Lil Starz Home Daycare
enrollment contract
Tonya Peters
918-344-1068 (cell)
[email protected] (email)
I find working with children very rewarding and have enjoyed opening my doors to care for little ones for the past 23 years. The purpose of this contract is to outline the policies and procedures under which I operate as a daycare provider. I give the children in my care opportunities to learn in a CHRISTIAN home setting, where they can feel safe and loved, and can begin to build a positive self-image. Your child will have the opportunity to gain practice in language, fine motor, large motor, and self-help skills.
ENROLLMENT PROCEDURES:
I schedule interviews/walk through at a time we agree on. After we have met and you have read over the enrollment contract the following is required to hold your spot.
1. Enrollment form signed by parent or guardian.
2. Complete up to date record of immunizations.
3. Copy of medical insurance cards.
4. First week’s payment to hold spot (nonrefundable).
5. Deposit (nonrefundable).
TERMINATION/EXPULSION OF CHILDCARE:
If you choose to terminate care here at LIL STARZ HOME DAYCARE you are required to give a 2 week written notice with payment.
I may choose immediate termination for any reason. Some reasons include may include but not limited to: safety for children in care or provider, lack of compliance with contract and policies such as payment history, abiding by drop off or pick up times. Disrespect towards provider or other parents. If I feel behavior problems are disrupting the group or for dangerous parental situations.
DROP OFF: Children must be dropped off by no later than 8:30 am. In order to make separation and transition much easier for your child, parents are asked not to linger when dropping off children.
PLEASE BE CONSIDERATE OF OUR DAILY SCHEDULE. It is important to be here before the serve time if you intend on your little one to eat Snack, Lunch or Dinner. Also try to plan Doctor Appointments around nap times. It is difficult to have a successful nap for all kiddos if there is a lot of coming and going during that time.
Tuition can be paid weekly or biweekly. You will be required to pay fees regardless of days absent due to illness and vacations. I have built in 5 sick/personal days that I can use this contract year that you are required to pay for.
HOLIDAYS/VACATION CLOSED and I do REQUIRE PAYMENT:
2 days - New Year’s
1 day - Memorial Day
1 day – Independence Day
1 day - Good Friday
1 day Labor Day
3 days – Wed-Fri Thanksgiving
3 days – Christmas
5 personal days
Late fee: Anyone picking up 5 min late will be charged $1.oo per minute. Please be considerate of my time and I will be flexible when necessary.
FOOD:
*no outside food or drinks are to be brought in unless infant supplies.
Please provide formula and infant cereals and foods that meet nutritional guidelines prior to 12 months of age. Infants should be introduced to a variety of fruits, vegetables and infant cereals by 8 months of age. Infants can start my menu when they begin eating textured and finger foods. Please look over my menu for veggie and fruit options to begin with then we will gradually transition over to a full menu by 12 months of age. I will be serving a nutritional breakfast, lunch, and afternoon snack each day based on the food service program for all children 12 months of age and older.
EXTRA CLOTHING:
All children need to bring 2 changes of clothes to leave here in case of spills or accidents. We love good weather days for outside play. The backyard has loose dirt in areas and I ask you do not send your child in their best clothes and shoes. Labeling the inside of clothing with child’s name to help keep clothing straight.
Potty training: I will be more than happy to help with potty training provided that it is not done before the child is ready. Parents are asked to initiate the training at home (on vacation or weekend) before starting it at daycare. Once training is initiated. Please be consistent with potty training at home so the progress continues.
Parents are responsible for supplying diapers (I am not a fan of pull ups.) Please provide enough diapers and wipes to last at least more one week. I will notify you when your child's supply needs to be replenished.
TOYS:
Please do not bring in toys from home. It is hard to share personal items when brought from home and is hard for me to keep up with it all day. Please watch pockets and items that could be a choking hazard!! No coins, marbles etc. Many of the children I watch are still very oral and we have to work hard at keeping small objects away.
NAPS:
I provide a basic pack n play for infants under the age of 18 months. Age 18 months and up will nap on a cot that I will provide along with sheets and blankets. Infants are allowed to be swaddled by permission of both parents up to 4 months old.
