January 2024 Parent P&P Fillable

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PARENT

POLICIES AND PROCEDURES


Effective January 1, 2024
(Subject to change without notice)
BRIGHTWHEEL

Parents will use Brightwheel to CLOCK IN/OUT, send messages, updates, health checks and
much more. It is a time-saving tool that is 100% free for you.

Brightwheel Guide for Parents (YouTube)

Please follow the steps below:

1. Create a free Brightwheel account. When you receive an invitation via email or text,
please create a free parent account using either the web or mobile app. Make sure to
use the same e m a i l address or cell phone number that the invitation was sent to. Here is
a q u i c k video overview.
2. Confirm your child’s profile. You will see your child’s profile after you create an
account - you must add or update all information including birthday, allergies, and
additional contacts. If you do not see your child’s profile, please contact us with the
email address or phone number you used to sign up. You will not see updates within
Brightwheel until we start to use it regularly.
3. Set your account preferences. You can adjust your notification preferences within
y o ur profile settings on the app.
HOME LANGUAGE POLICY:
If you require a translator for any or all documents, conferences with staff, parent meetings or
general information, an interpreter will be provided.

STATEMENT OF PURPOSE:
Young Tracks, Inc. operates with the purpose of offering quality early childcare and education to
residents of our community and surrounding communities.

PHILOSOPHY:
We believe in a program and staff which:
• Provide warmth, affection, and unconditional acceptance of each child
• Know and follow the interests of children
• Allow children to move at their own pace
• Maintain a relaxed atmosphere
• Accept and plan for individual differences
• Use a wide variety of materials
• Provide many sensory experiences
• Allow for thinking and discovering
• Provide nutritious meals and model acceptable "table manners"
• Promote the development of self-esteem in children

Ages of Children Accepted:


Young Tracks is licensed for and accepts children for enrollment from two months through six
years of age.

Hours of Operation and Scheduled Closures:


Young Tracks is open from 7:30 am to 5:30 pm, Monday through Friday
Front Door is open 7:30-9:30 am and 3:30-5:30 pm daily

2024 Closed days and other important dates:


We reserve the right to close for professional training opportunities, but will always announce
these events in advance.

Jan 1 closed New Year’s Day


Feb 19 closed- for President’s Day
May 27 - closed for Memorial Day
July 4 & 5 - closed for Independence Day
Aug 9 Graduation & last day at YT for Kindergarteners
Aug 12 & 13 Closed Staff Days
Sept 2 - closed for Labor Day
Oct 11 – tentative Closed for Staff training
Nov 27, 28, 29 -closed for Thanksgiving
Dec 23- 27 - closed for Winter break
VISITOR POLICY:
Visitors are welcome, under strict supervision, on the premises of Young Tracks Preschool and
Child Care Center. Visitors must sign in and out as required by state law. The sign-in sheet is
located near the front entryway.

ENROLLMENT PROCEDURE:
You will be asked to fill out an enrollment application that includes an income survey as well as an
"Individual Care Plan (ICP)" form for your child. An initial, non-refundable, registration charge of
$150.00 per family is required, thereafter an annual enrollment fee of $130.00 will be added to
each family’s September bill. Should you unenroll from Young Tracks for any reason, for any
amount of time and choose to reenroll, and regardless of the length of time your child does not
attend, you will need to pay a new enrollment fee. Once a spot for your child has been secured, all
enrollment forms in this packet including; the CACFP food program form, emergency contacts,
other than yourselves, authorization and release, intake record, medical form signed by your
child's physician, and an up to date immunization form must be completed and returned prior to
admission.
After you are enrolled it is your responsibility to update all changes in your child’s information,
including keeping the emergency contact form up to date. All information regarding your child
must also be kept up to date on their account on Brightwheel.

Young Tracks requires all children to be enrolled no less than 3 days per week.

TRANSITIONING INTO OLDER CLASSROOMS:


As your child gets older and more developmentally capable they will be moving throughout the
building. At each move-up you will receive notice and have the opportunity to meet the staff in
your new room. The children themselves will have the opportunities to visit the new room and
meet and spend time with the new teachers in the new environment. A move-up packet will be
provided to you prior to the move up date and all state required paperwork and Brightwheel
information MUST be updated at that time.

ASSESSMENT TOOLS:
Teaching Strategies GOLD assessments are used in each classroom and are provided to parents
during Parent/Teachers Conferences held twice annually in each classroom. Assessment is the
ongoing process of observing, recording and otherwise documenting the work children do and
how they do it, to provide a basis for a variety of educational decisions that affect the child.
Assessment is integral to curriculum and instruction. In early childhood programs, assessment
provides a basis for: 1) planning instruction and communicating with parents; 2) identifying
children with special needs; and 3) evaluating programs and demonstrating accountability.
Assessment involves the multiple steps of collecting data on a child's development and learning,
determining its significance in light of the program goals and objectives, incorporating the
information into planning for individuals and programs, and communicating the findings to
families and other involved people. The information is recorded and stored electronically and
reevaluated several times during the year.
PARENT INVOLVEMENT:
We encourage parents to volunteer at least 5 hours of their time per year, which can be
coordinated with the director.

