Preventive Health & Safety Practices (PHSP) Training Program
For Child Care Providers
By Palm Desert Resuscitation Education LLC (PDRE)
Audience:
California Requirements For Child Care Providers
There must be at least one Director or Teacher at each site.
Family Childcare Licensees and Co-licensees must fulfill the vital California Child Care Training.
Providers in Child Care Centers and Family Child Care Homes must complete at least 16 hours of training about health and safety before they are allowed to be Child Care Providers.
Preventive Health & Safety Practices Training Program For Child Care Providers By Palm Desert Resuscitation Education LLC (PDRE)
The Preventative Health Practices includes infectious diseases, immunizations, preventing childhood injuries, caring for children with special needs, identification and reporting of child abuse, and beginning in January 2016, child nutrition. (8 Hours)
Beginning July 1, 2020, Preventive Health and Safety Practices training programs for Child Care Providers are required to include Lead Poisoning Prevention (LPP) instruction under the Health and Safety Code, Section 1596.866.
In this course, skills are taught in large, group sessions and small, group learning.
Features and Course Content:
This certification course is approved by the Emergency Medical Service Authority (EMSA) Authority and developedUniversity of California, San Francisco (UCSF) to provide Preventive Health and Safety Practices (PHSP) Safety Training for Child Care Providers. It is a guide for child care providers for what the best practices are to care of children in a child care setting. Information covers the California Childcare Health Program (CCHP), a non-profit based at the UCSF School of Nursing. It follows the EMSA child care training statute and regulations.
Course Content:
Module 1 – Prevention of Infectious Disease
Standard (Universal) Precautions
Sanitation
Hand Washing
Use of Gloves
Diapering
Childhood immunizations (age and type requirements)
Maintenance of health records and forms; process for review of medical information, including medication administration, allergies, immunizations, and health insurance
Infectious Disease Policies
Notices for exposure to disease
Guidelines for the exclusion/inclusion of sick children
Diseases that should be reported to local health agencies and to the child care facility children’s parents
Guidelines for managing mildly ill children
Guidelines for staff health regarding potential risk of infectious diseases, including cytomegalovirus (CMV) and Hepatitis
Environmental sanitation
Vector prevention
Kitchen cleanliness and sanitation
Toilet and diapering sanitation
Air Quality
Hazards of smoking
Air filters clean/Importance of fresh air
Hazards of fireplaces
Allergens and respiratory illness
Water Quality
Caring for Children with Special Needs
Knowledge of resources available
Knowledge of the Americans with Disabilities Act (ADA)
Community resources regarding information on local resources for services that deal with children's health and caring for children with special needs
Prevention, Identification and Reporting of Child Abuse
Mandated reporting requirements
Signs of child abuse/neglect
Care giver stress relation to child abuse
Community Resources: information on local resources for services that deal with children’s health and prevention of infectious disease shall be give to trainees by the training instructor
Module 2 – Child Injury Prevention
Risk of injury related to developmental stages (i.e., falling, head injuries, choking, suffocation, burns, poisoning (lead, iron, other medications), or al injury, drowning, injuries from weapons, and injuries from animals)
Establishing and adhering to safety policies; managing children’s risky behaviors that can lead to injury
Procedures to reduce the risks of Sudden Infant Death Syndrome (SIDS) and Shaken Baby Syndrome
Regular assessments for the safety of indoor and outdoor child are environments and play equipment
Transportation of children during child care:
Motor vehicle safety
Child passenger safety
Field trip safety
School bus safety
Earthquake and emergency procedures
Preparing child care environment for major disasters
Community resources: information on local resources for services that deal with children’s health and prevention of childhood injuries shall be given to trainees by the training instructor
Community resources, where to go in your community for help and information regarding child abuse
Community resources for gaining information in preparation for disasters/assistance in case of disaster
Module 3 – Nutrition
USDA’s Child and Adult Care Food Program (CACFP)
Provide basic information about the USDA’s Child and Adult Care Food Program (CAFP)
How to access the program and how to obtain information on CACFP eligibility, enrollment, and reimbursement rates by contacting the CACFP Unit of the California Department of Education (CDE) Nutrition Services Division
The training shall provide California CACFP program contact information
Refer trainees to the California Emergency Medical Services Authority (EMSA) Child Care Nutrition Training webpage for resources and additional information about children’s nutrition.
