Summer Camp 2006 - Greater Naples YMCA
Transcripción
Summer Camp 2006 - Greater Naples YMCA
AFTER SCHOOL PROGRAM Greater Naples YMCA School Attending: Royal Palm ____Golden Gate_____ Shadowlawn _____ (Program on Site) BUS SERVICE FROM – (CIRCLE SCHOOL) - Vineyards, Big Cypress, Osceola, Pelican Marsh, Poinciana, Seagate TO THE YMCA _____ Other:_____________________ Child Name: __________________________________ Grade Entering: ___________ Birth Date: ______________ Gender: M or F Enrollment Date_________________ Ethnicity: □ Asian □ African American □ Hispanic □ Native American □ Caucasian □ Other Address: _____________________________________ Zip code: ________________ Family Email Address: _________________________________________________ Home Phone #: ______________________ Child Lives With ___________________ Custodial Parent/Guardian Name: ______________________ Birth Date: ____________ Place of Employment: __________________Work#:___________ Cell#:________________ Email:_________________________________________________ 2nd Custodial Parent/Guardian Name: ____________________ Birth Date: ________ Authorized to pick up child: Yes No Email:_________________________________________________ Place of Employment: __________________ Work #_________________ Other # __________ Emergency Contact: _________________________ Phone #: _________________ Physician’s Name: __________________________ Phone #: __________________ Please list any allergies, medications, dietary restrictions, or any other special concerns: Persons Authorized to pick-up my child (name other than parent):(Must be 18 years of age or older) Child will not be released to others without written permission. Name Relationship to Child Phone# Discipline Policy Our discipline policy is based on recognizing and providing positive reinforcement for appropriate behaviors and natural or logical consequences as a response to less desirable ones. We believe that children truly want to learn how to behave in an appropriate manner. Our job is to help them learn this by serving as role models and guides. Our discipline policy is designed to be effective in a variety of situations and is based on the following components: Consistency, Emphasis on the positive, Logical consequences, Response. *We will never use any type of physical punishment. Nor will we shame, scold, or humiliate children.*The YMCA reserves the right to dismiss a child from the YMCA After School program if repeated efforts at modifying misbehavior have failed and/or if parents are not cooperating with our policies. Authorization for Emergency Treatment Medical Information: I give Permission for the staff of the Greater Naples YMCA to contact the following medical personnel to obtain emergency medical care if necessary: Doctor: _______________________________Phone # __________________________ I give permission for the staff of the Naples YMCA to take whatever steps may be necessary for my child’s medical care in the case of an emergency. Parent Signature X ______________________________ Date: __________ Tuition Payments It is my complete understanding that I am reasonability for making sure all payments are complete. Failure to due so will result in dismissal from the program. It is also my complete understanding that if I wish to terminate or change my child care in anyway I must submit it in writing to the Youth Development Director prior to the next payment date. If proper notice is not given, I will be responsible for tuition regardless of whether or not my child attends. Payments are due the 1st and 15th of the month. Payment must be paid in advance for all payment options. Parent or Guardian X ______________________________ Date: __________ Compliance with State Regulations The Greater Naples YMCA shall comply with all required state licensing standards. As such parents must receive the following information: Parent Handbook, which includes discipline policies “Know You Child Care Facility” brochure Informational brochure about the Influenza Virus (a portion must be signed by parent and returned to the child care provider) “Permission for Food-Related Activities & Special Occasion Food Consumption”; to be signed by parent/guardian and returned to child care provider. Field trip permission forms (as necessary and must be returned to child care provider; information about scheduled field trip must be communicated to parent at least 48hrs. in advance of trip). YMCA Liability Release I give permission for my child to participate in the YMCA afterschool program. I understand that even when reasonable precaution is taken, accidents can sometimes happen. I hereby acknowledge that I am releasing the Greater Naples YMCA as well as its staff members and volunteers from all liability due to injury, loss, or damage, which may occur on the YMCA or granted property while my child participates in the activities of this