TUITION POLICY:
Tuition is paid in advance. You will be billed by the 25th of the current month for the upcoming
month’s tuition. (I.e. November tuition will be billed by October 25th). Payment is due by the 5th
of the month. Should the balance owed not be paid by the 5th a late fee of $25.00 will be assessed
to your account. Any account not paid in full within 30 days, will be assessed for discontinuation of
enrollment.
It is expected that families pay for the days, with the school, which they reserve and contract for,
for their children. If a child does not attend a day that has been reserved and contracted for, the
family is still responsible for payment for that day. If a family desires to withdraw their child from
the school, for any length of time, we reserve the right to fill that space on a permanent basis.

Families are responsible for tuition in the event that a two-week notice is not given.

TUITION RATES: REGULAR DAY RATE DROP IN RATE

Infant Program
Cougar and Puma Classrooms $90.00 $100.00
Toddler Program
Pollywogs & Bear Cubs $88.00 $98.00
Pre School Program
Pre School 3 Year olds & 4 Year olds $85.00 $95.00

Annual Activities / Transportation Fees /per family


These fees can be paid in monthly increments if needed April $120 June $120

A sibling discount of 5% will be applied to families with multiple children enrolled in the program.
Families who receive other forms of Tuition Assistance are not eligible for sibling discounts.

ADDING A DAY (DROP-IN DAY):


On a space available basis, parents can add additional days to their child's regular schedule. To
add a day, parents need to contact and receive confirmation, that space is available to them from
the Office in advance of the additional day(s) desired. Additional fees will be applied and must be
paid on the added day. (See above for rates)

If you contract for an additional day, you are responsible for payment of that day. Added days,
cancelled without 24 hours’ notice, will be billed at the added day rate.
OVERDUE ACCOUNTS / COLLECTIONS POLICY:
An Account will be considered delinquent when an account invoice has not been fully paid by the
5th of the month after invoicing.
Once an account is delinquent, the child (ren) will not be allowed to attend until the account has
been paid in full, further, any scholarship dollars awarded will be revoked and the family may no
longer be eligible for any scholarship assistance through Young Tracks.
TUITION ASSISTANCE:
There are several programs available for families to apply for tuition assistance. Qualifying families
can apply for the Colorado Childcare Assistance Program (CCCAP): Child care assistance |
Colorado Department of Human Services
Families that do not qualify for CCCAP, may also apply for assistance through First Impressions of
Routt County: https://routtcounty.smapply.io/ or directly through Young Tracks:
kim@youngtracks.com

DISCIPLINE / EXCLUSION POLICY:


The behavior guidance techniques used by staff will center on positive reinforcement, positive
role modeling by adults, conflict resolution techniques, and redirection. When problem behaviors
arise, we will look at our routines, the environment, and the individual needs of the child to help
the child overcome the behavior. We will consult with parents to ensure that we are all working
together.
Promoting responsive and positive child, staff, and family relationships and interactions, creating
and maintaining a program-wide culture that promotes children’s mental health, social, and
emotional well-being and implementing teaching strategies supporting positive behavior, pro-
social peer interaction, and overall social and emotional competence in young children.
Young Tracks will provide individualized social and emotional intervention supports for children
who need them, including methods for understanding child behavior and developing, adopting,
and implementing a team-based positive behavior support plan with the intent to reduce
challenging behavior and prevent suspensions and expulsions. Case by case scenarios will be
evaluated by a team including a mental health behavior specialist, staff, and families. Referrals will
be made as necessary to ensure the child is receiving every service possible and available to them.

DISCHARGE / EXCLUSION POLICY:


We reserve the right to cancel enrollment for, but not limited to, the following reasons:
• Non-payment of tuition
• Excessive late pick-ups or drop offs
• Non-observance of our policies as outlined in this parent handbook
• Physical or verbal abuse of staff by parent or child

SCREEN TIME:
Screen time, including TV and videos, is not a part of the regular curriculum at the center. Special
events or activities may include some screen time, based on holidays or a theme that the
classroom may have planned. An alternative activity is always offered for those children who do
not wish to view the video.
INCLEMENT WEATHER:
We will attempt to go outside every day, when the weather is 20 degrees or higher. We will be
aware of “real feel” temperature and go out or stay in accordingly, and do what is best for each
group.
• When inclement weather or excessive heat limits outdoor activities, indoor physical daily
gross motor activities, with or without equipment or materials, will be provided to all
children.
• In the event that negative outside temperatures exceed -30 (and if the Steamboat Springs
public schools are closed) Young Tracks will also be closed.
• In the event that the air quality is compromised due to smoke, particles in the air, or other
environmental factors, the children will not go outside.
We will base all outdoor excursions and center closures on day-to-day, case-by-case
events. Please check local radio stations and Facebook for school closings. We will try to
notify all families timely through Brightwheel for closures.

