Daycare Regulations and Collaboration
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Questions and Answers

What are the three types of daycares?

  • Formal Programs, Family Programs, Sick Child Care (correct)
  • Formal Programs, Small Programs, Sick Child Care
  • Formal Programs, Family Programs, Child Care
  • Informal Programs, Family Programs, Sick Child Care

    • Formal daycare programs are always subsidized.

    False

    Family daycare programs are always licensed.

    False

    Sick child care is usually very expensive.

    <p>True</p> Signup and view all the answers

    According to the Day Care Act, what are the requirements for a daycare to fulfill?

    <p>All of the above</p> Signup and view all the answers

    Which of these professionals are involved in daycare collaboration?

    <p>EHOs, PHIs, Licensing Officers, PH Nurses, MOH, Fire and Accessibility</p> Signup and view all the answers

    What is the main role of a PHI/EHO in a daycare?

    <p>Inspecting the food facility, playrooms, outdoor play areas, and bathroom facilities</p> Signup and view all the answers

    What is the main hazard associated with shared equipment in a daycare?

    <p>Spreading of diseases</p> Signup and view all the answers

    Why is it important to clean carpets in daycare facilities regularly?

    <p>Both A and B</p> Signup and view all the answers

    What are the common hazards related to food preparation in daycare facilities?

    <p>All of the above</p> Signup and view all the answers

    Using shared cups and utensils is generally okay as long as they're sanitized.

    <p>False</p> Signup and view all the answers

    The recommended handwashing facilities in a daycare kitchen are not always necessary.

    <p>False</p> Signup and view all the answers

    Why is it important to avoid using shared cloth towels in daycare facilities?

    <p>Both A and B</p> Signup and view all the answers

    Which of these is not a hazard associated with diaper changing areas in daycare facilities?

    <p>Proper hygiene protocols</p> Signup and view all the answers

    It's acceptable to have a diaper changing table located next to a sink in a daycare facility.

    <p>False</p> Signup and view all the answers

    What should be done with soiled diapers in a daycare facility?

    <p>Both A and B</p> Signup and view all the answers

    It is preferable to use disposable diapers over cloth diapers in a daycare facility.

    <p>True</p> Signup and view all the answers

    Malfunctioning toilets in a daycare facility should be fixed immediately.

    <p>True</p> Signup and view all the answers

    Daycare facilities should prioritize using cleaning materials that are harmful to germs.

    <p>False</p> Signup and view all the answers

    It's essential for daycare facilities to limit the use of shared cots, mats, and toothbrushes to prevent infection.

    <p>True</p> Signup and view all the answers

    The water in wading pools in daycare facilities should be changed daily.

    <p>True</p> Signup and view all the answers

    Sandboxes in daycare facilities should be covered and inspected regularly.

    <p>True</p> Signup and view all the answers

    What is the recommended maximum water temperature for wading pools in daycare facilities?

    <p>43°C</p> Signup and view all the answers

    Talcum powder is safe for children in daycare settings.

    <p>False</p> Signup and view all the answers

    Balloons are considered a potential choking hazard in daycare facilities.

    <p>True</p> Signup and view all the answers

    Playgrounds in daycare facilities should adhere to CSA safety standards.

    <p>True</p> Signup and view all the answers

    Which of these is not a specific safety concern related to toys in daycare facilities?

    <p>The presence of dust mites</p> Signup and view all the answers

    Scarves and strings on hoods can pose a strangulation hazard for children.

    <p>True</p> Signup and view all the answers

    Daycare facilities should always address the potential for electric shock hazards.

    <p>True</p> Signup and view all the answers

    Drowning is a potential safety concern in daycare settings.

    <p>True</p> Signup and view all the answers

    Proper transportation procedures are essential for ensuring the safety of children in daycare.

    <p>True</p> Signup and view all the answers

    Which of these is NOT a common issue found in school settings?

    <p>Tuberculosis</p> Signup and view all the answers

    Bedbugs pose a significant health hazard.

    <p>False</p> Signup and view all the answers

    Bedbugs are difficult to eliminate because the eggs are resistant to insecticides.

