weecareplaycare.com Wee Care Playcare, Inc. 1895 County Highway 107 Amsterdam, NY 12010 (518) 842-7703 18 months old to 2 years old - $138 weekly 3 years old to 5 years old - $133 weekly Doubles - $250 weekly Please feel free to call our office if you have any questions regarding enrollment. PARENT HANDBOOK OUR PHILOSOPHY We recognize each child as an individual possessing unique needs, capabilities and interests. Through play experiences we strive to facilitate the child’s growth – cognitively, emotionally, socially and physically. We provide learning experiences to spark the child’s curiosity about the world and to encourage him/her to find answers to questions through exploration, discovering and problem solving. We promote each child’s self-esteem in a safe and nurturing environment with staff that is encouraging, knowledgeable, caring and supportive of each child’s right to be all they would like to be. This school admits children regardless of race, color, nationality or religious background. MORNING GOODBYE During the first week of so of day care, you are sure to find the morning goodbye the worst part of your day, especially if your child has not been in a group care situation before. Your child will undoubtedly be vocal in expressing his/her anxiety as you leave, but you are the one most likely to have the knot in your stomach all day while he/she is playing happily or sleeping soundly. If your child does happen to be one who, for the first week, spends part of the day crying for you, you can be assured that our caregivers will be cuddling and comforting him or her as much as your child wants. You will be told how long, how often, and how intensely your child cried. The reason young children object to being left in new situations with new people are because they have no way of knowing that the place is safe or the people are trustworthy. The best way for your child to build trust in us is by spending time with us so we can prove our capacity to love them and by seeing you become more comfortable and friendly with us. When a child sees his/her parents smiling at and talking to a person, the child is getting the message that that person is probably safe. You influence the way your child adjusts to saying goodbye. Parents who sneak out without saying goodbye create anxious children. The child feels tricked and they tend not to trust their parent or caregiver. It doesn’t matter how long the parent stays in the classroom before leaving; the important factor is to make a firm decision, communicate it clearly, and then leave! If you don this consistently every day, you should see a change in your child’s behavior, i.e.” I can help you do this puzzle, then it’s time for me to go. Kiss daddy bye-bye” If you give in to a whimper, you are allowing your child to think it is their decision, and then your child becomes confused and upset. With some patience, consistency, and clear communication, you and your child will have an easier time saying your goodbyes. Please don’t hesitate if you find it necessary to ask the teacher for assistance. They may know of something that might make the transition easier. Wee Care Play Care Enrollment Form Name of Child_______________________________________________________ Age. ______________________________________________________________ Address. ___________________________________________________________ Mother’s Name. _____________________________________________________ Father’s Name. ______________________________________________________ Employer.__________________________________________________________ Business Telephone __________________________________________________ Physician’s Name & Telephone _________________________________________ In case of Emergency & Parent cannot be reached, a name and phone number to contact. ___________________________________________________________________ Personal Data on Child: Nickname. _________________________________________________________ Medication Child may be on. __________________________________________ Any Information parent wishes to share concerning the child, habits, special talents, interests, etc. ___________________________________________________ ___________________________________________________________________ Signature of parent or guardian. ______________________________________________ GETTING TO KNOW YOUR CHILD’S HEALTH DATE: ___________________________ NAME: _______________________________________________ BIRTH DATE: ___________________ ALLERGIES: Medication ______________________________________ (what happens?) Foods____________________________________________ (what happens?) WHAT CHILDHOOD OR CONTAGIOUS DISEASES (e.g. Measles, chicken pox, and impetigo) has he/she had, and when: Disease: _____________________________. When? __________________________ IS CHILD GENERALLY HEALTHY? (Circle) YES NO Explain, if No: _____________________________________________________________ PRONE TO HIGH FEVERS? YES NO EAR INFECTIONS? YES NO Usually associated with: _____________________________________________________ Tubes? YES RESPIRATORY PROBLEMS? E.g. Colds, asthma, bronchitis NO Types of cold: Head Chest Any fever with cold: Yes No How long does it usually last: _____________________________________? Any drainage (explain): ___________________________________________ EYE PROBLEMS? (E.g. Drainage- explain): ____________________________________________________ SKIN PROBLEMS? (Explain): _______________________________________________________________ ANY GASTROINTESTINAL PROBLEMS? ) e.g. Diarrhea, vomiting-ex - plain):___________________________________________________________________________________ IS THERE ANYTHING SPECIFIC THAT STAFF SHOULD BE MADE AWARE OF THAT MAY BE NOR- MAL FOR YOUR CHILD, BUT THAT MIGHT BE CONSIDERED AND ILLNESS IN ANOTHER CHILD? (E.g. Runny eyes):___________________________________________________________________________ _________________________________________________________________________________________ THANK YOU FOR YOUR HELP, WEE CARE STAFF AUTHORIZATION FOR MEDICAL TREATMENT OF MINORS. Names of minors 1.