Dear Parent/Guardian,

Welcome to the Red Wing YMCA’s School Age program. We look forward to spending our time with your child. Our program is now a certified program, meeting high quality standers from the State of Minnesota. We are fortunate to have a wonderful building for our children to explore in. We all share a common goal to provide a safe, trusting, atmosphere in which our youth can grow, develop new interests and friendships while remaining physically active here at the YMCA.

Please return the following forms to the YMCA to register your child for the school year:

- Registration form signed by parent - Copy or print immunization on registration form - Signed Fee Agreement form - Permission form - YMCA Liability Wavier

- $25.00member/$35.00 nonmember registration fee- due upon packet return.

We are looking forward to an exciting time!

YMCA Child Care Office Manager

smiller@redwingymca.org M- 651-388-4724 ext. 218

YMCA Mission To enhance the quality of life for individuals And the community through programs that

Build healthy spirit, mind and body.

Red Wing Family YMCA 434 Main Street, Red Wing, MN 55066 651-388-4724 www.redwingymca.org

YMCA School Age Permission Form

Nuclear Emergency Release Form

Nuclear emergency and evacuation, I hereby give the staff authorization to take my child to the designated evacuation

area: Hastings YMCA.

I give permission for our staff to give the KI tablet (Potassium Iodide) to my child in the event of a sever nuclear

emergency. This tablet is an over the counter medication used to help to reduce the risk of thyroid cancer from exposure

to radioactive iodine.

Child’s name Parent or Guardian Date

Face book Release

We love to share what we do in the classroom and around the YMCA. We do have a face book page. By signing this you

are giving your release for us to post your child’s photo. We do not tag or give out names on face book.

Child’s name Parent or Guardian Signature Date

Local Field trips

We do like to get out in the community and take walks, trips to the parks and library. You are giving us permission to take

your child out of the building.

Child’s name Parent or Guardian name Date

Sunscreen/ Insect Repellant

I give Permission for staff to apply sun screen / insect repellant when needed.

Child’s name Parent or Guardian Signature Date

Promotional / Photos

I hereby give permission for YMCA Day to use for promotional purposes any photos and videos of my child.

Child’s name Parent or Guardian Signature Date

RED WING FAMILY YMCA

MEMBER/CHILDREN/GUEST/PARTICIPANTRELEASE and WAIVER of LIABILITY and INDEMNITY AGREEMENT

IN CONSIDERATION of being permitted to utilize the facilities, services and programs of the YMCA (or for my children to so participate) for any

purpose, including, but not limited to observation or use of facilities or equipment, or participation in any off-site program affiliated with the

YMCA, the undersigned, for himself or herself and such participating children and any personal representatives, heirs, and next of kin, hereby

acknowledges, agrees and represents that he or she has, or immediately upon entering or participating will, inspect and carefully consider such

premises and facilities or the affiliated program. It is further warranted that such entry into the YMCA for observation or use of any facilities or

equipment or participation in such affiliated program constitutes an acknowledgement that such premises and all facilities and equipment

thereon and such affiliated program have been inspected and carefully considered and that the undersigned finds and accepts same as being

safe and reasonably suited for the purpose of such observation, use or participation by the undersigned and such children.

IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER THE YMCA FOR ANY PURPOSE INCLUDING, BUT NOT LIMITED TO OBSERVATION

OR USE OF FACILITIES OR EQUIPMENT, OR PARTICIPATION IN ANY OFF-SITE PROGRAM AFFILIATED WITH THE YMCA, THE UNDERSIGNED

HEREBY AGREES TO THE FOLLOWING:

1. THE UNDERSIGNED ON HIS OR HER BEHALF AND BEHALF OF SUCH CHILDREN, HEREBY RELEASES, WAIVES, DISCHARGES AND

CONVENANTS NOT TO SUE the YMCA and all branches thereof, its directors, officers, employees, and agents (hereinafter referred to as

"releasees") from all liability to the undersigned or such children and all his personal representatives, assigns, heirs, and next of kin for

any loss or damage, and any claim or demands therefore on account of injury to the person or property or resulting in death of the

undersigned or such children while the undersigned or such children is in, upon, or about the premises or any facilities or equipment

therein or participating in any program affiliated with the YMCA.

2. THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the releasees and each of them from any, loss,

liability, damage or cost they may, incur due to the presence of the undersigned or such children in, upon or about the YMCA premises

or in any way observing or using any facilities or equipment of the YMCA or participating in any program affiliated with the YMCA

whether caused by the negligence of the releases or otherwise.

3. THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE to the

undersigned or such children upon the premises of the YMCA and/or while using the premises or any facilities or equipment thereon or

participating in any program affiliated with the YMCA.

