Hauora/Health & Safety for Tamariki Policy

March 2019

Rationale:          

The health and wellbeing of all who attend the Early Childhood Centre/Service is of paramount importance.

 

Purpose:             

To comply with relevant legislation at all times to ensure we provide a safe and healthy environment for all staff, tamariki and their whānau.          

Providing a healthy and safe environment at Collectively Kids is essential to support tamariki’s learning and development. This environment is created through policies, systems and checks, practices and routines as well as curriculum, all of which are reviewed on a regular basis. Collectively Kids aims to apply the holistic approach of the Hauora model for health and well-being.

Well-being/Hauora

Well-being - The concept of well-being encompasses the physical, mental and emotional, social, and spiritual dimensions of health. This concept is recognised by the World Health Organisation.

Hauora is a Māori philosophy of health unique to New Zealand. It comprises taha tinana, taha hinengaro, taha whanau, and taha wairua.

Taha tinana - Physical well-being - The physical body, its growth, development,  and ability to move, and ways of caring for it.

Taha hinengaro - Mental and emotional well-being

Coherent thinking processes, acknowledging and expressing thoughts and feelings and responding constructively.

Taha whanau - Social well-being

Family relationships, friendships, and other interpersonal relationships; feelings of belonging, compassion, and caring; and social support.

 

Taha wairua - Spiritual well-being

The values and beliefs that determine the way people live, the search for meaning

and purpose in life, and personal identity and self-awareness (For some individuals

and communities, spiritual well- being is linked to a particular religion;

for others, it is not.)

Each of these four dimensions of hauora

influences and supports the others.

 

Dr Mason Durie's whare tapawha model compares hauora to the

four walls of a whare, each wall representing a different dimension:

taha wairua (the spiritual side); taha hinengaro (thoughts and

feelings); taha tinana (the physical side); and taha whanau (family).

All four dimensions are necessary for strength and symmetry.

(Adapted from Mason Durie's Whaiora: Māori Health Development.

Auckland: Oxford University Press, 1994, page 70).

.

 

PROCEDURES

 

Cleaning Procedures (HS1)
 

  • The Cleaners from Clean Planet will be used to clean the Centre daily. A schedule of cleaning/provided during induction supervised by Clean Planet Manager to ensure standards are maintained.

  • The cleaners will be responsible for general cleaning of the whole Centre, including all hard surfaces and bathroom areas. Some cleaning materials are brought in and taken off sight once cleaner has finished. General day-to-day cleaning products used by staff will be kept in the laundry (locked) out of reach of tamariki.

  • Kaiako and support staff will be expected to “clean as they go” ensuring spills and messes are cleaned up immediately.

  • Wiping down of eating areas, art areas and tidying up of toys will be undertaken by Kaiako and support staff.

  • Separate cloths for bathroom, general and food areas will be identified by colour.

  • For art and kai areas, a bleach solution that is 1 part bleach and 10 parts water will be used. This will be changed daily.

  • The carpets will be cleaned twice a year.

  • All toys available to tamariki are cleaned regularly, this will be noted on the Infant toddler room cleaning list and in on the CK Drive CK environments page. Toys mouthed by tamariki will be cleaned daily.

Laundry (HS2)

All laundry will be cleaned by kaiako and/or support workers.


The following procedures will be followed to ensure all linen and resources used by adults and tamariki are hygienically laundered:

  • Separate coloured cloths will be used for washing floors, cleaning of equipment, and washing of tamariki. These cloths will be washed separately at all times.

  • All washing is separated into 1.Sheets,  2. Tea towels and dishcloths, flannels and bibs;  3. Floor rugs and outdoor towels;   washed separately.

  • Soiled laundry will be soaked in a whitener solution prior to laundering.

  • Bed linen for tamariki will be washed on a weekly basis for infants and toddler, fortnightly for tamariki attending 3-5 days, once a month for tamariki attending 2 days.   The linen of each tamariki linen will be kept in a named bag.

  • The washing machine and clothes drier will not be able to be accessed by tamariki at any time. 

  • All laundry will be dried by the clothes drier or other hygienic method, folded, and returned to storage areas as appropriate.

 

Nappy Changing and Toileting Procedures (HS3)

Kaiako will follow the procedures below when changing nappies: your Centre’s Nappy Changing Procedures will include the following or similar:

  • Nappy changing will take place only in the designated area, which will be well ventilated at all times.

  • Kaiako and support staff will invite tamariki in a positive, friendly manner respecting their dignity and privacy at all times and where possible promoting independent skills.

  • Older tamariki are encouraged to use self-help skills in accessing the nappy changing table area to ensure staff are not lifting heavier tamariki.

  • Kaiako and support staff will wear disposable gloves when changing tamariki. All gloves will be disposed of between each change.

