EGLIN CHILDDEVELOPMENT

PROGRAMS

EGLIN CHILDDEVELOPMENT

PROGRAMS

FAMILYHANDBOOK

2 3

96 FSS/FSFC

Bldg 2579Gaffney Rd850-882-2994

Bldg 2782Boatner Rd850-883-7425

FCC CDC2

Bldg 2781Boatner Rd850-882-5519

CDC3

Developmental care for children six weeks through five years of age to assist active duty, reserve, civilian and contractors meet their military obligations.

Welcome 3Mission Statement and Philosophy 3Hours of Operation 3Goals 3Accreditation 4Privacy and Confidentiality 4Tobacco, Alcohol & Drug Free Policy 4Enrollment 4Fees 5Hourly Care 5Health Policy 5Illness Policy 5Special Needs 6Medication 6Supervision of Children/Transportation 6Child Abuse/Neglect Reporting 7Communication with Families 7Family & Cultural Values 7Parent Advisory Committee 8Meals 8Infant Feeding 8Protective Foot Coverings 8Sleeping & SIDS Prevention 9Diapers & Wipes 9Rest Time 9Staff Qualifications 9Assessment of Progress 9Clothing 10Guidance Policy 10Key Personnel 11Community Resources 11Visitors, Building Access and Security 11Family and Program Communication 11Eco – Healthy Practices 12Termination of Enrollment 12Appendix A Exclusion PolicyAppendix B Infant Safe SleepAppendix C Annual Enrollment Agreement

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WELCOMEThe Eglin AFB Child Development Program welcomes you and your family and we look forward to serving your family. Our program offers developmental care for children from six weeks through five years of age to assist active duty, reserve, civilian and contractors to meet their military obligations. The CDCs are accredited by the National Association for the Education of Young Children (NAEYC).

A cooperative, caring partnership between parents and staff members is our constant goal. We encourage close communication at all times and invite you to visit and enjoy our facilities and programs; families are welcome to visit their child at any time. We work to create a homelike atmosphere in which your child will be comfortable, happy and enjoy many learning experiences. We welcome your suggestions on ways to improve our service to you and your family.

MISSION STATEMENT AND PHILOSOPHYThe mission of the Eglin AFB Child Development Program is to encourage a positive, safe and nurturing environment which allows children to experience activities in a variety of learning centers by having a balance of teacher-initiated, child-initiated, indoor/outdoor, quiet activities and large motor activities to enhance self-esteem, social, cognitive, creative and physical abilities.

The practices of Air Force Child Development Programs are based on current knowledge of child development and early childhood education. We support the development of the whole child. Our program acknowledges that children learn through active, hands-on involvement with their environment, peers, and caring adults. We respect each child’s unique interests, experiences, abilities and needs. Children are valued as individuals, as well as part of a group. Likewise, our program respects and supports the ideals, cultures and values of families when nurturing children. We advocate for children, families, and the early childhood professionals within our community.

Air force child and youth program (cyp) mission statementTo assist DoD military and civilian personnel in balancing the competing demands of the accomplishment of the DoD mission and family life by managing and delivering a system of quality, available, and affordable programs and services for eligible children and youth from birth through 18 years of age.

HOURS OF OPERATIONThe centers are open Monday through Friday from 0600 to 1800 hours (6AM – 6PM) and are closed on all Federal Holidays. A late fee of $2 per minute will be charged starting at 1801 for anychild not picked up by closing time.

GOALS • Foster positive identity and sense of emotional well-being • Enhance social skills • Encourage children to think, reason, question and experiment • Promote language and literacy development • Build physical development and skills • Support sound health, safety and nutritional practices • Advance creative expression, representation and appreciation for the arts • Appreciate and respect cultural diversity • Develop initiative and decision-making skills

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ACCREDITATIONThe Eglin AFB Child Development Programs are certified through the Department of Defense Child Development Services and are accredited by the National Association for the Education of Young Children. Certification and accreditation are earned by high quality child care centers that provide a safe environment as well as developmentally appropriate curriculum. The centers experience a minimum of five inspections each year to ensure the health and safety of our children. The results of these inspections are available for your review at the front desk of each child development center.

PRIVACY AND CONFIDENTIALITYYour right to privacy and confidentiality are of the utmost importance. All financial information, personal information and child assessment information is covered under our confidentiality policy. The only people with access to your financial information are desk clerks, administrators, the flight chief and anyone else whom you specify. Your personal information and child’s assessment information are only available to your child’s classrooms teachers, training staff, administrators, specialists called in for a consult and anyone else whom you specify. If you have any questions about information covered, how the information is protected or who is allowed access to it, please contact a CDC Director.

TOBACCO, DRUG AND ALCOHOL FREE POLICYAccording to Air Force policies, the Child Development Center is a tobacco, drug and alcohol free facility. Tobacco use is prohibited in the building and in any areas in proximity of the center.

ENROLLMENTAll parents who enroll their children in the center will be provided an orientation and tour of the facility. The parent/guardian and child will be given an opportunity to visit their new classroom, meet the staff, and become familiar with the program. To ensure your child’s enrollment at the center, all forms are to be completed prior to your initial visit.

Information necessary to complete your child’s registration: • Air Force Youth Flight Program Patron Registration Form (AF Form 1181) • Completed and up-to-date immunization record • Application for Department of Defense Child Care Fees (DD Form 2652) with proof of income and/or full time education • USDA Application • Credit Card Authorization OR Orbital Auto-Debit Form • Current Child Health Assessment • Signed Enrollment Agreement • Completed and Approved Special Needs Package, if necessary. All special needs packages must be reviewed by program medical advisor and Inclusion Action Team prior to enrollment.