THE UNDERSIGNED further expressly agrees that the foregoing RELEASE WAIVER AND INDEMNITY AGREEMENT is intended to be as broad and

inclusive as is permitted by the law of the State of Minnesota and Wisconsin and that if any portion thereof is held invalid, it is agreed that the

balance shall, notwithstanding, continue in full legal force and effect.

THE UNDERSIGNED agrees participating in the YMCA Nationwide Membership Program, I agree to release the National Council of Young Men’s

Christian Associations of the United States of America, and its independent and autonomous member associations in the United States and

Puerto Rico, from claims of negligence for bodily injury or death in connection with the use of YMCA facilities, and from any liability for other

claims, including loss of property, to the fullest extent of the law.

THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, and further

agrees that no oral representations, statements or inducement apart from the foregoing written agreement have been made.

Photo and Video/Audio Recording Release

I hereby give my permission and consent, now and for all time, to the Red Wing Family YMCA, the National Council of Young

Men’s Christian Associations of the United States of America (YMCA of the USA) and third parties collaborating with Red Wing

Family YMCA and/or YMCA of the USA to make, reproduce, edit, broadcast or rebroadcast any video film, footage, soundtrack,

recordings and photo reproductions of me and/or my narrative account of my experience at Red Wing Family YMCA, for publications, display,

sale or exhibition thereof in promotions, advertising and legitimate business uses without any compensation to, and/or claim, by me. I may, or

may not be identified in such reproductions; however, I shall not be stated by name to have endorsed any particular commercial products or

commercial service. I further agree to the following:

• Any video film, footage, sound track recordings, and photo reproductions of me and/or my narrative account of my experience during said

activities, I authorize, according to this release, shall belong to YMCA of the USA and collaborating third parties. Therefore, they will have

full right of disposition of any video film, footage, sound track recordings and photo reproductions of me and/or my narrative account of

my experience within said activities;

• Any video film, footage, sound track recordings and photo reproductions of me and/or my narrative account of my experience within said

activities will not be subject to any obligation of confidentiality and may be shared with and used by YMCA of the USA and collaborating

third parties;

• YMCA of the USA and collaborating third parties shall not be liable for any use or disclosure to a third party of any video film, footage,

sound track recordings and photo reproductions of me and/or my narrative account of my experience; and

• YMCA of the USA and collaborating third parties shall exclusively own all known or later existing rights to worldwide and shall be entitled to

the unrestricted use any video film, footage, sound track recordings and photo reproductions of me and/or my narrative account of my

experience for any purpose without compensation to me.

I agree that my consent and this release are irrevocable. I hereby release and discharge YMCA of the USA and collaborating third parties from

any and all claims in connection with the uses and reproductions, any video film, footage, sound track recordings and photo reproductions of me

and/or my narrative account of my experience as described herein.

___________Initial Here

Continued on Back

I HAVE READ AND UNDERSTAND THIS DOCUMENT AND RELEASE

Date: _____________________________________

Printed Name: ________________________________________________________________________________________________________

Date of Birth: _____________________________________________

Address________________________________________________________________________________________________________________

City_______________________________________________________STATE___________________ ZIP______________________________

Phone____________________________________________________

E-Mail____________________________________________________

Signature of Applicant/Parent: _____________________________________________________________

Signature of Second Adult:__________________________________________________________________________________

Date of Birth:____________________________

Printed Name of Child: __________________________________________________________________ DOB:______/______/_________

Printed Name of Child: __________________________________________________________________ DOB:______/______/_________

Printed Name of Child: __________________________________________________________________ DOB:______/______/_________

Printed Name of Child: __________________________________________________________________ DOB:______/______/_________

Printed Name of Child: __________________________________________________________________ DOB:______/______/_________

Printed Name of Child: __________________________________________________________________ DOB:______/______/_________

Printed Name of Child: __________________________________________________________________ DOB:______/______/_________

Printed Name of Child: __________________________________________________________________ DOB:______/______/_________

Y Use Only

Entered in Daxko by

Reviewed by

Red Wing Family YMCA Y School Age

Registration and Health Form

For staff use only:

Attention: This child has allergies, dietary restrictions

or takes daily medications.

THE FOLLOWING INFORMATION MUST BE COMPLETED IN FULL BY A PARENT / GUARDIAN.

The intent of the completed Registration combined Health Form is to provide Y School Age staff all the tools

needed to administer appropriate care to the participant named below while he or she is attending the YMCA

program. Any changes to this form should be provided to the director as they arise. Child Information

Name of Participant: Birth Date:

Age: Gender (Male/Female): Grade

School your child attends

Main e-mail for communication

Parent Contact information:

Custodial Parent/Guardian

1st Parent’s/Guardian’s Address

1st Parent’s/Guardian’s Phone

1st Parent’s/Guardian’s Business Name and Phone

2nd Custodial Parent/Guardian

2nd Parent’s/Guardian’s Address (if different from above):

2nd Parent’s/Guardian’s Phone (if different from above):

2nd Parent’s/Guardian’s Business Name and Phone:

In an emergency, if no parent or guardian is available, please contact:

Name: Relation: Phone:

Address:

Insurance Information

Is the participant covered by family medical/hospital insurance? (Yes/No):

If so, indicate carrier or plan name: Group #:

Name of Policy Holder: Relation to Participant:

Insurance ID # of Policy Holder:

YSA 1

Medical Provider Information- Put a NA if you do not have any current information to give.

