1. Disaster Planning for Child Cares Partners in Child Care Program Lisa Carpenter, REHS, MBA Program Manager

2. Overview Snohomish County Profile Snohomish County Child Cares Partners in Child Care Program and Disaster Prep Six Steps to Disaster Preparedness Crisis/Disaster Handbook Helping Children Cope with Disasters

3. Snohomish County profile 625,000 population size Located directly north of Seattle Mountains to the east, Puget Sound to the west, 68% forested 87.8% speak English only 3 rd most populous county in Washington State Major industries include Boeing, Navy, medical services Median age is 34.7 Median household income is $53,060

4. Pacific Northwest

5. Snohomish County child cares Approximately: –1,000 licensed child cares in county –Of those, about 200 are centers and 800 are homes –Partners in Child Care staff have worked with over half of the licensed child cares to date

6. Partners in Child Care (PiCC) program profile Program established in 1994 following Pacific Northwest E. coli outbreak Currently contains 9 staff: public health nurses, environmental health specialists, a nutritionist, health educators, office support, and a manager Provides consultative health and safety services to licensed child care providers upon their request

7. PiCC disaster activity Washington State requires child care providers to have a disaster plan We educate providers on disaster preparedness and assist them in preparing child cares for disasters To date PiCC has helped hundreds of child care providers become better prepared to handle a disaster

8. Glacier Peak

9. Hazmat Spill

10. Nisqually Earthquake 2001

12. Subduction zone earthquake due Will be 8.5 to 9.2 magnitude lasting over 4 minutes with 8.5 feet high ground motion

13. Six steps to preparedness Take responsibility Assess the child care facility Communicate Establish a disaster plan Assemble disaster preparedness kits Test the plan and practice often

14. Crisis/Disaster Response Handbook Developed by PiCC and Department of Emergency Management Educational tool and direct template for providers Covers 19 kinds of disasters Includes mental health checklist and supporting resources Available electronically Circulated nationally and internationally

15. Access to crisis handbook Email to the following address for a downloadable copy of the Crisis/Disaster Response Handbook: http://www.askpicc@shd.snohomish.wa.gov

16. Examples of disasters Earthquake Flooding Bomb threat Gas leak Assault on child or staff Storms & snow Emergency lockdown Shelter in place Kidnapping Missing child Fire emergencies Hazardous materials Suspicious mail Power outage

17. Areas of training focus: Communication Child care provider education Ongoing practice Disaster kits Evacuation measures Out of area contacts Alternate sites Working with media

18. Helping children cope Reassure children they will not be left alone Be aware of behavior changes Keep to routines Avoid news coverage around children Allow children to express their thoughts and feelings Be especially supportive - hugs, smiles, kind words

19. Helping children cope Give simple, truthful answers to children’s questions Reassure children they are not responsible for the disaster Seek professional help when needed

20. Resources on helping children cope with disasters Federal Emergency Management Agency (FEMA), http://www.fema.gov/kidshttp://www.fema.gov/kids American Red Cross, http://www.redcross.orghttp://www.redcross.org National Institute of Mental Health (NIMH), http://www.nimh.nih.govhttp://www.nimh.nih.gov Center for Mental Health Services (Emergency Services and Disaster Relief Branch), http://wwwmentalhealth.org/cmhs/emergencyservices/index/htmhttp://wwwmentalhealth.org/cmhs/emergencyservices/index/htm American Academy of Pediatrics, http://www.aap.org/advocacy/releases.disastercomm.htm http://www.aap.org/advocacy/releases.disastercomm.htm

21. Summary Proper preparation, ongoing practice, complete kits, and good communication can help turn... A Disaster into An Inconvenience