If the case worker decides the change is not necessary, document the reasons on Form , Case Information, and send it to the provider. Keep a copy of Form in the case record. Depending on the individual's new condition or situation, a new assessment or revision of the service plan such as the need for more hours or a different priority level may be necessary.
If appropriate, make changes to the service plan on Form , Authorization for Community Care Services, according to Section , Interim Changes. Consult with the supervisor about the requested change, if necessary. If the change in circumstances meets the criteria for Adult Protective Services, refer the individual to that service.
See Section , Response to Requests for Service. For Community Attendant Services interim changes and provider transfers during the service plan year, the case worker can authorize changes without authorization from the HHSC regional nurse. The case worker enters the "Begin Date" on Form based on the case action increase or decrease.
For expedited or routine service plan changes resulting in an increase in hours, set the begin date on the authorization form.
Within two business days of the case decision, the case worker sends the:. Upon notification from the provider that the individual requires an immediate increase in hours, the case worker or the designated case worker immediately contacts the individual to verify the need for the immediate increase.
Revisions to the service plan. Contact the provider and negotiate an effective date for the increase. The request for an immediate increase must be responded to within the same day of the request. See Section , Service Plan Changes, for additional information. Each region must ensure there is always a case worker available to negotiate an immediate increase in hours. Use personal judgment to determine if the individual's long term improvement is expected to last through the current authorization period or beyond before services are reduced or terminated.
If the case worker determines the individual's condition has temporarily improved because the individual is performing the task s previously done by the attendant, the individual and provider may agree to a temporary variance.
To continue to qualify for Title XIX personal attendant services, the individual must need at least one personal care task. For decreases, the change is effective 12 days from the date in Item 1 on Form , Authorization for Community Care Services, unless waived by the individual.
The effective date of decrease on Form A , Notification of Community Care Services, must match the effective date of decrease entered in Item 4 of Form If services are terminated, follow the individual notification procedures in Section , Notice of Ineligibility or Service Reduction. Coordinate the effective date of denial of services with the provider and HHSC nurse if appropriate to allow enough time for the individual to appeal.
The case worker must contact the individual to discuss the situation and, if feasible, assist the individual with reinstatement of eligibility. If eligibility is reinstated without a gap in eligibility dates, no further action is needed. If the individual's Medicaid or financial eligibility is later reinstated after a gap in eligibility, the individual may not be automatically placed back on Primary Home Care PHC or Community Attendant Services CAS , if the service has been terminated.
If HHSC notifies the provider that services are terminated, all pre-initiation activities, including medical need determination, must be completed before services are reinstated. Expedited procedures may be used in this situation, if appropriate. If the individual was placed on another service, the transfer between services must be negotiated for end dates and begin dates and the individual must be notified on Form A , Notification of Community Care Services.
The provider must implement the service delivery plan change on the following date, whichever is later:. If a provider does not implement a service delivery plan change on the effective date of the change, the provider must set a new implementation date.
The provider must document by the next working day any failure to implement a service delivery plan change on the effective date of the change. The documentation must include:. A service interruption occurs anytime service delivery is discontinued for 14 days or more. The provider should make every effort to ensure that interruptions in service last less than 14 days, particularly if a break in service would jeopardize the individual's health or safety.
When an interruption of services is unavoidable, the provider must document in the individual's file all service interruptions by:. The provider is not required to advise the case worker that service interruptions have occurred. If the individual contacts the case worker or if the case worker learns of the interruption during a monitoring contact, the case worker takes the following actions:. The interdisciplinary team IDT is a designated group that includes the following people who meet when the provider identifies the need to discuss service delivery issues or barriers to service delivery:.
Additionally, the case worker may choose to conduct an IDT meeting to resolve problems before the individual elects to transfer from one provider to another. If the individual remains dissatisfied or continues to request to change providers, he may do so.
