Family Day Care Victoria Child Safety Guidelines 2009 Child Safety Guidelines 2009 Family Day Care Victoria Child Safety Guidelines 2009 Authors Ms Melanie Water, Ms Aleksandra Natora and Professor Mark Stokes, Kidsafe Disclaimer While care has been taken to ensure the accuracy of the information provided, Kidsafe Victoria takes no responsibility for any errors, omissions or changes to information that may occur, and disclaims all responsibility and liability to any person for any actions taken or not taken because of the information within these guidelines. These guidelines have been developed on the basis of analysis of child injury and the expertise and experience of relevant professionals and currently available standards. These guidelines are designed to draw attention to potential hazards for children and suggest actions that may be taken to prevent injury. They are not regulations, and they do not override Victorian regulations, national standards, municipal obligations, or existing scheme policies. Published by Service Development Division Department of Education and Early Childhood Development Level 9, 35 Spring Street, Melbourne November 2009 © State of Victoria (Department of Education and Early Childhood Development) 2009 2 Treasury Place, East Melbourne, Victoria 3002 2 Family Day Care Victoria – Child Safety Guidelines Contents Acknowledgements 4 Summary Section 1: Family Day Care Services and Child Safety 6 Background of Family Day Care Services in Victoria Importance of child safety in Family Day Care 7 Child Development Stages and Injury Risks 9 Child Injury is Preventable The ‘Family Day Care Child Safety Guidelines’ in Practice 10 Section 2: Managing Safety Risks to Prevent Injuries 12 The Risk Management Approach Children’s Developmental Stages 13 Section 3: Understanding Specific Risk Areas 16 Part 1. Safety Management Part 2. Drowning 18 Part 3. Falls 21 Part 4. Burns and Scalds 28 Part 5. Lacerations, Cuts and Crushing 32 Part 6. Entrapments, Strangulation and Suffocation 34 Part 7. Poisoning 35 Part 8. Road Safety 37 Part 9. Toy Safety 40 Part 10. Pets and Other Animals 41 Part 11. Choking, Inhalation or Ingestion of Foreign Bodies Part 12. Electrocution 42 Part 13. Guns and Weapons 43 Section 4: Checking the Family Day Care Home for Safety 44 The Home Safety Checklist Summary 67 Definitions and Acronyms 68 Resources 69 References 72 Family Day Care Victoria – Child Safety Guidelines 3 Acknowledgements These guidelines are a revised edition of the 1993 Kidsafe – Family Day Care Guidelines for home based child care and were made possible from funding from the Office for Children, Department of Human Services (since August 2007 the Office for Children and Early Childhood Development is situated in the Department of Education and Early Childhood Development). The guidelines also complement the Kidsafe national Family Day Care Safety Guidelines 2008 funded by the Commonwealth Department of Families, Housing, Community Services and Indigenous Affairs. Acknowledgment is made to The Child Accident Prevention Foundation of Australia (Kidsafe) for developing the associated national guidelines which greatly assisted production of the Victorian guidelines. Particular thanks to Ian Scott, Christine Erskine and Dorothy Bell at Kidsafe NSW. Thank you also to • Family Day Care Victoria Inc, Scheme Coordinators • Victoria Home Based Carers Association • Family Day Care Victoria Inc Executive members Ms Suzanne Smith Ms Dorothy Payne Ms Eileen Buckley Ms Robyn Byrne for their input into the consultation and review phases and; • Ms Sally Cooper (project coordinator), Executive Officer, Resource Unit for the ongoing coordination of the project. The following individuals are acknowledged for their expertise in providing information or reviewing the guideline content and supporting us with their feedback: Mr Robert Caulfield, Archicentre Ms Karen Ashby, Monash University Accident Research Centre Ms Joan Adams, VicRoads Mr Jeff Robinson, Poisons Information Centre Summary Family Day Care (FDC) in Victoria underwent a major change in May 2009 when all FDC services came under the regulation of the State Government. As a result of the change, FDC services must comply with the Victorian Children’s Services Act 1996 and the Children’s Services Regulations 2009. The primary intent of the Act is to ensure the safety and development of children attending children’s services. It requires that all children’s services protect children from hazards, provide adequate supervision, and offer children a clean and well-maintained environment. The Act was amended in 2009, and now includes FDC services as an additional type of children’s service. 4 Family Day Care Victoria – Child Safety Guidelines FDC services are expected to use these guidelines in conjunction with current state legislation and regulations, child care industry guidelines, specific Australian standards, and any other individual requirements of FDC services have in the past been guided. The Family Day Care Victoria Child Safety Guidelines, however, have been specifically developed for Victoria, in line with the new legislation and aim to promote consistency in child safety procedures and minimum standards across all Victorian FDC services. The guidelines give information to existing, new and potential FDC staff and carers on FDC services, with a specific focus on child safety and injury prevention. Included in the guidelines are useful resources for FDC coordinators to use for in-service training and professional development. Other resources include lists of publications, standards and organisations that provide information on all aspects of safety and risk management. The guidelines recommend that FDC coordinators and carers take a risk management approach to dealing with child safety. That is, actively dealing with safety by identifying hazards and controlling injury risks. Services and Carers also need to be able to identify external hazards and emergencies* that are threats to the safety of the children in their care and particular to their residential location. An emergency is any event which has an impact on your ability to provide your normal child service as a whole. Unlike individual injuries, accidents or incidents emergencies are usually major events requiring special consideration examples of emergencies you may face are: * • Bushfires • Wildfires • Internal Fires and Smoke • Severe Storms and Internal flooding • Pandemics and Communicable disease • Earthquake • Chemical Hazards or Gas Leak • Violent Incidents • Bomb threats. Contained in the guidelines is a step-by-step process for managing risk, and a comprehensive section detailing specific risks and how to deal with them. Also included in these guidelines is a Home Safety Checklist, taking FDC staff and carers through each room and area of the home. The checklist is for FDC staff and carers to use as part of annual safety audits, and for carers to use independently whenever they need to check the safety of their home. The Family Day Care Victoria Child Safety Guidelines is a practical document, designed to support FDC coordination units and carers in providing a safe environment for all Victorian children in all