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FEESRates are based on total family annual income and proof of income is required before fees can be calculated. Failure to provide proof of income will result in placement in the highest fee category.Weekly fees are paid in advance and are due by close of business Friday for the upcoming week. Fees not paid on time will incur a late penalty of $5 per day per family. Delinquency of two weeks will result in disenrollment. Special events such as Parents Night Out are offered at a set price with fees due at registration. No refunds given for special events unless the event is cancelled. Late pick up fees will be assessed for these events as well.

HOURLY CAREHourly care is available on a space-available basis 0700-1700 hours (7AM - 5PM) daily with reservations up to thirty days in advance. Hourly care is provided at $5 per hour and payment must be made each day by 1700 hours (5PM). Because of the importance of rest to young children, we cannot accept drop off for care between 1100 - 1400 hours (11 - 2PM). Please provide a change of clothes, labeled bottles of formula or human milk, diapers, wipes and closed toe shoes.

HEALTH POLICYYoung children have a high susceptibility to communicable diseases and infections. To keep the children as healthy as possible, the center gives the following guidance: When at the center, children are expected to participate in both indoor and outdoor activities. The child should remain at home if she/he is not well enough to participate both indoors and outdoors.

All families are highly encouraged to have an alternate child care plan for days your child is ill and unable to attend the center. Please inform us if your child is ill with a contagious disease. Families whose children have been exposed to a contagious illness while at the center will be notified by classroom staff. Families will be notified if their child sustains an injury while at the center. In every instance, an accident report is completed, placed in the child’s folder and made available for review when the child is picked up at the CDC. Additionally, a courtesy call to the parent or guardian will be made if the injury is serious in nature.

ILLNESS POLICYPlease refer to Caring for Our Children for details. A child is temporarily excluded or sent home as soon as possible if one or more of the following conditions exist:

• Illness prevents the child from participating comfortably in normally scheduled activities. • Illness results in a greater need for care than the staff can provide without compromising the health, safety, and wellbeing of the other children. • Poses a risk of spreading a harmful disease to others.

*Note: Please refer to Appendix A; Exclusion and Readmission Policy Children and Staff for complete listing of conditions.

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SPECIAL NEEDSThe Child Development Centers support inclusion and participation of children with disabilities; as well as children with special learning, medical and developmental needs. The program and family work closely with the medical advisor and the Inclusion Action Team (IAT) for placement in the most appropriate, inclusive setting.

1. When a child is enrolled and the parents indicate a special need a Special Needs Package must be filled by the parents and their pediatrician. Once the package has been filled out, it is returned to the center for a review by the IAT. Families are invited to the monthly meeting as active participants.2. If the recommendation is for inclusion in the program, a reasonable period of time must be determined to allow for staff training and environmental modification to meet the child’s needs.3. If a child is identified with a potential special need once enrolled in the program, families will be required to seek professional evaluation and package submission to the IAT within 45 days. If the parents refuse to engage additional services to support their child’s development, termination from our program may be necessary.4. If reasonable accommodations can be met, an Inclusion Action Plan will be developed.

MEDICATIONS1. Medication will be administered in accordance with AFI 34-144, which requires only prescription medications may be given.2. Medication will be administered at 1000 and/or 1400 hours (10AM and 2PM); AF Form 1055 must be filled out completely and initialed and dated by the parent each day medication is to be given to a child. Medication will be kept in a secure location at the front desk.3. No over-the-counter medication, including Tylenol, will be given without a doctor’s permission. On an annual basis, parental permission to apply diaper ointment/salves, sunscreen (approved by medical advisor and purchased by the program), lip balms, and over the counter hand lotions is obtained.4. Medication can be accepted on an “as needed” basis, but must have daily written approval from the parents/guardian as well as a doctor’s approval.5. All medications must have the following information on the prescription label: name of physician, date filled, prescription number, child’s name, dosage amount, frequency, and ending date (ex: use for ten days or until completed). Prescriptions must be current within ten days of the date filled and have an expiration date.

The first dose of a new medicine must be given by the child’s family who remain with the child for twenty minutes in case of allergic reaction. Staff who administer medication are trained annually by a health professional on the correct procedures for administering medications.

SUPERVISION OF CHILDREN/TRANSPORTATIONChildren are under adult supervision at all times. The following chart represents the minimum number of adults working with your child at the center. All children are within sight and sound of an adult at all times. All staff at the CDC have completed background checks prior to working alone with children. Please be aware that if a staff member is wearing a tan or red smock the center is awaiting completion of their background check and they may not be alone with children.

All children enrolled and participating in activities at Child Development facilities are subject to closed circuit video monitoring and recording.

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When preschool children go on field trips away from the center, the ratio is one staff per eight children. We also ask that parental volunteers go on the trip to provide additional supervision. Parents may be asked to accompany their child on a field trip if their child requires additional supervision to ensure safety or the child may remain at the center.

Transportation of children for field trips will be in accordance with AFI 34-144.5.6 with inspected vehicles, vetted drivers, appropriate supervision and child car seats appropriate for each child; a CDC Director will be happy to provide additional details regarding the safe transportation of young children by the center. In the unlikely event that a child is left behind or is unaccounted for, simultaneous action will be taken to immediately notify law enforcement, the family and the management while a search is conducted in the vicinity of last known area until law enforcement arrives and directs the actions of center staff.

CHILD ABUSE/NEGLECT REPORTINGAll program staff members are trained annually and are mandated reporters of any suspected child abuse or neglect. The program director notifies Family Advocacy Office (FAO) who will then determine what, if any action needs to be taken. Any staff may report to FAO, the DoD Child Abuse Hotline and/or the Florida Child Abuse Hotline. All suspected physical abuse and neglect will be reported to the appropriate agencies on base. If a staff member is “alleged” to have acted inappropriately, that person will be removed from the building and from being with children, until the investigation is completed and action will be taken as appropriate.

COMMUNICATION WITH FAMILIESContinuous and open communication with parents on an on-going basis is a goal for our CDC staff. We utilize several different methods to effectively communicate with families. Some examples include daily sheets, formal and informal conferences, surveys, handouts for special events, newsletters and special event calendars. Recently, we added a Mobile Message System to alert parents when we experience emergency CDC closures. We will continue to notify parents via phone of emergency closures when their children are located at the CDC. The primary method of communicating emergency closures when children are not in the facility will be the Mobile Messaging System.