The individual must always have the freedom of choice in selecting a provider and should not be required to go through the IDT process for this purpose. See Section , Change of Providers, for additional information. An individual has the right to voice grievances or complaints concerning the Texas Health and Human Services Commission HHSC staff or purchased services without discrimination or retaliation. The individual has a right to report service delivery issues to the Health and Human Services Office of the Ombudsman at If the case worker is aware of the issue, the case worker must work to resolve the individual's issues.
See policy outlined in Section When the individual plans to change providers, the individual must first contact the case worker who:. Within 14 calendar days after notification of a request to transfer providers, the case worker contacts the individual and the provider to determine:. The case worker considers if the dissatisfaction is due to services not being provided according to the service plan, problems with the attendant, problems with the provider, or the individual's failure to comply with the service plan.
The case worker may determine that an interdisciplinary team IDT meeting is appropriate to discuss the issues and find a resolution to the service delivery issues.
See Section , Interdisciplinary Team, for additional information. The case worker may terminate the individual's services if the individual refuses more than three times to comply with service delivery provisions by repeatedly and directly, or knowingly and passively, condoning the behavior of someone in his home.
The provider agency must notify the case worker of any suspension by the first working day after the provider suspends services. The notice must include:.
In situations of reckless behavior, discrimination or refusal, the provider must convene an IDT meeting within three business days of the date the provider suspends services or identifies an issue that prevents the provider from carrying out a requirement of the program. The IDT meeting may be conducted by telephone or in person. If the provider is unable to convene an IDT meeting with all the members present, the provider convenes with available members and sends documentation of the IDT meeting within five days to the regional director for the HHSC region in which the individual resides.
The case worker takes the appropriate action following the IDT meeting, either terminating services or authorizing resuming services. See Section , Service Suspension by Providers.
When an individual makes a request for services outside of the contracted service delivery area to the provider, the provider may accept or decline this request. Within three working days after the provider begins providing services outside of the contracted service delivery area, the provider is required to send a written notice to the case worker notifying him:.
If the provider declines the individual's request for services outside of the service delivery area, the provider will inform the individual or his primary caregiver, parent, guardian or responsible party, orally or in writing, of the reason s for declining the request. The provider will also inform the case worker in writing, within three working days after declining the request, that the request was declined and the reason s for declining the request.
The case worker must document the contacts with the individual and the provider in the case record. If a resolution cannot be reached, the case worker must offer the individual a choice of providers or the Consumer Directed Services CDS option for services. If an individual receives services outside the provider's contracted service delivery area during a period of 60 consecutive days, the individual must return to the contracted service delivery area and receive services in that service delivery area before the provider may agree to another request from the individual for the provision of services outside the provider's contracted service delivery area.
If the individual intends to remain outside the provider's contracted service delivery area for a period of more than 60 consecutive days, the case worker must transfer the individual to a provider selected by the individual that has a contracted service delivery area that includes the area in which the individual is receiving services. A home visit is not required for a PHC individual if verification of financial eligibility status is not due at the next reassessment.
The case worker retains the ability to make a home visit if individual case circumstances require a home visit be made, as indicated in case examples listed Section For Community Attendant Services individuals, the case worker must make an annual home visit and face-to-face interview to conduct a functional reassessment. For Primary Home Care cases at reassessment with no changes, the service authorization is open ended and nothing is sent to the provider. If there are changes in the service plan, within five business days of the annual contact, the case worker must send the provider Form , Authorization for Community Care Services, and appropriate forms as noted in Appendix XIII , Content of Referral Packets.
The reassessment must include a functional assessment, a review by the provider, and an authorization determination by the regional nurse. Complete the annual reauthorization by the end of the 12th month from the previous authorization.
This is either the initial authorization or the last annual reassessment. The regional nurse's last annual reauthorization was on Nov. Complete a functional assessment early enough for the reauthorization process to be completed within the month time frame. If possible, complete the annual functional reassessment during the fourth day monitoring visit for the year.
If the annual reassessment is not completed during the fourth day monitoring visit, then another home visit is required to complete the reassessment. The annual reassessment may be completed by phone if Form has been completed within the last 60 days due to an interim change.
