Medical and Health

Handbook and Enrollment Forms

The school handbook including the school’s statement of purpose, program services, referral policies, procedures for family conferences, visits and input to school policy, procedures relating to children’s records and procedures for providing emergency health care will be given to the family and made available on Families and educators must comply with all conditions therein.

Specific enrollment forms must be completed before a child may start school. These forms include: a child’s current physical with all DEEC and DPH required information, a developmental history, first aid and emergency forms, transportation and tuition agreements among others. All forms are valid for one year to the date of signing and must be updated annually as required by state regulation. All forms will become a part of the child’s record and will be kept confidential, secure in locked file cabinets in the school office and on file for 5 years.


Annual Physical Forms for all Children

            A valid physical:

  • Has all required-by-the-state immunizations for each child or if such immunizations conflict with the family’s religious beliefs or are contraindicated, families must provide the school with a written verification of this conflict or a physician’s statement
  • Has one lead test with results performed since birth
  • Has the doctor’s signature and date it was signed
  • Includes the date the physical was performed within one calendar year
  • May be the physician’s form as long as it contains all required information This date must be within one calendar year.
  • Must be updated annually by the child’s physician and submitted to the school. Once the physical is expired, you have one month to update it. If not updated, your child may not attend the school until a new physical has been submitted with all relevant information.

Health Care


Please notify us if:

1.    Your child will be absent and for how long. Call 781-784-2966 or email or your child’s educator.

2.    Your child has contracted contagious childhood diseases, so that we may take any necessary precautions and alert other families. All personal information is kept confidential.


Sickness at home

It is inevitable that preschool children will have a cold, virus or any of the multiple childhood diseases that will go with this age.

Your child may not come to school if he or she has had:

  1. A fever of 100° F or higher with 24 hours
  2. Diarrhea within 24 hours
  3. Has vomited within the last 24 hours, or
  4. Is showing signs of illness (unexplained rash, hives, aches and pains, etc.).

It is not fair to the child, the other children or the educators. The one thing we don’t want to share is germs, please use your discretion as to your child’s health, and consider the well being of their classmates.


Sickness at School           

Occasionally a child’s symptoms will come on suddenly, in which case we will call the family immediately. If you cannot be reached or cannot pick up the child within an hour of receiving the call, then the people on your emergency list will be called. We will keep your child as comfortable as possible until their departure. No child may remain at school if deemed ill by their educator.

Medications at School

If a child has recovered and is well enough to return to school but still needs to finish a prescription medication prescribed by a doctor, the educators will administer such medication if the following criteria are met:

1.Educators will be annually evaluated and authorized to administer medication.

  1. All educators will make themselves familiar and aware of the school’s Health Care Policies and agree to meet the procedures set forth in the handbook.
  2. No educator will administer the first dose of any medication to a child except under extraordinary circumstances and with familial consent.
  3. All medications must be given directly to the educator and safely stored.
  4. Families have filled out and signed an Authorization for Medication form and a photo of the child is attached.
  5. Each time a medication is administered, the educator must document in the child’s record the name of the medication, the dosage, and the time and the method of delivery along with who administered it. Missed and refused doses will be noted as well.
  6. All medications must be in their labeled container and accompanied by a physician’s statement specifying the dosage, times and conditions under which it is to be administered. (Some families find it easier to have the pharmacy put prescriptions in two bottles, one for school and one for home).
  7. Non-prescription medicines such as pain relievers or cough medicines may only be administered to a child with written familial authorization and a written order by a physician, which states the medication name, dosage, and criteria for administration. This authorization is only valid for a year from the date on the order.
  8. The family will be notified before any non-prescription medication is administered other than first aid or ointments such as diaper cream.
  9. The completed Authorization for Medication form will be placed in the child’s file when medication is complete.
  10. When possible, all unused, discontinued, outdated, finished, or unfinished prescription medicines will be returned to the family and such return documented in the child’s record. When return is not possible or practical, such prescription medication will be destroyed and recorded as destroyed.
  11. Topical non-prescription medications such as petroleum jelly, diaper rash ointments and antibacterial ointments that are applied to wounds, rashes or broken skin, must be stored in their original container and used only on an individual child. The container shall be labeled with the child’s name and only administered as described above.
  12. Sunscreens and insect repellents should be applied before coming to school. If families want them reapplied, Medical Authorization forms must be completed and kept on file.