    <p>True</p> Signup and view all the answers

    Bedbugs can be effectively detected and eliminated by trained dogs.

    <p>True</p> Signup and view all the answers

    Lice are often associated with poor hygiene.

    <p>False</p> Signup and view all the answers

    Body lice can lay eggs on clothing and move to the skin to feed.

    <p>True</p> Signup and view all the answers

    Scabies is a highly contagious skin infection caused by a burrowing mite.

    <p>True</p> Signup and view all the answers

    Scabies is a treatable condition but can cause itching for several weeks.

    <p>True</p> Signup and view all the answers

    Meningitis is a serious condition involving inflammation of which part of the body?

    <p>Meninges</p> Signup and view all the answers

    Meningococcal meningitis is a bacterial infection with a high fatality rate.

    <p>True</p> Signup and view all the answers

    Hemophilus meningitis is primarily caused by a virus.

    <p>False</p> Signup and view all the answers

    Pneumococcal meningitis is a common infection affecting primarily adults.

    <p>False</p> Signup and view all the answers

    Neonatal meningitis is a common infection affecting infants within the first 28 days of life.

    <p>True</p> Signup and view all the answers

    Which of these is a common cause of aseptic meningitis?

    <p>Both A and D</p> Signup and view all the answers

    Influenza is a viral infection primarily spread through direct contact with respiratory secretions.

    <p>True</p> Signup and view all the answers

    Reye's syndrome is a rare but serious condition associated with the use of aspirin in children recovering from viral infections.

    <p>True</p> Signup and view all the answers

    Streptococcus infection, also known as Strep Throat, is a bacterial infection commonly spread through respiratory secretions.

    <p>True</p> Signup and view all the answers

    Varicella, commonly known as chickenpox, is a highly contagious viral infection spread through contact and airborne transmission.

    <p>True</p> Signup and view all the answers

    Long-term care facilities are generally at a low risk for nosocomial infections.

    <p>False</p> Signup and view all the answers

    Foodborne illnesses are a significant concern in long-term care facilities due to the population they serve.

    <p>True</p> Signup and view all the answers

    Norovirus is known for its high infectivity, spreading easily through contaminated food and surfaces.

    <p>True</p> Signup and view all the answers

    Long-term care facilities should prioritize a patient-centered approach to infection control, ensuring residents' rights and dignity.

    <p>True</p> Signup and view all the answers

    Daycare regulations are primarily provincial in nature, not federal.

    <p>True</p> Signup and view all the answers

    What are the key requirements specified in the Day Care Act for maintaining a clean and sanitary environment?

    <p>Clean and sanitary conditions, suitable ventilation, free from odours, hand washing, daily checks for hazards, toys, mats, highchairs, cribs etc. sanitized, first aid kits.</p> Signup and view all the answers

    What is the most effective way to prevent diarrhea in daycare settings?

    <p>Proper hand washing</p> Signup and view all the answers

    Daycare workers should only be excluded from work if they have a fever.

    <p>False</p> Signup and view all the answers

    What are the common illnesses found in daycare settings?

    <p>Conjunctivitis, Giardiasis, Herpes simplex, Influenza, Reye's syndrome, Streptococcal infection, varicella</p> Signup and view all the answers

    What are some of the common issues found at schools?

    <p>All of the above</p> Signup and view all the answers

    Match the types of lice with their characteristics:

    <p>Head lice = Infestation known as pediculosis, close person-to-person contact Body lice = Live and lay eggs on clothing, move to the skin to feed, cause disease Pubic lice = Smallest of the lice, can be attached to coarse hair</p> Signup and view all the answers

    What causes scabies?

    <p>The burrowing mite, Sarcoptes scabiei.</p> Signup and view all the answers

    What are the different types of bacterial meningitis?

    <p>Meningococcal, Hemophilus, Pneumococcal</p> Signup and view all the answers

    What causes meningococcal meningitis?

    <p>Neisseria meningitidis bacteria</p> Signup and view all the answers

    Meningococcal disease is preventable with a vaccine.

    <p>True</p> Signup and view all the answers

    What are the symptoms of meningococcal disease?

