Personal Care RoutinesPersonal Care Routines

Early Childhood Environment Early Childhood Environment Rating ScaleRating ScaleStandards 9-14Standards 9-14

Georgia CTAE Resource NetworkInstructional Resources Office

July 2009

Greeting/DepartingGreeting/Departing Each child is greeted individually (ex. Staff Each child is greeted individually (ex. Staff

say “hello” and use child’s name, use say “hello” and use child’s name, use child’s primary language spoken at home child’s primary language spoken at home to say “hello.”)to say “hello.”)

Children are helped to become involved in Children are helped to become involved in activities when they arrive. Help him/her activities when they arrive. Help him/her get settled.get settled.

Pleasant departure (not rushed, hugs and Pleasant departure (not rushed, hugs and goodbyes for everyone.)goodbyes for everyone.)

Children busily involved until departureChildren busily involved until departure Parents are greeted warmly by staff at Parents are greeted warmly by staff at

arrival and departure.arrival and departure. Staff use greeting and departure as Staff use greeting and departure as

information sharing time with parents.information sharing time with parents.

Meals/SnacksMeals/Snacks Children should be given nutritious food every 2-3 hours.Children should be given nutritious food every 2-3 hours. Follow USDA Meal guidelines for correct ageFollow USDA Meal guidelines for correct age The cleaning cloths used for meal time should not have The cleaning cloths used for meal time should not have

been used for other things. It is best to use disposable been used for other things. It is best to use disposable cloths.cloths.

Wash and sanitize food table before Wash and sanitize food table before AND AND after food.after food. Sanitize means bleach water sprayed and air-dried at Sanitize means bleach water sprayed and air-dried at

least 2 minutes. Adequate to spray, sit 10 seconds, then least 2 minutes. Adequate to spray, sit 10 seconds, then wipe dry with disposable towel.wipe dry with disposable towel.

Staff must wash hands after cleaning table before serving Staff must wash hands after cleaning table before serving food.food.

Turn off faucets using a paper towel.Turn off faucets using a paper towel. Most staff sit with children during meals and group Most staff sit with children during meals and group

snacks.snacks. Children help during meals/snacks.Children help during meals/snacks. Pleasant social atmosphere with conversation – casual Pleasant social atmosphere with conversation – casual

and friendly.and friendly. Child-sized serving utensils and self-helpChild-sized serving utensils and self-help Children are encouraged to eat independentlyChildren are encouraged to eat independently Dietary restrictions of families followedDietary restrictions of families followed Meals and snacks are times for conversationMeals and snacks are times for conversation Wash hands after meal/snack timeWash hands after meal/snack time

Snack Guidelines:Snack Guidelines:Ages 3-5: choose 2 of the 4 components.Ages 3-5: choose 2 of the 4 components. ½ cup milk½ cup milk ½ cup fruit and/or vegetable½ cup fruit and/or vegetable 1 serving grains/bread1 serving grains/bread

½ slice whole grain bread, cornbread, biscuit, roll or ½ slice whole grain bread, cornbread, biscuit, roll or muffinmuffin

1/3 cup whole grain or enriched or fortified cold dry 1/3 cup whole grain or enriched or fortified cold dry cerealcereal

¼ cup hot cooked cereal¼ cup hot cooked cereal ¼ cup pasta, noodles or grains¼ cup pasta, noodles or grains

1 serving meat/meat alternative1 serving meat/meat alternative ½ oz meat, poultry, or fish½ oz meat, poultry, or fish ½ oz protein product or cheese½ oz protein product or cheese ½ egg½ egg 1/8 cup cooked dry beans or peas1/8 cup cooked dry beans or peas ½ oz nuts and/or seeds½ oz nuts and/or seeds 1 Tablespoon nut or seeds butters1 Tablespoon nut or seeds butters 2 oz yogurt2 oz yogurt

Nap/RestNap/Rest Nap/rest is scheduled appropriatelyNap/rest is scheduled appropriately Sanitary provisionsSanitary provisions Sufficient supervisionSufficient supervision Calm, nonpunitive supervisionCalm, nonpunitive supervision Children helped to relaxChildren helped to relax Space conducive to restingSpace conducive to resting All cots or mats at least 3 feet apart All cots or mats at least 3 feet apart

or separated by a solid barrieror separated by a solid barrier Rest schedule is flexible to meet Rest schedule is flexible to meet

individual needsindividual needs Provisions made for early risers and Provisions made for early risers and

non-nappersnon-nappers

Toileting/DiaperingToileting/Diapering The sink should be sanitized after use for The sink should be sanitized after use for

toileting before using the same sink for toileting before using the same sink for other purposes.other purposes.

