Southern Seven Head Start/ Early Head Start · Was the building =s Fire Alarm System activated? Yes No (Note: All Fire Exit Drill Alarms shall be sounded . on the Fire Alarm System)

Southern Seven Head Start/

Early Head Start

Revised: 02/14, rm 2

TABLE OF CONTENTS

Incident Reporting System .............................................................................................. 3 Incident Report (IR) ......................................................................................................... 4 Incident Follow-up/Investigative Report (IFIR) ................................................................ 6 Monthly Emergency Drill ................................................................................................. 7 Emergency Drill Tracking Form ....................................................................................... 8 Earthquake Drill ............................................................................................................... 9 Tornado Drill .................................................................................................................. 10 Fire Drill ......................................................................................................................... 11 Fire Drill Part 2 .............................................................................................................. 12 Emergency Plans .......................................................................................................... 13 Bloodborne Pathogens Exposure Control Plan ............................................................. 14 Bloodborne Pathogens Exposure Control Plan for the Bus ........................................... 15 Bloodborne Pathogen Kit Inventory Checklist ............................................................... 17 Emergency Kit Inventory Form ...................................................................................... 18 First Aid Kit Inventory List .............................................................................................. 19 CPR/First Aid Training ................................................................................................... 20 Safety Committees ........................................................................................................ 21 Safety Committee Accident/Incident Review ................................................................. 22 Employee Safety Tracking Form ................................................................................... 23 Employee Personal Safety ............................................................................................ 24 On-Going Monitoring Procedure List ............................................................................. 25 Pest Control .................................................................................................................. 26 Equipment Maintenance Request ................................................................................. 27 Repair or Work Requisition ........................................................................................... 29 Request to Transfer or Destroy Records/Files .............................................................. 30 Request to Transfer or Destroy Equipment ................................................................... 31 Discarded Items ............................................................................................................ 32 Cleaning the Center ...................................................................................................... 33 Maintaining Equipment, Toys, and Supplies ................................................................. 34 Equipment Cleaning Checklist ...................................................................................... 35 Equipment Cleaning Checklist – Part 2 ......................................................................... 36 Diapering ....................................................................................................................... 37 Bleach Solution Schedule ............................................................................................. 38 Playground Checklist ..................................................................................................... 41 Daily Playground Maintenance List ............................................................................... 42 Daily Playground Safety Checklist................................................................................. 43 Center Safety Review .................................................................................................... 44


Southern Seven HS/EHS Service Area: Safety Procedure: Incident Reporting System References: Once immediate medical care has been provided and the contact of the child’s parent(s) or the stated emergency contact person has been made necessary reporting of the incident must take the following steps: 1. Complete the incident form. Follow instructions as listed on form.

• Level 1 – incident report form is to be mailed to the Early Childhood Director at the Administrative Office.

• Level 2 or 3 – Immediate telephone contact must be made with the Administrative Office. Contact the Early Childhood Director first and then the Health/Nutrition Specialist. If you cannot reach the Early Childhood Director or the Health/Nutrition Specialist, contact the Human Resource Administrator or the Early Childhood Administrator. Leaving a voice-mail message is NOT appropriate. You must speak directly with someone. a. Incident Report Form is to be immediately faxed to the Administrative Office. b. Administrative Office Staff are to report the incident immediately by phone to the

DCFS Licensing Representative and follow-up in 24 hours with a written incident report. DCFS Office, 2309 West Main, Suite 108, Marion, IL 62959, Phone: (618) 993-7057; Fax: (618) 993-5467.

c. Administrative Office Staff will contact the Early Childhood Administrator. d. Administrative Office Staff will complete Follow-Up/Investigative Report within 5

days. • Level 4

a. Minor incident may use the Level 1 procedure in mailing the incident form to the Administrative Office. The form should be sent directly to the Human Resource Administrator. Example: an employee’s person property became damaged or lost.

b. For a major incident, make immediate telephone contact with the Administrative Office. Contact both the Human Resource Administrator and the Early Childhood Director. Leaving a voice-mail message is NOT appropriate. You must speak directly with someone. If none are available, ask the secretary for the Early Childhood Administrator. Example: a non-injury bus incident where children are present, a non-injury incident at the center where children are present. In cases where a government agency must assist, make those calls with the appropriate timing based on the degree of need i.e. 911. Immediately contact the State Police when a bus has an accident.

c. For a bus incident the Early Childhood Director will follow the same procedure listed above for Level 2 or 3.

For incident involving parents, volunteers, or staff contact the Human Resources Administrator.


Southern Seven Health Department Incident Report (IR)

Please Print

Person Involved (PI) in Incident: Employee:____ Child:____ Client:____ Other:______________________________ Last Name: ___________________________________ First Name: __________________________________ M.I. ____ DOB_____/_____/_____ Home Address:_____________________________________________________ City:________________________ State:_____ Zip:___________ Home Phone #: _________-___________ Message Phone #: _________-___________ Work #: _________-__________ Sex: M or F If PI is employee: Base Office: _____________________________ Job Title: _____________________________________________________ If PI is child, Parent/Guardian Name:________________________________________________________ Phone #:_________-_____________

Incident occurred on: _____/_____/______ at ____________A.M/ ____________P.M. Address Where Incident Occurred:____________________________________________ City:__________________ State:_____ Zip:_________ Incident Level: 1 ____ 2 ____ 3 ____ 4 ____ (see reverse side of this report for level definition). Name of Employee completing this report: ________________________________________________________ Date_______/_______/_______ Person contacted at Administrative Office: Name:___________________________________ Date_____/_____/_____ at _______am/_______pm Person contacted at Child’s/Client’s Home: Name:___________________________________ Date_____/_____/_____ at _______am/_______pm Contact Person’s Relationship to Child/Client: _____________________________________ Phone #:__________-_____________ (1)Witness Name: _________________________Address: _____________________________________________ Phone #: _______-_________ (2)Witness Name: _________________________Address: ______________________________________________ Phone #: _______-_________ (3)Witness Name: _________________________Address: ______________________________________________ Phone #: _______-_________

Description of Incident: Provide only factual information. Conclusions and judgments are reserved for investigating staff person. If the incident involves a client, do not copy or note the incident in the client’s chart. In case of injury/illness, only observations (not opinions) specific to client should be entered in chart. Medical services/advice should only be provided by non-medical staff in a medical emergency until 1st responders arrive. In no event shall PI be detained if primary care/emergency services needed. • Describe injury/illness? (i.e. strain, sprain, laceration, etc):

• What part of body was affected? (i.e. index finger on left hand, etc.):

• What was person doing when he/she was injured? (i.e. lifting box, etc.):

• What caused the injury/illness? (i.e. 40 lb. typewriter, etc.)