    <p>Fever, headache, muscle pain, nausea, a rash with red or purple spots, possibly leading to unconsciousness, bleeding under the skin, and shock</p> Signup and view all the answers

    What is the most pathogenic type of Hemophilus influenzae?

    <p>Type B</p> Signup and view all the answers

    Hemophilus meningitis is not preventable with a vaccine.

    <p>False</p> Signup and view all the answers

    What are the symptoms of Hemophilus meningitis?

    <p>Fever, vomiting, stiff neck</p> Signup and view all the answers

    What is the fatality rate for pneumococcal meningitis?

    <p>High</p> Signup and view all the answers

    Pneumococcal meningitis is more common in adults than in children.

    <p>False</p> Signup and view all the answers

    What are the symptoms of pneumococcal meningitis?

    <p>Sudden, high fever, coma</p> Signup and view all the answers

    What are the common causes of neonatal meningitis?

    <p>All of the above</p> Signup and view all the answers

    Neonatal meningitis is always acquired from the mother during childbirth.

    <p>False</p> Signup and view all the answers

    What are the common symptoms of neonatal meningitis?

    <p>Seizures, poor feeding, respiratory distress</p> Signup and view all the answers

    What are the potential causes of viral meningitis?

    <p>All of the above</p> Signup and view all the answers

    Leptospirosis is a bacterial infection that can cause viral meningitis.

    <p>False</p> Signup and view all the answers

    What are the common symptoms of viral meningitis?

    <p>Fever, rash, lasting around 10 days, symptoms can last up to a year, weakness, insomnia, personality changes</p> Signup and view all the answers

    What are the common symptoms of influenza?

    <p>High fever, cough, muscle aches, headache, chills, sore throat, diarrhea, vomiting</p> Signup and view all the answers

    A cold is the same as the flu.

    <p>False</p> Signup and view all the answers

    Influenza is typically more prevalent during the summer months.

    <p>False</p> Signup and view all the answers

    The influenza vaccine is only effective for those over six months of age.

    <p>False</p> Signup and view all the answers

    How can you help prevent the spread of influenza?

    <p>Wash your hands, cough and sneeze into your arm, avoid touching your face, clean and disinfect objects regularly, get physical activity, rest, eat healthy foods.</p> Signup and view all the answers

    What are the common risks associated with long-term care facilities?

    <p>All of the above</p> Signup and view all the answers

    Long-term care facilities are typically considered low risk for foodborne illnesses.

    <p>False</p> Signup and view all the answers

    What are some of the key considerations for preventing foodborne illnesses in long-term care facilities?

    <p>Number of people, immunocompromised individuals, types of food being prepared, transportation of food, cleaning requirements, and the overall facility.</p> Signup and view all the answers

    What are some of the illnesses of interest that are common in long-term care facilities?

    <p>All of the above</p> Signup and view all the answers

    Inspections of long-term care facilities are not necessary, as state regulations are sufficient.

    <p>False</p> Signup and view all the answers

    What are the common areas of inspection in long-term care facilities?

    <p>Food facility, common living areas, bathroom requirements, ventilation system, pest control, records of outbreaks, cleaning documentation, employee training.</p> Signup and view all the answers

    Conversations with employees during an inspection are not necessary as long as there is documentation.

    <p>False</p> Signup and view all the answers

    What are some of the key areas to inspect in a long-term care facility?

    <p>General cleanliness, common washrooms, personal washrooms, resident rooms, state of the facility.</p> Signup and view all the answers

    Outbreaks in long-term care facilities are handled differently than outbreaks in acute care facilities.

    <p>False</p> Signup and view all the answers

    Which of the following is NOT a type of daycare?

    <p>Homeschooling</p> Signup and view all the answers

    The Day Care Act mandates that licensees follow only provincial guidelines for health and safety.

    <p>False</p> Signup and view all the answers

    What is the main hazard associated with carpet in a daycare?

    <p>Children spend a lot of time on the floor and carpets are difficult to clean, potentially recirculating dirt and allergens.</p> Signup and view all the answers

    When sanitizing cups and utensils in a daycare, temperature and chemical concentration recommendations are not essential.

