Any child who is acutely ill is to be kept at home. If your child is too sick to participate in all activities, including outdoor play, your child is too sick to be at our program. Children cannot attend if illness prevents them from participating in the regular routines, if attending is harmful to themselves or others, or if the attention needed to care for them takes significant time away from the other children. These provisions will be made if any of the following are witnessed:
Unexplained or undiagnosed pain
Acute cold with fever, runny nose and eyes, coughing and sore throat
Fever over 38C (100.4F) and accompanying symptoms such as listlessness, sore throat/difficulty swallowing
Undiagnosed skin or eye rash
Headache and stiff neck
Unexplained diarrhea or loose stool combined with vomiting and abdominal cramps
Severe itching of body or scalp
Known or suspected communicable diseases
Should your child's illness be of a communicable type, all parents will be advised that their child has been exposed, and informed of the symptoms to watch for in their child/ren. Should your child contract a communicable disease such as measles, mumps, strep throat, flu, impetigo or head lice, you must follow the public health rules regarding treatment and isolation period. In some cases, a doctor's certificate is required before your child may return to our program.
If your child becomes ill during the day, the parent will be advised and must make arrangements to pick up the child as soon as possible. If the parents cannot be reached, the alternate contacts will be called.
Parents should have alternate arrangements for their child/ren in case of illness when our program cannot accommodate the child. These arrangements should be in place when a child is registered with our program.
Drug & Medication Administration Policy and Procedures Purpose
The purpose of this policy and the procedures outlined within is to provide clear direction for staff, students and volunteers to follow for administering drugs or medication to children at the child care centre and for appropriate record-keeping.
Where the term drugs and/or medications is used in this policy, the term refers to any product with a drug identification number (DIN), with the exception of sunscreen, lotion, lip balm, bug spray, hand sanitizer and diaper cream that is not used for acute, symptomatic treatment. For the purpose of this policy, drugs and medications fall into the following two categories, unless otherwise specified:
Prescription, intended for acute, symptomatic treatment; and
Over-the-counter, intended for acute, symptomatic treatment.
The policy and procedures support children's health, safety and well-being by setting out measures to:
ensure children receive only those drugs or medications deemed necessary and appropriate by their parents;
reduce the potential for errors;
ensure medications do not spoil due to improper storage;
prevent accidental ingestion;
administer emergency allergy and asthma drugs or medications quickly when needed; and
safely administer drugs and medications according to established routines.
This policy is intended to fulfill the obligations set out under Ontario Regulation 137/15 for the administration of drugs and medication in a child care centre.
Note: definitions for terms used throughout this policy are provided in a Glossary at the end of the document.
Parental Authorization to Administer Medication:
Whenever possible, parents will be encouraged to administer drugs or medications to their children at home if this can be done without affecting the child's treatment schedule.
Prescription and over-the-counter medications for acute, symptomatic treatment will only be administered to a child where a parent of the child has given written authorization to do so by completing the child care centre's Authorization for Medication Administration (the form in Appendix A may be used). The Authorization for Medication Administration form must be accompanied by a doctor's note for over-the-counter medications.
The authorization must include a schedule that sets out the times the drug or medication is to be given and the amounts to be administered.
Where a drug or medication is to be administered to a child on an "as needed" basis (i.e. there is no specific schedule or time of the day for administration), the drug or medication must be accompanied with a doctor's note outlining signs and symptoms for administering the drug or medication and the appropriate dosage. In addition, the Authorization for Medication Administration Form must clearly indicate the situations under which the medication is to be given as outlined in the doctor's note, including observable symptoms. Examples may include:
'when the child has a fever of 39.5/103.1 degrees Celsius/Fahrenheit;
'when the child has a persistent cough and/or difficulty breathing'; and
'when red hives appear on the skin', etc.
Prescription/over-the-counter skin products (with a DIN) that need to be administered for acute or symptomatic treatment will only be administered to a child where a parent of the child has given written authorization to do so by completing the child care centre's Authorization for Medication Administration.
Authorization for Medical Administration Forms will be reviewed with parents every 3-6 months to ensure the dosage continues to be accurate (e.g. based on the child's age or weight).
