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By American Academy of Pediatrics

...represents a consensus of some of the disciplines concerned with baby care, with the biggest contribution of genuine cont3ent coming from specialists in overall healthiness and safeguard

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Additional resources for Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Out-Of-Home Child Care

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COMMENTS: A large family child care home provider caring for more than six children and employing one or more assistants functions as a facility director. An operator of a large family-child-care home should be offered training relevant to the management of a small child care center, including training on providing a quality work environment for employees. For more information on assessing the work environment of family child care employees, see Creating Better Family Child Care Jobs: Model Work Standards, a publication by the Center for the Child Care Workforce (CCW) (21).

The option of child care in small family child care homes for children with special needs must include special requirements. Staff members need information about how to help children use adaptive equipment properly. Staff members need to understand how and why various items are used and how to check for malfunctions. If a problem occurs with adaptive equipment, the staff must recognize the problem and inform the parent so that the parent can notify the health care or equipment provider of the problem and request that it be remedied.

The director of any center or large family child care home shall provide this training to all newly hired caregivers before they begin to care for children. For centers, the director shall document, for each new staff member, the topics covered and the dates of orientation training. Staff members shall not be expected to take responsibility for any aspect of care for which their orientation and training have not prepared them. 022 STAFF WHO CHECK IMMUNIZATION RECORDS At least one caregiver shall have knowledge of childhood immunization requirements and shall be responsible for periodically reviewing the children’s immunization records to ensure that they are current.

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