Avila 1 Safety

Title 22 Textbook Material Observation Notes Analysis Recommendations

101229.1 SIGN IN AND OUT (a) In addition to the sign-in procedure requirement of Section 101226.1 (b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following. (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day. (b) The person who brings the child to, and removes the child from the center shall sign the child in/out.

Teachers are responsible for releasing children only to the custodial parent or other authorized adult. The identification of anyone who is authorized to pick up the child but is unknown to the teacher must be checked (Sorte et al., 2011 p.526). Most early childhood settings for infants through preschool age require that children be signed in upon arrival and signed out at departure (Sorte et al., 2011 p.526).

When the children get to school in the morning the parent or caregiver to the child must sign in the child, with the exact time. The parent must then wash the childs hands if he/she is going to eat breakfast.

It is the teachers responsibility to ensure that the child goes home with an authorized person. According to both regulation 101229.1 and Sorte (2011) a sign in and a sign out sheet must be filled out for every child. In the afternoon, According to when the parent Sorte if an picks up the child unauthorized the teacher has a person picks the clipboard for the child up there parent to sign out must be proper and put the exact identification and time of when the must be checked child was picked before releasing up. If someone the child. This is different than the done to ensure the regular person safety of each picks up the child, child. The the person must teachers in this be on the facility make sure emergency card that the and must show id authorized person then the child pick and drops off could be released. the child. ID must The children in be shown in order this facility come to release the and go. There is child if not the no set schedule regular person for them to come that usually picks in school or leave the child up. school, it is an all day program but the children only have to meet 6 hours a day.

Although the teachers do have a sign in and a sign out sheet, and they do have someone making sure that the child is going with an authorized person, if it is not the usual person who picks up the child. They are following the rules. One way I think it would make the signing in better is to have the parent drop off and pick up the child at around the same time. For example, one day if the parent drops off the child at 8 am the child should be dropped off around 8 the next day not after 10. Also, when picking up the child there should be a bit more structure. This will help the child adjust better because there will be a set schedule and he/she will not just have to guess what the routine will be like that day.

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Safety
Title 22 Textbook Material Observation Notes Analysis

101239.2 DRINKING WATER (a) Drinking water from a noncontaminating fixture or container shall be readily available both indoors and in the outdoor activity area. (1) Children shall be free to drink as they wish. (2) Anchored steps or a broadbased platform shall be utilized when a drinking fountain is to high for the children in care.

an approved water supply, such as a public water system, must be provided to ensure that children are safe from water borne illnesses caused by bacteria,parasites, or other infectious agents (Sorte et al., 2011 p.492).

In this preschool classroom there is a drinking fountain available for the children to drink water as they please. There is also a drinking fountain in the play area outside so if the children get thirsty they can also drink water outside. Since some children do not reach there is a step stool available to the children so they can reach and drink the water. A child told the teacher he was thirsty the teacher told him the drinking fountain was in the sink. After that time the child kept going over to the drinking fountain to drink water when he got thirsty.

The teachers are aware that the children can drink as much water as they wish to drink. The water fountain inside allows the child to drink as much water as the child wishes to have. Outside during outdoor play there is also a water fountain which allows the child to drink water throughout the day. Inside the classroom if the children do not reach the fountain there is a step stool in order for them to drink water. As mentioned in the handbook, there has to be steps when drinking fountains is to high.

Recommendations The teachers understand that the children can drink as much water as they wish to drink. The recommendation I would have is to have one of the teachers supervise the child that is at the drinking fountain, because the children are just allowed to go to the water fountain and drink, but sometimes they have no supervision while at the fountain. There is a teacher that will look at the child but there is not a teacher nearby sometimes in case something happens. I would change this because that is a safety hazard that a child can drink water alone. Not only is it dangerous for them to be at the drinking fountain alone, there is a step stool, if water spills on the floor and the step stool moves the child could fall and hurt him/herself. It would be a better safety technique.

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Safety
Title 22 Textbook Material Observation Notes Analysis Recommendations

101239.1 NAPPING EQUIPMENT (a) Cots used for napping shall be maintained in a safe condition.

spaces also need to provide cots for naptime. These should be comfortable, easy to sanitize, and stackable for efficient storage (Sorte et al., 2011 p.499).

During nap time the children sleep on cots. These cots are made of a fishnet material which makes it easy to clean and easy to sanitize. The cots are able to be stacked up and they are stored in the office for safety reasons.

