Document 72092

2013-2014
Children's Ministry
Re~istra+ion Packet
7600 S.W. 104 Street
Miami, Florida 33156
Phone: 305.667.0343
www.kendallchurch.org
Pastor George Lutz
Executive Director, Dr. Joy Galliford
Children's Ministry Coordinator, Audra Handal
License # CIIMD0541
About Kid's Day Out & Kid's Week Out
Kid's Day Out and Kid's Week Out are community outreach opportunities for children to enjoy
interacting with each other in a safe and loving environment. These programs are typically run when
Miami-Dade County Public Schools are in recess or closed. Kid's Day Out and Kid's Week Out are
both open from 8:00 am - 6:00 pm daily. The cost is $5.00 per hour for the hours used. There is NO
registration fee for these programs. Our goal is to minister to the community as a whole, provide a
nurturing childcare atmosphere, and exemplify Christ's love to all we encounter.
Behavior Management
The goal of our behavioral management
environment so that all children can learn
Through clear and consistent rules, teachers
All staff will encourage children to take
property, and cooperate with one another.
policy is to establish and maintain a safe and positive
and grow in a positive and trusting educational setting.
will promote positive guidance and discipline techniques.
responsibility for their own actions, respect people and
Aggressive physical behavior toward staff or children is unacceptable.
Staff will intervene
immediately if a child becomes physically aggressive.
Positive guidance, including encouraging
positive behavior, will be the first technique for managing a challenging or disruptive child. In
addition, staff may:
• Separate the children involved
• Immediately comfort the victim and care for any injuries
• Notify parents or legal guardian of children involved in the incident
• Complete an incident report to be signed by the parents or legal guardians of the
children involved
Staff are prohibited from using physical punishment, psychological abuse, humiliation, abusive
language, or the withdrawal of food. Physical restraint will only be used if necessary to ensure a
child's safety.
A situation may arise when the child may need to be removed from an activity for a short period of
time. If there is a situation that we are unable to resolve, we will contact you for your support. Should
we be unable to mutually resolve any behavior issues, we reserve the right to remove your child from
our preschool program to ensure the safety of all children and the staff.
Source: Model Child Care Health Policies - American Academy of Pediatrics, Pennsylvania Chapter
Medical Requirements
Completed physical examination and immunization record forms (forms DH-3040 & DH-680) must be
obtained from your child's doctor and be submitted prior to any activity that you child participates.
Each time your child receives a new immunization, please bring an updated immunization record to the
preschool office. School age children (kindergarten and older) are NOT required to submit these
documents.
Please note: KUMC is a
nut-free facility.
Quality child care offers healthy, social, and
educational experiences under qualified supervision in a safe, nurturing, and stimulating
environment. Children in these settings participate in daily, age-appropriate activities that
help develop essential skills, build independence and instill self-respect.
When evaluating the quality of a child care
setting, the following indicators should be considered:
Quality Caregivers
Quality Environments
./ Are clean, safe, inviting, comfortable, and
child-friendly.
./ Provide easy access to age-appropriate
toys.
./ Display children's activities and creations.
./ Provide a safe and secure environment
that fosters the growing independence
of all children.
J Are friendly and eager to care for children.
Quality Activities
J Accept family cultural and ethnicdifferences.
./ Are children initiated and teacher facilitated.
J Are warm, understanding, encouraging,
./ Include social interchanges with all
children.
and responsive to each child's individual
needs.
JUse a pleasant tone of voice and freqently
hold, cuddle, and talk to the children.
JHeip children manage their behavior in a
positive, constructive, and non-threatening
manner.
J Allow children to play alone or in small
groups.
To report suspected
or actual
cases of child abuse or neglect,
please call the Florida Abuse
Hotline at 1·800·962·2873.
For additional information, please visit
www.myf!orida.com/childcare or contact
your local licensing office below:
(305) 377-5494
./ Are expressive including play, painting,
drawing, story telling, music, dancing,
and other varied activities.
./Include exercise and coordination
development.
./Include free play and organized activities.
./ Include opportunities for all children to read,
be creative, explore, and problem-solve.
J Are attentive to and interact with the
children.
JProvide stimulating, interesting, and
educational activities.
JOemonstrate knowledge of social and
emotional needs and developmental tasks
for all children.