________________________ 2.________________________ 3. ________________________ Birthdates 1._________________________ 2._________________________ 3._________________________ Identify allergies of special conditions 1._________________________ 2.__________________________ 3.__________________________ We, being the parent(s) or legal guardian(s) of the above named minor(s), do hereby appoint: Name ______________________________________________ Address ____________________________________________ Phone ______________________________________________ To act in my/our behalf in authorizing unexpected medical, dental, surgical care and hospitalization for the above named minor(s) during the period of my/our absence, from: Month______________________ Day ______________________ Year _____________________through Month _____________________ Day__________ Year ________ This document shall be presented to a physician, dentist or appropriate hospital representative at such time as unexpected medical, dental, surgical care or hospitalization may be required. Parent/Guardian> Signature_________________________________ Address _________________________________ Date ____________________________________ Witness Signature ________________________ Address__________________________ Date ___________ HOSPITALIZATION COVERAGE FOR ABOVE NAMED MINOR(S): Insurance Company or Government Program __________________________________________________________________ I.D. or contract number _______________________________________________ FAMILY PHYSICIANS: Name and phone number _____________________________________________ Name and phone number _____________________________________________ If your child needs medical, dental, health, or hospital services you as a parent must give permission: IT’S THE LAW. What about times when you cannot be reached for permission? A child may be treated without parental consent when a physician determines a true emergency exists. That means the doctor determines the child needs immediate medical care and that an attempt to obtain parental consent would result in a delay which could increase the risk to the child’s life or health. Expect in a true emergency, care may be ordinarily rendered to a child only with the consent of the parent or legal guardian. Sometimes a child may need unex- pected care which is not, however a true emergency. In such a case, making an effort to contact parent from permission can delay treatment and create unnecessary anxious moments for the child. You can prepare for unexpected care your children might need when you are away from home. To do this, make sure babysitters know how to reach you at all time. And when you know you will be hard to reach, you can give permission to another adult. They can act for you by permitting your child to be treated if unexpected care is needed. This is a legal document. With it you may appoint relatives, friends, teachers, clergy, and neighbors – anyone who is over 18 years of age- to be responsible for your children when you are away from them. It is especially important to prepare this form to the occasions when you know it will be hard to contact you. Fill out this form carefully. Have your signature witness by and adult different from the person you are making responsible for your children. After you complete this form, give it to the adult(s) you have named to act on your behalf. If your child needs unexpected medical treatment, the responsible adult(s) should present this document to the appropriate person – physician, dentist or hospital representative. PAYMENT POLICIES EFFECTIVE 1/1/09 ON THE FIRST DAY OF YOUR CHILD’S FIRST WEEK AT WEE CARE PLAY CARE, INC., YOU ARE EXPECTED TO MAKE PAYMENT FOR THAT WEEK. THEREAFTER, PAYMENT MUST BE MADE ON THE MONDAY OF EACH WEEK. IF YOU DO NOT DO SO, A $10.00 LATE FEE WILL BE CHARGED TO YOUR ACCOUNT. IF NO PAYMENT IS MADE WITHIN TWO WEEKS, YOUR CHILD’S SPOT WILL BE FILLED. HOWEVER, YOU DO HAVE THE OPTION OF PAYING EVERY TWO WEEKS, OR EVERY MONTH. HOWEVER, THIS MUST BE DECIDED BY THE FIRST DAY OF ENROLLMENT. MY CHOICE IS: __________ WEEKLY: _________ EVERY TWO WEEKS: ________ MONTHLY. WHATEVER PAYMENT SCHEDULE YOU DECIDE ON, YOU MUST CALCULATE BY THE NUMBER OF DAYS AGREED TO. IN OTHER WORDS, SOME MONTHS HAVE 5 WEEKS, SO YOU MUST PAY FOR 25 DAYS THAT MONTH, NOT FOR 20. A $50 REGISTRATION FEE MUST BE PAID IN ORDER TO ENROLL YOUR CHILD AT WEE CARE PLAY CARE. THIS FEE WILL GUARANTEE YOUR CHILD’S SPOT AT OUR SCHOOL. PARENT SIGNATURE ________________________________________ WEE CARE PLAYCARE SCHOOL POLICIES Effective January 1, 2009 1. The center opens at 6:30am. No family will be allowed to enter the building before the center opens. The center closes at 5:30pm. In the event of an emergency, please call the center and make arrangements to have your child picked up as soon as possible. After 5:30pm, there will be a fee of $5.00 for every ten minutes. 