Forms

Parent Permissions 3

Parent Name

First Name

Last Name

ChildName

First Name

Last Name

Child DOB

MM

DD

YYYY

Checkbox

I grant permission for my child to use all of the play equipment and participate in all of the activities of the school

I grant permission for my child to leave the school premises under the supervision of a staff member for neighborhood walks, i.e., Edgewood Park vicinity,

I grant permission for Teaching Staff and other regulatory staff to have access to Medical &/or Assessment information as needed to better serve my child or improve the effectiveness of the childcare center. Any other access to these records will require a separate written consent from me.,

I grant permission to take whatever emergency, (e.g., first aid, disaster evacuation) measures as judged necessary for the care and protection of my child while under the supervision of the school as warranted. Teachers treat minor accidents, such as scrapes or bumps we will apply first aid using universal precaution,

It is understood that in some medical situations, the staff will need to contact the local emergency resource before the parent, child's physician, and/or other adult acting on the parent's behalf. In case of a medical emergency,

I understand that my child will be transported to an appropriate medical facility by the local emergency unit for treatment if the local emergency resource (Police, Rescue Squad) deem it necessary.,

I grant permission for my child to be included in evaluations and photographs/videos connected with the school’s programs,

I have received a copy of the calendar and know when the center will be closed,

I grant permission for Morning Glory to share phone numbers and emails with other families for the purpose of connecting for social events including parties and playdates etc. (Morning Glory does not distribute invitations at school.)

Heath and Developmental Screening Consent 2 2

Child

First Name

Last Name

Child DOB

MM

DD

YYYY

Screening Philosophy

Our philosophy at Morning Glory Infant Toddler Center is that the early years of your child’s life are very important because they set the stage for success in school and later in life. Developmental screenings help us identify your child’s strengths as well as any areas where your child may need support. As a part of your child’s health and educational program developmental screenings are regularly administered. All screenings are non-invasive. To monitor your child’s development, we use the screen (s) below within 45 days of your child entering our program and again during the year. Please indicate your permission by completing the lower portion of this form.

EHS

The Early Head Start program requires that all enrolled children receive developmental and health screenings. If you do not wish to have your child involved in these screenings by our providers, you will be held responsible for having your child seen by your own providers.

EHS Agreement

Yes

No, I will find my own outside providers to fulfill EHS screening requirements.

Educational Assessments

Teaching staff will explain this during initial parent conference.

Screenings

Behavioral Hearing Vision Dental Developmental Speech/Language

Observations

A behavioral health consultant will be observing in your child's classroom throughout the year.

Nutrition/Growth Assessment

Height and Weight Measurement

Health Information Release

I consent that the necessary health information concerning my child may be released to the appropriate agencies assisting in the care of my child and the school that my child will be attending after the infant/toddler program.

Yes

No

Consent

I, the parent have recieved a description of the above screenings and assessments. This information has been explained to me in a manner which I understand and hereby give my consent for my child to receive these screenings and assessments. I am also consenting to the observation by a mental health professional. I understand that these services are necessary parts of my child's health record. I understand that I will be notified prior to any of the above screenings and any questionable results will be forwarded to me so that together with the Early Childhood staff we can follow-up on any problems.

Yes

No

Parent Name

My signature affirms my willingness to participate in the Infant Screening Program

First Name

Last Name

Emergency Contact and Pick Up List 2 2

Parent Name

First Name

Last Name

Child Name

First Name

Last Name

Emergency Contacts

These are the people you are authorizing to be contacted in the event of an emergency and you yourself can not be contacted.

Emergency Contact 1

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Emergency Contact Address

Emergency Contact Relation to Child

Pick Up?

This person is also on my Pick Up List

This person is NOT on my pick Up List

Emergency Contact 2

First Name

Last Name

Emergency Contact Phone 2

(###)

###

####

Emergency Contact Address 2

Emergency Contact Relation to Child 2

Pick Up?