________I do give permission to swaddle.
________I do not give permission to swaddle.
DISCIPLINE/BEHAVIOR GUIDANCE POLICY:
Someone else disciplining your child can be a sensitive situation. When a problem arises, I feel it is very important to handle your child like I would want someone else to handle mine. Positive praise and a loving atmosphere will help detour a lot of behavior problems. I do not use corporal punishment. When a problem does arise, I do the following...
SAYING “NO” TO A CHILD WHEN NECESSARY/REDIRECT CHILD/TALK THROUGH THE PROBLEM
FIRM, POSITIVE STATEMENTS OF REDIRECTION OF BEHAVIOR
TAKE THE TOY AWAY/TIME OUT-1 MIN X CHILDS AGE NOT TO EXCEED 4 MINUTES
POSITIVE REINFORCEMENT
BITING-SEPARATE THE CHILD FROM THE ONE INJURED IN TIME OUT. AT EYE LEVEL TELL CHILD TEETH ARE FOR CHEWING FOOD NOT BITING PEOPLE-IT HURTS PEOPLE
HITTING-SEPARATE THE CHILD FROM THE ONE INJURED IN TIME OUT OR GET EYE LEVEL AND ASK THE CHILD IF HE/SHE LIKES TO BE HIT? EXPLAIN IT IS NOT NICE TO HIT OTHERS. THERE IS A BETTER WAY TO WORK OUT OUR PROBLEMS.
BEHAVIOR THAT WILL NOT TOLERATED:
ANY ACTION THAT WILL HARM THE CHILD, OTHER PEOPLE OR THAT WILL DESTROY PROPERTY. CHILD CAUSING EXCESSIVE DISRUPTION TO THE GROUP.
I WILL NEVER SHAME OR BELITTLE CHILD, WILL ALWAYS TRY TO WORK THINGS OUT IN POSITIVE MANNER.
All children misbehave and have to be told "NO" sometime. I will not bother the parents with petty behavior problem. I will only share problems if it is something that I feel needs to be dealt with at home or if a parent asks.
IMMUNIZATIONS:
Copy of up-to-date immunizations needed prior to enrollment. It is a good idea to schedule shots at the end of the daycare day on Friday afternoon if possible so that you can monitor any reaction or just not feeling well. Please bring me an updated shot record to put in your child’s file.
MEDICATION:
If your child requires any type of medication, I will need a medical consent with written instructions stating the name of the medication, the time to be taken, and the amount of the dose. No medication will be administered unless it is in its original container. If it is a prescribed medication, it must be prescribed in your child's name. If at all possible, please work doses around daycare hours.
ILLNESSES:
I can only care for children with mild cold like symptoms (clear runny nose, slight cough, and no fever). For the protection of your child and other children, I will not care for any child that has a contagious or infectious disease. Examples of when the child cannot attend are: rash, fever 101 F. or higher (**please do not return child to care until fever free without medication for 24 hours), excessive cold and/or cough, vomiting, diarrhea, lice or nits, ringworm, impetigo, discharge from eyes or ears, unusual drowsiness, persistent or excessive crying, communicable diseases (chicken pox, conjunctivitis, hepatitis, rubella, meningitis, TB, Salmonellas, E-Coli, mumps, measles, influenza). You should be careful to find out from a doctor exactly when your child may be with other children if this should occur. If your child becomes ill while in my care, you will be notified immediately. Children need to feel well enough to participate in daily routine.
PERMISSION TO PHOTOGRAPH:
Pictures of your child taken while in daycare. To protect your privacy and that of your children names will not be included with pictures. I respect your decision either way!
I/we give permission for Tonya Peters to use photos of my child(ren) Photos will be used appropriately.
_____I DO give permission for photos of my child to be used for any purpose.
_____I DO NOT give permission for photos of my child to be used for any purpose.
MEDICAL EMERGENCIES:
In case of a serious accident or sudden illness requiring medical attention, the following procedures are followed:
1) A phone call is made to 911.
2) Child's parents (or emergency contacts) are called.
3) Child and health records are taken to the hospital.
It is extremely important, especially in instances of illness or emergency, that the emergency contact information is up to date and all information is correct. Please report any changes immediately to keep your emergency contact information current.