  • Kaiako and support staff Staff will thoroughly wash their hands between changes, with soap and water.

  • When changing nappies, staff will ensure they NEVER take a hand off the an infant under one year on the changing table/mat.

  • Changing mats will be sprayed with a diluted bleach solution after each change. This is changed daily and is a solution of 1 part bleach, 10 parts water.

  • If whānau would like their tamariki to have any powders / cream between changes they will need to provide it or will give permission for Ecostore nappy balm to be used. (The procedure for documenting application of Category three medications will be followed)

  • Nappies are disposed of in the designated receptacle provided.

  • The Changing Area is cleaned daily with a bleach solution.

  • All nappy changes will be recorded on the whiteboard.

  • Tamariki will be encouraged to develop self-managing skills in going to the toilet and Kaiako and support staff will be available to support them as necessary.         

  • Staff and tamariki wash their hands after toileting.

  • Liquid soap and flannels will be used in the toilet area. Flannels are washed in hot water.  Rubbish bins are available for ease of use.

Nappy Changing Toileting Routine

  • Tamariki are changed at least once in the morning depending on arrival time, after lunch, after sleep or in the early afternoon if not sleeping and shortly before home time.

  • Tamariki who have a soiled nappy are changed immediately.

  • Kaiako change any soiled/wet nappies as required outside these times.

Injury Prevention Strategies

  • All doors to adult-only areas will be closed at all times, to ensure tamariki do not have access to these areas.

  • Cupboards such as the kaiako cupboards, art cupboards and kitchen doors will be inaccessible to tamariki at all times.

  • All chemicals will be stored in marked containers and be kept out of the reach of tamariki at all times. This will include cleaning agents. Kaiako and support staff will constantly be aware of the potential danger of things such as water spills, and clean them up immediately.

  • Hot drinks will be consumed away from where they could potentially spill on tamariki.

  • Tamariki will be encouraged not to sit on tables, nor jump off furniture and chairs.

  • Tamariki will remain seated while eating and be supervised by a staff member.

  • Kaiako and support staff will wear gloves at all times when blood is present.

  • The environment is checked daily to identify, minimize and isolate hazards for tamariki using the same procedures as for health and safety of Adults.

  • The playground is checked for vandalism dangerous objects and animal droppings

  • The indoors is checked to ensure tamariki do not have access to chemicals and that exits are clear.

  • Daily checks are signed on the Daily Environment Check Form.

  • Hazards are recorded on the Hazard Identification Record Form and followed up by the Manager/Supervisor and/or Health and Safety Officer.

                       

Poisonous Plants

 

  • Regular checks will be made by staff through their daily and monthly maintenance checklists.

  • Before new plants are purchased, they will be checked against current guidelines concerning New Zealand poisonous plants.  All plants given as gifts will also be checked.

  • Information is available to staff and whānau regarding classification of poisonous plants.

  • Kaiako and support staff talk with tamariki about not eating seeds, leaves and plants unless approved by an adult.  All plants that are of educational benefit, i.e. swan plants, will be allowed into the Centre provided they are supervised at all times

Physical Environment (HS 13, 14, 15, 24)

 

  • All noise will be kept at a level so as not to unduly cause any tamariki distress or harm.

  • The Centre will be maintained at a comfortable temperature no lower than 16 degrees (500 mm above floor level) while tamariki are in attendance.

  • All air conditioning and heating units will be regularly inspected and serviced as part of the annual Building Warrant of fitness.  Documentation will be kept by the Manager.

  • The water temperature for tamariki’s use will be maintained at 40 degrees C. or less and for adult use at 60 degrees C.

  • Regular safety checks of equipment and the indoor/outdoor environment will be monitored by the Manager and staff and recorded appropriately.

  • Washing facilities will be available for sick or soiled tamariki.

  •  

Care of Animals (HS16) 

 

Collectively Kids does not keep animals on the premises but sometimes pets come for a visit and children are also interested in insects, worms etc. At these times:

  • All animals at the Centre will be restrained as necessary.

  • All staff will follow safe and hygienic handling practices before, during and after the handling of animals.

  • Tamariki will be taught safe practice in regard to the handling of animals.

Preparation and Eating of Food (HS 19, 20, 21, 22)

  • One or more kaiako or support person will be rostered to supervise tamariki while eating.

  • Allergies for individual tamariki will be displayed in the kitchen area, with a photo of  tamariki for easy identification.

  • Any food brought into the Centre by whānau, e.g. birthday treats etc., will be recorded on the daily menu.

  • Kaiako and support staff will ensure that all tamariki are provided with drinks at kai times and that they have access to water throughout the day. When eating, tamariki will always be seated and supervised by a kaiako.

  • Flexible eating routines will be encouraged along with the development of self-help skills.