This person is also on my Pick Up List

This person is NOT on my Pick Up List

Pick Up List

Name

First Name

Last Name

Phone

(###)

###

####

Relation to Child

Name 2

First Name

Last Name

Phone 2

(###)

###

####

Relation to Child 2

Name 3

First Name

Last Name

Phone 3

(###)

###

####

Relation to Child 3

Name 4

First Name

Last Name

Phone 4

(###)

###

####

Relation to Child 4

In the Event of an Emergency

Preferred Hospital

In the case of an Emergency

Child's Emergency Medical Care Provider

Include name of Doctor or Clinic

Zero Tolerance Policy 2 2

Name

First Name

Last Name

Intro

Morning Glory Infant Toddler Center and Morning Glory Early Learning Center takes it very seriously if our children, parents/families, or any member of the staff is treated in an abusive or violent manner. We strongly believe in the importance of developing a strong partnership between families and staff to provide for a safe learning environment for all.

Parent Handbook Addendum

Morning Glory supports a policy of “Zero Tolerance” for all individuals receiving and providing program services - administrative staff, educational and caregiving staff, and other support staff. Staff providing services have a right to deliver services and care for others without fear of being attacked or abused. To successfully provide these services, a mutual respect between all the staff and families has to be in place. All of our staff aim to be polite, helpful, and sensitive to the individual needs and circumstances of our families. We respectfully remind all that staff may often be confronted with a multitude of varying and sometimes difficult tasks and situations. Morning Glory staff understands that we all have moments when we do not see each other’s point of view, or agree what is a reasonable manner and will take this into consideration when trying to deal with a misunderstanding or complaint. It is a primary goal of our program to work with each family to insure smooth transitions and to resolve any difficulties that may arise. However, aggressive behavior whether it is violent, threatening, or verbally abusive will not be tolerated and may result in termination from Morning Glory. In extreme cases, the police may be contacted. Persistent or unrealistic demands that cause stress to staff will not be accepted. Request will be met wherever possible and explanations given when they cannot. In order for Morning Glory to maintain good relations with our families, we ask all to read and take note of the types of behavior that would be found unacceptable: Using bad language or profanities toward staff or other families Any physical violence towards any member of the staff or other families, such as pushing or shoving Verbal abuse towards the staff in any form, including verbally insulting staff Racial abuse, harassment, and sexual harassment will not be tolerated within this program Causing damage/stealing from Morning Glory's premises, staff or families We ask you to treat the staff and each other courteously at all times.

Termination from Morning Glory

A good staff-family relationship, based on mutual respect and trust, is the cornerstone of good home-center/school relationship. The termination of families from our program is an exceptional and rare event and is a last resort in an impaired center/school relationship. When trust has irretrievably broken down, it is in the families’ interest, just as much as that of Morning Glory, that the family should find a new center/school. In cases of violence, threatening, or harassment an immediate termination will be in effect.

Termination: Other member of the household

In rare cases, however, due to prospect of being confronted by a family member involved in unacceptable behavior, it may be necessary to restrict the access of family members onto program premises. We also reserve the right to restrict access to family engagement activities, or terminate the family because of the possibility of staff being confronted by the family member involved in the unacceptable behavior.

Challenging Behaviors/ Discipline Policy 2 2

Name

First Name

Last Name

19a-79-3a (d)(2)

Our main goal when disciplining young children is to help them develop self-control. In order to reach this goal, our teachers use positive guidance and focus on building a positive self-concept by offering choices and consequences. Of course, it is necessary for teachers to assume control when necessary, but the ultimate goal is to help your child achieve responsibility. 1. Physical restraint shall be used only to protect the safety and health of the child or others. No child shall be exposed to abusive, neglectful, humiliating or frightening means of punishment under any circumstances. 2. Children will be continuously supervised by staff during any disciplinary action. 3. As understanding develops, the child will be directed away from the activity area into a supervised area and will sit out-one (1) minute for each year of age. This is usually brief.* However, some children will take longer to calm down than others and individual differences should be respected. The separation from the group is for the child to be helped to understand the inappropriate behavior. Teacher will discuss this with child. 4. If a child has a continual behavior problem, a parent-teacher conference is scheduled to discuss solutions to the problems. 5. Referral may be made, with parent/legal guardian permission, to NHPS consultants or other appropriate consultant to assess need. * Examples of prohibited staff practices include: Shaking, hitting, pulling of arms, or ears, requiring child to remain inactive for long periods of time. Shaming, name calling, making threats, frightening, withholding affection Shoving, pushing, pulling, forcing child to lie down, or stay down, except when restraint is necessary to protect the child or others from harm *(Ex. 3 years = 3 minutes)