For minor injuries like bumps and bruises, I will provide home first aid. If the injury is more serious, (i.e. needs stitches, broken arm, or dislocation, etc.) the parent will be notified immediately. Parents will be responsible for all costs involved in emergency medical treatment, including emergency transportation if required
I retain the right to enforce these policies at will. Lack of enforcement of a certain policy at any given time does not indicate that the particular policy is no longer in effect.
All children in my care are subject to interviews by licensing staff, child maltreatment investigators and/or law enforcement officials for the purpose of determining licensing compliance or for investigative purposes
(Child interviews do not require parental notice or consent.)
Enrollment Form I have read and agree to the terms above.
Medication Consent
I, ____________________, give permission to Tonya Peters to administer necessary medication to my child,
________________, when written instructions are attached to the medicine. I hereby give_____/do not give____ Tonya
Peter’s permission to give (Childs name) ________________________acetaminophen. I understand I will be notified that
medication has been administered.
Signature___________________________________________________________Date____________________________
I understand that prescription medicine will only be administered to the child whose name is on the label.
AUTHORIZATION FOR EMERGENCY CARE
I hereby authorize any physician licensed to practice in Oklahoma, and medical staff at any Medical Center to provide emergency medical care and give medication to my child if the need arises. I understand that Tonya Peters does not carry any accidental insurance and I will not hold her responsible for any medical costs that are incurred. My personal insurance or I will be responsible for the balance.
_____________________________________ ____________________________________________
Father’s Signature Mother’s Signature
Date of Enrollment _____________________________ Today’s date ____________________________
________________________________________ ______________________ _________________
Child’s name Date of birth Age
____________________________________________________________________________________
Address
__________________________ ____________________________ __________________________ Home Phone Fathers cell # Mothers cell #
Email Address: _______________________________________________________________________
Father’s Name: ______________________________________________________________________
________________________________________ ___________________________
Name of employer Phone #
Mother’s Name: _____________________________________________________________________
________________________________________ ___________________________
Name of employer Phone #
Emergency Contact: _________________________________ Phone #__________________________
List Allergies: ______________________________________________________________________
*if anyone other than the parents or guardian on this form will be responsible for pick up , please be sure to send a signed note stating permission. I will also contact you by phone to confirm permission. ____________________________
918-344-1068 (cell)
[email protected] (email)
I find working with children very rewarding and have enjoyed opening my doors to care for little ones for the past 23 years. The purpose of this contract is to outline the policies and procedures under which I operate as a daycare provider. I give the children in my care opportunities to learn in a CHRISTIAN home setting, where they can feel safe and loved, and can begin to build a positive self-image. Your child will have the opportunity to gain practice in language, fine motor, large motor, and self-help skills.
ENROLLMENT PROCEDURES:
I schedule interviews/walk through at a time we agree on. After we have met and you have read over the enrollment contract the following is required to hold your spot.
1. Enrollment form signed by parent or guardian.
2. Complete up to date record of immunizations.
3. Copy of medical insurance cards.
4. First week’s payment to hold spot (nonrefundable).
5. Deposit (nonrefundable).
TERMINATION/EXPULSION OF CHILDCARE:
If you choose to terminate care here at LIL STARZ HOME DAYCARE you are required to give a 2 week written notice with payment.
I may choose immediate termination for any reason. Some reasons include may include but not limited to: safety for children in care or provider, lack of compliance with contract and policies such as payment history, abiding by drop off or pick up times. Disrespect towards provider or other parents. If I feel behavior problems are disrupting the group or for dangerous parental situations.
DROP OFF: Children must be dropped off by no later than 8:30 am. In order to make separation and transition much easier for your child, parents are asked not to linger when dropping off children.
PLEASE BE CONSIDERATE OF OUR DAILY SCHEDULE. It is important to be here before the serve time if you intend on your little one to eat Snack, Lunch or Dinner. Also try to plan Doctor Appointments around nap times. It is difficult to have a successful nap for all kiddos if there is a lot of coming and going during that time.
Tuition can be paid weekly or biweekly. You will be required to pay fees regardless of days absent due to illness and vacations. I have built in 5 sick/personal days that I can use this contract year that you are required to pay for.
