LITTLE MONKEYS CHILDCARE

PARENT HANDBOOK

Audrey Moenck
Childcare Provider
1008 Madalyn Court
Monticello, IA 52310

PH: 563-513-7534
audreymoenck@gmail.com
www.littlemonkeyschildcaremonticello.weebly.com
Also on 

 © Giggles Galore Family Child Care						*UPDATED 5/26/2015

Dear Parent/Guardian:

Welcome to Little Monkeys!

I believe that quality early care and education is a partnership between parents and provider.  At Little Monkeys, it is my mission to partner with parents, and to provide children with age and developmentally appropriate activities and materials in a safe, loving environment where they are free to explore and learn.  

Little Monkeys is a play-based home learning environment. I believe that at in the early developmental stages (under the age of 3), it is not ‘teachers’ children need to help them learn, but loving, responsive relationships with caregivers, based on respect for the child and his or her family. At Little Monkeys, your child will have the opportunity to explore and grow, create and discover, build relationships with his or her peers, and become confident learners. As your child enters preschool, they will then feel ready to continue to build upon what they have learned and experienced at Little Monkeys. They can have a collaborative relationship between what they learn in school and what they gain from the loving environment at Little Monkeys. 

Thank you for choosing Little Monkeys. I look forward to joining you on your 
child’s amazing journey! Please contact me at any time with questions or concerns about your child’s well-being, learning, and care while at Little Monkeys. 

Sincerely,

Audrey Moenck
Family Child Care Owner & Provider 

 

STATEMENT OF NON-DISCRIMINATION
 
Little Monkeys welcomes all families, regardless of, race, religion, national origin, sexual orientation, gender, ancestry, marital or parental status, and physical, mental, emotional or learning disability.

Changes to Policies
Changes may be made to these policies as needed with a 30-day notice. The policies, contracts, consents, and forms will be reviewed and updated annually in March (Little Monkeys’ anniversary). Please provide Little Monkeys with written notice of any information changes that occur, such as name and address.

Confidentiality
Personal information about children in my care and their families is strictly confidential. Please do not ask Little Monkeys to reveal information about children other than your own.
As a mandated reporter, Little Monkeys is obligated by law to report any cases of suspected child abuse.	                                                                                         

_____________________________________________________________________________________

Welcome Letter
Statement of Non-Discrimination
Change to Policies
Confidentiality

TABLE OF CONTENTS

1. Attendance
 Ages Served 
 Weekly Schedule 
 Absences, Appointments and Early Pick-ups  
 Pick-Up & Drop-Off
 Trial Period/Termination  
 Waiting list 
 Communication 

2. Holidays and Vacations
 Holidays 
 Vacations  
 Emergency/Substitute Care 
 Substitute Provider

3. Program and Curriculum
 Meals  
 Supplies  
 Change of Clothing  
 Potty Training
 Parent Involvement  
 Emergencies  
 Daily Activity Schedule 
 Water Play
 Outdoor Play/Trampoline
 Television Viewing
 Illness, Medication and Immunizations 
 Safety
 Leaving the Property
 Guidance/Discipline Policy  

4. Tuition Fees
 Weekly Rates  
 Deposit  
 Late Fees  
 Methods of Payment    

5. Enrollment Forms
 Child Enrollment Record  
 Child Introduction Form  
 Medical Record  
 Emergency Medical Consent Form  
 Emergency Contact Information   
 Field Trip Permission Form  
 Incident and Injury Report   
 Authorization to Administer Medication  
 BabyConnect (parent logs)
 Parent Sign-in/out Sheet   

1. Attendance

Ages Served 
 
Little Monkeys welcomes children of all ages in need of care. However, because of the curriculum, supplies, developmental toys, etc. that are being used on a daily basis, Little Monkeys is best suited for children from 0 to Kindergarten. Children under the age of 6 will feel most comfortable at Little Monkeys as there are many age-appropriate activities that will be geared towards their interest and skill level. Older children, though welcome, may not be as well served in the in-home environment provided at Little Monkeys. 