JCommunicate
with parents.
CF/PI175·24,10/2007
This brochure was created by the Department of
Children and Families, Child Care Program Office
pursuant to s. 402.3125(5), F.S.,
Parent's Role
This child care facility is licensed according to the minimum licensure standards
included in section 402.305, Florida Statutes (F.S.), and Chapter 65C-22, Florida
Administrative Code (F.A.C.).
.
C11 MD0541
License Number:
_
License Issued on 09/..0J..
3
J4
License Expires on 09 /1 Q
For more information regarding the compliance history of this child care provider,
please visit: www.myflorida.com/childcare.
Every licensed child care facility must meet
the minimum state child care licensing standards pursuant to s. 402.305, F.S., and ch.
65C-22, F.A.C.,which include, but are not limited to, the following:
General Requirements
"'Valid license posted for parents to see.
./' Provide parents with written disciplinary
practices used by the facility.
./' Provide access to the facility during
normal hours of operation.
Physical Environment
./' Emergency procedures that include:
• Posting Florida Abuse Hotline number
along with other emergency numbers.
• Staff trained in first aid and Infant/Child
CPR on the premises at all times .
./' Maintain sufficient usable indoor floor
space for playing, working, and napping.
• Fully stocked first aid kit.
./' Provide space that is clean and free of
litter and other hazards.
• A working fire extinguisher and
documented monthly fire drills with
children and staff.
./'Maintain sufficient lighting and inside
temperatures.
./' Equip with age and developmentally
appropriate toys.
./' Provide appropriate bathroom facilities and
other furnishings.
./'Provide isolation area for children who
become ill.
.I Medication and hazardous materials are
inaccessible and out of children's reach.
Food and Nutrition
./' Post a meal and snack menu that provides daily nutritional needs of the
children (if meals are provided).
Training Requirements
./' Maintain accurate records that include:
• Medication records.
./'10-hour in-service training annually.
• Enrollment information.
./'0.5 continuing education unit of
approved training or 5 clock hours of
training in early literacy and
language development.
• Personnel records.
.lMaintain appropriate transportation
vehicles (if transportation is provided).
./'Director Credential for all facility directors.
./'Communicate with the caregiver.
./'Participate in special activities, meetings,
and conferences .
./' Arrange alternate care for their child when
they are sick.
./' 40-hour introductory child care training.
1:4
1:6
1:11
1:15
1:20
1:25
.I Know the facility's policies and procedures .
.lTalk to their child about their daily experiences in child care .
.lMaintain
Under1yr. old
1 yr. old
2 yrs. old
3 yrs. old
4 yrs. old
5 yrs. old & older
.I Inquire about the qualifications and experience of child care staff, as well as staff
longevity.
• Children's health exam/immunization
record.
.I All staff appropriately screened.
minimum staff-to-child ratios:
.lFamiliarize themselves with the child
care standards used
to license the child
care facility.
.lVisit and observe the facility.
Record Keeping
./'Practice proper hand washing, toileting,
and diapering activities.
The parent's role in
quality child care is vital to it's success. In
partnering
with the
caregiver to achieve
this goal, parents
should:
• Daily attendance.
• Accidents and incidents.
• Parental permission for field trips and
administration of medications.
To report non-compllance with slate
licensing standards, please contact
your local licensing office.
What is the influenza (flu) virus7
Influenza ("the flu") is caused by a virus which
infects the nose, throat, and lungs. According to
the US Center for Disease Control and Prevention
(CDCl.the flu is more dangerous than the common
cold for children. Unlike the common cold, the
flu can cause severe illness and life threatening
complications in many people. Children under 5 who
have the flu commonly need medical care. Severe flu
complications are most common in children younger
than 2 years old. Flu season can begin as early as
October and last as late as May.
How can I tell if my child has a cold,
or the flu7
Most people with the flu feel tired and have fever,
headache, dry cough, sore throat, runny or stuffy
nose, and sore muscles. Some people, especially
children, may also have stomach problems and
diarrhea. Because the flu and colds have similar
symptoms, it can be difficult to tell the difference
between them based on symptoms alone. In
general, the flu is worse than the common cold,
and symptoms such as fever, body aches, extreme
tiredness, and dry cough are more common and
intense. People with colds are more likely to have a
runny or stuffy nose. Colds generally do not result
in serious health problems, such as pneumonia,
bacterial infections, or hospitalizations.
