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<br /> A Public Health Guide<br /> For Child Care Providers<br /> Protecting and Promoting Health in Child Care<br /> Published by<br /> York Region<br /> Community and Health Services<br /> Public Health<br /> 2015 Edition<br /> york.ca/childcareguide<br /> Accessible formats or communication<br /> supports are available upon request.<br /> For more information contact:<br /> 1-800-361-5653<br /> TTY: 1-866-252-9933<br /> Content Disclaimer<br /> The Public Health Guide For Child Care Providers is an education and resource guide and is not<br /> intended to provide legal or medical advice.<br /> The information contained in the Public Health Guide For Child Care Providers has been provided<br /> as a public service to child care providers. Although every attempt has been made to ensure<br /> its accuracy, no warranties or representations<a title="Public Health Guide For Childcare Providers page 1" href="http://viewer.zmags.com/publication/2f76c9e9?page=1"> A Public Health Guide For Child Care Providers </a> <a title="Public Health Guide For Childcare Providers page 2" href="http://viewer.zmags.com/publication/2f76c9e9?page=2"> Published by </a> <a title="Public Health Guide For Childcare Providers page 3" href="http://viewer.zmags.com/publication/2f76c9e9?page=3"> Content Disclaimer The Public Health Guide For C</a> <a title="Public Health Guide For Childcare Providers page 4" href="http://viewer.zmags.com/publication/2f76c9e9?page=4"> Introduction Child care providers are entrusted </a> <a title="Public Health Guide For Childcare Providers page 5" href="http://viewer.zmags.com/publication/2f76c9e9?page=5"> Table of Contents 31 Content Disclaimer </a> <a title="Public Health Guide For Childcare Providers page 6" href="http://viewer.zmags.com/publication/2f76c9e9?page=6"> 68 91 CHAPTER 3 Immunization and </a> <a title="Public Health Guide For Childcare Providers page 7" href="http://viewer.zmags.com/publication/2f76c9e9?page=7"> CHAPTER 1 Preventing Illness P</a> <a title="Public Health Guide For Childcare Providers page 8" href="http://viewer.zmags.com/publication/2f76c9e9?page=8"> Infection Prevention and Control </a> <a title="Public Health Guide For Childcare Providers page 9" href="http://viewer.zmags.com/publication/2f76c9e9?page=9"> What causes illness? Micro-organisms, commonly re</a> <a title="Public Health Guide For Childcare Providers page 10" href="http://viewer.zmags.com/publication/2f76c9e9?page=10"> Why do infections spread so quickly in a child ca</a> <a title="Public Health Guide For Childcare Providers page 11" href="http://viewer.zmags.com/publication/2f76c9e9?page=11"> Example: A child care provider, infected with inf</a> <a title="Public Health Guide For Childcare Providers page 12" href="http://viewer.zmags.com/publication/2f76c9e9?page=12"> Reservoir (Where the pathogen resides) Reservoir</a> <a title="Public Health Guide For Childcare Providers page 13" href="http://viewer.zmags.com/publication/2f76c9e9?page=13"> 3. Airborne transmission Pathogens can be carried</a> <a title="Public Health Guide For Childcare Providers page 14" href="http://viewer.zmags.com/publication/2f76c9e9?page=14"> Routine Practices Routine practices are a set of</a> <a title="Public Health Guide For Childcare Providers page 15" href="http://viewer.zmags.com/publication/2f76c9e9?page=15"> Routine practices – Hand hygiene Handwashing – So</a> <a title="Public Health Guide For Childcare Providers page 16" href="http://viewer.zmags.com/publication/2f76c9e9?page=16"> How to wash your hands To properly wash your hand</a> <a title="Public Health Guide For Childcare Providers page 17" href="http://viewer.zmags.com/publication/2f76c9e9?page=17"> Routine practices – Glove use There are different</a> <a title="Public Health Guide For Childcare Providers page 