According to the handbook, the cots need to be maintained in a safe condition. The cots that the children use are in great condition, since they are easy to clean it is easy to keep them in good condition. Since they are easy to stack the actual cot never touches the ground it is only the legs of the cots.

The cot's look in great condition, they are cleaned everyday. One thing I would recommend would be to put a sheet over the cot or have the same child use the same cot everyday. I think this will minimize the spread of germs. Putting a sheet will let each child sleep on their own sheet. Some parents do not like that the children share these cots or do not have their own sheet on top of the individual cot. In my center, if cots are used, I would like to have a sheet and a separate blanket for each child.

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Safety
Title 22 Textbook Material Observation Notes Analysis Recommendations

101239 FIXTURES, FURNITURE, EQUIPMENT, AND SUPPPLIES (a) A comfortable temperature for children shall be maintained at all times. (1) The licensee shall maintain the temperature in rooms that children occupy between a minimum of 68 degrees F (20 degrees C) and a maximum of 85 degrees F (30 degrees C). (4) All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition. Additional equipment, aids and/or conveniences shall be provided as needed in centers that serve children with physical disabilities.

A system that maintains appropriate temperature and humidity and controls for air pollution is important for health and safety. Fresh air is needed to maintain healthy indoor air quality and to reduce the incidence of respiratory problems (as cited in Sorte 2011 p.492).

This center is always kept at a temperature of 68-72 degrees, according to the Head Start coordinator these temperatures are great for the children because it is not to cold, nor is it to hot.

According to the handbook, the minimum temperature a toom can be is 68 degrees. The most a room can be is 85 degrees. This is done so that it is not to hot or to cold for the children. It is to accommodate In this classroom each child. When the restroom is the children are clean, it is cleaned engaged in certain every night and activities such as the trash is taken circle, or dance out continuously time, the children during the day. will not be hot. Also, if it is nap time the children would need a much warmer temperature because they are not moving as they would during dance activities.

The temperature, is something that many people are sensitive to. While some people would think a temperature is cold others might think it is fine. I noticed that this center gets very cold at times. During nap time especially this classroom gets very cold. The children have blankets but I think maybe the temperature should be put up a bit because while I was in there I needed a jacket. Some children, since it is the summer, are in shorts and tank tops, but for a child who is not active, since it is nap time, they could get sick or just be to cold to sleep. If this was my center I would just make sure the air was not so cold during nap time.

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Safety
Title 22 Textbook Material Observation Notes Analysis Recommendations

101238.4 STORAGE SPACE (a) The licensee shall ensure that each child has an individual permanent or portable storage space for his/her clothing, personal belongings and/or bedding. (b) There shall be permanent or portable storage space in the playrooms for play materials and equipment. (c) Napping equipment shall be stored at the center when not in use. (d) Combustibles, cleaning equipment and cleaning agents shall be stored in an area separate from food supplies in a locked cabinet or in a location inaccessible to children.

furniture common to preschool classrooms includes cots, water or sensory tables, painting easels, cubbies for coats, work benches, small tables for listening centers or science activities, kitchen and dramatic play units, and comfy chairs such as bean bag chairs or pillows (Sorte et al., 2011 p.500) All cleaning supplies, lotions, bleach and other potentially toxic materials must be stored outside of the childrens space or in a locked cabinet (as cited in Sorte 2011 p. 500).

Each child has a These teachers are The program cubby where they aware of the follows the are able to put storage space that minimum their extra is recommended requirement for clothing, any for each child. the storage space extra shoes, their They have their needed. I would, blanket, and any furniture however, change stuffed animals accessible to be some of the they use as part as moved if need, furniture they nap time. These but they are stable have. For cubbies are enough to not example, the portable. The move by touch. childrens cubbies cubbies have a All of the napping are placed on top long side that and cleaning of a table. I think allows for extra supplies are this is very clothes and for stored away from hazardous hanging their the children while because a child coats, on top of it they are in class could knock it it has a section for and are also over and it could any paperwork or stored away from fall on him/her or activities the reach even when on other children children want to the children are at the center. take home. not in the There are other classroom. It is places to put this This classroom is important that cubby or even just equipped with all since the napping putting it on the portable furniture. equipment has to floor. The This classroom be stacked it can cleaning supplies, can be rearranged become should be locked in different ways. hazardous to the in a top cabinet All napping child if it tipped because, that equipment is over and fell. The would be an extra stored in a closet cleaning supplies safety precaution in the same are locked out of that could be classroom. The reach of the child taken to ensure napping in a locked that the child will equipment is easy cabinet. not be able to to clean, portable, open the cabinet. all of the cleaning

