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Ashland Head Start Early Childhood Development and Health Services Plan Reviewed: April 2012 Policy Council Review and Approval Date: President < cre Secretary Vice-President Board of €uucation Chairperson n

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Page 1: Ashland Head Start Early Childhood Development and Health ... 2012/early...Ashland Head Start Health Services Goals 1. To involve parents as the primary caregivers and advocates for

Ashland Head Start

Early Childhood Development and Health ServicesPlan

Reviewed: April 2012

Policy Council Review and Approval

Date:

President<creSecretary

Vice-President

Board of €uucation Chairperson

n

Page 2: Ashland Head Start Early Childhood Development and Health ... 2012/early...Ashland Head Start Health Services Goals 1. To involve parents as the primary caregivers and advocates for

Ashland Head StartHealth Services Goals

1. To involve parents as the primary caregivers and advocates for theirchildren in all decisions regarding their child's health care.

2. To provide a timely and systematic approach to screen children fordevelopmental, sensory and behavioral concerns, and assists inindicating which children require a formal assessment of theirdevelopmental needs.

3. To encourage collaboration and communication between parents andStaff, and work toward optimal health outcomes.

4. To provide cnqolnq evaluation procedures that identify health orr-r\r\f-rtf*mf* t m n + < fr»^ f*\\ -r f>£*V\\1 H-.«_t I U III \ I II 1)1^1 T JU.JI111.MI.

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Page 3: Ashland Head Start Early Childhood Development and Health ... 2012/early...Ashland Head Start Health Services Goals 1. To involve parents as the primary caregivers and advocates for

Early Childhood Development and Health Services Plan

Objective 1

To determine that each child has a continuous source of health care.

Action Steps:1. Determine each child's health status, as quickly as possible but no

later than 90 calendar days from entry into program.• review each child's application, health history and

records• determine if each child has an ongoing source of

continuous, accessible health care, "Medical Home." Ifnot, assist parents in accessing a source of health care"^cr "^Hs'i" child

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Page 4: Ashland Head Start Early Childhood Development and Health ... 2012/early...Ashland Head Start Health Services Goals 1. To involve parents as the primary caregivers and advocates for

• identify needed preventive and corrective care• assure that such care is arranged• staff and parents work with health care providers to

ensure that after medical and dental exams take place,results of the examination and treatment plan, ifnecessary, become part of the child's health record

• records indicate progress in completing treatment for allconditions in need of follow-up

• health records are kept in a place not accessible tounauthorized persons

• pertinent information is shared with necessary staffthrough reports and conferences

• ail health information is entered into ChiidPlus

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* begin building relationships with parents and give them

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Page 5: Ashland Head Start Early Childhood Development and Health ... 2012/early...Ashland Head Start Health Services Goals 1. To involve parents as the primary caregivers and advocates for

Time Frame: Within 90 days of program entry for preventive health care.45 days of program entry for screenings. On-going for communication andfollow-up.

Objective 2

To provide a timely and systematic screening process to identify childrenwho may need a more formal assessment.

Action Steps:Scrconcerns.

i steps.1. Screenings will be for developmental, sensory and behavioral

mncerns.• screenings must be completed in collaboration with each

child's parent within 45 days of program entry• obtain linguistically and age appropriate screenings, sensitive

to children's cultural backgrounds» provide training to staff on administration of screening

instrument as needed* review appropriate medicc! data already accumulated

(EPSDT)* review screening results, family history and medical history

of children who need further evaluation as a result ofCf*r<r>pr\\ri'~*'Z u/i + h ftnr-&r\-f<: r-mH nfrpccn^w C+.-rf-f_J W I W W * • • I 1X-1 .J 9H ' I t I Ls\AI l—' l l t ' ^ U i <*_* )l^>w*1~.^*^^_4t / ~ _ J I \ ^ J |

Obtain direct guidance frcm a nerfa! hea!th or child development„ _ _ _ £ _ _ * _ . • _ _ ' ^ . . j _ _ . .. — j i '^jr^.^^.^* * -j _j - __ — ^- * j _ ._ i . ' -C ' . j . _ _ i _r*it^*~*Trtir'r.f\rir*. nrt *^o'*' ~^ iit^'^ T^jrn/^ iv%*^jr^ Tr"x rtJ'i/^^-ir^ir^ -/^*ofcnTiT^irtrt i^io/^/~i<T

Page 6: Ashland Head Start Early Childhood Development and Health ... 2012/early...Ashland Head Start Health Services Goals 1. To involve parents as the primary caregivers and advocates for

Objective 3

Collaborate and communicate with parents for optimal child health outcomesand implement ongoing procedures for staff to identify health concerns.

