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CCR&R Meeting Dialogue ResponsesInfant Toddler Care9/20/18* Blue highlighted sections are from the Licensing staff session.Are child care providers asking for resources for serving infants and toddlers?Not asking, but they need: Providers may not ask for resources but we see that they need assistance and resources.Sight and sound needs: for family child care, especially if infants are sleeping in a back room or you need to change a diaper and you are the only person caring for kids. Proper equipment: Providers need other methods than using swings, bouncy seats, or other restrictive equipment for long periods of time and how that affects the relationship and bonding.Staff: Can’t find staff for infant toddler classrooms, they don’t stick around. Toddlers in general are challenging, staff feel isolated, children are exhibiting high needs, and the classroom is having a hard time supporting their unique needsRatios: so small, can’t make money. Cost: Child care providers won’t charge above the DHS rate because they won’t get paid. The child care provider can’t begin a viable business that supports the unique needs of infants and toddlers without a higher reimbursement rate. There are too many liabilities and costs. Cost of safety equipment: There is not available funds to purchase fire/safety and evacuation cribs. Proper Drills: Child care providers need training and information on how to conduct a proper fire drill with evacuation cribs. Families call saying there isn’t enough available careDo you feel that they know where resources exist for serving infants with risk factors, potential disabilities, etc? EI/ECSE: resources, IFSP understanding how to implement and the supports to do itResources unavailable: Child care providers don’t have the information to find where the resources are. Service gap: There is a gap in availability of services through Early Intervention, and those services being primarily provided in the parent’s home, not in the early learning environment. For children who qualify for EI/ECSE - services are provided in settings other than in centers and family care. This becomes difficult when parents need child care and the providers for those families need support in order to care for these children.Referral services: People need to know information on how to recognize and refer for situations outside typical development, to know who is eligible, and the quality of services.Medically fragile and supports: Providers struggle to maintain low ratios that support medically fragileNo such thing as nursing delegation these days due to liability and other support factors. How are they doing when it comes to providing ongoing care for our youngest children experiencing challenges?Balance: There needs to be a balance of addressing needs for infants and toddlers and older children.Marketing & Education of Parents: New parents are hyper careful and worried about family child care, many want center care. Bad press has left a bad taste. Educating parents about the good aspects of all types of care and what quality looks like. Alleviate parental fear. Word of mouth: We hear a lot about parents finding care by word of mouth, referrals from friends. People really don’t look to formal resources to get care. Wondering if there is something we could build in the system to convince people, help family child care providers collect references, so word of mouth flows. Parent campaign: We also need a parent campaign on what quality care is and where to find resourcesWhere do you see the greatest area of need that child care programs have in serving infants and toddlers?Rules: Health/Safety/Sanitation: cloth underwear/diapers and best practice sanitationChoking hazardsPropping children when they sleep when they have a respiratory issue is not allowed in the rulesMontessori example: leaving pants off to potty trainPreventing infectious diseaseHand foot and mouthSanitizing toysEvacuation/emergency prepTeething necklaces and concerns with ways children can get hurtSwaddling and safety concernsAppropriate use of baby monitors not replacing interactionPropping babies with a bottle is off limitsFeeding supports and how to transition to solid foods, allergy awarenessNew Providers: What do new providers need in order to even start infant toddler care? There needs to be training on this foundational aspect of starting the business and infant toddler development. Fear: People are scared to take infants so young worried about how fragile they are, SIDS and other concerns. New Moms caring for kids: Many are young mothers themselves, caring for their child and others and don’t know how to care for multiple infants/toddlers at a time.Ie. Age appropriate environments, training/professional development, other? Infant/toddler specific training: They have very unique needs, it is expensive to provide. Specialized training: around proper care. Address how to care appropriately for 4 crying babies who want to eat at the same time. (example)Child development training - understanding what is typical and not Appropriately trained staff in child care programs and in CCR&Rs to support them We need quality training that can happen at the time the individual is working (coaching, mentoring, technical assistance) and high quality online trainingDisabilities: Additional training for serving children with disabilities to improve provider confidence. Series training: should be more than a one-shot opportunity that builds on the priorCoaching: coupled with training to embed learning into practice. Not just a cohort, but coaching is important, build attachments. The option for emotional and professional support to reflect on quality practices that promote attachmentProfessional Development: Balance: Support to integrate and do activities for infants. How to ensure that infants have something while also working with the older children, classes and coaching. In the Mix: Mixed age child care course revamp to set 2. Update other key curricula too. Safety: evacuate and get infants out of the facility, practice. Business stability: high quality infant toddler care, but still need equipment and help setting up the environment. They need training and understanding of how to be financially sound for that. Interviewing: How to attract and interview for infant toddler positionsCulturally responsive: ways to do infant/toddler care. Understanding why parents do things a certain way, and how to support it in an age appropriate, culturally responsive way. Cultural differences in I/T care and drawing families into help honor diversity being mindful to connectivity and relationshipFirst Connections: run to death, materials are expensive, need to completely revamp. Great set 1s but everyone wants set 2. Hard to get people to attend, needs to be refreshed. No experience: Folks coming in without the background in infant toddler