Name of Family Physician: Phone:

Address:

Name of Family Dentist/Orthodontist: Phone:

Address:

Health History

Circle “Yes” or “No.”

1. Had a recent injury, illness or disease? Yes No 14. Ever had a seizure? Yes No 2. Have a chronic illness or condition? Yes No 15. Ever had heart problems? Yes No

3. Ever been hospitalized? Yes No 16. Ever had high blood pressure? Yes No 4. Ever had surgery? Yes No 17. Ever had back problems? Yes No 5. Have frequent sinus infections? Yes No 18. Have an orthodontic appliance? Yes No 6. Have frequent headaches? Yes No 19. Have any skin problems? Yes No 7. Ever had a head injury? Yes No 20. Have diabetes? Yes No 8. Ever been knocked unconscious? Yes No 21. Have asthma? Yes No 9. Have frequent stomach upsets? Yes No 22. Had mononucleosis in the past 12 months? Yes No 10. Wear glasses or contacts? Yes No 23. Had problems with diarrhea? Yes No 11. Have frequent ear infections? Yes No 24. Had problems with constipation? Yes No 12. Ever been dizzy during/after exercise? Yes No 25. Ever had an eating disorder? Yes No 13. Ever passed out during/after exercise? Yes No 26. Ever had emotional difficulties? Yes No

Explain any “Yes” answers, noting the number of the question.

Dietary Restrictions

List any specific dietary limitations (e.g., does not eat red meat, pork, seafood, poultry, eggs, dairy products,

etc.).

Allergies- A intake plan will needed to be done prior to care for all allergies.

List all known.

Type of allergy Possible reaction Care for reaction

YSA 2

Medications- A intake plan will be needed for any medication to be given prior to care.

List all medications, including over-the-counter drugs taken routinely. All medication will need to be kept in its

original container that identifies the prescribing physician, the name of the medication, the dosage, and the

frequency of administration. The administration of medications will be followed according to what is prescribed on the medication bottle; if there are any changes to this, a signed physician’s note stating these changes must

accompany the medication.

The participant takes no medications on a routine basis.

The participant takes medications routinely as follows: (If more space is needed, list the information below on a separate sheet.)

Medication

Dosage Specific time(s)

of day

Reason for taking

Immunizations- You may attach the print copy from your clinic to this form.

Provide immunization dates (Mo/Yr) for the following vaccines:

Hepatitis B

Haemophilus infl. B (Hib)

DTP TD

Tetanus

MMR Polio

Varicella (chicken pox)

Other:

Physical Restrictions

Explain any restrictions to activity that your child may not be able to do, (e.g. what adaptations are necessary).

Parent Authorization

IMPORTANT: THE FOLLOWING MUST BE COMPLETE TO ATTEND Y SCHOOL AGE CARE!

This health history is correct and complete to the best of my knowledge. I hereby give permission to the YMCA

staff personnel to provide routine health care for the participant. In case of a life or death emergency, I hereby

give permission to the YMCA staff personnel to hospitalize, secure proper treatment for, and order injection,

anesthesia or surgery for the participant in the event that the participant cannot make the decision on his or her

own. The YMCA and its employed personnel shall be relieved of any responsibility. This completed form may be

photocopied for trips off of the YMCA property.

Signature of Parent/Guardian Date

For staff use only:

These initials indicate that this form is complete at the time of registration for Y School Age Care.

YSA 3

Red Wing Family YMCA Certified School Year - School Age Program Fee Agreement

Time School Age

Member School Age Non- Member

Before 6:00 am / 8:30

$7.00 per day

$9.00 per day

After 3:00 pm / 6:00 pm

$7.00 per day

$9.00 per day

No School day $25.00 per day

$35.00 per day

Payment Procedure & Policies: Our office manager Shelby Miller does all registration and processes tuition payments.

Tuition payments can be done by Auto payment by picking up the form from our office manager, or payments can be made

at the membership desk.

Tuition is due by Friday for the upcoming week of attendance unless other arrangement have been put in place.

A late fee of $5.00 per week will apply after 6:00pm on Fridays.

A fee agreement can be changed with a two week notice, no exceptions.

Registration fee of 25.00 is due prior to your child’s first day for all new families to the program. This fee is non- refundable

Returned checks will be charged a $15.00 NSF fee.

If there is a two week delinquency in payment and a financial arrangement with the director has not occurred, your care will

end with a written notice for the Child Development director.

