Preventive Health & Safety Practices (PHSP) Training Program

For Child Care Providers

By Palm Desert Resuscitation Education LLC (PDRE)

Audience:

California Requirements For Child Care Providers

• There must be at least one Director or Teacher at each site.
• Family Childcare Licensees and Co-licensees must fulfill the vital California Child Care Training.
• Providers in Child Care Centers and Family Child Care Homes must complete at least 16 hours of training about health and safety before they are allowed to be Child Care Providers.
  • Preventive Health & Safety Practices Training Program For Child Care Providers By Palm Desert Resuscitation Education LLC (PDRE)
    • The Preventative Health Practices includes infectious diseases, immunizations, preventing childhood injuries, caring for children with special needs, identification and reporting of child abuse, and beginning in January 2016, child nutrition. (9 Hours)
    • Beginning July 1, 2020, Preventive Health and Safety Practices training programs for Child Care Providers are required to include Lead Poisoning Prevention (LPP) instruction under the Health and Safety Code, Section 1596.866.
  • Pediatric First Aid, CPR and AED Training Courses
    • At least one individual with a current certification in American Heart Association (AHA) Heartsaver Pediatric First Aid and CPR or American Red Cross (ARC) Training Program: First Aid and CPR/AED must be present in the site when a licensee with the full course training is away at any time when children are onsite or offsite for any facility activities. (8 Hours)

In this course, skills are taught in large, group sessions and small, group learning.

Features and Course Content:

• This certification course is sponsored by the Emergency Medical Service Authority (EMSA) and University of California, San Francisco (UCSF) to provide Preventive Health and Safety Practices (PHSP) Safety Training for Child Care Providers. It is a guide for child care providers for what the best practices are to care of children in a child care setting. Information covers the California Childcare Health Program (CCHP), a non-profit based at the UCSF School of Nursing. It follows the EMSA child care training statute and regulations.

Course Content:

• Module 1 – Prevention of Infectious Disease
  • Standard (Universal) Precautions
    • Sanitation
    • Hand Washing
    • Use of Gloves
  • Diapering
  • Childhood immunizations (age and type requirements)
  • Maintenance of health records and forms; process for review of medical information, including medication administration, allergies, immunizations, and health insurance
  • Infectious Disease Policies
    • Notices for exposure to disease
  • Guidelines for the exclusion/inclusion of sick children
    • Diseases that should be reported to local health agencies and to the child care facility children’s parents
    • Guidelines for managing mildly ill children
    • Guidelines for staff health regarding potential risk of infectious diseases, including cytomegalovirus (CMV) and Hepatitis
  • Environmental sanitation
    • Vector prevention
    • Kitchen cleanliness and sanitation
    • Toilet and diapering sanitation
  • Air Quality
    • Hazards of smoking
    • Air filters clean/Importance of fresh air
    • Hazards of fireplaces
    • Allergens and respiratory illness
  • Water Quality
  • Caring for Children with Special Needs
    • Knowledge of resources available
    • Knowledge of the Americans with Disabilities Act (ADA)
    • Community resources regarding information on local resources for services that deal with children’s health and caring for children with special needs
  • Prevention, Identification and Reporting of Child Abuse
    • Mandated reporting requirements
    • Signs of child abuse/neglect
    • Care giver stress relation to child abuse
  • Community Resources: information on local resources for services that deal with children’s health and prevention of infectious disease shall be give to trainees by the training instructor

• Module 2 – Child Injury Prevention
  • Risk of injury related to developmental stages (i.e., falling, head injuries, choking, suffocation, burns, poisoning (lead, iron, other medications), or al injury, drowning, injuries from weapons, and injuries from animals)
  • Establishing and adhering to safety policies; managing children’s risky behaviors that can lead to injury
  • Procedures to reduce the risks of Sudden Infant Death Syndrome (SIDS) and Shaken Baby Syndrome
  • Regular assessments for the safety of indoor and outdoor child are environments and play equipment
  • Transportation of children during child care:
    • Motor vehicle safety
    • Child passenger safety
    • Field trip safety
    • School bus safety
  • Earthquake and emergency procedures
    • Preparing child care environment for major disasters
  • Community resources: information on local resources for services that deal with children’s health and prevention of childhood injuries shall be given to trainees by the training instructor
  • Community resources, where to go in your community for help and information regarding child abuse
  • Community resources for gaining information in preparation for disasters/assistance in case of disaster

