childcare preschool finder 2011

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May 2011 Birth through 5 Years

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QHow does a pediatric dentist help with dental anxiety?

AAt Alamo Heights Pediatric Dentistry our office is set up to

create a place that your child will love to visit. From our 250 gal-lon salt water fish aquarium where your children can meet thereal live Nemo and all of his friends to our unique coral reef playcave. Pediatric dentists have special training in helping anxiouschildren feel secure during dental treatment. And staff membersare people who like children and have chosen to work with them.This combination ensures that most children are calm, comfort-able and confident in a pediatric dental office.

QHow will a pediatric dentist help my child feel comfortable?

APediatric dentists are trained in many methods to help chil-

dren feel comfortable with dental treatment. For example, inthe “Tell-Show-Do” technique, a pediatric dentist might name adental instrument, demonstrate the instrument by using it tocount your child’s fingers, and then apply the instrument intreatment.

There are many other techniques applied by pediatric dentists tocomfort a patient. They include modeling, coaching, distractionand parent participation. But by far the most preferred tech-nique is praise. Every child does something right during a den-tal visit, and pediatric dentists let children know that.

QWhat if a child misbehaves during treatment?

AOccasionally a child’s behavior during treatment requires

assertive management to protect him or her from possible injury.Voice control (speaking calmly but firmly) usually takes care of it.Mild sedation, such as nitrous oxide/oxygen or a sedative, may alsobenefit an anxious child. If a child is especially fearful, other seda-tion techniques or general anesthesia may be recommended.

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On the CoverPictured are triplets Myleigh, Justin and Bella.

Cover Photo by Heather Reetz

6Want Truthful Kids? Lead byExampleNow, I’m pretty sure when my daughter tells constantstories about her make-believe friend, Heezy, that it’sher imagination at work. But when she tells me thatshe’s brushed her teeth, when I’ve been standing inthe bathroom watching her not do it, isn’t that lying?

10 Infant Health: What YouNeed to KnowThe American Academy of Pediatrics suggests thatnew parents ensure that their infants are on track withtheir immunizatioins.

20 Five Cues to Bedtime MagicNew parents want to do what’s best for their babies.Parents should be sure the babies in their live are ontrack with their immunizations.

2210

CONTENTS

2011 Annual Edition6 30

ADVERTISING13 Childcare & Preschool Directory

FEATURES 22 Study Looks at Crib-RelatedInjuriesCrib-related injuries among babies and toddlers aver-age 26 per day, according to researchers who say thisunderscores the need for safer design, proper use inthe home and more awareness among parents.

24 New Thoughts on Diagnosisof Food Allergies in Kids An upsurge in food allergy cases has prompted con-cern, some skepticism and new thinking. Now, newfederal guidelines suggest that parents and healthproviders pay more attention to how a food allergydiagnosis is made.

May 2010 | Our Kids Childcare & Preschool Finder 5

8400 Blanco Road, Ste. 300San Antonio, TX [email protected]: 210-349-6667Fax: 210-349-5618

PublisherPat Ramotowski, ext. 214

EditorCynthia Ladson, ext. 215

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OUR KIDS SAN ANTONIO is pub-lished monthly by Dominion Media, adivision of Dominion Enterprises.Advertisements in this magazine arepaid for by the advertisers, whichallows this magazine to be free to theconsumer. Limit of one free copy perreader. Call 210-349-6667 to requestadditional copies. Unless specificallynoted, no advertisers, products orservices are endorsed by the publish-er. All real estate advertised herein issubject to the Federal Fair HousingAct, which makes it illegal to adver-tise any preference, limitation, or dis-crimination because of race, color,religion, sex, handicap, familial status,or national origin or intention tomake any such preference, limitation,or discrimination. We will not know-ingly accept any advertising for realestate which is in violation of the law.All persons are hereby informed thatall dwellings advertising are availableon an equal opportunity basis. OURKIDS SAN ANTONIO copyright 2011Dominion Enterprises. All rightsreserved. Reproduction in whole orpart without written permission isprohibited.

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When my 3-year-old recently told me a friend had hit her atpreschool, I discreetly asked her teacher about it, mentioningthat I didn’t know whether to believe my daughter becauseshe had taken to fibbing lately.

“Oh, we don’t call it fibbing at this age!” her lovely teacherresponded. “It’s just imagination.”

Now, I’m pretty sure when my daughter tells constant storiesabout her make-believe friend, Heezy, that it’s her imaginationat work. But when she tells me that she’s brushed her teeth,when I’ve been standing in the bathroom watching her not doit, isn’t that lying?

Absolutely, says Paul Ekman, a psychologist who has donegroundbreaking research on lying for more than 30 years. Hiswork reading “micro” facial expressions earned him a spot onTIME magazine’s list of 100 most influential people in 2009and is the basis for the Fox television show Lie to Me. Evenvery young children lie, Ekman says, and they do it for manyof the same reasons adults do.

WHY DO KIDS LIE?

• To avoid punishment and parental anger. “When a 3-year-old says, ‘I didn’t knock the vase off the table,’ theyknow they did and are afraid of your anger and punish-ment,” says Ekman, author of Why Kids Lie: How ParentsCan Encourage Truthfulness (Penguin, 1991). Ekman wrotethe book after catching his 14-year-old son lying aboutthrowing a party.

In fact, lying to avoid punishment is the main reason kidslie, and it’s why punishing children or threatening to punishthem for lying can backfire.

“Kids who live in societies where punishment is extremeor severe just get better at lying,” says journalist and authorPo Bronson, whose new book, NurtureShock: New ThinkingAbout Children (Hachette Book Group, 2009), contains achapter subtitled “Why Most Classic Strategies to PromoteTruthfulness Just Encourage Kids to be Better Liars.”

• To get something they want or get out of somethingthey don’t want. Recently, Terri Wickwire’s 13-year-old

daughter got permission to walk to a movie after school. Butshe wasn’t there when her mom arrived to pick her up andwas unreachable until she called home at 8 p.m., with hermom frantically calling friends’ cell phones in the mean-time. The daughter had gone to a friend’s house instead.

Then she lied about hurting her back to get out of hergym class.

“Kids are going to do whatever they can to self-protect,and that’s a piece of it,” Wickwire says. “I know they’regoing to lie. I lied.”

• To get attention or impress. Kari Becker’s kindergartener,Brady, once told his teacher that he went to Antarctica overthe summer and touched a polar bear when its back wasturned. It’s not unusual for Brady to tell such fantastic sto-ries, she says, adding that, “he doesn’t do it enough that Iwould worry. I can tell he knows he’s being funny.”

Telling tall tales is common for young children, but olderkids do this kind of lying, too, to try to fit in with andimpress their friends.

• To protect someone or their feelings. Children don’t justlie to protect themselves from punishment. They’ll do it forfriends or siblings, too. Sometimes, the way to protect afriend is to lie to them to spare their feelings. Ekman onceoverheard his teen daughter tell a friend she was going outof town rather than admit she was attending a party towhich the friend wasn’t invited.