Registration and tuition payments will be billed according to the information below.

This agreement is for (child’s name)

I am committing to these days below. I can change this agreement with a two week

notice submitted to the office manager.

Check the days you want care each week.

Before school Am Monday Tuesday Wednesday Thursday Friday

After school PM Monday Tuesday Wednesday Thursday Friday

No School days

Go to the Red Wing YMCA web page to register for any of the No School days for the

2019/20 school year. The No School days days will be charged separate. No refund on

- NO SCHOOL Days once registered. Contacts- Shelby Miller at 1-651-388-4724 ext. 218 or smiller@redwingymca.org for any questions.

Parent / Guardian Signature Date_

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Y School Age Program Before School / After School

A program for children 5 years to 12 years

434 Main Street Red Wing, MN 55066

YMCA School Age Lead: Program questions – Unique Miller umiller@redwingymca.org 651-388-4724 ext. 252

Office Manager: Billing/Registration questions- Shelby Miller smiller@redwingymca.org

651-388-4724 ext. 218

Parent Handbook

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Welcome Dear Parents / Guardians:

Thank you for enrolling your child into Y School Age Program for school age students. Our staff hopes your child’s experience with us is a positive one. We all share a common goal – to provide a safe, trusting atmosphere in which our youth can grow, develop new interests and friendships, remain physically active and have FUN! The policies outlined in this handbook are what you may expect from this program and what the team members expect from you in return. In order for your child’s experience to be rewarding, we all need to work together. We hope this handbook is helpful. Please take the time to become familiar with the outlined policies and procedures. We hope that this program is a wonderful experience for your child and family. Please contact us with any further questions, we welcome your input.

Contact Information Y School Age Program 4 3 4 M a i n S t r e e t R e d W i n g , M N 5 5 0 6 6

Director of Child Development- Gwen Lynch Office Manager – Shelby Miller

Mission and Goals Our Mission is to make our school age enrichment programs accessible to all members of our community by providing a safe, convenient, and affordable

program that fills your child with opportunities to explore the wonders of their world and provides them with experiences that help them grow and develop into confident, caring, happy individuals.

Program Goals The Program will seek to:

Create a safe atmosphere of learning that helps develop self- confidence and builds character through promoting healthy values and relationships.

Help each child develop relationships with others and learn to work together in a cooperative manner.

Create an environment where team members are partners with parents and other caregivers, working together to help kids grow up healthy, happy, and strong.

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Tuition Agreement Policy Upon Enrollment a fee agreement will need to be completed. A new fee

agreement will be required each school year. Tuition is due prior before care is given- this means that tuition is due by

6:00 on Friday’s, unless a payment plan has been set up. Lack of payment over a two week period can result in a release from the program.

Late fees of $5.00 per week will be added after 6:00 on Friday if payment is not received or if payment plan has not been set up.

We do have an auto draw tuition plan that can be used. The form is filled out and given to the coordinator. Tuition is pulled out on Fridays and an e-mail receipt will be sent.

Any changes of days during the school year such as (spring –Red Wing district programs etc.) need to have a NEW FEE AGREEMENT with the

dates it starts and stops date. If we do not receive one, the old fee agreement will remain in place and billed for payment.

The YMCA before/ after school program has the right to discontinue care

due to the lack of payment and of any behavior concerns that danger others and cannot be resolved.

We have a No –Refund policy on all no school days once registered.

Tuition applies on the days you are scheduled for: this includes, holidays, illness & requested days.

Program Schedule / Holidays & School Breaks

The program is open from 6am to am bus pickup and from 3pm to

6 pm, Monday through Friday. On No school days we are open

from 6 am to 6 pm.

The school year program runs off of the Red Wing School District

calendar.

Y School Age Program will be closed New Years Day, Memorial Day,

Thanksgiving Day and the Day after Thanksgiving, Christmas Eve,

Christmas Day.

Winter / Spring breaks days may have limited hours due to low

enrollment. Please register early so plans can be made.

We DO NOT offer care on Snow Days. We will do our best to offer

2 hours late or early release if able to staff.

You can find information on the YMCA web page for any ALERT’S

that will be posted on cancellation. E-mails through Constant

Contact will be sent out if communication is needed for weather

related concerns.

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Curriculum Our goal is to provide well-rounded experiences that nurture and enhance your child’s development. The purposeful, educational activities your child experiences stimulate critical thinking skills, develop creativity, and enhance

learning. Children are stimulated physically, emotionally, developmentally, and socially preparing them for future success. We discourage the use of electronics unless needed to supplement our curriculum.

The School Year is a busy time for our students who use the Before / After

School program or no school day school program. Before school care children

will be in our care for very short periods of time. Our goal is to give them down

time to wake up with light activities. After school children are ready to burn off

the day’s energy. We will offer gym fun, crafts, light activities in our classroom.