For CAS or Primary Home Care services, if a recipient requests a change at the annual reassessment, the change must be worked within five days or by the annual reassessment due date, whichever is earlier. The annual reauthorization is due by the end of the 12th month from the last annual authorization. The provider must send Form to the regional nurse with a signed statement of the agreement or disagreement with the service plan, within 14 calendar days of receipt of the referral Form from CCSE staff.
If the provider agrees with the service plan, within five business days of receiving Form from the provider, the regional nurse completes the authorization of CAS as follows:. If the region elects to have the regional nurse notify CCSE staff by email, the nurse must include the recipient's name, identification number, type of case action such as initial or annual reauthorization, and date of authorization in the email. The unit supervisor or other appointed HHSC staff will also receive the notice.
If the provider disagrees with the service plan, within five business days of receiving Form from the provider, the regional nurse:. CCSE staff must send another Form A to the recipient, noting the negotiated service plan change s and the new effective date. CCSE staff are responsible for tracking the receipt of Form from the provider. If the authorization Form is not received from the regional nurse within 14 calendar days of the referral Form being sent to the provider, CCSE staff will check in SASO to see if services have been authorized by the regional nurse.
If services have been authorized, CCSE staff print the authorization Form and file it in the case folder. If services have not been authorized, CCSE staff contact the regional nurse requesting services be authorized. The regional nurse enters the authorization in SASO within five business days of receipt of the email from CCSE staff or Form from the provider, whichever is earlier.
The regional nurse sends the provider a copy of the authorization Form and sends a copy or email to CCSE staff advising the authorization has been completed.
Annual Recertification, Texas Health and Human Services. Search the Texas HHS site. On this page. Printer-friendly version Body. Personal care tasks related to the care of the person's physical well-being, including: Bathing: drawing water in sink, basin or tub; hauling or heating water; laying out supplies; assisting in or out of tub or shower; sponge bathing and drying; bed bathing and drying; tub bathing and drying; and providing standby assistance for safety.
Dressing: dressing the person; undressing the person; and laying out clothes. Meal preparation: cooking a full meal; warming up prepared food; planning meals; helping prepare meals; and cutting person's food for eating. Feeding or eating: spoon-feeding; bottle-feeding; assisting with using eating and drinking utensils and adaptive devices, not including tube feeding; and providing standby assistance or encouragement.
Exercise: walking with the person. Grooming: shaving; brushing teeth; shaving underarms and legs, upon request; caring for nails; and laying out supplies. Routine hair or skin care: washing hair; drying hair; assisting with setting, rolling, or braiding hair, not including styling, cutting, or chemical processing of hair; combing or brushing hair; applying nonprescription lotion to skin; washing hands and face; applying makeup; and laying out supplies.
Assistance with self-administration of medication: reminding person to take a medication at the prescribed time; opening and closing a medication container; pouring a predetermined quantity of liquid to be ingested; returning a medication to the proper storage area; assisting in reordering medications from the pharmacy; and administration of any medication when the person has the cognitive ability to direct the administration of their medication and would self-administer if not for a functional limitation.
Toileting: changing diapers; changing colostomy bag or emptying catheter bag; assisting on or off bedpan; assisting with the use of a urinal; assisting with feminine hygiene needs; assisting with clothing during toileting; assisting with toilet hygiene, including the use of toilet paper and washing hands; changing external catheter; preparing toileting supplies and equipment, not including preparing catheter equipment; and providing standby assistance.
Transfer: non-ambulatory movement from one stationary position to another, not including carrying; adjusting or changing the person's position in a bed or chair positioning ; and assisting in rising from a sitting to a standing position.