Weekly Schedule 
 
Little Monkeys is open according to the following schedule: 
 
Monday      				7 AM to 5:30 PM
Tuesday      				7 AM to 5:30 PM
Wednesday     			7 AM to 5:30 PM
Thursday     				7 AM to 5:30 PM
Friday     				7 AM to 5:30 PM
Saturday                   	Closed
Sunday                   		Closed 

Absences
If you plan to keep your child home due to illness, or any other reason, you must notify me no later than your regular drop off time.  I also expect to be notified if you anticipate being late in dropping off your child in the morning.

Appointments and early pick-ups
Please notify me when you drop your child off in the morning if you will be picking your child up early that day, or if your child has an appointment and will be leaving, and returning again later in the day. 

Pick-Up & Drop-Off

You may park on the street in the cul-de-sac or in my driveway, but please do not block any of the neighbors’ driveways OR the fire hydrant in front of my home. 

Please turn OFF your vehicle. Do not allow your child to play near the vehicles at any time.
 
Your child must exit Little Monkeys with you.
 
I assume responsibility for your child only while he/she is in my care during regular hours.
 
No child will be allowed to leave with anyone except the parent (unless indicated on the alternate pick-up list) without WRITTEN permission from the parent. Telephone permission WILL NOT DO! Anyone unfamiliar to me will be required to show proof of identification. Please make the alternate pick-up person aware of these requirements.
 
If the person picking up the child appears to be under the influence of alcohol or drugs, another authorized person will be called to pick-up both the child and the adult. If the adult chooses to leave with the child, the police will be notified.
If there is a court order keeping one parent or guardian away from the child, I must have a notarized copy of that court order in my files to that effect. Otherwise, I cannot legally prevent the non-custodial parent from picking up the child, visiting the child at Little Monkeys, etc. 
 
Trial Period/Termination
A Trial Period of 2 weeks will take place beginning the day the child enrolls in Little Monkeys. The contract may be terminated by either Little Monkeys or the child's parents during these 2 weeks if either party feels there are reasons to do so without the need for a two-week notice.
After the 2-week Trial Period, either the parent or Little Monkeys has the right to terminate service for any reason, providing a 2 week written notice is given. Parents will be responsible for paying for the two weeks after notice is given regardless of whether parents choose to keep children in care for those two weeks. If Little Monkeys feels that the requirements of the contract are not being met or if there is a conflict in caring for a child, Little Monkeys may choose to terminate the contract. Little Monkeys will give families a minimum of a two week notice in this case.

Little Monkeys reserves the right to terminate the service if:
1. Immunizations are not kept current (State regulations)
2. Tuition is not paid in full
3. If the parent is not supportive of the policies and procedures
4. The provider is treated in an abusive or derogatory manner
5. Child fails to adjust in the Little Monkeys environment after reasonable measures have been taken
6. The child's behavior is unmanageable, and/or harmful to the other children or to the provider.

Waiting List
I encourage parents to begin exploring their child care options as early as possible, visiting many different types of programs. If, after carefully weighing the different options and providers, you are interested in enrolling your child at a time when I do not have an opening, you are welcome to keep in touch and I will let you know when I have an opening.  However, I do not, as a rule, keep a waiting list because it is my experience that, unless they are looking for future care, parents generally need child care immediately.  If you need immediate care and I do not have any openings, I am happy to refer you to other providers in the area. 

Communication
The purpose of these policies is to keep misunderstandings from happening. I hope it provides parents with a clear picture of the expectations I have for them and that they may have for me. Please come to me with any questions concerning any part of this contract. Communication between parents and providers is the key to each child getting the best care possible. I have many ways that parents can contact me, as well as stay informed with what is going on at Little Monkeys. These include: phone, email, Facebook, a website, etc. (found on the first page of this handbook). Any pictures I take of your child while at Little Monkeys will NOT be posted online without your prior approval (except in the private Facebook group). 

2. Holidays and Vacations 

Holidays
Little Monkeys will be closed on the following holidays.  Please arrange for alternative care on these days. Only the holidays marked with a (*) will be PAID holidays. All of the other holidays on the list will be taken at NO CHARGE to your family. 