program. By signing below I acknowledge that I have read and understand, and voluntarily agree to this authorization and release and that I have received information regarding compliance with State Regulations. Parent Signature X _______________________________Date: __________ Information/Photography Release Please check the appropriate line in regards to YMCA staff photographing or video taping my child for YMCA promotional purposes (ads, brochures, newspapers, recruitment videos, ) or for onsite activity purposes. ______ I do give the YMCA permission to take my child’s picture/video tape for promotional purposes or onsite activities. ______ I do not give the YMCA permission to take my child’s picture/video tape for promotional purposes or onsite activities. Parent Signature X _______________________________Date: __________ YMCA School Age Care Statement of Understanding I have received the Parent Handbook from the YMCA, and agree that the YMCA has informed me of its’ policies and procedures by providing me with the handbook. I understand that if I have a question regarding specific content in the handbook, a YMCA staff will clarify for me. I agree to follow all program policies as stated in the Parent Handbook, with special attention to the following areas: Guidance Policy, Fees and Collection Policy and Supervision/Safety Policy I understand that my child will not be release to anyone without proper documentation and presentation of a valid photo identification. I understand that the YMCA staff cannot withhold a child from a custodial or biological parent without legal documentation (i.e. court orders, custody papers, etc.) I understand and will follow the YMCA’s fee policy as outlined in the Parent Handbook. I understand that if my child is ill or will not be attending for any reason; the YMCA program must be notified prior to my child’s scheduled attendance. I understand that credits will not be issued for any absences. Credits will only be issued for program closings due to severe weather or facility closings where other arrangements have not or could not be made by the YMCA. I understand that if my child does not attend for two consecutive weeks without notifying the YMCA, my child’s slot may be forfeited. In the event that I lose my slot, the YMCA will notify me. I understand that the YMCA is not responsible for and discourages employees from providing paid care and custody for a YMCA participate under the age of 18 outside of a YMCA program. (i.e. babysitting). I have reviewed the YMCA Code of Conduct for Parents. The information given in the registration paperwork and medical information paperwork is correct and complete to the best of my knowledge, and the person herein described has permission to engage in all activities in the program except those noted. All necessary and important medical information regarding my child has been documented on the medical forms provided in the registration paperwork. I agree to hold harmless the YMCA, its’ agents and employees for all incidents alleging bodily injuries, or property damage or loss incurring while the person herein described is a participant at a YMCA sponsored activity on or off the YMCA premises. I will not hold harmless the YMCA from any liability arising out of negligence of the YMCA. Parent Signature X _______________________________Date: __________ I (we) authorize the Greater Naples YMCA to debit the amount above on the date indicated by After School Services. Should any debit not be honored by any bank/credit card company, I understand that I am still responsible for the payment, plus a $25 service charge applied by the YMCA. This is in addition to any service fee that my bank/card company may require. Parent Signature X _______________________________Date: __________ Parent/Guardian Consent for Greater Naples YMCA Afterschool Transportation Service This form shall serve as parent/guardian consent that ______________________ will be picked up from (school name) ____________________________ by the Greater Naples YMCA in order to attend the on-campus afterschool program at: Greater Naples YMCA 5450 YMCA Rd. Naples, FL 34109 I understand that the Greater Naples YMCA will not transport the child(ren) back to their school location and it is the responsibility of the parent/guardian to arrange for authorized pick-up of the childn(ren) by the end of program session, 6:00pm. I also understand that I am responsible for notifying the school and the Greater Naples YMCA of any changes in transportation required (parent pick-up, riding on district bus, etc.) at the end of the school day. Parent/Guardian Name (print): _________________________________________ Parent/Guardian Signature: ___________________________________________ Date: ________________________ * This form is to be completed and returned to be kept on file. Permission for Food-related Activities and Special Occasion