The purpose of this assignment is to synthesize all that you have learned about keeping children healthy. Create a PowerPoint presentation for early childhood educators that identi

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Safety, Health, and Nutrition in Early Childhood Education

Derivative with state regulations removed

by Sharon Armstrong and Jennifer Paris

Based on California specific version by Jennifer Paris

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Safety, Health, and Nutrition in Early Childhood

Education

Created by Sharon Armstrong and Jennifer Paris

Except where otherwise noted, the content in this book is licensed under a Creative Commons Attribution 4.0 International License.

2021

This book is a derivative of the original Open Educational Resources Publication by College of the Canyons (Version 1.0)

Created by Jennifer Paris

Peer Reviewed by Rebecca Laff

Edited by Lauren Adams, Alex Gavilan, Alexa Johnson, and Trudi Radtke

Cover Image: "Image", CDC is in the Public Domain

Except where otherwise noted, the content in the original book is licensed under a

Creative Commons Attribution 4.0 International License.

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Changes Made in this Derivative The original version of the textbook references licensing regulations that are

specific to the state of California. In this derivative, the regulations have been

removed. In some places, a notation to check your local licensing were added.

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Catch a typo? Want to suggest a change to improve the book? Please provide feedback in this survey.

Did you use this book and make changes? Did you create supplementary

resources (PowerPoints, activities, test/quiz banks, etc.)? Please put a creative commons license on those and share them back with us by joining and uploading

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Looking for resources? See what has been compiled in the Google Group.

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Table of Contents Preface …………………………………………………………………………………………………………………………………………………. 5

Section I: Introduction …………………………………………………………………………………………………………………………. 8

Chapter 1: Children’s Well-Being and Early Childhood Education …………………………………………………………………. 9

Section II: Safety ……………………………………………………………………………………………………………………………….. 22

Chapter 2: Preventing Injury & Protecting Children’s Safety ………………………………………………………………………. 23 Chapter 3: Creating Safe Indoor Environments …………………………………………………………………………………………. 44 Chapter 4: Creating Safe Outdoor Environments ………………………………………………………………………………………. 83 Chapter 5: Caring for Minor Injuries and Preparing for and Managing Emergencies …………………………………… 107 Chapter 6: Child Maltreatment …………………………………………………………………………………………………………….. 136

Section III: Health ……………………………………………………………………………………………………………………………. 153

Chapter 7: Promoting Good Health & Wellness ………………………………………………………………………………………. 154 Chapter 8: Prevention of Illness ……………………………………………………………………………………………………………. 181 Chapter 9: Supportive Health Care ……………………………………………………………………………………………………….. 209 Chapter 10: Children with Special Health Care Needs ……………………………………………………………………………… 230 Chapter 11: Children’s Mental Health ……………………………………………………………………………………………………. 262

Section IV: Nutrition ………………………………………………………………………………………………………………………… 291

Chapter 12: Basic Nutrition for Children ………………………………………………………………………………………………… 292 Chapter 13: Protecting Good Nutrition and Physical Wellness ………………………………………………………………….. 319 Chapter 14: Providing Good Nutrition …………………………………………………………………………………………………… 341 Chapter 15: Menu Planning and Food Safety …………………………………………………………………………………………. 366 Appendix A: 15 Must Haves for All Child Care Programs Checklist …………………………………………………………….. 401 Appendix C: Health and Safety Checklist ………………………………………………………………………………………………… 403 Appendix E: Example Playground Inspection Form ………………………………………………………………………………….. 405 Appendix F: Example Emergency Self-Assessment Form ………………………………………………………………………….. 408 Appendix G: Example Emergency Response Plans …………………………………………………………………………………… 409 Appendix H: Emergency Mitigation Checklist …………………………………………………………………………………………. 413 Appendix I: Developmental Milestones ………………………………………………………………………………………………….. 415 Appendix J: Exclusion Form ………………………………………………………………………………………………………………….. 428 Appendix K: Notice of Exposure to Contagious Disease ……………………………………………………………………………. 429 Appendix L: Individualized Health Care Plan …………………………………………………………………………………………… 430 Appendix M: Infectious Disease Information ………………………………………………………………………………………….. 433 Appendix N: Self-Assessment for Positive and Healthy Meals and Snacks ………………………………………………….. 456 Appendix O: Growth Charts …………………………………………………………………………………………………………………. 459 Appendix P: Food Allergy Management and Prevention Plan Checklist ……………………………………………………… 465

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Preface

Licensing of Source Content Wherever possible, source content with licenses that are compatible (either public domain or CC-BY) with license of this overall text (CC-BY) were used. But there is limited content, mostly images, that may have more restrictive licensing. To allow readers to effectively source content and determine licensing, footnotes were used liberally throughout this book. If you choose to use this content to remix or create a derivative, please check the licensing carefully.

