Monthly Crib Safety Inspection Form And Monthly Fire And Storm Log Page 3
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3INFANT SLEEP CHECKLIST
9/2013
DEFINITIONS:
o
Infant – child between the ages of six weeks and 12 months
o
Only approved infants sleep space – crib/portacrib/pack n play only
DO’S:
DO NOT:
o
o
Do sleep all infants in a crib/portacrib/pack n play.
Do not sleep anyone under the age of one in a swing, bouncy seat or car
o
Do sleep all infants on their back
seat.
o
o
Do have parents give the Physician Directive for Alternative Sleep Position
Do not sleep anyone under the age one on the floor, couches or on a
Form to the infant’s doctor for their signature if an infant has a medical
regular bed.
o
reason to sleep on their side or tummy.
Do not put anything in the crib with the infant except a pacifier.
o
o
Do use a tight fitting sheet on the crib/portacrib/pack n play. Tight fitting
Do not use a pillow, blanket (including a receiving blanket), quilt or
means the sheet must fit tightly on the mattress and overlap the underside
sheepskin.
o
of the mattress so it cannot be dislodged by pulling on the corner of the
Do not have stuffed animal, bumper pads or toys in with a sleeping infant.
o
sheet with reasonable effort.
Do not put any sleep aides in with the infant such as wedge, bumzie or a
o
Do use a sleep sack, of appropriate size) if you are concerned an infant may
sling.
be cold during rest time.
o
Do move an infant to a crib/portacrib/pack and play if the infant falls asleep
in a swing, car seat, on the floor etc.
Swaddling:
o
o
If an infant, under six months of age is rolling over by themselves and if they
Is not recommended.
o
prefer to sleep on their tummy during naps, do have the parent write a note
Is prohibited for any infant who has begun to roll over independently.
o
stating the infant is rolling onto their tummy at home and it is okay to let
Although it is not recommended, swaddling is allowed with written consent
them sleep on their tummy.
of the parent as long as the infant has not yet begun to roll over on its own
o
If an infant is six months or older and is rolling on their tummy to sleep, it is
and a one piece swaddling sleeper is used which is equipped with an
okay to leave them on their tummy and you are not required to have
attached system that fastens securely, only across the upper torso, with no
anything in writing from the parent.
constriction of the hips or legs; and
o
Parent must sign the Parental Consent for Swaddling an Infant Form prior
Legislation encourages:
to the provider swaddling.
o
o
You to conduct in person checks on sleeping infants every 30 minutes.
Once the infant is rolling over on their own, swaddling is prohibited.
o
You to conduct in person checks on sleeping infants every 15 minutes during
the first four months of care.
o
You to conduct in person checks on sleeping infants every 15 minutes if the
infant has an upper respiratory infection.
o
You to use an audio or visual monitoring device to monitor each sleeping
infant in care during all hours of sleep.
The following forms can be found on our website ( ) under Child Care Licensing and then Links to DHS Forms:
~Physician Directive for Alternative Infant Sleep Position
~Parental Consent for Swaddling an Infant
9/2013
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