[See Reverse Side of this Form to Complete and for Instructions]


• How did incident happen? (i.e. binder fell off shelf striking employee on left foot, etc.) • What unsafe circumstances contributed to the incident? (i.e. employee not wearing gloves, etc.) • Describe any unsafe act by another person that contributed to the incident? (i.e. unidentified motorist failed to stop at intersection, etc.) • What nursing/1st aid services were rendered and by whom, to PI, if any? • Was ambulance/emergency services called? Yes _____ No _____ If yes, who responded? Agency Name: (1)____________________________________________________________________________________________________ Agency Name: (2)____________________________________________________________________________________________________ • Was PI or parent/guardian referred for/seek medical treatment? Yes _____ No ______ If yes, provide name of healthcare provider(s) and/or hospital(s) including address & phone #: Name:_____________________________________________________________________________________________________________ Address:________________________________________________________________________________ Ph.#__________-_____________ Name:_____________________________________________________________________________________________________________ Address:________________________________________________________________________________ Ph.#__________-_____________ • Was anyone accompanying the PI at the time of the incident? Yes ______ No ______ If yes, Name:____________________________________________ Relationship to person involved: __________________________________

Instructions for completion of Incident Report (IR) [Beginning at the top of the report form, fill in any blanks on the form that apply. In general, the employee most familiar with the incident should complete this report. The immediate supervisor shall ensure that this report is completed in a timely manner.] • PI = Person who is the subject of the incident. If more than one person is involved, complete IR for each person. • Example of Other is parent, vendor, client’s spouse, etc. • DOB = Date of Birth Incident Level:

1. Any minor injury/health condition that may/may not result in the application of 1st aid. This includes bruises, bumps, scrapes, bloody nose, knot on head, sprain, bruise or any visible marks. [Completed report should be sent to contact person at the Administrative Office via U.S. or interoffice mail]. Contact person is the HR/RM-A (or designee: SEPD or PSA) for all incidents except if it involves a Head Start Child in which case the contact person is the H/SNS (or designee: HS Assoc. or PSS).

2. Any moderate injury/health condition resulting in the person involved or his/her parent/guardian seeking/referred for non-emergency

medical treatment from a primary care provider. Call contact person same day. [Completed report to be faxed to contact person within 1 hour or as soon as possible].

3. Any serious injury/health condition requiring immediate emergency medical attention such as call to 911/ambulance. Must call contact

person ASAP. [Completed report to be faxed to contact person within 1 hour or as soon as possible]. 4. Any incident not involving an injury/health condition such as property damage, burglary/theft, workplace violence, personal property or

lost agency property (e.g. ID Badge, agency key, Personnel Policy Manual, etc.).

[If additional space is needed, attach sheet to this report]


Southern Seven Health Department Incident Follow-up/Investigative Report (IFIR)

Please Print [This report to be completed within 5 business days of Level 2, 3 or 4 Incident by Investigative Officer (IO) [HR/RM-A or designee for all incidents except if it involves a Head Start Child in which case the H/SNS or designee shall complete]. Name of Person Involved (PI): _________________________________________________ DOI: ______/______/______ Name of IO Completing IFIR: ___________________________________________________ Date: _____/______/______ Witness Statements to be taken in this Section by IO. (See IR for list order of witnesses):

(1) ______/______/______ at ___________A.M./___________P.M:

(2) ______/______/______ at ___________A.M./___________P.M: (3) ______/______/______ at ___________A.M./___________P.M:

If no witnesses (or in addition to witnesses) is there anyone else who can offer corroborating evidence of incident? If so, Name:___________________________________________________ Statement: [If additional space is needed for statements, attach sheet to this report].

Any discrepancies in facts as reported by PI, witnesses or others? If yes, describe:

Has follow-up call been made to PI or parent/guardian (if child) to check on status? If so, by Whom: ______________________________________________ Date _______/_______/_______ If not, who will call – Name: ___________________________________________ When _______/_______/_______ What is status of PI? Does PI or parent/guardian (if child) need to be contacted again? If so, when ________/________/________ By Whom:_____________________________________________________________________. Any change in status of PI?

Is re-training/disciplinary action recommended if incident involved unsafe act by employee? [For HR/RM-A completion only]. If so, Employee Name: ________________________________________________________ What action is recommended?

Additional Remarks:

________________________________________________________ ________/________/________ Investigative Officer Signature Date


Southern Seven HS/EHS Service Area: Safety Procedure: Monthly Emergency Drill References: 1. Complete all drills (earthquake, fire and tornado) each month. If center has more

than one session, drills are to be completed in each session. 2. Fill out drill forms and post current month on safety board and place previous

months form in the safety binder. 3. Document dates on emergency drill tracking form. This should also be posted on

safety board.


Southern Seven Head Start/Early Head Start EMERGENCY DRILL TRACKING FORM

School Year: Center:___________________________ Site Supervisor:

Aug

Sept

Oct

Nov.

Dec

Jan

Feb.

Mar

April

May

June

July

Fire Drill

Tornado Drill

Earthquake Drill

Other:


Southern Seven Head Start/Early Head Start EARTHQUAKE DRILL

Center: _______________________________ Date: ______________________ Time of Earthquake Drill: _________________ Evacuation Time: ____________ Number of Children Present: ______________ Weather Condition: ___________ Names of Staff Present: __________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Was the building=s Earthquake System activated? Yes No Summary of Earthquake Drill Procedure: _____________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Did all children gather at the designated location? Yes No List any unsatisfactory actions that should be corrected in future Earthquake Drill Procedures: ___________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ This Earthquake Drill Report shall be posted in a conspicuous location. Earthquake Drills shall be conducted at least monthly. Records shall be maintained for documentation of safety practices and preparation in case of disaster.


Southern Seven Head Start/Early Head Start TORNADO DRILL

Center: _______________________________ Date: ______________________ Time of Tornado Drill: ____________________ Evacuation Time: ____________ Number of Children Present: ______________ Weather Condition: ___________ Names of Staff Present: __________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Was the building=s Tornado System activated? Yes No Summary of Tornado Drill Procedure: _______________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Did all children gather at the designated location? Yes No List any unsatisfactory actions that should be corrected in future Tornado Drill Procedures: ___________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ This Tornado Drill Report shall be posted in a conspicuous location. Tornado Drills shall be conducted at least monthly. Records shall be maintained for documentation of safety practices and preparation in case of disaster.


