The parent/guardian of _____________________ ask that Panther Hugs Daycare give the following

(Child’s Name)

medication ________________________________________at ___________

(Name of medication and dosage) (Time)

to my child, according to the Health Care Provider’s signed instructions on the lower part of this form.

Panther Hugs Daycare agrees to administer medication prescribed by a licensed health care provider.
It is the parent/guardian’s responsibility to furnish the medication. The parent agrees to pick up
expired or unused medication within one week of notification by staff.

Prescription medications must come in a container labeled with: child’s name, name of medicine,
time medicine is to be given, dosage, date medicine is to be stopped, and licensed health care provider’s name.
Pharmacy name and phone number must be included on the label.

Over the counter medication must be labeled with child’s name.
Dosage must match the signed health care provider authorization, and medicine must be packaged
in original container.

By signing this document, I give permission for my child’s health care provider to share information
about the administration of this medication with Panther Hugs Daycare to administer medication.

_________________________________ _______________________________ _________

Parent/Legal Guardian’s Name Parent/Legal Guardian’s Signature Date

_________________________________ _______________________________

Work Phone Home Phone

Health Care Provider

Authorization to Administer Medication in Child Care

Child’s Name: ________________________________________ Birth Date: ______________________

Medication:___________________________________________

Dosage: ______________________________________________ Route: _________________________

To be given at the following time(s): _______________________________________________________

Special Instructions: ____________________________________________________________________

Purpose of medication: __________________________________________________________________

Side effects that need to be reported: _______________________________________________________

Starting Date: __________________________________ Ending Date: ___________________________

______________________________________________ _______________________________

Signature of Health Care Provider License Number

___________________________ ________________

Phone Number Date

Please ask the pharmacist for a separate medicine bottle to keep at childcare. Thank you!

*************************************************************************************

WRITTEN PARENT PERMISSION is required for a provider to give ANY medicine to a child.

ALL Medicines must be:

In original containers

Labeled with child’s name

Labeled with clear instructions for dose and method of administration

Doctor’s Permission is NOT REQUIRED for the following, if child is over two years of age. (Examples of drug trade names in parentheses)

Antihistamines (Benadryl, Sudafed)

Non-aspirin pain relievers and fever reducers (Tylenol)

Cough medicine (Robitussin, Triaminic)

Decongestants (Dimetapp, Pedia-care, Robitussin)

Anti-itching creams (Caladryl)

Diaper ointments and powders (A&D, Desitin)

Sun screens

GET A DOCTOR’S WRITTEN PERMISSION for any over the counter medication.

*************************************************************************************

The State of Montana requires all infants under the age of two years old,
have a written feeding schedule on file with your Child Care Provider.

My infant is eating_________________________________________________

___________________________________________________________________

Food you may introduce_____________________________________________ ____________________________________________________________________

Food I do not want my infant to have_______________________________
____________________________________________________________________

Feeding Schedule___________________________________________________
__________________________________________________________________

Special Instructions_________________________________________________

_____________________________________________________________________

Parent Signature: _______________________ Date: ____________________

This will need to be kept current. Please keep us up to date with your infants feeding requirements.

************************************************************************************************

Child’s Name_______________________ Date_______________

Only the items checked below pertain to your child.

Behavior:

__pushing
__hitting
__biting
__kicking/pinching
__not eating
__not taking bottles
__crying excessively
__fearful of others
__hair pulling
__not socializing with others

Health and Wellness:

__child has excessive colds

__child complaints _______________hurts

__child has excessive loose stools

__child is unwell

Recommendations:

__2 week termination notice is hereby given starting __________

__Probation period: Your child will be placed on a probation period starting____________

Explanation: I feel at this time that childcare is to stressful for your child. It is my hope that over the next two weeks your child will make the final adjustment. However, if not then it is recommended that you find a childcare with a smaller group, or provide a nanny for your child and try a group situation again in a few months when he/she is a little older and maybe emotionally ready for it.

Recommendation: The child will be on two weeks probation. If the situation does not change by the end of two weeks then at that time I will make a final evaluation. If necessary, I will either extend the probation period another week if the child is showing progress. If no progress has been made then I give the standard termination notice at that time so you have time to find adequate childcare. It is my hope that your child will make progress over the next couple of weeks.

Parent Signature:____________________

Provider Signature:_________________

***************************************************************************

Date:

Dear

Please accept this letter as notice of termination of care for __________________.

Care is terminated effective __________________

Reason Given:

[ ] Violation of contract or parent handbook.

[ ] NSF Checks

[ ] Parent/Provider Differences

[ ] Child Behavior

[ ] Other_______________________________

Notice Given

[ ] As per our contract agreement,
I am providing a two week notice which will be paid
regardless if your child is in attendance or not.
Your two week notice ends on _________ and your account balance
will be $_______ due on the last day of care. If you fail to pay
on the day noted above, there will be a $5.00 late fee added to
your balance every day until your account is paid in full.

[ ] Immediate Termination (safety

Please Note: In the event I am not paid by _____________,
for the services rendered up to the termination date and late fees accumulated,
I will be forced to file a claim in small claims court and/or report you to the local
collections agency.

I wish you and your family all the best.

Sincerely,

************************************************************************************

1.Expresses interest in coming into the bathroom with you to find out what goes on
there and perhaps even sits on the toilet him/herself.

2.Understands what the toilet is for and what it means to have a wet or dirty diaper.
If he/she shows a preference for being clean and dry, fussing when wet, pulling off
a dirty diaper, or asking to be changed; all the better.

3.Knows the words for urinating and having a bowel movement
(such as “going potty” or whatever words your family chooses.)

4.Can stay dry for at least two hours at a time.

5.Has regular bowel movements with soft, formed stools

6.Can and will follow simple directions, such as those for
washing hands.

7.Can help pull pants up and down

8.Seems to recognize at least a few seconds ahead of time that
he/she’s about to go, and can tell you before it happens.
(Many youngsters will squat, leave the room, or get “the look”
before having a bowel movement.)

9.Is in a willing, receptive mood and isn’t going through any
major transitions (like adjusting to a new sibling or school.)

10.Demonstrates a desire for independence
(for example, wants to be a “big girl/boy” and do things for herself)
-or, better yet, shows a specific desire to use the toilet like mommy and daddy do!

If your child meets most of these criteria, he/she’s ready to try.
If not, wait a month or two and reevaluate.

Potty training should begin at home over a long weekend or holiday.
Once you have had success at home for at least a week, your child
may begin wearing pull-ups. You must still provide me with at least
2 complete changes of clothing for your child.
Under no circumstances will your child be allowed to potty train in
regular underwear. This is for sanitary reasons! Regular underwear
cannot contain urine and feces to prevent the spread of germs in my
home and to other children in care and to my family.
Please cooperate with me on this matter.

Also, if you begin training, please notify me so that I can continue
with all the work you have accomplished. Further, if within 2-3 weeks,
your child shows no signs of progress, I reserve the right to put your
child back in diapers and try again in a few weeks.

Parent has read and agreed to the Toilet training policies.

________________________ _____________