as carrots, squash, broccoli, mangos) is served at least two (2) times a week. (8) Nutritious snacks (such as whole grain breads, muffins, cheese or peanut butter crackers or banana bread) are served daily. Include two (2) different food groups (i.e. fruit and dairy, bread and protein, etc). (9) Two(2) of these components (vegetables, salads or fruits) must be served with lunch and dinner meals. (10) Milk, provided by the parent and/or the facility, is served at all meals. Milk that is provided shall be whole milk for children under the age of two unless physicians order a specific substitution. Reconstituted, dry or fat free milk will not be offered to children by the facility No milk less than 1% may be served to children ages two (2) and older unless a child has a physician s or nurse practitioner s statement. (11) All fruit juice served by the facility is 100% pure fruit juice with no sugar added. (2) All non-citrus juices served by the facility are fortified with vitamin C. (3) The facility does not serve or have accessible to children: ades, soft drinks or powders. (4) A competing beverage is not served by the facility with milk during meals/snacks. (12) Seconds of at least two (2) items and milk are offered and available at the noon and evening meals. (13) If casseroles are served as the protein component, standardized recipes (including the lbs and oz of protein, the number of servings and the portion size) must be available and utilized. (14) Food is not used as a reward or punishment. (15) Staff assists, supervise, converse and sit with the children during all meals and snacks in age relative groups, small enough in number to assure assistance and safety. (16) Children are allowed to converse freely during meal/snack times. 1

2 (17) Food allergies and special diets are posted in the kitchen and/or in the area where the child s food is prepared and served. Food Brought from Home (must also meet the following) (18) Food sacks/containers are labeled with child s name and date. (19) Meals from home are stored sanitarily in a clean refrigerator that keeps food at 41 degrees or below. (20) Refrigerators used for storing meals from home must have an accurate thermometer inside. (21) Parent has completed and signed a Safe Transportation of Food form; form is maintained in the child s record. (22) Nutrition education material, approved by the Division, Bureau of Child Care, is available to parents and placed in a conspicuous place. (23) The facility has a contingency plan to provide nutritious meal(s) and snack(s) to a child who arrives at the facility without meal(s) and/or snack(s) from home. These meal(s) and snack(s) shall be made available in such quantity as to meet the needs of the child. Health and Safety Staff Requirements (24) All staff members have physical examination, signed by a physician or nurse practitioner, within one (1) month of employment or twelve (12) months prior to employment. (25) All staff is verified to be free of tuberculosis and other communicable disease within 30 days of employment and have a biennial testing for tuberculosis. (26) Indiana state wide criminal history checks on all child care providers, with no felony convictions and/or misdemeanor convictions related to the health and safety of a child shall be maintained and on file. (27) (a) A child care facility shall, at no expense to the state, maintain and make available to the division upon request a copy of drug testing results for an individual who: (1) is employed; or (2) volunteers; as a caregiver at the child care facility. The drug testing results required under this section must be obtained before the individual is employed or allowed to volunteer as a caregiver. (b) A child care facility shall maintain a written policy specifying the following: (1) That the: (A) use of: (i) tobacco; or (ii) a potentially toxic substance in a manner other than the substance's intended purpose; and (B) use or possession of alcohol or an illegal substance; is prohibited in the child care facility when child care is being provided. (2) That drug testing of individuals who serve as caregivers at the child care facility will be: (A) performed based on a protocol established or approved by the division; and (B) required if an individual is suspected of noncompliance with the requirements specified under subdivision (1). 2