Southern Seven Head Start/Early Head Start FIRE DRILL

Center: _______________________________ Date: ______________________ Time of Fire Drill: _______________________ Evacuation Time: ____________ Number of Children Present: ______________ Weather Condition: ___________ Names of Staff Present: __________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Was the building=s Fire Alarm System activated? Yes No (Note: All Fire Exit Drill Alarms shall be sounded on the Fire Alarm System) Was the Fire Department notified? Yes No (Note: Alarm Systems connected to the Fire Departments or watch services require prior notification) Did alarm test function properly? Yes No Summary of Fire Drill Procedure: ___________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Did all children gather at the designated location outside of the building regardless of which exits were used? Yes No List any unsatisfactory actions that should be corrected in future Fire Drill Procedures: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ This Fire Drill Report shall be posted in a conspicuous location. Fire Drills shall be conducted at least monthly. Records shall be maintained for documentation of safety practices and preparation in case of disaster.


Southern Seven Head Start/Early Head Start CHILD CARE CENTER (Fire Drill Part 2)

MET

NOT MET

N/A

Doors Closet doors openable from inside? Restroom doors - Opening device available from outside of room for emergencies? All doors equipped with self-closers kept closed & not propped open? All doors equipped with self-closers close properly?

Equipment Maintenance Fire Alarm System is tested monthly. Date of Fire Alarm System Test____________________. Emergency lighting is tested monthly - 30 sec. Date of test___________________________________. Illuminated exit & directional signs are maintained in continuous operating condition.

Electrical Protective covers are provided for all outlets. Extension cords are not used for appliances. Outlets are not overloaded.

Exits & Exitways Exitways and corridors are maintained free of obstructions. Exitways are not blocked with cots during naptime

Kitchen Exhaust ducts and hoods free of grease accumulation. Exhaust fans clear?

Flammable & Combustible Liquids Prohibited in building unless stored in accordance with NFPA 30.

Cleaning Supplies Stored in locked cabinet and out of reach of children.

Furnace Room Combustible storage is not located in this room. There is no paper, wood, plastic, rubber or anything that can burn.

Trash Containers All trash containers are noncombustible.

Fire Drills Monthly fire drill was conducted.

Additional Comments: ___________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _______________________________ ___________________________ Name Date of Report


Southern Seven HS/EHS Service Area: Safety Procedure: Emergency Plans References: Fire Emergency Plan 1. When alarm sounds, children and staff will exit the classrooms through the closest

outside door. 2. An adult will lead the children while another will hold the door and follow the children. 3. Children and staff will proceed to the Designated Fire Drill Meeting Area in an

orderly manner (the designated area should be noted in the safety the binder and posted in each center)

4. A designated staff will take the roll book and take roll to assure that all are accounted for.

5. Do not get coats, toys, etc. 6. Designated staff will check halls, bathrooms and classrooms to make sure all

children and staff are out, and then join others. Close doors as rooms are checked. 7. Remain at designated area until ‘all clear’ or other instructions are given. Tornado Emergency Plan 1. When notified of danger, be prepared to take cover. 2. Teachers will assist children in exiting the room to the designated area and will line

up against the wall and assume the duck and cover position. 3. Teacher will call roll while Aide sees that all children are in proper position. 4. Designated staff will check rooms to make sure all are clear and then join the others. 5. Remain in this position until ‘all clear’ or other information is given. 6. When clear, remain calm and don’t exit the building until safety is assured. Earthquake Emergency Plan 1. When shaking begins, children and staff will take cover in the duck and cover

position. 2. Teachers and Aides will see that all children are protected and then take cover

themselves. 3. Other employees and people in the building will assume cover and wait until the

shaking stops. 4. Teachers complete roll call to make sure all are accounted for. 5. Stay in classroom until all danger has been cleared or shaking has ceased. Be

prepared for after shocks. 6. Remain calm until emergency help arrives or instructed to do otherwise. 7. Wait until clear before trying to exit the building. 8. Staff assist in attending the children. EMERGENCY KITS ARE LOCATED IN EACH ROOM


Southern Seven HS/EHS Service Area: Safety Procedure: Bloodborne Pathogens Exposure Control Plan References: EACH CENTER HAS BEEN PROVIDED A COPY OF THE SOUTHERN SEVEN HEALTH DEPARTMENT BLOODBORNE PATHOGEN EXPOSURE CONTROL PLAN. Each Site Supervisor or Safety Committee will designate appropriately trained employees who will be responsible for the cleaning of any bodily fluids such as blood, vomit, etc. Those designated persons shall be listed in the Safety Award Notebook and posted on the Safety Bulletin Board at each center. Custodians or other assigned individual will be designated as the primary person to provide cleaning and disinfection of the contaminated area. Bloodborne Pathogen trained employees and/or volunteers who are designated to treat any child with bodily fluids, such as blood spills, vomiting, etc., or the infected area, must wear required protective equipment as listed below and dispose of the materials as required in the Bloodborne Pathogen Control Plan.

SUPPLIES/EQUIPMENT Each Site Supervisor will be responsible for maintaining a reasonable supply of the following: 1. Disposable latex examination gloves 2. Disposable spill kits 3. Disposable facemasks 4. Goggles with side shields

5. One or more of the following disinfectant materials: a. Clean and Go b. Citrase c. Chlorine bleach solution (at least 50 ppm concentration)

DISPOSAL PROCEDURE There are two types of potentially bio-hazardous material that will be dealt with by appropriately trained Head Start employees. 1. Regulated - including needles and other sharps; bandages, tissues or clothing saturated

with blood, etc. In case of an incident involving Regulated Bodily Fluids, appropriate PPE equipment must be worn and a disposable spill kit must be used. The contaminated material must then be placed in the red bio-hazard bag***. Contact the Head Start Health Services Associate for further disposal instructions. The Health Services Associate will contact the nearest Health Department Clinic to dispose of the Red bio-hazard bag.

2. Contaminated - including simple first aid, sanitary napkins, diapers, soiled clothing from toileting accidents, discarded gloves, discarded PPE equipment, masks, clothing, bandages with some blood on them, or vomit. In case of an incident involving Contaminated Bodily Fluid, appropriate PPE equipment must be used, such as, but not limited to, gloves, goggles, masks absorbent material. This PPE equipment should be properly disposed of in a securely sealed garbage bag (not red biohazard) and disposed of with the regular waste.

After each incident the infected area must be cleaned thoroughly and disinfected. The primary person for this task should be the custodian or other designated individual. There should be designated backup individuals documented.