A long with sunscreen, lotion, lip balm, bug spray, hand sanitizer and diaper cream are non-prescription and/or are not for acute (symptomatic) treatment, and due to their longer-term daily usage, these products:
must have a blanket authorization from a parent on the enrolment form;
can be administered without an Authorization for Medication Administration form; and
do not require record-keeping. Vitamins are considered a drug; therefore, it is required to have the same procedure completed.
Drug and Medication Requirements
All drugs and medications to be administered to children must meet the following requirements:
All drugs and medications must be stored in their original containers as supplied by a pharmacist, or their original packages. Medications that have been removed from their original package or transferred into a different container will not be accepted or administered to children.
All drug or medication containers must be clearly labelled with:
The child's full name;
The name of the drug or medication;
The dosage of the drug or medication;
Instructions for storage;
Instructions for administration;
The date of purchase of the medication for prescription medications; and
The expiry date of the medication, if applicable.
The information provided on the written parental authorization must match with all the requirements listed above.
Where information is missing on a drug or medication label and/or the written parental authorization does not match the label on the labelled container, the child care centre will not accept or administer the medication until the label and/or written parental authorization accurately contains all the required information.
Over-the-counter epinephrine purchased for a specific child can be administered to a child with an individualized plan and emergency procedures for an anaphylactic allergy as long as it is accompanied by a doctor's note and is clearly labeled with the child's name, the name of the drug or medication, the dosage, the date of expiration and the instructions for storage and administration.
Drugs or medications purchased by staff, students or volunteers for their own use will be kept inaccessible (e.g. stored in locker versus left in a purse in the classroom) to children and will not be administered to children at any time, except where written parental authorization to administer has been obtained (e.g. hand sanitizer).
A COPY OF THE FULL POLICY IS AVAILABLE FOR MORE INFORMATION IN THE DISCOVERY POLICY MANUAL IF YOU WOULD LIKE TO REVIEW THIS TOPIC FURTHER.
Additional Policy Statements
If a child were to arrive to the child care without their medication, parents would be contact by telephone to have the medication brought into the centre as soon as possible, as to not miss a dosage. In the event, that a dose is missed it will be documented on the Drug Administration Form and in the comment section it would be noted that the medication was not on site to be administered. Once medication is completed, or no longer required, then the Head Classroom teacher or designate would make the note on the Drug Administration form that the medication has been completed and will no longer be administered.
Discovery is not responsible for administering medication during regular school hours, as the child is not in our care.
Medication, that is not Emergency Life Saving Medication, will be kept in the Medication Lock Box located above the refrigerator at all Discovery locations. The Lock Box key is located in the front pocket of the Medication Lock Box. If medication needs to be refrigerated, then the Medication Lock Box is moved into the refrigerator.
Children who are no longer receiving child care from Discovery will have their medication sent home on their last day of attendance. In the event, that the medication is not sent home, it will be kept in the site Supervisor's locked filing cabinet, until which time the Supervisor can get a hold of the parent/ guardian via a telephone call to come and pick up the medication as soon as possible; the parent will be contacted on a daily basis if necessary, until the medication is picked up. In the event that medication is not picked up within one week after the first contact attempt, the expired medication will be returned to the local pharmacy for proper disposal.
Head classroom teachers will be required to verify expiration dates for medication on a monthly basis, while conducting their First Aid Bag checklist for needed supplies.
When a child is diagnosed with a communicable disease; (ex. Chicken Pox) Discovery will advise the families of the other children in the program. If a child is diagnosed with a reportable disease, the supervisor will report it to the Windsor-Essex County Health Unit, Outbreak Management Team, along with the Supervisor filing a Serious Occurrence on the Child Care Licensing System (CCLS). If two or more children from one centre become ill with a reportable disease, the centre is in 'Outbreak' and must follow Discovery's Outbreak Policy in Infection and Outbreak Control and A Guide to Common Infections manual (found in this policy manual).
Biting Incidents - are considered serious and should be looked at individually. Establish a running log of biting occurrences, so we can help prevent this behaviour from happening again. Keep in mind that biting is age appropriate behaviour and to handle the situation calmly. Focus your attention on the child that is injured, and not the biter. Sometimes drawing more attention to the negative behaviour does not stop the child from acting again. All incidents should be dealt with in a confidential manner.