Avila 6 supplies are locked away from the food, and are in a locked cabinet that is not accessible to be opened by the children. Safety
Title 22 Textbook Material Observation Notes Analysis Recommendations

10128.3 INDOOR ACTIVITY SPACE (a) There shall be at least 35 square feet of indoor activity space per child based on the total licensed capacity. (1) Bathrooms, halls, offices, isolation areas, food-preparation areas and storage spaces included in the calculation of indoor activity space. (2) Floor space occupied by shelves, permanent builtin cabinets, space used to meet the requirements of Section 101238.4, and office equipment shall not be included in the calculation of indoor activity space. (b) The floors of all rooms shall

Indoor active play spaces are important to ensure that children receive sufficient opportunity to stretch and use their energy (Sorte et al., 2011 p.501). State licensing standards and NAEYC accreditations standards have traditionally identified that each indoor classroom should provide a minimum of 35 usuable square feet per child (Sorte et al., 2011 p.490).

Since there is no way to observe if the measurements are correct, I asked the coordinator what the measurements of the preschool class were. The class is 35 square feet. Without counting any furniture, restroom, or cabinets. This are she said counts only the area in which the children are allowed to play and use as an activity. This classroom has both carpet and floor. Both of these are cleaned each day at the end of the day when the children have left the classroom. The surfaces are cleaned and sanitized, as well as the floors, and

Children need sufficient space to do different activities, while at the same time preserving the safety of the children. According to both Sorte and title 10128.3 there must be a minimum of 35 square feet of indoor space per children. This classroom meets the requirements for space needed. This does not count any furniture, office, and restroom. This classroom is set up very simple. There is not a visible safety hazard in this classroom and it meets the sufficient space necessary.

I like the set up of the classroom, the teachers seem to understand that there needs to be 35 square feet of space available for the children to play, and there could not be hazards. There is not anything blocking their path way except when I did my observation there was a paint isle by the tables on the carpet area. I thought this was a possible hazard. In my classroom I would like to have it set up where I could have a certain area for different activities such as having the paint area in a corner and not in the middle blocking the other childrens path. If the child was running, or not

Avila 7 have a surface that is safe and clean. the carpet is vacuumed. paying attention he/she could possible get hurt.

Safety
Title 22 Textbook Material Observation Notes Analysis Recommendations

101238 BUILDING AND GROUNDS (d) General permanent or portable storage space shall be available for the storage of the centers equipment and supplies. (1) Such equipment and supplies shall be stored in this space and shall not be stored in space used to meet other requirements specified in this chapter. (g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

Any medications that are to be administered to children in care must be stored in a medication lockbox or locking cupboard (Sorte et al., 2011 p.500). All cleaning supplies, lotions, bleach and other potentially toxic materials must be stored outside of the childrens space or in a locked cabinet (as cited in Sorte 2011 p. 500).

There are cabinets along the classroom. Each cabinet is locked which prevents the children to open them. * The disinfecting solutions along with the other cleaning sprays are available in the classroom in a locked cabinet so the child cannot open the cabinet. These sprays are used on the tables after the children have finished eating breakfast, lunch, and snack.

*According to the handbook and Sorte (2011) all cleaning sprays should be stored out of reach of children. This classroom keeps things that could pose a potential threat to the child locked in a cabinet so the child cannot have easy access to the cleaning sprays. *Also, there is cubbies available to the staff to store things such as the toys and activitys that they use with the children. These cubbies and cabinets are portable.

This classroom is safety conscious. All the sprays and potentially hazardous supplies are locked behind a locked cabinet. This is good because it is not in immediate harm to the children, but if it was in my classroom, I would prefer to keep the cleaning supplies in another room or in the top cabinets. Even though the cabinets were locked I would be worried that maybe a cabinet did not close or lock correctly. It would be a good idea if the cleaning ingredients moved into the office they have for the teachers paperwork, or if they were in one of the top cabinets.