Southern Seven HS/EHS Service Area: Safety Procedure: Bloodborne Pathogens Exposure Control Plan for the Bus References: The following procedure must be followed to ensure the health and safety of Southern Seven Head Start Employees and Children riding school buses in the event of possible exposure to any infectious materials. Infectious materials include blood, vomit, and any other bodily fluids. Buses will be provided kits with necessary equipment for ensuring proper containment of infectious materials. Each kit will include the following items: Disposable Gloves (buses with a capacity of over 35 must store gloves in the front and rear of the bus); Disposable Face Masks; Protective Goggles; Bio-Hazard Spill Kit; Precise Disinfectant; Hand Cleaning Towelete; Paper Towels; Absorbent Material; and Plastic Trash Bags In the event of an accident involving infectious materials, the following procedure must be followed: 1. The bus must be pulled over at the first available location. 2. Bus Aide (any *person riding the bus with the responsibility of assisting the driver) will

address emergency immediately by temporarily controlling the problem. a. Bus Aide “must” wear disposable gloves. b. If situation warrants, the Bus Aide will also wear protective goggles and mask. Under

no circumstance should any person without Bloodborne Pathogen Training be riding the bus as the Driver’s Bus Aide. *Only Southern Seven Head Start Employees and Trained Volunteers should assist in such incidents.

c. “Bus Emergency” Procedure must be kept on the Bus at all times. 3. Hand cleaning towelette should be used to clean any body areas exposed to infectious

materials. 4. Bus will continue the route upon control of the emergency. For example, if the situation

requires no further assistance or additional emergency assistance arrives. 5. At completion of the route, Bus Driver will complete clean up, dispose of contaminated

material in appropriately sealed container, and disinfect contaminated area. a. Bus driver must wear gloves, protective goggles, and mask.

6. Any non-disposable equipment exposed to infectious material must be disinfected. DISPOSAL PROCEDURE 1. Soiled diapers, material with small amounts of blood; i.e. from bloody nose or small cut, and

any other materials containing body fluids, should be enclosed in a plastic bag, placed in the trash, then sealed and taken to an area not accessible to the children for disposal.

2. If the child’s clothes have been exposed to the infectious material, change upon arrival at the center. a. Place the clothes in a plastic bag and remove to an area not accessible to the children

and send home for cleaning. 3. If there is an accident involving a large amount of blood, seal all exposed materials in a Bio-

Hazard bag. a. Contact the Head Start Health Services Specialist for further disposal instructions. The

Early Childhood Director or Health & Nutrition Specialist will contact the nearest Health Department Clinic to dispose of the Red bio-hazard bag.

4. Bus driver will ensure items used for clean up are replaced on the bus.


**RED BI0-HAZARD BAGS CANNOT BE THROWN IN NORMAL TRASH**

SPECIFIC BUS PROCEDURES The first three steps should be used in all instances: 1. Pull bus over at first available location. 2. Bus aide address problem immediately. 3. Aide “MUST” wear disposable gloves. 4. If situation warrants, the aide will also wear protective goggles and mask. 5. ONLY Bloodborne Pathogen Trained Southern Seven Head Start Employees and

Volunteers will address problems.

MINOR BLOOD SPILLS 1. Provide temporary treatment to stop bleeding. Clean up any blood. 2. Use hand towelette to clean any body areas exposed to infectious material. 3. Seal all contaminated materials used to clean up blood in plastic trash bag. 4. Continue to end of route. 5. Bus driver will complete clean up, dispose of trash bag and disinfect exposed areas

in bus. Disposable gloves must be worn at all times. VOMIT 1. Clean infectious material off child and any area directly associated with child. If possible,

move child to another seat. 2. Use hand towelette to clean any body areas exposed to infectious material. 3. Seal all contaminated materials used to clean up in plastic trash bag. 4. Continue to end of route. 5. Bus driver will complete clean up, dispose of trash bag and disinfect exposed areas in bus.

Protective equipment must be worn at all times. This includes gloves, goggles, and mask.

LARGE BLOOD SPILL 1. Provide necessary treatment to stop bleeding. 2. Open “bio-hazard” kit to clean spill. 3. Use hand towelette to clean any body areas exposed to infectious material. 4. Seal all contaminated materials in red Bio-Hazard bag. 5. Continue to end of route IF CHILD DOES NOT NEED FURTHER MEDICAL TREATMENT. 6. Bus driver will complete clean up and disinfect exposed areas of bus. Protective

equipment must be worn at all times. This includes gloves, goggles, and mask. Red Bio-Hazard bag will have to be taken to nearest Southern Seven Health Dept. For disposal. Replace Bio-Hazard spill kit in bus.

BODY EXCREMENTS 1. Clean bodily excrements and/or fluids from child and any exposed areas. If possible, move

child to another seat. 2. Seal all contaminated materials used to clean up in plastic trash bag. 3. Continue to end of route. Bus Driver will complete clean up and disinfect exposed areas of bus. Disposable gloves must be worn at all times.


Southern Seven Head Start/Early Head Start THE HEAD START BUSES & CENTER

BLOODBORNE PATHOGEN KIT INVENTORY CHECKLIST Center: _______________________ Center or Bus #:_____________ Date Inventoried: _______________

ITEM # REQUIRED

# ON

HAND

EXP. DATE

COMMENTS

Bus Emergency Procedure

1

N/A

Goggles

1

Universal Precaution Compliance Kit

1

Foaming Disinfectant Cleaner

1

Box of Latex Exam Gloves

1

Scoop

1

Emergency Clean Up (disinfectant powder)

1

Tall Kitchen Bags & Ties

Antiseptic Towelettes

2 Masks

2

Replace items after each use. Contact HS Central Office to replace items. Inventory prior to start up each year.


Southern Seven Head Start/Early Head Start EMERGENCY KIT INVENTORY FORM

Center: __________________________ Classroom: ___________________________________ Date Inventoried: __________________ Initial of Person Completing The Inventory: __________

ITEM

# REQUIRED

# ON HAND EXP. DATE

COMMENTS

Bottled Water Jugs (in plastic bag or container on bottom)

Determined by size of class

Blankets

2

Flash Light w/batteries (in plastic on top)

2

Extra Batteries (in plastic bag) for Flashlight

6

Can Opener (not electric)

1

Wrench (keep in area easily accessed)

*1 per center

Radio w/batteries

*1 per center

Extra Batteries for Radio (in plastic bag)

8

Food (ie: crackers, peanut butter, canned fruit)

Determined by size of class

*Note: Anna, Mounds, Vienna, and Cairo will have two, one at each end of the building. ADDITIONAL ITEMS FOR EARLY HEAD START PROGRAMS Baby Wipes

As much as is needed per

child attending

Diapers

Formula

Baby Food

Sterilized Bottles

Note for all classrooms HS/EHS: Store extra water in kitchen or accessible storage area. Inventory & restock prior to start up each year (water, food & batteries) and in January. Check expiration dates and restock as needed. You may add other items that seem appropriate for your classroom. (ie. Activities, books, teething toys, etc.) Include a list of children and staff in your classroom with emergency information. Misc. – Paper plates, 3 oz. cups, bowls, plastic silverware, etc.