18" href="http://viewer.zmags.com/publication/2f76c9e9?page=18"> Removing Gloves It is important to use proper glo</a> <a title="Public Health Guide For Childcare Providers page 19" href="http://viewer.zmags.com/publication/2f76c9e9?page=19"> Cover Your Cough or Sneeze Sneezes help protect </a> <a title="Public Health Guide For Childcare Providers page 20" href="http://viewer.zmags.com/publication/2f76c9e9?page=20"> Cleaning Up Blood and Body Fluids Personal prote</a> <a title="Public Health Guide For Childcare Providers page 21" href="http://viewer.zmags.com/publication/2f76c9e9?page=21"> Cleaning and Disinfecting Cleaning and disinfect</a> <a title="Public Health Guide For Childcare Providers page 22" href="http://viewer.zmags.com/publication/2f76c9e9?page=22"> WHEN TO CLEAN Clean when children are not present</a> <a title="Public Health Guide For Childcare Providers page 23" href="http://viewer.zmags.com/publication/2f76c9e9?page=23"> Disinfecting The purpose of disinfecting is to de</a> <a title="Public Health Guide For Childcare Providers page 24" href="http://viewer.zmags.com/publication/2f76c9e9?page=24"> Outbreak Situation The “Outbreak Situation” disin</a> <a title="Public Health Guide For Childcare Providers page 25" href="http://viewer.zmags.com/publication/2f76c9e9?page=25"> Contact time Contact time is the length of time s</a> <a title="Public Health Guide For Childcare Providers page 26" href="http://viewer.zmags.com/publication/2f76c9e9?page=26"> Diapering Routine Pathogens (mi</a> <a title="Public Health Guide For Childcare Providers page 27" href="http://viewer.zmags.com/publication/2f76c9e9?page=27"> It is important that the diaper change area is se</a> <a title="Public Health Guide For Childcare Providers page 28" href="http://viewer.zmags.com/publication/2f76c9e9?page=28"> Diapering procedure To minimize disease transmiss</a> <a title="Public Health Guide For Childcare Providers page 29" href="http://viewer.zmags.com/publication/2f76c9e9?page=29"> Chapter 1 – Preventing Illness Child care staff </a> <a title="Public Health Guide For Childcare Providers page 30" href="http://viewer.zmags.com/publication/2f76c9e9?page=30"> Cloth diapers Some child care centres or parents/</a> <a title="Public Health Guide For Childcare Providers page 31" href="http://viewer.zmags.com/publication/2f76c9e9?page=31"> Toileting Routine Learning to use the toilet is </a> <a title="Public Health Guide For Childcare Providers page 32" href="http://viewer.zmags.com/publication/2f76c9e9?page=32"> Child care centre staff should ensure the nine st</a> <a title="Public Health Guide For Childcare Providers page 33" href="http://viewer.zmags.com/publication/2f76c9e9?page=33"> Personal Items Many children keep personal items</a> <a title="Public Health Guide For Childcare Providers page 34" href="http://viewer.zmags.com/publication/2f76c9e9?page=34"> If the child care setting provides sunscreen or o</a> <a title="Public Health Guide For Childcare Providers page 35" href="http://viewer.zmags.com/publication/2f76c9e9?page=35"> Toys Toys and play-based learning are essential </a> <a title="Public Health Guide For Childcare Providers page 36" href="http://viewer.zmags.com/publication/2f76c9e9?page=36"> Child care staff must ensure the four step Toy Cl</a> <a title="Public Health Guide For Childcare Providers page 37" href="http://viewer.zmags.com/publication/2f76c9e9?page=37"> Sensory Play Chapter 1 – Preventing Illness Man</a> <a title="Public Health Guide For Childcare Providers page 38" href="http://viewer.zmags.com/publication/2f76c9e9?page=38"> Sand play tables Sand used for sensory play is po</a> <a title="Public Health Guide For Childcare Providers page 39" href="http://viewer.zmags.com/publication/2f76c9e9?page=39"> Food sensory play tables Many food products such </a> <a title="Public Health Guide For Childcare Providers