Ambulation: assisting in positioning for use of a walking apparatus; assisting with putting on and removing leg braces and prostheses for ambulation; assisting with ambulation or using steps; assisting with wheelchair ambulation; and providing standby assistance. Home management tasks that support the person's health and safety, including: Cleaning: cleaning up after the person's personal care tasks; emptying and cleaning the person's bedside commode; cleaning the person's bathroom; changing the person's bed linens and making the person's bed; cleaning floor of living areas used by person; dusting areas used by person; carrying out the trash and setting out garbage for pick up; cleaning stovetop and counters; washing the person's dishes; and cleaning refrigerator and stove.
Laundry: doing hand wash; gathering and sorting; loading and unloading machines in residence; using laundromat machines; hanging clothes to dry; and folding and putting away clothes. Shopping: preparing a shopping list; going to the store and purchasing or picking up items; picking up medication; and storing the person's purchased items.
Escort: accompanying the person outside the home to support the person in living in the community; arranging for transportation, not including direct person transportation; accompanying the person to a clinic, doctor's office, or location for medical diagnosis or treatment; and waiting in the doctor's office or clinic with person if necessary due to person's condition or distance from home.
These excluded services include, but are not limited to: insertion and irrigation of catheters; irrigation of body cavities; application of sterile dressings involving prescription medications and aseptic techniques; tube feedings; injections; administration of medication; or any other skilled services identified by the Texas Health and Human Services Commission nurse. Examples include: cleaning the floor and furniture in areas that the individual does not occupy or use; preparing meals for the entire family or household; laundering clothing or bedding that the individual does not use for example, laundering clothing and bedding for the entire household rather than laundering only the individual's clothing and bed linens ; or shopping for groceries or household items the individual does not need for health and maintenance.
Note: An attendant may shop for items the individual needs and the rest of the household also uses. Additionally, tasks may be performed by an unlicensed person who is: under 18 years old and a high school graduate; or enrolled in a vocational educational program and has demonstrated competency to perform the tasks assigned by the supervisor.
Related Policy Who Cannot Be Hired as the Paid Attendant, Priority Status Determination Revision ; Effective March 15, Priority status is determined by evaluating the effect that going without certain critical purchased tasks would have on an individual. An individual is considered to have priority status if the following criteria are met: The individual is completely unable to perform one or more of the following activities without hands-on assistance from another person: transferring himself into or out of bed or a chair or on off a toilet; feeding himself; getting to or using the toilet; preparing a meal; or taking self-administered prescribed medications.
During a normally scheduled service shift, no one is readily available who is capable and who is willing to provide the needed assistance other than the attendant. The community care case worker determines that there is a high likelihood the individual's health, safety, or well-being would be jeopardized if services were not provided on a single given shift.
If the home is not a licensed personal care home, services may be authorized as follows: If three or fewer persons live in the home, the proprietor can be the PAS attendant for the individual s who resides there. If the home provides only room and board to four or more persons living in the home, it does not require licensure as a personal care home. PAS services can be authorized for individuals in this setting, but the proprietor, his agent or employee cannot be the attendant for individuals who reside in the home.
The case worker: applies the unmet need policy on a task-by-task basis, not duplicating services. Facilities provide varying degrees of assistance and tasks purchased should not be a task provided by the facility.
An individual requiring fewer than six hours of service per week may be eligible if the individual: requires primary home care or community attendant services to provide respite care to the caregiver; lives in the same household as another individual receiving primary home care, community attendant services, or family care; receives one or more of the following services through the department or other resources : congregate or home-delivered meals; assistance with activities of daily living from a home health aide; day activity and health services; or special services to persons with disabilities in adult day care; receives aid-and-attendance benefits from the Veterans Affairs; or is determined, based upon the functional assessment, to be at high risk of institutionalization without primary home care or community attendant care services.
The written request must include the: copy of the service plan; copy of Form ; retroactive payment information, including the: name of the provider; contact information for the individual; date services were started; tasks provided to the individual including both tasks allowed and not allowed by the PHC program; actual service hours that were provided per week, including hours allotted to allowed tasks and tasks not allowed by the PHC program; and cost per hour of service charged to the individual.
If the applicant is eligible for the retroactive payment period and for continued PHC services, the case worker must verify that the service plan developed by the provider contains the following information: individual is receiving at least one personal care task.