Ages & Stages

‘You’re Lying!’Every kid tells a whoppernow and then. Here’s howto get to the truth.

by JANINE DEFAO


• For the thrill of it. Adolescents may lie simply to see ifthey can get away with it. Says Bronson, “Learning tofool your parents is pretty empowering.”

• Because they see us do it.You don’t think you’re aliar, but have you told a telemarketer you’re in the mid-dle of dinner when you’re not? Or your Aunt Ginny thatyou love her Christmas gift, only to complain about itlater on?

Your kids are listening, and those seemingly harmlesswhite lies may be teaching them that lying is OK.

7 STRATEGIES FOR PARENTS

1Avoid white lies. You may be surprised by how dif-ficult it is to model truth-telling by curbing yourown white lies, whether you tell them for conven-

ience, to spare feelings or to avoid confrontation.

“A lot of us, and not just kids, don’t know how to getout of awkward social situations without lying,” saysEkman. But “you’ve got to figure out a way to be braverand be truthful without hurting someone’s feelings.”

So don’t tell your kids to pretend they love a gift theyreally don’t like. A simple thank-you will suffice.

2Curb your anger. If a child is repeatedly lyingabout a wrongdoing (and it’s not the first time he’slied), try offering “immunity” for the underlying

offense. Bronson says that’s often the quickest way to thetruth. Stress that you’ll be happy with the fact that yourchild told the truth, not angry at the wrongdoing.

Kids’ lies can really anger parents – even more than theinitial wrongdoing. “We try to say, ‘You need to be honestwith us. We’re going to be OK with it,’” says Becker. Butshe admits it’s not always easy. “You become more madbecause of the lie than because of what they did.”

Keep your anger in check or wait until you calm downbefore addressing the lies.

3Make the punishment fit the crime. Both Ekmanand Bronson stress that you use an incident involv-ing lying to illustrate the importance of telling the

truth.

“If you suspect or catch your child in a lie, the mostimportant thing you can teach them is what the costs ofthat lie are and other ways to achieve their goal,” Ekmansays.

When his son threw a party when his parents weren’thome, and then was outed by the neighbors, Ekman toldthe teen he’d lost his parents’ trust. In addition to ground-ing the 14-year-old, Ekman started hiring a 16-year-old to

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“babysit” him every time his parents went out.

“It was very embarrassing to him,” Ekman says. “It’s apunishment, but there’s a lesson.”

4Don’t lay a trap. Parents often unwittingly encour-age their children to lie by asking questions towhich we already know the answers.

Don’t ask a toddler, “Who drew on this wall?” or ateenager who has broken curfew, “So what time did youget in last night?”

While we do this to try to teach kids about lying – bycatching them in a lie – Bronson says it’s better to nottempt them to lie. Tell your toddler that drawing on thewall is against the rules or ask your night-owl teenager:“Why did you get in so late?”

You can decide whether consequences are needed orfigure out if there are ways to avoid the situation in thefuture. (Keep the markers out of reach if you’re not pres-ent, or ask your teen to call so you won’t worry).

5Be careful about forbidding tattling. From the timethey start school, and sooner if they have siblings,we tell kids not to tattle-tale. But the message,

effectively, can be “Don’t tell us the truth. Be loyal to yourbrother, or your friend, but not to us.”

And then when children get older and start to lie, orsimply not tell us the truth, about what their friends aredoing, we wonder why, Ekman and Bronson say.

That’s not to say that you need to listen to your kids rateach other out for every little infraction. But don’t issueblanket “don’t tattle” rules. Be specific. Tell them to try towork it out first or to only tell an adult if someone is hurtor about to get hurt.

6Explain why the truth is important. The bottom lineis that children need to understand why lying isbad, something they can comprehend at different

levels at different ages. Young children may have a hardtime understanding the concept of trust but they do under-stand fairness. Explain, for example, that you can’t playChutes and Ladders if one player is lying and that peopledon’t want to play with a liar, Ekman suggests.

By age 8 or 10, you can begin to talk to children aboutissues of trust and reputation.

“By the time they get to be 11 or 12, you can really getinto the issue of trust and how relationships end. Even ifpeople want to trust a liar, they can’t do it if they havebeen betrayed,” he says.

Because all children are bound to lie at some point, it’shard to know when to be concerned about it. If by age 10

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or 15, you, your school or someone else has noticed thatyour child is lying consistently, you may need help.

“It’s a warning sign. You need to talk to someone and fig-ure out what’s going on, whether there’s some other trou-ble,” Ekman says.

7Err on the side of believing your child. “Everybodybreaks rules, sometimes accidentally and sometimesdeliberately,” says Ekman. “Your kid will, at some

point, succeed in misleading you.

“The thing to worry about more is if your kid may betelling you the truth, and you don’t believe them,” he adds.“It’s much more damaging to the child, and to the relation-ship, to mistrust a child who is telling the truth.”

Janine DeFao is an associate editor with Dominion

Parenting Media.

(StatePoint) Each year, about 2.4 million people – morethan half under age 6 – swallow or have contact with apoisonous substance, according to the American Academyof Pediatrics. The mostdangerous potentialpoisons are medicines,cleaning products,antifreeze, windshieldwiper fluid, pesticides,furniture polish, gaso-line, kerosene and lampoil.

Most child poison-ings occur when par-ents or caregivers arehome, so it's importantnever to leave poison-ous substances withinreach of children, even for a minute. If your child comes incontact with a poisonous substance, and is unconscious,not breathing, or having convulsions or seizures due topoison contact, call 911 immediately. For mild or no symp-toms, call your poison control center at 1-800-222-1222.

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(StatePoint) – New parents want todo what's best for their babies.Parents should be sure the babies intheir life are on track with theirimmunizations.

Infants are born with natural immu-nity to some diseases, inherited fromtheir mothers, but this immunity soonwanes and is gone by 6 months.That’s why pediatricians start immu-nizing infants against infectious dis-eases at birth – by the time theirinherited immunity is gone, they willbe protected by vaccines.

“The diseases we immunize infantsagainst are all still here, includingmeasles, whooping cough, and Hibmeningitis,” says Dr. O. MarionBurton, president of the AmericanAcademy of Pediatrics (AAP). "These diseases are dangerousand sometimes deadly. In California, 10 infants died ofwhooping cough, or pertussis, in 2010, the worst epidemicin more than 40 years."

Other states across the country have seen similar whoop-ing cough epidemics as well as outbreaks of other vaccine-preventable diseases. That’s why it’s important to vaccinateinfants against pertussis as soon as they are old enough -–around 2 months -– and to follow the recommended sched-ule for other vaccines.

The AAP recommends the following immunization sched-ule during the first year:

• Hepatitis B vaccine at birth, 1-2 months, and 6-12months.While adults exposed to hepatitis B have only a 10percent chance of becoming chronic carriers of the virus,babies have a more than 95 percent chance of developingsevere health problems, including liver cancer, if they areexposed. Children can become infected from other children,caretakers, family members or friends who may not knowtheir own hepatitis B status.

• Rotavirus, Diphtheria, Tetanus, Pertussis, Haemophilusinfluenzae type b, Pneumococcal, and inactivatedPoliovirus vaccine between 2 and 18 months. Immunization

has made these diseases relatively rare in the United States,but they are not eradicated, and so they remain a constantthreat to infant health. Vaccination is the only way to notonly protect your child, but prevent an outbreak in yourcommunity.