• Module 3 – Nutrition
  • USDA’s Child and Adult Care Food Program (CACFP)
    • Provide basic information about the USDA’s Child and Adult Care Food Program (CAFP)
    • How to access the program and how to obtain information on CACFP eligibility, enrollment, and reimbursement rates by contacting the CACFP Unit of the California Department of Education (CDE) Nutrition Services Division
    • The training shall provide California CACFP program contact information
  • Refer trainees to the California Emergency Medical Services Authority (EMSA) Child Care Nutrition Training webpage for resources and additional information about children’s nutrition.
    • Inform child care providers that more in-depth information about the topics in the nutrition training can be found on the EMSA Child care Nutrition Training webpage
  • A brief overview of the positive effects of healthy nutrition on the developing child and on the overall health of children ages 12 and younger
    • Basic Information about California’s Healthy Beverages in Child Care Law (AB 2084, 2010)
    • Clean and safe drinking water must be readily available throughout the day, including at all meal, snack and play times
    • Serve only fat-free or low-fat (1%) unsweetened, plain milk for children two years of age or older
    • Provide no more than one serving (4-6 ounces) per day of 100 percent juice
    • Beverages with added sweeteners, either natural or artificial, are prohibited (not including infant formula or complete balanced nutritional products designed for children)
  • Best practices for feeding infants and toddlers including breast milk
  • Overview of how to serve age appropriate healthy foods at each snack and meal that are based on the standards of the current Dietary Guidelines for Americans
  • Ways to cut back on foods high in solid fats, added sugars, and salt
  • Explanation of how to use food labels to help identify healthy choices
  • Best practices for building healthy eating habits in children, including the division of responsibility in feeding, based upon the current standards of the American Academy of Pediatrics and Caring for our Children
    • The child care provider is the role model for healthy eating while children are in the child care environment.
    • The division of responsibility: the child care provider chooses which healthy foods to prepare and offer to children, when and where to provide food; children choose what and how much they will eat from the foods offered
    • Allow children to serve themselves: they choose what they want from what you serve, they choose what proportions to put on their plates, and they decide when they are “full”
    • Child Care providers eat with the children at the communal table
    • Offer a variety of foods from each of the food groups
      • Fruits and vegetables, meat and meat alternatives, grains including mainly whole grains, and dairy products
      • Colorful foods with varying textures appeal to children’s palates
    • Encourage children to taste a new food, but do not force or reward children to eat or clean their plates
      • It is normal for children to dislike some foods and favor others
    • Children may need to be introduced to a new food 10 to 20 times before they accept it
    • Planning menus helps to provide a healthy variety of foods to children, and can help save money.
  • The benefits of developing written nutrition policies for the child care setting
  • Overview of information regarding food allergies and food safety
  • Food Quality
    • Safe food practices and food handling
    • Cooking safety/Food preparation/storage
    • Fully cooking meats and eggs
    • Pasteurized foods
    • Dangers of E.coli/Salmonella
    • Iron fortified formula, and introducing first foods
  • Other Key Nutritional Topics
    • Food pyramid
    • Appropriate eating behavior
    • Specialized diets
    • Awareness of feeding/growth problems
    • Diet and dental decay

• Other Course Focuses
  • Knowledge of child care
  • Child care statutes and regulations
  • Child development impact and issues
  • Cultural awareness and sensitivity
  • Child care context is part of all content areas in the curriculum

Course Format/Time:

• Classroom-based
  • This is a 100% classroom-based course.
  • Remember, online trainings are not approved training by the California Department of Social Services and Community Care Licensing. Therefore, based on the current statute, there cannot be any online courses for Child Care training.

• Child Care Provider training consists of 17.5 hours of training for first-time licenses. The hours of training must e completed as follows:
  • 8 Hours of Preventive Health and Safety Training
  • 1 Hours of Pediatric Nutrition
  • 0.50 Hour of Lead Poisoning Prevention (LPP)
    • The Lead Poisoning Prevention (LPP) is comprehensive information that can be incorporated into the 8 hours of training required for Preventive Health and Safety Practices.
    • The length and duration of the LPP may add an additional 30 minutes of the Child Care Provider Training as needed.
  • 4 Hours of Pediatric First Aid
    • Every two (2) years, Child Care Providers must renew their training by completing the 3 hours of Pediatric First Aid.
  • 4 Hours of Pediatric CPR/AED
    • Every two (2) years, Child Care Providers must renew their training by completing the 3 hours of Pediatric CPR/AED.