Southern Seven Head Start/Early Head Start FIRST AID KIT INVENTORY LIST

Center: __________________________ Initial of Person Completing the Inventory: ___________ Date Inventoried: __________________

A Well Stocked First Aid Kit should be kept in the Center Office away from children. Under no circumstance should items such as Hand Sanitizer, Peroxide, or Bee Sting Relief be in the classroom. Bring children to the office for medical assistance, according to procedure. Stock supplies as used. Inventory twice a year when the time changes. Restock if expiration is before next inventory date. CPR Masks located in each classroom.

ITEM # ITEM # 1st Aid Guide Gauze Roll Adhesive Bandages Hand Sanitizer (in office only) Adhesive Tape Instant Cold Packs Alcohol Prep Pads (in office only) Iodine Prep Pads Ammonia Inhalant Pads Pen/Pencil & Note Pad Antibacterial Ointment (in office only) Peroxide (in office only) Antiseptic Towelettes Safety Pins Burn Cream (in office only) Scissors Cotton Tip Applicators Sterile Sponge/Gauze Dressings Disposable Gloves Sting Relief Pads (in office only) Elastic Wrap Thermometer Eye Dressing Trash Bag Eye Wash Triangular Bandage Finger Splints Tweezers TRAVEL FIRST AID KIT INVENTORY LIST (Shall include all above supplies plus the following additional items – Children may not carry kit)

Antiseptic Cream Telephone #’s of Center & Children (Central Office, Emergency #’s on a laminated card)

Coins for Payphone (per DCFS regs) Water and Soap


Southern Seven HS/EHS Service Area: Safety Procedure: CPR/First Aid Training References: DCFS Licensing Standards – Section 407.110 The center shall have on duty at all times at least one staff member who has successfully completed training and is currently certified in first aid, cardiopulmonary resuscitation (CPR) and the Heimlich maneuver, and for centers serving infants, first aid for choking infants in accordance with the approved method specified in the Department of Public Health’s rules 77Ill. Adm. Code 520, The Treatment of Choking Victims. CPR certification must be specific for all age groups served, i.e. (birth to 12 months), child (one to eight years) and adult (eight years and older).

1. Training is provided on a monthly basis that center staff can register to attend. Dates are available on the training calendar.

2. S7HD employees that are CPR/First Aid instructors through Shawnee Community College instruct the class. Employees can earn college credit for this class at no cost.

3. Upon successful completion of the class, employees are issued a card ensuring certification. The card is sent to the ERSEA Specialist where a copy of the card is made for the employee’s central office personnel file. When it is received at the center another copy of the card should be made for the employee file at the center. Information should also be shared with center’s safety committee in order to complete employee safety tracking form.

4. Certification is good for two years. Although all staff would benefit from having this training, the following job titles should keep certification current:

• Bus Drivers • Home Based Advocates • Site Supervisors • Assistant Site Supervisors • Lead Teachers


Southern Seven HS/EHS Service Area: Safety Procedure: Safety Committees References: Southern Seven Health Department Safety Committee

• This committee meets every other month. • Incident Reports, safety concerns, and policies and procedures are among the

items discussed. • Head Start has three members on this committee: The Early Childhood

Administrator’s designee, the Head Start Member at Large, and the Head Start Liaison. The Head Start Liaison is a member of and represents the Head Start Safety Committee and the Member at Large represents the Program Planning Committee.

Southern Seven Head Start Safety Committee

• This committee meets quarterly. • Discuss Site Safety Issues, Incident Reports and ways to IMPROVE safety at

sites. • Each site is represented by the chairperson or designee from each local Head

Start Site Safety Committee. Site Safety Committee

• Each center has its own Safety Committee that monitors safety issues at the site. The committees meet monthly in a separate meeting or as part of the staff meeting.

• The committee maintains a Safety Book. • The book documents the actions of the Safety Committee. It contains work

orders, safety minutes, safety questions and answers, Inspection Reports, and other documentation.

• The book is reviewed as part of Agency-Wide Safety Checks that occur annually.


Southern Seven Head Start/Early Head Start SAFETY COMMITTEE ACCIDENT/INCIDENT REVIEW

DATE: ______________________ SITE: ___________________________ Total number of accidents/incidents reviewed: ___________ Level 1 (required first aid at center) Number of accidents/incidents: ___________ Level 2 (required medical attention) Number of accidents/incidents: ___________ Level 3 (required emergency medical attention) ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Was an accident/incident report form completed for each accident? Yes ____ No _____ (If no, why not?) What were contributing factors? Could the accidents/incidents have been prevented? Please explain: What recommendations would you make? What was the follow-up action taken?


Southern Seven Head Start/Early Head Start EMPLOYEE SAFETY TRACKING FORM

STAFF’S NAME

CPR/FIRST AID DATE (EXPIRES 2 YRS)

BUS

MONITOR TRAINING

CENTER SAFETY

ORIENTATION

DCFS REGULATION

OTHER


Southern Seven HS/EHS Service Area: Safety Procedure: Employee Personal Safety References: A very important part of being an employee at Southern Seven Head Start/Early Head Start is interacting with the children. If not aware of their own physical limitations and surroundings, employees could place themselves in harms way. It is pertinent that we do not change the way we play and interact with our children. However, all employees should maintain an awareness of his/her surroundings and the consequences of misuse of equipment. It is important that all staff be aware of the following:

1. Our playground and classroom equipment is designed for children ages 3-5. Be aware of size and age limitations of all equipment.

2. KNOW YOUR OWN LIMITS. Only you know what you are physically able

to do or not do.

3. Finally, be aware that insurance and/or worker’s compensation may reject claims for injuries sustained by employees through use of equipment not designed for adults.


Southern Seven HS/EHS Service Area: Safety Procedure: On-Going Monitoring Procedure List References: Facilities, Equipment, & Safety The following monitoring procedures are followed to comply with Federal Head Start Standards and other Regulatory Agency Guidelines in the area of Facilities, Materials, and Equipment. These include addressing non-compliances found through the monitoring process.