• Yearly influenza vaccine after 6 months of age.Influenza is an unpredictable virus and in some childrenwill cause severe illness, even death. Influenza kills scoresof children every single year, according to the Centers forDisease Control.

• Measles, Mumps, Rubella, Varicella and Hepatitis Aafter 12 months. Measles cases in the United States are usu-ally “imported” by people who travel outside the UnitedStates, become infected and return home. The virus is socontagious, that unvaccinated persons nearby may becomesick. This happened in 2008, when an infected travelerexposed dozens of other people, including children whohad not been immunized.

The AAP advises parents to adhere to their pediatrician'srecommendations regarding vaccine schedules. It is the bestway to ensure children are protected from diseases whenthey are most vulnerable.

For more information on immunizations and how to bestprotect your child, visit www.aap.org/immunization.

Health & Safety

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Immunizations will keep your baby happy and healthy. (C) MONART DESIGN - FOTOLIA.COM


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Akidemy Korner andLearning Center

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Cross Lutheran Pre School &Childcare

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830-608-9588

St. Paul Lutheran Preschool181 Santa Clara S


The Morgan Center, LLC1215 Ervendberg Ave.


Through a Child’s Eyes2047 E. Common St.


Through A Child’s Eyes #21278 Hillcrest Dr.


Triple L Ranch ChildDevelopment Center737 County Line Rd.


Schertz/Selma

Brighter Futures LearningCenter

1213 Borgfeld Road @ FM3009

Schertz, TX 78154210-566-1999

www.brighterfutureslc.com

La Petite AcademySavannah

1201 Savannah Dr.Schertz, TX 78154

658-0518

Mary’s Little Lambs1271 Oak

Schertz, TX 78154658-8170

Our Lady of Perpetual HelpChild Development Center

16075 N Evans Rd.Selma, TX 78154

651-6819www.olphselma.org/

Play Today, Inc.17319 IH 35 N, Suite 302

Schertz, TX 78154651-3610

www.playtodaydropin.com

Schertz Christian Academy1002 Live Oak Drive,Schertz, TX 78154

210-845-0191www.schertzchristianacade-

my.com

Schertz First BaptistPreschool600 Aero

Schertz, TX 78154658-0488

Texas Heritage Children’sRanch

10725 E FM 1518 NorthSchertz, TX 78154

659-1033www.txheritagechildren-

sranch.com

Tiny Tot Learning Center4720 FM 1518 W Selma, TX 78154

651-0039

Universal City

Autrey’s Family Child Care& Learning Center238 E Aviation Blvd

Universal City, TX 78148255-8876

Dreamland ChristianAcademy840 N. Blvd


First Baptist Academy1401 Pat Booker Rd.


Ms. Annie’s Daycare andLearning Center

2001 Pat Booker Rd.Universal City, TX 78148

290-8533

New Life Fellowship ChildDevelopment Center11225 East Loop 1604Universal City, TX 78148

566-9900

Play Time Drop In Childcare2921 Pat Booker Rd. STE

104Universal City, TX 78148

566-6011

Universal City UnitedMethodist Preschool

90 Winn Ave., UniversalCity, TX 78148658-5761

www.ucumpreschool.com

UCUM preschool is anationally accredited(NAEYC) program that servesthree and four year olds.Classes are half day and aretwo, three or four days aweek. Longer days can bearranged by adding LunchBunch. We believe childrenlearn best through hands onactivities, discovery andplay.

Central

1.2..me…Childcare2910 Hillcrest

San Antonio, TX 78201734-7515

A Blessed Child1722 Texas Ave


Alice in Wonderland1060 Delgado St.


Antioch Christian Academy227 Eross St.


Blessed Sacrament LearningCenter

222 Cevallos W.San Antonio, TX 78204

223-5013

Big Bird Day Care Center1810 W. Thorain


Career Point Institute DayCare Center

571 Spencer LaneSan Antonio, TX 78201

732-3000

Central Christian ChildCare Center720 N Main


www.cccsa.org

Discovery School222 Salem


Ella Austin Child Center

1023 N. Pine StreetSan Antonio, TX 78202

224-2351

First Baptist San Antonio515 McCullough AveSan Antonio, TX 78215

226-0363www.fbcsa.org

First Presbyterian ChurchChildren’s Center404 N Alamo


GOD’s Children Daycareand Learning Center1521 Culebra Rd.


Good Samaritan Center1600 Saltillo


Grace Lutheran Day School504 Avenue E (atMcCullough)

San Antonio, Tx 78215(210)226-9132

www.gracesa.org/dayschool

Green Acres Child CareCenter

1303 S. MainSan Antonio, TX 78204

223-3107

Healy-Murphy ChildDevelopment Center

122 NolanSan Antonio, TX 78202

224-9569

Hosanna Full GospelChurch Child Care Center

244 SherwoodSan Antonio, TX 78201

734-7884

House of NeighborlyService

407 N. CalaverasSan Antonio, TX 78207

434-2301

Immaculate ConceptionKindergarten and Nursery

2407 W TravisSan Antonio, TX 78207

226-3934

Inman Christian Center1214 Colima

San Antonio, TX 78207



222-9641

Kids’ Paradise Day Care2508 Buena Vista


Kriterion A MontessoriSchool

611 W AshbySan Antonio, TX 78212

735-9778www.kriterion.com

Laurel Heights UnitedMethodist Church Child

Care234 W Mistletoe


www.laurelheights-umc.org

Lil’ Dragon Again Daycare3655 Fredericksburg Rd.San Antonio, TX 78201

735-5504

Lil’ Munchkins4704 San Pedro


Little Learning Center1730 W. Huisache AveSan Antonio, TX 78201

733-9300

Los Angeles Heights ChildDevelopment Center

802 CatalinaSan Antonio, TX 78201

732-5641

Madison Square Children’sCenter

319 Camden St.San Antonio, TX 78215

226-1920

Magnolia Avenue DaycareCenter

1710 Magnolia WSan Antonio, TX 78201

737-6859

My First Step1734 Poplar W.

San Antoniom TX 78207731-9633

Over the Rainbow ChristianDay Care I

2617 N. Zarzamora San Antonio, TX 78201

732-8698

Precious Angels Christ

Daycare and LearningCenter

302 CincinnatiSan Antonio, TX 78207

736-9400

Small Steps ChildDevelopment Center810 &812 West Ave.San Antonio, TX 78207

785-9494

St. Anthony Catholic SchoolKatherine Ryan Program

205 W. HuisacheSan Antonio, TX 78212732-8801 Ext. 120 www.stanthonysa.org

St. John’s Lutheran DaySchool

502 E NuevaSan Antonio, TX 78205

225-2392

St. Paul’s EpiscopalMontessori School1018 E. Grayson


www.stpauls-satx.org

San Antonio College ChildDevelopment Center 210 W. Ashby PlaceSan Antonio, TX 78212

486-0530

Study Hall Learning Center4106 San Pedro


Sunshine Cottage603 Hildebrand

San Antonio, Texas 78212(210) 824-0579

www.sunshinecottage.orgSunshine Cottage teaches stu-dents with hearing impair-ment (pre-K through 12thgrade) using the auditory oralmethod. The Parent-InfantProgram (birth-3 years of age)is dedicated to supporting,educating, and guiding par-ents help their baby learn tolisten and talk. Newbornhearing screening is availableby appointment.