All families are encouraged to sign up with the Trumpia Mobile Messaging System to stay informed of emergency center closures and responses, along with information for all families regarding program events and news. Text Eglin CDC to 95577.

FAMILY AND CULTURAL VALUESWe strive to implement our curriculum in a way that is respectful to family’s cultural and individual differences in order to encourage celebration of diversity and promote understanding. We also ask for information about other languages spoken at home, other than English, so we can help your child continue to develop his/her home language and English at the same time.

InfantsToddlers

TwosPre-school

6 weeks - 12 months1 year olds2 year olds

3-5 year olds

1:41:51:7

1:12

CATEGORY AGE GROUP ADULT/CHILD RATIO

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PARENT ADVISORY COMMITTEEParents are an integral part of the Child Development Program and the Parent Advisory Committee serves in an advisory function, providing recommendations for improving services, partnering with the center to offer additional opportunities for family participation and recognizing exemplary staff. Information about inspections, new requirements, child development and other topics are covered at the monthly meetings. All parents are encouraged to participate. Please see the front desk at either center for information on the group and its next scheduled meeting.

MEALSWholesome, well-balanced meals are provided according to the USDA Child Care Food Program at no additional charge. A cycle menu designed to meet USDA nutritional requirements is posted on the bulletin board in the lobby. Parents are asked not to bring food from home. Some children have life threatening food allergies, so it is vital that we monitor all food and drinks in the building. Please help us protect the health of all children.

The exception to not bringing food is infant formula or breast milk, which must be contained in plastic bottles labeled with first and last name, date, contents and time prepared.Please inform us if your child is on a medically necessary special diet or is allergic to any foods. Allergies must be noted by a physician on an Exposure Response Plan and will be available to need-to-know staff in the child’s classroom.

Meal times are as follows: • Breakfast 0800 - 0830 hours (8 - 8:30AM) • Lunch 1130 - 1200 hours (11:30AM - 12PM) • Snack 1400 - 1430 hours (2:30 - 3PM)

INFANT FEEDINGBreast feeding is a choice that is supported by our program. Expressed milk is to be provided in ready-to-feed sanitary containers labeled with the infant’s name and the date it was expressed. Breast milk cannot be stored in the refrigerator longer than 48 hours and no more than 24 hours if the milk was previously frozen. Mothers are welcome to come to the program to breast feed their infants at any time.

Infants on formula have the choice between Good Start and Good Start Soy provided by the program, or a family is welcome to provide their own formula. Only plastic bottles may be brought into the center with the child. Please bring enough clean bottles for each day. Formula and baby food are included in program fees. Our program does not offer cow’s milk to children younger than twelve months. The staff in the infant room will work individually with families as their child begins to be introduced to new foods.

PROTECTIVE FOOT COVERINGSAny adult entering the infant room is asked to cover his/her feet with disposable covers provided at the infant classroom door. This limits the amount of germs and dirt that might otherwise be tracked on the floor where the infants crawl and play.

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SLEEPING AND SIDS PREVENTIONThe staff in the infant rooms has been carefully trained to help reduce the risk of Sudden Infant Death Syndrome (SIDS). All infants, unless otherwise ordered by a physician and approved by AFSVA/SVPY, are placed on their backs to sleep. They may be allowed to assume any comfortable sleep position when they can easily turn themselves over from the back position. Infants who are able to turn over by themselves will have a sign placed on their crib indicating they have mastered this skill. Pillows, quilts, comforters, sheepskins, stuffed toys, and other soft items are not allowed in the cribs for the child’s safety. Children’s heads are to remain uncovered while sleeping at all times.Please see Appendix C for detailed SIDS prevention information.

DIAPERS AND WIPESOnly disposable diapers will be accepted at the center. Wipe containers should be labeled with the child’s name. Caregivers will check diapers regularly when children are awake.

REST TIMERest periods and naps are important for your child’s growth and development, all rooms for children one year and older have a rest time of 1200-1400 hours (12-2 PM) daily. Children do not have to sleep. It is important that they rest quietly and respect the needs of the other children to sleep. Rest time in the infant classrooms is based on each baby’s individual needs.

STAFF QUALIFICATIONSAll CDC employees that work with children must successfully complete the following: • Local Agency and National Background Checks • New Employee Orientation and 24 hours of annual training to include positive guidance, appropriate touch, child abuse reporting and identification • CPR and First Aid within six months of employment and completion of the fifteen training modules within eighteen months • Many staff achieve and hold a Child Development Associate (CDA) Credential. The CDA certifies the training, qualifications and demonstrated skills in child development. • Associate and Bachelor’s Degrees in Early Childhood or Education have been completed by many of our Lead Teachers and some classroom assistant teachers.

ASSESSMENT OF CHILDREN’S PROGRESSOur center is proud to offer a variety of assessments to track children’s progress and to help guide our teachers to plan activities that better meet the developmental needs of our children. One of the assessments is called the Ages and Stages Questionnaire or ASQ.

This assessment is administered when each child is initially enrolled in our program. The family completes this short questionnaire by answering some simple questions about their child’s progress in different domains of child development. The results are then scored by the classroom teacher and results are shared either during a formal or informal conference. The ASQ is offered again at various intervals during the year, depending on your child’s age, to continue tracking your child’s developmental progress.

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CLOTHINGPlease send your child in comfortable play clothes. The children are involved in active play and messy activities and even with an apron, paint may get on clothing. We want children to feel free to participate in all activities. Your child should wear simple, washable clothes, which he/she can manage and encourage self-help skills. At least three complete changes of clothing are needed for all children with toilet-learners potentially needing additional sets.