Inform child care providers that more in-depth information about the topics in the nutrition training can be found on the EMSA Child care Nutrition Training webpage
A brief overview of the positive effects of healthy nutrition on the developing child and on the overall health of children ages 12 and younger
Basic Information about California’s Healthy Beverages in Child Care Law (AB 2084, 2010)
Clean and safe drinking water must be readily available throughout the day, including at all meal, snack and play times
Serve only fat-free or low-fat (1%) unsweetened, plain milk for children two years of age or older
Provide no more than one serving (4-6 ounces) per day of 100 percent juice
Beverages with added sweeteners, either natural or artificial, are prohibited (not including infant formula or complete balanced nutritional products designed for children)
Best practices for feeding infants and toddlers including breast milk
Overview of how to serve age appropriate healthy foods at each snack and meal that are based on the standards of the current Dietary Guidelines for Americans
Ways to cut back on foods high in solid fats, added sugars, and salt
Explanation of how to use food labels to help identify healthy choices
Best practices for building healthy eating habits in children, including the division of responsibility in feeding, based upon the current standards of the American Academy of Pediatrics and Caring for our Children
The child care provider is the role model for healthy eating while children are in the child care environment.
The division of responsibility: the child care provider chooses which healthy foods to prepare and offer to children, when and where to provide food; children choose what and how much they will eat from the foods offered
Allow children to serve themselves: they choose what they want from what you serve, they choose what proportions to put on their plates, and they decide when they are “full”
Child Care providers eat with the children at the communal table
Offer a variety of foods from each of the food groups
Fruits and vegetables, meat and meat alternatives, grains including mainly whole grains, and dairy products
Colorful foods with varying textures appeal to children’s palates
Encourage children to taste a new food, but do not force or reward children to eat or clean their plates
It is normal for children to dislike some foods and favor others
Children may need to be introduced to a new food 10 to 20 times before they accept it
Planning menus helps to provide a healthy variety of foods to children, and can help save money.
The benefits of developing written nutrition policies for the child care setting
Overview of information regarding food allergies and food safety
Food Quality
Safe food practices and food handling
Cooking safety/Food preparation/storage
Fully cooking meats and eggs
Pasteurized foods
Dangers of E.coli/Salmonella
Iron fortified formula, and introducing first foods
Other Key Nutritional Topics
Food pyramid
Appropriate eating behavior
Specialized diets
Awareness of feeding/growth problems
Diet and dental decay
Other Course Focuses
Knowledge of child care
Child care statutes and regulations
Child development impact and issues
Cultural awareness and sensitivity
Child care context is part of all content areas in the curriculum
Course Format/Time:
Classroom-based
This is a 100% classroom-based course.
Remember, online trainings are not approved training by the California Department of Social Services and Community Care Licensing. Therefore, based on the current statute, there cannot be any online courses for Child Care training.
Child Care Provider training consists of 17.5 hours of training for first-time licenses. The hours of training must be completed as follows:
8 Hours of Preventive Health and Safety Training
1 Hours of Pediatric Nutrition
0.50 Hour of Lead Poisoning Prevention (LPP)
The Lead Poisoning Prevention (LPP) is comprehensive information that can be incorporated into the 8 hours of training required for Preventive Health and Safety Practices.
The length and duration of the LPP may add an additional 30 minutes of the Child Care Provider Training as needed.
Every two (2) years, Child Care Providers must renew their training by completing the 4 hours of Pediatric CPR/AED.
IMPORTANT: The required hours for the Pediatric First Aid, CPR and AED is a total of eight (8) hours every two (2) years.
Course time based on 1 instructor to 10 students
Course Fee:
Initial (first-time)/Renewing Providers: $325
Heartsaver® First Aid CPR AED with Provider Manual: $120
Preventive Health & Safety Practices (PHSP): $205
Certification:
Upon successful course completion, students receive Preventive Health & Safety Practices (PHSP) Training Program For Child Care Providers By Palm Desert Resuscitation Education LLC (PDRE) in addition to the required Emergency Medical Services Authority (EMSA) PHSP sticker that includes a proof of completion of 8 hours of training.
