Northwest Child Care Consortium Meeting Minutes April 16, 2009 Present: Julie Wasilewski, Opportunity Council (CCR&R); Katy Levenhagen, Snohomish Health District; Nicole DeFrank, Snohomish Health; Ellen Flamiatos, Sea-King Health; Nancy Mills, Sea-King Health; Caroline Lokkins, Island County Health Department; Judy Ziels, Whatcom County Health; Linda Albert, Skagit County Health; Dianne Dyer, San Juan County Health; Yuko Umeda, Jefferson County Health; Mernie Grahm, DEL; Donna Horn, Skagit Child Care Resource & Referral; Nancy Schiedermayer, Clallam County Health; Jan Gross Program Updates: Jan Gross – cleaning out her office space and has lots of materials that are available for the taking. San Juan County – Bridges training has been successful. The proposed new infant center will NOT open. There is a lice outbreak on San Juan Island. Snohomish Health District – Two new nurses have joined the program. Megan Whitaker and Alba Suarez both worked previously in the immunization clinic. There were some staff reductions in January (the program lost 0.5 FTE health educator, lost the behavior health specialist position, and reduced hours for the program manager and office support staff). Snohomish is piloting a health award program called T.E.S.K. (Taking Extra Steps for Kids) and beginning a formal monthly infant nurse consultation service. Jefferson County – child care programs are struggling with decreased enrollment. Island County – child care are also experiencing lower enrollment. Clallam County – Nancy is now doing the child care consultations for Clallam County. She works out of the Forks office but is responsible for covering the whole county. Skagit County CCR&R – Donna Horn is the new program manager in the Skagit office. Class numbers are down, but the program will soon be offering classes for family, friends and neighbors. Skagit County Health – Centers are at maximum capacity for infants. Connections conference was well-attended. The health department has scheduled 5 furlough days this year to help ease budget constraints. The lead testing clinic for Head Start was successful. Approximately 100 kids were tested, and only one child had an elevated blood lead level. Seattle-King Health – will have 10 furlough days this year. The future of the program is unclear, but the proposed plan includes cutting the program back to just 5 nurses and 1 nutritionist (and Lenore’s position is currently grant funded). There has been a lot of community support. The Behavior Handbook is ready, but we are waiting for DOH/HCCW to complete the printing. The program hosted an infant/toddler conference, which was very successful. DEL – funding is primarily from the federal government, so the majority of DEL is insulated from the state budget problems. However, there will likely be layoffs at DEL headquarters in Olympia. There is a new director, Betty Hyde, who was the superintendent at Bremerton School District. Opportunity Council- service area includes Whatcom, San Juan and Island counties. The program is currently in the process of getting accredited. Julie was at the NACCRR (National Association for Child Care Resource and Referral) meeting in Washington D.C. Referral calls are down. Bridges trainings are steady. Whatcom County – is also experiencing some uncertainty about the future of programs at the health department. At this point, it looks like the child care health program will continue, but may be folded into the school health program. They are helping to restart the community team for infant mental health. This community team is hoping to be a part of the future search process for children with special health care needs. Judy also gave us an update on Alexis. Statewide Updates – notes from Teresa and HCCW: - New CIS form is available for newly enrolled children in child care settings. Child care staff do not have to fill in the new form for children who are already enrolled in their program. - A FAQ sheet about the new CIS forms were distributed. - The bill to make vaccine exemptions more difficult is still on track in the state legislature. This bill would require exemptions to be signed by a health care provider. - Child Profile update newsletter is posted on the DOH website. - Immunization update – pneumococcal will be a required vaccine as of July, 2009. - DOH is under a contact- and hiring-freeze. The HCCW contract will continue as an interagency agreement. - HCCW database updates: o There will be a survey of child care health consultants. o Please get your data entered for January – March. Reminder to enter your data regularly and NOT wait till the end of the month or longer. - Teresa will demonstrate the HCCW website at the next meeting. Until then, check it out and send comments to Teresa. - Question for Teresa: Where is the Behavior Handbook? Is it ready yet? DEL Health Specialist Role: - The six health specialists are training the center licensors on activities that the health specialists used to do, like measuring rooms and doing initial inspections. Then there will be training for the home licensors. - The health specialists are primarily consultants to the licensors, but will also be available to consult with the child care provider directly. - The licensor will still go on complaint investigations, and will make referrals to the health specialists as necessary. - There is no criteria/policy for when a licensor needs to call a health specialist. Question about bleach solutions: - It is generally recommended to use spray bottles for bleach water in classrooms. If a program chooses, it is OK to use a bucket of bleach water with the rags stored in the bucket. Bleach water in a bucket should be changed frequently (at least every 4 hours and more frequently if the water gets cloudy). - Snohomish Health District recommends the following bleach concentrations: - General purpose (food contact surfaces and toys): ¼ teaspoon of bleach per quart of water (1 teaspoon per gallon) - Diapering surface and bathroom: 1 tablespoon of bleach per quart of water (1/4 cup per gallon) - MRSA outbreak: 1 tablespoon of bleach per quart of water for surfaces contaminated with pus or drainage. Can also use this stronger solution for all surfaces at the end of the day. - Norovirus outbreak: 1/3 cup of bleach in a gallon of water for surfaces contaminated with vomit or stool. - Blood spill: 1:10 ratio of bleach:water Please review the attached document: The Great Bleach Mystery Table, complied by Jeni Nybo from Tacoma Pierce County Health Department ERRNIE (Environmental Risk Reduction through Nursing Intervention and Education) Whatcom County nurses participated in a UW research project designed by Patricia Butterfield. The project was based in rural communities (second study site is in Montana). Participating families earned an income of less than 200% of the federal poverty level. The aim of the study was to improve the health/safety of the home environment. The study consisted of three observation visits (from a UW researcher) and four intervention visits from a visiting nurse. Intervention visits included education and tools for addressing mold/moisture, radon, lead, well water, tobacco, and mercury. One very interesting part of the study was measuring the cotinine levels in young children (can be tested in saliva or urine). This was very effective at demonstrating secondhand smoke exposure. Whatcom would like to continue is part of the study and is exploring grant opportunities. Next Meeting: July 23rd, 10:00 – 2:00, Whidbey Island Presbyterian Church, 1148 SE 8th Avenue Proposed agenda topic: Transitions (with a focus on transitioning children from foster care to back home) by Lenore Rubin Judy will send a reminder email about the next meeting. Please “Reply ALL” when responding the email reminder.
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