Shoes should be worn that are safe for active play. Please bring your child to school with socks and tennis shoes or other comfortable, well-fitting closed toed shoes. We highly recommend tennis shoes with Velcro straps. No Crocs, flip flops, open-toed sandals, clogs or boots.

GUIDANCE/DISCIPLINE POLICYAll personnel practice a positive approach to discipline that will aid children in developing self-control. The goal is for children to learn to regulate their own behavior and follow rules and limits, not because they are afraid of being punished, but because a caring and trusting relationship has been nurtured and developed. No form of guidance such as spanking, withholding food, frightening, verbal abuse, humiliating, or binding is tolerated in the CDC.

Infants and Toddlers Appropriate Guidance Techniques: • Redirect attention to a safe object or area of the room. • Remove objects that pose a threat or problem. • Offer a diversion. • Separate/move infants who would hurt themselves or each other. • Use facial expressions and tone of voice to convey messages. • Give children a chance to work it out if no one will be hurt. • Resist overusing “NO.” This should be used for dangerous situations that require immediate responses. • Monitor infants at all times. Anticipate dangerous situations. • Explain what children can do in a positive manner. • Give hugs and nurture. Let children know that it is not necessary to misbehave to get attention. • Praise appropriate behavior. • Maintain a positive attitude toward the child. Keep a sense of humor. • Help the child gain control by holding and talking quietly to the child.

Preschoolers Appropriate Guidance Techniques: • Encourage children to develop problem-solving skills. • Anticipate problems and plan ahead. • Talk with the children to help them understand how their actions cause a problem. • Immediately stop dangerous behavior. • Observe when children are restless and change the activity to allow energy to be redirected in a positive manner. • Redirect activities toward acceptable behavior. Make frequent checks on the child to make sure that he or she follows through. • Praise appropriate behavior. • Maintain a positive attitude toward the child. Keep a sense of humor. • Explain desired behavior in a positive manner. 10

• Involve the children in setting rules and limits. • Offer choices. Provide several acceptable alternatives. • Help the child gain control by holding and talking quietly to the child, using restraint as a last resort to ensure safety of the child and others.

A child’s behavior that interferes with his development and success at play, is harmful to himself or others or puts him at risk for social problems will require a Behavior Support Plan, created with his family, Classroom Staff, Management, Trainers and other specialists.

VISITORS, BUILDING ACCESS, AND SECURITY The CDC has only one main entrance, which is used by staff, parents, custodial, and all visitors. Center visitors on official business (CE, Contracting, Public Health, local business representatives) are allowed in the classrooms with a staff escort. The escort remains with all non CDC personnel until their designated duty is completed. All other visitors on non-official business will be asked to remain in the lobby area.

Our facility is consistently monitored by a CCTV program. All children, staff and visitors to our program may be subject to closed circuit video monitoring and recording as part of their participation/enrollment at the CDC.

FAMILY AND PROGRAM COMMUNICATIONThe ICE (Interactive Customer Evaluation) program is available as a means for parents to voice their concerns and issues. The Parent Advisory Committee meetings are conducted quarterly soliciting parent ideas/suggestions, concerns and compliments. We take this feedback very seriously as our policies, procedures and programs are developed and changed based on information received from these meetings and comment cards. We thank you in advance for taking the interest in our program to provide feedback

The centers have an open door policy:Families are encouraged to participate in their child’s classroom activities throughout the day. Program Directors are available to answer questions or concerns at any time.

Newsletters, emails, white boards and notes:In order to keep families informed, the Center uses a variety of communication methods to ensure families are kept current on what is happening in the program.

Parent Information Board:A family information board is located at the front desk hallway area.

Informal Conference:These daily exchanges between staff and families enable teachers to meet each child’s changing needs and identify interest.

Formal Conference:These semi-annual meeting between families and staff provide the opportunity to share information about child’s progress and to establish future goals. Families also receive a formal parent conference two times a year.

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NEGOTIATING DIFFICULTIES AND DIFFERENCES BETWEEN FAMILIES AND PROGRAM:When difficulties and differences arise between families and program staff and every attempt is made with no mutual satisfactory resolution. The family, program staff and management meet together to determine if a resolution can be achieved that is in compliance with the center’s philosophy, goals and program policies. If a mutual resolution is achieved, management will follow-up to ensure all parties are satisfied. If a solution cannot be reached the program’s Flight Chief will meet with the family and the program’s management staff to resolve the issue. NOTE: The proper chain of command must be followed for any issues that need to be elevated.

ECO – HEALTHY PRACTICESThe Eglin Child Development Center promotes Eco-Healthy practices which are incorporated in our daily routines, curriculum and health practices. Examples are, but not limited to: choices of furnishings, materials, supplies, and procedures that eliminate or reduce people’s exposure to environmental health hazards such as unhealthy air, heavy metals and chemicals. We also participate in monthly water testing. Our Air Force Instruction mandates that our fruits and vegetables are washed before consumption and that we purchase non-toxic toys and art supplies. We use eco- friendly detergents and cleaners and recyclable materials for classroom activities.

TERMINATION OF ENROLLMENTThe Child Development Program is designed to be a positive experience for children. Occasionally, the program may not be appropriate for a child’s continued enrollment. Termination may result if the program does not meet the needs of the child; or the expectations of the parent; or if the child displays repeatedly disruptive or inappropriate behavior. The Child Development Center staff will make every effort to assist the child and parents in determining the causes of the disruptive or inappropriate behavior.A parent may terminate their child’s enrollment according to terms of the Annual Weekly Agreement.

KEY PERSONNELFlight Chief, Airman and Family 850-882-3337CDC II Director 850-883-7425CDC III Director 850-882-2873Resource and Referral 850-882-2994School Age Coordinator 850-882-8291Youth Center Director 850-882-8212Family Child Care Coordinator 850-882-2994

COMMUNITY RESOURCESFamilies are encouraged to use the following links to locate support agencies and contacts in the local area. If a family prefers printed copies of these contacts, please see a center director or assistant director.