HOLIDAYS/VACATION CLOSED and I do REQUIRE PAYMENT:
2 days - New Year’s
1 day - Memorial Day
1 day – Independence Day
1 day - Good Friday
1 day Labor Day
3 days – Wed-Fri Thanksgiving
3 days – Christmas
5 personal days
Late fee: Anyone picking up 5 min late will be charged $1.oo per minute. Please be considerate of my time and I will be flexible when necessary.
FOOD:
*no outside food or drinks are to be brought in unless infant supplies.
Please provide formula and infant cereals and foods that meet nutritional guidelines prior to 12 months of age. Infants should be introduced to a variety of fruits, vegetables and infant cereals by 8 months of age. Infants can start my menu when they begin eating textured and finger foods. Please look over my menu for veggie and fruit options to begin with then we will gradually transition over to a full menu by 12 months of age. I will be serving a nutritional breakfast, lunch, and afternoon snack each day based on the food service program for all children 12 months of age and older.
EXTRA CLOTHING:
All children need to bring 2 changes of clothes to leave here in case of spills or accidents. We love good weather days for outside play. The backyard has loose dirt in areas and I ask you do not send your child in their best clothes and shoes. Labeling the inside of clothing with child’s name to help keep clothing straight.
Potty training: I will be more than happy to help with potty training provided that it is not done before the child is ready. Parents are asked to initiate the training at home (on vacation or weekend) before starting it at daycare. Once training is initiated. Please be consistent with potty training at home so the progress continues.
Parents are responsible for supplying diapers (I am not a fan of pull ups.) Please provide enough diapers and wipes to last at least more one week. I will notify you when your child's supply needs to be replenished.
TOYS:
Please do not bring in toys from home. It is hard to share personal items when brought from home and is hard for me to keep up with it all day. Please watch pockets and items that could be a choking hazard!! No coins, marbles etc. Many of the children I watch are still very oral and we have to work hard at keeping small objects away.
NAPS:
I provide a basic pack n play for infants under the age of 18 months. Age 18 months and up will nap on a cot that I will provide along with sheets and blankets. Infants are allowed to be swaddled by permission of both parents up to 4 months old.
________I do give permission to swaddle.
________I do not give permission to swaddle.
DISCIPLINE/BEHAVIOR GUIDANCE POLICY:
Someone else disciplining your child can be a sensitive situation. When a problem arises, I feel it is very important to handle your child like I would want someone else to handle mine. Positive praise and a loving atmosphere will help detour a lot of behavior problems. I do not use corporal punishment. When a problem does arise, I do the following...
SAYING “NO” TO A CHILD WHEN NECESSARY/REDIRECT CHILD/TALK THROUGH THE PROBLEM
FIRM, POSITIVE STATEMENTS OF REDIRECTION OF BEHAVIOR
TAKE THE TOY AWAY/TIME OUT-1 MIN X CHILDS AGE NOT TO EXCEED 4 MINUTES
POSITIVE REINFORCEMENT
BITING-SEPARATE THE CHILD FROM THE ONE INJURED IN TIME OUT. AT EYE LEVEL TELL CHILD TEETH ARE FOR CHEWING FOOD NOT BITING PEOPLE-IT HURTS PEOPLE
HITTING-SEPARATE THE CHILD FROM THE ONE INJURED IN TIME OUT OR GET EYE LEVEL AND ASK THE CHILD IF HE/SHE LIKES TO BE HIT? EXPLAIN IT IS NOT NICE TO HIT OTHERS. THERE IS A BETTER WAY TO WORK OUT OUR PROBLEMS.
BEHAVIOR THAT WILL NOT TOLERATED:
ANY ACTION THAT WILL HARM THE CHILD, OTHER PEOPLE OR THAT WILL DESTROY PROPERTY. CHILD CAUSING EXCESSIVE DISRUPTION TO THE GROUP.
I WILL NEVER SHAME OR BELITTLE CHILD, WILL ALWAYS TRY TO WORK THINGS OUT IN POSITIVE MANNER.
All children misbehave and have to be told "NO" sometime. I will not bother the parents with petty behavior problem. I will only share problems if it is something that I feel needs to be dealt with at home or if a parent asks.
IMMUNIZATIONS:
Copy of up-to-date immunizations needed prior to enrollment. It is a good idea to schedule shots at the end of the daycare day on Friday afternoon if possible so that you can monitor any reaction or just not feeling well. Please bring me an updated shot record to put in your child’s file.