page 40" href="http://viewer.zmags.com/publication/2f76c9e9?page=40"> Materials for arts and crafts When materials for </a> <a title="Public Health Guide For Childcare Providers page 41" href="http://viewer.zmags.com/publication/2f76c9e9?page=41"> Sleeping Equipment Chapter 1 – Preventing Illnes</a> <a title="Public Health Guide For Childcare Providers page 42" href="http://viewer.zmags.com/publication/2f76c9e9?page=42"> Laundry Dirty linens and clothing can potentiall</a> <a title="Public Health Guide For Childcare Providers page 43" href="http://viewer.zmags.com/publication/2f76c9e9?page=43"> Chapter 1 – Preventing Illness • Items soiled wi</a> <a title="Public Health Guide For Childcare Providers page 44" href="http://viewer.zmags.com/publication/2f76c9e9?page=44"> Outdoor Activities Outdoor activi</a> <a title="Public Health Guide For Childcare Providers page 45" href="http://viewer.zmags.com/publication/2f76c9e9?page=45"> • If a fouling should occur, remove children </a> <a title="Public Health Guide For Childcare Providers page 46" href="http://viewer.zmags.com/publication/2f76c9e9?page=46"> Sandbox maintenance Outdoor sandboxes must be cov</a> <a title="Public Health Guide For Childcare Providers page 47" href="http://viewer.zmags.com/publication/2f76c9e9?page=47"> Safe Water Drinking water Ontario’s Safe Drinking</a> <a title="Public Health Guide For Childcare Providers page 48" href="http://viewer.zmags.com/publication/2f76c9e9?page=48"> Food Safety It is important to make food safety </a> <a title="Public Health Guide For Childcare Providers page 49" href="http://viewer.zmags.com/publication/2f76c9e9?page=49"> Food allergies Food allergies are a serious probl</a> <a title="Public Health Guide For Childcare Providers page 50" href="http://viewer.zmags.com/publication/2f76c9e9?page=50"> Food from an inspected source All food served to </a> <a title="Public Health Guide For Childcare Providers page 51" href="http://viewer.zmags.com/publication/2f76c9e9?page=51"> Food brought in from other sources If the child c</a> <a title="Public Health Guide For Childcare Providers page 52" href="http://viewer.zmags.com/publication/2f76c9e9?page=52"> Pest Control Pests are insects or animals that c</a> <a title="Public Health Guide For Childcare Providers page 53" href="http://viewer.zmags.com/publication/2f76c9e9?page=53"> Rabies Rabies is a disease that affects warm blo</a> <a title="Public Health Guide For Childcare Providers page 54" href="http://viewer.zmags.com/publication/2f76c9e9?page=54"> Animals in Child Care Centres Providing opportun</a> <a title="Public Health Guide For Childcare Providers page 55" href="http://viewer.zmags.com/publication/2f76c9e9?page=55"> Petting Zoos Petting zoos, agricultural fairs an</a> <a title="Public Health Guide For Childcare Providers page 56" href="http://viewer.zmags.com/publication/2f76c9e9?page=56"> Inspection Reporting Program YorkSaf</a> <a title="Public Health Guide For Childcare Providers page 57" href="http://viewer.zmags.com/publication/2f76c9e9?page=57"> At the time of the food safety inspection, the Yo</a> <a title="Public Health Guide For Childcare Providers page 58" href="http://viewer.zmags.com/publication/2f76c9e9?page=58"> Self-Auditing Checklist for Child Care Centres </a> <a title="Public Health Guide For Childcare Providers page 59" href="http://viewer.zmags.com/publication/2f76c9e9?page=59"> Food safety inspection During the food safety ins</a> <a title="Public Health Guide For Childcare Providers page 60" href="http://viewer.zmags.com/publication/2f76c9e9?page=60"> Protection of Food from Adulteration & Contaminat</a> <a title="Public Health Guide For Childcare Providers page 61" href="http://viewer.zmags.com/publication/2f76c9e9?page=61"> Manual dishwashing: Wash, rinse and sanitize meth</a> <a title="Public Health Guide For Childcare Providers