76 Health, Safety, & Nutrition 1. Policies, Practices, & Procedures (continued) 2. Control of Communicable Disease Level 1 Follow communicable disease policies and procedures including: o Provide documented proof of immunizations against measles, rubella, diphtheria, and tetanus. o Routinely wash hands (adults and children) according to American Academy of Pediatrics guidelines o Sanitize toys, surfaces, and items that come in contact with body fluids after each child's use o Clean toys not in contact with body fluids weekly and as needed o Clean table and counter surfaces daily and as needed o Use universal precautions to avoid/ control blood-borne pathogens o Exclude or isolate individuals with symptoms of communicable disease o Follow procedures for diapering or changing clothes following toileting accidents o Follow procedures for safe food handling o Inform families of possible exposure to communicable disease o Monitor water used for activities to prevent spread of disease HSN 1.2.1 Level 2 Assess and document each child’s health status daily. If signs of communicable disease are observed, notify authorized person and isolate the child from contact with others until picked up by an authorized person HSN 1.2.2 Level 3 Stay informed of current health, safety, and nutrition concerns in the community, when appropriate, share with families. Develop and update as necessary procedures for the control of communicable disease. HSN 1.2.3 Level 4 Analyze, evaluate, and modify procedures to prevent the spread of communicable disease, including: o Develop plans for sharing information with families o Create plans for the interim care of children who show symptoms of communicable disease and must be isolated until picked up o Secure the services of health consultant HSN 1.2.4 Level 5 Analyze, evaluate, articulate, and apply evidence-based best practices regarding the prevention of communicable disease in programs and communities. HSN 1.2.5