 New Year’s Eve
 New Year’s Day (*)
 Memorial Day (*)
 Independence Day (if it falls on a Saturday or Sunday, the day before or after will be taken off) (*)
 Labor Day (*)
 Thanksgiving (*) and the Friday after (no charge)
 Christmas Eve (*)
 Christmas Day (*)

Vacations
Little Monkeys will close for 1 week every July & December (2 weeks total).  Parents will receive at least 30 days advance written notice of the exact dates. ONE week will be a paid vacation and the other will be unpaid. As the provider, I may choose to take the days off consecutively or in smaller chunks. This will be communicated to the parents. 

Payment during Family Vacations
Each family will receive 1 weeks’ vacation tuition free per year.  If you plan on keeping your child out of care for longer than 1 week, tuition must be paid up front for the remaining vacation period in order to hold your child’s slot. NOTE: 1 week equals 5 days. These days may or may not be consecutive. Any day your child spends out of Little Monkeys over the 5 days will be charged (per year, not including illness).  

Emergency/Substitute Care
Though I will be happy to provide parents with a list of other providers in the area, it is ultimately the parent’s responsibility to arrange for substitute and/or emergency care for their child.

Substitute Provider
I have arranged for substitute caregivers to take my place in prearranged instances for short periods of time, such as doctor's appointments or conflicting child development courses, etc. I will inform you at least two weeks in advance (if possible) that I will be using a substitute caregiver.  It is your choice whether you bring your child on a day that I have a substitute caregiver, but you are responsible for paying for care whether your child attends, stays home, or receives care from another provider.

3. Program & Curriculum

Meals 
Little Monkeys provides nutritious meals for your child. This includes breakfast, lunch, and several snacks throughout the day. If your child has any food allergies, or other special dietary needs, please let me know. If you are breastfeeding your child, please let me know what accommodations I can make to help meet yours and your baby’s needs. 

Parents of infants are required to provide bottles and formula or breast milk. Also, any baby food the infant (6-12 months) may be eating.
Little Monkeys provides all meals and snacks while your child is present once they are eating a solid food diet. We emphasize healthy eating and provide nutritious foods such as whole grains and fresh fruits and vegetables. Please do NOT send food of any kind with your child unless you discuss it with us first. It can cause conflict with the other children who may feel like they are being unfairly denied the same food or snack.
If you wish to provide treats for a special occasion such as a birthday or holiday, please discuss it with us first and be sure to provide enough for all the children.
Breakfast is served before 8:30 A.M.
Morning snack is served at 10 A.M.
Lunch is served between 11 A.M. and 11:30 A.M.
Afternoon snack is served at 3:45 P.M.
If your child is not at Little Monkeys during the time that a meal/snack is served, they will not be provided with that meal/snack. At drop-off, please make sure that your child will not be hungry until the next meal/snack is scheduled to be served. 

Supplies 
Parents are responsible for supplying diapers, wipes, and a full set of clothing for their child.

Change of Clothing 
Parents are responsible for maintaining a spare set of clothing in their child’s cubby.  Babies grow fast, so please check frequently to make sure the spare set of clothing matches your child’s current size. Also, please make sure that the spare set of clothing that is at Little Monkeys matches the current season and is weather-appropriate. 
This is a hands-on childcare and children learn by doing. I use washable art supplies, but caution never hurts! Children should not be worried about getting dirty or having spills on their clothing. Please dress your child in play-clothes. I will do my best to take care of the child's clothing. However, accidents do happen and this childcare is not responsible for lost or soiled clothing.
 
If there is a special occasion that calls for special clothing (a visit or party right after child care or a trip to the photographer), please send the clothing with the child and I will help them clean up and get dressed prior to your picking them up at the end of the day.

Potty Training
Children are required to wear diapers or pull-ups to Little Monkeys while they are being potty trained until they have been accident free for a minimum of 2 weeks. Once the child is successfully potty trained, parents will be required to bring 2 changes of underpants in case of an accident. Little Monkeys does not launder soiled items. They will be sent home in a plastic bag. Parents will be asked to replace any clothing sent home the next day.

Parent Involvement/Open Door

You are invited and welcome to visit the day care anytime your child/children are present. You are asked to avoid visiting during nap/quiet time as much as possible. Please knock as the door may be kept locked for safety reasons, but I will quickly answer the door as soon as you arrive. Parents are also free to call at any time. If I am busy with the children and do not answer, please leave a message, and I will call you back as soon as possible. If I am anticipating your arrival, I will unlock the door for a short period; feel free to enter without knocking. 
 