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A Guide to Services, Outreach, & Resources for the Eglin Community:https://org.eis.afmc.af.mil/sites/96abw/IDS/SOAR%20Guide/Forms/AllItems.aspx?RootFolder=%2fsites%2f96abw%2fIDS%2fSOAR%20Guide%2f2016%20SOAR%20Guide&FolderCTID=&View=%7b398B1486%2d841F%2d4D71%2d8AE0%2d981466782FC6%7d

Eglin Helping Agencies:http://www.eglin.af.mil/Portals/56/documents/AFD-140226-109.pdf

Emergency Plans are available for review at the front desk,see a supervisor for assistance.

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Eglin Child and Youth Services Flight Exclusion and Readmission Policy

For Children and Staff

This policy provides detailed guidelines on exclusion and readmission of ill children and staff. These guidelines must be adhered to in order to minimize exposure to/contact with potentially infectious agents and to reduce the spread of communicable diseases. This program does not allow ill children and staff to be in attendance unless cleared by a medical provider (written statement must indicate that individual is not contagious and the individual is on an appropriate therapy and can attend child care without compromising the health and safety of the other children) Exclusion of children: A child is temporarily excluded or sent home as soon as possible if one or more of the following conditions exist:

• Illness prevents the child from participating comfortably in normally scheduled activities • Illness results in a need for care greater than the staff can provide without compromising the health and safety of

the other children • Poses a risk of spreading a harmful disease to others

The child has any of the following conditions; please refer to Managing Infectious Diseases in Child Care and Schools, 4th Edition for details:

• Lethargy, irritability, persistent crying, difficult breathing, a quickly spreading rash or other symptoms of possible severe illness

• Fever (above 100.4°F) in infants younger than 60 days the baby should be excluded and be evaluated by a health professional within an hour, if possible

• Unexplained Fever (above 101°F) in an infant under 4 months old • Fever (101°F) accompanied by behavior changes or other signs and symptoms • Diarrhea; defined by stool that is occurring more frequently or is less formed in consistency than usual in the

child and not associated with changes of diet. Exclusion is required for all diapered children whose stool is not contained in the diaper and toilet-trained children if diarrhea is causing “accidents,” unless caused by a change of diet/medication. When caused by diet/medication, then exclude with a second occurrence. Children whose stool frequency exceeds 2 stools above normal per 24 hours for that child while the child is in the program or whose stool contains more than a drop of blood or mucus. Refer to Managing Infectious Diseases in Child Care and Schools, 4th Edition when diarrhea is caused by Salmonella typhi, E coli, or Shigella infections.

• Blood in stools or black stools not explained by change in diet, medication, or constipation/hard stool • Vomiting (two or more incidents in the previous 24 hours) • Persistent abdominal pain (more than 2 hours) or intermittent pain associated with fever or other symptoms • Mouth sores with drooling • Rash with fever or behavior change • Acute Tuberculosis • Impetigo, until treatment started • Strep throat, until 12 hours after treatment has started • Chicken pox; Shingles; Herpes Simplex • Pertussis; Unspecified Respiratory Track Illness • Hepatitis A • Measles; Mumps; Rubella • Scabies, until after completed treatment

• Head Lice (at the end of the day and until after the first treatment) • Red, tender, warm glands • Any child deemed by local health officials to be contributing to the transmission of illness during an outbreak

Interim Procedures for Children Who Require Exclusion:

• A child who becomes ill will be supervised while a potentially contagious child will be comforted in a location away from other children (Isolation Room) and supervised by familiar staff

• Child’s parent/guardian is contacted to pick up child in accordance with the Annual Patron Agreement • Staff requests that parents contact the program with the advice received from the child’s medical professional, if a

medical visit was deemed necessary

Exclusion of staff: This program does not allow ill staff to have contact with children. See Managing Infectious Diseases in Child Care and Schools, 4th Edition for specific details. Staff/volunteers are temporarily excluded or sent home as soon as possible if one or more of the following conditions exist:

• Chicken Pox, Shingles or rash with fever or joint pain • Measles, Mumps, Rubella • Diarrhea (2 or more episodes during the previous 24 hours or blood in stools) • Vomiting (2 or more episodes during the previous 24 hours) • Hepatitis A • Impetigo, until treatment started • Scabies, until after completed treatment • Tuberculosis • Strep throat, until twelve hours after treatment has started • Head Lice (at the end of the day and until after the first treatment) • Haemophilus Influenzae type B • Meningococcal infection • Pertussis • Respiratory illness if illness limits the staff’s ability to provide an acceptable level of child care and compromises

the health and safety of children

Readmission: Children and staff are readmitted when: • The signs or symptoms that required exclusion are resolved and child can participate in normal activities OR • In accordance with Managing Infectious Diseases in Child Care and Schools, 4th Edition OR • With a written statement by a medical provider indicating the individual with illness, such as Chicken Pox,

Measles, Mumps, etc., is following prescribed therapy and is cleared to return to care/duty. The child/staff must be able to participate comfortably in normally scheduled activities.