Ties-N-Bows LearningCenter

1334 Basse Rd.San Antonio, TX 78212

737-8437

University PresbyterianChildren

300 BushnellSan Antonio, TX 78212

734-3035

Wee Care Daycare Center1203 Burleson


VIA Child DevelopmentCenter

711 W. LaurelSan Antonio, TX 78212

362-2230

North Central

Abiding Presence LutheranDay School

14700 San PedroSan Antonio, TX 78232

491-9565

Acorn School for YoungChildren

3501 BroadwaySan Antonio, TX 78209

826-8804www.theacornschool.net

Alamo Heights PresbyterianChild Development Center

6201 BroadwaySan Antonio, TX 78209

822-3213

Alamo Heights UnitedMethodist Weekday School

825 E Basse Rd.San Antonio, TX 78209

826-2412

Arc-A Caring ChoiceNortheast

13430 West Ave. San Antonio, TX 78216

490-4300

Blessed Sacrament ParishChild Development Center

102 Sharon Dr.San Antonio, TX 78216

824-1392

Castle Hills First BaptistDaycare & Preschool2220 N.W. Military


Castle Hills Learning Center8030 Blanco Rd.


Child Montessori School2829 Hunters GreenSan Antonio, TX 78231

493-6550www.childmontessori.square

space.com

Children’s LighthouseLearning Center @ Stone

Oak20906 Gathering OakSan Antonio, TX 78258

495-2223www.childrenslighthousesa.c

om

Christ Lutheran Day School6720 Broadway


Christ Our Savior Daycare5323 Blanco Rd.


Christian Heritage Preschool16316 San Pedro


www.chs-kids.com

Circle School217 Pershing Ave.


www.thecircleschool.org

Clever Camp Kids LearningCenter

5509 Blanco Rd.San Antonio, TX 78216

340-5574

Coker Day School231 E North Loop Rd.San Antonio, TX 78216

494-5061www.coker.org

Colonial Hills UnitedMethodist Child

Development Center5247 Vance JacksonSan Antonio, TX 78236

349-1092www.colonialhills.info

Our curriculum and devel-opmentally appropriate envi-ronment helps children growemotionally, physically, spiri-tually and intellectually. Wedevelop self esteem, social-ization and skills for life.

Community Bible ChurchDay School

2477 North Loop 1604 E




www.communitybible.com

Country Kids Academy21002 Encino Commons

Rd.San Antonio, TX 78259

403-2458www.countrykidsacademy.c

om/

Crown of Life Lutheran Pre-School

19291 Stone Oak Pkwy.San Antonio, TX 78258

490-9860www.crownoflifesa.org

Educare Child Care Center,Inc.

3838 West Ave.San Antonio, TX 78213

979-9219

Gan Gani Preschool14541 Blanco Rd.


www.gangani.org

Harvest Kids World KDOLearning Center

1270 N. Loop 1604 ESan Antonio, TX 78232

496-2277

Heintz Preschool16550 Huebner Rd.San Antonio, TX 78248

479-0307

I’m Just Kid!323 W. Sunset


Just Kids Christian LearningCenter

3060 Olmos Creek Dr.San Antonio, TX 78230

492-8840

Kids R Kids Schools ofQuality Learning1909 W Bitters


www.krksa.comKids R Kids Schools of

Quality Learning provides aclean, safe and educationalenvironment for childrenand their families. Kids RKids offers academic cur-riculum for all ages, beforeand after school program

with enrichment activities,closed circuit monitoring

and age-appropriate outdoorplay areas.

Kids R Kids QualityLearning Center

21780 Hardy Oak Blvd.San Antonio, TX 78258

496-1200www.krksa.com

Kids R Kids Schools ofQuality Learning provides aclean, safe and educationalenvironment for childrenand their families. Kids RKids offers academic cur-riculum for all ages, beforeand after school programwith enrichment activities,closed circuit monitoring

and age-appropriate outdoorplay areas.

La Petite Academy1107 W Bitters Rd.


www.childtime.com

Little Farm School5038 West Avenue


Little House Day Care1638 Basse Rd.


Luv N Care ChildDevelopment Center13211 Huebner Rd.San Antonio, TX 78230

696-5677

Little House Day Care1638 Basse Rd.


Montessori Schoolhouse 10711 Dreamland Dr. San Antonio, TX 78230

341-0731 www.mymontessorischool-

house.comMontessori Schoolhouseprovides a stimulating envi-ronment for children begin-ning at 18 months. We arelocated in a quiet four acrewooded setting. Our tradi-tional Montessori curricu-lum includes Music,

Spanish and Motor SkillsPrograms.

Before and after school careavailable.

Mount Sacred Heart School619 Mount Sacred Heart

RoadSan Antonio, TX 78216

342-6711www.mountsacredheart.comMount Sacred Heart is a pri-vate, coeducational Catholicschool committed to qualityeducation. A faith-based

community fostering person-al uniqueness and develop-ment of the whole person.

Northwood PresbyterianDay School518 Pike Place


Pinnacle Montessori atNorth San Antonio

19730 Bulverde Road, SanAntonio, TX 78259210-577-1773

www.pinnaclemontessori.com

[email protected]

Primrose School ofHuebner Village2410 Huebner Park


www.primrosehuebnervil-lage.com

Providing the highest qualityin early childhood educa-tion, Primrose Schools, anaccredited private pre-school, develops childrenacademically, socially andprompts character develop-ment through its proprietybalanced learning curricu-

lum.

Primrose School of StoneOak

689 Knights CrossSan Antonio, TX 78258

481-1913www.primroseschool.com/st

oneoak

Rainbow Station Preschool322 E Sonterra Blvd.San Antonio, TX 78258

495-5222www.rainbowstation.org

St. Andrew’s UnitedMethodist Church Day

School722 Robinhood


www.saumc.com

St. David’s Episcopal School 1300 Wiltshire


www.saintdavids.net

St. George Episcopal School 6900 West Ave.


www.saintgeorgeschool.org

St. Luke’s Episcopal School11 St. Luke’s Lane


www.sles-sa.org

St. Mark’s CatholicPreschool & Nursery

1602 Thousand Oaks Dr.San Antonio, TX 78232

494-9282www.stmarkevangelist.com

St. Peter Prince of theApostles School112 Marcia Place


www.stpeterprince.org

St. Thomas Episcopal School1416 N Loop 1604 ESan Antonio, TX 78232

494-3509

Shearer Hills Baptist EarlyLearning Center 12615 San Pedro


Shepherd King ChristianDay School

303 W RamseySan Antonio, TX 78216

344-1703www.shepardkingluter-

anchurch.org

The Bilingual ChildAcademy

www.bilingualchildacade-my.com

[email protected] soon! A BilingualEnrichment Center conve-niently located in Far NorthCentral San Antonio!