FDC homes. Family Day Care Victoria – Child Safety Guidelines 5 Section 1: Family Day Care Services and Child Safety Background of Family Day Care in Victoria Family Day Care (FDC) in Victoria formally commenced in 1972 and is now a well-recognised type of child care service, providing 80 FDC services across the state. FDC services are provided in the carer’s own home, primarily for children under the age of five. Children over five also receive FDC care before and after school, and during school holidays. FDC Coordination Units organise and support the network of FDC carers. Local councils manage most Coordination Units in Victoria, while other community and private organisations also operate FDC services. The Commonwealth Government approves FDC services and funds the Child Care Benefit, which assists families with the cost of child care. The Government has required that FDC services comply with applicable state and territory regulations when providing care to children. Where state and territory regulations do not exist, FDC services must comply with the National Standards for Family Day Care. These standards outline specific requirements for injury incident notification, supervision and injury management procedures. National safety guidelines for FDC have also been developed by the Child Accident Prevention Foundation of Australia since 1986 (Kidsafe, 1993). However, as with the National Standards, adherence to them has varied across Australia. The guidelines have been modified by FDC services to meet local needs. In addition, the guidelines were revised in 2008 in collaboration with key stakeholders from all states and territories, including representatives from relevant state and territory government agencies, injury prevention organisations, research bodies, privately owned child care centres and local government managed family day care services. A major change for Victorian FDC occurred in May 2009 with services coming under the regulation of the State Government. As such, FDC services must now comply with the requirements of the Victorian Children’s Services Act 1996 (the Act). The Act has been amended to include FDC as an additional type of children’s service that is licensed and regulated in Victoria. The primary intent of the legislation is to ensure the safety and development of children attending children’s services. The Act requires that children’s services are operated in such a way that children are protected from hazards, that supervision is adequate and that premises are kept clean and in good repair. The Victorian Family Day Care Safety Guidelines, have been specifically developed for the new Victorian FDC environment. The guidelines aim to promote consistency of child safety procedures, and minimum standards for all Victorian FDC services. 6 Family Day Care Victoria – Child Safety Guidelines Importance of Child Safety in Family Day Care All children have the right to be safe at home, at school and in their child care service. Safe environments are essential for preventing injury, and enabling children to grow and develop (NCAC, 2006; FaHCSIA 1998; FaHCSIA 2007). In line with world trends, more Victorian children now spend time in child care. This reflects many socio-economic changes, including the increasing number of mothers in employment (FaHCSIA, 2005; Gupta, et al. 2005). A study in 2002 claimed that as many as 75 per cent of all children under five, and 50 per cent of infants were in some form of regular child care (Lucarelli, 2002). The most recent Australian Census of Child Care Services reported that FDC schemes represent 4 per cent of total child care services, catering for an estimated 89,300 children across Australia, and an average of 278 children per scheme during the census week. FDC services experienced the largest growth (44 per cent since 2002) compared with long day care centre services (8 per cent ) and outside school hours care (1per cent ) (FaHCSIA, 2005). The increasing number of children attending child care has led to a corresponding concern for their safety in the absence of parental care (Kotch, et al. 1993; Skolnick, 1989; Slack-Smith, et al. 2002). As such, it is imperative for child care providers to avoid incidents, and to promote safety and injury prevention messages and practices in these settings (Taras & Bassoff, 1993; Dilks, 1991; Gupta, et al. 2005; Thacker, et al. 1992; DHS, 2006a; DHS, 2008a; DHS, 2008b). Child injury is the leading cause of death and need for medical care in Australian children aged 0 to 14 years (Berry & Harrison, 2007; Kidsafe, 2000; Cassell & Clapperton, 2007). Each year, around 300 Australian children in this age group die as a result of unintentional injury. A further 60,000 are hospitalised, and many more require some kind of medical attention, with a number of these needing ongoing medical care. Australian statistics indicate that child injury deaths are most commonly associated with motor vehicle incidents (both as a passenger and a pedestrian), drowning in backyard pools and house fires. Injury related hospitalisations are mostly due to falls from nursery furniture and play equipment, poisoning, scalds from hot tap water and hot drinks, cuts from household glass, choking and dog bites. The range of injuries that occur in FDC services, however, is narrower. The types of injuries relate to falls (mostly from playground equipment), products (furniture and toys), impact from another person (child to child collision), and cuts and lacerations (Cummings, et al. 1996; Sellstrom & Bremberg, 2000). Family Day Care, as a service provided within the family home context, contains the same range of risks as the family home in which it is located. Family Day Care Victoria – Child Safety Guidelines 7 Homes and backyards are the most likely place for child injury to occur, mainly because children spend most of their day there. Injury in child care settings was reported to be less severe than in private homes overall, possibly reflecting the more formal safety measures practised (Schwebel, et al. 2006; Kopjar & Wickizer, 1996). While literature on injury specifically in FDC is sparse, the few studies that documented injuries reported no hospitalisations or deaths. Most injuries required medical attention for cuts and lacerations, bumps and bruises, and fractures (Cummings, et al. 1996; Briss, et al. 1994; Chang, et al. 1989). The most recent unpublished data from the Victorian Injury Surveillance Unit (VISU) reported 738 cases of injury in child care settings in Victoria in 2006 (Ashby, 2008). Due to limitations of the data, it is uncertain which of these specifically occurred in family day care settings. The characteristics of the cases reported were predominantly male (60.6%) children aged 0 to 4 years (32 per cent aged 4 years). Over half of the injuries were caused by falls, most of which related to playground equipment. The most common injury sustained was an open facial wound. The severity of injuries appeared minor, with 89 per cent resulting in hospital emergency department presentations, and 9.8 per cent in hospital admissions. Although just a snapshot, these injury characteristics appear consistent with previously reported Victorian injury data for