Language Choices Throughout This Book Language has power and word choice matters. Please see the following about some of the language choices made for this book.

Terminology As source content for this book was compiled from hundreds of sources, terminology doesn’t always match up, even after efforts were made to provide consistency across the text. You may notice there are several ways programs that provide care and education for young children are referred to in this book. In general, these all refer to programs in which children are cared for in groups by non-family members and are used interchangeably.

 Early care and education programs

 Early childhood education programs

 Child care centers or child care programs

 Out-of-home care

 And at times, just programs or centers The adults that care for children in these programs may be referred to as:

 Early childhood educators or professionals

 Teachers

 Caregivers

 Staff (although this term is often used when including other employees that may work in an early childhood education program outside of the classroom).

Gendered Language At times you may notice that a child or adult is referred to with the pronoun they or them. This is to be more gender inclusive. Unless specifically stated, when children or adults are gendered, it is not to be exclusionary (and likely is due to the language used in the source content).

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Family Structures and Forms Throughout this book, the word families has been used in place of parents in most places. This is to be as inclusive as possible of the different family structures in which the adults responsible for caring for children may not fit the label of parents. When the source content used the word parents (referring specifically to the adults that are responsible for a child), efforts were made to also use the words caregivers or guardians to be inclusive of all families.

Person First Language Because people are not the situations they encounter (such as poverty) or may experience (such as disabilities or medical conditions), person-first language is used. This is not intended to discount characteristics that may be part of a person’s identity but in an attempt to be respectful.

Special Features Throughout the Book There are a few callout boxes throughout the chapters that help highlight information and offer you opportunities to think more about the content you’ve read. Here is a description of what each of these boxes is.

Licensing Regulations In this box, you will find licensing regulations (and other legal requirements that relate to the chapter.

Pin It! These boxes are used to share examples and focused or specific information that relates to a topic in the chapter.

Pause to Reflect These boxes feature questions for you to consider and allow you to make connections with and apply the content.

These boxes call your attention to important information.

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These boxes feature direct quotes related to the content.

Engaging Families These boxes feature ways to engage families in the topics featured in the chapter.

In the Classroom These boxes provide hands on ways to use the information in the classroom with young children. You might find activities to do and/or books to read with children here. (these will be added to later versions of this book)

Resources for Further Exploration These boxes provide online sources of content that you can explore further that relate to the topics covered in the chapter.

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Section I: Introduction

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Chapter 1: Children’s Well-Being and Early Childhood Education

A culture of wellness exists when staff and child health and safety are valued, supported, and promoted through health & wellness programs, policies, and environment.1

Objectives

At the end of this chapter, you should be able to:

 Explain why health and well-being in early childhood is so important.

 Describe qualities and benefits of high-quality early care and education programs.

 Outline what the book will be addressing in regards to safety, health, and nutrition.

 Discuss what licensing is and its role in keeping children safe and healthy.

 Compare and contrast Title 22 and Title 5 licensing requirements.

Introduction

Evidence shows that experiences in childhood are extremely important for a child’s healthy development and lifelong learning. How a child develops during this time affects future cognitive, social, emotional, language, and physical development, which in turn influences school readiness and later success in life. Research on a number of adult health and medical conditions points to pre-disease pathways that have their beginnings in early and middle childhood.

Figure 1.1 – What happens when children are young can have a lifelong effect.2

1 Embedding Health and Safety in Your Program’s Culture by the Office of Head Start is in the public domain. 2 Sanderlin, R. (2020). How to Find a Military Daycare. Military.com. Retrieved from https://www.military.com/spouse/relationships/child-care-and-elder-care/how-to-find-a-military-daycare.html

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During early childhood, the human brain grows to 90 percent of its adult size by age 3. Early childhood represents the period when young children reach developmental milestones that include:

 Emotional regulation and attachment

 Language development

 Cognitive development

 Physical development (motor skills)

All of these milestones can be significantly delayed when young children experience inadequate caregiving, environmental stressors, and other negative risk factors. These stressors and factors can affect the brain and may seriously compromise a child’s physical, social-emotional, and cognitive growth and development.

More than any other developmental periods, childhood sets the stage for:

 School success

 Health literacy

 Self-discipline

 The ability to make good decisions about risky situations

 Eating habits

 Conflict negotiation and healthy relationships with family and friends3

Figure 1.2 – Young children may develop dental caries (cavities).4

Understanding Childhood Health Concerns Although young children are typically healthy, it is during this time that they are at risk for conditions such as:

 Developmental and behavioral disorders

 Child maltreatment

 Asthma and other chronic conditions

 Obesity

3 Early and Middle Childhood from the Office of Disease Prevention and Health Promotion is in the public domain. 4 Scott AFB dentists, assistants help ‘Give Kids A Smile’, by Airman 1st class Isaiah Gonzalez, is in the public domain.

