Training Training Child Care Child Care ProvidersProviders

Healthy Child Care Healthy Child Care VirginiaVirginia

Virginia Department of Virginia Department of HealthHealth

Learning ObjectivesLearning Objectives Understand the Understand the unique climate and

culture of the child care environment of the child care environment

Be familiar with the Be familiar with the types of child caretypes of child care and accompanying standardsand accompanying standards

Recognize the differences between Recognize the differences between State State AgencyAgency Licensing Standards, Virginia Licensing Standards, Virginia Code and Nationally Recognized Best Code and Nationally Recognized Best PracticesPractices

Understand the importance of Understand the importance of policies and policies and proceduresprocedures in a child care environment in a child care environment

  

Learning Objectives Learning Objectives (continued)(continued)

Understand the role of a Understand the role of a trainer trainer versus a child care health versus a child care health consultantconsultant

Review Review adult learning styles, adult learning styles, training tips and toolstraining tips and tools

UnderstandUnderstand basic consulting basic consulting through a case scenario examplethrough a case scenario example

Why is Child Care Training Why is Child Care Training Important?Important?

In Virginia, In Virginia, approximately 65% approximately 65% of children are in a of children are in a child care settingchild care setting

An infant in full An infant in full time, full day, year time, full day, year round child care will round child care will spend more time spend more time total in child care total in child care than in time spent in than in time spent in school school Kindergarten Kindergarten through 12through 12thth grade! grade!

Child Care ProvidersChild Care Providers Minute to Minute Minute to Minute

responsibility of responsibility of providing careproviding care

Educators of Educators of young children young children (not “babysitters”)(not “babysitters”)

Videotape/DVDVideotape/DVD ““Spend the Spend the

Morning with a Morning with a Child Care Child Care Director”Director”

Most Common Types of Most Common Types of Child Care in VirginiaChild Care in Virginia

Child Day CentersChild Day Centers

Family Day HomesFamily Day Homes

Religious ExemptReligious Exempt

Other –au pair/nanny, Other –au pair/nanny, family member, family member, residential center, residential center, foster carefoster care

What Governs Child What Governs Child Care?Care? The The Code of VirginiaCode of Virginia outlines outlines

provisions of the law in Virginia.provisions of the law in Virginia.

The Virginia Standards for Licensed The Virginia Standards for Licensed Child Day CentersChild Day Centers are the minimum are the minimum requirement for legal operation. requirement for legal operation. (These standards do not ensure (These standards do not ensure quality)quality)

The National Health and Safety The National Health and Safety Performance Standards (Caring for Performance Standards (Caring for Our Children)Our Children) are research based are research based guidelines for the highest level of guidelines for the highest level of quality child carequality child care

Licensed Child Day Center Licensed Child Day Center StandardsStandards

Promulgated by the Child Day Promulgated by the Child Day Care CouncilCare Council

Receive at least two inspections Receive at least two inspections per year though VDSSper year though VDSS

Updated June, 2005 including Updated June, 2005 including an increase in training an increase in training requirementsrequirements

Training Requirements for Training Requirements for Child Day Center StaffChild Day Center Staff

Staff who work directly with children Staff who work directly with children shall attend 12 hours annually of staff shall attend 12 hours annually of staff development activities (i.e. training) development activities (i.e. training) that shall be related to child safety and that shall be related to child safety and development. These hours will development. These hours will incrementally increase according to the incrementally increase according to the following schedule:following schedule:

June 1, 2007 – 14 hoursJune 1, 2007 – 14 hoursJune 1, 2008 – 16 hoursJune 1, 2008 – 16 hours

Staff Training Staff Training Requirements (con’t)Requirements (con’t)

These activities may include up to These activities may include up to two (2) hours of training in first aid two (2) hours of training in first aid or CPR.or CPR.

These activities may These activities may NOT NOT include include training in medication administration training in medication administration or daily health observation. These or daily health observation. These specialized trainings are a separate specialized trainings are a separate requirement!requirement!

Who should attend your Who should attend your training?training?

Daily Health ObservationDaily Health Observation At least one staff member At least one staff member

on duty must obtain on duty must obtain instruction in performing instruction in performing the daily health the daily health observation of children at observation of children at least every three yearsleast every three years

Who should attend your Who should attend your training?training?

Medication Administration Medication Administration TrainingTraining

Any staff member or Any staff member or independent contractor that independent contractor that administers prescription or over administers prescription or over the counter medication shall be the counter medication shall be trained by an RN, LPN, trained by an RN, LPN, physician or pharmacistphysician or pharmacist

Providers confused about Providers confused about Licensing Regulations?Licensing Regulations?