MEALS AND SNACKS:


Young Tracks participates in the Colorado Food Program sponsored by the Colorado Department
of Health. We provide three nutritious meals a day, that follow food guidelines mandated by the
Colorado Department of Health. Parents of infants are expected to provide their own formula if
they do not use the formula that is provided by Young Tracks. PLEASE DO NOT SEND NUTS OR
PEANUTS in ANY form, (walnuts, almonds, pistachios, pecans, hazel nuts, brazil nuts, or ANY other
tree nuts), peanuts, peanut butter or ANY other nut butters, as some children have such severe
allergies that simply smelling nuts can trigger a reaction. Per our contract with the USDA Colorado
Adult and Child Food Program, all children must be here by the appropriate times breakfast:
Infants and Toddlers: 8:30, Pre School 9:00, and PRE-K 9:30. Children who arrive after these times
will not be served food.

FOOD ALLERGIES/PREFERENCES:
Parents of children with extreme food allergies, or with significant dietary needs, will be asked to
bring food from home. All children with allergies must have a signed Individual Healthcare Plan,
outlining allergies, reactions, steps to take in the event of an emergency. If we are to provide
substitutions for foods we also need a signed Special Diet Statement on file, this form will need to
be updated every six months. All Children are allowed to bring their own food; we ask that parents
provide a sound, nutritional substitute for the meal we have planned.

DIAPERING:
Parents must provide diapers and 2 packs of wipes monthly for full time children, 1 pack monthly
for part time children. We follow the Health Department's policy on sanitary diaper changing using
gloves and proper hand washing techniques.
TOILET LEARNING:
We will work in conjunction with the parents on toilet learning. We do not encourage starting the
toileting process until the child is at least two years of age. When the time comes, we ask parents
to provide MANY changes of clothes each day and take all soiled clothes home each night.
Clothing that is easy for the child to remove, recommended. We will not use a reward system, but
will give lots of positive reinforcement. We will not discipline a child for accidents. We do reserve
the right to recommend waiting if the attempt seems too early.
CHILDREN'S MEDICATION:
Only staff that are certified in medication administration are permitted to administer medicine to
children. All medication must be prescribed by a doctor and come to school in the original
prescription bottle. The “Permission for Medication” form must be signed by parents as well as by
a prescriptive authority.
Medication will be stored in locked “Medication Boxes". All over-the-counter medicine also
requires a doctor's note. Medical Marijuana does not fall under the guidelines of Young Tracks
Medication Administration Policy as Marijuana is classified as a Schedule 1 Controlled Substance
according to the DEA, thereby having no accepted medical use in the United States. Young Tracks
must abide by this ruling as we receive federal funding and must comply with federal laws.

FIELD TRIPS:
Children who are in the Preschool and Pre K classrooms, take frequent field trips in the summer
and less frequent field trips in the other months. Teachers carry cell phones and can be in contact
with the center or emergency authorities whenever they need to be. The staff is responsible for
the proper supervision of all children while on field trips. Field trips are scheduled on the monthly
calendars. If a child's class has already left for a field trip, it is the parent's responsibility to find
the child's group and drop the child off with his/her group. A child cannot be left with another
class at school. Whenever the children leave the building, a notice will be posted at the school, so
that you may always locate your child. Parents will be required to sign a permission form for each
field trip.

AUTHORIZATION TO PICK UP CHILDREN:


Our staff will not permit your child to leave with any person not listed in writing as an authorized
person for pick up. In the event of an unforeseen situation, please call the office to make
arrangements and instruct the person picking up your child to bring a Photo ID. Authorized pick-up
can also be confirmed through Brightwheel, however the person picking up will need to use the
Brightwheel app to sign in and out for the child, and still are required proper ID.

ARRIVALS and DEPARTURES:


Parents must sign their children IN and OUT every day on the Brightwheel app, including a health
check and a signature. We use the attendance portion of the app throughout the day and in
emergencies, to determine which children are presently in the building.
Human Services families must also log their children in and out on the classroom tablets daily. This
is a requirement of your DHS contract, failure to do so will result in your being billed at the full
rate for that day or being unenrolled.
LATE ARRIVALS:
We ask that all children be dropped off and signed in by 9:30 EVERYDAY. The classroom doors will
be locked after 9:30. All classrooms have activities planned throughout the day and it is disruptive
to the classroom to have late arrivals. Children who arrive after 9:30 will be considered ABSENT &
parents will be asked to leave, no refund for these days will be given. Families who are late often,
may be subject to termination of enrollment.

