Emergency Preparedness and Response in Child Care Is your child care program prepared to respond in an emergency? The process of developing and maintaining emergency plans, and regularly reviewing and practicing of those plans, makes it more likely your child care program and staff will be equipped to protect children when a disaster strikes. The Child Care and Development Block Grant (CCDBG) Act requires states to establish health and safety standards that protect children in the event of an emergency. This page is intended to assist child care providers in the development of emergency preparedness and response plans that comply with state health and safety standards. Emergency Preparedness and Response Rules In Wisconsin, emergencies are often associated with weather events such as ice storms, snow storms, tornadoes and floods. Other types of emergencies that may impact child care programs include, but are not limited to, fires, electrical outages, vehicle accidents, allergic reactions, and threats to the building or its occupants. Wisconsin’s child care regulations require child care providers to have emergency plans and procedures in place. The resources available to you on the Emergency Preparedness and Response page are meant to provide you with additional ways to assist you in your planning for, response to and recovery after an emergency. Wisconsin Child Care Rules and Regulations Licensing An Abbreviated Summary of Licensing Emergency-Related Rules for Licensed Providers: An Emergency is defined as unforeseen circumstances that require immediate attention. Providers must: Develop and implement written policies and procedures that address contingency plans to be followed in the event of a fire, tornado, flood, extreme heat or cold, loss of building services, human-caused events, allergic reactions, vehicle accidents, a lost or missing child or other emergency. The plan shall include specific procedures that address all of the following: Evacuation, relocation, shelter-in-place, and lockdown. Ensuring that the needs of children under age 3 and children with disabilities are met. Communication with parents. Connecting children with their parents if the center is required to evacuate the building. Practice the fire evacuation plan monthly, and the tornado plan monthly from April through October, with the children and document when the plans were practiced. Review emergency procedures during orientation with all new employees and substitutes. Provide child care workers training on techniques for evacuating sleeping children in an emergency, if the center is licensed to provide care between 10 p.m. and 5 a.m. Post an evacuation plan and practice the plan monthly. Make sure other staff/caregivers know what their duties are if there is a fire, tornado, missing child or other emergency. Develop and implement transportation policies that include a procedure for tracking children during an emergency and include emergency contact information in vehicles. Maintain staff and child records/files that include emergency contact information. Identify emergency backup provider/contact person. Have a working phone and post emergency numbers Children’s records shall include written consent from the parent for emergency medical care or treatment. All employees in regular contact with children shall obtain and maintain a current certificate of completion for infant and child cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED). Centers operating during hours of darkness shall provide emergency lighting, such as an operable flashlight. For more information, see the child care licensing rules page. Certification An Abbreviated Summary of Certification Emergency-Related Rules for Certified Operators: A certified operator shall have a written plan for taking appropriate action in the event of an emergency including a fire; a tornado; a flood; extreme outdoor heat or cold; a loss of building service, including no heat, water, electricity or telephone; human-caused events, such as threats to the building or its occupants; allergic reactions; lost or missing children; vehicle accidents; a provider’s family situation, such as medical emergency or illness; or other circumstances requiring immediate attention. The plan shall include procedures for all of the following: Evacuation, relocation, shelter-in-place, and lockdown. Communication and reunification with families. Ensuring that the needs of all children are met, including children under 2 years of age, children with disabilities, and children with chronic medical conditions. The plan shall be reviewed periodically and practiced as specified in the plan. An operator shall have a written plan to prevent and respond to food and other allergy-related emergencies. An operator shall designate an emergency backup provider. The emergency backup child care provider shall be at least 18 years of age and able to provide an acceptable level of child care. The home shall have at least one telephone in working order. If a cellular phone is