Action Steps:

1. Provide and/or refer parents/children for extended follow-up andtreatment.

• dental follow-up and treatment must include measures thatensure that a child's teeth and gums are healthy, and thatdental health problems do not affect a child's overallhealth

• staff address barriers to treatment to ensure that familiessecure recommended dental procedures

• when f ami lies have problems accessing dental care, specialefforts are made to secure the needed services

of children with suspected health care needs to facilitate the

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develop iho'tviduahjied piuns vvn n parenta! input for childrenw u e r i i e u n e e b

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Page 7: Ashland Head Start Early Childhood Development and Health ... 2012/early...Ashland Head Start Health Services Goals 1. To involve parents as the primary caregivers and advocates for

• when the IEP calls for the provision of related services,staff are trained and supported for the roles they assumein securing or providing such services

4. Head Start funds may be used for professional medical and dentalservices when no other source of funding is available.

• staff will help families to access and to use existing servicesand resources

• these resources will be supplemented when all other fundingalternatives have been exhausted

• when Head Start funds are used for such services, writtendocumentation of the efforts made to access other availablesources of funding will be recorded

5. In addition to assuring children's participation in a schedule of wellchild care, ongoing procedures are implemented by staff toidentify any new or recurring medical, dental, or developmentalconcerns so staff may quickly make appropriate referrals.

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Persons Responsible: Family and Health Services Coordinator, School HealthNurse., Education/Disability Coordinator, Family Service Assistants, Speechand Lcnquaqe Pathologist, Director, Teachers and Assistants

Time Frame. On-qoir.q

Objective 4

Parents are involved in all decisions regarding their children's health care.

Action Steps:

1. Consult with parents immediately when child health ordevelopmental problems are suspected or identified.

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• parents share their observations and concerns withappropriate staff

• parents are informed about observations made by othersregarding their child

• parents are involved in all decisions and follow-ups forfurther evaluation and intervention

• parents and staff meet frequently to share observations andconcerns and to jointly make plans for further evaluation andintervention, these meetings will be documented

2. Familiarize parents with the use of and rationale for all healthand developmental procedures administered through AshlandHead Start by contract or agreement, and obtain advance parentor guardian authorization for such procedures; ensure that theresults of diagnostic and treatment procedures and ongoing careare shared with and understood by the parents.

• fact sheets or other educational materials are used tofamiliarize parents with the use and rationale of a!! healthrelated procedures, as well as to familiarize them with thetypes of questions to ask health care providers

• results of diagnostic and treatment procedures are sharedand discussed with parents in meetings with appropriate

staff

3. Individualize the program to the health needs for each child.

4. Provide input as appropriate for IEP development andimplementation for children with identified disabilities (SeeDisability Service Plan)

* obtain parent permission for implementation of IEP

* involve parent in development of IEP

5. Staff talk with parents about how to familiarize their children in adevelopmentally appropriate way and in advance about all of theprocedures they will receive while enrolled in Ashland Head Start.

6. Assist parents to enroll and participate in a system of ongoingfamily health care and encourage parents to be active partnersin their children's health care process.

* promote preventive health care for all family members.

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• introduce parents to existing resources, and help themto become effective consumers of health care and developgood relationships with health providers.

• encourage parents to take their children to health anddevelopmental appointments, and offer them access tosafe transportation and other needed resources

• stress the importance of keeping up-to-date healthrecords in a safe place

• encourage parent participation on the Health ServicesAdvisory Committee

7. If a parent or other legally responsible adult refuses to giveauthorization for health services, Ashland Head Start maintainswritten documentation of the refusal.

Persons Responsible: Family and Health Services Coordinator, FamilyService Assistants, School Health Nurse, Education/Disability Coordinator,Director, Teachers and Assistants

Time Frame: On-going

Objective 5

Establish, implement and train staff on policies and procedures to respond tomedical and dental health emergencies quickly and effectively.

Action Steps:1. Post plans of action for emergencies that require rapid response

on the part of staff for immediate medical or dental attention.• acquaint/train staff with all plans of action for emergencies• consult Health Services Advisory Council for advice• consult with emergency providers. Health Dept., etc. for

advice

2. Post emergency evacuation routes and other safety proceduresfor emergencies (e.g. fire, weather related, etc.)

• maintain written plans for evacuating and for respondingto a fire, weather related emergencies, violence in thecommunity, power failures and chemical disasters

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• follow Ashland Head Start's Emergency PreparednessPlan for Code Red/ Lock Down procedures.

• train/acquaint staff on escape routes, staff assignmentsand Emergency Preparedness Plan.

