Orange County NC Website
<br />Orange County Partnership for Young Children <br />PROJECT NARRATIVE <br />Project Title: Child Care Health Consultant <br />Applicant: Orange County Health Department <br />Target Population and Need: The target populations for this project are the child care providers of <br />the -120 Orange County licensed child care facilities (centers and homes) and the children aged birth <br />to 5 who are served in those programs. Approximately 34.4% of the 7,135 children (or 2400 children) <br />ages' birth to 4 living in Orange County are enrolled in licensed child care centers or homes'. Children <br />with special needs such as being medically fragile, having developmental delays, or being <br />disadvantaged are priority populations for this program as are the programs that serve them. The <br />American Academy of Pediatrics recommends that every child care center or family child care home <br />should have access to a child care health consultant who has expertise in child health and development, <br />and knowledge about the special needs of children in out-of-home child care settings who can provide <br />consultation and technical assistance on child health issues." Child care providers surveyed through an <br />Orange County Partnership for Young Children review this year indicated that an important need they <br />have is for more training. Workshop topics providers suggested included diapering and hand washing, <br />immunizations, CPR, identifying child abuse, food and nutrition, infant related topics, asthma and <br />allergies, safety, bloodborne pathogens and infectious diseases. The reasons cited for the need for <br />more training was "because we're dealing with children and we need to be well-educated about their <br />needs.""' hi fact, the data reported by the NC Rated License Assessment Project shows that across the <br />state of NC child care providers' completed environmental rating scales indicate that the lowest scored <br />items are in the areas of health and safety. Areas identified especially low were related to cross- <br />contamination, diapering techniques, and hand washing practices." All of these areas impact the <br />wellness of children in child care. From 1994-2004, the Orange County Partnership for Young <br />Children funded a similar model of child care health consultation services that was known as the <br />"Child Care SHAPE Up Project" through the Piedmont Health Services. With this project no longer <br />being funded, child care providers have limited access to medical technical assistance in Orange <br />County. <br />Project Description: A Public Health Nurse Child Care Health Consultant will provide consultation to <br />child care providers and parents to ensure safe and healthy child care environments. To this end, the <br />nurse will make available to all child care providers in licensed centers and homes the range of <br />services that they can access through this project from policy assistance related to health and safety <br />issues to linking staff, families and children to community health resources. The Child Care Health <br />Consultant will deliver these services by ongoing communication through telephone calls, mailings, <br />training sessions, and regular visits to child care centers and homes. <br />More specifically, the nurse will be available to: <br />? Assist child care administrators and community technical assistance groups in the development <br />and/or implementation of general policies and procedures regarding the management of <br />infectious diseases, fevers, use of medications, and policies related to being excluded due to <br />illness. <br />? Perform on-site assessments of the child care environment related to health safety issues and/or <br />assist with the implementation of improvement plans related to areas of need identified through <br />environmental rating scales. <br />? Educate families and providers about child development, mental and physical health, safety, <br />nutrition and oral health issues. <br />? Link providers and families with community health resources (such as Health Check/Health <br />Choice, early intervention, dental, and specialty health services).