3 (c) If: (1) the drug testing results obtained under section (a) or (b) indicate the presence of a prohibited substance described in section (b)(1)(a)(ii) or (b)(1)(b); or (2) an individual refuses to submit to a drug test; the child care facility shall immediately suspend or terminate the individual's employment or volunteer service. (d) A child care facility that suspends an individual described in section (c) shall maintain a written policy providing for reinstatement of the individual following rehabilitation and drug testing results that are negative for a prohibited substance described in subsection (b)(1)(a)(ii) or (b)(1)(b). (e) Drug testing results obtained under this section are confidential and may not be disclosed for any purpose other than the purpose described in this section. (f) A child care facility that does not comply with this section is subject to: (1) denial of Certification; or (2) termination of certification (28) All child care providers are at least 18 years old and have a HS Diploma or equivalent. (29) Facilities may count early childhood practicum students under eighteen (18) years of age in child/staff ratios with the following conditions: (a) They attend a high school early childhood program. (b) They are seventeen (17) years of age or sixteen (16) years of age if working at their on-site vocational child care facility. (c) They are assigned to a lead caregiver who provides supervision at all times. (d) They are never left alone with a group of children. (e) They are not counted in the child/staff ratio of infant or toddler rooms. (30) Early childhood practicum students from colleges or universities may serve in any capacity for which they are qualified. Staff Training (31) Staff shall have training in cardiopulmonary resuscitation (CPR) as follows: (a) At least one (1) caregiver must be trained annually in pediatric CPR and shall be present within the certified area of the child care facility during all hours of operation and with children on field trips. (b) In child care facilities certified for infants or toddlers, all infant and toddler caregivers shall be trained annually in infant or pediatric CPR as appropriate. (c) Training in CPR shall be appropriate to the age of the children for which the child care facility is certified. Training in adult CPR is required if children eight (8) years of age or older are present. (d) The course shall be based on current guidelines for CPR and emergency cardiac care as published in the Journal of American Medical Association (JAMA). (e) All staff members shall be informed of which employees are trained in CPR and how to obtain the trained employee s assistance in an emergency. (f) Written records of annual training in CPR shall be maintained at the child care facility for three (3) years. (32) All caregivers and other persons counted in child/staff ratios shall have training in basic first aid as follows: (a) Prior to opening a child care facility, at least one (1) caregiver shall have current training or the expiration date shall be no later than three (3) years from the training date in the administration of basic first aid and be on duty at all times. Additionally, all infant and toddler staff shall have current training in basic first aid. (b) Except as stated in Standard 32(a), training for all other staff shall be completed within six (6) months of employment and at least every three (3) years thereafter. (c) Basic first aid training shall include rescue breathing and first aid for choking and shall be consistent with basic first aid training developed by the American Red Cross or the National Safety Council for First Aid Training Institute. 3

4 (d) The offered first aid instruction shall include, but not be limited to, the following: (1) Hemorrhage. (2) Poisoning. (3) Choking. (4) Shock. (5) Seizures. (6) Head injuries. (7) Artificial respiration. (e) Written records of current certification of first aid training shall be maintained at the child care facility for at least three (3) years. (33) Staff members receive orientation training within 30 days of being hired. (34) In addition to first aid, cardiopulmonary resuscitation (CPR), universal precautions, and life saving certification, all directors and persons counted in child/staff ratios shall have, on an annual basis, a minimum of twelve (12) clock hours of in-service training as follows: (a) The director shall receive training in each of the following categories: (1) Administrative issues. (2) Curriculum and developmentally appropriate practices. (3) Health, nutrition, sanitation, and safety. (b) Caregivers shall receive training in each of the following categories: (1) Positive classroom management and discipline. (2) Developmentally appropriate practices and curriculum. (3) Child development. (4) Health, nutrition, sanitation, and safety. (c) Training may include, but is not limited to: (1) workshops; (2) formal education; (3) videos; (4) training by consultants; or (5) educational programs provided for staff by the director or director designated training facilitators. (d) The documentation of reading of early childhood educational literature shall require a written summary and shall not count as more than two (2) hours of training per year. (35) The director has completed a Child Development Associate Credential (CDA) or early childhood degree or equivalent degree OR the director of the ministry agrees to obtain a minimum of a CDA within three years of obtaining the Voluntary Certification Program and show progression towards completion each year. Children s Files (36) A written application for admission of each child, signed by the child s parent, shall be on file at the child care facility prior to admission and shall include the name, address, and telephone number of responsible person who may be called to come for the child in case of illness or other emergency if the parent cannot be reached. (37) Each child has physical exam within 30 days of admission or twelve (12) months prior to admission. (38) Children have age appropriate immunizations as recommended by ISDH immunization schedule. (39) Each child s record shall contain the following consent signed by the parent: (a) Emergency medical authorization to provide transportation and obtain medical treatment for children when the parent cannot be contacted. This authorization shall also be in the emergency information file. 4

5 (40) Records are maintained on all children s injuries. Emergency Preparedness (41) A written emergency plan is established and implemented. The plan is shared with parents at the time of enrollment and/or any time the provider initiates a change in any aspect of the plan. The purpose of the written emergency plan is to make all emergency policies and procedures clear to parents. The plan is to be signed by the parent(s) to indicate their understanding and acceptance or the policies and procedures. The written plan will include: The procedure for notifying parents in the event of the illness of a staff member(s) that may be contagious to others, or any emergency that prevents children from being cared for in the facility. Any back-up plan for care that the facility will arrange in the event of an emergency. The need for the parent to have a back-up plan for care in place, in the event of their child s illness or the facility s inability to care for children. Exclusion policies pertaining to a child s health. Alternative contacts and medical care authorization available in case parents cannot be reached in the event of an emergency. A list, provided by the parent(s), of people authorized to pick up a child. A plan for fire evacuation or any other type of evacuation. A plan for safe shelter during a tornado warning or any other threatening weather emergency. (42) Written policy signed by the parent/guardian notifying them in the event of a child s illness or an emergency. (43) First aid supplies and manual equivalent to the Red Cross First Aid Manual shall be immediately available for staff use. The first aid kit, at a minimum, shall consist of the following: (a) Sheer strip bandages. (b) Sterile bandages and compresses. (c) Adhesive tape. (d) Scissors. (e) Flashlight. (f) Thermometer. (g) Disposable gloves. (h) Mild soap. (44) Emergency first aid procedures and disaster procedures are readily available and visible to all child care staff. Medication (45) Medicine not requiring refrigeration is stored in a locked cabinet or locked drawer outside of the kitchen or bathroom. (46) All medications have a physician s written order. (47) All individual nonprescription medicine orders must be renewed annually for children under two (2) years of age and every two (2) years for children two (2) years of age and older. (48) All medications are appropriately recorded immediately after being administered to child(ren). (49) Unused and / or outdated medications are discarded. 5