Spanish immersion! DualLanguage Preschool, Hands-on Fun, computer lab, afterschool Elementary Spanish

and much more.



Visit our website for moreinformation.

Tender Hearts Preschooland Academy

10715 West AvenueSan Antonio, TX 78213

897-4419

Thomas JeffersonSchoolhouse

3110 NW Loop 410San Antonio, TX 78230

310-6946We are now accepting chil-dren 24 months of age andwill assist with the potty-training process. Let yourchild experience the differ-ence of a Reggio Emiliainspired program. Ourschool provides a strongeducational foundationusing a phonetic approach toreading and the MontessoriMethod. Top-quality educa-tion does not have to cost afortune!

Trinity Church & ChristianAcademy:

Blanco Preschool1323 Brookstone


www.trinitychurch.comWe offer curriculum thatincorporates learning cen-ters in science, art, music,library and dramatic play.Activities include dance,computer and motor skillsclasses and pre-kindergartenABEKA program for 4 & 5year olds.

The Goddard School21785 Hardy Oak


www.goddardschool.comWhether gently holdinginfants, encouraging tod-dlers to share, or providingpreschoolers with enrichingactivities, The GoddardSchool ® supports thehealthy development ofchildren from 6 weeks to 6

years.

The Wright Start LearningCenter

6411 Vance JacksonSan Antonio, TX 78230

558-6882

South Central

Bizzy Beez Child CareCenter

4647 RooseveltSan Antonio, TX 78214

927-1340

Blessed Sacrament AcademyChild Development Center

1135 Mission Rd.San Antonio, TX 78210

532-5363www.bsacdc.org

Carino Child Care Center435 Sims Ave.


Jennie & Mikie’s Child Care1110 Halliday Ave.


La Mision Summer KidKamp

2211 S. Hackberry St.San Antonio, TX 78210

534-3836

Lil Tikes Day Care Center2710 Tortuga St.


Little Friends Day CareCenter

405 WaltonSan Antonio, TX 78225

927-6762

Little Wonderland ChildCare

510 W. Theo Ave.San Antonio, TX 78214

534-6324

Michael’s Child Care Center645 Kayton Ave.


Palm Heights Baptist School1106 W Malone Ave.San Antonio, TX 78225

923-8600

Poppys Kiddie Kampus1134 Gillette Blvd.


Ray Ellison Family CenterPalo Alto College1400 W. Villaret


Southern Angels Day Care

Center102 Octavia Pl.


Teeter Totter Child CareCenter

6031 S. Flores, Suite 101San Antonio, TX 78214

932-2029

Tot spot Children’s Daycare6503 S. Flores St.


East

Carmelite Learning Center2006 Martin Luther King Dr.San Antonio, TX 78203

533-0651

Eman Christian Academy903 S WW White Rd.San Antonio, TX 78220

333-0166

Holli Hills Day Care Center2430 Wayne


Jubilee Child DevelopmentCenter, LLC

2931 S. W.W. White Rd.San Antonio, TX 78222

337-7727

Kids Zone Christian DayCare

111 Dunaff St.San Antonio, TX 78219

333-7192

Little Red School HouseDay Care Center2511 SW White Rd.San Antonio, TX 78222

337-6677

Nanny Nite Child Care3155 Ackerman Rd.San Antonio, TX 78219

656-2669

Our Second Home5635 FM 78


Pecan Valley Child CareCenter

4359 Greco Dr.San Antonio, TX 78222

333-2128

Safari Learning Center5430 Old Seguin Rd.San Antonio, TX 78219

661-6055

St. Phillips College ChildDevelopment Center2207 Wyoming


Stephanie’s Angels1411 Upland Rd.


North East

All Kids 1st LearningAcademy

270 Antrim Dr.San Antonio, TX 78218

822-7777

Bo Peep Learning Center12919 Park CrossingSan Antonio, TX 78217

655-2822

Bright Kid’s Day Care4230 Clear Spring


Brighton School14207 Higgins Rd.


www.brightonsa.org

Career Point Day School3939 Thousand OaksSan Antonio, TX 78247

590-7393

Castle Hills Learning Center2769 Nacogdoches Rd.San Antonio, TX 78217

826-5650

Childhood ExpressionsPreschool

8101 MidcrownSan Antonio, TX 78239

655-9350

The Children’s Greenhouse10500 NacogdochesSan Antonio, TX 78217

599-1028

Christian World LearningCenter



6633 Walzem Rd.San Antonio, TX 78239

657-5262

Deja Discovery LearningCenter

12995 IH 35 NSan Antonio, TX 78233

637-1331

Discovery World LearningCenter

6020 FountainwoodSan Antonio, TX 78233

655-6941

Educational Daycare Center3203 Nacogdoches Suite

200San Antonio, TX 78247

653-2197

Eisenhauer Rd. BaptistSchool & Day Care3950 Eisenhauer Rd.San Antonio, TX 78218

655-6831

Future GenerationsDaycare and Learning

Center7608 Narrow PassLive Oak, TX 78233

653-4227

Happyland Day CareCenter

4168 Stahl Rd.San Antonio, TX 78217

654-9090

Holy Trinity PresbyterianDay School

16245 Nacogdoches San Antonio, TX 78247

599-7640

Kare Bears Day Care4530 Walzem Rd.


Kids-R-Delightful11211 O’Connor Rd.San Antonio, TX 78233

650-4022

Kids R Fun13032 Nacogdoches Rd.

#204-207San Antonio, TX 78217

650-5437

Kids R Fun #2 4503 Thousand OaksSan Antonio, TX 78233

590-2005

King of Kings Child CareCenter

13888 DreamwoodSan Antonio, TX 78233

656-6509www.sakingofkings.com

Kool Kids Learning Center15656 Classen


www.koolkidslc.com

Loving Christian LearningCenter

4222 Sunshadow St.San Antonio, TX 78217

650-4258

MacArthur Park LutheranSchool

2903 NacogdochesSan Antonio, TX 78217

822-5374

Ms. Annie’s Daycare Center12134 El Sendero


New Horizons School3700 Ridge CountrySan Antonio, TX 78247

494-7022

Nite-Owl Child CareCenter

11220 Perrin Beitel #114San Antonio, TX 78217

599-1095

Northern Hills UMC DaySchool

3703 N Loop 1604 ESan Antonio, TX 78247

654-8406www.nhumc.org

Precious Angel LearningCenter & Daycare13777 Judson Rd.


Resurrection Children’sCenter

5909 Walzem Rd.San Antonio, TX 78218

655-0451

Saint Mary's Hall9401 Starcrest Dr.


www.smhall.org

[email protected]

San Antonio Country DaySchool

4194 Jung Rd.San Antonio, TX 78247

496-6033www.countrydayschool.netSan Antonio Country DayMontessori School is an aca-demically rich Montessorienvironment for students 21/2 - 6th grade. Preschoolprograms include two, three,and five days per week. Calltoday to apply.