Program Procedures for Reporting Exposure to Communicable Diseases: • Report all communicable diseases to base Public Health officials • Inform staff and families about exposure to communicable diseases; provide appropriate information about

common symptoms, incubation and contagious periods and infection control in all affected classrooms

MARK WILKE (Initial) Chief, Child and Youth Services Flight

_______ Children are more vulnerable to infectious diseases when they first enter a group setting. Infants in group care have up to 12 common respiratory infections annually and children older than 3 years have 4 annually and families are encouraged to have backup childcare in the event of a short/long term exclusion. Parent Signature: ___________________________________________ Date: _____________________________

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AIR FORCE CHILD DEVELOPMENT PROGRAMS INFANT SAFE SLEEP INSTRUCTIONAL GUIDE

September 2013

1. TRAINING OBJECTIVE: To assist Child Development Programs (CDP) personnel (Child Development Center (CDC) staff and managers, Family Child Care (FCC) providers and coordinators, contract workers and volunteers) in understanding their roles and responsibilities in providing a safe sleep environment to reduce the risk of Sudden Infant Death Syndrome (SIDS). 2. PURPOSE: To provide standardized procedures and guidelines for creating a safe sleep environment for infants. 3. REFERENCES: The American Academy of Pediatrics (AAP); the United States Consumer Product Safety Commission (US CPSC); and Caring for Our Children: National Health and Safety Performance Standards, 3rd Edition. 4. OVERVIEW:

a. SIDS is the leading cause of death for infants under the age of 12 months.

b. About 1 in 5 SIDS deaths occur while an infant is in the care of someone other than a parent. The majority of deaths in child care facilities occur within the first day or first week an infant starts attending a child care program.

c. One of the most important ways to reduce infant deaths in child care settings is for CDP personnel to implement and model safe sleep practices for parents/guardians in the program.

5. SLEEP POSITION: a. To reduce the risk of SIDS, infants up to 12 months of age will be placed for sleep

in a supine position (wholly on the back) by CDP personnel.

b. Any deviation from placing infants to sleep on their backs requires a physician signed sleep position medical exception. The exception shall be reviewed and approved by the Child and Youth Programs Medical Advisor. The Flight Chief shall coordinate concurrence from the Air Force Personnel Center Directorate of Services Installation Support Division Child and Youth Specialists or MAJCOM Specialist. A sleep position exception notice is posted in the Infant’s crib. The full exception is maintained in the infant’s file.

c. Infants with gastro-esophageal reflux should be placed for sleep in the supine position (wholly on their back). Elevating the head of the infant’s crib while the infant is sleeping is not permitted. It is ineffective in reducing gastro-esophageal reflux and might result in the infant sliding to the foot of the crib into a position that might compromise respiration.

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d. Once an infant can roll from supine (back) to prone (front) and prone to supine, the infant can be allowed to remain in the sleep position that he or she assumes. Infants must be asleep before assuming whatever position they choose.

e. Sitting devices, such as car safety seats, strollers/Bye-Bye Buggies, swings, infant carriers, bouncy seats, and infant slings, are not used for routine sleep. If an infant falls asleep in any of these devices, he/she is immediately placed in an approved sleeping device. Infants younger than 4 months of age are particularly at risk in sitting devices because they might assume positions that can create risks of suffocation or airway obstruction.

f. If infant cloth carriers are used by FCC providers, the infant’s head must be up above the fabric, the face visible, and the nose and mouth are clear of obstructions. Infant slings are not to be used.

SLEEP ENVIRONMENT a. Cribs used in CDCs and FCC homes will conform to the safety standards of the US

CPSC and the American Society for Testing and Materials (ASTM). All cribs used in CDP must comply with the new federal safety standards, which include no drop side cribs; crib slats less than 2 3/8” apart; the top of the crib mattress more than 20” from the top of the crib rail; and crib mattresses which are firm and tight-fitting.

b. Bassinets or portable cribs/play yards used in FCC homes must conform to the safety

standards of the US CPSC and ASTM.

c. Cribs with missing hardware are not used. CDP personnel should not attempt to fix broken components of a crib. Many deaths are associated with cribs that are broken or have missing parts, including those that have been presumably fixed.

d. Only mattresses designed for the specific product should be used. Mattresses should be firm and maintain their shape when the fitted sheet designated for that model is used. There should not be any gaps between the mattress and the side of the crib or corners of the crib, bassinet, portable crib, or play yard.

e. Soft materials or objects such as stuffed animals, pillows, quilts, blankets, comforters or sheepskins, even if covered by a sheet, should not be placed under or near a sleeping infant.

f. Sleep clothing, such as sleepers, and wearable blankets (without hoods), may be used as alternatives to blankets.

g. Thin, single layer receiving blankets (approved by the AF) may be used in the play area; however, the infant must be on his/her back and be awake during this play time. Blankets may not be used during tummy time. Once an infant is able to roll independently, blankets will no longer be used in the play area.

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h. Bumper pads or similar products which attach to crib slats or sides are not permitted.

i. Hanging crib toys (mobiles, crib gyms) should be out of an infant’s reach. Any hanging crib toy must be removed when an infant first begins to push up on his or her hands and knees or when the baby is 5 months old, whichever occurs first. These toys can strangle an infant. NOTE: Mobiles are not used on fire evacuation cribs.

j. Infants sleep in an area free of hazards, such as dangling cords, electric wires, and window-covering cords, because they might present a strangulation risk.

k. To avoid overheating in general, infants should be dressed appropriately for the environment, with no more than one layer more than an adult would wear to be comfortable in the environment. CDP personnel should evaluate the infant for signs of overheating, such as sweating or the infant’s chest feeling hot to the touch.

l. Infants who use pacifiers will be offered their pacifier when they are placed to sleep; however, it is not reinserted once the infant falls asleep. Due to the risk of strangulation, pacifiers/bibs should not be hung around sleeping infant’s neck or attached to their clothing. Objects such as stuffed toys, which might present a suffocation or choking risk, should not be attached to pacifiers.

m. In the CDC, a copy of the AF Infant Safe Sleep Practices Poster is posted in each Infant sleeping area. In FCC, the AF Infant Safe Sleep Practices Poster is posted and visible on the parent board.

n. Commercial devices marketed to reduce the risk of SIDS are not permitted. These devices include wedges, positioners, special mattresses, and special sleep surfaces. A request to use a device requires documentation from the infant’s health care provider which has been reviewed and approved by the CYP Medical Advisor.

o. Home cardio-respiratory monitors are not used as a strategy to reduce the risk of SIDS, unless directed by a medical professional and approved by the CYP Medical Advisor. There is no evidence that use of such devices decreases the incidence of SIDS.

p. During overnight care in FCC homes, the infant’s crib, portable crib, play yard, or

bassinet should be placed in the same room or near the FCC provider’s own sleeping arrangements. FCC providers must sleep on the same floor as children under the age of 8 years.

q. Infants will not be placed to sleep on any standard bed, waterbed, couch, air mattress, or on other soft surfaces because of the risk of entrapment and suffocation. At no time will infants sleep in the FCC provider’s bed.

r. At no time, will infants (2 weeks-12 months) be placed on cots. Older infants (over 6 months) may be placed on a firm sleeping mat (approved for infants) if a crib is not available.