Avila 8 According to the handbook the materials should be stored where inaccessible to children I still believe this is accessible to them if proper safety is not taken to make sure the doors are locked. Safety
Title 22 101238.2 OUTDOOR ACTIVITY SPACE (a) There should be at least 75 square feet per child of outdoor activity space based on the total licensed capacity. (b) The outdoor activity space shall be situated to: (1)Provide a shaded rest area for the children. (2) Permit children to reach the outdoor activity space safely. (c) Equipment and activity areas shall be arranged so that there is no hazard from conflicting activities. (d) The surface of the outdoor activity space shall be maintained: (1) In a safe condition for the activities planned. (2) Free of hazards including but not limited to, Textbook Material Observation Notes Analysis Recommendations

The NAEYC (2007) recommends that outdoor areas should provide a minimum of 75 square feet per child of usable space. The space should be open for active play and provide visibility for adult supervision (Sorte et al., 2011 p.504). The outdoor space should be fenced or have other appropriate barriers to prevent children from wandering into the street or parking lot or other unsafe location (Sorte et al., 2011 p.504).

The outdoor space is big, I asked the coordinator the size of the outside space for play, she stated it was 75 square feet. The area is faily big and there are a lot of activities they could play, such as playground, bikes, and a house area. There is enough open space for the teacher to be able to keep an eye on all the children. Before the children go outside the teacher checked the playground for any safety hazards.

The textbook incorporates the correct amount of square footage needed per child. The Head Start program takes into consideration the square footage the outside play area is 75 square feet. The children are able to get to the playground without being in any danger. According to the Sorte (2011) there must be barriers in order to keep the children safe and keep them from wondering to the street. This playground has the gates to keep them in a line to the playground, plus since there are cars that pass right outside of the playground

I think that the way the outdoor activity space is great; there is enough room for the children to play and not to feel crowded. There are different activities for them to play

\To get to the playground the children hold a The outdoor play snake of rings area should have until they reach no dangerous the playground.

Avila 9
holes, broken glass and other debris, and dry grasses that pose a fire hazard.

materials such as debris, metal or broken glass (Sorte et al., 2011 p.504).

The whole walk way to the playground is fenced all the way around so the children cannot wonder off.

there is also a gate to keep the children from going off to the street.

Safety
Title 22 101216.6 STAFFING FOR WATER ACTIVITIES Textbook Material Observation Notes Analysis Recommendations

(b) A ratio of not less than one adult, including teachers, to every six children, or fraction thereof, shall be maintained during water activities in or near any of the bodies of water specified in (a)(1) through (3) above. (1) Lifeguards or personnel supervising anyone other than center children at the water activity site shall not be included in this ratio.

Water activities present significant safety concerns that require careful supervision to ensure safety (Sorte et al., 2011 p. 534). Teachers should closely supervise water activities watching for appropriate play and ensuring that the floor under the table does not become slippery (Sorte et al., 2011 p.534).

This program does not use pools. They do, however, have water activity tables. Where they have tables set up with water. Although it is not a pool it is still a body of water in a container. The teacher to child ratio continues to stay at 1:8, as stated in the handbook there will always be adult supervision at all times.

There should always be someone present around the water area. According to title 101216.6 the ratio should be 1:6, this is different than the ratio for supervising other activities. This could be because water is very potentially hazardous. It can cause drowning. According to Sorte (2011) there should always be a teacher present to make sure that the floor does not become slippery, and that proper play is going on around the table.

I would suggest that when doing water activities only certain amount of children should be at the water table to avoid over crowding. Or have two water tables in order for 4 children to play in each table while the teacher can supervise all 8 children without the worry of an overcrowded water table, and having her children doing different activities.

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Safety
Title 22 101216.3 TEACHERCHILD RATIO Textbook Material Observation Notes Analysis Recommendations

*Preschoolers from 2.5 to 3 years old require (a) There shall be a certain teacher a ratio of one ratio depending teacher visually on the class. If observing and there are 12 supervising no children in the more than 12 classroom the children in ratio would be attendance, 1:6, if the 1) The number classroom is 14 of children students the ratio in would be 1:7, a attendance class of 16, 1:8 shall not for a class of 18 exceed the ratio is 1:9. licensed *Preschoolers capacity. from the age of 4 (b) The licensee to 5 years old stay may use teacher the same, except aides in a teacher- for a class of 20 child ratio of one the ratio will be teacher and one 1:10 (Sorte et aide for every 15 al., 2011 p.463). children in attendance.

In this classroom there are 16 students, of the ages three to four years old, which according to the handbook there should be a ratio of 1:8. This classroom had two teachers, which satisfied the ratio of one teacher for every 8 students. With two teachers, there was a teacher who was in charge of supervising 8 students an the other teacher supervised the other 8. There was, however, another teacher in the classroom which was focused on observing the children using the DRDPs. *While observing

According to Sorte (2011) and the handbook, for a preschool class of 3 and 4 year old children there should be one teacher for every eight children. This classroom has two teachers on duty at all times. There are 16 children in the classroom and two teachers. This puts the class at a 8:1 student teacher ratio. This classroom seems to be following the rules. One teacher had to step out for a moment and the coordinator of the program came to cover for her for the moment so there would the regulations would be followed at all times.