Individualized Health Care Plans

The application, health forms, developmental history, and emergency forms give information concerning a child’s allergies and special health considerations.

The school must maintain as part of a child’s record, an Individual Health Care Plan for each child with a chronic medical condition, which has been diagnosed by a licensed health care practitioner. These plans are required for any child with an Epi-Pen or inhaler, for example. The plan must describe the chronic condition, its symptoms, any medical treatment that may be necessary while the child is in care, the potential side effects of that treatment, and the potential consequences to the child’s health if the treatment is not administered. The educator may administer routine, scheduled medication or treatment to the child with a chronic medical condition in accordance with written parental consent and licensed health care practitioner authorization.


Tooth Brushing

Visiting dentists instruct children in dental hygiene through special programs. Curriculum can include brushing, flossing, visiting a dentist and eating healthy foods for proper dental health. Educators will insure that all children who brush teeth after lunch will do so in a safe and healthy manner. The school provides brushes and toothpaste as required by state regulation.


Head Lice

The school has a No Nit Policy that encourages each family to do its part at home with routine screening, early detection, accurate identification, and thorough removal of head lice and nits. Early intervention provides the needed assurance for those who have successfully eliminated an infestation that everything possible is being done to prevent new outbreaks when children return to groups where close contact is inevitable. If nits are present upon screening or re-screening, the child is dismissed from school immediately for follow-up.


Health Care Consultant

The Sharon Public Health Nurse is the school’s health care consultant and annually reviews the policies and procedures as stated in the handbook and is a source for consultations whenever needed. She approves First Aid training for educators.


Plan for Managing Infectious Diseases

  • Each child has a health record indicating immunizations for notification as needed.
  • Families are told that if a child is unwell, has an unexplained rash or has vomited, had a fever or diarrhea in the last 24 hours, the child is not to be sent to school.
  • If a child has unexplained rash, a written note from a pediatrician is required that satisfactorily explains the skin condition to be non-contagious.
  • If an educator suspects a communicable disease, the child may be excluded until picked up by a family and seen by a physician.
  • If a child has been absent, a note written by the family is required to explain the absence. A physician’s note is required if there are any unusual circumstances or necessary precautions that must be taken upon the child’s return to school.
  • If a child appears to be sick, a family will be called to pick up the child. If the family cannot be reached, the designated person on the Emergency Contacts list will be contacted and the child will be kept quiet and comfortable until their dismissal.
  • If a child vomits, has diarrhea or an urination accident while in school, the child’s educator will immediately remove the child from the classroom. She will clean the child up and change her clothing if necessary. The soiled clothing will be placed inside two plastic bags and sealed. The child will not be scolded. Vomit, diarrhea, urine or blood is sprayed with a bleach solution. Cleaning is done using gloves and disposable materials that are either flushed or bagged appropriately.
  • If a family notifies the educator that their child has become ill with a contagious childhood disease, the other families are notified as soon as possible by posted note, letter or by email preserving confidentiality as required.


Plan for Infection Control

  • All hard surfaces are washed with a bleach solution/disinfectant after each use.
  • Floors are swept and washed, bathrooms are cleaned and disinfected daily by a janitor.
  • All potty chairs are immediately emptied into the toilet and bleached after use.
  • All cloth toys and smocks are washed and disinfected monthly, unless a contagious disease has been introduced in the classroom at which time all toys are immediately disinfected or discarded before being used again by children.
  • Any toy mouthed is bleached before being returned to the classroom.
  • Sleeping mats and blankets/pillows are taken home for washing at the end of every week.
  • Disposable cups, napkins, and plastic utensils are used for snacks and lunch.
  • Educators wash beverage pitchers and any containers used for snacks thoroughly after each use with soap then bleach and water.


Hand Washing

Children are instructed on how to wash hands by use of friction, soap and water and drying with paper towels.  The hand washing protocol is posted in the bathroom.

  1. Use warm water and liquid soap
  2. Rub your hands together scrubbing backs of hands, wrists, between fingers and under fingernails
  3. Rinse well under running water
  4. Dry hands with paper towel
  5. Turn off water with towel before throwing away
  6. Discard paper into lined trashcan

Children and educators wash hands:

  • Upon arrival
  • After going to the bathroom or changing soiled clothes
  • When sneezing or coughing in hand or using a tissue.
  • Before and after eating snacks or lunch
  • After playing ion the playground
  • After handling pets of any kind
  • Before and after water play
  • After cleaning