Challenging Behaviors

When a child’s behavior interferes: with their learning their development their success at play or is harmful to other children or adults or to put another child at risk for success at school or social problems We will do the following for all children: set clear limits use observations to determine when and what the triggers are make notations of our findings and discuss with parent Schedule a parents and teachers meeting to come up with an action plan that will be utilized both at school and at home If additional guidance is needed, with parent/legal guardian consent, contact our School Readiness/ Educational Consultant to do an assessment of the child Review recommendations of the observations with parents/legal guardians as what our next step should be, i.e., consultants with specialized skills to help teachers with strategies they can use or *for children over three, make a referral to The NHPS Preschool Pre-Referral Process for the child to be assessed for specialized services *for children under three, make referral to Birth to Three process for child to be assessed for specialized services

Infants and Toddlers

Children, especially those under 3 years old, do not yet have the ability to reflect on their own actions and behavior. Learning to cope with strong feelings usually happens naturally as children develop better language skills in their third year and have more experience with peers, handling disappointment, and following rules. Infants and toddlers may engage in a variety of problem behaviors such as hitting, biting, and hair pulling. For many, these behaviors are developmentally expected but it is the intensity, the frequency or the duration of the behavior that causes it to be challenging and serve as opportunities for the adult to guide the child to learn the appropriate behavior for a specific situation. Based on the unique individual needs of the child, we will do the following: Redirect/ Distract and divert Quickly get the child’s attention, interrupt the behavior, and introduce another activity. Ignore Planned ignoring includes ignoring minor misbehaviors and focus on positive behaviors, but redirect the child without focusing on the challenging behavior. Give direct and positive instructions Set clear limits; Tell child want you want him/her to do instead of what you do not want him/her to do. Say, “Remember, we must walk inside.” Instead of saying, “Do not run!” Model appropriate/desired behavior. Says, “Use gentle touches” while demonstrating soft stroking touches. Use very simple statements such as “no biting or scratching”, “it hurts” “What else can you do if you want the toy from a friend? You can ask them, you can wait a turn, you can ask for help…” Change the environment Toddler keeps playing inappropriately with a toy, i.e., drumming on a book/other toys. Provide toys designed for banging/drumming. Positive feedback/Reinforcers Give a hug and a thank you. Catch them being good. Child repeatedly leaves toys on the floor. He puts them back without you asking him. Tell him, “You put away your toys all by yourself. That’s great!” Look for other times you can catch him/her behaving the way you want him/her to. * *A copy of this policy signed and dated by the parent(s)/legal guardian acknowledging receipt shall be kept in the Center’s files.

Child Development 2 2

Primary Care Giver PCG

First Name

Last Name

Child Developmental Survey

Has your child had any previous childcare or daycare experience? Please describe:

What are your child’s most enjoyable and least favorite parts of the day?

In general, how does your child react to anxiety or stressful situations?

How does your child relate to other children? Adults?

What is your philosophy of discipline? What is your usual way of disciplining your child?

What areas of development are you concerned about?

Have there been any difficulties or crisis in your family such as accidents, problems with the law, medical problems, divorce or death that may have affected your child?

What additional circumstances regarding your child’s physical or emotional statuses would you like us to be aware of?

How well do you expect your child to adjust to this program?

Do you have any particular concerns about your child’s eating habits?

Is your child toilet trained? If so, at what age for urine and bowels? How frequently?

Does your child sleep well? Does he/she usually nap? How long? What time?

Do you have any concerns about your child’s sleeping habits?

Is there anything else in your child’s developmental history that you think we should be aware of?

Additional Comments

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Morning Glory
Early Learning Center

Hours

We are proudly NAEYC accredited!