1. Training Child Care Providers Healthy Child Care Virginia Virginia Department of Health

2. Learning Objectives Understand the of the child care environment Understand the unique climate and culture of the child care environment Be familiar with the types of child care and accompanying standards Be familiar with the types of child care and accompanying standards Recognize the differences between State Agency Licensing Standards, Virginia Code and Nationally Recognized Best Practices Recognize the differences between State Agency Licensing Standards, Virginia Code and Nationally Recognized Best Practices Understand the importance of policies and procedures in a child care environment Understand the importance of policies and procedures in a child care environment

3. Learning Objectives (continued) Understand the role of a trainer versus a child care health consultant Understand the role of a trainer versus a child care health consultant  Review adult learning styles, training tips and tools Understand basic consulting through a case scenario example Understand basic consulting through a case scenario example

4. Why is Child Care Training Important? In Virginia, approximately 65% of children are in a child care setting In Virginia, approximately 65% of children are in a child care setting An infant in full time, full day, year round child care will spend more time total in child care than in time spent in school Kindergarten through 12 th grade! An infant in full time, full day, year round child care will spend more time total in child care than in time spent in school Kindergarten through 12 th grade!

5. Child Care Providers Minute to Minute responsibility of providing care Minute to Minute responsibility of providing care Educators of young children (not “babysitters”) Educators of young children (not “babysitters”)Videotape/DVD “Spend the Morning with a Child Care Director” “Spend the Morning with a Child Care Director”

6. Most Common Types of Child Care in Virginia Child Day Centers Child Day Centers Family Day Homes Family Day Homes Religious Exempt Religious Exempt Other –au pair/nanny, family member, residential center, foster care Other –au pair/nanny, family member, residential center, foster care

7. What Governs Child Care? The Code of Virginia outlines provisions of the law in Virginia. The Code of Virginia outlines provisions of the law in Virginia. The Virginia Standards for Licensed Child Day Centers are the minimum requirement for legal operation. (These standards do not ensure quality) The Virginia Standards for Licensed Child Day Centers are the minimum requirement for legal operation. (These standards do not ensure quality) The National Health and Safety Performance Standards (Caring for Our Children) are research based guidelines for the highest level of quality child care The National Health and Safety Performance Standards (Caring for Our Children) are research based guidelines for the highest level of quality child care

8. Licensed Child Day Center Standards Promulgated by the Child Day Care Council Promulgated by the Child Day Care Council Receive at least two inspections per year though VDSS Receive at least two inspections per year though VDSS Updated June, 2005 including an increase in training requirements Updated June, 2005 including an increase in training requirements

9. Training Requirements for Child Day Center Staff Staff who work directly with children shall attend 12 hours annually of staff development activities (i.e. training) that shall be related to child safety and development. These hours will incrementally increase according to the following schedule: Staff who work directly with children shall attend 12 hours annually of staff development activities (i.e. training) that shall be related to child safety and development. These hours will incrementally increase according to the following schedule: June 1, 2007 – 14 hours June 1, 2007 – 14 hours June 1, 2008 – 16 hours June 1, 2008 – 16 hours

10. Staff Training Requirements (con’t) These activities may include up to two (2) hours of training in first aid or CPR. These activities may include up to two (2) hours of training in first aid or CPR. These activities may NOT include training in medication administration or daily health observation. These specialized trainings are a separate requirement! These activities may NOT include training in medication administration or daily health observation. These specialized trainings are a separate requirement!

