1. Monterey County Office of Ed. Head Start and Early Head Start Rosalie Gietzen Health Services Coordinator

2.  Immunizations  Health History / Individual Health Needs  Physical  TB Clearance  Dental Care

3.  Title 22 Licensing (State)  Head Start Performance Standards (ecklc) (Federal)  “Caring for Our Children”  American Academy of Pediatrics/Bright Futures  Health Services Advisory Committee  California Health and Disabilities Prevention (CHDP) FOR ALL THOSE WITH MediCal Educate parents!

4.  “Caring For Our Children” ◦ “National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs” ◦ “A Joint Collaborative Project of: ◦ American Academy of Pediatrics ◦ American Public Health Association ◦ National Resource Center for Health and Safety in Child Care and Early Education” Available through Barnes and Noble

5.  ‘”eclkc”  Early Childhood Learning and Knowledge Center  http://eclkc.ohs.acf.hhs.gov http://eclkc.ohs.acf.hhs.gov  Eclkc.ohs.acf.hhs.gov

6.  California School Immunization Requirements. - Those required by State licensing to enter school.  Additional immunizations as recommended by AAP and our local Health Service Advisory Committee: ◦ Rotavirus (EHS) ◦ Flu ◦ Pneumonia

7.  COMPLETE CHDP PHYSICAL ◦ Anticipatory Guidance / Growth ◦ Blood Pressure / Nutrition ◦ Dental Assessment ◦ Hearing Screening ◦ Hemoglobin level – blood test (for anemia) ◦ Lead Risk Assessment ◦ Lead Blood Test ◦ TB Clearance /Tobacco Expos./Vision

8.  Exam / Every 6 months  Treatment

9.  At enrollment  Screen for past health problems  MOST COMMON:  Asthma  Food Allergies / Use of Epi-Pen

10.  Asthma Action Plan from physician - this may be very important for Transitional Kindergarten!  Health Action Plan for Head Start – all staff should participate and sign  Inhaler should be kept at school / A second inhaler should be at home.  All medications should arrive in original unopened package with original label.

11.  Head Start Allergy Action Plan – signed by physician  Head Start Meal Plan – with substitutions  All staff must participate and sign  All medication must arrive in new, unopened containers, with original label.  Clear monitoring system must be in place to ensure child does not receive incorrect food.

12.  Must be at school.  2 at home, 2 at school – to administer 2 nd dose if needed after 10 minutes.  Staff must call 911 immediately.

13.  Children who are not well enough to participate, or play should be at home.  Children who are unusually quiet, unresponsive, or lethargic should be at home. Sometimes those with unusual clinginess or crying should be home, as well.  Regardless of lack of other symptoms.

14.  Pink eye: Head Start follows AAP recommendations, and advice of HSAC.  Head Lice: Head Start follows AAP recommendations, and advice of HSAC.  Additionally, children who are very uncomfortable should be at home and see the doctor if needed.

15.  Characteristics of 60 months: ◦ Able to run smoothly, with coordination of body movement. ◦ Able to climb. ◦ May be able to change direction quickly. ◦ Varying abilities to throw ◦ Should be able to jump on 2 feet and also on 1 foot.

16.  Environmental Circumstances that may determine child’s ability: ◦ Some have not been to preschool or had the opportunity to play at a playground. ◦ Some children little experience playing outdoors at all, and limited indoor space or freedom to move. ◦ Others have had many and varied experiences, including organized sports. Observe, evaluate, and offer a variety of physical activities!

17.  Development of small motor skills will also vary based on opportunity. ◦ Ability to hold a pencil or small crayon. ◦ Ability to cut, or to hold scissors properly. ◦ Additionally, the ability to turn pages.

18.  National Standard 2.1.1.9 Verbal Interaction  “Listen with respect  Respond in a way that amplifies and clarifies their intent. (EXPAND)  (OPEN ENDED QUESTIONS)  Children learn about themselves, others, and the world, gain facts, and information  Expression, empathy  Social/ emotional development

19.  Any Questions:  Rosalie Gietzen  (831) 755-0845  rgietzen@monterey.k12.ca.us rgietzen@monterey.k12.ca.us