Refer them to their own licensing Refer them to their own licensing inspector through the Virginia inspector through the Virginia Department of Social Services. Department of Social Services. Direct link to search engine:Direct link to search engine:

http://www.dss.virginia.gov/http://www.dss.virginia.gov/facility/search/licensed.cgifacility/search/licensed.cgi

Licensed Family Day Home Licensed Family Day Home StandardsStandards

Standards set by Virginia Standards set by Virginia Department of Social Department of Social Services (VDSS)Services (VDSS)

Receive at least two Receive at least two inspections per yearinspections per year

Last updated in 1993Last updated in 1993

Religious Exempt Religious Exempt Standards*Standards*

Standards set by the Code of Standards set by the Code of VirginiaVirginia

Must register yearly with VDSSMust register yearly with VDSSOnly receive an inspection if Only receive an inspection if

there is a complaintthere is a complaint*may choose to be licensed *may choose to be licensed

Religiously exempt standards at may be viewed at Religiously exempt standards at may be viewed at

http://www.dss.virginia.gov/facility/exemptfact.htmlhttp://www.dss.virginia.gov/facility/exemptfact.html

Child Care PoliciesChild Care Policies Answer Answer What and What and

WhenWhen Incorporate philosophy Incorporate philosophy

of the Center/Providerof the Center/Provider Come from input from Come from input from

one or all of the one or all of the following:following:

DirectorDirector Staff Staff ParentsParents Advisory boardAdvisory board Regulations, CodeRegulations, Code

Child Care ProceduresChild Care Procedures Answer Answer How How and and WhoWho

Tell who is responsible, what Tell who is responsible, what steps or methods are to be steps or methods are to be followed and what followed and what documentation is needed.documentation is needed.

Include day-to-day and rare Include day-to-day and rare happeningshappenings

Must be clear to all staff and Must be clear to all staff and parents to be effectiveparents to be effective

Child Care Health Child Care Health Consultant (CCHC) vs. Consultant (CCHC) vs.

Child Care TrainerChild Care TrainerCCHCCCHC TrainerTrainer

Completes 32 hour VDH Completes 32 hour VDH sponsored course on sponsored course on child care health child care health consultationconsultation

Trainer eligibility may be Trainer eligibility may be predetermined by code of predetermined by code of Virginia/licensing Virginia/licensing requirementsrequirements

Formal long term Formal long term relationships with relationships with providersproviders

Informal, often “one-time” Informal, often “one-time” relationships with providersrelationships with providers

Activities may include Activities may include policy development, policy development, classroom observations, classroom observations, linking provider to linking provider to community resources community resources

Role limited to training on Role limited to training on chosen topics, although may chosen topics, although may also provide community also provide community resourcesresources

Effective Trainers:Effective Trainers:

Determine what child care Determine what child care providers want to learn and what providers want to learn and what they need to knowthey need to know

Understand adult learning stylesUnderstand adult learning styles Look for opportunities to present Look for opportunities to present

information in a context familiar information in a context familiar to child care providers.to child care providers.

Focus on relevant and practical Focus on relevant and practical informationinformation

A successful Agenda :A successful Agenda : Is realisticIs realistic Employs a variety of Employs a variety of

training methodstraining methods Includes an opening Includes an opening

activity/ice-breakeractivity/ice-breaker Addresses social Addresses social

needs of learners – needs of learners – honor breaks, start honor breaks, start and stay on timeand stay on time

Training TipTraining Tip Pikes 90/20/8 for effective trainingPikes 90/20/8 for effective training

90 minutes – length of learners 90 minutes – length of learners attention span before needing a 15 attention span before needing a 15 minute breakminute break

20 minutes – length of time a learner 20 minutes – length of time a learner can retain information presented in can retain information presented in one styleone style

8 minutes – a learner needs to 8 minutes – a learner needs to experience “active learning” every 8 experience “active learning” every 8 minutes – through discussion, writing, minutes – through discussion, writing, raising hand, asking a question, etc.raising hand, asking a question, etc.

Quality Training Quality Training includes:includes:

Visual Reinforcement (overheads, Visual Reinforcement (overheads, PowerPoint, flip charts)PowerPoint, flip charts)

Large Group DiscussionLarge Group Discussion Small Group WorkSmall Group Work Skills PracticeSkills Practice

Trainers need to address all types Trainers need to address all types of learning styles, non-English of learning styles, non-English

speaking groups and socio speaking groups and socio economic levelseconomic levels

Case ScenarioCase Scenario

You have been asked to train a group of You have been asked to train a group of child care providers on health child care providers on health observation to satisfy the specific observation to satisfy the specific training requirements for child day training requirements for child day center staff. After the class, the center staff. After the class, the director approaches you about the director approaches you about the children’s immunization records, stating children’s immunization records, stating that she has had trouble receiving and that she has had trouble receiving and keeping track of vaccination records keeping track of vaccination records from parents.from parents.

Case Scenario (cont)Case Scenario (cont)

What is your What is your best response best response to this call for to this call for help?help?

What does the Provider What does the Provider need need

to collect from parents?to collect from parents?• Immunization Immunization

Requirements Requirements for Child Day for Child Day Centers (Centers (22 22 VAC 15-30-VAC 15-30-150150 page 15 page 15 of “red book”)of “red book”)

Tickler Tickler Systems assist Systems assist providers in providers in keeping keeping records up-to-records up-to-date by date by alerting record alerting record keeper when keeper when vaccinations vaccinations are dueare due

How Can the Provider How Can the Provider Track Immunization Track Immunization

Records?Records?