Emergencies/Unexpected Closings

Unexpected Childcare Closings
Notification of at least 30 days will be given prior to any additional closed days (with the exception of emergencies or illness). Please have a backup childcare provider for these occasions. The Provider is not responsible for finding alternate care for your child. In the event that I will be away for a period of time less than three hours (usually for doctor appointments only) substitute care will be provided by a back-up provider that I will arrange.
 
**There will not be a charge for unexpected closings (illness, death in the family, etc). 

***If one of my own children is sick and I will not be able to provide care to other children, I will notify parents as soon as possible and parents will need to have backup child care for that day. There will be no charge for that day. If one of my own children becomes so ill that I cannot provide care for other children during child care hours (after your child is already in my care), I will notify parents and children will need to be picked up within one hour.
***If we have a medical emergency, I will get back up care immediately and parents will then be notified and will need to pick up children ASAP!

Daily Activity Schedule 

7:00 A.M. to 8:30 A.M. 		Arrival and Breakfast/Centers
8:30 A.M. to 8:45 A.M. 		Free Play
8:45 A.M. to 9:00 A.M. 		Diaper Change / Potty Time / Wash Hands
9:00 A.M. to 10:00 A.M. 		Art / Music / Floor Activities & Play
10:00 A.M. to 10:30 A.M. 	Story time/Snack
10:30 A.M. to 10:45 A.M. 	Diaper Change / Potty Time / Wash Hands
10:45 A.M. to 11:00 A.M. 	TV Time as I prepare lunch
11:00 A.M. to 11:45 A.M. 	Lunch
11:45 A.M. to 12:00 P.M. 	Diaper Change / Potty Time / Wash Hands 
12:00 P.M. to 12:30 P.M. 	Free Play
12:30 P.M. to  3:00 P.M. 	Nap / Quiet Time/ Books (older children)
 3:00 P.M. to  3:15 P.M. 	Diaper Change / Potty Time / Wash Hands
 3:15 P.M. to  3:45 P.M. 	Free Play
 3:45 P.M. to  4:00 P.M. 	Snack
 4:00 P.M. to  4:30 P.M.    Outside Play / Floor Activities & Play
 4:30 P.M. to  4:45 P.M. 	Diaper Change / Potty Time / Wash Hands
 4:45 P.M. to  5:30 P.M. 	Free Play / Parent Pick-up  
 
*This schedule is merely a guideline for our day! Actual times and activities often vary in response to the children’s needs and interest. 

Water Play
Little Monkeys has a sprinkler and a variety of water toys for warm weather water play. A swimsuit and towel may be requested for these days. Due to safety, Little Monkeys will not be using any swimming pools during childcare hours. We may, however, use small totes of water for scooping, measuring, etc. 

Outdoor Play/Trampoline
Little Monkeys has a small (My 1st) trampoline for outdoor use to encourage gross motor play, exercise, etc. It will be set up for use for children 2+ to use on a grassy area, weather permitting. It is approximately 2 feet high and contains a secure netting around all sides. If you would not like your child to access this piece of equipment at Little Monkeys, please let me know. 

Television Viewing
Television viewing is an important issue for parents. There is a small TV in Little Monkeys’ childcare room. TV time will be very limited and monitored. Viewing time may be allowed in early mornings (prior to breakfast), during lunch preparation, and after toy pickup while waiting for parents. This can amount to 1/2 hrs. to 1 hrs. per day depending on when your child is here or if they want to watch TV during these designated times. The programs Little Monkeys will allow children to view are shows like Blue’s Clues, Dora, and Sesame Street. Little Monkeys will occasionally watch children's movies which are rated G (or not rated) such as Disney movies (no more than once per week) as a special “movie day.” Please let me know of any objections to any movies or television shows. 

Illness 
 
If your child has any of the following illnesses or conditions, you must keep your child home:
* A temperature above 100 degrees Fahrenheit
* Vomiting (2 or more times in 24 hours)
* Diarrhea (3 or more watery stools in 24 hours)
* A rash or nits
* Eye infection
* Sore throat
* Any Communicable Disease
* If it’s clear your child is just not feeling good

Depending upon the illness, you may be required to obtain a doctor’s note before your child returns to care.