If there are no personal care tasks, the provider will not be reimbursed for services; total amount of weekly service hours; the total amount of weekly services hours are within the maximum weekly hours 50 allowed in the PHC program ; tasks provided are the type covered under the PHC program; and cost per hour of service is equal to the non-priority rate in the PHC program.
Note: Provider agencies will not determine priority status nor will they be reimbursed at the higher priority status rate for the retroactive payment period. The provider will not be reimbursed for a retroactive payment period if: the applicant did not receive any personal care tasks from the provider; none of the tasks provided by the provider were within the scope of the program Example: the individual received transportation, direct administration of medications or protective supervision assistance ; or the applicant is determined ineligible for retroactive payment by HHSC.
The provider will not be reimbursed for amounts higher than the HHSC limits when the: service plan includes more than the maximum weekly hours allowed in PHC; or cost per hour of service is more than the non-priority rate.
Document 50 hours in Item 18, Units, on Form and send to the provider. The case worker must verify the following conditions are present in the service plan developed by the provider: applicant is receiving at least one personal care task; total amount of weekly service hours are within the maximum weekly hours 50 allowed in the PHC program ; and the tasks provided are covered within the PHC program. The amount of reimbursement will be reduced if the: service plan includes more than the 50 weekly maximum hours allowed in PHC; tasks provided are not the type of tasks covered by the PHC program; or cost per hour of service the provider billed the applicant is more than the Texas Health and Human Services Commission non-priority rate.
Within two business days of the decision of ongoing ineligibility, the case worker sends the applicant and the provider Form A , Notification of Community Care Services, which includes the: effective date of denial of continued services, and amount the provider should reimburse the applicant. Use the Form instructions to complete the items for the retroactive period with the following exceptions: Item 4 — "Begin" date is obtained from the applicant's service plan which was developed by the provider.
The begin date cannot be prior to the practitioner's signature date on Form , Practitioner's Statement of Medical Need. Item 5 — "End" date is the date the case worker determines the applicant ineligible for continued PHC services. The "End" date on Form must match the: effective date of denial on Form A; and verbal termination date for the retroactive period.
Within two business days of receipt of Form , the case worker sends the applicant and the provider Form A , Notification of Community Care Services, for the retroactive period which includes the: effective dates of the retroactive period; total weekly hours of service approved; and amount to be reimbursed to the applicant.
If an applicant has a question or does not agree with the amount of reimbursement from the provider, it is up to the applicant, caregiver, authorized representative or applicant's family to advise the case worker of any discrepancies between the: amount of money the case worker advised that the applicant would receive; and actual amount received from the provider. The case worker may consult the Texas Health and Human Services Commission HHSC nurse about any issues that: may impact individual health and safety; or bring medical and functional eligibility into question.
The service plan must not exceed the weekly hours authorized on Form , Authorization for Community Care Services. For routine referrals, the case worker makes the referral on Form The referral packet notifies the provider to begin pre-initiation activities. When weighing whether an expedited referral is warranted, the case worker should consider the following: What was the individual's assigned intake priority? In most situations, cases that require an expedited response to a request for services also require an expedited referral.
Is the applicant being authorized as having priority status? If so, that may indicate a need for an expedited referral. Could a delay in starting services constitute a threat to the individual's health, safety or well-being? If so, an expedited referral may be needed. The expedited referral process includes the case worker: making an oral request by the next business day from the home visit that immediately begins pre-initiation activities and negotiating a date for the completion of pre-initiation activities, which must be less than 14 days; following up the oral request by sending a referral packet, including Form , Authorization for Community Care Services, to the provider, noting the negotiated completion date in the comments section; negotiating a start of care date with the provider upon notification of a completed practitioner's statement, which must be in less than 14 calendar days; and authorizing services in the Service Authorization System no later than the fifth business day after a start date has been negotiated.