child care settings (Routley, 1993; Cassell & Clapperton, 2007). There is insufficient evidence to link child injury risk with exposure to FDC (i.e. number of hours spent in FDC). However, the 2004 Australian Census of Child Care Services reported that on average, 80 per cent of children attending FDC were in care for under 30 hours a week, mainly between 8am and 6pm. Approximately 7 per cent of children in FDC received extended hours of care overnight between 6pm and 8am. Apart from injury statistics, the other common FDC safety issues in literature include: • Compliance with health and safety standards and regulations—improved regulation has been associated with a decline in child care injury rates (Aronson & Aiken, 1980; Stroup & Thacker, 1995; Addiss, et al. 1995; Runyan, 1991; Currie & Hotz, 2004; FaHCSIA, 1998; Kidsafe, 1993) • Staff limitations and supervision challenges—child injuries have been associated with inadequate supervision. The 2004 Australian Census of Child Care Services reported a lack of formal child care qualifications among the majority of carers, with usually only one carer available to supervise all children in a FDC home (Garzon, et al. 2007; FaHCSIA, 2005) • Location limitations—care is provided in family homes that are designed and built for families rather than groups of children (FaHCSIA, 2005). 8 Family Day Care Victoria – Child Safety Guidelines Child Development Stages and Injury Risks There is strong evidence that age and gender is significantly related to injury rates, with children under five most at risk of injury (Alkon, et al. 2000; Moller & Kreisfeld, 1997; Robertson, 2003; Moller, 1992; MacInnes & Stone, 2008; Aherin & Todd, 1989). Some studies specify that children aged between two and three are at most risk of injury. FDC traditionally caters for younger children, particularly infants and toddlers (Bartlett, et al. 1986). The 2004 Australian Census of Child Care Services, however, indicated a broadened age range of children in FDC care, with 22 per cent under two years of age, and around 23 per cent attending school (FaHCSIA, 2005). More recent evidence recognises age as a complex risk factor. Injury is more closely linked to developmental stages, where children go through physical, psychological and emotional changes within different age ranges. The typical age groups are pre-school 0 to four years, school age 5–14 years, and independent adolescents 15–17 years (NPHP, 2004; Flavin, et al. 2006; Kidsafe, 2000). Understanding a child’s development through each stage can assist in identifying a child’s injury risk at particular ages. This in turn can help in prioritising hazard modifications required to keep children safe. Child Injury is Preventable Injuries do not just occur, but are caused by hazards. A hazard is any object or situation that has the potential to cause an injury (Kidsafe, 2007). The key to preventing injuries is adopting a risk management approach. In managing risk, hazards are identified and injury risks are controlled by removing, reducing, modifying or separating the hazards to prevent the risk of it causing an injury (Caton & Roche, 1999). For example, VISU reported a 55 per cent decrease in the child injury fatality rate in Victoria over the past decade, mainly due to a large reduction in drowning and road fatalities (Cassell & Clapperton, 2007). Organised programs and improved facilities were reported to have considerable benefit in terms of reducing the number of injuries. Child safety in FDC homes can also be maximised by staff and carers simply and effectively monitoring and managing safety risks and hazards (Caton & Roche, 1999). These guidelines and the attached hazard checklist in particular have been designed to assist FDC with this. Evidence indicates that there is no one preferred approach to preventing injuries (DHS, 2006). A range of actions and strategies are required for FDC services, including: 1. Understand that an ‘accident’ is a myth (Evans, 2001; Girasek, 1999). Understand that many injuries can be easily prevented by simple means. Family Day Care Victoria – Child Safety Guidelines 9 2. Constant adult supervision of children is challenging, but is the most effective way to reduce the risk of injury (Saluja, et al. 2004; Garzon, et al. 2007; FaHCSIA, 1998; Kidsafe, 2005; DHS 2006a). It has been reported that one fifth of toddler injuries occurred when children were unsupervised (Garzon, et al. 2007). 3. A safe environment allows children to play safely, and enables staff to supervise and interact with them (NCAC, 2006). Environmental hazards can be minimised by making sure that buildings, grounds, equipment and furniture are safe and well-maintained, and by safely storing and using dangerous products (Pryor, et al. 2002). 4. Having a risk management strategy that is supported by internal policies and procedures for matters such as emergency procedures, sun safety, and injury notification is effective in promoting child safety and injury management (NCAC, 2006; Stuy, et al. 1993; FaHCSIA, 1989). Regularly monitoring and assessing the FDC environment also reduces hazards and risks (Stroup & Thacker, 1995; Ulione & Dooling, 1997). 5. Continuing professional education in child safety has been shown to the strongest predictor of reducing safety hazards in day care centres (Sellstrom & Bremberg, 2000). 6. Effective communication between FDC authorities, staff, carers and parents, and carer awareness of current safety standards and information is an injury prevention strategy in itself (Stonehouse, 2001; Henry, 1996; NCAC, 2006). This recognises the importance of FDC coordinators and carers providing safe environments for children and safety information and advice to families. The ‘Family Day Care Child Safety Guidelines’ in Practice These guidelines are designed to assist FDC services to provide a safe environment for children in FDC homes. The guidelines provide Victorian FDC services with: • Information for existing, new and potential carers about child safety and injury prevention • Resources to help Coordination Units to conduct regular safety audits at individual FDC homes • Training materials for the ongoing professional development of staff and carers • A comprehensive home safety checklist for in and around the FDC home that can be used as an ongoing assessment tool by FDC coordination units and carers. 