The YMCA also offers extra programming you can register for, like swimming

lessons, karate etc. Our staff will help get your child to these programs and

back. On no school days and holiday breaks the days will be planned out

offering fun activities, gym and swimming time. We will do filed trips if we can

get a strong number to help offset the cost of the bus.

Program Rules All children, team members should behave in a respectful and responsible way.

Program rules are:

1. Follow directions 2. Respect self, others and property 3. Use appropriate verbal and body language

4. Keep your hands and feet to yourself 5. Stay with the group

The overall safety of all youth in the program is our highest priority. Please encourage your child to speak to a program staff if they are having any concerns with other participants or program staff.

Behavior Guidance Practices PHILOSOPHY

The YMCA strives to maintain a positive approach to managing children’s

behavior at all times. Team members establish and enforce clear and consistent limits and expectations for appropriate behavior. Team members deal with

inappropriate behavior through various techniques including; modeling, distraction and redirection, adjusting the environment, cooperative problem solving and removal from the activity/area as a last resort.

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PROCESS

As mentioned above, when positive behavior is displayed, the consequence is participation and enjoyment of planned activities. In cases of negative or

inappropriate behavior, the following process will be employed:

Reasoning: Every effort will be made to help the youth understand the inappropriateness of his or her actions and agree to an alternate form of behavior. When the conflict is child-to-child, every effort will be made to have them reason together face-to-face with staff facilitating.

Redirection: When reasoning has been pursued and behavior has not changed, redirecting the youth from the activity involved to another program space for an appropriate amount of time will take place if necessary.

Youth/Staff Conference: When the program staff is not successful in correcting behavior, the Director is consulted and may decide on further appropriate action/consequences.

Conferences: If the parent needs to be formally involved in the process,

specific changes in behavior will be requested, with specific consequences for noncompliance outlined.

Suspension for Inappropriate Behavior: In order to provide a safe, effective

program, suspension may occur for youth unable to follow the Behavioral Guidelines. The Director will determine the length of suspension.

Removal from the Program: If the above process has not resulted in corrected behavior, the youth will be removed from the program.

We reserve the right to bypass the above behavior steps at anytime and remove a youth from our care for reasons of safety. If a parent is called

to pick up a child for behavior, the child must be picked up within one hour.

To encourage positive choices our staff will: Protect the safety of the children and staff by establishing clear expectations and

creating a safe environment Provide immediate and directly related consequences for a child’s unacceptable

behavior

Anticipate problem situations and intervene by encouraging positive alternatives when possible

Engage children in cooperative problem solving Model appropriate behaviors with children Tailor behavior expectation to the child’s development level

Team Member Selection and Training Team members are expected to demonstrate sound judgment, dependability, responsibility, and the ability to create an environment which reflects care, respect, and safety for youth. All team members must complete a background

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check before working in the program. Our team members are trained on how to care for youth, and are trained in program safety including First Aid, CPR, and

child abuse prevention. Our team members will do their best to work with and the ability to handle children with difficult behaviors; however they may not have experience and capability in the event of extreme

cases. .

Planning For Each Day Make sure to label all belongings and have appropriate gear for the weather

elements. We go swimming on No School Days so swim suits, towel are needed and any fun water items are welcomed.

We discourage your child from bringing the following items:

Cell phone Electronics games Money/ Valuables We will do our best to ensure the safety of your youth’s belongings; however, we

do ask that you please not send unnecessary items with them. The YMCA will

not take responsibility or be held liable for lost, stolen or damaged items. Weapons, tobacco, illegal substances, and alcohol of any kind are not allowed at

the YMCA. If a child is found to have any of these things, the items will be confiscated and disciplinary actions will be taken up to termination. “Weapons” also means toy guns, squirt guns, knives/weapons of any kind are not allowed

and will be confiscated. Any violation may result in suspension. The YMCA provides the majority of supplies your child will need while participating in our

program. Depending on your child’s choice of programming, parents are responsible for providing supplemental items for their child. Examples of this would be change of clothes, appropriate outdoor apparel, medical accessories,

etc.

Outdoor Play Outdoor play is an important part of your child’s day. We believe it is vital for the total health of a child. We will be going out doors weather permitting and when we have time. All children who are well enough to be at the program are expected to participate in outdoor activities. The general temperature guidelines

for cold weather are at least 10 degrees F or 0 degrees F with wind-chill. In hot weather, general precautions will be taken in determining appropriate outdoor time.

Meals & Snacks As we teach healthy living here at the YMCA. We ask that food choices you bring in show main food groups and limit the sweets/ junk foods items. We have a time set aside after the children get off the bus to have that snack. The YMCA is not able to provide a snack for your child. You can bring in a

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snack for the week and we can store it or pack one in the backpack. Before School Age children may being in breakfast food items and eat it here. On No

School days you will be required to bring a back lunch and snacks for your child to get them through the day.