Unless new intakes are being placed on the interest list by the region, a referral to FC is mandatory if the individual: had an intake priority of immediate or expedited; or has a health condition requiring immediate service delivery in order to ensure his health and safety.
Pre-initiation activities include the following: The supervisor must develop a service delivery plan on a single document that records the following: the tasks which the individual is authorized to receive; the total weekly hours of service HHSC authorizes the individual to receive; the service schedule, which must include as necessary, based on an individual's needs, certain time periods for the delivery of specified tasks. The children are explained the rules of the daycare frequently, so they know what's expected of them.
Once a child is old enough to understand the rules and disobeys them by, exhibiting inappropriate behavior hitting, aggression, etc. These techniques are as follows:. Positive Reinforcement: The child will be encouraged when he or she is demonstrating acceptable behavior. Redirection: The child is redirected to another activity and given an opportunity to try again at another time.
Time-Out: The child is separated from the group for an age appropriate amount of time one minute per one year of age. When the child shows that he or she is ready to demonstrate acceptable behavior, they are encouraged to join the rest of the group to try again. Last Resort: When a child's behavior is continually upsetting or dangerous to others, a conference will be called with the parents.
If the problems cannot be resolved, arrangements will have to be made for the child to go elsewhere for care. Note: Sometimes if both a parent and a provider are both in the same area examples would be during drop-off and pick-up times a child may forget the rules or test the boundaries.
Please help show your child that you respect us, the rules of our house, and our property by reminding them that the rules still apply when you are around. We will also remind them of the rules and correct them if needed. We take the well-being of your child very seriously and work hard to provide an environment that is as healthy as possible. Our home is kept clean and disinfected at all times. We thoroughly clean surfaces that children come in close contact with using soap and water, or Lysol, etc.
The high chairs are cleaned between each use, and the diaper changing tables are cleaned and disinfected between each diaper change. Toys are cleaned and disinfected often, and water-play tables are cleaned and disinfected before being filled with water and carefully supervised when in use. Hand washing is the single most effective practice in preventing the spread of germs. Please send your child clean, dressed no pajamas, unless you don't mind your child wearing their pajamas all day , fed, if arriving after meal time, and ready for the day, as well as all of your child's necessary supplies needed for that day's care.
Please do not send food i. Please make your goodbye brief no more than a couple minutes : the longer you prolong departure the harder it gets for both parent and especially for your child.
Never leave without telling your child goodbye. Please be in control of your child during drop-off and pick-up times. Do not allow your child to run out to your vehicle while you are still inside or in the play yard. If there are any problems you feel need to be addressed, please feel free to set up a time that is convenient for the both of us to discuss these matters.
Parental communication is vital, it is the key to a successful childcare arrangement and I encourage any feedback you may feel relevant. No one other than the parent or person designated by you will be allowed to pick up your child without advanced written permission indicating the person's name and relationship to your child.
If there is a court order keeping one parent away from the child, we must have a written note from the custodial parent in our file to that effect. Otherwise, we cannot prevent the non-custodial parent from picking up the child. For the older children sleeping on a cot: a crib sheet and a blanket are needed. If necessary a comfort object for rest-time, and anything else your child may need.
A supply list is provided for your convenience. All bedding will be washed by the provider at a minimum of once per week. There is a good possibility your child will get dirty throughout the day because of food, paint, markers, dirt, bubbles, etc. So please dress your child accordingly for play. If your child should require a change of clothing, we will send home the soiled clothing and you will need to replace them with clean ones the next day. We are not responsible for replacing stained or soiled clothing.
Furthermore we suggest that you write your child's name on the tags of their clothing especially socks and underwear in order to prevent any clothing mix-ups. Note: Please periodically check to make sure they still have all of their necessary items needed at daycare. Furthermore, as the weather changes throughout the year, so do your child's items needed at daycare. We greatly appreciate your adherence to this subject, as it helps ours and the children's day run more smoothly to have all of his or her necessary belongings with them at daycare.