If your child becomes sick while already at Little Monkeys:
Please be prepared to pick up your child within 1-2 hours after I notify you that your child is sick. This is out of consideration of the other children at Little Monkeys as well as the environment as a whole. 

Medications
Any medication must be in the original bottle or container and prescription medications must include the original prescription label and instructions.  
Little Monkeys will not administer any medications, creams or sunscreen without written consent from a child’s parent. Parents must hand all medications, instructions and consent forms to me personally. 

Immunizations
Complete Immunization records must be on file prior to your child’s first day of enrollment. These will need to be updated annually as well or after the child receives a new immunization (under 2 years of age). 

Safety

Our house is set up as a safe environment for children. 
 
Please DO NOT send toys, food, candy, gum, or money with your child unless specifically asked to do so. These items place an unnecessary burden on the provider, and may cause the child to become upset when taken away. These items can also pose a choking hazard if the provider is not aware of them. If they are brought to Little Monkeys, they will be placed in the child’s cubby until the end of the day to be taken home. 
 
In the event of any injury (other than minor scrapes, bumps, scratches, etc.), the parents will be notified immediately! Although supervision is constantly given, I cannot be by the child's side at all times to prevent falls, tripping, bumps, etc. If the child is injured in a non-life-threatening way, I will assess the child and provide home first-aid.
In the event of a serious injury, the parents will be notified immediately and necessary steps will be taken to obtain medical aid. For emergency purposes, PARENTS MUST KEEP ALL CONTACT NUMBERS CURRENT. If I am unable to reach you or your emergency contacts and immediate intervention is required, I will take appropriate action, including calling 911 and having your child transported by ambulance to the hospital.
 
You and your family insurance is/are responsible for the cost of medical help or treatment due to accidents or illness while in child care. The child care is not responsible for any accidents that may happen to your child or for any medical or legal charges.
Smoking is not permitted in our home or on our lawn at any time. Our home is pet-friendly (one cat, Harley) & NON-smoking.

Leaving the Property

During the day, we may leave 1008 Madalyn Court to walk to the nearby parks, etc. I will always have my cell phone along for safety purposes while we are away from the house. Feel free to call it at any time. I do transport children for planned and occasional field trips. Parents will be notified in advance as to when a field trip is being planned. A child may not participate in a field trip unless parents have signed the travel authorization form. An appropriate car seat will also need to be provided by the parent for each child in order to leave Little Monkeys’ property. All traffic and safety laws will be followed. No child will ever be left unattended in a vehicle. We may leave without notice in case of an emergency, in which case a note will be placed on the front door of my home.

Guidance/Discipline Policy 
 
To assist children in developing self-control, self-confidence, and sensitivity in their interactions with others, and to ensure order, prevent injury, and ensure a child’s activities are not infringing on the rights of others, the following strategies are used to guide the children’s’ behavior: 
 Focusing on the child’s behavior, rather than on the child;  
 Reinforcing appropriate behavior;  
 Observing children in order to anticipate potential difficulties;  
 Establishing eye contact and calling the child by name to gain a child’s attention;  
 Remaining near the child in situations where he/she may be losing self-control;  
 Modeling problem solving;  
 Offering choices;  
 Re-directing;  
 If all else fails, the child will be removed from the situation in a way that ensures that the 'time out' is a positive learning experience;  
* Prior to the use of ‘time out’ the child will be given an explanation of what it means and what it involves. 
* The ‘time out’ place will be located within the play area, where they can still be supervised, but far enough from the activity. In some extreme cases (the child will injure themselves or others), the ‘time-out’ spot will be located away from the other children and provider. 
* The child will be allowed to determine when he/she can return to the activity. 
* The ‘time out’ period will be no more than one minute per year of age, to a maximum of five (5) minutes—This applies to children over the age of 2.
* Appropriate or acceptable behavior of the child following ‘time out’ will receive praise. 
 If a child loses control and could possibly injure him or herself or others, the child will be held and helped to sooth themselves until self-control is gained.  