St. John Neumann CatholicSchool

6680 CrestwaySan Antonio, TX 78239

654-9512www.stjohnneumannsa.org

St. Margaret’s EpiscopalDay School5310 Stahl Rd.


www.stmargarets.us

St. Matthews UnitedMethodist Day Care2738 MacArthur ViewSan Antonio, TX 78217

826-4850

St. Pius Catholic School7734 Robin Rest DriveSan Antonio, TX210-824-6431

www.stpiuschool.orgSt. Pius X Catholic School isa parochial school commu-

nity, centered in theEucharist, where studentsgrow spiritually and aca-demically in a model-learn-

ing environment.

The Cherished Child at JohnCalvin Presbyterian

Preschool8102 Midcrown


www.johncalvinpresbyter-ian.org

The Growing Stage14435 Bulverde Rd.San Antonio, TX 78247

494-6841

Tree of Life Learning Center12525 Nacogdoches STE


646-7998

Trinity Preschool5401 N Loop 1604 ESan Antonio, TX 78247

653-2800www.trinitychristianacade-

my-sa.comWe offer curriculum thatincorporates learning cen-ters in science, art, music,library and dramatic play.Activities include dance,computer and motor skillsclasses and pre-kindergartenABEKA program for 4 & 5year olds.

South East

Bizzy Beez Child Care cen-ter

4647 RooseveltSan Antonio, TX 78214

532-5363

Good Shepherd LutheranDay Care

1630 Goliad Rd.San Antonio, TX 78223

333-0461www.goodshepherdluther-

an.com

Hands N Hands Childcareand Learning Center875 Hot Wells


Highland Hills ChildDevelopment Center3314 S. Gevers St.


Kids Corner LearningCenter

6003 Return Dr.San Antonio, TX 78214

923-2984

Kid Kountry Early LearningCenter

11708 Donop Rd.San Antonio, TX 78223

633-2600

Playtime Day Care11470 S Foster Rd.


The Children’s Academy4217 Clark Ave.

San Antonio, TX 78223





533-4500

Tot Spot Children’s Daycare6503 S Flores St.


Wee Friends Preschool &Day Care

3302 E Southcross Blvd.San Antonio, TX 78223

532-2224

West

Air Force Village Child Care12455 Freedom WaySan Antonio, TX 78245

838-6304

Angel Valley Christian DayCare

1305 SW Loop 410 #125San Antonio, TX 78227

673-3019

Gramma’s Place1911 Serene Valley


Happy Childcare andLearning Center3414 Culebra Rd.


Home Away From HomeChild Care

303 CedarhurstSan Antonio, TX 78227

674-2925

Little Smiles Day Care508 Cupples Rd. #5San Antonio, TX 78237

434-7135

Madonna NeighborhoodCenter

1906 Castroville Rd.San Antonio, TX 78237

432-2374

Marbach Christian ChurchDCC

8023 Marbach Rd.San Antonio, TX 78227

673-4538www.marbachchristian.net

Noah’s Ark Day CareCenter

6610 Hwy 90 WestSan Antonio, TX 78227

679-5956

Nonna Bear’s Play House9838 Misty Plain


Silver Spoons Preschool1627 Meadow Way


Temple of Praise Early ChildDevelopment Center1620 Pinn Rd.


Valley Hi Assembly of GodDaycare Center717 Cedarhurst


www.valleyhiag.org

Valley Hi Baptist Academy6623 SW Loop 410


Yogiland Too LearningCenter

2015 Bandera Rd.San Antonio, TX 78228

432-0253

YWCA Olga H. MadridCenter

503 Castroville Rd.San Antonio, TX 78237

433-9922

North West

A Blessed Child2351 Cincinnati


All My Children627 N Gen McMullenSan Antonio, TX 78228

438-1003

Apple Tree Day School10350 Bandera Rd. STE 200San Antonio, TX 78250

509-1919

ARC University Methodist5084 DeZavala


Blue Bonner LearningCenter

6810 Bandera Rd. Ste 1Leon Valley, TX 78238

520-7775

Bright Ideas ChildEnrichment

9433 Fredericksburg Rd.San Antonio, TX 78240

694-4622

Buttons N Bows9035 Huebner Rd.


Castle Hills Learning Center& Day Care #64638 Centerview


Children’s EnrichmentCenter

6739 CallaghanSan Antonio, TX 78229

342-4302www.childrensenrichment-

center.org

Children’Summit LearningCenter

2250 BenrusSan Antonio, TX 78228

435-7022www.childrens-summit.com

Discovery World LearningCenter

5455 Prue Rd.San Antonio, TX 78240

691-0064

Enrichment Academy7702 Eckhert Rd


Family Endeavors ChildCenter

9314 Ryder Dr.San Antonio, TX 78254

681-8350

First Mexican Baptist ChildDevelopment Center201 Meredith Dr.


Giant Steps Early LearningSchool

7900 Old Tezel Rd.San Antonio, TX 78250

521-6677www.giantstepsschool.com

Grace Point Daycare &

Preschool 9750 Huebner Rd.


www.gracepoint.org

Happy Child Childcare &Learning Center3414 Culebra Rd.


Hope Lutheran LearningCenter

5714 Callaghan Rd.San Antonio, TX 78228

433-2011

Humble Creek Ranch Youth& Sports Academy7430 Prue Rd.

San Antonio TX 78249509-8300

KidCare Drop-In4951 NW Loop 410San Antonio, TX 78229

682-1551

Kids’ Campus Child Care8036 Fredericksburg Rd.San Antonio, TX 78229

692-9224

Kids Campus Care Center II5440 Babcock Rd. Suite


558-0727

Kids of the Kingdom9943 Leslie Rd. (Corner of1604 and Braun Rd.)San Antonio, TX 78254

688-9171www.zionhelotes.org

Kids R Kids QualityLearning Center

10002 Camino BanderaSan Antonio, TX 78254

532-1100www.krksa.com

Kids R Kids Schools of quali-ty learning provides a clean,safe and educational envi-ronment for children andtheir families. Kids R Kidsoffers academic curriculumfor all ages before and afterschool program with enrich-ment activities, closed cir-cuit monitoring and ageappropriate outdoor play-house.

Kids R Kids – Liberty Field(210) 681-5437



10606 Liberty Field RoadSan Antonio, Texas 78254www.krklibertyfield.com

Kids 'R' Kids Liberty Field is alocally owned and operated.We are very proud of ourinnovative facility that pro-vides effective educationalprograms for children 6weeks through 12 years ofage. Our sincere love forchildren and strong beliefthat they should have a solidfoundation, in combinationwith Kids 'R' KidsInternational, the absoluteleader in its industry, makethe perfect choice for yourfamily's childcare needs. Ourschool is approximately19,000 square feet with 12classroom suites, a cafeteria,a computer room, a largeactivity gym for before andafter school students, and fivelarge play areas separated forage groups.

Kids World Day Care Center7790 Mainland


Kindercare Learning Center8680 Guilbeau


Kindercare Learning Centers 8031 Culebra Rd.