  • It is the responsibility of the Team Leader to ensure that staff are adequately trained in the safe preparation and handling of food.

  • Any food provided by the Centre, including baking, will be recorded on the on the daily menu clipboard.

 

When the Centre provides snacks and/or meals

  • The Centre will meet the requirements of the Food Act 2014 National Programme – Collectively Kids falls into the Curriculum Cooking Category
    Visit this website to find which National Programme Standards your Centre is required to meet
    http://mpi.govt.nz/food-safety/food-act-2014/national-programmes/

  • The Centre will provide a menu that includes foods that promote healthy eating for tamariki.


When Whānau provide food for tamariki

  • The Centre will promote safe and hygienic food handling practices.

  • Whānau are asked to bring lunches and food snacks/lunch for their tamariki and are encouraged to include foods that promote healthy eating for tamariki.

  • Tamariki’s lunch boxes are to be named and placed in the assigned area or refrigerator upon arrival.

  • At snack/lunch times, staff will ensure that each tamariki receives their own lunch box.

 

Bottle Feeding Procedures (HS23)

  • All tamariki under the age of 6 months and other tamariki unable to drink independently will be held semi-upright while drinking their bottle.

  • When kaiako are feeding infants their bottles (under 12 months old) a ratio of one to one will be used.

  • Bottles for tamariki under the age of 6 months will be heated by being placed in hot water in the kitchen. For tamariki over the age of 6 months, bottles will be heated in the microwave unless the milk is breast milk, or as requested otherwise by whānau.

Accident Procedures (HS 25)

  • At least two staff will hold a current First Aid Certificate at all times.

  • Copies of First Aid Certificates held by staff will be kept in the Centre.

  • Management will ensure that all records for tamariki have both parents’ current contact numbers and two emergency contacts.

  • In the event of an accident the priority will be to administer first aid immediately then inform the senior kaiako on the day.

  • Any accident will be recorded in the Accident Register/Form and staff will ensure whānau are informed. Whānau will be phoned and informed of any serious accident.

  • The Kaiako who performs first aid will record in the Accident Register/Form what happened, i.e., a description of the incident, the action taken, and the day and time it occurred  and a space for whānau to sign that they have knowledge of the incident. They will then highlight the name of the tamariki on the roll/sign in sheets, and write in the comments column “Incident form to sign”.

  • If deemed necessary, a registered and qualified kaiako will take the tamariki to the local medical centre and whānau /emergency contact person will be called. The Kaiako will stay with tamariki while at the medical centre until whānau arrive. If more serious, an ambulance will be called and the whānau will be contacted immediately. If the whānau cannot reach the Centre by the time the ambulance arrives, a kaiako will ride to the hospital with the tamariki (if ratios) allow and meet the whānau there.

  • If blood and body fluids are present as a result of the accident, staff will clean and disinfect the area using gloves and a bleach solution straight away.


Serious Harm or Illness to a Tamariki Procedure (HS 27)

All practicable steps will be taken to get immediate assistance for a tamariki who is badly hurt in an accident or becomes seriously ill, and to inform the whānau or caregivers of what has occurred.
 

In the event of a serious accident or illness to a tamariki, a kaiako shall immediately ensure the following steps are taken:

  1. Attend to the tamariki.

  2. Seek support from other kaiako.

  3. Call appropriate medical assistance.

  4. Advise the whānau.

  5. If the tamariki is taken to hospital the staff member who had been closest to the incident should accompany them.

  6. A Serious Harm/Illness Form will be completed.

  7. An incident investigation will be completed.


The Serious Harm/Illness Form will include:

  • The name of the tamariki.

  • The date, time and description of the incident.

  • Actions taken and by whom.

  • A space for whānau to sign that they have been informed of the incident.


Incident Investigation

In the event that an investigation is required, the following process will be followed:

  • The kaiako closest to the incident will document what occurred.

  • Any other staff involved will document their role.

  • The Health and Safety Officer and the Manager will go over the report  with the kaiako to:

  1. Identify key triggers to the incident.

  2. Minimise the hazard.

  3. Add to the Hazard Identification Register if required.

  4. Evaluate the effectiveness of the procedure and make changes if required.

  5. Store all information in the Incident File in the Mangers office

 

Illness Procedures (HS 26)

 

  • The Centre will ensure that all tamariki / staff / whānau / visitors to the Centre are protected from contracting infectious diseases.

  • Tamariki and adults who are sick are not to be present at the Centre. Sickness includes vomiting, diarrhea, high temperatures, a green runny nose along with any other flu like symptoms, conjunctivitis, impetigo and any other contagious illness.

  • There must be a period of 24hr absence (symptom free without medication) if any tamariki is diagnosed with having a viral infection. If any tamariki has vomiting and diarrhea they must remain absent from the Centre until 24 hours after their last symptom (without medication).