1. Facilities are inspected by the Site Safety Team daily and monthly. 2. Facilities are inspected monthly by the Maintenance Coordinator and Early

Childhood Director using the Safety/Maintenance Checklist. Repairs and Work Orders are submitted and tracked for completion to monitor timely repairs.

3. Commercial Kitchens are monitored by Environmental Health Staff quarterly.

4. Facilities are inspected yearly by DCFS Licensing Representative. 5. Head Start Facilities are inspected by the Fire Marshall. 6. Sprinkler systems, hood suppression systems, security alarms, etc. are

monitored regularly. 7. Safety reviews, which are a part of the Self-Assessment Process, are

conducted by the Head Start Safety Team Members yearly. 8. Playgrounds are reviewed daily for potential dangers. 9. Facilities are cleaned daily by Custodians, Staff, or a Contractor. 10. Carpets are deep cleaned and floors waxed yearly or as needed. 11. Inventory is completed every year of materials and equipment, including

condition of the equipment. Purchases are made as needed. 12. Work Orders for repair are completed, signed off on by the Site Supervisor

and submitted to the Maintenance Coordinator. Needs are prioritized and acted on in a timely manner.

13. Work Orders for moving equipment or materials are completed, signed off on and submitted to the Maintenance Coordinator. Items are inventoried if necessary.

14. Pest Control is monitored monthly by professionals. 15. Buses and agency vehicles are maintained regularly.


Southern Seven HS/EHS Service Area: Safety Procedure: Pest Control References: Structural Pest Control Act (225 ILCS 235) is designed to cover indoor pesticide applications in schools. Public Act 91-0525 requires that public schools:

• Establish an Integrated Pest Management program, which incorporates the guidelines developed by IDPH by August 1, 2000.

• Appoint a school employee to oversee pest management operations and record keeping.

• Before a child is enrolled the daycare center shall provide summary of its pest management plan and uses of pesticides to the child’s parents or guardians.

• Establish parent/guardian notification procedures regarding the pesticide application schedule, providing notification at least two business, but not greater than 30, days prior to application.

IDCFS licensing regulations (407.370m,n) requires that licensed daycare center:

• The spraying of pesticides by a licensed pest control operator under the direct observation of a staff member to insure that residue is not left in areas accessible to children.

• Spraying shall be done while there are no children present in the facility. Southern Seven Head Start Procedure as follows:

1. The Early Childhood Director will schedule an appropriate time for

pesticide application with licensed pest control operator at a time when children are not present. Children are required to be kept out of treated areas for at least two hours after the application. Pesticide application will be conducted on Saturdays at Anna, Cairo, Mounds, Rustic, and Vienna Head Start Centers. Brookport, Egyptian, Goreville, Hardin, Jonesboro, Metropolis, and Pope County Centers are located in Public Schools and are governed by that School Districts pesticide policies. All storage buildings are sprayed at a minimum of twice a year.

2. The Site Supervisor, or designee, is the official contact person for any family’s questions regarding the pest control application process.

3. Parents will be notified of scheduled pesticide treatments through the monthly newsletters. The schedule will also be posted on the Safety Board. In the Parent Handbook, parents are notified of the pest control policy prior to their child’s enrollment.

4. A copy of the receipt is to be kept in the Safety Awards Binder. The original receipt is to be sent to the Account Systems Coordinator.


Southern Seven HS/EHS Service Area: Safety Procedure: Equipment Maintenance Request References: TYPES OF REQUESTS: Emergency Condition Conditions that cause imminent danger or do not allow for the center to operate in a safe manner. Plumbing (IE; sewer lines clogged or broken), heating and air (IE; unit not working and temperature not within safe range), commercial kitchen equipment (broken and emergency plan does not allow for safe alternative), fire, flood, electricity (outage for long period of time creating unsafe environment, imminent danger of fire or injury), leaks (that will cause more damage if not fixed immediately), broken windows or other issues that threaten security, security system (not surveillance system) Report immediately and schedule within 24-48 hours (sooner if possible) Non-Emergency Repair Conditions that are safety issues and need repair, but allow for alternative solutions and children can still attend in a safe environment. Plumbing (toilet not working but have alternative, dripping faucet), heating and air (unit not working properly, but temperature is within safe range), commercial kitchen equipment (repairs needed, but can change meals or use safe alternative plan), electricity (lights, switches, outlets not working, but no immediate danger), leaks (no immediate danger for children), broken windows that do not create an unsafe environment and surveillance system (cameras, monitors, etc). Report immediately and schedule within one week (sooner if possible) Routine Maintenance General repairs that can be performed while the children are present and do not require professional services or for equipment to be removed from the center (IE; replacing fluorescent lights, changing filters, small equipment repairs, mounting small items, etc) Report and scheduled within a month (sooner if possible) Scheduled Maintenance Repairs that cannot be performed in the presence of children, require professional services or require equipment to be removed from the center (IE; Floor care, furniture refinishing, pest control, major electrical or plumbing work). Schedule in advance, usually after or before Head Start hours, during the summer or during the month assigned to the individual site Preventive Maintenance Activities that will if completed regularly will prevent breakdown of equipment. Some of these duties can be performed by custodians if available or safety committee (IE; vacuuming condensers on commercial kitchen equipment, cleaning grease traps and hood vents, changing furnace filters, removing spots on carpets immediately, monthly safety reviews of exit lights, smoke detectors, emergency lights, etc.)


WHAT DO I DO AND WHO DO I CALL if a problem exists with equipment such as Refrigerator, Freezer, Dish Washer, Washer/Dryer, Stove, Milk Cooler, Food Warmer, Window Air Conditioner? What if there are plumbing, flooding, furnace or air conditioning problems? BEFORE CALLING ANYONE: 1. Problem solve at the local level by Site Supervisor and staff.

_____ Can equipment or water be turned off to prevent more damage? _____ Is the electric plug connected? _____ Is the breaker thrown in the electric box? Can it be reset? _____ Have the inside and outside thermometer temperatures been compared? _____ Is the outside thermometer working properly? Is it stuck? _____ Has the compressor on the freezer or refrigerator been vacuumed?

(preventive maintenance for motor) _____ Is there a specific odor or unusual noise? _____ Are there other problem solving checks?

2. A report of findings that includes possible solutions is made by Site Supervisors, Assistant Site Supervisors or Lead Teacher and is given to Maintenance and the Early Childhood Director.

SYSTEM FOR REPORTING FINDINGS: 1. Report findings to:

A. First contact Maintenance, Ext: 350, [email protected]. B. If (A) cannot be reached, report to the Early Childhood Director, Ext

148, [email protected] or the Early Childhood Administrator, Ext: 126, [email protected].