2. Lunch boxes are to be sent to school in the morning with your child. Please label all dishes and/or tupperware that you wish to get back. 3. There will be a $25.00 fee for any returned checks from the bank. If this happens twice, you will not be allowed to make payment in the form of a check. Only cash will be accepted. 4. There is no charge for child care services if a child becomes hospitalized. You must provide a written notation from your physician. 5. Our center is not authorized to administer medication to children. If your child requires medication you must come to the center to administer it yourself. 6. A $50 registration fee is required before enrolling in our center. This is a one time non-refundable fee. If you choose to take your child out of our center for the summer, a fee equal to 1/2 of the time you are gone must be paid or your spot will not be held for September. 7. Payments are required even if the center is closed. The center may close for a holiday, snow day, emergency, etc. Payments must still be made as scheduled. WEE CARE PLAYCARE SCHOOL POLICIES Continued 8. There will be a $10 late fee if payment for child care is not paid on time. 9. A two weeks notice, in writing, is required if you want to leave our center, or you will be responsible for paying for 2 weeks after your last day of services. 10. One weeks vacation (free week) is offered for all full time children. You must be enrolled at our center for at least six months before you receive your free week. Please let our director or manager know, in writing, at least 2 weeks in advance, which week you would like to use. 11. For safety purposes, children cannot be picked up by someone who is not listed on his/her blue card. If you would like to allow someone else to pick up your child you must authorize it, in writing. The person must have ID. 12. All children must bring a blanket for nap time. All blankets should be taken home on Fridays to be cleaned. 13. DSS customers are responsible for payment on days the center is closed. You are also responsible for any balance that DSS will not pay for, no matter what the reason may be. DSS customers must sign in and out daily. 14. All toddlers must have a change of clothes, and extra diapers & wipes as needed. Notes will be sent home when supply becomes low. 15. If you have questions or concerns please call the director or manager to set up a time to discuss any issues. All matters will be taken professionally and resolved quickly. Parent Signature ____________________________________ PAYMENT FOR SERVICES: 1. The weekly payment rate must be what the parent agreed to on the contract with the Center. You will be charged for four or five days regardless of whether your child attended five days, or not at all that particular week. 2. Payment must be made every monday of each week. We cannot wait until the second or third week to be paid. There will be a $10 late fee if payment for child care is late. If, for some reason, you find it necessary to make payment every two weeks, please discuss your situation with the Director. 3. Your prompt payment guarantees you child’s spot, and keeps the staff-parent relationship on a tension-free basis. When parents are continuously delinquent with payments, it creates a hardship, and is no longer acceptable. AGREEMENT I/ WE AGREE THAT MY (OUR) CHILD __________________________________WILL ATTEND WEE CARE PLAY CARE FOR _________________________ DAYS PER WEEK. THE FEE FOR THIS SERVICE IS _____________________________ PER WEEK, OR______________PER DAY(DEPENDING UPON THE NUMBER OF DAYS IN A MONTH.). I UNDERSTAND THAT EVEN IF MY CHILD IS NOT AT WEE CARE FOR A FULL WEEK, I STILL MUST PAY THE AGREED-UPON FEE. I ALSO UNDERSTAND THAT IF I WITHDRAW MY CHILD FROM WEE CARE, I AM RESPONSIBLE TO PAY FOR ANY WEEKS BEFORE THE NOTIFICATION OF WITHDRAWAL WAS GIVEN TO THE DIRECTOR. I AM AWARE THAT A $10 LATE FEE WILL BE CHARGED IF MY PAYMENT IS LATE. __________________________________________ PARENT SIGNATURE Wee Care Playcare Inc. Contract My Child(ren) _______________________________________________ is (are) enrolled in the Wee Care Playcare______________________________ program. The weekly rate of tuition for my child(ren) is ______________________ for _________days per week. I have read the regulations regarding payment procedures and agree to abide by them. Signature of parent(s)______________________________ ______________________________ Date______________________________ ___________________________________ Michael & Mary Lee Jaworski (Owners) Wee Care PlayCare, Inc. EMERGENCY MEDICAL AUTHORIZATION FORM I, _________________________________________ Parent / Son / Daughter / Guardian of ___________________________________________ Born on ______________, do hereby give my consent to Wee Care Play Care, Inc. to secure and authorize such emergency medical treatment as the above name might require while under the supervision of said care provider. I also agree to pay all of the costs and fees contingent on emergency medical care or treatment for this person