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Health & Wellness




"Since its beginnings, Head Start has recognized that health is the foundation for children's growth and development, and that healthy children are better able to learn. Evidence suggests that when children receive preventive well-child care, early diagnosis, and effective treatment, they are more likely to engage in learning." ~Early Childhood Knowledge and Learning Center
Baby in White Onsie by Daria Shevtsova on Pexels
Early Head Start Health Requirements
Before their first day:
  • Copy of immunizations or waiver in file
  • As needed:
    • Allergy Monitoring form completed and posted in an area accessible for staff reference but also ensures confidentiality.
    • Emergency Care plan completed for children with allergies, asthma, or other serious medical concerns. All staff who will be working with the child should read and initial the form upon the child's enrollment and at least every four months for the duration of enrollment. Submit a copy to your Coordinator.
Within 30 days: Within 45 days:
  • ASQ screener and e-DECA completed.
  • Hearing  screenings will be completed by your Coordinator/FSS.
  • Vision screenings will be completed by your Coordinator/FSS within 45 days if the child is at least 6 months.
Within 90 days, after the child turns one year:
  • Dental Exam Completed. Updated yearly.
  • Coordinator/FSS will complete anemia screenings as needed.
Head Start Health Requirements
Before their first day:
  • Copy of immunizations or waiver in file
  • As needed:
    • Allergy Monitoring form completed and posted in an area accessible for staff reference but also ensures confidentiality.
    • Emergency Care plan completed for children with allergies, asthma, or other serious medical concerns. All staff who will be working with the child should read and initial the form upon the child's enrollment and at least every four months for the duration of enrollment. Submit a copy to your Coordinator.
Within 30 days:
  • Copy of physical in file. Updated yearly.
  • Height and weight recorded.
Within 45 days:
  • ESI-R screener and ESI-R Parent Questionnaire completed.
  • Hearing and vision screenings will be completed by the Health Department or your Coordinator/FSS.
Within 90 Days:
  • Dental exam completed. Updated yearly.
  • Blood lead screening completed
  • Coordinator/FSS will complete blood pressure and anemia screenings as needed.

Physical Health

Dental Health
Forms for documenting allergies, chronic illnesses, and incidents.
Allergy Monitoring Form
Emergency Care Plan
Illness/Incident Report

Tips for promoting physical health in your classroom and resources to share with families are available at eclkc.ohs.acf.hhs.gov/physical-health.
Head Start Program Performance Standard 1302.43 Oral Health Practices.
A program must provide effective oral health hygiene by ensuring all children with teeth are assisted by appropriate staff, or volunteers, if available, in brushing their teeth with toothpaste containing fluoride once daily.
NMCAA will provide toothbrushes and toothpaste for all HS/EHS enrolled children.
Tips for promoting oral health in your classroom and resources to share with families are available at  eclkc.ohs.acf.hhs.gov/oral-health.
The Pacifier Predicament handout
HSPPS 1302.42 Child Health Status and Care
HSPPS 1302.43 Oral Health Practices
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