This classroom follows the proper ratio for children in a preschool setting. For 16 students the ratio should be 1:8 so in this classroom there is a correct amount of students. Although the there is a proper teacher child ratio, I observed that the teachers, sometimes, engage in an activity with one specific child, while periodically looking up, the other teacher is in charge of the rest of the students. Not engaging in one activity with one child could better this classroom. Although there is proper ratio, one teacher is still not

Avila 11 I did notice that one of the teachers fully focusing on the rest of the children. By correcting this there would be significant change in the classroom.

Title22 Regulation 101226.3 OBSERVATION OF THE CHILD (a) The behavior and health of the children shall be continually observed throughout the period of attendance. (b) Any unusual behavior, any injury or any signs of illness requiring assessment and/or administration of first aid by staff shall be reported to the child's authorized representative and recorded in the child's record. NOTE: Authority cited: Section 1596.81, Health and Safety Code.

Health Textbook Observation Material Notes Daily health During the checks are an children's time at important way to the daycare prevent the spread center, the of disease. teacher's Teachers should constantly asked be prepared to the children, conduct the daily individually, health check as how are you soon as possible feeling or how after the chidren are you. These arrive. The questions are purpose of the asked when the check is to child is not acting identify children like he or she who are ill and would normally who may be act. If the child needed to be while at the center excluded from becomes ill, or participation injured the parent (Sorte et al., 2011 or caregiver is p.350). called to inform them of the illness Teachres conduct or injury. If the these checks to child is throwing determine if the up and there is child shows signs sign of a virus the of illness, injury, child will be sent or other health home. concerns(Sorte

Analysis According to Sorte (2011) observing the child's behavior is important because it stops the transmission of infectious disease. According to the regulation 101226.3 any unusual behavior or illness shall be reported to the child's caregiver. During the day the children must be observed to check for any sign of illness. According to Sorte (2011) these observations can be checked in the morning and focusing attention on each individual child. Listening is also important because the

Recommendatio ns Although this program does take the time to make sure that the children do not have any signs of illness. Sometimes the children do not give any signs of feeling sick or poorly. If it was my preschool I would want to make sure I not only ask the child how he/she is feeling in the morning, but I would ask the person who drops the child at the center, how was the child in the morning. How was the child's night. This way if the parent replies that the child did not have a good

Avila 12 Reference: Sections 1596.72, 1596.73, 1596.81 and 1597.05, Health and Safety Code. et al., 2011 p.334). Daily health checks can be done efficiently and accurately during the greeting time. They are typically conducted by the teacher as the child arrives the process involves, Stopping briefly to focus attention on the child. Looking at the child, observing for signs of illness or disease, Listening to the parent and child, paying special attention to information that suggest illness (Sorte et al., 2011 p.334). children give clues of how they feel. night because he/she was up at night. This way I know I would have to keep an extra eye on that certain child to see for signs of illness.

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Title 22

Textbook Material 101229 Preschoolers RESPONSIBILI must be TY FOR supervised by PROVIDING sight at all times. CARE AND Preschoolers may SUPEVISION be out of sound (a) The licensee supervision for shall provide care short periods of and supervision as time (Sorte et al., necessary to meet 2011 p.530). the childrens needs. Teachers have (1) No the moral and child(ren) shall be ethical left without the responsibility to supervision of a recognize teacher at any childrens time, except as vulnerability and specified in dependency on Sections101216.2 adults and to (e)(1) and provide consistent 101230(c)(1). and thorough Supervision shall supervision include visual without fail (as observation. cited in Sorte 2011 p.477).

Health Observation Notes

Recommendatio ns In this classroom According to If I had a there are two Sorte (2011) preschool facility, teachers. If one of preschool aged I would make the teachers has to children must sure that the step out for any be under teachers as well as reason or if she goes supervision at I would always on break, the on site all times. keep our eyes on coordinator is called According to all of the children. in to fill the missing tittle 101229 the Preschoolers must teacher. There must provider must always have always be two always keep the vision supervision teachers in this child under while they could classroom at all supervision. be out of sound times. The teacher's for a little while. kept their eyes The teachers in The teachers always on the children. this facility, make sure their One of the would sometimes children are seen at teacher's was be engaged with all times. They are with one child other children supervised the more than with while looking up whole time they are the rest this to let the other there. One of the could pose a children know days one teacher harm to the rest they were went on break and of the children. watching them. If the coordinator and The regulation I was a parent and another teacher states that the I watched this went into the children must behavior it would