• unannounced evacuation drills are performed at least oncea month, at varying times of the day

• records of the evacuation drills are documented

3. Post telephone numbers of emergency response system• revise and/or update emergency policies, procedures

and plans as appropriate• identify emergency response agencies relative to specific

areas

4. Maintain up-to-date family contact information and authorizationsfor emergency care for each child.

• complete health record and history for each enrolled child• obtain written parental or guardian consent for emergency

services• review each child's folder for confirmation of completed

documents and updated information at least twice per year

5. Develop procedures for notifying parents in the event of anemergency involving their child.

• maintain updated emergency information in appropriateareas

• implement procedure for obtaining up to date information• implement procedure for notifying parents and appropriate

personnel• provide parents with Emergency Preparedness information

on evacuation procedures, parent notification, etc.

6. Refer to Ashland Head Start's Emergency Preparedness Plan forfurther guidance on emergency situations.

Persons Responsible: Family and Health Services Coordinator, FamilyService Assistants, School Health Nurse, Family/Community InvolvementCoordinator, Education/Disability Coordinator, Director, Teachers,Assistants, Technology Assistant, Secretary, Ashland Independent SchoolDistrict Safe Schools Coordinator.

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Time Frame: On-Going

Objective 6

To establish methods for handling cases of suspected or known child abuseand neglect that are in compliance with applicable Federal, State or Triballaws.

Action Steps:

1. Staff help to identify risk factors for abuse, and work with thefamily to clarify appropriate expectations, enhance parenting skillsand offer the family emotional support and resources.

2. Program policies are in compliance with applicable Federal, Stateand local child abuse and neglect laws regarding the definition ofchild abuse and neglect and the standards of evidence required forreporters under applicable laws.

3. All Staff members are trained to identify child abuse and neglect.

4. Ashland Head Start has a written plan for handling cases ofsuspected or known child abuse or neglect.

Persons Responsible: Family and Health Services Coordinator, FamilyService Assistants, School Health Nurse, Director

Time Frame: On-going

Objective 7

To establish conditions of short-term exclusion and admittance for children.

Action Steps:

1. Temporary exclusion of a child is due to a short-term injury or anacute or short-term contagious illness, which cannot be readily

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accommodated for classroom participation and exposure to thechild could pose a significant risk to the health or safety of anyonewho may come in contact with the child.

• Live Head Lice• Vomiting• Diarrhea• Fever over 100 degrees Fahrenheit• Symptoms of possible Communicable Disease

Children may return to the program once treatment for a conditionhas been started and/or a Doctor states that the child is safe toreturn to class.

2. Kentucky EPSDT guidelines require children to obtain up-to-dateImmunizations before enrolling in school, children will betemporarily excluded from Ashland Head Start if they do notobtain an up-to-date shot record in a timely manner. The child willbe eligible to return to class once an up-to-date record is on file inthe Head Start office.

3. All eligible children are afforded an equal opportunity to beincluded in Head Start, regardless of special health needs ormedication requirements.

4. Request that parents inform staff of any health or safety needsof the child that the program may be required to address.Information is shared, as necessary, with appropriate staffregarding accommodations needed in accordance with AshlandHead Start's confidentiality policy.

5. Refer to Disability Plan for further guidance on working withchildren with special health or safety needs.

Persons Responsible: Family and Health Services Coordinator, FamilyService Assistants, School Health Nurse, Education/Disability Coordinator,Teachers, Assistants, Director

Time Frame: On-going

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Objective 8

To establish and maintain written procedures regarding the administration,handling and storage of medication for every child consistent with Kentuckyand federal laws.

Action Steps:1. Consult with Health Services Advisory Committee to assist in the

development of procedures for the administration, handling andstorage of medication.

2. Label and store, under lock and key and refrigerate, if necessary,all medication, including those for staff and volunteers.

• prescribed medication is labeled by a pharmacist, with thechild's first and last names, the name of the medication, thedate the prescription was filled, the name of the health careprovider who wrote the prescription, the medication'sexpiration date, and administration, storage, and disposalinstructions.

• Over-the -counter medication should have a documentedrecommendation by a health care provider, parents shouldprovide instructions and information on a label, includingthe child's first and last names, specific legible instructionsfor administration and storage supplied by the manufactureror health care provider; and the name of the health careprovider who recommended the medication.

• medications administered "as needed" (PRN) will havespecific directions for administration, including minimumtime between doses, maximum number of doses, and criteriafor administration from a physician.

• a Medical Permission form will be completed by theappropriate persons and placed in the child's Health File.

• medication required for use by staff and volunteers isclearly labeled with their first and last name.

• medications will be provided in child-resistant containers.