Individual tag requirement The YMCA requires everyone who comes in the building to have a membership tag or a Child Care Program Participate Tag. This will be set up prior to your first day. These will be used when dropping off and picking up. You do not need

to check out with them. If other family members or friends will be picking up or dropping off they will need one also.

Required Sign-in / Out Procedure You must sign your child out every day. The sign-in/out sheet must be filled in every day with your FULL signature and time of drop-off or pickup. Any

authorized person who is picking up the child from the program must have available proper photo identification and may be checked by staff. This

procedure helps to ensure the safety of your child and allows staff to determine which children are present at any given time. We require that all parents/guardians follow this policy. Failure to comply may result in dismissal from the program. The staff will ask to see a photo ID for all persons picking up participants, please do not be offended if they ask for identification. Staff may vary, please be prepared to show your photo ID daily.

Person Authorized to pick up your Child. The safety of all youth in this program is of primary importance. At the time of enrollment, The YMCA must be

provided with names and phone numbers of persons authorized to pick up their child, including all legal guardians. For your protection, only persons authorized

in writing by the parents and are 18 years of age or older may pick up your youth. If you have any questions or concerns about this please contact the Director.

If there is a court ordered custody agreement, we are legally bound to respect the wishes of the legal document. It is the responsibility of the guardian who holds legal custody to provide us with a certified copy of the most recent court

order. This copy must be on file with the program and updated by the custodial parent when necessary. If no court order is on file with the program, both legal parent/guardians will have access to information and the participating child.

Safe Boundary Information 1. The YMCA discourages staff from spending time with kids off site in

non-program related activities that they meet through their employment at The YMCA.

2. Your child should not receive personal gifts from individual staff members.

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3. Staffs are not permitted to individually transport program participants in their personal vehicles.

4. One child will not be alone with one staff member outside the hearing or vision of others. 5. The YMCA limits outside contact between staff and program participants

Accidents If your child has a minor injury, the staff will perform First Aid if necessary and notify you when you pick up your child. If a serious injury should occur, the staff will perform First Aid and notify you to pick up your child immediately and let

you determine if you should take your child to the doctor or dentist.

In case of an emergency the staff will: 1. Call 911, perform immediate First Aid, and contact you. After 911 has been

called, it is then up to the emergency response team to decide what actions will be taken. 2. A staff will accompany the child to the hospital and stay until the

parent/guardian arrives if emergency medical transportation is required. If a parent/guardian is not able to be reached, we will continue to call through

your designated emergency contact list until contact is made

Exclusion of Sick Children For the health and safety of all children in our programs, please do not send your child to the program if they are ill. Please notify us within 24 hours if your child is diagnosed with a serious contagious illness or parasitic infection. Please

notify us if she/he will not be attending. Children are not allowed to attend the program if they exhibit any of the following symptoms or illnesses:

Fever – If over 100 degrees under the arm, or accompanied by other symptoms such as behavioral change, diarrhea, undiagnosed rash or vomiting

Respiratory symptoms – Wheezing that occurs suddenly and is unexplained, severe congestion, uncontrolled coughing including bronchitis

Signs/symptoms of severe illness (unusual fatigue, irritability, persistent crying,

difficulty breathing, etc.) Vomiting or Flu Uncontrolled Diarrhea Mouth sores with drooling Rash- Including Impetigo or if cause of rash is not known

Eye drainage or conjunctivitis Unusual skin color

Bacterial infection (such as strep throat) Contagious illness (such as chicken pox, scabies, ring worm, or other reportable

diseases)

Head lice – presence of lice or lice eggs (“nits”). We do send home for treatment, and once treated the child may return.

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Children must be free from these symptoms for at least 24 hours before returning to the program and any contagious illness should

be cleared by a doctor.

Parents/Guardians must notify the Director if their child contracts a communicable disease, as soon as diagnosed. When a communicable disease occurs, the YMCA will notify other participants in writing, including cause and symptoms.

Sending your child home due to illness or injury If a child exhibits any of these illnesses while in the program, the child will be

separated from the group and the parent/guardian will be called to come and pick up the child. If a parent or guardian cannot be reached, the emergency

contacts will be called. Staff will continue to assess the child’s condition. Because

we are looking out for your child’s best interests, you or another authorized adult must pick up your child within one hour of being contacted. If the staff

feels that your child’s condition warrants emergency medical attention, or if necessary, the local emergency resource will be notified.

Administering Medication Children are not allowed to have medication in their possession. The staff may

only dispense prescribed medications in the original container directions; that bears the original label displaying legible information stating the following:

Name of medication and child’s name Date of original issue Directions for use

Prescription number and expiration date Name and address of licensed pharmacy issuing the medication Physician’s name Dosage and duration

The Medication Permission form, available upon request, must be completed by the parent or guardian and on file at the YMCA before any medication is

dispensed – including non-prescription. Please return the form to the program before your first scheduled day or the start of medication. For medical and safety reasons, team members do not administer insulin shots, Diastat or other

medications requiring similar procedures. Our staff will work with parents/guardians, the child and the child’s medical providers to explore other

reasonable accommodations to permit the child to enjoy our programs to the fullest extent possible.