    <p>False</p> Signup and view all the answers

    What is the most common condition in daycares next to upper respiratory infections?

    <p>Diarrheal illnesses</p> Signup and view all the answers

    During a diarrheal outbreak, it is okay to continue with play dough activities in a daycare.

    <p>False</p> Signup and view all the answers

    Daycares are not required to keep records of children's illnesses.

    <p>False</p> Signup and view all the answers

    Reye's syndrome can occur in children and teens recovering from a viral infection who have taken aspirin.

    <p>True</p> Signup and view all the answers

    Long-term care facilities (LTCF's) are considered a low-risk environment for the spread of contagious diseases.

    <p>False</p> Signup and view all the answers

    What is the most common source of foodborne illness in LTCF's?

    <p>Foodborne illnesses are typically discussed in courses dedicated to food hygiene, food quality, and the specific diseases themselves.</p> Signup and view all the answers

    An outbreak of a contagious disease at a LTCF would be managed in the same manner as an acute care facility.

    <p>True</p> Signup and view all the answers

    It is unnecessary to check records of past outbreaks during an inspection of a LTCF because they are historical data.

    <p>False</p> Signup and view all the answers

    During an inspection of a LTCF, it is acceptable to overlook personal items in shared washrooms as everyone should be careful.

    <p>False</p> Signup and view all the answers

    Visible leaks or missing floor pieces in a LTCF are not a cause for concern during an inspection, they are simply aesthetic issues.

    <p>False</p> Signup and view all the answers

    Educating staff at a LTCF about infection control is not crucial, as they already have extensive knowledge about it.

    <p>False</p> Signup and view all the answers

    Study Notes

    Daycares

    • Daycares include formal programs (large, licensed, potentially subsidized, full/part-day, including nursery schools), family programs (informal, sometimes unlicensed, small-scale), and sick child care (expensive, focusing only on sick children).
    • Daycare regulations (Day Care Act, Section 28(3)) require adherence to provincial guidelines for promoting and maintaining health, safety, and prevention/control of diseases.
    • Requirement specifics include suitable ventilation, clean/sanitary conditions, handwashing, daily hazard checks, and sanitization of toys, mats, highchairs, cribs, and first-aid kits.

    Daycare Collaboration

    • Daycare collaboration involves EHOs/PHI's (Environmental Health Officers/Public Health Inspectors), licensing officers (possibly from another department), PH nurses, and MOH (Ministry of Health, but dependent on province).
    • Collaboration also factors in fire and accessibility regulations.

    Role of PHI/EHO

    • PHI/EHO responsibilities include food facility oversight, playroom and outdoor play area inspection, bathroom facility assessment, hot water temperature checks, and diaper changing area review.

    Environmental Factors

    • Environmental Cleaning: Shared equipment (playpens, diaper-changing tables) requires routine cleaning and disinfection, especially when someone is sick. Change tables need thorough washing and sanitization between uses. Carpets are a hazard as they retain dirt and vacuums can recirculate dust. Steam cleaning is a recommended practice.
    • Food Preparation: Foodborne illnesses (Salmonella, E. coli, Campylobacter) require safe food-handling practices. Staff should report outbreaks and maintain proper hand hygiene. Shared cups and utensils must meet temperature or chemical concentration sanitation recommendations.
    • General Sanitation: Daycares should have separate handwashing sinks in the kitchen, use paper towels, and have well-planned diaper-changing areas next to sinks with appropriate storage for supplies.
    • Malfunctioning Toilets/Inadequate Air Exchanges: These hazards must be immediately addressed to maintain sanitation and a healthy environment.
    • Sharing Personal Items: Sharing personal items like cots, mats, and toothbrushes should be avoided.
    • Recreational Areas: Wading pools, sandboxes, and other outdoor play areas should be cleaned daily and have appropriate coverage/inspection. Mud play surfaces need cleaning afterwards.
    • Water Temperature: Water temperature should be checked to avoid scalding (max 43°C). Water temperature needs to be set in thermostats accordingly.
    • Animals: Rabies and Salmonella risks from animals must be monitored.
    • Talcum Powder: Inhalation from exposure to talcum powder can cause respiratory issues, so handling must be safe.
    • Safety hazards: Large items like balloons and playspaces (playgrounds, swings) need to adhere to safety standards (e.g., CSA standards).