6 Hand washing/toileting (50) Hot water ( degrees F) is provided to all hand washing sinks. (51) The facility schedule shall include provisions for supervised personal hygiene, washing and drying hands with disposable towels before and after meals, and washing hands after using the toilet facilities. Hand washing means to cleanse hands and wrists a minimum of twenty (20) seconds using soap and warm, running water at a hand sink. (52) Caregivers shall wash their hands before and after each child care duty including individual feeding, bathing, wiping noses, diapering, and assisting children using the toilet. (53) One toilet and one lavatory is provided and maintained for each 15 children age 2-12 years old. When the recommended capacity exceeds sixty (60) children, the facility may substitute one (1) urinal for a toilet in the school age area only. (54) Bathrooms cannot be used for storage of other items unrelated to toileting. Additionally, plungers, toilet bowl brushes and brooms should not be stored in children bathrooms. (55) The facility shall locate a sink within ten (10) feet of the changing table in the room/area or in a room that opens directly into the room/area. (56) Diapering table is inaccessible to children and not used for any purpose except diapering. (57) Diaper changing procedures posted by each diapering area. (58) Cloth diapers and bedding used by facility is laundered in 160 degrees F or approved sanitizing solution. (59) A fresh, clean, waterproof paper is used on top of the diaper changing pad for each diaper changed. Rest Period (60) Cots are spaced two (2) feet or more apart. Water Play Areas (61) Swimming/wading pool meets and is maintained in accordance with ISDH rule under 410 IAC 6-2, and has current state/local health department permits. (62) Child/staff ratios in Standard 61 shall be twice the number required in these standards. The facility may count employed lifeguards in child staff ratios. Children shall be directly supervised at all times when involved in water play. (63) A person having a valid Red Cross advanced life saving certificate shall be on duty at all times when a swimming pool or lake is in use. Child/Staff Ratios and Supervision (64) Child/staff ratios are maintained at all times as follows: (a) 4:1 infants (b) 5:1 toddlers (c) 5:1 two-year-olds in diapers (d) 7:1 toilet trained twos with three-year-olds 6

7 (e) 10:1 three year olds (f) 12:1 four year olds (g) 15:1 five year olds and older (65) When there is a combination of ages within a group of children, caregivers shall determine the ratio required by the age of the youngest child in the group. (66) Programs with infant and toddlers must consider children up to 30 months of age as toddlers and all these standards apply to any child under the age of 30 months. (67) If a program is approved only for children ages 24 months and above, the infant and toddler standards are not applicable to this group. In classroom/areas where the facility is caring for groups of children ages 24 months and older, the infant and toddler standards do not apply. (68) Children are under direct supervision at all times; during nap time child/staff ratios may be reduced to 50% of staff as long as child/staff ratio is maintained on the premises (does not apply to infants). (69) The facility shall have at least two (2) adults present during all hours of operation. Discipline (70) Discipline: The director shall discuss and give the following information, in writing, to the parent at the time of the child s enrollment. (a) Any person, while on child care facility premises, shall not engage in or direct any of the following actions toward children: (1)Inflict corporal punishment in any manner upon a child s body. (2)Hit, spank, beat, shake, pinch, or any other measure that produces physical discomfort. Cruel, harsh, unusual, humiliating, or frightening methods of discipline, including threatening the use of physical punishment. (3)Placement in a locked or dark room. (4)Public or private humiliation, yelling, or abusive or profane language.(a)caregivers shall not associate disciplinary action or rewards with rest. (5)Caregivers shall not associate disciplinary action with food or use food as a reward. Caregivers shall not associate disciplinary action or humiliate a child in regard to toileting. (b)caregivers shall not: (1)use time out for any child less than three (3) years of age; use time out for any purpose other than to enable the child to regain control; (2)physically restrain children except: (a)when it is necessary to ensure their own safety or that of others; and (b)only for as long as is necessary for control of the situation; and use punishment to correct unacceptable behavior. Environment (71) At least 35 square feet of usable indoor space is provided for each child. (72) Land-line telephone is available and working. (73) Telephone numbers for fire, ambulance, hospital and poison control are available at each telephone. (74) Fifty (50) foot-candles of illumination are provided above classroom tables. 7