C. If (A-B) are not available report findings to the Executive Director, Ext: 118, [email protected].

2. Complete Work Order: Work orders may be received through Faxes, E-

Mail or the Work Order Request form. A. Fax Emergency Conditions work orders to (618) 634-9394. B. Send an E-Mail to [email protected]. and [email protected].

Send a work order by Intra-Office mail. C. Call and leave a message on the maintenance voice mail, Ext: 350.

3. After the request has been received, appropriate instructions will be given. A. Maintenance will review request. B. Recommendations will be made for repair or acquisition of vendor

services. C. Site Supervisor or appropriate Central Office person will be asked to

contact appropriate vendor. D. Purchase requisition will be completed. E. Appropriate vendors will be contacted for proposals or bids.

mailto:[email protected]






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Southern Seven Health Department/ Head Start/Early Head Start

REPAIR OR WORK REQUISITION Print or write legibly Site: _______________________ Site #: __________ Date: ___/___/___ Name of staff person completing report:______________________ Title:______________________ Nature of problem (Describe in as much detail as possible; include one job per work order) _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Site Supervisor Signature: __________________________ Date: ___/___/___ Maintenance Coordinator Signature: ____________________ Date: ___/___/___

MAINTENANCE EVALUATION

Work Order Number:_____________________ P.O. Number (If any):__________ Comments: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Maintenance Coordinator Signature:____________________ Date:___/___/___ WORK COMPLETION REPORT _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Signature When Completed: __________________________ Date:___/___/___

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Southern Seven Health Department REQUEST TO TRANSFER OR DESTROY EQUIPMENT

Name: __________________________ Date: ______________________

Current location of equipment (site #) ____________ Equipment Description____________________________________________________ ______________________________________________________________________ (If no inventory tag is attached please give accurate description of equipment) Inventory tag #______________ Serial #___________________________

Transfer of Equipment Transfer to site ___________ Reason for transfer:______________________________________________________ ______________________________________________________________________ ______________________________________________________________________

Disposal of Equipment Reason for disposal:_____________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Authorized by________________________________ Date ____/____/____ Site Supervisor Approved by ________________________________ Date ____/____/____ Fiscal Officer Date Item Picked Up: ____/____/____ Signature of person responsible for transfer/disposal:___________________________

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Southern Seven Health Department REQUEST TO TRANSFER OR DESTROY RECORDS/FILES

Name: __________________________ Date: ______________________

Current location of equipment (site #) ____________ Files/Records Description: ________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Reason for Transfer/Removal: _____________________________________________ Transfer to Site #:______________ Removal to Storage Facility Authorized by________________________________ Date ____/____/____ Site Supervisor Approved by ________________________________ Date ____/____/____ Fiscal Officer Date Item Picked Up: ____/____/____ Signature of person responsible for transfer: __________________________________

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Southern Seven Head Start/Early Head Start DISCARDED ITEMS

Site: Date: Supervisor:

Description of Item:

Identification/Serial Number:

Reason(s) For Discarding

Broken (unrepairable) Cracked

Parts Missing Splintered

Not in Working Condition Obsolete

Other:

Return to the Maintenance Department at the Administrative Office

Southern Seven Head Start/Early Head Start DISCARDED ITEMS

Site: Date: Supervisor:

Description of Item:

Identification/Serial Number:

Reason(s) For Discarding

Broken (unrepairable) Cracked

Parts Missing Splintered

Not in Working Condition Obsolete

Other:

Return to the Maintenance Department at the Administrative Office

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Southern Seven HS/EHS Service Area: Safety Procedure: Cleaning the Center References: The following standards shall be followed in order to comply with DCFS regulations and to reduce the risk of illness: 1. Carpet areas shall be vacuumed daily. 2. Tables and chairs shall be wiped off daily with bleach water. Other toys, table

tops, furniture, and other similar equipment used by the children shall be washed and disinfected when soiled or contaminated with matter such as food, body secretions or excrement.

3. Dress-Up clothes and machine washable cloth toys shall be machine washed in

the center or Laundromat at least weekly and/or when contaminated. 4. Other toys such as manipulatives, blocks, trucks, puzzles, and other hard surface

toys shall be cleaned with bleach water monthly. 5. Each child’s locker or cubby shall be washed with bleach water weekly. 6. Mats or cots used by children should be wiped off with bleach water weekly and

air dried before stacking. If a child has been ill, the cot must be sanitized before it can be used again.

7. Water tables and toys used in water tables shall be emptied daily and cleaned

with a mild germicidal solution before being air-dried. Children and staff shall wash their hands before and after using the water table.

8. Toys and equipment that are placed in children’s mouths or are otherwise

contaminated by body secretions or excretions shall be set aside to be cleaned with water and detergent, rinsed, sanitized and air-dried before handling by another child.

9. Linens are to be washed daily. If head lice or other illness is occurring frequently in the center, more cleaning may be necessary. All major cleaning shall be done when children are NOT present. Bleach water is 1 part bleach to 10 parts water.

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Southern Seven HS/EHS Service Area: Safety Procedure: Maintaining Equipment, Toys, and Supplies References: It is the responsibility of ALL Site Staff to maintain equipment and supplies in a CLEAN and SAFE condition.

1. Staff must regularly clean toys and equipment and watch for dangerous items. Children can

be involved in this process if toys are added to a sensory table/soap and water experience.

2. Items that need repair should be fixed as soon as the problem is noticed. With a little preventative maintenance, equipment will last a long time – (If we don’t need to spend money on replacing expensive equipment, there will be more money to spend on new toys and more supplies.)

3. Children learn best when they are able to choose toys that are easily accessible with no missing pieces. Toys should be sorted into complete sets or by type of toy. For instance, small Lego pieces should be kept separate from large Lego pieces and blocks should be placed on shelves by size/shape rather than dumped into a storage bin.

4. It is important that children are involved in daily clean up routines. This is most likely to be a successful experience when children take out only the toys that they are using rather than dumping all the toys out at one time. Remember all children practice important cognitive skills when they sort items.

5. When inventorying at the end of the year, use the pre-printed inventory list of equipment. Delete items if they have been broken and discarded during the year (use DISCARD form). Add items to the inventory list as new equipment and toys are purchased through the year. Add to the inventory under the section (i.e. table toys/dramatic play area, books) so that the items can be easily located and added during inventory.

6. Staff are asked to identify items needed in the classroom. The priority is: • Items needed to meet licensing requirements or replace broken equipment. • Items that will enhance the educational experience for the children. • Items that we wish for even though there are sufficient materials available.