LATE PICK-UPS:
Hours of operation are: 7:30am to 5:30pm. Please be here before closing time (5:30) to pick up
your child. Staff are not scheduled after 5:30. Please call us if you know you are running late, so
we can reassure your child that you are on your way. You will be charged a late fee, which is as
follows;
✽1st offence $1.00 per minute ✽ 2nd time $2 per minute ✽ 3rd time $5 per minute,
after this you may be asked to unenroll your child.
It is imperative and also required by Colorado Dept. of Human Services Childcare Licensing that
you add someone OTHER than yourselves AND someone local on your emergency contact form
who will be able to pick up your child!
In the event you are not here by 5:30, we will notify parents first and then begin to call people on
your list of emergency contacts. If the child is still at the center one hour after closing without any
contact with the family, we are required to call Routt County Department of Human Services to
report an abandoned child.

LOST CHILDREN:
In the event of a lost child, (includes a child that has been out of sight of the teachers for any
period of time), the Director will be notified immediately. The Director will then notify the parents
and the Department of Human Services. If a child is not found immediately, the police will be
notified.

DIAPER CREAM AND SUNSCREEN:


We cannot keep diaper creams or medications at YT after prescribed usage has ended. Diaper
cream may be brought and taken home daily if needed. All diaper cream used to treat a rash must
be prescribed by a medical authority.
Children need to have had sunscreen applied by you before or upon arrival
~ YT provides Rocky Mountain Sunscreen and will put it on the children ONLY after naptime,
before outside play

PARENT/STAFF CONFERENCES:
Conferences are offered in all classrooms both in the fall and spring on a sign-up basis. At any time
during the year, any parent may request a conference. At any time during the year, a staff
member or the Director may request a conference with a parent. Depending on circumstance,
these all will be done via Zoom.
NAP/REST TIME:
All the children at the center rest in the early afternoon (excluding the infants, under 12 months of
age, who follow their individual schedules). Children under the age of one will sleep in a crib; all
others will sleep on a cot or mat. In the classrooms other than in the Infant rooms, you will need
to provide a standard size crib sheet to put on your child's cot or mat. All bedding must go home
weekly to be laundered. If your child has a special blanket that he/she sleeps with he/she may
bring that as well.

BABY BOTTLES:
Infant Program:
All infants must be sufficiently taking bottles, infants who are not bottle fed will not be able to
enroll in the program. There will be a 2-week trial period for introduction of bottles, after this time,
infants who will not take a bottle from staff will be unenrolled.
Breastmilk may be stored frozen on site and formula is available, if you choose to use the YT
choice.
Toddler Program:
Children over the age of one, enrolled in the Pollywog room, are not allowed to drink from
bottles while at school.

LABELING:
Please label all clothes and any other items brought in from home. Young Tracks is not responsible
for lost or missing items.

CUBBIES:
Your child will be assigned a cubby for his/her belongings. Art and other items will be sent home
often.

FAMILY PARTICIPATION:
We want you to be involved in your child's school. If there are any books, traditions or rituals that
your family celebrates, please share them with us and we'll try to incorporate them into your
child's day at school. All families are expected to volunteer at least five hours a year annually. A
variety of ways you can help are available; from parent workdays, to helping with fundraisers, or
even volunteering to be on the Board of Directors or a subcommittee of the board.

BIRTHDAYS:
Birthdays are generally celebrated during afternoon snack. If you would like to bring a special
birthday treat for your child’s birthday, please alert us first, the treat must be commercially made
based on Health Codes and licensing requirements.

SLEEP POLICY FOR INFANTS:


A separate sleep policy is included in this packet for Infants under 12 months of age. All Infants
under 12 months of age are required to sleep in a crib while at the center. There will be no
exceptions to the sleep policy.
WATER BOTTLES:
Water is encouraged and available for all children throughout the day. Water bottles are provided
and sanitized daily.

CLOTHING:
We recommend simple, comfortable clothing that is easy to get on and off, is sturdy and
appropriate for the weather. Some of our activities are messy, and we cannot be responsible for
stains.
DO NOT SEND YOUR CHILD IN CLOTHING THAT YOU ARE CONCERNED ABOUT GETTING LOST OR
HAVING WEAR AND TEAR. During the winter months, we will go outside, when temperatures are
20 degrees and above. Boots, waterproof mittens, hats and snowsuits are required. In the
summer, children are asked to bring a sun hat, bathing suit, towel and sturdy walking shoes.

HEALTH AND ACCIDENT POLICY:

If children are sent home from school with any illnesses, they may not attend the next day.