10 Family Day Care Victoria – Child Safety Guidelines While the guidelines focus on the higher risk age group of children under five years, they also apply to the protection and safety of primary school age children. These guidelines are designed to draw attention to potential hazards and to suggest actions to minimise injury and achieve a minimum level of safety. It is recommended that FDC services use these guidelines in conjunction with current national, state and local legislation and regulations, child care industry guidelines, specific Australian standards. It is recommended that coordination units in FDC services: Use these guidelines for FDC home audits, as well as for regular in-service and professional development to ensure that knowledge of safety and injury prevention is current. Discuss the potential risk areas outlined in section three with the carer during the home assessment. Explain the assessment process and its aim of providing a safe environment for children. Complete the home safety checklist in section four with the carer at least annually. Discuss the danger of any hazards identified, seek strategies with the carer on how best to deal with them, set appropriate time frames, and arrange follow up. It is recommended that carers: Use these guidelines as part of audits as well as regular in-service and professional development to ensure that knowledge of safety and injury prevention is current. Use the home safety checklist as a self-assessment tool to examine any actual or potential hazards. The NCAC recommends that carers check the safety of their homes daily, and not only as part of the annual audit. Family Day Care Victoria – Child Safety Guidelines 11 Section 2: Managing Safety Risks to Prevent Injuries FDC service coordinators play an important role in raising the carer’s understanding of child safety needs within the FDC environment. To achieve safety outcomes, increase diligence and awareness, FDC service coordinators should: • Make explanations clear and comment favourably where appropriate action has been taken. • Reinforce positive steps taken by the FDC carer to ensure the environment was safe. • Encourage carers to be vigilant in recognising and treating hazards as they arise. It is recommended that when carers first receive the guidelines, coordinators have a detailed initial discussion with them about the content and aims of the guidelines. This section outlines key safety approaches and resources that FDC coordinators can use in any safety training or in-service for carers. The Risk Management Approach Injuries are preventable. They happen when hazards go unnoticed and untreated. FDC coordinators and carers need to take a risk management approach to deal with potential safety hazards in and around the home. The following steps outline the risk management process outlined in the Australian standard AS/NZS 4360: STEP 1. IDENTIFY THE HAZARDS Use the home safety checklist in Section Four of this guideline to ask the following questions: • What can happen, where and when? Generate a comprehensive list of potential sources of risk. • Who is being cared for? Consider the children’s stages of development by using the tables that follow in this section. • Why and how can it happen? Consider possible causes and scenarios. STEP 2.ANALYSE THE RISKS Decide the best approach for dealing with the risk identified in Step 1: • Evaluate the controls that are already in place, and consider their effectiveness. • Examine the risk in terms of ‘consequence’ (what could happen) and ‘likelihood’ (the probability of it happening). Use the following table as a guide to deciding how to treat the risk: 12 Family Day Care Victoria – Child Safety Guidelines Consequences Likelihood Major Moderate Minor Likely Red Red Amber Possible Red Amber Green Unlikely Amber Green Green Key: Red: Urgent attention required Amber: Attention required Green: Supervision and awareness of risk STEP 3. EVALUATE THE RISKS Use the information in Step 2 above to make a decision about treating the risk. Prioritise actions according to available time and resources so the most urgent risks are treated first. STEP 4. TREAT THE RISKS Once risks have been identified and evaluated, determine the most appropriate option for treating the risks. These may include: • Removing or avoiding the risk entirely where possible • Reducing the likelihood of the risk by putting measures in place • Using personal safety gear • Closely supervising and keeping within reach of children. Assess the options by preparing a cost-benefit analysis, where appropriate and then implement the treatment. STEP 5. MONITOR AND REVIEW Continue to review the risks and treatment options on an on-going basis to ensure the risk treatment is the most appropriate action. Children’s Developmental Stages Being aware of the child’s stage of development will help FDC carers and coordinators to understand the potential injuries the child faces. It can also assist in identifying and prioritising hazard modifications required to keep children safe. The table below is a summary of the widely used Kidsafe SafeKIDSnow factsheet series, developed for professionals and care givers in the early childhood sector. It shows the most common injuries at various stages of child development. Family Day Care Victoria – Child Safety Guidelines 13 Age Stage of a child’s development Most common injuries Birth to 9 months •Babies will start to wriggle and roll at about 3 months, sit up at about 6 months, and crawl at about 9 months. •Rolling off a change table, bench or bed Babies from birth to crawling •Scalding by being placed in bath water hotter than 38˚C •At this stage children will start to reach •Scalding by a hot drink spilled over the baby and grasp for objects and put them while being held by a carer into their mouths. •Choking on a small item found lying around •Poisoning on medication •Sustaining a road injury by being transported in an incorrectly installed or incorrectly fitted car restraint 9 to 18 months •Babies will now become increasingly mobile and start to walk. Toddlers on the move •Toddlers will become very curious. They will want to open cupboards, turn switches on and off, and seek out items they know exist even if they are hidden from view. •At this stage children will want to ‘test’ everything by putting it in their mouths. •Choking on unsuitable food •Falling out of a high chair, pram, shopping trolley, or falling down stairs or out of cot •Scalding by toddler turning on the hot tap in the bath •Scalding by toddler pulling saucepans down from the stove and spilling hot contents on them •Sustaining burns from heaters and fires without appropriate safety guards •Poisoning by accessing medications, poisons or household chemicals that were previously out of reach •Being hit by vehicles in driveways •Falling out of a high chair, pram or shopping trolley, •Children are now actively exploring or falling down stairs or out of a cot or bed their environment. The smell, taste and texture of things become fascinating. Inquisitive and •Falling off playground equipment invincible •Children will want to do everything •Drowning in swimming pools without an appropriate independently, without help or safety fence, and other water hazards such as interference from the parent or fountains, creeks, dams and buckets other adult. •Poisoning by accessing medications, poisons •Children will begin to run and jump or household chemicals that were inappropriately without fear of heights or danger. stored within reach •At this stage children’s bodies are •Being hit by vehicles on the road by running onto top-heavy, and their lack of balance the road without looking. will cause them to overbalance easily. •Sustaining a head injury by not wearing a safety helmet when riding a tricycle, scooter or bicycle 1 to 3 years 1/ 2 1/ 2 •Being bitten by a dog 14 Family Day Care Victoria – Child Safety Guidelines Age Stage of a child’s development Most common injuries 3 1/2 to 5 years •Children are now becoming increasingly independent and adventurous. •Drowning in