I do not practice, or allow the follow behaviors:  
 Corporal punishment such as shoving, hitting, shaking, spanking  
 Harsh, belittling, or degrading treatment  
 Confinement, unsupervised separation from others, physical restraint as punishment  
 Depriving children of meals, snacks, rest or necessary use of the toilet as punishment

4. Tuition Fees

Fees are subject to change with 30 days advanced notice given to parents

Weekly Rates

FULL-TIME (more than 3 days per week) 

$140/week ($28 per day)--child under 24 months

$130/week ($26 per day)--child 24 months to Kindergarten

**A family with more than one child will receive a 10% discount off of the higher fee (in care 5 days per week)

**Children over the age of 6 will be considered on a situational basis (before-and-after school, summers, certain family structures, etc.)

DROP-IN/PART-TIME (less than 3 days per week)

1 child (1-5 hours per day)

$20 (under 2)

$18 (over 2) 

1 child (over 5 hours per day)

Day rates for ages (listed above)

More than one child (any amount of hours)

$3.25/hour/child (under 2)

$2.75/hour/child (over 2)

Methods of Payment

Parents may pay for fees in cash, personal check (payable to Audrey Moenck), or PayPal (NEW!!). Payment is due weekly.

I am considered an unregistered in-home childcare; therefore, I am unable to accept any form of Childcare Assistance from the Iowa Department of Human Services (including Block Grants, etc.).

**Fees are due at the end of each week (FRIDAY by 5:30pm) for full-time enrollment. These must be paid in order to return to Little Monkeys the following week.   

**Fees for PART-TIME care are due the last day that your child attends Little Monkeys for the week. These must be paid in order to return to Little Monkeys. 

**Fees for DROP-IN care are due at the end of each day that your child attends Little Monkeys. These must be paid in order to return to Little Monkeys again and be eligible for repeat care. 

Payment during Family Vacations
Each family will receive 1 weeks’ vacation tuition free per year.  If you plan on keeping your child out of care for longer than 1 week, tuition must be paid up front for the remaining vacation period in order to hold your child’s slot. NOTE: 1 week equals 5 days. These days may or may not be consecutive. Any day your child spends out of Little Monkeys over the 5 days will be charged (per year, not including illness).  

Deposit
No deposit is required. 

Late Fees
A late fee of $10 will be assessed for any amount of time (even minutes) after the 5:30pm pick-up. If you know you will be late to pick-up on a certain day, please notify Little Monkeys PRIOR to 5:30pm as I will waive the $10 late fee. If I do not hear from a parent prior to 5:30pm and the parent is late for pick-up (but does notify me), I will only charge ½ of the late fee. I understand that things come up and late pickup may not be avoided occasionally. I just ask that the parent is considerate of my time as well by communicating with me. If you know that you will be late, I suggest alternate pickup arrangements be made in order to avoid excess fees. 
A late fee of $25 per day (including weekends) will be assessed for payments not received by 5:30pm on the Friday of the current week your child has attended Little Monkeys (full-time enrollment). Late fees will also be assessed for payments not received for part-time and drop-in care. If you anticipate that you will be making a late payment, I ask that you communicate with me about this to make other arrangements. I am understanding and flexible to things that may come up; however, communication is absolutely necessary! Your child will only be allowed to return to Little Monkeys once your balance is ZERO dollars.
**If payment is not made for services that have been given and your account remains delinquent, legal actions will be taken. All collection charges, late charges and legal fees will be added to your account and owed to the child care.

Methods of Payment
Parents may pay for tuition in cash, personal check (made payable to Audrey Moenck), or PayPal (NEW!!). Please sign up for PayPal payments via my website (located on the front of this Handbook). A service fee of $25 will be assessed for any returned check. In the event that 3 or more checks are returned, you will be asked to make all future tuition payments in cash only. I am considered an unregistered in-home childcare; therefore, I am unable to accept any form of Childcare Assistance from the Iowa Department of Human Services (including Block Grants, etc.).