3. Designate trained staff members to administer, handle and storechild's medication.

• determine who will train staff in the administration andeffects of medication.

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• document/track the handling and administration of allmedications.

4. Maintain an individual record of all medication dispensed andreview the record regularly with parents.

5. Record changes in a child's behavior that has implications fordrug dosage or type and assist parents in communicating withtheir physician regarding the effect of the medication on theirchild.

• determine desirable effects of medications throughconsultation with parents and/or other medical personnel

• periodically track the effects of medications being takenby each child

• report the results of tracking to parent/guardian• with parent permission, collaborate with physician concerning

changes in a child's behavior

Persons Responsible: Family and Health Services Coordinator, FamilyService Assistants, Education/Disability Coordinator, School Health Nurse,Teachers, Assistants, Director

Time Frame: On-going

Objective9

Encourage children, parents, staff and volunteers to demonstrate safepractices.

Action Steps:

1. Incorporate safety awareness into child, parent, staff andvolunteer activities.

• develop safety awareness as appropriate• train staff, parents, child, volunteers, etc. as appropriate

2. Support healthy practices that prevent illness, injury, and promotepractices that enhance life long wellness.

• emergency health procedures

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• injury prevention• transportation/pedestrian safety• hygiene

• CPR/First Aid training for all staff• observe classrooms and related settings to verify compliance

with safety practices• incorporate Health Services Advisory Council

recommendations into safety practices• all classrooms and the multi-purpose room are equipped with

First Aid kits appropriate to the program• First Aid kits are checked periodically and restocked as

needed.

Persons Responsible: Family and Health Services Coordinator, FamilyService Assistants, School Health Nurse, Education/Disability Coordinator,Family and Community Involvement Coordinator, Director, Teachers,Assistants, Custodian Bus drivers and monitors

Time Frame: On-going

Objective 10

To adopt sanitation and hygiene procedures for children, staff andvolunteers regarding diapering, toileting, and other activities that maypresent the potential for danger.

Action Steps:

1. Staff, volunteers and children must wash their hands with soap andrunning water after diapering or toilet use. Any person diaperingor assisting with toilet use must wear nonporous gloves during suchactivities.

2. Staff, volunteers and children must wash their hands with soap andrunning water before food preparation, handling, consumption orany other food related activity. Any person preparing or handlingfood must wear nonporous gloves.

3. Staff, volunteers and children must wash their hands with soap and

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running water whenever hands are contaminated with blood orother body fluids and after handling pets or other animals.

• train staff on blood borne pathogens• implement procedures for working with blood borne

pathogens - OSHA Standard Precautions• nonporous gloves must be worn

4. Staff and volunteers must wash their hands with soap and waterbefore and after treating or bandaging a wound and wearnonporous gloves while treating or bandaging a wound.

5. Staff must wear nonporous gloves to avoid contact with spills ofblood or other visible, bloody body fluids and to prevent skincontact with body fluids of others.

• provide equipment and materials for cleaning and disposalof contaminated items

• train staff on blood borne pathogens• implement procedures for working with blood borne

pathogens - Standard Precautions

6. Clean and disinfect immediately any tools and equipment used toclean spills of body fluids.

• provide equipment and materials for cleaning and disposalof contaminated items

• train staff on blood borne pathogens• implement procedures for working with blood borne

pathogens - Standard Precautions• clean and disinfect immediately, spills of body fluids using

Standard Precautions• dispose of blood contaminated materials in a biohazard

plastic bag tied securely following OSHA guidelines.

Persons Responsible: Family and Health Services Coordinator, FamilyService Assistants, School Health Nurse, Education/Disability Coordinator,Family and Community Involvement Coordinator, Director, Teachers,Assistants, Custodian, and Bus drivers and monitors

Time Frame: Immediately following spill

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Objective 11

Utilize the Health Services Advisory Committee (HSAC) to assist inplanning, operating, and evaluating the program and to strive towardproviding comprehensive health services to Head Start children, meetingtheir needs and those of their families and communities.

Action Steps:

1. HSAC meets twice a year and as needed.

2. HSAC consists of staff, parents, health professionals, andother volunteers from the community.

3. HSAC assists in evaluating health needs of the community andAshland Head Start families.

4. HSAC assists in identifying medical, dental, mental health,and nutrition resources within the area and how to make use ofthem.

5. HSAC assists with staff and parent trainings as needed andacts as a child health advocate.

Persons Responsible: Family and Health Services Coordinator, FamilyService Assistants, School Health Nurse, Director, Family/CommunityInvolvement Coordinator, Health Services Advisory Committee.

Time Frame: Meets at least 2 times per year and available for consultation /follow-up as needed.

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