swimming pools without an appropriate or adequate safety fence Pre-schoolers: independent •At this stage children have little adventurers understanding of danger. •Their favourite activities include climbing. •Falling from a bicycle, scooter or a piece of playground equipment •Sustaining a head injury by not wearing a safety helmet when riding a bicycle or scooter, and wrist injury by not wearing safety pads on hands/elbows •Being bitten by a dog •Being hit by vehicles on the road by running onto the road without looking 5 to 7 years New environments, new challenges •Children have now developed motor and •Sustaining a road injury by being incorrectly coordination skills that allow them to restrained in a car climb, run and jump with ease. •Being hit by vehicles on the road by running onto the •Behavioural and social skills emerge by road without looking, or crossing the road at incorrect interacting with other children, parents, moments or places carers and teachers. •Falling from a bicycle, scooter or a piece •Children are faced with new physical of playground equipment hazards as they are exposed to new •Sustaining cuts/lacerations from running into environments. windows and glass doors without safety glass •Children’s lack of experience, knowledge and fear expose them to preventable injuries. •At this stage, children’s ability to judge traffic conditions and car speed and distance is not fully developed. Their size also makes it difficult for drivers to see them. Family Day Care Victoria – Child Safety Guidelines 15 Section 3: Understanding Specific Risk Areas This section outlines specific injury risks for children. FDC coordinators and carers will find this comprehensive information useful when they conduct audits of the FDC home. Part 1: Safety Management Safety management is aided by understanding and being prepared for supervision, first aid, communications, emergency evacuation, hazard prevention and home maintenance. 1.1 Supervision The National Standards for Family Day Care (1995) specifies that carers have a duty to provide effective supervision at all times that children are in their care. Carers must supervise children indoors and outdoors, including during outdoor play, toileting and sleeping, and when children are on excursions away from the FDC home. Supervision is a key tenet of the Children’s Services Act 1996. Section 27 requires that staff in licensed children’s services ensure that all children are adequately supervised. Actions for adequate supervision of children include: (a) Supervise all children at the service constantly, actively and diligently (b) Supervise children within sight or sound where multiple areas are available to children at the same time (c) Be alert to and aware of the potential for accidents and injury in the FDC home and yard areas, and within the immediate area of the street perimeter of the property, especially on large regional/farm properties (d) Securely fence outdoor play areas (e) Secure gates in fences with a latch that is inaccessible to children (f) Ensure the number of children being cared for at one time does not exceed recommended child/staff ratios (g) Take special care when a child is eating, drinking or on a change table. 1.2 First aid Actions include: (a) Provide a first aid kit with contents as outlined by an accredited first aid provider (b) Store first aid kits out of reach of children, in an area easily accessible to the carer (c) Undertake first aid training (d) Display a resuscitation chart in a prominent position (e) Undertake training in how to administer an auto injection device (supervised by coordinators) (f) Undertake training in anaphylaxis management when a child being cared for is at risk of anaphylaxis. 16 Family Day Care Victoria – Child Safety Guidelines 1.3 Communications Actions include: (a) Maintain an operating telephone or an alternate effective means of emergency communication (b) Keep a list of emergency and administrative numbers next to each telephone or other means of communication. The list should include the following: •000: Ambulance, Fire Brigade, Police •13 11 26: Poisons Information Centre •Nearest hospital •Authorised supervisor or coordinator of the FDC service. (c) Keep contact details for each child in a private but easily accessible position near the phone or other means of communication. The contact details should include: •Each child’s parent(s) or guardian(s) • Each child’s doctor •Contact numbers(s) other than the parent/guardian as a backup in the event of an emergency. 1.4 Emergency evacuation and excursions Actions include: (a) Develop a plan that will help your carers know what to do in the event of an emergency.* (b) Develop a written evacuation plan, and discuss it with the FDC Coordination Unit (a) Display the written plan inside the home (b) Practise evacuation procedures on a regular basis with children. (c) Assess potential hazards and prepare a risk assessment plan (refer to r. 74) before going on any excursions. 1.5 Hazard protection FDC services and carers can enhance safety by taking every reasonable precaution to protect children from harm or hazards that are likely to cause injury. This can be achieved by undertaking training, conducting regular reviews and audits of the family day care environment, and seeking information or feedback from the FDC coordination unit when they visit the home. Section 26 of the Children’s Services Act outlines the responsibilities of proprietors and FDC carers in the protection of children from hazards. Family Day Care Victoria – Child Safety Guidelines 17 1.6 Home maintenance Section 29 of the Children’s Services Act details the FDC carer’s responsibilities. Actions include: (a) Ensure that the building, grounds, all equipment and furnishings used within the FDC home are maintained in a safe, clean and hygienic condition and are in good repair (b) Undertake regular inspections of the home to assess any maintenance issues (c) Have processes in place to ensure that maintenance is undertaken in a reasonable time. Part 2: Drowning Drowning is the leading cause of unintentional death for children under four. In 2006–2007, 35 infants and toddlers drowned in Australia (RLSSA, 2007). Almost half of these deaths occurred in backyard pools. For every recorded drowning, there are typically another four children hospitalised for near drowning. Although home swimming pools are the most common location for drowning, children can also drown in buckets, pots, water tanks, water features, fishponds, or even a pet’s water bowl. Young children are naturally attracted to water, and must be constantly supervised when they are in, on, or around any water environment. Drowning is silent and can occur quickly in only a few centimetres of water. 