This way we can care for your child in the best possible way. Each day we provide three nutritious and well balanced meals. We provide morning breakfast at am, lunch at pm and afternoon snack at pm. You are responsible for feeding your child if he or she will arrive after the set meal time. Infants are always fed on demand.
Except for special occasions and when requested, please do not send food, drinks, or sweets with your child. Milk or juice is served with all the meals and snacks, and water is offered throughout the day. We also provide baby food and formula for infants. The meals and snacks for each week constantly vary in order to ensure the children receive a well-balanced diet. The children are offered the food, but they will not be forced to eat. It is our goal to offer nutritious meals and snacks to the children in our care, as nutrition is a vital part of a child's health.
Children need to eat well-balanced meals in order to meet his or her daily energy needs and to help them build a strong body and mind. We know that the good food habits a child develops will help them prevent cavities, iron deficiency anemia, and obesity, etc. If your child has any particular dietary needs resulting from being a vegetarian, or having allergies, religious beliefs, or non-religious beliefs, etc. Certain meals and different types of foods can usually be substituted in place of, in order to still fulfill the dietary requirements of the USDA Food Program.
However, if a viable solution can not be reached between parent, provider, and the USDA Food Program with regards to their rules and regulations, then all of the child's meals and snacks will have to be provided by the parent.
For ages three through five, we use a theme-based curriculum implementing the teaching strategies from the Creative Curriculum. Literacy, math, science, social studies, the arts, and technology are presented in each interest area.
In addition to the materials in the interest areas, I also use the Project Approach. The Project Approach builds on children's curiosity, enabling children to interact, question, connect, problem-solve, communicate, reflect and more. Children have a strong disposition to explore and discover.
It is my desire to create an environment where children can play with purpose, discover, create, explore, develop and be celebrated! In addition, I use the Zoo Phonics program. I've had tremendous success with this program in the past. Students actually learn the sounds of the alphabet and advanced phonemic concepts through an easily understood, concrete method of presentation.
Zoo-phonics takes something that is very abstract reading and through music, stories, puppets and games, turns it into something that is concrete and understandable to young children. For more information, visit www. I also proudly participate in the Scholastic Book Club program.
Each month, you'll have opportunities to purchase low cost books for your home and earn points for the classroom.
You'll find my program is rich in literacy experiences and that I am passionate about children's literature. For ages 35 months and younger we work on and with the following: throughout each day we practice on large and small motor skills by reaching, grasping, rolling, sitting, crawling, standing, walking, climbing, throwing, catching, kicking, cooing and talking; whichever developmental stage your child happens to be in at the time.
Infants and toddlers learn through play by utilizing flash cards, books, numbers, shapes, colors, the alphabet, stacking blocks, puppets, age-appropriate toys, and much more. We encourage participation, but the child will not be forced to participate. Most importantly, our goal is to make learning for all ages fun, and non-intimidating.
It is our hope that both you and your child will be as enthusiastic as we are about our program. We know that children also learn through play; because of this, we do not under estimate its importance on a growing child's mind, body and spirit.
Therefore, the children under our care receive lots of both free-play and structured-play throughout each day. During structured-play we primarily have only one group of toys or activity out at a time in order to allow the children to concentrate fully on each thing they do.
Age appropriate activities will be scheduled with the flexibility allowed to respond to the needs of each individual child and their various ages. We believe that these standards are in the best interest of the children. Our home is subject to inspection by state and city health, fire, and licensing officials. We specialize in infant only care months. Therefore, alternative care should be arranged for your child once he or she turns 2 years old. The first 30 Days will be regarded as a trial period, in which case either party may terminate the contract without notice.
After the first 30 Days of enrollment, a 60 Day written notice from parent or provider is required to terminate the contract , with the exception of gross misconduct on part of the provider, parent, or child. This is grounds for immediate discontinuation of service.
In cases of non-payment, legal action may be taken, and the parents will pay all legal fees incurred. Routinely it will not be necessary for either party to give notice as it is preemptively known that we provide infant only care up until age age 24 months. However, if the unexpected were to happen prompting you to no longer need our childcare services, 60 Days advance notice needs to be given to us.