Any animals coming into the program for any reason must be approved by the Executive Director.
Reptiles, particularly turtles can carry salmonella and are not permitted to be kept in the program as pets. Wild animals such as ferrets, skunks, foxes, raccoons, etc. are not permitted at Discovery as they cannot be vaccinated for rabies and have a tendency to bite individuals.
Guinea pigs, hamsters, gold fish and gerbils may be good choices to have as pets, as long as it is Director approved and responsibility is appropriately taken for them.
1. All animals that are kept by the program must be purchased from a reputable pet store.
2. Animals that are to remain in the program must have an examination by a veterinarian to ensure they are free from diseases that can be transmitted to humans and have an annual checkup to ensure immunizations are kept up to date.
3. Dogs and cats must be vaccinated against rabies.
4. A staff must be designated to keep the animal's cage and or environment clean.
5. Animal equipment cannot be cleaned in the food prep area (use custodial laundry tub)
6. Make sure that the children that have handled the animals, pet food, cages or animal's bedding are well supervised and wash their hands thoroughly before playing with any toys or eating.
7. No animals except for Seeing Eye dogs are allowed in the food prep area or where food is being served.
8. In the event of an animal bite, the Ministry of Health must be contacted immediately as the animal will have to be assessed for the possibility of rabies.
Smog, Heat and UV
While the importance of physical outdoor activity is widely recognized, Childcare Centres need to be mindful of harmful effects of air pollutants and UV rays. Children are more vulnerable than adults. Discovery will make every attempt to keep children and staff at low risk for developing heat illnesses. Discovery will insist that all children have wide-brimmed hats and labeled water bottles sent in from home. Water is always available to children and staff. During warmer months and during smog advisories, Discovery will go outside during the cooler hours-before 10:00 a.m. and after 4:00 p.m. to minimize sun exposure. Supervisors will determine whether or not it is safe for children and staff to be outside, and if outdoor times will be restricted by contacting www.airqualityontario.ca
Smoke Free Environment
Smoking is prohibited under the CCEYA and child care centers must comply with the Smoke Free Ontario Act under the Tobacco Control Act. Discovery will;
a. Ensure and verify that everyone is aware that smoking is prohibited.
b. Remove ashtrays and any object that serves as one.
c. Ensure that no one smokes on the premises including parking lots.
d. Post NO SMOKING signs at all entrances, exits, washrooms and other appropriate locations.
Holistic and Homeopathic Medications and/or Non-Prescription Medication
Staff should be aware of all information regarding homeopathic remedies used by a child. Any child using homeopathic products should have the information recorded on their Drug Administration form. Staff should seek advice from the child GP or a pharmacist if they are unclear about possible contraindications regarding the use of homeopathic remedies. Home remedies should be administered at the discretion of the Head classroom teacher on duty and can be delegated by them. All medications should only be administered according to the instructions on the container. Any home remedy given to a child must be recorded on an individual Drug Administration Medication Record form.
Discovery asks parents to sign off on a General Permission form, which states Discovery School-Based Childcare Program of Kingsville Inc. has my permission to apply non-prescription medication that I have supplied for my child/ren on an as needed basis. This includes, but is not limited to, ointments and creams for diaper rash, Vaseline, lip balm, Polysporin, etc. for the purpose of skin care and protection when required. (Please circle or list any additional or other non-prescription medications, if necessary.)
A child exhibiting symptoms of ill health, will be separated from the rest of the child's age group, and kept with the Site Supervisor in her office until which time a parent, can be reached by telephone, by the supervisor, to come and pick up their child. The child will be under constant supervision.
Record of Illness
Employees will ensure that a daily written record is maintained which includes a summary of any incident affecting the health, safety or well-being of the staff or any child enrolled in our centre. Any staff taking the information that a child is away due to illness will document the appropriate information on the record of illness form. The Record of Illness forms will be hung in the classrooms for one month at a time, with a new one posted each month. Completed Record of Illness forms will be kept by the Site Supervisor on site for three (3) years in the Supervisor's Tracking Binder.