CHILD ENROLLMENT RECORD

Child’s Name __________________________ Gender ____ Birthday ______________
Home Address ______________________ Home Phone ________________________ 

Basic Information:
Mother/Guardian’s Name ________________________________________________ 
Home Phone ___________________________________________________________
Address _______________________________________________________________
Employer ______________________________ Hrs. from __________ to ___________
Employer Address _______________________________________________________
Business Phone ________________________________________________________

Father/Guardian’s Name_________________________________________________
Home Phone ___________________________________________________________
Address  ______________________________________________________________ 
Employer ______________________________ Hrs. from __________ to ___________
Employer Address _______________________________________________________
Business Phone ________________________________________________________ 

Child’s First day of care: ________________________________________________ 
 
Special instructions:
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 

© Giggles Galore Family Child Care		                                                                                           

CHILD INTRODUCTION FORM

Please help me get to know your child. What are his/her routines, likes, dislikes, etc.?  

Eating ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Sleeping ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Toileting/Diapering
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Daily Activities ______________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Fears __________________________________________________________________________________________________________________________________________________________________________________________________________________

Likes __________________________________________________________________________________________________________________________________________________________________________________________________________________

Dislikes __________________________________________________________________________________________________________________________________________________________________________________________________________________
Habits __________________________________________________________________________________________________________________________________________________________________________________________________________________

Favorites __________________________________________________________________________________________________________________________________________________________________________________________________________________

Tell me a little about where your child is developmentally (strengths, challenges, recent new skills, emerging skills, etc.)
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 

What other information should I know/be aware of to care for your child as an individual?   Events at home often influence your child's behavior.  I am better able to help your child when you inform me of situations and/or events that might influence his/her overall behavior such as: 
 Divorce.
 Separation from a relative or friend.
 Death of a relative or friend. 

Knowing about these transitional times allows me to give special attention, understanding, and care. The information you give me will remain confidential. Has anything happened recently in your child’s life that might have an effect on her/him?    
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 

© Giggles Galore Family Child Care		                                                                                          

MEDICAL RECORD
Name of Child: _____________________________Date of Birth: _______________

Mother’s Name________________________________________________________________
Address_______________________________________________________________
Home Phone Number _______________________ Work Phone Number______________________ 

Father’s Name________________________________________________________________ 
Address_______________________________________________________________
Home Phone Number _______________________ Work Phone Number______________________ 

Physician’s Name________________________________________________________________
Address _______________________________________________________________
Phone Number ________________________________

Insurance Information__________________________________________________________
Child’s Medical Record Number __________________________________________ 
 
Chronic Illnesses_______________________________________________________
Allergies______________________________________________________________
Current Medications____________________________________________________________

Special Information:
__________________________________________________________________________________________________________________________________________________________________________________________________________________
 
Please note: Complete Immunization records must be on file prior to your child’s first day of enrollment and updated annually (or after a new set of immunizations for a child under 2 years of age).

© Giggles Galore Family Child Care		                                                                                         

EMERGENCY MEDICAL CONSENT FORM

Little Monkeys has my permission to obtain emergency medical treatment for my child when I cannot be reached or if a delay in reaching me would be dangerous for him/her.

My insurance provider is _______________________________________________________ 

My child’s medical record number is _____________________________________________  

Preferred hospital/treatment center ______________________________________________

My child is taking the following medications 
_________________________     
_________________________     
_________________________

My child has the following allergies
_________________________     
_________________________     
_________________________

I understand that I assume all financial responsibility for any treatment or injuries sustained by my child while he/she is in child care.

_________________________________                 ________
Signature of Parent or Guardian            			Date 

__________________________________                _______
Signature of Parent or Guardian            			Date  

© Giggles Galore Family Child Care		                                                                                          

EMERGENCY CONTACTS AND 
PERMISSION TO DROP OFF AND PICK UP 

Name ________________________________________________________________ 
Address _______________________________________________________________
Relationship ___________________________________________________________  
Home Phone ___________________________  
Work Phone ____________________________ 
 
Name ________________________________________________________________
Address _______________________________________________________________
Relationship ___________________________________________________________  
Home Phone ___________________________  
Work Phone ____________________________ 
 
Name ________________________________________________________________
Address _______________________________________________________________
Relationship ___________________________________________________________  
Home Phone ___________________________  
Work Phone ____________________________ 
 
Name ________________________________________________________________
Address _______________________________________________________________
Relationship ___________________________________________________________  
Home Phone ___________________________  
Work Phone ____________________________ 
 
Name ________________________________________________________________
Address _______________________________________________________________
Relationship ___________________________________________________________  
Home Phone ___________________________  
Work Phone ____________________________ 

© Giggles Galore Family Child Care		                                                                                          

FIELD TRIP PERMISSION FORM
 
I give permission for my child, _____________________________________, to leave Little Monkeys for supervised trips via car or by foot to special places such as:  
• The Public Library (Monticello & Anamosa) 
• The Local Parks (Monticello & Anamosa)
• Public Events
A personal car seat for the above mentioned child will be provided by the family if needed. Prior notice will be given to the family (that day or earlier) if their child will be leaving Little Monkeys via car. 