page 62" href="http://viewer.zmags.com/publication/2f76c9e9?page=62"> Water Supply Potable, hot and cold running water </a> <a title="Public Health Guide For Childcare Providers page 63" href="http://viewer.zmags.com/publication/2f76c9e9?page=63"> CHAPTER 2 Outbreak Management Pro</a> <a title="Public Health Guide For Childcare Providers page 64" href="http://viewer.zmags.com/publication/2f76c9e9?page=64"> Management of Outbreaks Guidelines for child care</a> <a title="Public Health Guide For Childcare Providers page 65" href="http://viewer.zmags.com/publication/2f76c9e9?page=65"> A child care centre’s role in outbreak control Th</a> <a title="Public Health Guide For Childcare Providers page 66" href="http://viewer.zmags.com/publication/2f76c9e9?page=66"> Who do you call if you suspect there is an enteri</a> <a title="Public Health Guide For Childcare Providers page 67" href="http://viewer.zmags.com/publication/2f76c9e9?page=67"> Identify the source of the outbreak In order to i</a> <a title="Public Health Guide For Childcare Providers page 68" href="http://viewer.zmags.com/publication/2f76c9e9?page=68"> STEP 2 Establish control measures The child care </a> <a title="Public Health Guide For Childcare Providers page 69" href="http://viewer.zmags.com/publication/2f76c9e9?page=69"> Additional control measures • Encourage good pers</a> <a title="Public Health Guide For Childcare Providers page 70" href="http://viewer.zmags.com/publication/2f76c9e9?page=70"> Notes 64A</a> <a title="Public Health Guide For Childcare Providers page 71" href="http://viewer.zmags.com/publication/2f76c9e9?page=71"> CHAPTER 3 Immunization and Health Records </a> <a title="Public Health Guide For Childcare Providers page 72" href="http://viewer.zmags.com/publication/2f76c9e9?page=72"> Immunization Immunization information Child care </a> <a title="Public Health Guide For Childcare Providers page 73" href="http://viewer.zmags.com/publication/2f76c9e9?page=73"> Requirements to enter a child care centre or scho</a> <a title="Public Health Guide For Childcare Providers page 74" href="http://viewer.zmags.com/publication/2f76c9e9?page=74"> Staff Health Records The Day Nur</a> <a title="Public Health Guide For Childcare Providers page 75" href="http://viewer.zmags.com/publication/2f76c9e9?page=75"> Recommended immunizations and tuberculosis screen</a> <a title="Public Health Guide For Childcare Providers page 76" href="http://viewer.zmags.com/publication/2f76c9e9?page=76"> Tuberculosis screening Children are susceptible t</a> <a title="Public Health Guide For Childcare Providers page 77" href="http://viewer.zmags.com/publication/2f76c9e9?page=77"> Staff Health Special considerations for pregnant </a> <a title="Public Health Guide For Childcare Providers page 78" href="http://viewer.zmags.com/publication/2f76c9e9?page=78"> The Influenza Vaccine One of the best things a c</a> <a title="Public Health Guide For Childcare Providers page 79" href="http://viewer.zmags.com/publication/2f76c9e9?page=79"> CHAPTER 4 Safe Environments Pr</a> <a title="Public Health Guide For Childcare Providers page 80" href="http://viewer.zmags.com/publication/2f76c9e9?page=80"> Indoor Air Quality Canadians spend c</a> <a title="Public Health Guide For Childcare Providers page 81" href="http://viewer.zmags.com/publication/2f76c9e9?page=81"> Mould Mould growth in child care settings may pos</a> <a title="Public Health Guide For Childcare Providers page 82" href="http://viewer.zmags.com/publication/2f76c9e9?page=82"> Hazardous Substances From common household produ</a> <a title="Public Health Guide For Childcare Providers page 83" href="http://viewer.zmags.com/publication/2f76c9e9?page=83"> Poisonous or Hazardous Plants Children can encoun</a> <a title="Public Health Guide For Childcare Providers page 84" href="http://viewer.zmags.com/publication/2f76c9e9?page=84"> Other