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HCCI - Printed Products

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.

Breastfeeding Support

Supporting Breastfeeding is a 2-page, 8 1/2 x 11 fact sheet on ways child care providers can support breastfed infants and their parents. The fact sheet includes 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 Provider Physical Examination Report 

Child Care Provider Physical Examination Report is the 2-page 8 1/2 x 11 approved HHS form for documenting a physical exam for Center personnel and Child Development Home providers.  

Child Care Weather Watch Poster

This 2-page poster provides information on weather and safety for children. The poster is full-color (8 1/2 x 11). The front has a weather chart, back has weather-related health information.

Child Health Exam Forms

Infant, Toddler, Preschool Age Child Health Form

This 2-page (8 1/2 x 11) form meets Iowa's child care regulations that require an annual physical exam for infant, toddler and preschool-age (including kindergarten entry) children.

School-Age Child Health Form - Parent Statement

This 2-page, 8 ½ x 11 form meets Iowa's child care regulations that require an annual parent statement about their school-age child's health.

Childhood Bullying

Childhood Bullying is a 2-page (8 ½ x 11) fact sheet about bullying, prevention, and resources.

Childhood Lead Poisoning

Childhood Lead Poisoning: Reduce the Risks for Children in Early Care Environments is a 2-page (8 1/2 x 11) fact sheet on childhood lead poisoning prevention. The fact sheet includes a checklist that early care providers can use to help decrease children's exposure to lead.

Choking Prevention and Food

Choking Prevention and Food: A Guide for Children Under 4 Years of Age is a 3-page, 8 1/2 x 11 fact sheet on choking prevention strategies, foods to avoid, and serving infants and young children.

Common Illnesses and Exclusion Criteria

Common Child Illnesses and Exclusion Criteria is a 4-page (8 1/2 x 11) guidance for child care and education on the exclusion of children with signs and symptoms of illness or disease including COVID-19 (updated 9/2022).

COVID-19 (Novel Coronavirus) Resources

COVID-19 Guidance

COVID-19 Health and Safety Concerns

Alert: Food and Drup Administration (FDA) Warning About Hand Sanitizers Consumers Should Not Use

FDA is warning consumers and health care providers that the agency has seen a sharp increase in hand sanitizer products that should not be in use due to safety concerns. Information is available at https://www.fda.gov/drugs/drug-safety-and-availability/fda-updates-hand-sanitizers-methanol

COVID-19 Child Care Guidance

This 2-page, 8 1/2 x 11 document from Iowa HHS provides COVID-19 guidance for licensed child care centers, regulated child development homes, before-and-afterschool care, and temporary child care settings supporting the essential workforce.

Other COVID-19 Resources

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 HHS Oral Health Bureau.

Diabetes Medical Management Plan

This 2-page (8 1/2 x 11) form from the American Diabetes Association® may be used for care planning for children with diabetes.

Diapering Poster

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 (4th 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 special dietary needs. The form was developed by the Iowa Department of Education, Bureau of Nutrition and Health Services (11/2017).

Emergency Preparedness Website Link

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 updated (April 2022) 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.

Gloving Poster

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.

Grief and Loss Support Fact Sheet

This fact sheet provides information on supporting children with grief and loss. The Grief and Loss Support Fact Sheet is in two formats, a 8 1/2 x 11 3-page printable color handout and a 4 1/2 x 11 color bookmark (front and back).

Handwashing Poster

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.

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.

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.

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 the Medication Skills Competency Evaluation for providers who have taken the 2-hour Medication Administration Skills Competency course.

Medication Administration Skills Competency Sheets

This 16-page (8 1/2 x 11) set of Medication Administration Skills Competency test-out sheets includes the steps for 8 forms of medications that are frequently administered in the child care setting. These sheets may be helpful for providers for the safe administration of medications.

Medication Administration Skills Competency: Who should take this course?

The "Medication Administration Skills Competency: Who should take this course?" 1-page, 8 1/2 x 11 handout explains who should take this course and the eligibility requirements.

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.

Migraine Action Plan

Pediatric Migraine Action Plan is a 3-page, 8 1/2 x 11 form child care businesses may use when planning the care of a child with migraines.

Monthly Medication Record

This 2-page, 8 1/2 x 11 color form can be used by child care providers to document medication given to children while at care.

Outdoor Child Care Environments

This 2-page (8 1/2 x 11) handout provides information and resources on the importance of outdoor child care environments and keeping outdoor environments healthy and safe.

Planning for Children with Special Health Needs in Your Child Care Setting

This 3 page (8 1/2 x 11) HCCI fact sheet has helpful information when planning for children with special health needs that attend or will be attending a child care setting. Also included are the benefits of working with your local Child Care Nurse Consultant during the planning process to help with any questions, resources or education that may be needed.  A helpful diagram on page 3 reviews what is needed during the planning process and valuable resources to assist in planning.

Playground Surfacing

This 2-page (8 1/2 x 11) fact sheet provides information on national standards for playground surfacing and preventing injuries.

Safe Sleep Frequently Asked Questions

This 3-page (8 1/2 x 11) handout includes frequently asked questions about infant safe sleep and may be used by providers with the Infant Safe Sleep Policy.  The Safe Sleep Frequently Asked Questions follows the American Academy of Pediatrics infant safe sleep standards to prevent sudden infant death syndrome (SIDS) and sleep-related deaths.

Safe Sleep Policy

This 2-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. Note: the Safe Sleep Policy in Spanish is unavailable at this time.

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

The Tobacco Use Prevention and Control Division at Iowa HHS has established a Best Practice policy for child care homes and centers. The Tobacco-Free/Nicotine-Free Policy guidelines for use with Preschools and Child Care Centers/Homesmodel policy meets the Tobacco and Nicotine-free policy requirement for Iowa Quality For Kids (IQ4K™) Level 2-5.

  • Find the Preschool Child Care Model Policy here
  • Find your local Tobacco Community Partnership Coordinator here

Toothbrushing Guide

This 3-page (8 1/2 x 11) fact sheet from the Iowa Department of Public Health I-Smile Program provides information for providers on toothbrushing and oral care.

Tummy Time

This 1-page (8 1/2 x 11) fact sheet provides information about what tummy time is, ways to encourage an infant during tummy time, adult supervision needed, and safety.

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.

Window Safety for Children

This 2-page, 8 1/2 x 11 fact sheet provides information about keeping children safe around windows. The fact sheet includes a checklist on page 2 that child care providers and parents may use for checking their windows and resources for making windows safe.