1. DURHAM COUNTY CHILD CARE HEALTH CONSULTATION PROGRAM Targeting Quality Child Care For the Healthy Success Of Children

2. Role of Child Care Health Consultant Identifying needs of the community Promoting Quality Child Care Offering Child Care Provider and Parent education

3. Effective Child Care Health Consultant Team 3 Public Health Nurses Nutritionist Developmental Specialist “A Child Care Health Consultant is a resource and an advocate.”

4. Community Networking Health Department Resources Environmental Health Health Education Infectious and Communicable Disease Immunization Dental Health Pharmacy Nursing Programs - School Health, CSC, Lead

5. Community Networking Community Resources Local Resource ad Referral Agency Head Start Child Care Parent Advocacy Programs Community Colleges and Universities Child Care Provider/Director Meetings Fire Marshall City Planning

6. Community Networking State and National Resources Licensure Consultants Abuse and Neglect Consultants NTI for Child Care Health Consultants Smart Start Conferences NC Child Care Health & Safety Resource Center

7. Consultation Skills Promoting “Best Practice” Advocate highest standard of care Model appropriate behavior Coordinate resource services “The number one component of quality child care is the health and safety of children” Thelma Harms

8. Consultation Skills Policy Development Exclusion Policies Health and Safety Protocols Medication Administration Skilled Procedures Health Resource Manual Guidelines for Parent Handbook

9. Consultation Skills Identifying Illness and Disease Standard action plans- asthma, diabetes, allergies, sickle cell anemia, epilepsy Inservice Education Parent meetings Health information and newsletters

10. Data Collection and Assessment Tools Quality Improvement Site Assessment Tool Health Procedures Sanitation Protocols Safety Protocols Emergency Preparedness

11. Data Collection and Assessment Tools Program Enhancement Assist with Quality Enhancement Grants to Award Diaper changing tables Electric handwashing sinks Child appropriate toilets and sinks New carpet Developmental toys

12. Data Collection and Assessment Tools 2002 Statistics  650 visits were made to 45 targeted settings for intensive follow-up.  3500 contacts were made to children and families via individual assessments or screenings, letters to parents, parent meetings and phone consultations.  Health informational newsletters were distributed quarterly to targeted child care settings impacting 4000 children/and or families.  85% percent of 1000 participants gained new knowledge on topics discussed in health presentations.  90% of targeted settings improved immunization documentation thus resulting in 50% of parental compliance.  15 of the 45 targeted settings increased licensed (star-rated) status due to the impact of the program

13. Data Collection and Assessment Tools Funding Sources Local Health Department Health Promotion Grants Quality Enhancement Projects Child Care Advocacy Programs

14. CONTACT INFORMATION Kathy Jackson RN, BSN Program Manager Durham County Health Department 414 East Main Street Durham NC 27701 919-560-7710 kjackson@ph.co.durham.nc.us

15. THANK YOU FOR CARING FOR OUR CHILDREN