There are three main reasons to keep sick children at home and three main reasons we will send
your child home from school:
1. The child is not well enough to take part in normal center activities
2. The child needs more care than teachers or other staff can give while still caring for the
other children.
3. The child exhibits any of the following conditions:

o Temperature above 100° F


o "Flu-like" symptoms
o Excessive heavy coughing
If a cough is so severe that the child may not participate in regular school activities,
they will be sent home.
o Note: Children with asthma may attend school with a written health care plan.
o Rash
o Note: Body rash without fever or behavior changes usually will not require the child
to stay home from school.
o Bleeding, open, or weeping wounds
o Vomiting
o Diarrhea
o Children should stay home or will be sent home with eyes that are gummy or
produce green or yellow discharge
o Any infectious disease
o Unusual behavior changes, lethargy, irritability, inconsolable crying, difficulty
breathing, wheezing, or other signs of serious illness

• Notices will be posted on Brightwheel regarding any instances of communicable illness. If


your child is sent home for any illness, they may not return to school the following day.
This is to prevent the spread of disease.
If we do not hear from you within 20 minutes of the staff attempting to contact you, we will try to
contact people on your list of emergency contacts. It is imperative that you put someone OTHER
than yourselves AND someone local on your emergency contact form who are able to pick up your
child in an emergency!
In the case of serious accidental injury, we will make every attempt to notify a parent
immediately. If we are unsuccessful, we will call the child's physician. If necessary, we will call an
ambulance. Until a parent's arrival, the Director or staff member in charge will make all decisions
about the care of the child. The parent will be responsible for any expenses incurred.

HANDWASHING:
Frequent hand washing with soap and running water is a necessity. Children and Staff need to
wash their hands (at minimum) before preparing or eating snack and lunch, after toileting and
after coughing or nose wiping.
Children will wash hands immediately after entering the classrooms after drop off.

Children are ONLY allowed to bring nap items (sheet, blanket) at least 3 sets of extra clothes (to be
stored at school), hat and a jacket. No toys or other items from home, should be brought to
school. Nap items and hats will be sent home weekly for laundering. You will be notified if any
items are missing or not brought daily and you will need to either provide them or take your child
for the day. We will not have any extra school clothes or shoes available to loan out.

Drop off/Pick up
• Please contact the staff when you are here, through the Brightwheel app. Scan the code
posted on the classroom doors for signing in/out. Families MUST sign in/out every day,
this is not the staff’s responsibility.

TRANSPORTATION:
Infants and Toddlers will not be transported by the center. All older children, who go on
fieldtrips will either walk, ride the City bus, or ride in licensed contracted, insured, “People
movers”. Each fieldtrip will require a parental permission form, signed prior to event. All
state-regulated staff to child ratios will be followed when traveling, emergency contact
information will be kept with staff, children will be required to be seated while the vehicle
is moving and teachers will be situated where proper supervision can be achieved. In the
event of an emergency, the proper authorities, The Director or Person in charge and the
families will be notified.”
FILING A COMPLAINT:
Parents have the right to call the Department of Human Services to voice a complaint about the
health and safety of their child at any time (970) 879-1540. If the complaint is more program
related than regulation related the staff and/or director will be available to talk at any time except
when it endangers the children on the premise, (ex. If only one teacher is present, that teacher
must remain with the children.)
In case of emergency call 911 or (970)-879-1144 (non-emergency) for Routt County Dispatch.
As a client of Young Tracks, Inc. you have the right to report any suspicion of abuse, neglect or
non-compliance with licensing regulations to: The Colorado Dept of Human Services 970 879 1540
Or by mail: Colorado Department of Human Services Division of Early Care and Learning Attention:
Complaint Intake
1575 Sherman Street, 1st Floor Denver, CO 80203

NON DISCRIMINATION POLICY:


“This institution is an equal opportunity provider and employer.”
In Accordance with Federal law and U.S. Department of Agriculture policy, USDA
Nondiscrimination Statement and with the understanding that, all charitable organizations must
have a policy of nondiscrimination, this institution is prohibited from discriminating on the basis of
race, color, religion, national origin, disability, age, gender identity, or sexual orientation, this is
applicable to employees, volunteers and clients served Children must meet our age requirements
prior to admission. Children with disabilities will be considered on an individual basis depending
upon the capacity of our staff to accommodate their need.

If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program
Discrimination Complaint Form, found online at http://www.ascr.usda.gov./complaint_filling_cust.html, or
at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of
the information requested in the form. Send your completed complaint form or letter to us by mail at US
Department of Agriculture, Director, Office of Adjudication, 1400 Independence Ave., SW, Washington DC
20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov

Health and Accident Policy Based on information from The Handout


Developed by The Children’s Hospital School Health Program, Denver, CO (303)-281-2790, 1995, revised
1999, 2001, 2003, 2005

References
- American Academy of Pediatrics, American Public Health Association, National Resource Center for
Health and Safety in Child Care, Caring for Our Children: National Health and Safety Performance
Standards, Second Edition, Elk Grove Village, IL 2002
- American Academy of Pediatrics, Managing Infectious Diseases in Child Care and Schools, Elk Grove
Village, IL 2005
- Colorado Department of Public Health and Environment, Communicable Disease Epidemiology
Program, Infectious Disease in Child Care Settings:
Guidelines for Child Care Providers, Denver, CO., December 2002
Kendrick AS, Kaufman R., Messenger KP, Eds. Healthy Young Children: A Manual for Programs. Washington,
D.C. National Association for the Education of Young Children
Young Tracks Pre School and Childcare Center 2024
Parent Handbook/ Policy and Procedures Sign-Off
Sheet (updated December 2023)

I have read, understand, and agree to all terms within the Young Tracks Pre School and Childcare Center Parent
Handbook and Policies and Procedures. This form must be signed and on site for a child to attend Young Tracks.

