Child Care Sun Safety Implementation Project

Vision Goal

Reduce the human and economic

impact of cancer on South

Dakotans through the promotion

and support of collaborative,

innovative, and effective programs

and policies for cancer prevention

and control.

To ensure that all South Dakotans

have access to quality cancer

prevention and control information

and services in order to reduce the

number of new cancer cases as

well as the illness, disability, and

death caused by cancer and for

survivors to live the best quality of

life possible.

Reduce Ultraviolet Radiation Exposure

The Community Guide:

Skin Cancer: Child Care Center-Based Interventions

• Educational and behavioral interventions - provide information

about sun safety and the effects of UV, and may be directed to

children, their caregivers, or both. Messages delivered in lectures

or through small media can be reinforced by modeling or role-

playing.

• Sun-protective environmental and policy changes - increase

the availability of sun-protective items, adding sun-protective

features to the physical environment, and implementing sun-

protection policies

Skin Cancer: The Facts

In 2014, 24% of South Dakota adults

always or nearly always wore sunscreen

with an SPF of 15 or higher when they

were outside for more than one hour on

a sunny day.

In 2015, 9.6% of children, grades 9 -

12, who most of the time or always

wear sunscreen with an SPF of 15 or

higher when they are outside for more

than one hour on a sunny day.

Sunscreen Use in South Dakota

• Monitor the UV Index • Seek shade. Plan indoor activities

during the midday (10am-4pm) or seek shade under tree/shade structure.

• Sun Safe Clothing. • Long-sleeve shirts and pants

when possible. • Wide-brimmed hat. • Sunglass, shatter resistant.

• Apply Sunscreen. SPF 30+, UVA

and UVB.

Recommendations to Protect

Children from UV Exposure

Sun Safety Strategies: Policy, Systems,

and Environment Change

Includes the passing of laws, ordinances, resolutions, mandates, regulations, rules, protocols, and/or procedures that are designed to guide or influence positive behavior change and the choices we make in our lives.

Policy Change

Systems change involves

modifications made to the

rules within an organization.

Systems Change

Environmental Changes

This model policy provides a

framework for supporting a sun

safe child care program and aligns

with the Sun Safety Standard

3.4.5.1 of the National Health and

Safety Performance Standards

Guidelines for Early Care and

Education Programs.

Sun Safety for Child Care Program

Model Policy

Childcare Model Policies

Resource: http://goodandhealthysd.org/childcare/policies/

Examples of Sun Safety Policy Strategies

• Track the UV Index and engage parents and children in tracking

• Provide sun safety education to children • Apply sunscreen to all exposed areas of skin, including cheeks, neck, arms,

legs, behind the ears, and on the nose.

• Create shade using wide umbrellas, awnings, pop-up tents, and shade structures. These can also be used to divide the playground into outdoor learning centers.

• Request that families send in hats with a brim, labeled with their child’s name.

Train Child Care Staff and

Parents/Guardians

• Ask a dermatologist, nurse, or other expert to come to the program to

talk with staff and parents/guardians about sun safety and the

dangers of overexposure.

• Provide regular booster training sessions to sustain staff awareness and

support of sun protection measures.

• Utilize sun safety educational resources

• Include parent permission form for sun safety practices into policy

RFA Overview

RFA Overview

• Purpose – The South Dakota Department of Health will assist child care

programs interested in implementing a sun safety policy and evidence-based

sun safety interventions to reduce the burden of skin cancer.

• Eligibility: SD Child Care Programs currently licenses or registered with SD

Department of Social Services.

• Award: Home based child care programs may request up to $250 and center

based child care programs may request up to $500, with up to ten applicants

funded. Budget requests should be commensurate with the number of guidelines

and activities proposed and total number of individuals impacted

RFA Overview

• Funding Parameters:

• Required to adopt or update a UV protection/sun safety policy and implement

sun safety strategies that support the policy.

• Funding should be used to enhance sustainable sun safety policy, system, and

environment changes. Changes, including the provision of shade cover, application

and reapplication of sunscreen, and engagement of parents in policy changes

through a parent permission form are evidence-based strategies recommended

for a sun safe child care program.

• Project activities must occur within South Dakota and serve South Dakotans.

• Policy Development – The Sun Safety for Child Care Programs Model Policy will

guide policy development and adoption.