If your child has an allergy a meeting will be set up prior with our form describing the plan. The plan will go over any medication, triggers, and

reactions.

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Pets We occasionally allow non-aggressive insects and animals into our program as part of our curriculum. Please let us know if this will pose an issue for you or if you would like to bring a critter in for show and tell.

Smoking/ Chemical use Smoking is not allowed in the facility. We prohibit employees, helpers,

substitutes, and volunteers, when directly responsible for caring for the children, from abusing prescription medication or being in any manner under the

influence of a chemical that impairs the individual’s ability to provide services or

care. We will train employees, helpers, substitutes, and volunteers about the use of this drug and alcohol policy.

Transportation The YMCA does transport children on field trips. For large field trips we use First

Student Bus Company. For any smaller trips we use the YMCA vans. All staff are on our insurance policy and have a valid driver’s license. Training on

the importance of transportation is requires and we follow all child passenger restraint system requirements.

Emergency/ Evacuation / Lock Down Fire: Fire drills are practices every month. Children are directed by the teachers to exit the building quickly, stay calm and stay low if needed. If we need to

evacuate the building, we would go to these evacuation sites in the listed order: Red Wing Public Library- lower level, Cornerstone Community Church hallway, Twin Bluff Middle School up to September 1st, 2018 then go to Sunny Side School going forward.

Tornado: Tornado drills are practiced from May through October. Children will be taken during our drill and in the event of a real tornado to the 1st floor and go

to the hallway outside the racquetball courts. Child will be taught to get in the knee position bending down and covering their head. Teachers will return to the classroom when they get direction to do so from our CEO, leadership team

or our community emergency agency. If we need to evacuate the building, we would go to one of evacuation sites in the listed order: Red Wing Public Library-

lower level, Cornerstone Community Church hallway, Twin Bluff Middle School up to September 1st, 2018 then we will go to Sunny Side School going forward.

Nuclear Evacuation: We have a very detailed policy that our city and state agencies have designed for us. There are 4 levels of risk. The First level we would not even know about and would not be alerted. The second through the fourth do have steps that the staff have been trained on. These level will not always come in number order.

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We would get a call from the Emergency Operation Center (EOC) letting us know what level we are at and what we need to do. Once that starts, we will be

contacting all families through e-mail giving you the directions we are ask to give. You will have the time to come and pick up your child, as this process can take a few hours. If we do evacuate out of Red Wing, and we have

children to take, we will be using First Student and going to or sister site: Hastings YMCA. Staff have been trained on how the reunification process for pick

up will be.

Lock Down and High Risk Evacuation plans

Lock Down: In the event we need to go into a lock down in the building, we have put together procedures for our staff to follow. Peach Tree is our lockdown room. The have been instructed to only release children when an Emergency

Operating Center personal , YMCA CEO or a YMCA leadership team members declares it is safe to open and release children. Staff will use the e-mail

communication system or phone calling to reach out to parents when it is safe to do so. Staff have been trained on re-unification process.

High Risk evacuations: In the event we are in a high risk situations such as

but not limit too: Train derailment with a chemical or gas leak, high chlorine leak from our pool, and the decision to evacuate the building has been made to evacuate, we will be evacuee to the sites in the listed order: Red Wing Library-

Lower level, Cornerstone Community Church hallway, Twin Bluff Middle school till September 4th, 2018 and then Sunnyside Elementary School September 5th,

2018 and going forward. Staff will use the e-mail communication system or phone calling to reach out to parents when it is safe to do so. Staff have been trained on re-unification process.

Program Access The YMCA is committed to the policy that all persons should have equal access to its programs, facilities, and enjoyment without regard to race, ability, creed,

national origin and gender. The YMCA will accommodate special needs into existing programs to the extent that financial and physical resources permit.

So we may provide a positive experience, please contact the Program Coordinator if your child(ren) have any special needs requiring any accommodations. It is helpful for a smooth program transition to have a

conference prior to enrollment. This information enables the program to better meet your needs or those of your child, within available resources and to the

extent reasonable. All staff that will be working with a child with special needs will be informed of how to care for or meet those needs in a timely fashion through a meeting or written notification. We provide scholarships for those that qualify.

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Insurance: The YMCA carries auto and comprehensive liability insurance. You are responsible for your child’s individual health and accident insurance.

Data Privacy The YMCA complies with state and federal privacy laws. Information gathered from the registration and health history forms is shared only with YMCA team members.