Analysis

Avila 14 classroom in order to provide extra supervision because the temporary teachers for the time the other teacher was out of the classroom could not be familiar with the different setting. They might work in infant and toddler and they must fill a preschool class. I noticed one of the teachers engaging in an activity with a child but loosing track of the other children. Health Title 22 Textbook Material 101227 FOOD Preschool SERVICE children also need (3) Bread, pasta to consume foods or noodle that provide all products, and needed nutrients cereal grains shall including be wholegrain or vitamins and enriched minerals (Sorte cornbread, et al., 2011 biscuits, rolls, p.181). muffins, etc., shall be made with Providing three whole grain or meals and three enriched meal or snacks at intervals flour; cereal shall of every 2 to 3 be whole grain or hours provides enriched or active fortified. preschoolers with (2) Where all a consistent food is provided energy source by the center, throughout the arrangements day (Sorte et al., shall be made so 2011 p.184). that each child Observation Notes The times I did observations which was once for breakfast and for afternoon snack . In the morning the children had a prepacked bowl of cereal, with banana and a cup of milk. In the afternoon for their snack. They had a bag of Sun chips and a juice box. In this center there is a separate kitchen area where the cook prepares the children's daily Analysis According to title 101227 whole grains need to be served with the meals, and if hand prepared the flour must be whole grain flour. According to both the title regulation and Sorte (2011) a child in a full day program must offer a midmorning or a midafternoon snack, and full day programs also needs to make sure each child eats lunch. In this program each child has breakfast, lunch always be under supervision, these teachers did supervise the children according to the handbook, but did not really supervise the children according Sorte (2011). make me feel uncomfortable because I would not feel as if my child was getting the proper attention needed by a preschooler. In my preschool center, I would need to make sure that all of the teachers were engaged with all of the students not just some of them, and they all had equal teacher attention.

Recommendatio ns If this was my classroom, I would prefer if there were things that were fresh. I do understand that it is a government ran agency and they received prepacked foods. Even though they are government ran, there could still be fresh foods delivered in order to have the children eat a bit healthier. There are some parents that do not allow their children to eat things such as chips. Also, from experience, some

Avila 15 has available at least three meals per day. (5) The following shall be offered daily: (A) Full-day programs shall offer a midmorning or midafternoon snack. (B) Full-day programs shall ensure that each child has a lunch. food. This classrooom is a full day preschool class which, accoring to the handbook they must have 2 meals and one snack. These children receive breakfast along with lunch and an afternoon snack. and mid afternoon snack. These children have their meals every 2.5 hours. parents do not allow their children to drink juice without it being diluted. Their nutritional menu, I believe could use some work to be a healthier menu.

Title 22

Textbook Material

Health Observation Notes

Analysis

Recommendation s

Avila 16 101226.2 ISOLATION FOR ILLNESS (a) A center shall be equipped to isolate and care for any child who becomes ill during the day. (1) The isolation area shall be located to afford easy supervision of children by center staff. (2) The isolation area shall be equipped with a mat, cot, couch, or bed for each ill child. (3) The isolation area shall not be located in the kitchen area or the general-use toilet area. (4) In combination centers, only one isolation area that serves all licensed components is required. (b) The childs authorized representative shall be notified immediately when the child becomes ill enough to require isolation, and shall be asked to have the child removed from the center as soon as possible. Sick children need to be removed from the general class group activities to prevent spread of germs and to allow them to rest appropriately until a family member or emergency contact person can come get them (Sorte et al., 2011 p.355) This classroom does not have a special isolation center, since no child needed isolation while I observed I asked to the coordinator of the program where the children would be isolated at if they became ill and needed the isolation. She said the children would go to the front An isolation area office and they can should be sit on the chairs. If identified in the they wanted to lie programs facility down they would or in a quiet area set up a cot in the of the classroom. A office for the child pad and blanket to rest. should be readily available to If the child provide a becomes too ill to comfortable place participate and to rest (Sorte et needs to be al., 2011 p.355). isolated the parent is called and is picked up in about an hour, according to the coordinator. In every classroom there should be an isolation space for children who are feeling ill. There should be some type of bed, cot, or matt available for the child according to title 101226.2 and Sorte (2011). The children who are isolated need to be supervised at all times. The childrens caregivers or an emergency person must be called immediately to pick the child up. The child must be isolated to prevent the spread of illness to other children in the center. This center has no real isolation place for the children. The front office is open and anyone can see what happens there since the office must be passed on the way to the classrooms. The child, if must lay down, will be laying down in the cot in the front office where any parent, or visitor can see the child. I think this is not safe for the child because there is no privacy. If this was my center, I would have a separate room for any ill child, readily equipped with a couch, a bed or a couch already available. There would be a teacher in there for supervision until the parent picked up the child. This would be safer for the children and the parents might appreciate it more than in the child was laying in the front office.