Child’s Name: _______________________

Parent (Guardian) Name: Initial:


(Please print)

Parent (Guardian) Signature: Date:


Young Tracks Preschool and Childcare Center
CHILDREN’S ENROLLMENT RECORD
Preferred Start Date: ___________________________ Date of Enrollment: _____________________

Preferred Schedule: __________________________________________________________________

Child’s Name: ____ Nickname: _ ______________________

Home Address:

Mailing Address: _

Home Phone: __________________________________________________

Gender: _______ Ethnicity: ________________ Age: _________ Date of Birth: _________________

Primary Insurance Carrier: ___Policy Number: ______________________

Medical Home: ______________________ Parent’s Social Security: __________________________

Other family members and ages: _______________________________________________________

Mother or Guardian’s Name and age: ____________________________________________________


Address if different from child’s: Zip: __

Cell Phone: _ Email: ___

Name of employment (mother/guardian): __ _

Address of employment (mother/guardian): _________________

Work Phone: _______________________

Father or Guardian’s Name and age: _____________________________________________________


Address if different from child’s: Zip: __

Cell Phone: _ Email: ___

Name of employment (mother/guardian): __ _

Address of employment (mother/guardian): _________________

Work Phone: ______________________


Emergency Contacts
Persons authorized to pick up your child
other than parents, in the event parents cannot be reached
(Local contacts only - must show photo ID)

Child’s Name: __________________________________________________________

1. Name: Home Phone:

Address:

Work Phone: _ Relationship to child: _

2. Name: Home Phone:

Address:

Work Phone: _ Relationship to child: _

Health Information
Name, address, and phone number of child’s doctor:

__________________________________________________________________________________

Name, address, and phone of child’s dentist: _

___________________________________________________________________________________________________

Name, address, and phone of child’s Hospital of Preference:

Yampa Valley Medical Center 1024 Central Park Dr, Steamboat Springs, CO 80487 Phone: (970) 879-1322

Other: ______________________________________________________________________

____________________________________________________________________________________________

Chronic Medical conditions: ____________________________________________________________

Does your child have a health care plan? ________ If yes, the health care plan must be provided on
or before the first day the child is in care.
Is your child fully immunized? _________ Note: Completed immunization records must be provided on
or before the first day the child is in care.

Food Allergies/Preference

Please be specific: ____________________________________________________________ ____

HEALTH HISTORY ALLERGIES


(Chronic or recurring) (Nature of Reaction)
Ear Infections ___________________________ Hay Fever ___________________________________
Diabetes _______________________________ Plant Poisoning _______________________________
Heart Disease/Defect _____________________ Insect Stings _________________________________
Convulsion/Seizures ______________________ Penicillin ____________________________________
Asthma ________________________________ Other Drugs _________________________________
Nosebleeds _____________________________ Animals _____________________________________
Measles ________________________________ Food _______________________________________
Mumps ________________________________ Other ______________________________________
Chicken Pox _____________________________
Flu or Flu Shot ___________________________

Operations or serious injuries (dates):

Is the child on any medications? ________ If yes, please describe: __

__________________________________________________________________________________

Physical limitations? _________Describe, if yes:

__________________________________________________________________________________

Dietary limitations? __________Describe, if yes: _

__________________________________________________________________________________

If yes to the above, a separate food form is required.

Vision: ________________________________ Hearing:


Young Tracks Authorization and Release Form

Child’s Name: _________________________________ DOB: __________________


As a parent or guardian, I grant permission for my child, named above, to:
o *Participate in all activities of the school
o Use all equipment (play and otherwise) except: ___________________________________
o Be photographed for newspaper articles, special media events and/or as a part of
classroom events, which also may be posted on the Young Tracks Facebook page, and on
the Brightwheel app.
o Use the center’s sunblock and I will apply my own sunscreen to my child before arrival
each day.

I give consent for my child’s health care provider, childcare provider, and other Health/Development
professionals to discuss and share information regarding my child’s health, behavior, and development.
Including, but not restricted to, sharing assessment information with other schools that they may
attend. If further screening/ assessment is deemed necessary, families will be referred to the
appropriate agency. IE; BOSCES, Horizons, Part B or Part C. If you need information follow this link;
http://www.firstimpressionsofrouttcounty.org or see the office for a list of resources available in
Routt County.

I give the Director or Acting Director permission to take whatever steps may be necessary to obtain
emergency medical care for my child and will be responsible for my child and will be responsible for any
expenses incurred in obtaining emergency medical care for my child. These steps may include, but are
not limited to the following:
*Attempt to contact a parent or guardian
*Attempt to contact the child’s physician
*Attempt to contact persons listed for emergencies on the Emergency Contact Card, which is my
responsibility to keep updated when changes occur
*Contact another physician or paramedics
*Have the child take to the hospital in the company of a staff member.