Little Red Caboose6304 Babcock


Montessori Earth School4911 Golden Quail


www.montessoriearth-school.com

Northwest Hills ChristianSchool

6585 Heath Circle Dr.San Antonio, TX 78250

522-1102

One for Autism Academy265 E Lullwood


www.OneForAutism.com

Playworks Early Childhood

& Youth Program9480 Braun Rd


www.playworks-cdc.com

The Pillars ChristianLearning Center

11040 Reed Road, SanAntonio, TX 78251210-523-2613

www.thepillarsclc.comThe Pillars Christian LearningCenter was established tooffer secure, innovative andcompassionate care for thechildren of the communityfrom infants to age 12. Allprograms are focused on theacademic, physical and spiri-tual development of the chil-dren. We take our teachingrole in your child’s earlylearning years very seriouslyand are committed to a phi-losophy of continuousimprovement. It is our beliefthat the key to early develop-ment is to reinforce academicteachings with a good dose ofcreativity and fun!

Primrose School at SonomaRanch

14075 Kyle Seale Pkwy.San Antonio, TX 78255

372-1488www.myprimeroseschool.co

mProviding the highest quality

in Early ChildhoodEducation. Primrose Schools,an accredited private pre-school, develops childrenacademically, socially andpromotes character develop-ment through its proprietary

Balanced LearningCurriculum.

St. George Maronite6070 Babcock Rd.

San Antonio, TX 78240 690-0410

www.stgeorgesa.org

St. Paul’s Catholic LearningCenter

1201 DonaldsonSan Antonio, TX 78228

738-8715

Shepherd of the HillsLutheran School6914 Wurzbach


www.shlutheran.org

Sonbeam Learning Center2200 Oak Hill


Suburban School5409 Encino Park RoadSan Antonio, Texas 78240

(210) 696-0213

Summerlin Child Care6387 De Zavala Rd.San Antonio, TX 78249

641-7337

The Mustard Seed EarlyLearning Center(210) 688-7003

11555 Galm Road #200Two miles outside Loop1604 & Shaenfield Roadwww.mustardseedelc.comThe mission of The MustardSeed Early Learning Center isto provide a learning com-munity in which each childis developing and growing inall areas of development –social, emotional, physical,cognitive and language.

Trinity United MethodistSchool

5319 Newcome Dr.San Antonio, TX 78229

684-5214www.trinityums.org

University United MethodistDay School

5084 De Zavala Rd.San Antonio, TX 78249

691-2704www.uumcsatx.org

UTSA Child DevelopmentCenter

6900 North Loop 1604 WLot 11


www.utsa.edu/cdc

Westover Hills LearningCenter

9340 Westover Hills Blvd.San Antonio, TX 78251

523-1505

Wheels for Kids ChildcareCenter

1827 Bandera San Antonio, TX 78228

438-1990

South West

Children’s Playhouse835 W. Southcross Blvd.San Antonio, TX 78211

924-2277

Heavenly Place ChildDevelopment Center1433 Sommerset Rd.San Antonio, TX 78211

924-7030

Little Clues Day Care Centerand Learning Center6103 S Zarzamora


Poppy’s Kiddie Kampus200 Briggs Ave.


Babysitting/Nannies

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Is bedtime a bad word at yourhouse? Do your kids fight sleep liketrained ninjas? Does the tuck-in processleave you tuckered out? If bedtime is abattle, night after night, sleep cues maybe your ticket to success.

Just what is a sleep cue? Called“sleep onset associations” by medicalprofessionals, sleep cues are the build-ing blocks of an effective bedtime rou-tine. When used consistently, sleepcues tell the brain that it’s time to slowdown and rest. With a few tweaks toyour evening rituals, you can create powerful sleep cues thatwill help everyone wind down and relax – even older kidswho shun lullabies and bedtime stories.

From the age of 6 months, children can develop associa-tions between certain events or objects and falling sleep. “Wesee this in animals and humans,” says sleep expert SusanRausch, M.D. “Babies and young kids learn that certain thingsin a certain sequence lead to sleep. Basically, A plus B plus Cplus D equals sleep.”

If this sounds like your kind of math, read on. These scientif-ically proven cues will help your brood wind down, feelsleepy, and actually want to go to bed.

CUE 1: MADE IN THE SHADE

A dark bedroom is important to healthy rest, according tosleep specialist Roslinde Collins, M.D. But darkness also playsa major role in sleep preparation; it cues the brain’s produc-tion of melatonin, known for regulating biological rhythms andhelping us feel sleepy.

Make it work for you: Create a peaceful, sleep-inducingatmosphere by dimming the lights after dinner. Stumblingaround in the dark isn’t necessary; just draw the shades andturn off unnecessary lights about an hour before bedtime.Collins recommends turning off or covering all light sources inthe bedroom, including lighted clocks, electronic toys, andscreens.

CUE 2: SOUND OF MUSIC

For an easier bedtime, make some noise. Consistently usingsound or music near bedtime creates a positive sleep associa-tion that cues relaxation. Whether you choose classical music,rainforest sounds, ocean waves, or plain old white noise, thetype of sound is less important than using it repeatedly. Overtime, the sound will signal to your child’s brain that sleepytimeis near.

Make it work for you: To incorporate noise into your bed-time routine, simply choose any type of sound you and yourfamily find soothing. Sound should be used early in the bed-time routine, says Rauch. Play soft music or white noise 30minutes to an hour before bedtime for a subtle yet effectivecue that it’s time for sleep.

CUE 3: NIGHTTIME SNACK

A bedtime bite to eat banishes hunger and provides animportant sleep cue that kids learn to associate with bedtime.Depending on what kids eat, snacks may help them fall asleepfaster, too. When paired with complex carbohydrates, trypto-phan-rich foods like meat, dairy, soy, or nuts can help kids feelsleepy – the insulin spike that follows carbohydrate consump-tion helps tryptophan enter the brain.

Make it work for you: Serve a wholesome snack about anhour before bed. Consider tryptophan-carbohydrate comboslike whole-grain cereal and milk, oatmeal cookies and


Bedtime Magic

by MALIA JACOBSON

Bedtime Magic:Unlocking the Power of Sleep Cues


cocoa, whole-wheat crackers and cheese, or sesameseeds sprinkled on half a peanut-butter sandwich.

CUE 4: SMELLS LIKE BEDTIME

Ancient folklore and modern science are in agree-ment about the calming effects of scents. Lavender aro-mas have been proven to slow the nervous system andpromote deep sleep. German researchers recentlyproved that the scent of Gardenia jasminoides has apowerful sedative effect. When used near bedtime, asoothing scent signals to your family that the day isover (and makes your house smell great, too!).

Make it work for you: Incorporate scent into yourevening ritual by gently simmering water infused withessential oils or vanilla extract, plugging in a child-safescent diffuser.

CUE 5: SLEEP SECURITY

Security objects like special blankets or stuffed ani-mals are powerful sleep cues, say Rausch. Sleep spe-cialists call these items “transitional objects” because

they ease the transition to slumber. They’re often thelast element of a bedtime routine and remain with thechild as she drifts off to sleep.

Make it work for you: According to Rauch, the idealtransitional object is one the child controls himself.Snuggling a stuffed toy is good, she notes, because achild can do this throughout the night as needed with-out getting up or waking others. Pacifiers, books, music,and well-loved toys all work well, as long as a parentisn’t called on to locate it, wind it up, or turn it on inthe middle of the night.