used as a primary phone, it shall be operational during the hours of child care. The home shall have a list of emergency numbers posted in a location known to all providers, including the numbers for the police, fire station, emergency medical care, child protective services agency, and poison control center. For more information, see the child care certification rules page. Prepare Consider how you will prepare for and respond to emergencies and natural disasters. Ensure you have procedures in place to address natural disasters and other emergencies, including acts of violence, exposure to hazardous agents, facility damage, fire, missing children, power outage and other situations requiring evacuation, shelter or lockdown. Creating an emergency response plan before the emergency occurs helps make the response procedure quicker and more efficient. Caring for Our Children - A collection of national standards that represent best practices for health and safety policies for early care and education settings. Child Care Aware - Provides links to emergency preparedness webinars, resources, drill checklists, forms/templates and other emergency preparedness tools. Head Start Early Childhood Learning & Knowledge Center - Provides a list of resources child care programs can use in developing their emergency preparedness plans/manuals. Institute for Childhood Preparedness - Empowering early childhood professionals with emergency preparedness planning, response, and recovery. Is Your Child Care Center Secure - Questions parents and parents should consider regarding the safety of children in care, examples of security systems you might find in a child care, and resource links for child care security. Policy Sample - Emergency Plan Regulated Child Care Resource Guides Emergency Preparedness, Response, and Recovery Resources for Child Care Programs (ACF) Emergency Preparedness, Response, and Recovery Resources for Child Care Programs - The guide provides resources to help child care programs begin the process of developing emergency plans or begin the process of updating their current plans. Early Childhood Disaster-Related Resources for Early Childhood Education Providers - Provides resources to help child care programs with disaster preparedness, response and recovery. Child Care Resources for Disasters and Emergencies - Provides resources for state agencies and child care programs. Centers for Disease Control and Prevention has compiled information on how to plan for and respond to natural and weather related disasters including flooding, tornadoes, extreme heat, winter weather and much more. Child Care and Preschool Pandemic Influenza Planning Checklist Natural Disasters and Severe Weather - Preparedness and Safety Messaging for Hurricanes, Flooding and Similar Disasters Emergency Preparedness - Protect Yourself and Your Loved Ones - Information on specific types of emergencies, sheltering in place, and coping with disasters. Response Your ability to respond to an emergency is directly related to your preparedness. It is critical you develop an emergency response plan in advance. Once you’ve developed emergency plans, it’s time to practice. The more you prepare and practice your emergency plan, the more efficient your response will be. Identify the type of threat and the kind of response needed to protect staff and children in care. Ready Wisconsin - Be Informed, Plan Ahead, Take Action. Build an Emergency Kit Ready Wisconsin Facebook Ready Wisconsin Twitter Centers for Disease Control and Prevention – Information on Specific Types of Emergencies and Information for Specific Groups Centers for Disease Control and Prevention – Social Media – Get useful tips, updates and alerts Guidelines for Safe Child Care Operations During COVID-19 - Guidance developed by the Michigan Department of Licensing and Regulatory Affairs (LARA) in consultation with the Michigan Departments of Education, Health and Human Services, and Labor and Economic Opportunity, the Executive Office, medical professionals, national experts, and child care providers across the state. Child Care: Checklist for Operating Safely During COVID-19 Updated Wisconsin Department of Military Affairs - Division of Emergency Management - Provides resources and tips on keeping safe, natural and man-caused emergencies, news, warnings and incident reports. Recovery What actions will you take from the time the emergency ends until the needs of staff, children and families are met? What will you do to help families resume their daily activities and help those affected cope with the aftermath of an emergency? Recovery can last for days, months or even years. Incorporating recovery resources into your emergency-preparedness plan will help you reach your goals more quickly. Things to consider include reunification, damage and needs assessment, continuation of services, and mental health/emotional needs. Center of Disease Control and Prevention - Coping with Disaster or Traumatic Event Wisconsin Department of Military Affairs - The