2.1Pools and spas As legal requirements for pools and spas vary across municipalities, it is important that regulations with the local authority are understood. Safety actions include: (a) Enclose swimming pools or spas with a barrier that completely separates the pool/spa from the house and other parts of the yard, and complies with current Australian standards (AS1926 Set–2007) (b) Make spas inaccessible with a locked pool cover or an isolation barrier that conforms to the above standard (c) Ensure isolation barriers are at least 1.2m high and have no footholds that would help a young child to climb over (d) Regularly check that the fence supports have not been undermined or become loose (e) Ensure gates are self-closing, self-latching and have a child-resistant lock Regularly check that the locking mechanism is functioning 18 Family Day Care Victoria – Child Safety Guidelines (f) Ensure there is no direct access from the house to the pool (g) Ensure all windows and doors overlooking or opening into the pool area can be locked. Ensure these are locked at all times, except during entry and exit of an adult or a child supervised by an adult (h) Ensure windows that allow direct access to a pool or spa cannot be opened more than 100mm (i) Remove objects that could help a child to climb over a fence, or open a gate, door or window e.g. furniture, plant pots or shrubs growing on the pool fence (j) Remove the external ladder from above-ground pools and store it out of reach of children when not in use (k) Ensure internal ladders are in good working order and are always in place, so that if a child manages to get in, they have some chance of climbing out (l) Display a permanent notice within the pool area detailing resuscitation procedures. 2.2Paddling/wading pools and bathtubs When a paddling/wading pool or bathtub contains water, safety actions include: (a) Maintain constant visual supervision (b) Remain within arm’s reach of children at all times (c) Empty water immediately after supervised use (d) Store paddling/wading pools undercover to prevent the unintentional collection of water, e.g. rain. If water is collected around the home, it should be made inaccessible to children by a fence or barrier (e) Do not leave children in the care of an older child (f) Do not use bath seats/aids under any circumstances. 2.3 Ponds/water features Ensure any pond or garden water feature is: (a) Secured in position and covered by material that will prevent a child’s face getting into the water, or (b) Completely enclosed by a barrier, such as a fence, wall, gate or door. 2.4Creeks, rivers and dams Safety actions for properties that are adjacent to, or provide access to, any creek, river, dam, gully trap, or similar body of water include: (a) Separate the property from the body of water with an effective barrier, such as a fence or wall (b) Completely cover gully traps with a solid material that can support the weight of an adult, and secure the cover in position. Family Day Care Victoria – Child Safety Guidelines 19 2.5Plumbing fixtures and appliances Safety actions for any rooms, areas or cupboards that have a bath, basin, tub, washing machine or similar plumbing fixture or appliance include: (a) Separate the area with doors or gates that have child-resistant catches (b) Store sink and bath plugs out of reach of all children (c) Make pool filters inaccessible to children (d) Cover taps that children could potentially reach with child-resistant tap covers, especially the hot water taps. 2.6 Water containers Safety actions include: (a) Store out of reach of children any movable water containers that could allow a young child’s face to get into the water e.g. nappy buckets, animal drinking bowls, toy buckets, and paddling pools (b) Ensure children have no access to any farm dams, animal feeding Entrance and frontunder garden troughs, etc, unless direct adult supervision (c) Cover drains with steel grids, solid enough to support the child’s weight and narrow enough to ensure that there are no entrapment risks. Return side boundary fence stopping access to driveway & street Rear access door to backyard should be well secured Provide ample storage away from garage Lock for internal access door to garage 1500mm above floor GARAGE HOUSE Front door lock at least 1500mm above floor Don’t obstruct view of gate with planting. Locate with clear view from car Metal grid over fish pond Fence between driveway and front yard DRIVE If there are no barriers/fences in place, ensure that water features such as ponds are covered by material that will prevent a child’s face from getting into the water. 20 Family Day Care Victoria – Child Safety Guidelines Part 3: Falls Falls are the most common cause of hospital admissions for injury among children (AIHW, 2009). No child should be left unattended or unsupervised on any raised surface. 3.1Stairs and balustrades Safety actions include: (a) Ensure the design of stairs and balustrades are in accordance with relevant building codes or standards (b) Ensure stairways, ramps, corridors, hallways, external access balconies or bridges that have one or more sides 1m higher than the floor or ground are bounded by a wall or balustrade (c) Ensure balustrades: (i) Are at least 865mm above the stair tread Stairs (ii) Only have horizontal balconies etc rails or footholds at the top and base. (d) Remove all trip hazards such as loose floor mats, or install non-slip underlay. (e) Keep furniture away from windows, balconies and banister railings (f) Use gates and barriers at the top and bottom of stairs. FIG C FIG A 110mm gap max Tread width Min 1000mm 865mm on stairs Min 3 tread widths Winders should be located at the bottom of a flight Over 600mm hand-rail required, min 1000mm high over 3000mm step see FIG B Going Riser Nosing Safety gates at top and bottom of stairs Additional hand-rail 865mm above stairs 1050mm to 1200mm Tread width FIG D 1050mm to 1200mm Over 3 metres Perforated metal, glass panels or vertical bars max gap 100mm FIG B No doors should swing into the stairs’ landing zone Family Day Care Victoria – Child Safety Guidelines 21 3.2 Play equipment FDC coordinators and carers have a central role in promoting children’s development through play by providing a safe, hazard free and creative play environment. All equipment should be used as per the manufacturer’s instructions and should be appropriate to the child’s age and stage of development. 3.3 Height of play equipment Falls from play equipment are the cause of many playground injuries. Australian standards restrict the height of outdoor play equipment to reduce the distance a child could fall from the equipment to the ground. Carers need to ensure that fall heights comply with the ages of the children that access their play space. The measurements for maximum fall heights are as follows: • 0 to 3 years: up to 1m (recommended only) • 3 years and over: up to 1.5m. Where the fall height is increased, a larger area of fall zone surrounding the play equipment is required . 3.4 Fall zones The area measured around the equipment is referred to as the fall zone. Fall zones are unique for each play environment, so it is important to contact local authorities for further information. Different fall zones are also required for different: • Age groups • Fall heights The measured fall zones surrounding playground equipment must be filled with under surfacing material. 3.5 Under surfacing Under surfacing is designed to minimise injury and absorb the impact of a fall when the fall height is 500mm or more. Asphalt, concrete and grass are not considered under surfacing for this purpose. It is recommended that all heights of 500mm or more above ground level require under surfacing that is compliant with AS/NZ 4422:1996. Options include: • Loose-fill materials such as pine bark • Synthetic grass with an impact layer beneath • A number of portable mat systems that offer impact absorption • Wet-pour rubber surfaces. 