Keeping sleep cues simple is the key to their success,says Rausch: “Parents need to think about what theycan realistically do, every night.” Try a few cues onyour kids and see what magic unfolds. When bedtimeis a breeze, you’ll actually enjoy it. And, once the kidsare asleep, you’ll have energy left over for that pile oflaundry.

Malia Jacobson is a freelance journalist and mom who

writes frequently about children’s sleep and health issues.

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Crib-related injuries among babies and toddlers average 26per day, according to researchers who say this underscores theneed for safer design, proper use in the home and moreawareness among parents.

The study, published in the March 2011 issue of Pediatrics,looked at crib, playpen and bassinet injuries recorded in theNational Electronic Injury Surveillance System between 1990and 2008. During those 19 years, an estimated 181,654 chil-dren under age 2 were treated in emergency departments inthe United States for crib, playpen or bassinet injuries. Mostinvolved cribs, and the most common injury involved falls, thestudy found.

Researchers from the Center for Injury Research atNationwide Children’s Hospital in Ohio and the Departmentof Pediatrics at Ohio State University College of Medicineexamined both fatal and nonfatal crib-related injuries in thisfirst national study of its kind.

The study’s authors say the findings highlight the need forcontinued improvement in product design and continuedparental awareness about the proper use of cribs, bassinets andplaypens.

The injuries averaged out to 9,561 cases per year – an aver-age of just more than 12 injuries per 10,000 kids younger than2 years. Of the injuries reported, 83.2 percent involved cribs,12.6 percent involved playpens and 4.2 percent involvedbassinets. Falls accounted for 66.2 percent of the injuries,which included soft-tissue injuries or bone fractures. Injuries tothe head and neck were the most common and children under6 months were more likely to be hospitalized than older kids.

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If your child has a food allergy – or attendsa peanut-free classroom – then you knowhow serious this diagnosis in kids can be.

In December, a seventh-grader in Chicagodied after reportedly suffering an allergic reac-tion to food served at a classroom party,prompting renewed debate over Illinois poli-cies for handling food allergies in the schools.

Schools nationwide have confronted anincrease in food allergies over the last twodecades with policies that ban certain foodsfrom the classroom, school parties and desig-nated tables in the cafeteria. Restaurants andfood vendors now post signs urging customersto let servers know whether they have a food allergy beforeordering.

Food allergies – particularly those serious enough to causedeath if not treated immediately – are frightening, especiallyfor parents who must ensure that their kids are protected fromaccidental exposure to allergens outside the home. And mil-lions of kids in the United States (about 3 million in 2008,according to the national Centers for Disease Control) are cur-rently diagnosed with them.

But the upsurge in food allergy cases – tripling between1997 and 2006, government research shows – has promptedconcern, some skepticism and new thinking. Now, new feder-al guidelines suggest that parents and health providers paymore attention to how a food allergy diagnosis is made.

Among other things, the guidelines, released in Decemberby the National Institute of Allergy and Infectious Diseases(NIAID) and a panel of experts, stress that doctors should notrely on any single test to determine whether or not someone isallergic to a particular food.

TOOLS FOR A PROPER DIAGNOSIS

That recommendation suggests that the increase in foodallergy cases over the years has been accompanied by at leastsome misdiagnosis – probably because doctors rely too muchon blood tests or skin-prick tests alone.

Stanley Fineman, M.D., president-elect of the AmericanCollege of Allergy, Asthma and Immunology, was not involvedin writing the new guidelines, but says that only an allergist is

likely to test thoroughly enough for a good diagnosis of foodallergies. Anyone identified as having food allergies based on“one blood test in one office one time” might benefit from let-ting an allergist take a closer look, he says.

Tools an allergist might employ include taking a health his-tory, performing a full medical evaluation, a blood test, and askin scratch test. In some cases, these are supplemented bywhat Fineman calls a “cautious oral challenge,” where a childeats a very small amount of the food in question in an aller-gist’s office, where the doctor is equipped to deal with allergicreactions. (Don’t try this at home!)

A recheck might even be in order for children with a solidlydiagnosed food allergy, because many outgrow their allergiesover time.

Giving allergy-free kids the all-clear to eat a regular diet isimportant for good nutrition, notes Fineman, who is concernedabout kids who visit him “and they’ve had one blood test andbeen told they’re allergic to half a dozen different foods andthey’re on a restricted diet.” Frequently taboo are milk andeggs. “Those are two good sources of protein that childrenoften rely on,” he explains. “You don’t want to restrict thosefoods without a good diagnosis.”

TO EXPOSE OR NOT TO EXPOSE

Adding to concerns about the rise in food allergies are newdoubts about conventional medical thinking that children areless likely to be allergic to foods such as peanuts, milk, eggs,tree nuts or seafood if they aren’t exposed to these as babies.

The Jaffe Food Allergy Institute at the Mount Sinai School of

Health & Safety

New Thinking AboutDiagnosis – and Prevention– of Food Allergies in Kids

by CHRISTINA ELSTON


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Medicine in New York is involved in some groundbreakingresearch aimed at preventing allergies and asthma in high-riskchildren – kids with allergic reactions, eczema and a family his-tory of asthma or allergies. Researchers are studying whetherexposing babies and toddlers to tiny doses of common allergensthrough an oral vaccine will help trigger immunity.

Institute Director Hugh Sampson, M.D., who is also the insti-tute’s division chief of pediatric allergy and immunology, told theNew Yorker recently that he and other specialists now believeearly exposure could help prevent food allergies. Samson said healso thinks that an estimated 80 percent of infants allergic to eggsor milk will outgrow the allergy by their teen years and thatavoiding these foods may only prolong the time it takes to out-grow it.

STAY TUNED …

The initial guidelines from NIAID are meant to help healthcareproviders, and they include detailed definitions of food allergiesand information on how to diagnose, treat and manage foodallergies in patients. A “translation” for the general public is dueout this year.

AMONG THE POINTS STRESSED IN THE GUIDELINES:

• Scientific evidence does not support use of a blood test calledthe IgG assay, which looks for a type of antibody thought to sug-gest a subtle type of food allergy, to make allergy diagnoses.

• Oral food challenges (the gold standard) aren’t used oftenenough to confirm suspected cases of food allergy.

• People of all ages with a known food allergy should haveready access to self-injectable epinephrine in case of severe aller-gic reaction.

• Immunotherapy treatments – where someone is exposed tosmall amounts of an allergen over time to build tolerance – havenot yet been proven safe and effective in treating food allergies.

Meantime, if you’re pregnant or breastfeeding and trying tokeep your child from developing food allergies by monitoringyour own diet, the jury is still out. NIAID says there isn’t enoughevidence yet to say that avoiding or eating certain foods willincrease or decrease your child’s risk.

Christina Elston is a health writer and senior editor with Dominion

Parenting Media. Senior Editor Deirdre Wilson also contributed to

this article.

Did You Know?The most common food allergens in the U.S. are

egg, milk, peanut, tree nuts, wheat, crustacean shellfish,fish, and soy.

Source: National Institute of Allergy and Infectious Diseases

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Emergency InformationFill Out and Leave For Your Babysitter

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