All children enrolled in a licensed child care must be immunized against infectious diseases as recommended by the local Medical Officer of Health. If children are enrolled in school, the school will have a record of this. Children can be exempt from this requirement if a parent/guardian objects to the immunization for religious, medical or conscience reasons and a signed legal consent is provided. Immunization Records are kept in the Registration Binder with the rest of the child's registration forms. A copy is also provided to the Main Office Administration to be mailed to the Windsor Essex County Health Unit.
If an incident occurs at the program it will be the employee's responsibility to record this information on an 'Ouch Report' and the parent will be informed and expected to date and sign the report to confirm that they have been notified of such incident. Parents will be provided a copy after signing the report, through their choice of email or hard copy. Staff will also document in the daily log that an injury took place. Completed Ouch Reports (Accident/ Incident) forms will be kept by the Site Supervisor on site for three (3) years in the Supervisor's Tracking Binder.
Reducing Infections and Diseases
Hygienic practices including hand washing and cleaning toys and furnishings is the first line of defense against transmission of communicable disease. These practices must be established as part of the daily routine. The most effective method of preventing the spread of infectious diseases in child care settings is hand washing by children and adults. Frequent hand washing routines should include the following steps;
a. Wash hands upon arrival
b. Wash hands before preparing food, feeding a child or eating.
c. Wash hands immediately after toileting and handling of body secretions.
d. Post signs in the bathroom, kitchen and diaper change areas reminding staff and children to wash their hands.
Discovery requires that parents give permission for the use of sunscreen on any child and will provide sunscreen for each child once written parental consent has been obtained. Parents may provide their own sunscreen for their child, in the original container, labeled with the child's name. Staff will apply sunscreen to children before going outdoors, in the morning and afternoon, each day when required.
The Discovery Program offers the application of Croc Block Sunscreen (this product is PABA free and for use on sensitive skin) to the children on an as need basis during program hours. This is included as one of the general permission forms sign-offs; should you prefer that your child does not receive the sunscreen, you may provide your own.
The Discovery Program offers the application of Skintastic for Kids Bug Spray to the children on an as need basis during program hours. This is included as one of the general permission forms sign-offs; should you prefer that your child does not receive the bug spray, you may provide your own.
Sun Protection Guidelines for Child Care Providers
Sun exposure can be hazardous to your health. People of all skin colours, from dark to light can burn and therefore need protection from the sun's harmful rays. Keep yourself and the children you care for safe by following these steps:
To help protect the children from sunburns we need to follow these steps;
Use a broad spectrum (UVA, UVB) sunscreen of SPF (sun protective factor) 30 or higher, and apply 15 to 30 minutes before going outside. (Discovery uses Croc-Bloc SPF 30).
Apply liberally, and re-apply every 2 hrs while outdoors. Apply sunscreen even on cloudy days as the sun's rays can penetrate the clouds.
Reduce exposure to the sun between 10 am and 4 pm as this is time the rays are most intense.
We encourage the use of a wide brimmed hat anytime outdoors during the summer months.
Wear UV protective sunglasses.
NOTE: Some children are sensitive to certain sunscreens, please refer to Allergy lists posted for verification of who can or cannot have sunscreen. All sunscreen must be kept out of children's reach or used only under direct supervision from the child care provider. Sunscreen can be poisonous if ingested. Call the poison control centre if this happens. POISON CONTROL 1-800-268-9017
Parents should make sure their child has appropriate clothing. Staff will not be responsible for lost or misplaced articles of clothing. If your child is prone to accidents (of any kind), it will be helpful to have an extra set of clothes labeled with his/her name. Please remember to change the extra clothes seasonally. Staff will ensure that parents are informed of any extra clothing they need to bring for their child, or if there is soiled clothing that needs to go home and be replaced. It is embarrassing for the children when they require a change of clothing and this is not available to them.
Furthermore, Discovery can promise that your children will get dirty, both indoors and outdoors, and they will have fun doing. Regardless of the children's age, they learn best when they are able to be hands on with materials, which often means making a mess! Spare clothes are highly recommended for all age groups.