Food Consumption Pursuant to 65C-22.005(1)(c)2.,F.A.C., licensed child care must obtain written permission from parents/ guardians regarding a child’s participation in food related activities. These activities include such things as: classroom cooking projects, gardening, school wide celebrations, and birthdays. I Give / decline permission for my child Parent/Guardian Circle One Child’s Name to participate in food related activities and special occasions wherein food is consumed. Please provide the following information: My child DOES NOT have a food allergy or dietary restriction. He or she may participate in activities. My child DOES NOT have a food allergy or dietary restriction. He or she may not participate in activities. My child DOES have a food allergy or dietary restriction. He or she may participate in activities, but may not eat or handle the following items (please list below): My child DOES have a food allergy or dietary restriction. He or she may not participate in activities. I understand that is my responsibility to update this form in the event that my decision for permission changes. I agree that this form will remain in effect during the term of my child’s enrollment. Parent/Guardian GREATER NAPLES YMCA 5450 YMCA Rd, Naples, FL 34109 P 239 597 3148 F 239 596 1828 W www.greaternaplesymca.org Date 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. My signature below verifies receipt of the brochure on Influenza Virus, The Flu, A Guide to Parents: Name:_________________________________ Child’s Name:_________________________ Date Received:________________________ Signature:_____________________________ What should I do if my child gets sick? 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. Call or take your child to a doctor right away if your child: • • • • • as a high fever or fever that lasts a long time H Has trouble breathing or breathes fast Has skin that looks blue Is not drinking enough Seems confused, will not wake up, does not 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 Please complete and return this portion of the brochure to your child care provider, in order for them to maintain it in their records. How can I protect my child from the flu? 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. What can I do to prevent the spread of germs? 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. 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 disease well (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. For additional helpful information about the dangers of the flu and how to protect your child, visit: http://www.cdc.gov/flu/ or http://www.immunizeflorida.org/ I nf l u e n z A V ir u s What is the influenza (flu) virus? 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 (CDC), 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 flu? 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: “The Flu” A Guide for Parents CF/PI 175-70, June 2009 This brochure was created by the Department of Children and Families in consultation with the Department of Health. Parent’s Role A parent’s role in quality child care is vital: ☐☐ Inquire about the qualifications and experience of child care staff, as well as staff turnover. ☐☐ Know the facility’s policies and procedures. ☐☐ Communicate directly with caregivers. ☐☐ Visit and observe the facility. ☐☐ Participate in special activities, meetings, and conferences. ☐☐ Talk to your child about their daily experiences in child care. ☐☐ Arrange alternate care for their child when they are sick. ☐☐ Familiarize yourself with the child care standards used to license the child care facility. More information and free resources: MyFLFamilies.com/ChildCare This child care facility is licensed accordingto the minimum licensure standards included in section 402.305, Florida Statutes (F.S.), and Chapter 65C-22, Florida Administrative Code (F.A.C.). License Number: ___________ License Issued on __/__/__ License Expires on __/__/__ For more information regarding the compliance history of this child care provider, please visit: MyFLFamilies.com/childcare Office of Child Care Regulation and Background Screening Office of Child Care Regulation and Background Screening To report suspected or actual cases of child abuse or neglect, please call the Florida Abuse Hotline at 1-800-962-2873. CF/PI 175-24, 03/2014 This brochure was created by the Florida Department of Children and Families, Office of Child Care Regulation and Background Screening pursuant to s. 402.3125(5), F.S., Know Your Child Care Facility MyFLFamilies.com/ChildCare General Requirements 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: ☐☐ Valid license posted for parents to see. ☐☐ All staff appropriately screened. ☐☐ Maintain appropriate transportation vehicles (if transportation is provided). ☐☐ Provide parents with written disciplinary practices used by the facility. ☐☐ Provide