I understand that:
*The school will not be responsible for anything that may happen as a result of false information
given at the time of enrollment.
*I am responsible for providing all information pertinent to the care of my child at the time of
enrollment and to keep the information current.
*The school will not release my child to anyone not authorized by me or the other parent or
guardian;
*The school will not assume responsibility for a child who has not been properly signed in and
out.

I have been given a copy of the school’s Child Care Policies and have had the opportunity to ask
questions and obtain explanations.

Parent Signature: ___________ Date: _____________________


GENERAL HEALTH APPRAISAL FORM
Return by Fax 970-879-3654 or Email to kim@youngtracks.com

PARENT Please complete, date, and SIGN.

Child’s Name: Birthdate:


Allergies: None OR List food/medication:
Diet: Breastfed Age appropriate Special‐Describe:
Skin Care: Sunscreen/creams may be applied as requested in writing by parent unless skin is broken or bleeding.
Sleep: Your healthcare provider recommends that all infants less than 1 year of age be placed on their back for sleep.

I, , give permission for my child’s healthcare provider to share this


form and applicable attachments with my child’s school, childcare, or camp. Contact information for the person to receive this form.

Name: Fax: Email: ___________

Parent/Guardian Signature: _ Date:

HEALTH CARE PROVIDER Please complete after parent section has been completed.

Date of most recent health appraisal: ___________________________________ Age:__________ Weight:


Physical Exam: Normal Abnormal‐describe:
Allergies: None OR List food/medication: Type of Reaction:
Current Medications: None OR List:
A separate medication authorization form (link) is required for medications given in school, childcare, or camp.
Current Diet: Breastfed Age appropriate Special‐describe:
A separate diet statement (link) is required for food provided at school, childcare, or camp.
Health Concerns: Severe Allergies Asthma Seizures Diabetes Hospitalizations Behavior Concerns
Developmental Delays Vision Hearing Oral Health Under/Overweight Other:
Explain above concerns (if necessary, include instructions to care providers):
Immunizations: See attached immunization record or official exemption form Next vaccine due date:
Please complete if appropriate. This information is required by Early Head Start and
HEALTH CARE PROVIDER Head Start Programs per the State EPSDT Schedule.

Height: B/P: Head Circumference (up to 12 months): HCT/HGB:


Lead Level: Not at risk OR Lead level: TB: Not at risk OR Test Result: Normal Abnormal

Screens Performed: Vision: Normal Abnormal Hearing: Normal Abnormal


Oral Health: Normal Abnormal Developmental Screen: ASQ PEDS Other:
Developmental Concerns: Recommended Follow‐up:
PROVIDER SIGNATURE OFFICE STAMP
Next Well Visit: ____________ Per AAP Guidelines* or Age: _______ Or write Name, Address, Phone Number, Email

This child is healthy and may participate in all routine activities


in school, childcare, or camp. Any concerns or exceptions are
identified on this form.

Signature of Healthcare Provider (certifying form reviewed)

Date
*The AAP recommends Well Child Visits at 2, 4, 6, 9, 12, 15, 18, 24, and 30 months, and annually after 3 years.

The form was created by the American Academy of Pediatrics, Colorado Chapter and Healthy Child Care Colorado to satisfy
childcare and Head Start requirements in Colorado. While accepted by most schools, childcare programs and camps, this is not an
official government form. Updated 01/2021.
Children’s Intake Record
This information is designed to help us understand your child and better meet their personal needs,
and as they transition into our Young Tracks Family

Child’s Name: ___Nickname: _____

Birthdate: _____________________________Age now: __Enroll Date: ______

1. Reason for choosing childcare for your child? Has your child had any previous experiences
in childcare?

2. Family Relationships:
a. Who are the child’s primary caregivers and what is their relationship to the child?

b. Names and ages of all members living in the household?

3. Communication:
a. What is the primary language spoken at home?

b. How does your child communicate his/her needs?

4. Eating:
a. What is your eating/feeding schedule at home?

b. What are your child’s favorite and least favorite foods?

c. What are your children’s eating habits?


5. Sleeping:
a. How does your child nap at home?

b. How does your child show that he/she is tired?

c. If there are problems about sleeping, do you have a special way of handling them?

6. Social and Emotional Development:


a. How does your child like to be comforted?

b. Do you use a pacifier and are there any rules about it? What do you call it?

c. Are there things that your child is afraid of?

d. How does your child do with separation? Any suggested routines?

e. How does your child express frustration, joy, excitement, and anger?

f. How do you discipline your child?

g. Does your child have any behaviors that concern you?