as second or authorized under this consent. NOTE: Every effort will be made to notify the parents / son / daughter / guardian, etc. In case of an emergency. In the event of an emergency, it would be necessary to have the following information. Physician’s Name:__________________________ Phone Number:____________ Preferred Hospital:___________________________________________________ Address:___________________________________ Phone Number:___________ If the parents / son / daughter / guardian is unavailable, other relatives or persons to contact in emergency. Name:__________________________________ Address:__________________________________________________________ Phone Number:__________________ Relationship:___________________ Signature of parents / son / daughter / guardian: ________________________________________ Date:_________________ Provider Signature: Wee Care Play Care, Inc. Date:_________________ OCFS-LDSS-4433 (Rev. 4/2008) FRONT NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES To Be Completed By Licensed Physician, Physician’s Assistant or Nurse Practitioner Name of Child: Date of Examination: Date of Birth: Immunizations required for entry into day care Medical Exemption The physical condition of the named child is such that one or more of the immunizations would endanger life or health. Attach certification specifying the exempt immunization(s). Yes 1st Date 2nd Date 3rd Date 4th Date 1st Date 2nd Date 3rd Date 4th Date 1st Date 2nd Date 3rd Date 4th Date OR 1st Date (if given on or after 15 months of age) 1st Date 2nd Date 3rd Date 4th Date 1st Date 2nd Date 3rd Date Measles, Mumps and Rubella (MMR) 1st Date 2nd Date Varicella (also known as Chicken Pox) 1st Date 2nd Date Diphtheria, Tetanus and Pertussis (DPT) Diphtheria and Tetanus and acellular Pertussis (DTaP) Polio (IPV or OPV) Haemophilus influenzae type B (Hib) Pnuemococcal Conjugate (PCV) for those born on or after 1/1/08) Hepatitis B No 5th Date Other Immunizations may include the recommended vaccines of Rotavirus, Influenza and Hepatitis A Type of Immunization: Date: Type of Immunization: Date: Type of Immunization: Date: Type of Immunization: Date: Type of Immunization: Date: Type of Immunization: Date: Tests Tuberculin Test Date: / / Mantoux Results: Positive Negative mm TB Tests are at the physician’s discretion. If positive, or if x-ray ordered, attach physician’s statement documenting treatment and follow-up. Lead Screening Date: / / Attach lead level statement Lead Screening (Include All Dates and Results) 1 year / / Result: mcg/dL Venous Capillary 2 years / / Result: mcg/dL Venous Capillary Venous Capillary Most recent date of lead screening (if different from above): / / Result: mcg/dL Per NYS law, a blood lead test is required at 1 and 2 years of age and whenever risk of lead poisoning is likely. If the child has not been tested for lead, the day care provider may not exclude the child from child day care, but must give the parent information on lead poisoning and prevention, and refer the parent to their health care provider or the county health department for a lead blood screening test. ADDITIONAL INFORMATION ON REVERSE SIDE OCFS-LDSS-4433 (Rev. 4/2008) REVERSE Health Specifics Comments Are there allergies? (Specify) Yes No Is medication regularly taken? (Specify drug and condition) Yes No Is a special diet required? (Specify diet and condition) Yes No Are there any hearing, visual or dental conditions requiring special attention? Yes No Are there any medical or developmental conditions requiring special attention? Yes No Summary of Physical Exam Include special recommendations to Day Care Providers On the basis of my findings as indicated above and on my knowledge of the named child, I find that: he/she is free from contagious and communicable disease and is able to participate in day care. Signature of Examiner Address Please Print Name City, State, Zip ( Title Phone Yes No ) Date Religious Exemptions Public Health law Section 2164 allows a child to be religiously exempted from immunization. A written and signed statement from a parent, parents or guardian of the child stating that they object of the immunization of their child due to their sincere and genuine religious beliefs should be submitted to the day care owner, operator or administrator who shall determine whether the statement of religious belief is acceptable. PICTURE CONSENT FORM I give Wee Care Play Care permission for the following pictures to be taken of my child: _________ Pictures _________ Video _________ Pictures for the Newspaper _________ T.V. Signature: _______________________________ Date: _______________ If you do not want any of the above, please sign below. _____________________________________________________________ I choose not to have any pictures taken of my child. Signature: ________________________________ Date: _______________ PARENT HANDBOOK FORM I have read, understood and agree to comply with the policies and procedures of ________________ Child Care Center as outlined in the Parent Handbook. Child’s Name:__________________________________ Parent’s Name:__________________________________ __________________________________ Parents Signature: __________________________________ _________________________________ Date: __________________________________
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