Keep Children Safe in the Sun: Following Licensing Rules

Sunscreen is an over-the-counter medication. The FDA monitors it and labels it as an over-the-counter medication. This means that if a provider chooses to put sunscreen on children, the following licensing rules at centers need to be followed:

19 CSR 30-62.192(3)(A) The provider is not required to administer medication but may choose to do so.

19 CSR 30-62.192(3)(B) All medication shall be given to a child only with the dated, written permission of the parent(s) stating the length of time medication may be given.

19 CSR 30-62.192(3)(D) All nonprescription medication shall be in the original container and labeled by the parent(s) with the child’s name, and instructions for administration, including the times and amounts for dosages.

19 CSR 30-62.192(3)(E) All medication shall be stored out of reach of children or in a locked container.

19 CSR 30-62.192(3)(F) Medication shall be returned to storage immediately after use.

19 CSR 30-62.192(3)(H) Medication shall be returned to the parent(s) or disposed of immediately when no longer needed.

19 CSR 30-62.192(3)(I) The date and time(s) of administration, the name of the individual giving the medication and the quantity of any medication given shall be recorded promptly after administration. This information shall be filed in the child’s record after the medication is no longer necessary.

For Family Homes, these rules are the same, but the #’s are: 19 CSR 30-61.185(3)(A), (B), (D), (E), (F), (H), and (I).

License Exempt rules also support the above. 19 CSR 30-60.060(10)(A) through (G)
Although you are not required to administer sunscreen, rules do require that you protect the children from over-exposure to the sun. If you choose not to use sunscreen, you must demonstrate other ways that the children will be protected from the sun, such as shaded areas, hats and protective clothing, or changing the time of day that the children go outside.

It is the child care facility’s responsibility to protect the children in their care from the sun. Remember that if you choose to use sunscreen, you must follow all the licensing rules for over the counter medication to protect yourself from licensing violations.

Let's Get Messy!

I recently reviewed two books that are full of wonderful ideas for getting messy and having fun! These activities would be great for all ages, including school age children.

Both written by Nancy Blakey, the titles are: Lotions, Potions, and Slime: Mudpies and More and The Mudpies Activity Book: Recipes for Invention. Many of the activities would be good to do outside, but they could be used inside on rainy days.

Most children love messy activities, but children who have sensory issues may need to have the activities adapted by using gloves, wooden spoons, or other modifications.

Bubble Solution: The sheer volume of this recipe contributes to the fun of blowing bubbles! You’ll need 12 cups cold water, 1 cup liquid dish soap, 2 ounces glycerin (available from you pharmacy)

Pour the water into an empty one gallon container. Add the dish soap and glycerin, and shake gently to mix. Try blowing bubbles using foam cups with a pencil hole poked into the bottom, six pack rings, wire hangers bent into circles, jar lid rings, plastic berry baskets, or funnels.

Nest Pickings: What makes a nest? The children will be so surprised! Supplies: Onion bag, or any wide-webbed bag, wire hanger, foil, feathers, leaves, straw, yarn ,cotton, small twigs, moss, or strips of fabric.

Have your child pull the hanger into a diamond shape. Cut a small hole a the top of an onion bag for the top of the hanger to slip through, and let the children weave the nest pickings into the webbing of the bag in any configuration. Hang it outdoors in the spring and watch the birds choose their nest materials. Small groups of children could work together, and several could be hanging in the yard. What fun it will be to watch the birds create their nests from found materials!

Oobleck: Read the Dr. Seuss Book, Bartholomew and the Oobleck to the children, and then make Oobleck together.

You’ll need 1 box (1 lb.) cornstarch, 1½ cups cold water, 1 tablespoon food coloring, a plastic dish pan or a big bowl.

Mix the ingredients in the container with your hands until mixture is smooth.
Once it’s made, have kids try this: Squeeze the Oobleck in your fist. Now open up your hand. Draw a finger down the center of the solution in the tub. Pound on the Oobleck, then touch it gently with your palm. What happens?