Health

Avila 17 Title22 Regulation 101220.1 IMMUNIZATIO NS (a) Prior to admission to a child care center, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, commencing with Section 6000. (b) The California Code of Regulations, Title 17, Section 6020, requires that children receive appropriate vaccines as follows: (1) The required immunizations for admission to and attendance at a public or private elementary or secondary school, child care center, day nursery, nursery school, or family day care home, or developmental center shall be those set forth, according to age, in Table 1. Textbook Material If the child is missing a needed vaccination, the program or school contacts the family and guides them to obtain the immunizations before the child attends the early childhood setting or school (Sorte et al., 2011 p.323). Observation Notes Just by observing it is impossible to know if the children have been vaccinated. I asked the coordinator of the department about the vaccinations. She stated that each child needed to be vaccinated before being able to attend their program. She said The that this is immunizations because they need that are required to prevent the for entry and spread of participation in dangerous early childhood illnesses. She and school stated that within settings are put in 30 days of being place to stop the accepted into the spread of program there potentially must be proof of dangerous the child has had diseases (Sorte et the immunization al., 2011 p.347). that are required at that age. Analysis The children must have their immunizations because this is important to stop the spread of illness. Both the regulation and Sorte (2011) state that a child must be immunizised before entering a child care center. This is important for the parents to make sure they immunize their children to prevent potentially dangerous disease from spreading. Recommendatio ns It is good that the department wants to have immunizised children in their department to stop the spread of disease. Although, I think it is good there are some cultures that do not believe that this is so. Some cultures, religions, or even personal beliefs do not allow for immunizations on their children. These people could feel discriminated against if the program did not allow for them to enter because of their beliefs. Some may argue that all may be treated different. If I had my preschool center, I would want only immunizised children. This is because as it is said in both Sorte (2011) and regulation it is necessary to stop spreading diseases.

Avila 18 Title22 Regulation 101226 HEALTHRELATED SERVICES ((a) The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken. (c) The licensee shall obtain emergency medical treatment without specific instructions from the child's authorized representative if the authorized representative cannot be reached immediately, or if the nature of the child's illness or injury is such that there should be no delay in getting medical treatment for the child. Health Textbook Observation Material Notes If an injury While I observed requires I did not see any emergency first child injure aid, emergency him/herself medical personnel severely. I spoke should be called to the coordinator, at once to reduce she specified to further injury and me that if there to avoid risk of was ever an death (Sorte et instance where al., 2011 p.562) the ambulance would have to be Seek immediate called the teacher medical was prepared to assistance if the take any actions child is necessary and was unconscious or if trained to know any signs of when medical concussion are attention was evident such as needed. The drowsiness; parents or nausea and caregivers of the vomiting; slurred children would speech; need to be called disorientation; as soon as fluid seeping from possible to let the nose, ears, and them know of the mouth; or accident that has headache (as cited happened. The in Sorte 2011 ambulance should p.564) be the first phone call then the parents will be called. Analysis Recommendatio ns According to This facility, I feel Sorte (2011) this follows all proper center is procedures of following the when a child recommendations becomes hurt or regarding injured. Although accidents. The I feel that parents are everything is up notified as soon to standards, they as injury or illness are required to happens. If the call for each child falls and scrape and or fall bumps his head no matter the size the teacher keeps or severity of the an eye on them fall or scrape. during the day to Some parents, make sure that might find this to they are acting be a waste of normal and do not time. Thinking have culturally, there complications. are some parents that want to toughen up their children and they do not baby them when they fall. There could be parents that feel this to be a waste of time because the child is not showing any immediate signs of injury. I think this program is following proper procedure.