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s. Only one infant will be placed to sleep in each crib. Siblings, including multiples, will be

placed in separate cribs. SUPERVISION:

a. CDP personnel, trained in safe sleep practices and approved to care for infants, will be present in each room at all times when infants are present. Infants should be directly observed by sight and sound at all times, including when they are going to sleep, are sleeping, or are in the process of waking up.

b. CDP personnel will remain alert and actively supervise sleeping infants. Note: FCC

providers, providing overnight care, may sleep if the FCC provider has less than three children in care, including his/her own household members under the age of 8 years.

c. Supervised, awake tummy time is recommended to facilitate development and to minimize development of positional plagiocephaly (flattening of the skull). Tummy time helps build strength in an infant’s head/neck and builds upper body muscles. Tummy time should take place when the infant is awake and alert and CDP personnel are within arm’s reach of the infant. Infants should be placed on a solid surface; blankets will not be used during tummy time.

COMMUNICATING WITH PARENTS: a. Upon enrollment to a CDP, the Infant Safe Sleep Instructional Guide will be reviewed

with parents. A copy of the policy will be provided along with the parent handbook. Parents are encouraged to follow to utilize the same measures when the infant is at home.

b. Infants will be immunized in accordance with recommendations of the AAP and Centers

for Disease Control and Prevention. Recent evidence suggests that immunization might have a protective effect against SIDS. Any deviation from the immunizations requirement requires a waiver from HQ AF/A1SOC Child and Youth Programs.

I have received training and understand I must follow the requirements outlined in the Air Force Child and Youth Programs Infant Safe Sleep Instructional Guide. I will receive annual training on infant safe sleep. All training will be documented on the AF Form 1098, Special Task Certification and Recurring Training. ____________________________ ________________________ Printed Name Date ____________________________ Signature

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AIR FORCE CHILD DEVELOPMENT PROGRAMS

INFANT SAFE SLEEP POSITION EXCEPTION Child’s Name: ________________________________________ DOB: ____________ Parent Signature: _____________________________________ Date: ____________ Physician name: _______________________________________ Date: ____________ Physician signature: ___________________________________________________________ Physician notes: (The information below is required. If provided in other format, attach to this form.) Medical reason not to be placed in a supine position to sleep and/or the need for positioning device: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Duration of usage (weeks/months): _______________________________________________ Specific instructions regarding when to use/not use the device (e.g. during sleeping, feeding, etc.) ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

CYP Medical Advisor Review: ___________________________ Date: ______________

CONCUR NONCONCUR

EGLIN AFB CHILD DEVELOPMENT PROGRAM SY 2018/2019 ENROLLMENT AGREEMENT

1. The Child Development Program provides care for children 6 weeks to 5 years, Monday through Friday, 0600-1800.

2. _______ ENROLLMENT: The following forms are required for completion of enrollment: AF Form 1181 – Air Force Child Development Program Patron Registration. This form must include an

emergency contact and phone number other than the parents/sponsor that resides in the local area. This number must be a home or cell phone number, NOT a duty phone number.

Current Statement of Total Family Income (“TFI”) (Military Member Leave and Earnings Statement (“LES”)/Pay Statement of adult household members)

Proof of Enrollment in School Full-time with Proof of Paid Tuition for Current Semester (for non-working spouse in an accredited post-secondary institution)

Orbital Auto-Debit Form DD Form 2652 – Application for Department of Defense Child Care Fees Current Immunization Record with all AF policy required immunizations

o Complete immunization history must be provided whenever new immunizations are administered. Current Health Assessment

o Health Assessments are due annually according to enrollment date Completed Medical Insurance Information USDA Application Signed Enrollment Agreement Approved Special Needs Package. If child is identified by the program as requiring a package after enrollment, the

child's developmental and/or medical requirements must be reviewed by the program Medical Advisor and the Inclusion Action Team within 45 days.

3. _______FEES: Weekly fees are based on Total Family income (TFI) and are set annually in accordance with Department of Defense guidelines. TFI is defined on DD Form 2652 and required at the time of enrollment along with a copy of the most recent LES and additional household pay statement(s) when applicable. For blended families, the TFI of the household in which the child spends most of his/her time must be used for the purpose of this contract. For households in which unmarried couples or pairs are living as a family, the total household income must be used to determine TFI. If a copy of the LES (and/or pay statement for adult household members) is not provided, fees will default to Cat IX. Fee waivers require a face-to-face meeting with the CDC Director before processing for final MSG/CC approval or disapproval. Child care fee subsidies are not available to DoD Contractors and other specified space available patrons and will be charged Cat IX(A).

4. _______PAYMENT: Fees are charged bi-weekly using Orbital Auto Debit. Partial payments will not be accepted. Bi-weekly payments are charged in advance by1800 Friday prior to receiving care the following Monday. Declined payments will be considered late after 1800 each Friday and a fee of $5.00 per business day per family will be assessed until total payment is received. Late payments must be made using a valid Debit or Credit card. Requests to waive late payment or other fees must be submitted to the center director in writing with reasonable justification; the Child and Youth Programs Flight Chief will approve/deny requests. Two weeks of inadequate payment will result in denial of care which may lead to disenrollment. Any unpaid balance will result in a Military Pay Order (MPO). Families will not be contacted regarding a decline.

