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: __________________________________