If you touch Oobleck gently, it is soft and yielding like liquid. When you squeeze it or pound it quickly, it is hard and crumbly. Why? Cornstarch is ground up into such fine particles that the molecules line up like little plates. When you pound the Oobleck, the cornstarch plates are rigid. The kids will have so much fun with this mixture!

Sources:

Blakely, N. (1994) Lotions, Potions, and Slime: Mudpies and More! Berkeley, CA: Tricycle Press.

Blakely, N. (1994) The Mudpies Activity Book: Recipes for Invention. Berkeley, CA: Tricycle Press.

Written by Pam Raffurty, Director

Department of Social Services Market Rate Survey

It is time again for the Department of Social Services to conduct the Market Rate Survey. Every two years the federal government requires states to conduct a survey to determine the average fee child care providers charge for providing care. The survey collection period will be from July 1, 2010 through August 13, 2010.

This survey is sent to all child care providers who are licensed with the Department of Health and Senior Services, Section for Child Care Regulation. Participating child care providers will have the opportunity to either complete the survey by mail or to complete the survey online at http://www.dss.mo.gov/cd/childcare/index.htm (select 2010 Child Care Market Rate Survey). If completing the online survey, a Departmental Vendor Number (DVN) is required for tracking purposes. All responses are confidential.

Your response is critical. Information you provide on this survey may be used to determine subsidy reimbursement rates in the future. Your response will not only assist us in establishing the base market rate for child care, it will provide valuable public information about the child care market for Missouri’s public policy makers.

Look at the Whole Child to Solve Behavior Challenges

Children cannot always articulate their feelings, and their frustrations often show up as behavior challenges. Before a solution to behavior issues can be found, teachers must work to find the cause of the negative behavior. Put yourself in a child’s place, and see what his/her behavior might be telling you.

If I child shows:

Anger, defiance, refusal to participate...it might mean...I’m not able to do what you are asking—I have a delay in my brain/body.

Lack of attention to charts, books, big group activities...it might mean...Everything is blur to me, my brain is not seeing what you are telling me—I have a vision acuity or perception problem.

Not listening, not following directions, not responding to questions correctly...it might mean...I may not be able to hear you clearly-I have a language processing problem.

Hitting, shoving, taking items...it might mean...I cannot make my wants/needs known. Others cannot understand my words-I have a speech problem.

Self play, no friends, fear, outbursts, crying, attention seeking...it might mean...My heart is hurt, my emotions are not stable-I need a lot of extra TLC.

Refusal to do drawing, writing, cutting, or gluing...it might mean...I can’t do what you are asking me-I have a fine motor deficit.

Poor eater, eats too much, eats too fast, takes others food, picky eater...it might mean...My tummy REALLY does hurt everyday-I have anxiety, I’m hungry, I have hidden food allergies, or I just don’t feel right when I eat that food.

Cuss words, inappropriate sexual behavior, talking about sex, gestures...it might mean...Someone is sexually abusing me, I see things at home in real life or on TV that I shouldn’t see.

Doesn’t like outside play, doesn’t join in games, doesn’t use playground equipment...it might mean...My gross motor skills are not where they should be, I cannot keep up with my friends, or I cannot do what others can.

In constant motion, rough with others, intensely likes/dislikes touch, removing shoes or clothing, needs things in his/her hands a lot...it might mean...I have sensory issues—my body is telling me to do this behavior to quiet my senses—My body reacts differently than others.

Looking for the causes of behavior challenges can lead you to a solution and make the day much brighter for you and for the child. Sometimes the child may need more help than you alone can give. Some resources in your community might include: Family Services Division, doctors, counselors, psychologists, Child Abuse Hotline (In Missouri, 800-392-3738), First Steps, speech services, occupational therapists, Midwest Center for Autism Spectrum Disorders, Missouri School for the Deaf/Blind, and Workshop on Wheels CCR&R.