The Pediatric First Aid, CPR, and AED Course(s) must be completed every two (2) years to receive a valid certificate of completion:
Inclusion of the Lead Poisoning Prevention (LPP) Curriculum in our Preventive Health and Safety Curriculum for Child Care Providers
Beginning July 1, 2020, Preventive Health and Safety Practices training programs for Child Care Providers are required to include Lead Poisoning Prevention (LPP) instruction under the Health and Safety Code, Section 1596.866.
It is important that all the training providers incorporate this LPP curriculum into their Preventive Health and Safety Curriculum as soon as possible.
Any child care providers applying for licenses on or after July 1, 2020, must have taken the LPP training as part of their Preventive Health and Safety Training.
Lead Poisoning Prevention Curriculum Key Topics
Why Is Lead Poisoning an Issue?
One of the most common and preventable environmental illnesses among 1-6 year olds
In CA, blood testing at 5 mcg/dL is considered elevated, but there is no safe level
Health Effects of Lead Poisoning
Children are more vulnerable to its toxic effects
Lead can limit a child’s intellectual & physical development
Anemia and lead poisoning may occur together
How Do I Know If a Child is Poisoned?
Most lead-poisoned children do not look or act sick
Testing is the ONLY way to know
Blood lead tests should be done at 12 & 24 mo in publicly funded programs (e.g., Medi-Cal, CHDP, WIC)
All other children should be assessed at every well child visit to healthcare provider up to age 6
Common Sources of Lead
Paint in homes built before 1978
Chipping, peeling paint and house dust
High-friction areas (windows, doors, railings)
Vinyl mini blinds
Bare dirt, artificial play surfaces (artificial turf, rubber mulch)
Water from wells or running through plumbing that contains lead.
Other Sources of Lead
Dust on work clothing & shoes, e.g., from construction, automotive, manufacturing
Many consumer products, e.g., pottery, water crocks, furnishings, clothing, jewelry, home remedies, makeup
Toys, e.g., old, painted, plastic, vinyl, or imported
Water from wells or from pipes that contain lead
What Can Providers Do to Protect Children?
Give parents/guardians information, encourage screening (HSC 1596.7996 requires child care centers and family child care to give parents lead poisoning info)
Promote good nutrition
Reduce lead exposure in your facility
Reducing Environmental Exposure to Lead
Regularly wash surfaces, toys, pacifiers, etc.
Check toys & equipment for poor condition of paint
Check Consumer Product Safety Commission for recalls (https://www.cpsc.gov/Recalls)
Reducing Environmental Exposure: Inspections
Monthly inspections of:
Chipping, peeling, cracking, failing paint
Bare dirt, artificial play surfaces
Other sources of exposure, e.g., move cribs away from wall, check toys for damage
Reducing Exposure in Child Care Setting
Hands can carry lead dust--always wash children's hands:
Before and after eating
After playtime
Before sleeping (especially thumb suckers)
Lead in Tap Water
Most CA water doesn't have lead
BUT only way to be sure is to test water (Note: AB 2370 requires testing for child care centers built before January 1, 2010. See DSS PIN 20-01-CCP)
Call local Childhood Lead Poisoning Prevention Program for testing information and requirements
To reduce lead in tap water:
Before use, run water until feels coldest --30 sec to few min, longer for first use after 6 hours
Use only cold tap water for cooking, drinking and mixing baby formula
Properly install and replace filters for filtered water
Lead and Nutrition
A healthy diet (especially foods rich in calcium, iron, and vitamin C) can help prevent lead absorption
Painting, Repairing, or Remodeling Child Care Facility
Potential risk of contamination if:
Facility built before 1978
Play yard exposed to heavy traffic or has old play surfaces (artificial turf, rubber mulch)
Facility is near business using lead-based products
Lead Testing
Call local Childhood Lead Poisoning Prevention Program for testing information and requirements
Have facility evaluated by a certified lead inspector
Test any potential sources, e.g., paint, soil, artificial turf, water, equipment, toys, dishes
Test kits for dish-ware/pottery available in hardware stores
Lead Poisoning Prevention Checklist
Resources for Further Information
Disclaimer:
Policies, terms, conditions, and prices may be subject to change without prior notice at any time depending on market value and vendor pricing in addition to yearly, seasonal and daily discounts and specials. Palm Desert Resuscitation Education (PDRE) reserves the right to update or modify these policies, terms, conditions and prices.