Basic provisions providedBasic provisions provided Sanitary conditions easy to maintainSanitary conditions easy to maintain Staff and children wash hands after Staff and children wash hands after

toileting – 10 secondstoileting – 10 seconds Turn off faucets using a disposable paper Turn off faucets using a disposable paper

towel.towel. Toileting schedule meets individual needsToileting schedule meets individual needs Adequate supervision and monitoringAdequate supervision and monitoring Convenient and accessibleConvenient and accessible Pleasant staff-child interactionsPleasant staff-child interactions Child-sized toilets and sinks preferredChild-sized toilets and sinks preferred Self-helpSelf-help

Health PracticesHealth Practices Adequate hand washing (see next slide)Adequate hand washing (see next slide) Staff takes action to cut down on germsStaff takes action to cut down on germs Smoking does not take place in centerSmoking does not take place in center Procedure used to minimize spread of contagious Procedure used to minimize spread of contagious

diseasedisease Exclusion policyExclusion policy ImmunizationsImmunizations Staff follows same policyStaff follows same policy Alerting parents to presence of communicable Alerting parents to presence of communicable

diseasedisease Children dressed properly for conditionsChildren dressed properly for conditions Staff good models of health practicesStaff good models of health practices Care given to children’s appearanceCare given to children’s appearance Children taught to manage independent health Children taught to manage independent health

practicespractices Individual toothbrushes and paste labeled and Individual toothbrushes and paste labeled and

stored, used at least once during full-day programsstored, used at least once during full-day programs

Handwashing RequirementsHandwashing Requirements

ArrivalArrival After touching trash After touching trash

cans/lids or floorcans/lids or floor After cleaningAfter cleaning After any After any

contaminationcontamination After using sandAfter using sand After being outsideAfter being outside After paint or glueAfter paint or glue After gardeningAfter gardening Before and after Before and after

cooking activitiescooking activities After playing with petsAfter playing with pets

Before and after water Before and after water playplay

After sneezing or After sneezing or coughing near handscoughing near hands

After wiping nosesAfter wiping noses Before and after Before and after

sunscreensunscreen Before and after Before and after

dealing with cuts, dealing with cuts, scrapes, or other scrapes, or other health needshealth needs

After cleaning body After cleaning body fluidfluid

After toiletingAfter toileting

Safety PracticesSafety Practices

No major safety hazards indoors or No major safety hazards indoors or outdoorsoutdoors

Adequate supervisionAdequate supervision Essentials needed to handle Essentials needed to handle

emergenciesemergencies Staff anticipate and take action to Staff anticipate and take action to

prevent safety problemsprevent safety problems Staff explain reasons for safety rules Staff explain reasons for safety rules

to childrento children Play areas arranged for safetyPlay areas arranged for safety Children generally follow safety rulesChildren generally follow safety rules

Indoor Safety Problems:Indoor Safety Problems:

Missing safety caps on electrical socketsMissing safety caps on electrical sockets Loose electrical cordsLoose electrical cords Heavy objects or furniture child can pull Heavy objects or furniture child can pull

downdown Medicines, cleaning materials, and other Medicines, cleaning materials, and other

dangerous substances not locked awaydangerous substances not locked away Pot handles on stove accessiblePot handles on stove accessible Stove controls accessibleStove controls accessible Water temperatures too hotWater temperatures too hot Mats or rugs that slideMats or rugs that slide Unprotected hot stoveUnprotected hot stove Open stairwells accessibleOpen stairwells accessible Play areas in front of doorsPlay areas in front of doors

Outdoor Safety Problems:Outdoor Safety Problems:

Tools not meant for children use accessibleTools not meant for children use accessible Any substance labeled “keep away from Any substance labeled “keep away from

children” not locked awaychildren” not locked away Sharp or dangerous objects presentSharp or dangerous objects present Unsafe walkways or stairsUnsafe walkways or stairs Easy access to roadEasy access to road Hazardous trash accessibleHazardous trash accessible Play equipment too high, not well Play equipment too high, not well

maintained, unanchoredmaintained, unanchored Play equipment poses threat of Play equipment poses threat of

entrapment, injury from pinchpoints, or entrapment, injury from pinchpoints, or projectionsprojections

Questions...Questions... Could you describe what happens each day Could you describe what happens each day

when the children and parents arrive and when the children and parents arrive and leave?leave?

What do you do if children have food allergies What do you do if children have food allergies of families have dietary restrictions?of families have dietary restrictions?

Please describe how nap or rest is handled. Please describe how nap or rest is handled. What do you do if children are tired before What do you do if children are tired before

naptime, have trouble settling down, or wake naptime, have trouble settling down, or wake up early?up early?

How do you ensure that children have How do you ensure that children have necessary immunizations?necessary immunizations?

Are staff required to have TB tests? How Are staff required to have TB tests? How often?often?

What are your health requirements for children What are your health requirements for children and staff?and staff?

Do you talk about safety with children? What Do you talk about safety with children? What kinds of things do you discuss?kinds of things do you discuss?