Written by Sarah Williams, Inclusion Specialist

We're on the Web! Are You?

You don’t have to be a technology whiz to effectively use the internet to promote your child care business and to keep parents informed.

The internet can be a fabulous tool for marketing your program, and websites don’t have to cost a fortune. In fact, many valuable sites, known as social media sites, are free! They are also easy to set up, and can be updated regularly to keep families informed about what their children do each day at child care.

Facebook is more than a way to keep in touch with friends. You can also create a profile for your child care program. Just create a new account, and invite families to become “friends” of your program. Families who choose to can receive updates you post as often as you like.

Share notes about upcoming events or daily activities. You can post photos of children in action throughout the day, and you can even upload videos if you choose (be sure you have a signed photo/video release from families before posting any images).

If you are concerned about privacy, never fear! You have the final say about who can see anything you post on Facebook. Under the “Account” button, click on “privacy settings” and make sure only “friends” can see your profile, pictures, and updates.

A great way to post more detailed updates regularly is through a blog. You can create a free blog site for your program using Blogger. Just click on “Create a blog” and follow the steps to choose a title, select from pre-made layouts, and get started creating your first post. (This blog uses Blogger, and our layouts are free templates from Leelou Blogs.)

Blogs are easy to update, and you can write longer, more detailed descriptions than on Facebook or Twitter. You can also post as many photos as you’d like so that families can feel in touch with their children all day long. Families who “follow” your blog can comment on posts and let you know their thoughts. Your blog can also be set so that only people approved by you can see what you post. Under “settings,” click on “permissions” to make the blog private.

You can also choose to include general information about your program on your blog’s home page, and consider the blog site your business website.

Twitter is another way to keep families informed about your program, and this site is also free. Twitter limits posts to 140 characters, so you’ll have to be brief! But one advantage is that parents can receive Twitter updates on their cell phones, and they’ll know instantly if their child is finger painting or digging in the sandbox today.

Find UCM Workshop on Wheels Child Care Resource and Referral online:
Website: www.ucmo.edu/workshop
Blog: http://workshoponwheels.blogspot.com
Twitter: http://twitter.com/UCMWOW

Written by Janet Robison, Training Coordinator

Why Children Bite, and What You Can Do about It

From twelve to twenty-four months of age, children may begin to bite. Although biting can be frustrating for both parents and caregivers of children who bite or are being bitten, biting is a normal stage of child development. Not all children are biters, but for those who are, there are ways you can deal with this issue.

Here are some reasons why children bite and suggestions for preventing biting.

Reason – Exploration: children learn through their senses.
Solution – Provide a variety of sensory and motor experiences that stimulate taste, touch, and smell.

Reason – Attention: some children become biters because it gives them the attention they need.
Solution – Give your child lots of positive attention, hugs, and nurturing conversation throughout the day.

Reason – Frustration: toddlers do not have the verbal skills to express their feelings and this leads to frustration. The environment can also be frustrating and lead to biting.
Solution – Help a toddler express feelings through words, and empathize with how the child is feeling. Keep large, open spaces to a minimum and a small number of children per caregiver in each room.

Reason – Teething: infants can begin teething as early as five to six months of age and continue into the toddler years.
Solution – Provide teething toys, clean frozen cloths, or frozen bagels for the toddler to chew. The cold sensation helps ease the pain.

Reason – Anxiety: biting may relieve tension youngsters are feeling.
Solution – Try to understand what the toddler is feeling and validate those feelings. Keep a routine schedule.

Reason – Imitation: children imitate others. If one child is biting, another child may imitate the behavior.
Solution – Model loving, nurturing behavior. Avoid giving too much negative attention to a child who bites.

Reason – Cause and effect: young children are very interested in reactions. They like to see what happens next. Children soon learn that when they bite, they hear a loud scream. Most toddlers are too young to understand they are hurting someone.
Solution – Provide toys which give reactions such as a jack-in-the-box, pop-up toys, squeaking toys, etc.