7. In a few sentences, please describe your child (likes, play, interest) etc.):

8. Is there any additional information we should know about your child?

9. What are your goals for your child while enrolled at our center?

10. Does your child have any allergies, illness, or special needs that we need to be aware of?

Parent’s Signature: ___________________________________ Date: ____________________


TUITION ASSISTANCE:
There are several programs available for families to apply for tuition assistance. Qualifying families can apply
for the Colorado Childcare Assistance Program (CCCAP): Child care assistance | Colorado Department of Human
Services
Families who may not qualify for CCCAP, can also apply for assistance through First Impressions of Routt County:
https://routtcounty.smapply.io/
Young Tracks also has a scholarship program in-house for families with hardship or low income situations, apply
directly through our office, kim@youngtracks.com

Family Financial Information Required

Please fill out the chart below, this information is used as a tool to help identify families who
may qualify for tuition assistance. It is also used anonymously for demographics when Young
Tracks is applying for various grants and funding opportunities. Your information will be kept
strictly confidential.

Your family’s Household Size Gross (Pretax) Monthly Income


Please circle

2
3
4
5
6
7
8

Child’s name: _____________

Parents Signature: _____________ Date: _______________


This form is only necessary for
children enrolled in the
Infant rooms
Safe Infant Sleep Policy

Providing infants with a safe place to grow and learn is very important. For this reason, Young
Tracks has created a policy on safe sleep practices for infants up to 1-year-old. We follow the
recommendations of the American Academy of Pediatrics (AAP) and the Consumer Product Safety
Commission to provide a safe sleep environment and reduce the risk of sudden infant death
syndrome (SIDS). SIDS is “the sudden death of an infant under 1 year of age, which remains
unexplained after a thorough investigation.” The staff, substitute staff, and volunteers at Young
Tracks follow the AAP safe sleep policy.

Sleep Position:
• Infants will be placed flat on their backs to sleep every time unless there is a physician,
practitioner or clinician signed sleep position medical waiver up to date on file. In the case of
a waiver, a waiver notice will be posted at the infant’s crib without identifying medical
information. The full waiver will be kept in the infant’s file.
• Infants will not be placed on their side for sleep.
• Devices such as wedges or infant positioners will not be used since such devices are not
proven to reduce the risk of SIDS.
• Infants who use pacifiers will be offered their pacifier when they are placed to sleep, and it
will not be put back in should the pacifier fall out once they fall asleep.
• Pacifiers will be cleaned between each use, checked for tears, and will not be coated in any
sweet or other solution.
• Parents are asked to provide replacement pacifiers on a regular basis.

Sleep Environment:
• Our program will use Consumer Product Safety Commission guidelines for safety-approved
cribs and firm mattresses.
• Crib slats will be less than 2 3/8” apart
• Only one infant will be placed to sleep in each crib. Siblings, including twins and triplets, will
be placed in separate cribs.
• The crib will have a firm tight fitting mattress covered by a fitted sheet and will be free from
blankets, loose bedding, toys, and other soft objects (i.e., pillows, quilts, comforters,
sheepskins, stuffed toys, etc.)
• To avoid overheating, the temperature of the rooms where infants sleep will be checked and
will be kept at a level that is comfortable for a lightly clothed adult.
• Sleep clothing, such as sleepers, sleep sacks, and wearable blankets, may be used as
alternatives to blankets.
• Bibs and pacifiers will not be tied around an infant’s neck or clipped on to an infant’s clothing
during sleep.
• Smoking is not allowed in or near Young Tracks.
Supervision:
• When infants are in their cribs, they will be within sight and hearing of staff at all times.
• A staff member will visibly check on the sleeping infants at least every 10-15 minutes.
• When an infant is awake, they will have supervised “tummy time.” This will help babies
strengthen their muscles and develop normally.
• Infants will spend very limited time in car seats, swings, and bouncer/infant seats when they
are awake.

Training:
• All staff, substitute staff, and volunteers at Young Tracks will be trained on safe sleep policies
and practices.
• Safe sleep practices will be reviewed with all staff, substitute staff, and volunteers each year.
In addition, training specific to these policies will be given before any individual is allowed to
care for infants.
• Documentation that staff, substitutes, and volunteers have read and understand these policies
will be kept in each individuals file.
• All staff, substitutes, and volunteers at Young Tracks will be trained on first aid for
unresponsive infants as well as what to do when they have a question or need assistance
before they are allowed to care for infants.

When The Policy Applies:


This policy applies to all staff, substitute staff, parents, and volunteers when they place an infant
to sleep at Young Tracks.

Communication Plan for Staff and Parents:


Parents will review this policy when they enroll their child in Young Tracks. Parents are asked to
follow this same policy when the infant is at home. Information regarding safe sleep practices,
safe sleep environments, reducing the risk of SIDS in child care as well as other program health
and safety practices will be shared if any changes are made.

Child’s Name: _______ DOB: / /

Signed by: ______________________________________________________Infant Supervisor

Signed by: ________________________________________________________________Parent

Date: _____________________

This policy is effective January 1, 2023 and will be reviewed annually or as needed.
The information contained in this publication should not be used as a substitute for the medical care and advice of your
pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and
circumstances.

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