11. Who should attend your training? Daily Health Observation  At least one staff member on duty must obtain instruction in performing the daily health observation of children at least every three years

12. Who should attend your training? Medication Administration Training  Any staff member or independent contractor that administers prescription or over the counter medication shall be trained by an RN, LPN, physician or pharmacist

13. Providers confused about Licensing Regulations? Refer them to their own licensing inspector through the Virginia Department of Social Services. Direct link to search engine: Refer them to their own licensing inspector through the Virginia Department of Social Services. Direct link to search engine: http://www.dss.virginia.gov/facility /search/licensed.cgi http://www.dss.virginia.gov/facility /search/licensed.cgi

14. Licensed Family Day Home Standards Standards set by Virginia Department of Social Services (VDSS) Standards set by Virginia Department of Social Services (VDSS) Receive at least two inspections per year Receive at least two inspections per year Last updated in 1993 Last updated in 1993

15. Religious Exempt Standards* Standards set by the Code of Virginia Standards set by the Code of Virginia Must register yearly with VDSS Must register yearly with VDSS Only receive an inspection if there is a complaint Only receive an inspection if there is a complaint *may choose to be licensed Religiously exempt standards at may be viewed at http://www.dss.virginia.gov/facility/exemptfact.html http://www.dss.virginia.gov/facility/exemptfact.html

16. Child Care Policies Answer What and When Answer What and When Incorporate philosophy of the Center/Provider Incorporate philosophy of the Center/Provider Come from input from one or all of the following: Come from input from one or all of the following: Director Director Staff Staff Parents Parents Advisory board Advisory board Regulations, Code Regulations, Code

17. Child Care Procedures Answer How and Who Answer How and Who Tell who is responsible, what steps or methods are to be followed and what documentation is needed. Tell who is responsible, what steps or methods are to be followed and what documentation is needed. Include day-to-day and rare happenings Include day-to-day and rare happenings Must be clear to all staff and parents to be effective Must be clear to all staff and parents to be effective

18. Child Care Health Consultant (CCHC) vs. Child Care Trainer CCHCTrainer Completes 32 hour VDH sponsored course on child care health consultation Trainer eligibility may be predetermined by code of Virginia/licensing requirements Formal long term relationships with providers Informal, often “one-time” relationships with providers Activities may include policy development, classroom observations, linking provider to community resources Role limited to training on chosen topics, although may also provide community resources

19. Effective Trainers: Determine what child care providers want to learn and what they need to know Determine what child care providers want to learn and what they need to know Understand adult learning styles Understand adult learning styles Look for opportunities to present information in a context familiar to child care providers. Look for opportunities to present information in a context familiar to child care providers. Focus on relevant and practical information Focus on relevant and practical information

20. A successful Agenda : Is realistic Is realistic Employs a variety of training methods Employs a variety of training methods Includes an opening activity/ice-breaker Includes an opening activity/ice-breaker Addresses social needs of learners – honor breaks, start and stay on time Addresses social needs of learners – honor breaks, start and stay on time

21. Training Tip Pikes 90/20/8 for effective training Pikes 90/20/8 for effective training 90 minutes – length of learners attention span before needing a 15 minute break 90 minutes – length of learners attention span before needing a 15 minute break 20 minutes – length of time a learner can retain information presented in one style 20 minutes – length of time a learner can retain information presented in one style 8 minutes – a learner needs to experience “active learning” every 8 minutes – through discussion, writing, raising hand, asking a question, etc. 8 minutes – a learner needs to experience “active learning” every 8 minutes – through discussion, writing, raising hand, asking a question, etc.

22. Quality Training includes: Visual Reinforcement (overheads, PowerPoint, flip charts) Visual Reinforcement (overheads, PowerPoint, flip charts) Large Group Discussion Large Group Discussion Small Group Work Small Group Work Skills Practice Skills Practice Trainers need to address all types of learning styles, non-English speaking groups and socio economic levels

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

24. Case Scenario (cont) What is your best response to this call for help? What is your best response to this call for help?

25. What does the Provider need to collect from parents? What does the Provider need to collect from parents? Immunization Requirements for Child Day Centers (22 VAC 15-30- 150 page 15 of “red book”) Immunization Requirements for Child Day Centers (22 VAC 15-30- 150 page 15 of “red book”)

26. Tickler Systems assist providers in keeping records up-to- date by alerting record keeper when vaccinations are due Tickler Systems assist providers in keeping records up-to- date by alerting record keeper when vaccinations are due How Can the Provider Track Immunization Records?