For additional information, please visit
www.myflorida.com(childcare or contact your
local licensing office below:
CF/PI 175-70, June 2009
This brochure was created by the Department of Children and
Families in consultation with the Department of Health.
During the 2009 legislative session, a
new law was passed that requires child
care facilities, family day care homes
and large family child care homes
provide parents with information
detailing the causes, symptoms, and
transmission of the influenza virus
(the flu) every year during August and
September.
What can I do to prevent the
spread of germs?
Consult your doctor and make sure your child gets
plenty of rest and drinks a lot of fluids. Never give
aspirin or medicine that has aspirin in it to children
or teenagers who may have the flu.
The main way that the flu spreads is in respiratory
droplets from coughing and sneezing. This can
happen when droplets from a cough or sneeze of an
infected person are propelled through the air and
infect someone nearby. Though much less frequent.
the flu may also spread through indirect contact with
contaminated hands and articles soiled with nose and
throat secretions. To prevent the spread of germs:
• Wash hands often with soap
~_
and water.
~,
• Cover mouth/nose during
coughs and sneezes. If
you don't have a tissue,
cough or sneeze into your
upper sleeve, not your
hands.
• Limit contact with people
who show signs of illness.
• Keep hands away from the
face. Germs are often
spread when a person
touches something that is
contaminated with germs
and then touches his or
/
her eyes, nose, or mouth.
.. -------
My signature below verifies receipt of the
brochure on Influenza Virus, The Flu, A
Guide to Parents:
Name:
What should I do if my child
gets sick?
_
I CALL OR TAKE YOUR CHILD TO A
DOCTOR RIGHT AWAY IF YOUR CHILD:
I .Has a high fever or fever that lasts a long time
• Has trouble breathing or breathes fast
I .Has skin that looks blue
• Is not drinking enough
I .Seems confused, will not wake up, does not
1
I
I
I
want to be held, or has seizures (uncontrolled
shaking)
Gets better but then worse again
• Has other conditions (like heart or lung
disease, diabetes) that get worse
Child's Name:
_
Date Received:
_
I.
I
Signature:.
_
I
I
---------
Please complete and return this portion of
the brochure to your child care provider, in
order for them to maintain it in their records.
·.10••••••••
.. ,
•••••••
:t""""'-
-,
,
\
I
I
...•.
How can I protect my child
from the flu?
1
1
1
1
1
1
1
I
1
A flu vaccine is the best way to protect against
the flu. Because the flu virus changes year
to year, annual vaccination against the flu is
recommended. The CDC recommends that all
children from the ages of 6 months up to their
19th birthday receive a flu vaccine every fall or
winter (children receiving a vaccine for the first
time require two doses). You also can protect
your child by receiving a flu vaccine yourself.
-----------
When should my child
stay home from child care?
A person may be contagious and able to spread
the virus from 1 day before showing symptoms
to up to 5 days after getting sick. The time frame
could be longer in children and in people who don't
fight diseasewell (people with weakened immune
systems). When sick, your child should stay at home
to rest and to avoid giving the flu to other children and
should not return to child care or other group setting
until his or her temperature has been normal and has
been sign and symptom free for a period of 24 hours.
IFor additional helpful information about the dangers of the flu and how to protect I
I your child, visit: http://www.cdc.gov/tlu/ or http://www.immunizetlorida.org/
I
----------~
Ch.ild:re:n's
Reg:ist.n3.tio:n. Forr.n
Child's Information:
CHILD'S
FIRST / MIDDLE / LAST NAME
NICKNAME
ADDRESS
MALEIFEMALE
DATE OF BIRTH
AGE
I CITY I STATE I ZIP
Family Information:
MOTHER'S
NAME
FATHER'S
NAME
HOME PHONE
HOME PHONE
ADDRESS
ADDRESS
/ CITY / STATE / ZIP
I CITY I STATE / ZIP
CELL PHONE
CELL PHONE
WORK PHONE
WORK PHONE
HOME CIillRCH
HOME CIillRCH
E-MAIL ADDRESS
E-MAIL ADDRESS
Medical and Emergency Information:
I hereby grant permission for the staff of this facility to contact the following medical personnel to obtain
emergency medical care, if warranted.