care. Career lattice: introductory to advanced and where do they move after that.Updating standardized training: so there is set 1 and 2 opportunities. Child Development Philosophies: Basic training on philosophical trainings (ie., RIE) – providers take out of context when not trained properly Sensory activitiesEncouraging language developmentDevelopmental Milestones & Parent Communication: How to talk to parents when children aren’t meeting developmental milestonesAge appropriate infant environments and materialsImportance of tummy timeRequired trainings: for caring for more than 2 children under age 2Aspire to a dream: require a set 30 or 50 hours to cover all areas of infant development and group careBehavior Supports/Delays: Supporting infants/toddlers with behaviors or delays in speechQuality Interactions: What good interactions look like with this age group, including infants/toddlers in conversations and interactionsOutdoor activities: for infants/toddlers Self-care: Staff/provider self-care when caring for young childrenSafe sleep practices: and how to assist children in staying asleep while on their backsWhat are the biggest gaps in supports to child care providers serving infants and toddlers? Onsite Coaching and MentoringResource Phone number: for providers to call if they need infant toddler expert adviceHome Visitors: connecting with parents and with child care providers for continuity. WIC, HV and child care meet together to facilitate cross system consistency and support for familiesProviders below step 7Wages: child care providers that care for infants and toddlers are even paid less than preschool care providers. It is perpetuating people’s perception that they aren’t teachers Space: There needs to be a safe spot in the home for infants/toddlers. So they can be on the floor and not get run over. Respect: For the teacher and the profession, helping them learn how to advocate. Emotional and professional supports Data: It would be interesting to ask licensing specialists how often they are asked to make exceptions for family childcare providers who have a nearly 2 year old and are hoping to take in another infant. It seems to happen somewhat often. If there is a frequency of these requests across the state it may provide the evidence for the need for the "3rd" spot.Money: There are plenty of preschool age children looking for full time care and providers can be full without taking infants, it doesn’t pencil out for providers to even consider caring for the infants if they don’t have to. DHS rate: does not cover what it costs to provide a high quality programLower pay: Infant and toddler staff area are paid less and work very hardStaffing costs: Very hard for center based care to afford staffing and the expense gets passed on to parents Having enough qualified staff is a barrierThe low ratio makes it impossible for centers to break even without making the cost too expensive for parentsMixed Care: Providers have a hard time with infants/toddlers in mixed care environmentsHow to integrate infants into mixed age groups, Center staffing needs, adding a third spot for an older toddler in Family Child Care Lack of space for expansion: no buildings available to open child care centers and homes are costly to remodel to allow larger space for children.Where in your service area is there the least amount of infant/toddler care? Weekend and off hour care: Doubly difficult for an infant.Multnomah: long waiting lists, issues all over the CountyToddler care is even harder to find. Infants are cared for through relatives and friends. Lincoln County: has a community group starting to meet to address the Infant child care crisis.Rural Marion, Polk and Yamhill need infant/toddler careWe see the need all over. Not as bad in Jefferson CountyBandon, all of Curry, and east Coos (Powers/Myrtle Point, Arago)Summer Closure: Our college center closed this summer because they did not have the funding to continue this summer. They are starting up in the fall but it created a big problem for parents used to using that center for year round care. NW Regional: becoming a community crisis. Businesses can't hire people into the area because of no child care.Christine Waters: We hear about CF providers that want to expand and have infant/toddler homes but they can't find space and/or staff. There is interest to do thisConversely, where do you see infant/toddler champions in your service area? What makes them a champion? Should we be connecting with them, and in what way? Wendy at CAA EHS Marion/PolkAshland City CouncilSDA 5: Hiring a person to focus on Infant-Toddler care.Family Building BlocksThe Early Learning HubsSWOCC: Creating an infant/toddler cohort in the near future and adding an infant/toddler degree and practicum site as well.Washington County: a Certified Family Provider that is the baby whisperer/rockstarKaren Prow: Working with cities to eliminate system development charges and permit fees. I think cities are a place to look for championsJordan in Yamhill (relief nursery) Christine Waters: EHS partnerships-would need to check with coordinators for exact programsThe Ford Family FoundationDo any of you consider yourselves or your staff highly knowledgeable in infant toddler development?Washington County: We are starting an Infant Toddler cohort early 2019OCCD: has expertiseChristine Waters: We are also hoping to do an inf/tod VESL program next year tooand/or highly interested in helping craft strategies and approaches to infant toddler care?Karen H, or a team memberChristine Waters: definitely wants to be involvedTobie: I would be interested. Pam Deardorff: We would love to be part of any efforts related to IT moving forward and yes we have expertise in OCCDEva Manderson: Yes! Put my name on the listShannon: Yes I would tooMelinda Benson: I would like to be involved as well.Theya Harvey has a great infant specialist in her shop.What training would you be most interested in receiving to support your engagement with child care programs related to infant and toddler development? How to attract and interview for qualified staffMore team members. Infant Toddler Best Practice:An Infant Toddler ToTLike the idea of making it a Set 2. Please offer in multiple languagesCurrent best practice so staff have the answers to provider’s questionsResources: love to have dolls, hands-on, things for modeling, things to illustrate how important it is to prevent shaken baby, safe sleepFunding and more people first: Then get those staff together for a relevant community of practice, share their expertise, and guide their development long term so they can support child care providers. Guided by best practice and share in the field. Community of Practice support for the Infant Toddler specialist to come together and share knowledge and ask questionsA full resource team is so important! ................
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