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 Dental caries (cavities)

 Unintentional injuries While typically nonfatal, these conditions affect children, their education, their relationships with others, and the health and well-being of the adolescents and adults they will become.5

Emerging Issues in Childhood Health The keys to understanding childhood health are recognizing the important roles these periods play in adult health and well-being and focusing on conditions and illnesses that can seriously limit children’s abilities to learn, grow, play, and become healthy adults. Prevention efforts in early and middle childhood can have lasting benefits. Emerging issues in early and middle childhood include implementing and evaluating multidisciplinary public health interventions that address social determinants of health by:

 Fostering knowledgeable and nurturing families, parents, and caregivers

 Creating supportive and safe environments in home, schools, and communities

 Increasing access to high-quality health care6

Early Childhood Development and Education

Early childhood, particularly the first 5 years of life, impacts long–term social, cognitive, emotional, and physical development. Healthy development in early childhood helps prepare children for the educational experiences of kindergarten and beyond. Early childhood development and education opportunities are affected by various environmental and social factors, including:

 Early life stress

 Socioeconomic status

 Relationships with parents and caregivers

 Access to early education programs

Early life stress and adverse events can have a lasting impact on the mental and physical health of children. Specifically, early life stress can contribute to developmental delays and poor health outcomes in the future. Stressors such as physical abuse, family instability, unsafe neighborhoods, and poverty can cause children to have inadequate coping skills, difficulty regulating emotions, and reduced social functioning compared to other children their age. Additionally, exposure to environmental hazards, such as lead in the home, can negatively affect a child's health and cause cognitive developmental delays. Research shows that lead exposure disproportionately affects children from minority and low–income households and can adversely affect their readiness for school.

5 Early and Middle Childhood by the Office of Disease Prevention and Health Promotion is in the public domain. 6 Early and Middle Childhood by the Office of Disease Prevention and Health Promotion is in the public domain.

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The socioeconomic status of young children's families and communities also significantly affects their educational outcomes. Specifically, poverty has been shown to negatively influence the academic achievement of young children. Research shows that, in their later years, children from disadvantaged backgrounds are more likely to need special education, repeat grades, and drop out of high school. Children from communities with higher socioeconomic status and more resources experience safer and more supportive environments and better early education programs.

The Effects of Poverty on Education “Despite being one of the most developed countries in the world, the United States has one of the highest rates of childhood poverty globally.”7 “Poverty has a particularly adverse effect on the academic outcomes of children, especially during early childhood.”8 Research has shown that children from families in poverty enter school with a readiness gap. Contributions to this gap include:

 Poor physical development and health (due to poor nutrition and lack of access to medical care)

 Challenges with concentration, memory, attentiveness, curiosity, and motivation9 due to the chronic stress of living in poverty

 Greater risk for behavioral and emotional problems

 Exposure to environmental hazards (such as lead paint) and violence in their communities.

Two additional things that are important to note:

 This gap disproportionately affects Black and Latinx children.

 Families experiencing poverty have challenges finding affordable, high-quality early care and education programs and are often in districts with under-resourced schools. 10

Early childhood programs are a critical outlet for fostering the mental and physical development of young children. According to the Center on the Development Child at Harvard University’s A Science-Based Framework for Early Childhood Policy,

7 ChildFund International. (2013). The Effects of Poverty on Education in the United States. Retrieved from https://www.childfund.org/Content/NewsDetail/2147489206/ 8 American Psychological Association. (2020). Effects of Poverty, Hunger and Homelessness on Children and Youth. Retrieved from https://www.apa.org/pi/families/poverty 9 ChildFund International. (2013). The Effects of Poverty on Education in the United States. Retrieved from https://www.childfund.org/Content/NewsDetail/2147489206/ 10 American Psychological Association. (2020). Effects of Poverty, Hunger and Homelessness on Children and Youth. Retrieved from https://www.apa.org/pi/families/poverty

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“ The principal elements that have consistently produced positive impacts include:

 highly skilled teachers;

 small class sizes and high adult-to-child ratios;

 age-appropriate curricula and stimulating materials in a safe physical setting;

 a language-rich environment;

 warm, responsive interactions between staff and children; and

 high and consistent levels of child participation.”11 The National Association for the Education for Young Children says that high quality programs:

 Create caring communities of learners in which children develop relationships with each and the teachers and each child and family are included.

 Teach to support children’s development and learning by being intentional with the environmental design, materials, and activities and by providing positive guidance for children’s behavior.

 Have developmentally appropriate curriculum that helps children learn and grow that sets challenging, yet achievable goals for children, balances adult instruction and group activities with play and child-chosen experiences, provides enough time

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