DOCTOR
ADDRESS
HOSPITAL
PHONE
/ CITY I STATE I ZIP
PREFERENCE
Page lof3
Emergency Contacts:
Your child will be released only to the custodial parent or legal guardian and the persons listed below. The
following people will also be contacted and are authorized to remove the child from the facility in case of
illness, accident or emergency, if for some reason the custodial parent or legal guardian cannot be reached.
NAME
NAME
NAME
RELATrONSHlP
RELA TIONSHlP
RELATIONSHlP
CELL PHONE
CELL PHONE
CELL PHONE
HOME PHONE
HOME PHONE
HOME PHONE
WORK PHONE
WORK PHONE
WORK PHONE
ADDRESS
ADDRESS
ADDRESS
CITY/ST ATElZlP
CITY/STATElZlP
CITY/STATE/ZlP
Consent for Photography:
I consent to allow the taking of photos or videos of my child and/or me during program activities. Photos/videos
may reveal my child's and/or my identity without any compensation paid to my child, to me or to others. All
photos and videos may be used for educational and/or promotional purposes.
Please mark one:
------------------------------------
DYes,
I consent
Page2of3
o No, I do not consent
CONSENT AND RELEASE FORM
I, the undersigned, as parent and/or legal guardian of
(hereinafter referred to as
"my child"), hereby consent to my child participating in any and all activities at Kendall United Methodist Church and
assume all risks on behalf of my child associated with said activities. I hereby certify that my child is mentally,
emotionally, and physically able and capable of participating in all activities. Ifmy child has any condition(s), which may
be relevant to a physician in the event of an emergency, I may be reached at the telephone number listed below. If! cannot
be reached, I hereby authorize an adult supervisor to contact 9-1-1 Emergency and authorize emergency and nonemergency medical technicians and health care providers to assess the condition of my child and render medical assistance
and treatment as determined necessary by such medical technicians and health care providers
I hereby agree that the Church shall be completely absolved, released, indemnified, and held harmless from any and all liability
arising from or associated with any injury, death, obligation, liability, indebtedness, or other matter(s) of whatsoever kind
concerning or otherwise involving my child's participation in all activities and/or any medical services arising therefrom. I
expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the
laws of the State of Florida, and that if any portion hereof is held to be invalid, it is agreed that the balance and all
remaining terms shall, notwithstanding, continue to be in full legal force and effect. This release contains the entire
agreement between the parties hereto and the terms of this release are contractual and not merely a recital.
I HAVE CAREFULLY READ THE FOREGOING RELEASE, WAIVER AND INDEMNITY, KNOW THE CONTENTS
THEREOF, AND I HEREBY SIGN THIS RELEASE, WAIVER AND INDENITY OF MY OWN VOLITION. I have
been given an opportunity to discuss and review this document with an attorney of my choice, fully understand the contents
contained herein, and, thus, this documents shall not be construed against the drafter hereof, or any parties hereto. This is a
legally binding agreement which I have read and understand.
ACTIVITIES THAT I DO NOT WANT MY CHILD TO PARTICIP ATE IN:
TELEPHONE NUMBER WHERE I MAYBE REACHED IN AN EMERGENCY:
Required Forms:
1)
Consent
and Release Form
2)
Section 65C-22(2),
F.A.C., requires
a current physical
record (Form 680 or 681) for children
not enrolled
examination
in elementary
3)
Section 402.3125(5),
4)
"KNOW YOUR CHILD CARE FACILITY".
Section 65C-22.006(4)c2.,
F.A.C., requires that parents be notified
5)
F.D.C. requires
practices
(Form 3040) and immunization
school.
F.S., requires that parents receive a copy ofthe
Child Care Facility Brochure,
in writing of the disciplinary
used by the child care facility.
that you acknowledge
receipt of the brochure,
"INFLUENZA
VIRUS,
THE FLU, A
GUIDE TO PARENTS".
By signing below, you verify that you have received the above items and that all information on
this registration form is complete and accurate. We look forward to caring for your child and
getting to know your family.
PARENT / GUARDIAN SIGNATURE
----------------------------------
DATE
Page30f3