    Other Safety Issues

    • Toys: Toys with small parts can create strangulation hazards.
    • Electrical Hazards: Electric shock can occur.
    • Falling Hazards: Falling is a risk, as are equipment overloads and insufficient railings.
    • Drowning Hazards: Pools and other water features require safety and accessibility.
    • Transportation: Safe transportation must be ensured.
    • Storage of hazardous materials: Proper handling of hazardous substances and materials is essential.

    Diaper Changing

    • Diaper-changing areas should have smooth, non-absorbent, easily cleanable surfaces. Raised edges prevent falls.
    • These areas are located near sinks and are accessible to staff, not unsupervised children.
    • Sanitation is critical to disinfect after each use, requiring soap and water, rinsing, and a disinfection solution (per manufacturer's instructions).

    Procedure for Diapering a Child

    • Supplies (diapers, clothes, wipes, ointment, trash) are organized within easy reach.
    • A disposable covering is placed on the changing table.
    • Gloves are worn.
    • The child is placed on the table.
    • Soiled diapers and clothes are removed.
    • Soiled materials are disposed of in a plastic-lined trash can or bag.
    • The cover is disposed of.
    • Gloves are removed.
    • The child is diapered and dressed, and the child's and staff's hands are washed thoroughly.
    • The child is returned to the activity area.
    • The diapering surface is washed and disinfected
    • Hands are washed again.

    Diarrheal Outbreak

    • Diarrhea is a frequent occurrence, following upper respiratory infections.
    • Handwashing is crucial for preventing the spread.
    • Water play areas, wet sand tables, and play dough need to be curtailed or eliminated during the outbreak.
    • Toys, equipment, and single-service dishes need thorough disinfection.
    • Cloth diapers should not be handled or rinsed.

    Policies Designed to Reduce Risk

    • Employees: Pre-employment screening (vaccines, history), employee education on diarrhea and work restrictions are required.
    • Children: Screening (vaccines/disease history), exclusion guidelines, and illness record-keeping are critical. Diapering should also be managed separately.

    Prominent in Daycares

    • Conjunctivitis: Direct contact, exclusions, medical evaluations, and enforcing handwashing/avoiding shared towels are procedures.
    • Giardiasis: Fecal-oral transmission via vehicles (food/water), reporting guidelines, excluding those affected, and treatment are core elements.
    • Herpes Simplex: Direct contact precautions, preventing contact with young children, and discouraging kissing/cup-sharing are implemented.

    Daycares (Other Issues)

    • Influenza: Direct contact, exclusion guidelines, and notification procedures, given droplet spread are essential.
    • Reye's Syndrome: Associated with ASA (aspirin) usage in children and adolescents recovering from viral infections; confusion, seizures, and brain-liver swelling may occur.
    • Streptococcal Infection (Strep Throat): Enforce hygiene/contact protocols after antibiotic treatment (exclude for 24+ hours)
    • Varicella (Chickenpox): Direct contact and droplet transmission. Exclusion protocols should allow for lesions to dry before re-entry, notifying the health ministry and families remain key.

    Schools

    • Common issues at schools include lice, bedbugs, scabies, meningococcal disease, and norovirus.
    • Lice infestation (pediculosis) spreads and requires close contact/person-to-person transmission.
    • Bedbugs are a nuisance, potentially leading to secondary infections/allergic reactions.
    • Scabies is caused by mites, contagious through close contact.

    Bedbugs

    • Bedbugs are a nuisance, not a major health hazard, but can lead to secondary skin issues and allergic reactions.
    • Stress, anxiety and cost can be associated with removal (requires repeated sprayings due to egg resistance.
    • Detection may require trained canine assistance.

    Lice

    • Lice (pediculosis) spread via direct/close physical contact and present a nuisance that can lead to irritation/infection. Controlling hygiene, cleaning frequently, and appropriate treatment options are critical in addressing lice.
    • Lice can present as head lice, body lice and pubic lice, with particular attention to hair or hair-like skin.