Whenever possible even more notice is better. This helps us tremendously. Reason being, unlike large childcare centers, we only care for a maximum of 4 infants, and each future infant spot is already reserved far in advanced usually in excess of 6 months or more. So we are forced to say NO to all incoming requests for present childcare. The daycare is open Monday through Friday am to pm with the following holiday exceptions:.
Note: If the holiday falls on a Saturday daycare will be closed the Friday before. If the holiday falls on a Sunday daycare will be closed the Monday after. As strong as our immune system has become over the years, we unfortunately still get sick from time to time.
We also use these days for our continuing education classes CPR, Pediatric First Aid, etc in order to keep our childcare license in good standing. Of course we will give you as much of an advance notice as possible. We allot ourselves 2 weeks of vacation a year. The dates of our vacation will be posted at least one month in advance.
A nonrefundable deposit equal to two weeks of childcare costs is due at time of enrollment. Payment is due on the first business day of each month or on the first day of the month attending daycare. Payment is based on contract, not attendance.
In both scenarios your new payment will default to the current price of the newly enrolled schedule. In all scenarios your new payment will default to the current price of the newly enrolled schedule.
In other words, your days contracted are your days and cannot be altered on a weekly basis. Please be courteous and arrive on time. After hours is time with our family. For the health and safety of your child and all of the children in our daycare, please do not bring your child to daycare sick.
In which case we in turn may become sick making it difficult to care for the children at the high standards that we have set for ourselves. We can only care for children with mild cold like symptoms that are otherwise feeling and acting well. Mild cold like symptoms are clear runny nose, slight cough, and a slight or no fever.
If you are not sure if your child should be brought to daycare, then please call and check with us. If a child becomes ill during daycare hours the parents will be contacted to pick up their child.
Parents need to pick up their children within one hour of being notified. If parents are not available, the emergency contact person will be notified. Note: Once the child is removed from daycare due to illness, they may not return to daycare until symptoms requiring removal are no longer present. A child with any of the following illnesses must be completely free of any symptoms before returning to daycare. If the child is taking antibiotics for an illness, the child may return to daycare after the initial 24 hours of beginning antibiotics as long as he or she has a slight to no fever under degrees , no longer contagious, and is otherwise feeling well enough to participate in our daily schedule.
Signs of illness include the following; unusual lethargy, irritability, persistent crying for no reason, runny nose more than clear , cough more than slight , difficulty breathing, diarrhea, vomiting, mouth sores, rashes note from doctor stating non-contagious is ok , pink eye, chicken pox, mumps, measles, roseola, hepatitis A, impetigo, lice, ringworm, scabies, strep throat, scarlet fever, tuberculosis, shingles, and any other contagious disease or rash.
Any child with a fever of degrees or above, orally in the mouth , or axillary under the arm , may not attend daycare. State law requires that we notify parents of children who have been exposed to certain contagious diseases. Please notify us if your child becomes infected, so a note can be posted. Note: A fever in and of itself is not all bad given that it is not too high.
A fever is your bodies natural way of trying to protect it self against what ever virus or bacteria is attacking it.
However, a fever is an obvious indicator that the child is sick and possibly contagious, therefore requiring exclusion from daycare. Also, we need to know how many children we need to prepare meals for. If your child will not be attending daycare for what ever reason, you are still required to pay. At Building Blocks Home Daycare we do not give medications to the children. If your child needs to be medicated in order to get through the day, and be able to comfortably participate in our classroom activities, then it is quite possible he or she may be too sick to attend daycare.
We will however give certain doctor prescribed medications to the children, of course given that they are no longer contagious, and only if the medication consent form has been signed. Examples of these would be; antibiotics for ear infections etc and Tylenol for teething or pain associated with bumps or bruises not to bring down a fever. We are required by law to report any suspected incidents of possible child abuse or neglect. Your child can be questioned by child protective services at any time without your consent.
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