• Course time based on 1 instructor to 10 students

Course Fee:

• Initial (first-time)/Renewing Providers: $225
  • Heartsaver® First Aid CPR AED with Provider Manual: $120
  • Preventive Health & Safety Practices (PHSP): $105

Certification:

• Upon successful course completion, students receive Preventive Health & Safety Practices (PHSP) Training Program For Child Care Providers By Palm Desert Resuscitation Education LLC (PDRE) in addition to the required Emergency Medical Services Authority (EMSA) PHSP sticker that includes a proof of completion of 8 hours of training.
• The Pediatric First Aid, CPR, and AED Course(s) must be completed every two (2) years to receive a valid certificate of completion:
  • American Heart Association (AHA) Heartsaver Pediatric First Aid and CPR
  • American Red Cross (ARC) Training Program: First Aid and CPR/AED

Scheduling & Discounts:

• Register early because classroom-based courses fill-up quickly
• Enrollment is limited
• Course scheduling is subject to change without notice
• Please call us if you have any questions or for discounted group rates and seasonal promotions!
• Feel free to view our website for more information: https://www.yourcprmd.com

Useful Information and Resources:

• Emergency Medical Service Authority (EMSA) Child Care
• Preventive Health Training and Technical Assistance Program and California Childcare Health Program (CCHP)
• The American Academy of Pediatrics (AAP) Caring for Our Children, 3rd Edition
• The Pennsylvania Chapter of the American Academy of Pediatrics (PA AAP)’s Health Child Care Early Childhood Education Linkage System (ECELS)
• Occupational & Safety Health Administration (OSHA)
• Center for Disease Control (CDC) and Prevention Statistics
• Provider Information Notices (PINs) Child Care Licensing Program (CCLP)
• Managing Infectious Diseases in Child Care and Schools by the American Academy of Pediatrics (AAP)
• Health, Safety, and Nutrition for the Young Child by Lynn Marotz
• Safety, Nutrition, and Health in Early Education
• Department of Social Services and Community Care Licensing
• Child Care Lead Poisoning Prevention (LPP) Training Curriculum by the California Department of Public Health (CDPH)

Updates from EMSA:

• Inclusion of the Lead Poisoning Prevention (LPP) Curriculum in our Preventive Health and Safety Curriculum for Child Care Providers
  • Beginning July 1, 2020, Preventive Health and Safety Practices training programs for Child Care Providers are required to include Lead Poisoning Prevention (LPP) instruction under the Health and Safety Code, Section 1596.866.
  • It is important that all the training providers incorporate this LPP curriculum into their Preventive Health and Safety Curriculum as soon as possible.
  • Any child care providers applying for licenses on or after July 1, 2020, must have taken the LPP training as part of their Preventive Health and Safety Training.
• Lead Poisoning Prevention Curriculum Key Topics
  • Why Is Lead Poisoning an Issue?
    • One of the most common and preventable environmental illnesses among 1-6 year olds
    • In CA, blood testing at 5 mcg/dL is considered elevated, but there is no safe level
  • Health Effects of Lead Poisoning
    • Children are more vulnerable to its toxic effects
    • Lead can limit a child’s intellectual & physical development
    • Anemia and lead poisoning may occur together
  • How Do I Know If a Child is Poisoned?
    • Most lead-poisoned children do not look or act sick
    • Testing is the ONLY way to know
    • Blood lead tests should be done at 12 & 24 mo in publicly funded programs (e.g., Medi-Cal, CHDP, WIC)
    • All other children should be assessed at every well child visit to healthcare provider up to age 6
  • Common Sources of Lead
    • Paint in homes built before 1978
    • Chipping, peeling paint and house dust
    • High-friction areas (windows, doors, railings)
    • Vinyl mini blinds
    • Bare dirt, artificial play surfaces (artificial turf, rubber mulch)
    • Water from wells or running through plumbing that contains lead.
  • Other Sources of Lead
    • Dust on work clothing & shoes, e.g., from construction, automotive, manufacturing
    • Activities, e.g., arts & crafts (solder, paint, glazes), shooting firearms (bullets), fishing (lead sinkers)
    • Imported foods, e.g., candy, spices, seasonings
    • Many consumer products, e.g., pottery, water crocks, furnishings, clothing, jewelry, home remedies, makeup
    • Toys, e.g., old, painted, plastic, vinyl, or imported
    • Water from wells or from pipes that contain lead
  • What Can Providers Do to Protect Children?
    • Give parents/guardians information, encourage screening (HSC 1596.7996 requires child care centers and family child care to give parents lead poisoning info)
    • Promote good nutrition
    • Reduce lead exposure in your facility
  • Reducing Environmental Exposure to Lead
    • Regularly wash surfaces, toys, pacifiers, etc.
    • Check toys & equipment for poor condition of paint
    • Check Consumer Product Safety Commission for recalls (https://www.cpsc.gov/Recalls)
  • Reducing Environmental Exposure: Inspections
    • Monthly inspections of:
      • Chipping, peeling, cracking, failing paint
      • Bare dirt, artificial play surfaces
      • Other sources of exposure, e.g., move cribs away from wall, check toys for damage
  • Reducing Exposure in Child Care Setting
    • Hands can carry lead dust–always wash children’s hands:
      • Before and after eating
      • After playtime
      • Before sleeping (especially thumb suckers)
  • Lead in Tap Water
    • Most CA water doesn’t have lead
    • BUT only way to be sure is to test water (Note: AB 2370 requires testing for child care centers built before January 1, 2010. See DSS PIN 20-01-CCP)
    • Call local Childhood Lead Poisoning Prevention Program for testing information and requirements
    • To reduce lead in tap water:
      • Before use, run water until feels coldest –30 sec to few min, longer for first use after 6 hours
      • Use only cold tap water for cooking, drinking and mixing baby formula
      • Properly install and replace filters for filtered water
  • Lead and Nutrition
    • A healthy diet (especially foods rich in calcium, iron, and vitamin C) can help prevent lead absorption
  • Painting, Repairing, or Remodeling Child Care Facility
    • Potential risk of contamination if:
      • Facility built before 1978
      • Play yard exposed to heavy traffic or has old play surfaces (artificial turf, rubber mulch)
      • Facility is near business using lead-based products
  • Lead Testing
    • Call local Childhood Lead Poisoning Prevention Program for testing information and requirements
    • Have facility evaluated by a certified lead inspector
    • Test any potential sources, e.g., paint, soil, artificial turf, water, equipment, toys, dishes
    • Test kits for dish-ware/pottery available in hardware stores
  • Lead Poisoning Prevention Checklist
  • Resources for Further Information

Disclaimer:

Policies, terms, conditions, and prices may be subject to change without prior notice at any time depending on market value and vendor pricing in addition to yearly, seasonal and daily discounts and specials. Palm Desert Resuscitation Education (PDRE) reserves the right to update or modify these policies, terms, conditions and prices.

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• Preventive Health & Safety Practices (PHSP) Training Program For Child Care Providers Sponsored By Palm Desert Resuscitation Education LLC (PDRE)

PDRE Pricing And Purchasing Options

As an authorized American Heart Association (AHA) training site, PDRE follows the authority in resuscitation science, research and training as published in the official AHA Guidelines for CPR and Emergency Cardiovascular Care (ECC). Our competent and experienced instructors interpret these Guidelines into the most premier quality training courses and programs in CPR, first aid and advanced emergency cardiovascular care for healthcare professionals, first responders, employees and the general public. We thank you for selecting PDRE as your preferred authorized AHA training site in Southern California.

This is a full listing of classroom-based and online courses as well as other services and products that PDRE offers. Please click on the specific course and program or services to view the full details and purchase options.

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• Note: Policies, terms, conditions, and prices may be subject to change without prior notice at any time depending on market value and vendor pricing in addition to yearly, seasonal and daily discounts and specials. Palm Desert Resuscitation Education (PDRE) reserves the right to update or modify these policies, terms, conditions and prices.