• Sun Safety Strategies – Implement evidence-based strategies that support the

policy

• Environmental Approaches to encourage sun protection

• Educational Approaches

RFA Budget Funds CAN be used for items such as: Bulk sunscreen, dispenser rack, smaller bottles to

transport sunscreen for reapplication, umbrellas and temporary shade, or educational

materials and printing expenses

Budget

Item Quantity

Cost

per

unit

Estimated

Total Cost

Support or justification for policy, system or

environmental change

Gallon 30 SPF

Bulk Sunscreen

for

Staff/Children

2 $120 $240

Support implementation of UV protection

policy and requirement for employees/children

to wear sunscreen

Wall Mount

Bracket 1 $20 $20

Support implementation of UV protection

policy and sunscreen use requirement

Umbrella 2 $75 $150

Support implementation of UV protection

policy; enhance environment to encourage UV

protection

Budget Total $410.00

RFA Schedule Date

Request for grant applications released and posted to

http://www.cancersd.com/

March 21, 2018

Preliminary webinar to discuss the RFA, grant writing, and

evidence-based strategies for sun safety. Open to any

potential applicants to participate.

To join use the following link:

https://zoom.us/j/8067059502

Or telephone: (Dial: 1 646 558 8656 | Meeting ID: 806

705 9502)

April 4, 2018, 1pm CST

Last day for questions and to request review of grant

application

Please direct questions to: lexi.pugsley@state.sd.us

April 24, 2018

Application submission deadline Deadline: 5:00pm CT

on

April 25, 2018

Notice of grant award issued (via email) Week of May 14th

(tentative)

Project Period June 1, 2018 –

September 30, 2018

Sun Safety Guidelines

☐ Limit sun exposure between 10 AM and 4 PM, when UV rays are strongest. The availability of shade will be considered when planning excursions and outdoor activities during these times.*

Activity(s) Person(s) Responsible

Timeline Resources Needed

☐ Monitor the heat index and schedule outdoor activities accordingly. Staff and children will be watch carefully for heat-related illnesses.

Activity(s) Person(s) Responsible

Timeline Resources Needed

☐ Staff and children will wear sun-protective clothing and equipment, when outside, including: a hat, child safe resistant sunglasses, sun-protective clothing.*

Activity(s) Person(s) Responsible

Timeline Resources Needed

RFA: Project Plan

RFA: Appendices Policy Adoption

Sun Safety Policy Adoption

Work with the center director to develop a policy based on the model policy. Propose the policy for board review and approval. Purchase resources to support implementation of policy. Implement policy.

Sun Safety Guidelines and Activities

Limit sun exposure between 10 AM and 4 PM, when UV rays are strongest. The availability of shade will be considered when planning excursions and outdoor activities during these times. Schedule outdoor activities and excursions in a manner that reduces UV exposure.

Monitor the heat index and schedule outdoor activities accordingly. Staff and children will be watch carefully for heat-related illnesses. Monitor and post UV Index daily for staff and children to see. Staff will keep children indoor if the UV Index is 6 or higher. Staff and children will wear sun-protective clothing and equipment, when outside, including: a hat, child safe resistant sunglasses, sun-protective clothing. Purchase hats, child care resistant sunglasses, and/or protective clothing. Recommend or require parents purchase hats, child care resistant sunglasses, and/or protective clothing

for their child(ren). Recommended or require staff wear a hat, sunglasses, and/or protective clothing when outside with

children.

Project Timeline

Activity June July Aug Sept

Kick-off call with project staff: Child Care

Program Role in Skin Cancer Prevention,

Project Overview, and Project Plan Review

Conduct staff pre-assessment

Implement Project Plan

- Develop and obtain approval of policy

- Implement sun safety strategies

- Train and communicate the policy to staff

and parents/guardians

Conduct staff post-assessment

Submit Progress Report and Success Story to

DOH

Project Deliverables

Introductory Webinar for Grantees

Preliminary Meeting with Child Care Administrator

Participate in Technical Assistance Calls

Monitor and Evaluation Activities

Develop & Implement Project Plan & UV Policy: July 15

Submit Project Report & Success Story

Evaluation Tools & Measures

Knowledge, Attitudes, and Beliefs Survey of Child Care Program Administrators

Project Report

Adoption of policy changes as identified by Child Care Facility

Evaluation measures to support policy changes/activities identified for each participating child care facility.*

* Evaluation measures for participating child care programs

Considerations for Success

• Consider needs in Child Care Programs to address sun safety

• What activities have you doing to support sun safety with children

and staff?

• What is missing from your Child Care Program to address sun safety?

• Are you engaging parents in activities? If not, how can you?

• Identify strategies to include and implement in sun safety policy

• Will those strategies be required or encouraged to be implemented?

• How will you track those strategies being implemented?

Resources

• 2017 Child Care RFA Report: https://www.cancersd.com/wp-

content/uploads/2018/01/Final_2017-Child-Care-Sun-Safety-

Outcomes-Report.pdf

Sandra Melstad, MPH Public Health Consultant

Slmelstad.consulting@gmail.com

605.890.0277

Contact Information