Where can the Provider Where can the Provider find more information?find more information?

Immunization Action Coalition: Immunization Action Coalition: www.immunize.org www.immunize.org

Healthy Child Care Virginia – Immunization Fact Healthy Child Care Virginia – Immunization Fact Sheets- www.vahealth.org/childadolescenthealth Sheets- www.vahealth.org/childadolescenthealth follow link to HCCV.follow link to HCCV.

Division of Immunization, Virginia Department of Division of Immunization, Virginia Department of Health: http://www.vdh.state.va.us/imm/index.asp Health: http://www.vdh.state.va.us/imm/index.asp

Vaccines for Children (VFC) – link through Division of Vaccines for Children (VFC) – link through Division of ImmunizationImmunization

Providing Documentation Providing Documentation of a Trainingof a Training

Always add credentials after your Always add credentials after your signature. Knowing what you are signature. Knowing what you are authorized to teach is authorized to teach is YOURYOUR responsibility. responsibility.

Licensing requires documentation of what Licensing requires documentation of what is taught in a course. Leaving a list of is taught in a course. Leaving a list of learning objectives is a concise way to list learning objectives is a concise way to list what you covered in a training.what you covered in a training.

Training CertificateTraining Certificate Must contain:Must contain:

Participants nameParticipants name Your name and credentialsYour name and credentials Name of courseName of course Date of courseDate of course Expiration DateExpiration Date Length of course (in hours)Length of course (in hours)

Template can be found on our website:Template can be found on our website:http://www.vahealth.org/http://www.vahealth.org/

healthychildcareva/documents/healthychildcareva/documents/CertificateofmedadminTraining.doc CertificateofmedadminTraining.doc

ResourcesResources National Resource Center for Health and Safety in Child Care National Resource Center for Health and Safety in Child Care

http://nrc.uchsc.edu/TIPS/medadmin.htmhttp://nrc.uchsc.edu/TIPS/medadmin.htm

Healthy Child Care America Healthy Child Care America www.healthychildcare.orgwww.healthychildcare.org

Caring for Our Children: National Health and Safety Performance Caring for Our Children: National Health and Safety Performance Standards http://nrc.uchsc.edu/CFOC/index.html ; Standards Based Standards http://nrc.uchsc.edu/CFOC/index.html ; Standards Based Resources and Stepping Stones Resources and Stepping Stones http://nrc.uchsc.edu/SPINOFF/index.htm http://nrc.uchsc.edu/SPINOFF/index.htm

Virginia Department of Social Services Division of Licensing Virginia Department of Social Services Division of Licensing http://www.dss.virginia.gov/division/license/district.htmlhttp://www.dss.virginia.gov/division/license/district.html or call 1- or call 1-(800) KIDS-LIL )(800) KIDS-LIL )

Healthy Child Care Virginia Program/Virginia Department of Health Healthy Child Care Virginia Program/Virginia Department of Health (804) 864-7685 or email vacchcs@aol.com or visit (804) 864-7685 or email vacchcs@aol.com or visit www.vahealth.orgwww.vahealth.org

Virginia Board of Nursing Virginia Board of Nursing http://www.dhp.state.va.us/nursing/default.htm http://www.dhp.state.va.us/nursing/default.htm

Contact InformationContact Information

Claire Wood, RN, CCHCClaire Wood, RN, CCHC

Bethany Geldmaker, PNP, PhDBethany Geldmaker, PNP, PhDHealthy Child Care VirginiaHealthy Child Care VirginiaThe Virginia Department of HealthThe Virginia Department of Health(804) 864-7685(804) 864-7685vacchcs@aol.comvacchcs@aol.com

www.vahealth.org/www.vahealth.org/childadolescenthealth childadolescenthealth

Updated: 14-Sep-2006

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Curriculum Materials for Health Trainers

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Course Agenda and Materials for Child Care Health Consultants

Curriculum Materials for Health Trainers A.) Training Child Care Providers and additional resources

1. Training Child Care Providers 2. Deterring Emergencies 3. Emergency Preparedness - I t Pays to Prepare 4. Trainer's Evaluation Form 5. Curriculum Evaluation Form

B.) Medication Administration Medication Administration Training Phase I (J une 2005 through J une 2007) Medication Administration Phase I Addendums 1. Clarifications Regarding Medication Administration Training 2. Course Overview and Suggested Activities 3. Sample Certificate of Training

C.) Daily Health Observation Training for Child Care Providers D.) Standard Precautions and Bloodborne Pathogens (This powerpoint may be used if providers only require the 'bloodborne pathogen' component of the health observation training requirement. I f a provider is due for the full health observation training, the Daily Health Observation for Child Care Providers should be used as bloodborne pathogens and standard precautions materials are included.)

Contact Us:

Family Health Services- Early Childhood Health 109 Governor St., 8th Flr., Richmond, VA 23218 Phone: (804) 864-7685 • FAX: (804) 864-7722