Restrictions on such trips for my child include: 
 _____________________________________________________________________ 
 _____________________________________________________________________ 
 _____________________________________________________________________ 
 _____________________________________________________________________ 
 _____________________________________________________________________ 

___________________________________              __________
Signature of Parent or Guardian     				Date 

___________________________________              __________
Signature of Parent or Guardian     				Date  

 

 
 
© Giggles Galore Family Child Care		                                                                                          

INCIDENT AND INJURY REPORT (EXAMPLE for parents)

Name of child _______________________________ Date of injury ______________  
Time of injury ________________________________________________________  
Injury description ______________________________________________________  
Action taken _________________________________________________________  
 ___________________________________________________________________  
 ___________________________________________________________________  
Name of parent/guardian notified _________________________________________  
Person(s) who observed the accident ______________________________________  
General comments ____________________________________________________  
 ___________________________________________________________________  
 ___________________________________________________________________  

Parent Signature______________________________________________________

Additional Parent Signature (if applicable) __________________________________

© Giggles Galore Family Child Care		                                                                                         

AUTHORIZATION TO ADMINISTER MEDICATION

Date________________________________ (valid for ONE year)

Child’s Name _______________________________________

Little Monkeys has my permission to administer the following prescription medications to my child: 
_________________________     
_________________________     
_________________________
 
Dosage instructions __________________________________________________________

Little Monkeys has my permission to administer the following over the counter medications to my child (Tylenol, Ibuprofen, etc.): 
_________________________     
_________________________     
_________________________
 
Dosage instructions __________________________________________________________

Little Monkeys has my permission to apply the following creams, lotions or ointments on my child (diaper cream, Cortizone, triple antibiotic ointments, etc.):
_________________________     
_________________________     
_________________________
 
Application instructions _______________________________________________________

Little Monkeys has my permission to apply the following sunscreen or sun block on my child: 
_________________________     
_________________________     
_________________________
 
Application instructions _______________________________________________________

__________________________________                _______
Signature of Parent or Guardian            			Date 

__________________________________                _______
Signature of Parent or Guardian            			Date  

© Giggles Galore Family Child Care		                                                                                          

BabyConnect:
BabyConnect is an online tool that Little Monkeys will begin using in March 2015. It logs daily activities for each child. This includes, but may not be limited to, diaper changes, feedings/meals, naps/rest times, outside play, educational/developmental activities, etc. These logs are entered electronically via web on a secure network. Each child has their own data and each family’s information remains confidential and separate. In order to receive these logs at the end of each childcare day, an email address is needed--either for one parent or both (if desired). 

•	Please select, by circling, how you would prefer to use BabyConnect: * 

•	

Choose one. If you answer "YES," please answer the next question below.

•	Email -- Mother __________________________________________________
Please enter the email that you would like your child/children's daily logs sent to each day. 
•	Email -- Father ___________________________________________________

•	Child 1 * First Last 
•	Child 2 First Last 
•	Electronic Signature * First Last 
By entering your name here, you are giving Little Monkeys Childcare (Audrey Moenck) permission to enter your child/children's information into BabyConnect and send daily logs to the email address(es) you have provided (if "YES" has been chosen). If you have chosen "NO" at this time, you are verifying that your child/children's information will not be used on BabyConnect. 

Today's Date * MM / DD / YYYY
Parent Sign-In/Out Sheet 

All parents must sign their child both in and out each day at the time of drop-off or pick-up OR the provider may do this for a family.

DATE	Child/Family Name	Time 
IN	Signature	Time 
OUT	Signature	

						

						

						

						

						

						

						

						

						

						

						

                    
© Giggles Galore Family Child Care