Printed Products to Download
Healthy Child Care Iowa (HCCI) offers the products below to assist you in offering quality child care to Iowa's children. Download these handouts to print yourself or contact your local Child Care Nurse Consultant for copies.
Anaphylaxis Action Plan
Anaphylaxis Action Plan is a 2 page (8 1/2 x 11) form child care businesses may use when planning the care of a child with allergy requiring Epinephrine (Epi pen) injection.
Asthma Action Plan
Asthma Action Plan is a multi-color 1 page (8 1/2 x 11) form child care businesses may use when care planning for a child with asthma.
Asthma Care Brochure
Asthma Care Brochure is a multi-color 2 page (8 1/2 x 11) document to help child care businesses complete the Asthma Action Plan.
Bed Bugs in Child Care
Bed Bugs in Child Care is a 3-page (8 1/2 x 11) fact sheet for preventing a bed bug infestation in your child care business. The fact sheet includes color pictures of bed bugs and resources.
Supporting Breastfeeding is a 2-page (8 1/2 x 11) fact sheet on the importance of supporting breastfeeding. Information on storage and handling guidelines.
Child Care Injury/Incident Report Form
Child Care Injury/Incident Report is a 2-page (8 1/2 x 11) form to be completed any time an injury that requires first aid or medical care which occurs in a child care home, child development home, or licensed child care facility.
Child Care Weather Watch Poster
This 2-page poster provides information on weather and when it is safe for children to be out-of-doors. The poster prints full color (legal or letter sized). English only. Front has weather chart, back has weather related health information.
Child Health Exam Forms
Infant, Toddler, Preschool Age Child Health Form
This 2-page (front and back) 8 1/2 x 11 form meets Iowa's child care regulations that require an annual physical exam for the young child.
School-Age Child Health Form - Parent Statement
This 2-page (front and back) 8 ½ x 11 form meets Iowa's child care regulations that require an annual parent statement about their child's health.
Childhood Bullying is a 2-page (front and back) 8 ½ x 11 fact sheet about bullying, prevention, and resources.
Common Child Care Illnesses and Exclusion Criteria
The Common Child Care Illnesses and Exclusion Criteria 2-sided (8 1/2 x 11) fact sheet provides guidance for exclusion of children with signs and symptoms of illness or disease.
Dental Emergencies Fact Sheet
This one-page (8 1/2 x 11) fact sheet provides guidance on six dental emergencies. Information is provided by the Iowa Department of Public Health Oral Health Bureau.
DHS Child Care Provider Physical Exam Form
This 2-page (8 1/2 x 11) form meets Iowa Administrative Code 441-109 Child Care Centers and IAC 441-110 Child Development Homes physical exam forms for Iowa child care providers, employees, substitutes, and volunteers.
Diabetes Medical Management Plan
This 8-page (8 1/2 x 11) form may be used for care planning for children with diabetes.
This full color 8 1/2 x 11 poster contains the procedure for diapering in child care. Complies with Caring for Our Children National Health and Safety Performance Standards (3rd edition).
Diet Modification Request Form
This two-page (8 1/2 x 11) form is for child care programs who participate in the Child and Adult Care Food Program (CACFP). CACFP is a federally funded program that provides meal reimbursement to child care centers, adult day care centers, emergency shelters, before and afterschool programs, and child development homes. The Diet Modification Request Form is completed for children with speical dietary needs. The form was developed by the Iowa Department of Education, Bureau of Nutrition and Health Services (11/2017).
Emergency Preparedness Website Link
Emergency Preparedness Planning Document for Child Care Centers
This document may be used by child care centers and preschools for emergency preparedness planning. This document may also be used for Iowa's Quality Rating System (QRS) Health and Safety documentation.
Emergency Preparedness Planning Document for Child Development Home Providers
This document may be used by child development home providers for emergency preparedness planning. This document may also be used for Iowa's Quality Rating System (QRS) Health and Safety documentation.
Exposure Control Plan & Sample Sharps Injury Log
The Exposure Control Plan is intended to serve as an employer guide to the OSHA Bloodborne Pathogens standard. This 10 page (8 1/2 x 11) document has an easy-to-use format for writing an exposure control plan. The Sample Sharps Injury Log is for documenting needle stick or other sharp injuries for complying with OSHA standards.