common hazardous substances • Read the labe</a> <a title="Public Health Guide For Childcare Providers page 85" href="http://viewer.zmags.com/publication/2f76c9e9?page=85"> A Smoke-Free Environment Under the direction of </a> <a title="Public Health Guide For Childcare Providers page 86" href="http://viewer.zmags.com/publication/2f76c9e9?page=86"> Protection from Air Pollution Children are at a </a> <a title="Public Health Guide For Childcare Providers page 87" href="http://viewer.zmags.com/publication/2f76c9e9?page=87"> Extreme Temperatures Although extreme temperatur</a> <a title="Public Health Guide For Childcare Providers page 88" href="http://viewer.zmags.com/publication/2f76c9e9?page=88"> Sun Safety Protecting children from the harmful </a> <a title="Public Health Guide For Childcare Providers page 89" href="http://viewer.zmags.com/publication/2f76c9e9?page=89"> Recreational Water York Region Public Health rou</a> <a title="Public Health Guide For Childcare Providers page 90" href="http://viewer.zmags.com/publication/2f76c9e9?page=90"> West Nile Virus and Lyme Disease From spring to </a> <a title="Public Health Guide For Childcare Providers page 91" href="http://viewer.zmags.com/publication/2f76c9e9?page=91"> Addressing and Adapting to Climate Change Climat</a> <a title="Public Health Guide For Childcare Providers page 92" href="http://viewer.zmags.com/publication/2f76c9e9?page=92"> Emergency Preparedness Emergency </a> <a title="Public Health Guide For Childcare Providers page 93" href="http://viewer.zmags.com/publication/2f76c9e9?page=93"> Car and Booster Seat Safety Car seat safety Using</a> <a title="Public Health Guide For Childcare Providers page 94" href="http://viewer.zmags.com/publication/2f76c9e9?page=94"> Installing car seats Depending on the year of the</a> <a title="Public Health Guide For Childcare Providers page 95" href="http://viewer.zmags.com/publication/2f76c9e9?page=95"> Booster seat safety A booster seat works with the</a> <a title="Public Health Guide For Childcare Providers page 96" href="http://viewer.zmags.com/publication/2f76c9e9?page=96"> Pedestrian Safety Walking around the neighbourho</a> <a title="Public Health Guide For Childcare Providers page 97" href="http://viewer.zmags.com/publication/2f76c9e9?page=97"> Cycling and Helmet Safety Wearing a bicycle helm</a> <a title="Public Health Guide For Childcare Providers page 98" href="http://viewer.zmags.com/publication/2f76c9e9?page=98"> Concussions A concussion is a brain injury cause</a> <a title="Public Health Guide For Childcare Providers page 99" href="http://viewer.zmags.com/publication/2f76c9e9?page=99"> CHAPTER 5 Healthy Growth and Development </a> <a title="Public Health Guide For Childcare Providers page 100" href="http://viewer.zmags.com/publication/2f76c9e9?page=100"> Child Growth, Development and Early Identificatio</a> <a title="Public Health Guide For Childcare Providers page 101" href="http://viewer.zmags.com/publication/2f76c9e9?page=101"> Brain Development in the Early Years The brain </a> <a title="Public Health Guide For Childcare Providers page 102" href="http://viewer.zmags.com/publication/2f76c9e9?page=102"> Healthy Eating Learning healthy eating ha</a> <a title="Public Health Guide For Childcare Providers page 103" href="http://viewer.zmags.com/publication/2f76c9e9?page=103"> Feeding babies (birth to 12 months) Support paren</a> <a title="Public Health Guide For Childcare Providers page 104" href="http://viewer.zmags.com/publication/2f76c9e9?page=104"> Feeding children (one year of age and older) Prep</a> <a title="Public Health Guide For Childcare Providers page 105" href="http://viewer.zmags.com/publication/2f76c9e9?page=105"> Total amount of food to offer children in attenda</a> <a title="Public Health Guide For Childcare Providers page 106" href="http://viewer.zmags.com/publication/2f76c9e9?page=106"> Menu