When a Child Bites
Speak firmly and maintain eye contact. You may say, “We do not allow biting people. If you want to bite, you may bite this (teething toy, frozen cloth, etc.), but you may not bite people.” Make sure to comfort the child that has been bitten, keep ice packs on hand and was the bite with soap and water. Include the biter in the comforting process.

If the biting continues, use the questions below to help you understand reasons why and what you can do.

Where did the biting occur?

Who was involved?

When did the biting occur?

What happened before the biting occurred?

What happened after? How was the situation handled?

Why do you think the biting might be happening?

What can you do to stop the biting from happening again?

This information was developed by The Family Conservancy from a variety of professional resources. This is not a standardized measurement tool.

Inviting Legislators to Visit Your Program

As a child care professional, you are an advocate for young children in your state. One way to “take action” is to contact your state or federal legislators and let them know how you feel about issues related to children. If you have called, you may have felt that the legislator didn’t understand how the issue could affect children.

If you’ve never contacted your Senator or Representative before, the Advocacy section of our website has information about how to find and contact your legislators.

“One of the best ways to help state and federal elected officials understand child care and early education in this country is to show them.” (Exchange 2009) Inviting legislators to visit your program can help them understand what you do, and how important it is to have quality child care facilities.

When legislators come to visit, they learn more than they would if you simply went to their office or talked with them via email or phone. Votes have changed because a legislator actually saw what was needed to maintain quality child care.

Mary Beth Salomone, Policy Director at the Early Care and Education Consortium (ECEC) says, “This is more than just a tour. This is an opportunity to show our elected officials what is really going on out there and what they need to do to create and support good policies. This is a chance for program providers to show that they really know best about what parents, children, and their staff need.” (Exchange 2009).

These visits can be used to share a message about the importance of high quality child care, and about what it takes to provide high levels of quality. The visits can be used to ask for help in areas such the Child and Adult Care Food Program, child care subsidies, how to make quality child care available to more families.

You follow the state rules and regulations in your program every day. You have to educate your staff, provide materials, select curriculum, cover your costs, and manage the program. You know what it takes to make your program a high quality child care facility.

Show the legislators examples of this in your classrooms. Make sure the visits include interactions such as:

Using circle time as a way to involve the visiting legislator. Suggest that he or she pull up a chair and join in the activity.

Invite the legislator at snack time or lunch time, and show him or her that this is an important part of learning and development.

Ask the legislator if he or she would like to read a story to the children.

Use this as a photo opportunity. Snap pictures of the children with the legislator.

The purpose of these visits is to gain support for issues that are important to you. You have invited the legislator to your program because there is something that you want or need him or her to do. Don’t be afraid to ask for what you want. This person was elected to serve you and your community!

Check out the ECEC website for a Site Visit Toolbox that can help you get started. It contains a guide to a successful visit, template invitation letters, and ideas for activities. You can get this information at: www.ececonsortium.org

Tips:

Remember that legislators may not be able to give more than 30 minutes to an hour for this visit.

Make sure to pick a day and time that will allow the legislator to see the program in action (when children are awake).

Involve the legislator in activities with the children.

By inviting legislators to visit your early childhood program, you can help members of Congress to see that:

High quality early care and learning programs exist.

The whole childhood from birth through school-age is important.

Play is learning, and child care is more than simply babysitting.

Child care is an important economic activity. Each center is a small business that supports lots of workers – both your own staff and local parents and families. Teachers, staff, and caregivers need and benefit from training and education.
Contact your legislators today about issues that are important to you, and consider inviting them to visit your program and see quality care in action.

Source:
Karolak, E; (2009). Getting legislators out of the statehouse and into your program: Another way to take action! Exchange Magazine, November/December 2009 pp36-38.

Written by: Jacki Turner, Referral and Data Specialist