access to the facility during normal hours of operation. ☐☐ Maintain minimum staff-to-child ratios: Age of Child Child: Teacher Ratio Infant 1 year old 2 year old 3 year old 4 year old 5 year old and up 4:1 6:1 11:1 15:1 20:1 25:1 Health Related Requirements ☐☐ 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. • Fully stocked first aid kit. • A working fire extinguisher and documented monthly fire drills with children and staff. ☐☐ Medication and hazardous materials are inaccessible and out of children’s reach. Training Requirements ☐☐ 40-hour introductory child care training. ☐☐ 10-hour in-service training annually. ☐☐ 0.5 continuing education unit of approved training or 5 clock hours of training in early literacy and language development. ☐☐ Director Credential for all facility directors. Food and Nutrition ☐☐ Post a meal and snack menu that provides daily nutritional needs of the children (if meals are provided). Record Keeping ☐☐ Maintain accurate records that include: • Children’s health exam/immunization record. • Medication records. • Enrollment information. • Personnel records. • Daily attendance. • Accidents and incidents. • Parental permission for field trips and administration of medications. Physical Environment ☐☐ Maintain sufficient usable indoor floor space for playing, working, and napping. ☐☐ Provide space that is clean and free of litter and other hazards. ☐☐ Maintain sufficient lighting and inside temperatures. ☐☐ Equipped with age and developmentally appropriate toys. ☐☐ Provide appropriate bathroom facilities and other furnishings. ☐☐ Provide isolation area for children who become ill. ☐☐ Practice proper hand washing, toileting, and diapering activities. Quality Child Care 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 Activities ☐☐ Are children initiated and teacher facilitated. ☐☐ Include social interchanges with all children. ☐☐ 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. Quality Caregivers ☐☐ Are friendly and eager to care for children. ☐☐ Accept family cultural and ethnic differences. ☐☐ Are warm, understanding, encouraging, and responsive to each child’s individual needs. ☐☐ Use a pleasant tone of voice and freqently hold, cuddle, and talk to the children. ☐☐ Help children manage their behavior in a positive, constructive, and non-threatening manner. ☐☐ Allow children to play alone or in small groups. ☐☐ Are attentive to and interact with the children. ☐☐ Provide stimulating, interesting, and educational activities. ☐☐ Demonstrate knowledge of social and emotional needs and developmental tasks for all children. ☐☐ Communicate with parents. Quality Environments ☐☐ ☐☐ ☐☐ ☐☐ Are clean, safe, inviting, comfortable, 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. Estándares para la Obtención de Licencias Esta instalación de cuidado infantil se encuentra licenciada conforme a los estándares mínimos para el otorgamiento de licencias incluidos en la sección 402.305, Estatutos de la Florida (F.S.), y el Capítulo 65C-22, Código Administrativo de la Florida (F.A.C.), Mantener vehículos apropiados para el transporte (si se suministra servicio de transporte). Proporcionarles por escrito a los padres las prácticas disciplinarias utilizadas por la instalación. Proporcionar acceso a la instalación durante l as horas normales de funcionamiento. Número de Licencia: ___________ Licencia Emitida el __/__/__ La Licencia Vence el __/__/__ Ambiente Físico Mantener suficiente espacio interior utilizable para jugar, trabajar y dormir siestas. Proporcionar espacios limpios y libres de Para más información en lo concerniente al historial de cumplimiento de este proveedor de cuidado infantil, por favor visite: www.myflorida.com/childcare. desperdicios y otros peligros. Mantener suficiente iluminación y control de temperatura adentro. Equipar las instalaciones con juguetes aproToda instalación de cuidado infantil con licencia debe cumplir con los estándares mínimos estatales para la obtención de licencias de cuidado infantil, conforme a s. 402.305, F.S., y ch. 65C-22, F.A.C., los cuales incluyen pero no están limitados a lo siguiente: piados para la edad y desarrollo de los niños. Proporcionar suficientes baños y otros mobiliarios. Proporcionar área de aislamiento para los niños que se enfermen. Practicar el lavado apropiado de las manos, del Requisitos Generales Licencia válida exhibida de manera que los padres la puedan ver. Todo el personal debe haber sido seleccionado apropiadamente. Mantener cocientes mínimos de personal-aniños: Por debajo de 1 año de edad 1 año de edad 2 años de edad 3 años de edad 4 años de edad 5 años de edad y mayores 1:4 1:6 1:11 1:15 1:20 1:25 Requisitos Relacionados con la Salud Procedimientos de emergencia que incluyan: • Exhibir el número Telefónico contra el Abuso de Florida junto con otros números de emergencia. • Personal entrenado en primeros auxilios y en CPR [resucitación cardiopulmonar] de infantes/niños en las instalaciones en todo momento. • Botiquín de Primeros Auxilios completamente surtido. • Un extinguidor de incendios y simulacros mensuales de incendio documentados con los niños y el personal. Lugar de almacenamiento cerrado bajo llave para almacenar medicamentos y materiales peligrosos, fuera del alcanze de los niños. Alimentos y Nutrición Exhibir un menú de comidas y meriendas que proporcione las necesidades nutricionales diarias de los niños. (si se proporcionan comidas). uso del inodoro y de cambio de pañales. Llevar Registros Requisitos de Entrenamiento Cuarenta (40) horas de entrenamiento introductorio de cuidado infantil. Diez (10) horas anuales de entrenamiento mientras se están prestando los servicios. Unidad de educación continua de 0.5 horas de entrenamiento aprobado o 5 horas reloj de entrenamiento en alfabetización temprana y desarrollo del lenguaje. Credencial de Director para todos los directores de las instalaciones. Mantener registros exactos que incluyan: • El registro de los exámenes médicos/ vacunaciones de los niños. • Registro de medicamentos. El Papel [Rol] de los Padres El papel [rol] de los padres en el cuidado infantil de calidad es vital para su éxito. Al asociarse con el proveedor de cuidado para lograr esta meta, los padres deben: Familiarizarse con los estándares de cuidado infantil utilizados para otorgarle la licencia a la instalación de cuidado infantil. Averiguar acerca de los títulos y experiencia del personal de cuidado infantil y la longevidad de los miembros del personal en sus respectivos cargos. Conocer las políticas y procedimientos de la instalación. Comunicarse con el proveedor de cuidado. Visitar y observar la instalación. Participar en actividades especiales, reuniones y conferencias. Hablarles a sus niños acerca de sus experiencias diarias en el cuidado infantil. Hacer los arreglos para cuidado alterno cuando los niños están enfermos. • Información sobre inscripción. • Expedientes del Personal. • La asistencia diaria de los niños. • Accidentes e incidentes. • Permiso de los padres para excursiones y administracion de medicamentos. Para denunciar incumplimientos con los estándares estatales para la obtención de licencias, por favor comuníquese con su oficina local de otorgamiento de licencias. Cuidado Infantil de Calidad El cuidado infantil de calidad brinda experiencias saludables, sociales y educacionales bajo supervisión calificada en un ambiente seguro, cariñoso y estimulante. Los niños que se encuentran en estos ambientes participan en actividades diarias apropiadas para sus edades que los ayudan a desarrollar habilidades especiales, aprender a ser más independientes e inculcarles el autorespeto. Ambientes de Calidad Son limpios, seguros, atrayentes, cómodos y amistosos para con los niños. Proporcionan acceso fácil a los juguetes apropiados para las edades de los niños. Exhiben las actividades y creaciones de los niños. Al evaluar la calidad de un entorno donde se proporciona cuidado infantil, los siguientes indicadores deben ser tomados en consideración: Proporcionan un ambiente seguro y que fomenta Proveedores de Cuidado de Calidad Actividades de Calidad Son amistosos y deseosos de cuidar a los niños. Son iniciadas por los niños y facilitadas por las Aceptan las diferencias culturales y étnicas de las familias. Son cálidos, comprensivos, alentadores y maestras. niños. Usan un tono agradable de voz y con frecuencia Incluyen el ejercicio y el desarrollo de la de una manera positiva, constructiva y no amenazadora. Les permiten a los niños jugar solos o en grupos pequeños. Conozca Su Instalación De Cuidado Infantil Incluyen intercambios sociales con todos los Son expresivas, incluyendo el juego, la pintura y Ayudan a los niños a manejar su comportamiento Para información adicional, por favor visite www.myflorida.com/childcare o póngase en contacto con su oficina local de otorgamiento de licencias, a continuación: la independencia de crecimiento de los niños. responden a las necesidades individuales de cada niño. sostienen a los niños en los brazos y les hablan. Para denunciar casos sospechosos o reales de abuso o abandono infantil, por favor llame a la Línea de la Florida contra el Abuso, al 1-800-962-2873. otras actividades variadas. coordinación. Incluyen el juego libre y las actividades organizadas. Incluyen oportunidades para todos los niños para que puedan leer, ser creativos, explorar y resolver problemas. Son atentos con los niños e interaccionan con ellos. Proporcionan actividades estimulantes, interesantes y educacionales. Demuestran conocimiento de las necesidades sociales y emocionales y las tareas de desarrollo para todos los niños. Se comunican con los padres. CF/PI 175-25, 10/2007 Este folleto fue creado por el Department of Children and Families, Oficina del Programa de Cuidado Infantil, conforme a s. 402.3125(5), F.S.,