5. _______LATE PICK-UP: A late fee of $2.00 per minute will be charged starting after 1802. The time is determined by

the sign in/out computer at the front desk. Parent/Guardians who are unable to pick up their child by 1800 must notify a designated person (see para 11). Continuous late pick-ups (more than two times a quarter) may result in disenrollment.

6. _______WAITING LIST RESTRICTIONS: If there is a waiting list, the following conditions apply: Non-working spouses or partners are required to have employment seeking activity verified every 90 days by the

CDC. Verification is made by providing evidence of job applications (e.g. prospective employer acknowledgement of resume or application, CareerSource record of job search, etc.)

Non-working spouses or partners attending school are required to have enrollment verified every 90 days by the CDC. Verification is accomplished with an official, paid class schedule annotating enrollment status to remain enrolled in the CDC.

A spouse or partner remains unemployed after a period of 90 days or other Space Available slot; the space may be terminated with a thirty day notification if someone in a higher priority is placed on the waiting list.

Space Available (Space A) is described as follows:

o Child & Youth Direct Care Employee w/ Non-working Spouse or Partner o Active Duty w/ Non-Working Spouse or Partner o Guard/Reserve on Orders w/ Non-Working Spouse or Partner o Military Retiree o DoD CIV w/ Non-Working Spouse or Partner o Surviving Spouse Combat Related Non-Working o Single Dual DoD Contractor o DoD Contractor w/ Working Spouse or Partner o DoD Contractor w/ Spouse or Partner Seeking Employment o DoD Contractor w/ Student Spouse or Partner o DoD Contractor w/ Non-Working Spouse or Partner o Single/Dual Other FED Employee o Other FED Employee w/ Working Spouse or Partner o Other FED Employee w/ Student Spouse or Partner o Other FED Employee w/ Non-Working Spouse or Partner

7. _______NOTICE OF WITHDRAWAL: Parents/Guardians must notify the CDC in writing at least two weeks prior to withdrawal; otherwise, families are responsible to pay for weeks in question. Enrollment must end on a Friday regardless of when the withdrawal form is submitted. Withdrawal forms are available at front desk.

8. _______FEDERAL HOLIDAYS AND CENTER CLOSURES: The Center is closed for all federal holidays, base and emergency closures and the Friday after Thanksgiving, 29 Nov 19 and the day before Christmas, 24 Dec 19, including dates the President designates as federal holidays. There are no discounts for federal holidays, base or emergency closures, or absences due to sickness, accidental injury, family emergencies, weather, etc. Children must be picked up within 30 minutes of emergency closure notification. The standard late fee will be charged for pick up past the allotted 30 minutes.

9. _______SUBLETTING: Every family in the CDC program is entitled to sublet or rent their slot for weekly care to another family whose child is of the same age for the same fee paid by the family who owns the slot. The CDC will provide the Subletting Enrollment Form but the owner of the slot is responsible for paying for the care.

10. _______PARENT NOTIFICATION: Parents/Guardians will be notified if a child is biting, using abusive language, crying excessively and/or exhibiting uncontrollable behavior (e.g. tantrums, throwing objects, hitting/kicking children or staff). Pick up is required within 30 minutes. If not able to pick up within thirty minutes, parents must speak with the supervisor to request additional time due to unique circumstances, such as working distance from Eglin. The child must be picked up within an hour by parent or other authorized adult. If delayed pick up becomes a pattern, the parent’s First Sergeant or Supervisor will be contacted. If behavioral problems persist, the child will be temporarily excluded from the center.

11. _______RELEASE OF CHILDREN: Parents must sign their children in/out daily using their assigned PIN number at the computer provided at the front desk and in the classroom on the AF Form 1930. Children will only be released to the parent/guardian and persons designated by the sponsor as stated on the AF Form 1181. Children will not be released to anyone under the age of 14 years. The Center reserves the right to request and maintain documentation of legal separations and/or divorce and reserves the right to request ID cards of any person dropping off or picking up a child.

12. _______PICKUP OF CHILDREN WHO ARE ILL: In case of illness or suspected illness, parents, or a parent designee, will be required to pick up their child from the CDC within 30 minutes of the notification. If the parent does not respond in the allotted time, the emergency contact person will be called for pick-up. If not able to pick up within thirty minutes, parents must speak with the supervisor to request additional time due to unique circumstances, such as working distance from Eglin. The child must be picked up within an hour by parent or other authorized adult. If this becomes a pattern, the parent’s First Sergeant or Supervisor will be contacted for assistance.

13. _______TERMINATION OF ENROLLMENT: The Child Development Center Director may terminate enrollment of any child for just cause such as non-payment of fees. Repeated failure of the parent or parent designee to respond IAW this agreement to retrieve a child may result in termination of enrollment. The staff and director will make every effort to discuss with parents any problems and facilitate resolutions prior to terminating the child’s enrollment.

14. _______SPECIAL EVENTS: Special child care events, such as Parents Night Out, are offered at a set price. Fees must be paid at time of reservation. No refunds given for special event care unless the event is cancelled. Late pick-up fees will be assessed for these events as well.

15. _______COMMUNICATION: Trumpia Mobile Messaging System is the primary emergency notification system for center closures and emergency responses. Text “EglinCDC” to 95577.

I HAVE READ, UNDERSTAND AND AGREE TO ABIDE BY ALL THE TERMS SET FORTH IN THIS ENROLLMENT AGREEMENT. ________________________________ ______________________ Reviewed by: _____ (CDC Rep) PARENT SIGNATURE DATE

______________ Date

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PERMISSION FOR MEDIA RELEASE: (Please circle) I DO / I DO NOT give permission for my child _________________________ to be photographed for classroom displays,

Publications (i.e. The Eglin Dispatch) etc.

PERMISSION FOR CHILD ALLERGY INFORMATION POSTING: (Please circle) I DO / I DO NOT give permission for my child ____________________________'s allergy information with photo, if

applicable, to be posted in each activity room in which she/he may attend.