8 (75) Thirty (30) foot-candles of illumination are provided in bathrooms. (76) Hallways and corridors have 20 foot-candles of lights. (77) Five (5) foot-candles in children rest and nap areas. (78) Classroom temperature is maintained at sixty-eight (68) degrees F or more. (79) All outside doors and windows shall be screened with sixteen (16) gauge mesh screen when open. (80) The facility shall make heating units, including water pipes and baseboard heaters, hotter than one hundred ten (110) degrees Fahrenheit inaccessible to children by barriers such as guards or other devices. (81) The janitor's closet containing chemicals, poisons, and items which state "HARMFUL" or "FATAL IF SWALLOWED" is kept LOCKED. (82) Hazardous items, bleach solution/other cleaning supplies and teachers' purses and any other items that might be harmful to children are inaccessible to children. (83) Floors are smooth, carpet firmly secured. (84) Protective plugs are provided on all electrical outlets. Extension cords are not used. (85) The facility shall use an antiscald valve approved by Indiana State Department of Health (ISDH) to maintain water temperature between one hundred (100) degrees Fahrenheit and one hundred twenty (120) degrees Fahrenheit on all hot water supplied to sinks, bathing, and washing facilities used by children. (86) Meets the requirements of Fire Prevention and Building Safety Commission (FPBSC). ( Opt-out letters not used.). (87) Occupancy capacities, as recommended by the Division are not exceeded. (88) Playground(s) is safely enclosed or protected. (89) The following items shall be prominently posted in a place regularly viewed by parents: Prohibitions against: (A) smoking; (B) use of alcohol; (C) use or possession of firearms, unless required as a condition of employment; and (D) use or possession of illegal substances or unauthorized potentially toxic substances; in the child care facility Infant/Toddler- Child care program that care for children under the age of 30 months, the following standards must also be met. Supervision/Grouping (90) Infants and toddlers are kept under direct supervision at all times including while napping. 8

9 (91) Infants and toddlers are kept in separate rooms unless room is approved for alternative mixed age groups, w/age appropriate equipment, limited to infant-36 months (no throughways). (92) No person under the age of 21 shall at any time be alone with children under two years of age. Communication with Families (93) Daily needs records are kept and posted. Hand Washing/Diapering (94) Infants and toddlers have at least one sink for hand-washing in the room. (95) Children and staff shall wash their hands with soap and warm running water and dry them with a disposable towel after each toileting usage. (96) Each room has changing table or changed in own crib. (97) A changing table shall be required for infants who can pull to a standing position in their crib. (98) All surfaces except carpet in Infant / Toddler rooms are sanitizable. (99) Diaper bags are inaccessible to children. (100) Diapering and food area separate in each room. Rest Period (101) The facility shall equip each infant room with a crib and individual bed clothes for each infant. (102) Infants are out of cribs while awake. (103) Sheets changed daily/extra supply of bedding available. (104) All bedding shall be changed immediately when wet or soiled, and otherwise once a day. (105) Cribs are spaced 3 feet apart. (106) Cribs/mattress sizes correct and in good state of repair. (107) Caregivers shall place infants on their backs or sides in their cribs for sleeping. (108) Staff practices safe sleep procedures as approved by Bureau of Child Care. (109) The director of the ministry completes a Bureau of Child Care approved training on the practice of safe sleep and reducing the risk of SIDS in child care. (110) A written safe sleep policy is signed by all infant parents. Feeding (111) Parents provide a feeding plan for infants and it is kept current. 9

10 (112) Mixing non-ready to feed formula is considered food preparation and must be mixed in an area with a 2 compartment sink and used for food prep only. (113) There shall be a heating unit for warming bottles and food, accessible only to staff, located in the infant room. Staff shall not heat formula or breast milk in a microwave oven. (114) Infants' bottles are not "propped". (115) Infants are held when fed. (116) Harnesses are used on highchairs. (117) Toddler sized chairs and tables are used for eating. (118) Toddler foods are appropriate for age. (No choking hazards.) (119) Age appropriate dishes and utensils for infants and toddlers are used. (120) Infants and toddlers are fed in their own rooms. Equipment (121) At least one (1) rocking chair is available to each caregiver in infant rooms and at least one (1) rocking chair is available in toddler rooms. (122) Use of a television is prohibited. 10