MEDICATION:
If your child requires any type of medication, I will need a medical consent with written instructions stating the name of the medication, the time to be taken, and the amount of the dose. No medication will be administered unless it is in its original container. If it is a prescribed medication, it must be prescribed in your child's name. If at all possible, please work doses around daycare hours.
ILLNESSES:
I can only care for children with mild cold like symptoms (clear runny nose, slight cough, and no fever). For the protection of your child and other children, I will not care for any child that has a contagious or infectious disease. Examples of when the child cannot attend are: rash, fever 101 F. or higher (**please do not return child to care until fever free without medication for 24 hours), excessive cold and/or cough, vomiting, diarrhea, lice or nits, ringworm, impetigo, discharge from eyes or ears, unusual drowsiness, persistent or excessive crying, communicable diseases (chicken pox, conjunctivitis, hepatitis, rubella, meningitis, TB, Salmonellas, E-Coli, mumps, measles, influenza). You should be careful to find out from a doctor exactly when your child may be with other children if this should occur. If your child becomes ill while in my care, you will be notified immediately. Children need to feel well enough to participate in daily routine.
PERMISSION TO PHOTOGRAPH:
Pictures of your child taken while in daycare. To protect your privacy and that of your children names will not be included with pictures. I respect your decision either way!
I/we give permission for Tonya Peters to use photos of my child(ren) Photos will be used appropriately.
_____I DO give permission for photos of my child to be used for any purpose.
_____I DO NOT give permission for photos of my child to be used for any purpose.
MEDICAL EMERGENCIES:
In case of a serious accident or sudden illness requiring medical attention, the following procedures are followed:
1) A phone call is made to 911.
2) Child's parents (or emergency contacts) are called.
3) Child and health records are taken to the hospital.
It is extremely important, especially in instances of illness or emergency, that the emergency contact information is up to date and all information is correct. Please report any changes immediately to keep your emergency contact information current.
For minor injuries like bumps and bruises, I will provide home first aid. If the injury is more serious, (i.e. needs stitches, broken arm, or dislocation, etc.) the parent will be notified immediately. Parents will be responsible for all costs involved in emergency medical treatment, including emergency transportation if required
I retain the right to enforce these policies at will. Lack of enforcement of a certain policy at any given time does not indicate that the particular policy is no longer in effect.
All children in my care are subject to interviews by licensing staff, child maltreatment investigators and/or law enforcement officials for the purpose of determining licensing compliance or for investigative purposes
(Child interviews do not require parental notice or consent.)
Enrollment Form I have read and agree to the terms above.
Medication Consent
I, ____________________, give permission to Tonya Peters to administer necessary medication to my child,
________________, when written instructions are attached to the medicine. I hereby give_____/do not give____ Tonya
Peter’s permission to give (Childs name) ________________________acetaminophen. I understand I will be notified that
medication has been administered.
Signature___________________________________________________________Date____________________________
I understand that prescription medicine will only be administered to the child whose name is on the label.
AUTHORIZATION FOR EMERGENCY CARE
I hereby authorize any physician licensed to practice in Oklahoma, and medical staff at any Medical Center to provide emergency medical care and give medication to my child if the need arises. I understand that Tonya Peters does not carry any accidental insurance and I will not hold her responsible for any medical costs that are incurred. My personal insurance or I will be responsible for the balance.
_____________________________________ ____________________________________________
Father’s Signature Mother’s Signature
Date of Enrollment _____________________________ Today’s date ____________________________
________________________________________ ______________________ _________________
Child’s name Date of birth Age
____________________________________________________________________________________
Address
__________________________ ____________________________ __________________________ Home Phone Fathers cell # Mothers cell #
Email Address: _______________________________________________________________________
Father’s Name: ______________________________________________________________________
________________________________________ ___________________________
Name of employer Phone #
Mother’s Name: _____________________________________________________________________
________________________________________ ___________________________
Name of employer Phone #
Emergency Contact: _________________________________ Phone #__________________________
List Allergies: ______________________________________________________________________
*if anyone other than the parents or guardian on this form will be responsible for pick up , please be sure to send a signed note stating permission. I will also contact you by phone to confirm permission. ____________________________