planning Planning nutritious meals and snack</a> <a title="Public Health Guide For Childcare Providers page 107" href="http://viewer.zmags.com/publication/2f76c9e9?page=107"> Meat and Alternatives • Serve meat alternatives s</a> <a title="Public Health Guide For Childcare Providers page 108" href="http://viewer.zmags.com/publication/2f76c9e9?page=108"> Planning a cycle menu • A cycle menu is a series </a> <a title="Public Health Guide For Childcare Providers page 109" href="http://viewer.zmags.com/publication/2f76c9e9?page=109"> Menu planning checklist There is a variety of foo</a> <a title="Public Health Guide For Childcare Providers page 110" href="http://viewer.zmags.com/publication/2f76c9e9?page=110"> Choking prevention Although any food can cause ch</a> <a title="Public Health Guide For Childcare Providers page 111" href="http://viewer.zmags.com/publication/2f76c9e9?page=111"> Nutri-eSTEP (Nutrition Screening Tool for Toddler</a> <a title="Public Health Guide For Childcare Providers page 112" href="http://viewer.zmags.com/publication/2f76c9e9?page=112"> Dental Safety Dental injuries are permanent, pai</a> <a title="Public Health Guide For Childcare Providers page 113" href="http://viewer.zmags.com/publication/2f76c9e9?page=113"> Child Abuse and Neglect Duty to report Section 72</a> <a title="Public Health Guide For Childcare Providers page 114" href="http://viewer.zmags.com/publication/2f76c9e9?page=114"> Notes 108</a> <a title="Public Health Guide For Childcare Providers page 115" href="http://viewer.zmags.com/publication/2f76c9e9?page=115"> Glossary, Resources and References </a> <a title="Public Health Guide For Childcare Providers page 116" href="http://viewer.zmags.com/publication/2f76c9e9?page=116"> Glossary Alcohol-Based Hand Rub (ABHR) A liquid,</a> <a title="Public Health Guide For Childcare Providers page 117" href="http://viewer.zmags.com/publication/2f76c9e9?page=117"> Disinfectants Products used for the process of di</a> <a title="Public Health Guide For Childcare Providers page 118" href="http://viewer.zmags.com/publication/2f76c9e9?page=118"> Pathogens Micro-organisms that cause disease in h</a> <a title="Public Health Guide For Childcare Providers page 119" href="http://viewer.zmags.com/publication/2f76c9e9?page=119"> Resources Chapter 1 Cleaning and Disinfecting Yo</a> <a title="Public Health Guide For Childcare Providers page 120" href="http://viewer.zmags.com/publication/2f76c9e9?page=120"> Inspection Reporting Program York Region Public H</a> <a title="Public Health Guide For Childcare Providers page 121" href="http://viewer.zmags.com/publication/2f76c9e9?page=121"> Chapter 4 A Smoke-Free Environment Ontario Minist</a> <a title="Public Health Guide For Childcare Providers page 122" href="http://viewer.zmags.com/publication/2f76c9e9?page=122"> Ontario Poison Centre. Plant Safety Fact Sheet. A</a> <a title="Public Health Guide For Childcare Providers page 123" href="http://viewer.zmags.com/publication/2f76c9e9?page=123"> York Region Public Health. Healthy Babies Healthy</a> <a title="Public Health Guide For Childcare Providers page 124" href="http://viewer.zmags.com/publication/2f76c9e9?page=124"> References American Academy of Pediatrics (2012</a> <a title="Public Health Guide For Childcare Providers page 125" href="http://viewer.zmags.com/publication/2f76c9e9?page=125"> Lefebvre, S.L., Golab, G.C., Christensen, E., Cat</a> <a title="Public Health Guide For Childcare Providers page 126" href="http://viewer.zmags.com/publication/2f76c9e9?page=126"> Notes 120</a> <a title="Public Health Guide For Childcare Providers page 127" href="http://viewer.zmags.com/publication/2f76c9e9?page=127"> </a> <a title="Public Health Guide For Childcare Providers page 128" href="http://viewer.zmags.com/publication/2f76c9e9?page=128"> A Public Health Guide For Child Care Providers </a>