Region Directors and Office Operations Associates of the Wisconsin Department of Military Affairs work with County and Tribal Directors on all phases of emergency management - Preparedness, Response, Recovery and Mitigation, as they plan for and react to natural and man-made disasters. U.S. Department of Health & Human Services, Office of Human Services - Post-Disaster Child Care Needs and Resources Cleanup: Bringing Children Back to Flood-Stricken Areas Safely – Conference call sponsored jointly by the Administration for Children and Families (ACF) and U.S. Environmental Protection Agency (EPA) Child Care Aware - Rebuilding or relocating your child care facility? Disaster Assistance might be available for you! Head Start Early Childhood Learning & Knowledge Center Resources Children’s Responses to Crises and Tragic Events - Infants, toddlers, preschoolers, and young children who experience a tragic event may show changes in their behaviors. They also may be indirectly affected by a crisis through what they hear or see on TV. In this tip sheet, learn what families and staff might see in children’s responses to a crisis. Helping Your Child Cope After a Disaster - After a disaster or crisis, children benefit when adults assure them that they are safe and help them learn how to cope effectively. Use this tip sheet to find out what families and staff can do to help a child after a disaster or crisis. Emergency Financial Assistance Information - Emergency Assistance is a one-time payment that can help low-income parents pay an emergency housing or utility-related expense. Emergencies Due to Food and Allergic Reactions The Child Care and Development Block Grant Act of 2014 includes provisions related to the prevention of and response to emergencies due to food and allergic reactions. Do you have a written care plan for children with food allergies? Are your staff trained in recognizing the symptoms of and treating an allergic reaction? Do you have procedures in place for preventing exposure to specific foods to which a child (or staff) is allergic? Your emergency supply kit probably includes items such as first aid supplies, hygiene/sanitary supplies, children’s emergency contact information, but does it also contain bottled water, snacks, formula? Prevention of and Response to Emergencies Due to Food and Allergic Reactions – This brief addresses health and safety requirements specified in the Child Care and Development Block Grant Act of 2014, and provides an overview of the prevention of and response to food allergy reactions for center-based and home-based child care settings. Managing allergy, anaphylaxis: AAP releases customizable emergency plan - A written emergency plan for allergy and anaphylaxis that can be individualized for use by patients, families, health care professionals and schools. National Center on Health - Includes suggestions for food allergy care plan. Video, Webinars, Sample Manuals, and Other Media Resources Helpful Online Resources DCF Optional Policy Sample - Emergency Plan Regulated Child Care Videos & Webinars Shelter in Place CDC Children’s Preparedness 6 Important Things To Know Before a Disaster Disaster Safety and Preparedness – Child Care Aware Prepare Metro KC: Disaster and Preparedness (YouTube Episodes) Child Care Aware - Child Care Emergency Supply Kits: What to Pack and Where It's At Websites Disaster Preparedness for Families with Special Needs Children Mobile Apps Check your app store for a variety of apps that can be used on your mobile device to plan for and respond to emergencies and disasters in your area. Some examples are: FEMA Pocket First Aid & CPR Red Cross How to Prepare for Emergencies Step-by-Step Guides and Manuals Emergency Preparedness, Response, and Recovery Resources for Child Care Programs (ACF) Preparing for Disaster - What Every Early Childhood Director Needs to Know by Cathy Grace and Elizabeth Shores (Book or eBook for purchase) Emergency Preparedness Manual for Early Childhood Programs from the U.S Department of Health and Human Services, ACF and Office of Head Start (free PDF) How to Plan for Emergencies & Disasters developed by UCSF California Childcare Health Program Cómo planificar para emergencias o desastres (Spanish version of How to Plan for Emergencies & Disasters) Emergency Plan Library - from California’s Step-by-Step Guide for California Child Care Providers manual and includes forms in English and Spanish Pennsylvania Emergency Management - Child Care Facility Took Kit Preparing Child Care Programs for Emergencies - A Six-Step Approach - Tennessee Department of Human Services Emergency Preparedness Planning Guide for Child Care Centers & Child Care Homes (Illinois Emergency Medical Services for Children) Additional Resources Building Security Options for Child Care Centers How do States and Territories Plan for and Respond to Hostel Intruders? Early Childhood Learning & Knowledge Center - Safety Practices Resources Emergency Preparedness in the News Dodge County Stages Mock Child Care Emergency