Parent Grievance Procedure Y School Age Program is a part of the Red Wing Family YMCA. It is governed by

the YMCA Board of Directors. A Grievance Policy is available for you to review. It gives guidelines in resolving problems or concerns. The process would be

directed to the Extended Care Staff, Director, Parent Advisory Committee, YMCA Executive Director, YMCA Program Committee, and/or its designates. If you have a grievance regarding this program:

1. Immediately set up an appropriate time to discuss it with the child’s program staff. 2. If it is not resolved, discuss it with the Teacher.

3. If it is still not resolved, discuss it with the Director. We want to address any concerns or questions you or your child might have

regarding the program. Please encourage your child to speak directly to any staff in the program about issues or areas they are uncomfortable with, so we can address them in a timely manner.

All Staff have been trained in mandated reporting and to look out for

youth to youth child abuse. Material below will help guide you to our policy.

MALTREATMENT OF MINORS MANDATED REPORTING POLICY FOR DHS LICENSED PROGRAMS

Who Should Report Child Abuse and Neglect

Any person may voluntarily report abuse or neglect

If you work with children in a licensed facility, you are legally required or

mandated to report and cannot shift the responsibility of reporting to your

supervisor or to anyone else at your licensed facility. If you know or have reason

to believe a child is being or has been neglected or physically or sexually abused

within the preceding three years you must immediately ( within 24 hours) make a

report to an outside agency.

Where to Report If you know or suspect that a child is in immediate danger, call 911.

All reports concerning suspected abuse or neglect of children occurring in a

licensed facility should be made to the Department of Human Services, Licensing Division’s Maltreatment intake line at (651)-431-6600.

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Reports regarding incidents of suspected abuse or neglect of children occurring

within a family or in the community should be made to the local county social

service agency at 651-388-3200 or local law enforcement at 385-3129. If your report does not involve possible abuse or neglect, but does involve

possible violations of Minnesota Statues or Rules that govern the facility, you

should call the Department of Human Services, Licensing Division at (651)296- 397.

What to Report

Definitions of maltreatment are contained in the Reporting of Maltreatment of

Minors Act (Minnesota Statues, section 626.556) and should be attached to this policy.

A report to any of the above agencies should contain enough information to

identify the child involved, any person responsible for the abuse or neglect (if known), and the nature and extent of the maltreatment and/or possible licensing

violations. For reporting concerning suspected abuse or neglect occurring within

a licensed facility, the report should include any actions taken by the facility in

response to the incident.

An oral report of suspected or neglect made to one of the above agencies by a mandated reporter must be followed by a written report to the same agency

within 72 hours, exclusive of weekends and holidays. Failure to Report

A mandated reporter who knows or has reason to believe a child is or has been

neglected or physically or sexually abused and fails to report is guilty of a misdemeanor.

In addition, a mandated reporter who fails to report maltreatment that is found to be

serious or reoccurring maltreatment may be disqualified from employment in position

allowing direct contact with persons receiving services from program licensed by the

Department of Human Services and by the Minnesota Department of Health, and unlicensed Personal Care Provider Organizations.

Retaliation Prohibited

An employer of any mandated reporter shall not retaliate against the mandated reporter

for reposts made in good faith or against a child with respect to whom the report is made. The reporting of Maltreatment of Minors Act contains specific provisions

regarding civil actions that can be initiated by mandated reporters who believe that

retaliation has occurred. Internal Review

When the facility has reason to know that an internal or external report of alleged or

suspected maltreatment has been made, the facility must complete an internal review within 30 days and take corrective actions, if necessary, to protect the health and safety

of children in care. The internal review must include an evaluation of whether:

(i) Related policies and procedures were followed; (ii) The policies and procedures were adequate;

(iii) There is a need for additional training;

(iv) The report event is similar to past events with the children or the services

involved; and

(v) There is a need for corrective action by the license holder to protect the

health and safety of children in care.

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Primary and Secondary Person or Position to Ensure Internal Review are Completed

The internal review will be conducted by Mary Niehues – Director. If this individual is

involved in the alleged or suspected maltreatment, Mike Melstad will be responsible for

completing the internal review.

Documentation of the Internal Review

The facility must document completion of the internal review and provide documentation

of the review to the commissioner upon the commissioner’s request.

Corrective Action Plan

Based on the results of the internal review, the license holder must develop, document,

and implement a corrective action plan designed to correct current lapses and prevent future lapses in performance by individuals or the license holder, if any.

Staff Training

The license holder must provide training to all staff related to the mandated reporting

responsibilities as specifies in the Reporting of Maltreatment of Minors Act (Minnesota Statues, section 626.556). The license holder must document the provision of this

training in individual personal records, monitor implementation by staff, and ensure that

the policy is ready accessible to staff, as specified under Minnesota Statues, section

245A.04,subdivision 14.

The mandated reporting policy must be provided to parents of all children at the time of

enrollment in the child care program and must be available upon request.

Revised 2018 Revised 2017 Revised 2016