22 Family Day Care Victoria – Child Safety Guidelines It is recommended that loose-fill material be installed to a depth of at least 300mm and maintained at a depth of 250mm. Carers need to be careful with the selection of sand as under surfacing, ensuring that the sand also complies with the Australian playground standard. It is important to discuss under surfacing options and seek advice from local playground authorities. 3.6 Maintenance of play equipment Safety actions include: Play equipment should comply with Australian Standards. (a) Ensure that play equipment is strong, sturdy and securely anchored. Secure ropes top and bottom so they cannot form a noose. Ensure that footings are at least 200mm below ground level (b) Ensure play equipment does not have sharp edges, splinters or protruding parts that could pierce skin, tangle or catch clothing (c) Play equipment should comply with Australian Standards. (d) Check all play items regularly for spiders and insects and water catchment (e) Check all play items for rust, detachments or weakening from sun exposure (f) Inspect all chains for rust, and wear and tear. Family Day Care Victoria – Child Safety Guidelines 23 3.7 Swings Safety actions include: (a) Ensure that swings purchased from 2004 onwards comply with AS4685:2004 and older swings comply with AS1924:1981 (b) Ensure swing seats are made of a soft, flexible plastic and have no more than two seats per frame (c) Check the connections of the swing at the seat regularly for sharp, protruding parts (d) Check swing ropes and chains regularly for rust, deterioration, and wear and tear (e) Ensure swing frames are well anchored into the ground, and that under surfacing is provided. 3.8 Trampolines If trampolines are permitted by the local FDC service, the safety actions include: (a) Ensure trampolines comply with AS 4989:2006. This should be marked on the box or included in the trampoline’s information package (b) Completely cover the frame and springs with a frame padding that is a completely different colour to that of the trampoline mat (c) Check the springs and frame regularly to ensure that each part is secure and in good condition (d) Inspect the mat for wear and tear (e) Provide an adequate, clear fall zone around the trampoline with suitable under surfacing. The size will depend on the age groups using the trampoline: • 1.9m fall zone for 0 to 5 years • 2.5m fall zone for school-aged children. (f) Ensure the trampoline is on a flat surface, and secure it to the ground (g) Ensure the area above the trampoline is clear. A minimum clearance of 8m from ground level is recommended (h) Do not provide access to the trampoline by using linking ladders, planks or chairs (i) Supervise children on a trampoline at all times (j) Only allow one child to use the trampoline at any time. 24 Family Day Care Victoria – Child Safety Guidelines 3.9 Inflatable jumping castles Jumping castles are not recommended for FDC services. If inflatable jumping castles are permitted by the FDC service, the safety actions include: (a) Ensure the jumping castle complies with AS 3533.4.1–2005 (b) Avoid using jumping castles on windy days (c) Make sure the jumping castle has an anchorage system and is adequately secured (d) Check the jumping castle for any wear and tear that could result in it deflating and suffocating children (e) Never inflate or deflate jumping castles while children are close by (f) Make sure there are no sharp objects near the jumping castle (g) Always use a safety switch on the power to the jumping castle (h) Use safety mats at entrances and exits (i) Limit the number of children allowed in the jumping castle to decrease the chances of collision that could cause injury (j) Never allow older children to jump with younger children (k) Closely supervise children using the jumping castle (l) Ask about the operator’s experience, safety record and training requirements if hiring a jumping castle (m)Make sure the jumping castle is set up by trained professionals who are familiar with the equipment (n) Ensure the operators have public liability insurance and are familiar with both the equipment and AS 3533.4.1 2005 when hiring a jumping castle. 3.10 Sand pits Sand that can mould together when damp is recommended. Fine white double or triple washed river sand (less than 1.5mm) is ideal. Coarse, gritty sands such as granitic sands should be avoided. Safety actions include: (a) Ensure sandpits remain covered at all times when not in use (b) Regularly check sandpits for animal contamination (c) Encourage children to brush sand from their clothes when exiting the sand pit; this prevents excess sand dropping onto indoor floor surfaces making them slippery. Family Day Care Victoria – Child Safety Guidelines 25 3.11Windows, openings and balconies Safety actions include: (a) Do not open any window or other opening from which a young child could fall more than 1.5 metres by more than 100mm (b) Place all furniture away from balconies and windows, especially those with curtain/blind cords, to prevent access and possible strangulation from cords. 3.12 Outdoor areas Safety actions include: (a) Ensure any tree, shrub, ladder, fence, roof, wall or other object which a young child might and fall over 1.5m from: • Is made inaccessible to children •Contains no hard, jagged or protruding surfaces or objects onto which a child could fall • Is regularly maintained and checked (b) Make inaccessible to children all holes, wells, trenches and excavations. 3.13 Furniture and furnishings A number of standards cover this area and it is important to check local requirements. In addition, sections 26 and 29 of the Children’s Services Act outline FDC carer obligations to protect children from hazards, and provide clean and well-maintained furniture and furnishings. Safety actions include: (a) Make inaccessible all furniture to which a young child could gain access and fall over 1.5m from (b) Put locking devices on drawers to prevent children opening them and using them as steps (c) Secure all potentially unstable pieces of furniture to prevent them from falling onto a child. These include, but are not limited to, chests of drawers, bookcases, televisions and shelving units (d) Use only high chairs that are sturdy and stable, and fitted with a five-point harness. Children should be harnessed using all five points at all times when in high chairs (e) Ensure that cots comply with Australian Standard AS/NZS 2172:2003 (f) Ensure all bedding conforms to a safe sleeping environment as outlined on the SIDS and Kids website (g) Do not use baby walkers, jolly jumpers or indoor swings. These are not recommended for FDC services (h) Do no place baby bouncers on raised surfaces. 26 Family Day Care Victoria – Child Safety Guidelines (i) Keep one hand on the child at all times when using change tables (j) Avoid bunk beds. These are not recommended for children under the age of 9 years. If bunk beds are permitted by a local FDC services, ensure they comply with Australian Standard AS/NZ 4220:2003, and have a fixed ladder and guard rails. Ensure that cots comply with AS/NZS 2172. 