    Scabies

    • Scabies, caused by mites, are contagious through physical contact (including sexual transmission), often leading to itching and potential secondary skin infections.

    Meningitis

    • Meningitis includes bacterial and viral varieties with diverse organisms and causes inflammation (infection) of the meninges.
    • Types include meningococcal, Hemophilus, pneumococcal, and neonatal meningitis.

    Meningococcemia

    • Meningococcemia is caused by the bacteria Neisseria meningitidis.
    • A significant portion of the population can be carriers without symptoms.
    • Transmission is via direct/close person-to-person contact and droplets.

    Hemophilus Meningitis

    • Hemophilus influenzae serotypes are pathogenic (the a-f & b varieties appear to be more prevalent).
    • This can manifest as lower respiratory infection.
    • Fever, vomiting, and a stiff neck are potential symptoms.

    Pneumococcal Meningitis

    • Pneumococcal meningitis is caused by Streptococcus pneumoniae.
    • High fatality and coma rates are possible.
    • Pneumococci are often healthy carriers. Children are usually more carriers than adults.

    Neonatal Meningitis

    • Neonatal meningitis occurs in the first 28 days of life, resulting from bacteria, viruses, or fungi, including Group B streptococci and E. coli.
    • Key symptoms include seizures, poor feeding, and respiratory distress, while the organisms are often acquired from the birth canal.

    Viral Meningitis

    • Viral meningitis often involves fever, rash, and symptoms lasting up to a year.
    • A plethora of viruses can contribute to this, such as enteroviruses, measles, herpes simplex, varicella, and leptospirosis (which causes aseptic meningitis).
    • Public Health prevention is organism-dependent.

    Influenza

    • Influenza (A and B) spreads via droplet/airborne transmission and fomites.
    • Symptoms include high fever, cough, body aches, headache, chills, sore throat, and sometimes diarrhea/vomiting.
    • It's often mistaken for the common cold, but with distinct characteristics.
    • Highly contagious, occurring primarily in winter months due to indoor gatherings and transmission.
    • Vaccination is available

    Long-Term Care Facilities

    • Risks include nosocomial infections, bloodborne pathogens (BBP), sexually transmitted infections (STI/STD’s), foodborne illnesses (FBI), and patient-to-patient or staff-to-patient transmission.
    • Indoor air quality(IAQ) issues, inadequate sanitation (cleaning, disinfection, and handwashing), and insufficient facilities need to be addressed.

    Foodborne Illnesses

    • Foodborne illnesses are a severe risk, especially in LTCFs due to the population they serve and the potential for immunocompromised individuals to be present.
    • These are discussed in other courses (e.g., Food Quality and Food Borne Diseases, Food Hygiene)
    • LTCFs are usually ranked as medium to high risk due to the large populations they support. Potential risks include multiple residents with special needs or allergies.
    • Key factors include the number of people served, types of foods, transportation, cleaning procedures, and the facility itself

    Illnesses of Interest

    • Illnesses frequently encountered in healthcare settings (and often in daycare and schools settings) include norovirus, Salmonella, Campylobacter, E. coli, Giardia, Cryptosporidium (waterborne), respiratory infections, and nosocomial infections.

    Inspection

    • Inspections involve assessing food facilities, ensuring adherence to regulations, and adequate living space for each resident.
    • Ventilation and ongoing maintenance, cleaning/disinfecting protocols, and staff training on practices/procedures, handling of hazardous materials should be assessed.
    • Observation and documentation of activities impacting air quality, pest control, outbreak records, and cleaning/maintenance records are key elements.
    • Questioning staff about therapy tub disinfection, cleaning protocols, chemical knowledge (MSDSs), and general procedures are critical.
    • Common areas should be visually inspected for cleanliness. Washrooms, resident rooms, and facilities' overall condition should be evaluated for any issues that may support the growth of mold, mildew or insects.

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    Description

    Explore the key aspects of daycare programs, including formal and family setups, as well as sick child care provisions. Understand the regulations surrounding health, safety, and the collaborative role of health officials in maintaining daycare standards. This quiz will test your knowledge on essential guidelines and collaboration in daycare settings.

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