27. Where can the Provider find more information? Immunization Action Coalition: www.immunize.org Immunization Action Coalition: www.immunize.orgwww.immunize.org Healthy Child Care Virginia – Immunization Fact Sheets- www.vahealth.org/childadolescenthealth follow link to HCCV. Healthy Child Care Virginia – Immunization Fact Sheets- www.vahealth.org/childadolescenthealth follow link to HCCV.www.vahealth.org/childadolescenthealth Division of Immunization, Virginia Department of Health: http://www.vdh.state.va.us/imm/index.asp Division of Immunization, Virginia Department of Health: http://www.vdh.state.va.us/imm/index.asphttp://www.vdh.state.va.us/imm/index.asp Vaccines for Children (VFC) – link through Division of Immunization Vaccines for Children (VFC) – link through Division of Immunization

28. Providing Documentation of a Training Always add credentials after your signature. Knowing what you are authorized to teach is YOUR responsibility. Always add credentials after your signature. Knowing what you are authorized to teach is YOUR responsibility. Licensing requires documentation of what is taught in a course. Leaving a list of learning objectives is a concise way to list what you covered in a training. Licensing requires documentation of what is taught in a course. Leaving a list of learning objectives is a concise way to list what you covered in a training.

29. Training Certificate Must contain: Must contain: Participants name Participants name Your name and credentials Your name and credentials Name of course Name of course Date of course Date of course Expiration Date Expiration Date Length of course (in hours) Length of course (in hours) Template can be found on our website: http://www.vahealth.org/healthychildcareva/docume nts/CertificateofmedadminTraining.doc http://www.vahealth.org/healthychildcareva/docume nts/CertificateofmedadminTraining.doc

30. Resources National Resource Center for Health and Safety in Child Care http://nrc.uchsc.edu/TIPS/medadmin.htm National Resource Center for Health and Safety in Child Care http://nrc.uchsc.edu/TIPS/medadmin.htm http://nrc.uchsc.edu/TIPS/medadmin.htm Healthy Child Care America www.healthychildcare.org Healthy Child Care America www.healthychildcare.orgwww.healthychildcare.org Caring for Our Children: National Health and Safety Performance Standards http://nrc.uchsc.edu/CFOC/index.html ; Standards Based Resources and Stepping Stones http://nrc.uchsc.edu/SPINOFF/index.htm Caring for Our Children: National Health and Safety Performance Standards http://nrc.uchsc.edu/CFOC/index.html ; Standards Based Resources and Stepping Stones http://nrc.uchsc.edu/SPINOFF/index.htm http://nrc.uchsc.edu/CFOC/index.html http://nrc.uchsc.edu/SPINOFF/index.htm http://nrc.uchsc.edu/CFOC/index.html http://nrc.uchsc.edu/SPINOFF/index.htm Virginia Department of Social Services Division of Licensing http://www.dss.virginia.gov/division/license/district.html or call 1-(800) KIDS-LIL ) Virginia Department of Social Services Division of Licensing http://www.dss.virginia.gov/division/license/district.html or call 1-(800) KIDS-LIL ) http://www.dss.virginia.gov/division/license/district.html Healthy Child Care Virginia Program/Virginia Department of Health (804) 864-7685 or email vacchcs@aol.com or visit www.vahealth.org Healthy Child Care Virginia Program/Virginia Department of Health (804) 864-7685 or email vacchcs@aol.com or visit www.vahealth.orgvacchcs@aol.comwww.vahealth.orgvacchcs@aol.comwww.vahealth.org Virginia Board of Nursing http://www.dhp.state.va.us/nursing/default.htm Virginia Board of Nursing http://www.dhp.state.va.us/nursing/default.htmhttp://www.dhp.state.va.us/nursing/default.htm

31. Contact Information Claire Wood, RN, CCHC Bethany Geldmaker, PNP, PhD Healthy Child Care Virginia The Virginia Department of Health (804) 864-7685 vacchcs@aol.com www.vahealth.org/childadolescenthealth