First Aid Checklist
This 1-page (8 1/2 x 11) first aid checklist may be used by child care providers for assessing and monitoring first aid kits.
Food Allergy Action Plan
This 2-page (8 1/2 x 11) form may be used for care planning for a child who has a food allergy.
This 1-page (8 1/2 x 11) color poster provides information on gloving.
Good Neighbor Iowa
Good Neighbor Iowa is a statewide public education campaign to reduce children’s exposure to commonly-used lawn pesticides. It involves school districts, park managers, child care businesses and other community leaders who are demonstrating that it is possible and practical to manage large areas of turf without the use of pesticides (weed killers, insecticides, or fungicides). Good Neighbor Iowa has a Lawn Care and Pest Management Policy available for child care businesses.
This 2-page poster provides information on handwashing. The poster prints full color, on 8 1/2 x 11 paper. Page one is in English, page two is in Spanish.
Hazard Mitigation Plan
This document may be used by centers, preschools, and child development home providers for assessing for potential hazards in their child care environment and developing a mitigation plan to eliminate the potential hazard. This document may also be used for Iowa's Quality Rating System (QRS) Health and Safety documentation.
Head Lice Brochure
This brochure provides tips and treatment information about head lice as recommended by the Iowa Department of Public Health. This is a 2-sided (8 1/2 x 11) color brochure.
Immunization Requirements for Child Development Home Providers
This 2-page (8 1/2 x 11) fact sheet provides information on the immunization requirements for child development home providers.
Infant Daily Report
This 2-sided (8 1/2 x 11) handout provides child care providers with a method for communicating with families about the care of their infant. The document contains a section for parents to report the status of their infant upon arrival at child care. The document has space for the child care provider to report the infant's status and care given.
Infant Sleep Positioning
This 2-sided (8 1/2 x 11) handout provides child care consultants and child care providers with important information discouraging the sleeping of infants in swings, bouncy seats, and car seats outside a vehicle.
Insect Repellent Fact Sheet
This 2-page (8 1/2 x/11) handout provides facts and preventive tips for insect bites and stings.
Mandatory Reporter Poster
This 8 1/2 x 11 color poster titled "Your Partner in Protecting Children" was designed for child care providers to post for notifying parents that they operate a mandatory child abuse reporting site.
Manual Dishwashing Fact Sheet
This 2-page 8 1/2 x 11 fact sheet provides information on the three-step process for manual dishwashing and how to monitor to ensure that sanitizing is done.
Manual Dishwashing Poster
This 1-page (8 1/2 X 11) color poster provides instruction on the three-step process for manual dishwashing.
Medication Administration Skills Competency
This 1-page (8 1/2 x 11) handout explains the requirements for completing Medication Skills Competency Evaluation for providers who have taken the 2-hour Medication Administration Skills Competency course.
Medication Safety: Store Medications Safely & Properly
This 2-page (8 1/2 x 11) fact sheet provides information on medication safety including storage, emergency medications, expired medications and proper disposal.
Monthly Medicine Report Form
This 2-page (8 1/2 x 11) color form can be used by providers to adequately document medication given to children while at care.
This 2-page (8 1/2 x 11) fact sheet provides information on national standards for playground surfacing and preventing injuries.
Safe Sleep Policy
This 1-page (8 1/2 x 11) form may be used by providers for Infant Safe Sleep Policy. The Infant Safe Sleep Policy follows the American Academy of Pediatrics infant safe sleep standards to prevent sudden infant death syndrome (SIDS) and sleep related deaths.
Seizure Action Plan
This 2-page (8 1/2 x 11) form may be used for the care planning for children with seizures.
Tobacco and Nicotine-free Policy Guidelines
This 2-page (8 1/2 x 11) form assists child care providers with developing a Tobacco and Nicotine-free Policy for use in their child care business.
This 3-page (8 1/2 x 11) fact sheet from the Iowa Department of Public Health ISmile Program provides information for providers on toothbrushing and oral care.
Using Chemicals Wisely
Using Chemicals Wisely is a multi-color 3 page (8 1/2 x 11) document child care businesses may use when making purchasing decisions for cleaners, sanitizers and disinfectants.
Warming Infant Bottles
This 2-page (8 1/2 x 11) fact sheet provides information for child care providers on safety when warming infant bottles.
Well Child Screenings
This 1-page (8 1/2 x 11) fact sheet provides information for parents and child care providers on well child screening guidelines.