Ohio Department Of Job And Family Services Basic Infant Information For Child Care Centers And Type A Homes printable pdf download

Ohio Department Of Job And Family Services Basic Infant Information For Child Care Centers And Type A Homes

Ohio Department of Job and Family Services

BASIC INFANT INFORMATION

FOR CHILD CARE CENTERS AND TYPE A HOMES

This information should be completed by the parents prior to the child's first day at the center. This information should be updated periodically as the

infant's needs change.

Child's Name

Nickname

Child's Date of Birth

Siblings

What are you feeding your infant?

(Check all that apply)

Liquid foods (formula brand)

Breast milk

Amount of feedings

Frequency of feedings

My infant likes a bottle warmed: (Check one)

Room temp

Warm

Very warm/NOT HOT

Juice (type, amount, when?)

Does child use a cup yet?

Yes

Solid foods

(baby food, brand, types, amounts, frequency)

Are foods served room temperature or warmed?

Table food

(types, amounts, frequency, special instructions)

Formula preparation

(if center is to prepare.)

How frequently should staff check/change your child's diaper?

Security items

(pacifier, blankies, etc.)

Nap schedule

Hints for getting baby to sleep.

Sleeping position

Back

Side*

Tummy*

*You must secure a sleep position waiver from your child's physician if

your baby is to sleep on their tummy or side. Please contact the center administrator for this form.

Allergies

Special precautions

Any additional information about your child that would be helpful or you would like staff to know.

Parent Signature

Date

Primary Caregiver Signature

Date

Date form last updated

JFS 01218 (3/2007)

Ohio Department Of Job And Family Services Basic Infant Information For Child Care Centers And Type A Homes

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