When looking for toys or equipment, don’t forget to look for donations from parents or purchases at yard sales. Be creative when looking for consumable materials for art projects. Remember that “in-kind” and “parent involvement” are also important to our program. Parents who are unable to donate time during the day may be able to repair items.

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Southern Seven Head Start/Early Head Start EQUIPMENT CLEANING CHECKLIST

Center: ___________________ Classroom: __________ Teacher(s): __________________ Checklist needs to be completed daily at a minimum. Please place the completed form in the Safety Binder at the end of every month. Fill in the month and initial each entry.

Equipment

Month: Week 1 Week 2 Week 3 Week 4 Week 5

M

T

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T

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T

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F

Tables and Countertops

Food Prep Surfaces

(before and after use)

Floors (sweep)

Door & Cabinet

Handles (Wipe down)

Carpets/Rugs (sweep)

Toys that have been soiled (mouthed)

Hats (after each

use)

Rags for bleach water

(get clean ones daily)

Sinks & Faucets (Wipe

down when soiled)

Soap Dispensers (Wipe down when soiled)

Toilet seats & Handles

(immediately if soiled)

Toilet Bowls

Doorknobs

Changing Tables

(after each use)

Any Contaminated

Surface (Immediately)

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Southern Seven Head Start/Early Head Start EQUIPMENT CLEANING CHECKLIST – PART 2

Center: ________________ Classroom: _________ Teacher(s): _______________ Checklist needs to be completed weekly, even if each item is not completed that week. Please place the completed form in the Safety Binder at the end of every month to be reviewed periodically. Fill in the month. Date and initial each entry. Month:

Weekly Cleaning Week 1 Week 2 Week 3 Week 4 Week 5

Sanitize Toys

Wash Sheets & Blankets

Wash Any Cloth Material

(Including dress up clothes)

Clean Cubbies

Sanitize Cots & Mattresses

Arrange Cabinets

Clean Large Equipment

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Southern Seven HS/EHS Service Area: Safety Procedure: Diapering References: Have the following supplies ready before bringing the child to the diapering area:

• Disposable wipes or fresh, wet paper towels • Diapers • Skin preparations prescribed by the child’s doctor or requested by the

child’s parent • A bottle each of soapy, clear and bleach water(1/4 cup bleach to 1 gallon

of water)(prepared daily) 1. Lay the child on the changing surface, taking care to minimize contact with the

child if his/her outer clothes are soiled. 2. Put on protective gloves. 3. Remove diaper and any soiled clothes. 4. Clean the child’s bottom from the front to the back with a fresh disposable wipe

or a damp paper towel. 5. Dispose of the disposable diapers, paper towels and diaper wipes in a covered

receptacle. Put soiled clothes and cloth diapers into a plastic bag to be sent home with the parents.

6. Remove disposable gloves. Wash hands or wipe hands with a pre-moistened antibacterial towelette.

7. Wipe child’s hands with pre-moistened towelette. 8. Place clean diaper on the child. Make sure the child’s clothing is clean and dry.

If not, change the child’s clothing. 9. Remove child from the changing table and wash child’s hands according to hand-

washing procedure. 10. Clean visible soil from the changing table with spray disinfectant and paper

towels or antibacterial wipes. 11. Clean and disinfect the diaper area with prepared spray in the following order: soapy

water, clean water, bleach water (1/4 cup bleach to 1 gallon of water). 12. Wash adult hands using the proper hand washing procedure.

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Southern Seven Head Start/Early Head Start BLEACH SOLUTION SCHEDULE

Site Name ___________________Classroom ____________ Time Period ___/___/___ to ___/___/___ Change cleaning solution before each session and initial in daily square. Use ¼ cup bleach to one gallon of water.

August

Initial September

Initial

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Initial

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Initial

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Site Name ___________________Classroom ____________ Time Period ___/___/___ to ___/___/___ Change cleaning solution before each session and initial in daily square. Use ¼ cup bleach to one gallon of water. December

Initial

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Site Name ___________________Classroom ____________ Time Period ___/___/___ to ___/___/___ Change cleaning solution before each session and initial in daily square. Use ¼ cup bleach to one gallon of water.

April

Initial

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Initial

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Initial

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Southern Seven HS/EHS Service Area: Safety Procedure: Playground Checklist References: A particular person, and back up person, should be designated to complete a safety check of the playground each day before children are permitted to play in the area. After the evaluation of the playground is completed using the Daily Playground Maintenance List, the designated person will initial the Daily Playground Safety Checklist and document any findings and action taken. These forms will be reviewed by the Site Safety Committee and appropriate action taken.

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Southern Seven HS/EHS Service Area: Safety Procedure: Daily Playground Maintenance List References: The purpose of the Daily Maintenance Inspection is to check for conditions that may change suddenly as a result of use, abuse or changing environmental conditions. This type of inspection does not take a long time to perform and can usually be accomplished by walking throughout the environment. Each time the designated person evaluates the safety of the Head Start playground for use by children, check for the items listed below and complete the Daily Playground Safety Checklist entry.

• Sticks, trash, needles, cigarettes, bottles, cans, pills, etc. (use gloves to pick potentially hazardous items.)

• Evidence of animals

• Sharp edges or corners of equipment in play area.

• Loose seats, wheels and handlebars on Tricycles, etc

• Broken equipment or missing parts

• Kinked, twisted or broken chains or swing seats.

• Loose bolts or uncapped ends of pipes or equipment.

• Wood equipment or timbers free of splinters or rough edges.

• Equipment stable with no loose parts or loose footings.

• Hard surfaces free from tripping hazards, including ground cover, twigs,

equipment.

• Inadequate levels of surfacing materials around equipment footings. Surfacing materials should be deeper around equipment than at edge of playground and should cover the foundation pieces of equipment. Use a rake to bring the ground cover back to the equipment or play a game with children using little rakes or buckets to cover the footings.

• Working gates in good condition

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Southern Seven Head Start/Early Head Start DAILY PLAYGROUND SAFETY CHECKLIST

Month: _________________________ Year: ______________________ Document in Findings and Actions Area the kind of inclement weather if it keeps children indoors.

Date Findings & Action Time Initial

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Southern Seven Head Start/Early Head Start CENTER SAFETY REVIEW

You will find an original copy of this form in your Safety Binder.

Documents

Southern Seven Head Start/ Early Head Start · Was the building =s Fire Alarm System activated? Yes No (Note: All Fire Exit Drill Alarms shall be sounded . on the Fire Alarm System)