Avila 19 Health Since there was no child that was ill while I did my observations the teacher in this classroom said that if there was ever a child that had been ill, she would do a daily inspection on him to make sure he was okay to go back to school, if the child could not attend because he/she was still to sick the child would have to be sent back home. If the child came to school and had threw up within the past 24 hours or had a fever the child would not be accepted until the fever and vomiting had stopped for at least 24 hours

101226.1 DAILY INSPECTION FOR ILLNESS (a) The licensee shall be responsible for ensuring that children with obvious symptoms of illness including, but not limited to, fever or vomiting, are not accepted. (1) Additional attention shall be paid to children who: (A) Have been absent because of illness. (B) Have been exposed to a contagious disease.

The purpose of the check is to identify children who are ill and who may be needed to be excluded from participation (Sorte et al., 2011 p.350). If a family brings a child back to school too soon following an illness, the daily health check assists teachers to reorganize if the child is still too ill to attend school.

It is important to recognize the different diseases and it is important to recognize that each child acts a certain way and if the child is sick the teacher must recognize when the child is sick in order to prevent any type of spreading of an illness.

This center does the correct thing by not allowing children that have been previously ill. This is done as a safety measure. If it was my child development center I would like to have a room and teachers dedicated to the ill children. Since a lot of parents cannot afford to loose work days and could loose their job, it would be great if I had a special room like a nurses office just to keep an eye on the child, still following the curriculum and lesson plan, but allowing them to rest.

Avila 20

Title22 Regulation 101220 CHILD'S MEDICAL ASSESSMENTS (a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary healthrelated services to the child.

Textbook Material

Health Observation Notes I asked the coordinator about the medical assessment. This assessment asks a lot of questions about the child and about the health related questions. Some of the questions include, any illness, any disablility and things of this nature.

Analysis

Recommendation s This program I enjoy that the accomidates all children are all students if able to be in possible. Within classrooms 30 days there must together, and the be a written children with assessment to disabilities do not make sure this get discriminated program can againt because of handle each their disability. If I situation. Since had my center I Head Start takes would make sure 10% of children that my classroom with disabilities, it was a mixture of is important that all types of the teachers students. There are understand some parents, different mental however, that do illnesses and not believe that physical differently abled disabilities in children should be order to in class with other accommodate children since they each child. require special attention. Some of the parents do not want to give out personal information about their children, even if it is to their teachers. A way that could better this program would be to have a doctor fill out any questions that are asking about disabilities or things the parents do not want to

Avila 21 share with the school. Title22 Textbook Regulation Material .2 DRINKING WATER (a) Drinking water from a noncontaminating fixture or container shall be readily available both indoors and in the outdoor activity area. (3) Bottled water or portable containers will be allowed provided that: (A) The water and containers are kept free of contamination. (B) Bottled water containers are secured to prevent tipping and breaking. Observation Notes In the classroom there is a water fountain in the sink. This water fountain is cleaned daily as well as the sink. There is also water fountains outside. Right outside the classroom there is also a water fountain for the children to drink as they wish while they play. On the playground there is also a drinking fountain for the children to drink it is a small fountain the size for the children to be able to reach outside. Analysis Children need to be able to drink water, water is an essential part of their body to keep them hydrated. Children need to be able to drink as much water as they would like. This is because if children do not get enough liquids they could dehydrate. Recommendations If I had my own center, I would want children to have their own cups with straws in them so they could constantly have the cups to drink from. This would take the worry away from them spilling and potentially slipping off of the step stool.

Health

Health

Avila 22 Title 22 101231 SMOKING a) Smoking is prohibited on the premises of a child care center as specified in Health and Safety Code Section 1596.795(b). (1) Health and Safety Code Section 1596.795(b) states: The smoking of tobacco on the premises of a licensed day care center shall be prohibited. Textbook Material Observation Notes There are many signs along the gates stating that according to Health and Safety code 101231 Smoking is prohibited on the premises of a child care center. When I was leaving the center I noticed one of the teachers does smoke, but takes some safety precautions to not have the children smell the smoke, she first walked to another part of the Victor Valley Campus and had a jacket with a hood on her head. Once she did this she sanitized her hands and stayed out side of the building for some time before entering the building again. Analysis It is not okay for a person to smoke around a child care facility specially if children are at play because it can cause second hand some. It is harmful to them as children. Recommendatio ns There is only two teachers that smoke in this facility and they both take safety measures against not being around the children. It would be better if they did not smoke, but that would be their own choice. As a parent, and observer I would suggest that they do this in another part of the campus or maybe off campus. In my family, we grew up in a strict home, and if someone was a smoke we did not let them be around the children because of fear of contact smell. Some parents might feel the same way and not want their children enrolled in this preschool service because they do not want their children to smell the smoke.