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Public Health - Seattle & King County

Model Health Policies for Child Care Health Facilities

Materials may be reproduced with credit given to the Child Care Health Program, Public Health - Seattle & King County. If materials are changed or adapted please add the phrase "Adapted from materials developed by the Child Care Health Program, Public Health - Seattle & King County."
ADA Individual Plan of Care

Asthma and Allergies:
Asthma Plan, English (all ages)
Asthma Plan, Chinese (all ages)
Asthma Plan, Spanish (all ages)
Asthma Plan, Vietnamese (all ages)
Allergy Care Plan Packet

Bloodborne Pathogen Exposure Plan

Breastfeeding:
Child care providers play a very special role in helping babies get the best nutrition for a healthy start in life. Health professionals agree that breastmilk is the best food for babies. Babies that are separated from their mothers, and in your care, can still have the benefits of breastmilk. In order to support breastfeeding mothers and infants in the child care setting, the Child Care Health Program staff has created two documents. The first describes the components of a breastfeeding friendly child care program. The second is a model policy that is designed to assist child care providers in supporting breastfeeding mothers and infants and in protecting the health of breastfed babies. We hope that you will find these documents useful in your programs.
Breastfeeding Policy
Criteria for a Breastfeeding Friendly Child Care Program

Cleaning & Sanitizing - posters:
Cleaning & Sanitizing (English)
Limpiar & Desinfectar (Español / Spanish)
Clean Toys Help Prevent Disease

Reportable diseases for child care providers

First Aid Kit

Health Policies:
Model health policies for child care centers and for school age care programs are available to download. Child Care Health Program Public Health Nurses are available to assist King County child care programs with development of a health policy. Please call 206-263-8262 to speak with a Public Health Nurse.
Child Care Center Health Policy: PDF* | MS Word
School Age Health Policy: PDF*MS Word

*The fields within the PDF version of the policies are formatted to be fillable by typing directly in them. Be sure to have the latest version of the free Adobe Acrobat Reader installed as older versions of Acrobat Reader may not enable you to save the forms to your computer.

Incident Log

Medications and sunscreen:
Medication Policy
Medication Authorization Form
Diaper Cream/Ointment Authorization Form
Diaper Cream/Ointment Authorization Form (Bulk)
Sunscreen Authorization Form (Sunscreen Brought from Home)
Sunscreen Authorization Form (Program-Provided/Bulk Sunscreen)
Bulk Sunscreen Log

Other forms available by contacting your child care Public Health nurse at 206-263-8262 include:
Individual plan of care
Diabetes Health Care Plan

Pesticide Policy

Pet policies:
Care and Handling of Animals on Child Care Center Premises
Fish Policy

Refrigerator Temperature Log
Parent Consent Form (HIPAA) - Please complete BOTH forms below
Consent for Screening Services

Notice of Privacy Practices - Acknowledgement of Receipt:
English
Russian
Spanish
Vietnamese