  • If any tamariki arrives at the Centre and is clearly not well, kaiako and Management reserve the right not to allow that tamariki to be left at the Centre. This is for the wellness of other tamariki and staff.

  • If whānau are called to collect their tamariki due to illness, they must do so as soon as possible. If whānau are unable to do so they must then organise someone else to collect their tamariki.

  • A current list of infectious diseases consistent with Infectious Diseases for Criterion HS26 will be displayed in the Centre, enabling whānau to access the information at all times (see link below).

  • If any tamariki has an illness not covered in this policy, kaiako will refer to the infectious disease chart to determine the infection period, which will determine how long tamariki must stay away from the Centre. If the illness is not listed on the infectious disease chart the local Public Health Nurse will be consulted.

  • If any tamariki becomes unwell while at the Centre they will be isolated from other tamariki and watched over by a staff member until collected by a whānau.

 

Administration of Medicine (HS28)

 

  • There are three categories of medicine that require different authorisations from whānau:

1.       Category 1: non-prescription, provided by the Centre, and kept in the First Aid Kit. (Written authority upon enrolment.)

2.       Category 2: prescription and non-prescription (used for a specific period of time, short term). (Written authority is required at the beginning of each day and will include the name of the medication, the method for administering, the dose, and the time medication is to be given.)

3.       Category 3: prescription and non-prescription (used for the ongoing treatment of pre-diagnosed conditions). (Written authority is required upon enrolment as part of an Individual Health Plan which will include name of the medication, the method for administering, the dose, the time the medication is to be given, and the specific symptoms/circumstances in which it should be given.)
 

  • All medicine bottles must be correctly labelled with the tamariki’s name and expiry date.

  • All Category 2 or 3 medication must be handed directly to a kaiako, who will place it up high out of the reach of tamariki (or in the refrigerator).

  • Medication will not be given if it is out of date, or has been prescribed to someone different than the tamariki.

  • All permanent Kaiako and approved support staff are able to administer medication.

  • All medication administered must be recorded including written authority from the whānau to administer the medicine consistent with the medication category, the name of the medication, the name of the tamariki name, the amount of medicine given, the date and time medication was administered and by whom, and evidence of whānau acknowledgement that the medication was administered.

  • Staff will be given appropriate training in the administration of specific medications as required. Details of this training will be kept on the Google Drive annual record of health and safety training.


Sick and/or Soiled Tamariki Procedures (HS 30) 


Universal Precautions for Infection Control

In the event of an accident, spillage or contact with any body fluids or discharge, the following universal precautions will be followed:

  • All broken skin areas (fresh, unhealed cuts or burns) must be covered with a water-proof, adhesive dressing.

  • Gloves will be used when contact with mucous membranes (eyes, mouth), broken skin or moist body substances is likely to occur.

  • Hands must be washed immediately with soap and water if they are potentially contaminated with moist body substances.

  • Articles, furniture and floors soiled with moist body substances will be cleaned and appropriately disinfected using household bleach (e.g., Janola) 1:10 (10mls in 90mls of water). This will be left on the area for 10 minutes and the spill wiped up with a cloth soaked in the solution.

  • Soiled tamariki will be taken to the nappy changing area to be cleaned and changed. Kaiako will follow the nappy changing and toileting procedures.

 

Immunisation Procedures

 

The Health (Immunisation) Regulations 1995 require that accurate immunisation records are kept of all tamariki on the roll.

  • The Ministry of Health requires all licensed Early Childhood Centres to sight and the record of every the immunisation history of every tamariki on enrolment, or in the case of any tamariki under 15 months old, once that tamariki reaches the required age.

  • These records will be maintained on the Centre computer file and will remain confidential. The Office Administrator is responsible for recording this information.

  • In the case of an outbreak, any tamariki who is not immunised must be removed from the Centre until the incubation period of the disease is past and no further cases are reported.

Supervision of Children Procedures

  • Management will ensure an adequate number of kaiako  are present at all times to meet licensing requirements, and to adequately supervise all tamariki in attendance.

  • Kaiako will be rostered to ensure both indoors (including the toileting area) and outdoors have adequate supervision.

  • Kaiko or adults visiting or working in the Centre will be well supervised.

  • All visitors will be required to sign the designated book stating the time of arrival and departure.

  • When kaiako leave for morning and afternoon tea breaks, they must not leave until another staff member has covered their position.

  • Kaiako involved in supervision must not leave tamariki unsupervised under any circumstances unless relieved by another staff member.

  • The Person Responsible is the most senior kaiako present; if this person is not present then an alternative staff member will be asked to undertake this role on a temporary basis.

Collectively Kids - (09) 8495261 - collectivelykids@xtra.co.nz - 28 Carrington Road, Pt. Chevalier, Auckland 1025