3.14 Pram safety Safety actions include: (a) Choose prams that comply with Australian Standard AS/NZ 2088:2000 (b) Ensure children are strapped in using all five points of the harness (c) Keep one hand on the pram at all times when walking a child (d) Use wrist straps if supplied, particularly when walking on paths with an incline (e) Avoid jogger/three wheeler prams as they are less stable than traditional 4-wheel prams. (f) Do not place shopping or toys of excessive weight in the base of the pram as this can cause the pram to become unsteady and topple over (g) Never use a pram as a substitute for a cot. Children should not be left in prams for long periods of time (h) Do not let older children push the pram or stroller without supervision. 3.15 Flooring and stairs Safety actions include: (a) Ensure all floors have a slip resistant surface where possible (b) Secure all rugs and carpets to prevent a child tripping and falling (c) Install gates and barriers at the top and bottom of stairs when young children are in care. Family Day Care Victoria – Child Safety Guidelines 27 Part 4: Burns and Scalds Children under five are at high-risk of injury from smoke, burns and scalds. Heaters, fires, barbecues and irons are all potentially dangerous items that can lead to serious burns, or cause house fires. Other dangers include anywhere that children can access hot water or fluids, and outdoors when they are exposed to the sun. 4.1 Fire and smoke Safety actions include: (a) Install smoke detectors in the home, especially outside bedrooms. Check and change batteries regularly to ensure that they are operational (refer to AS3786–1993) (b) Install a fire extinguisher at a distance from any potential fire source (i.e. stove or oven), so that it is easily accessible in the event of fire. Conduct maintenance of the extinguisher as required (refer to AS 1841.1:1992) (c) Keep a fire blanket at a distance from any potential fire source (i.e. stove or oven) so that it is easily accessible in the event of fire (d) Regularly practise using fire extinguishers and blankets (e) Develop fire escape plans and regularly practise these with the children (f) Teach children to ‘Stop, Drop, Cover and Roll’ if their clothes catch fire, and ‘Get down low and go’ in case of a house fire. 4.2 Hot water HOT WATER BURNS LIKE FIRE! Water at 60˚c can cause a third degree burn to a child’s skin within one second; at 50˚c, it will take five minutes. Scalds from hot water are the most common type of injury, with most of these injuries occurring in the bathroom. Safety actions include: (a) Control hot water service to deliver water at a maximum temperature of 50˚c by installing a temperature-limiting device such as a thermostatic mixing valve or a tempering valve. Ask a plumber for advice, and refer to AS 3500.4 23003 (b) Ensure any exposed hot water pipe, vessel or appliance is kept out of reach of children, or made inaccessible by appropriate barriers (c) Cover taps, especially hot water taps, in the bathroom, kitchen and laundry with child-resistant tap covers, or ensure the tap itself is a child-resistant tap (d) Ensure that the cold water tap is run first and turned off after the hot water tap when children may have access to running water when in the supervision of an adult. 28 Family Day Care Victoria – Child Safety Guidelines 4.3 Hot liquids and foods A hot cup of tea spilled on a young child is comparable to a bucket of hot tea on an adult. Every year over 1,000 Australian children visit hospital emergency departments for scalds from hot liquids alone (VISU, 2007). Because of their relatively small body area, sensitive young skin and low position in relation to hot objects, young children are particularly at risk of suffering severe injuries from scalds or burns. Safety actions include: (a) Keep all hot drinks and hot food out of reach of children until cool enough to consume (b) Use rear elements of the stove first, and turn pot handles to the back. Use stove guards to prevent children reaching pots and spilling hot liquids onto themselves. (c) Take care when heating baby bottles, particularly if they are heated in a microwave oven or by standing in boiling water (d) Choose cordless kettles and place them at the rear of a kitchen bench. Only boil enough water needed for tea/coffee or cooking, and empty the rest. Remember kettles can scald a child even 30 minutes after boiling (e) Avoid using tablecloths. These hang over the table edge, and children can reach and pull them, potentially spilling hot liquids onto themselves. Placemats are a safer alternative. 4.4 Open fires, electrical and other heaters Safety actions include: (a) Ensure any open fire, stove or other fuel-burning space heater is enclosed by a guard/barrier that: •Is placed at least 150mm clear of any hot surface if openings in or around the guard are 20mm or less • Is at least 700mm above and 500mm clear of any hot surface where openings in and around the guard are greater than 20mm • Cannot be removed or displaced by young children • Prevents contact with flames or a hot surface, including flues • Prevents contact with clothing that could be ignited. (b) Do not use portable kerosene heaters, blow heaters or bar radiators, or separate them from children by placing them in a secure, child-resistant location Heaters should be guarded to prevent children coming into contact with the hot surface. Family Day Care Victoria – Child Safety Guidelines 29 (c) Ensure any electric or radiant gas heater, fan heater or similar space heating appliance that has high temperature heating elements or hot surfaces are: • Secured and placed at least 2m above floor level, or • Guarded as specified in 4.4 (a) above (d) Ensure the surface temperature of any heater or other heating appliance will not cause a burn. These appliances include: • Air conditioning duct outlets • Non-fan convection panel • Gas or electric wall furnaces • Electric storage heaters or heat banks • Fan-forced gas/electric heaters with guarded heating elements • Heated towel rails Consider installing a secondary guard to prevent children having contact with the primary heat source and ensure the secondary guard itself does not cause a burn or ignite clothing. 4.5 Matches, lighters and explosive substances Safety actions include: (a) Store matches, lighters, cigarettes, candles, ashtrays and explosive substances in locked cupboards out of reach of children (b) Remove cigarette lighters from vehicles. 4.6 Flammable liquids All flammable liquids should be: (a) Stored in a container that is correctly labelled and designed for the storage of flammable liquids, and (b) Stored out of reach of young children in a secure, child-resistant location. 4.7 Outdoor barbecues and incinerators Safety actions include: (a) Disconnect gas bottles when not in use (b) Operate outdoor barbecue units with care, and keep them out of reach of children (c) Guard barbecues as specified in 4.4 above (d) Do not use incinerators while children are in care (e) Make incinerators inaccessible to young children. 30 Family Day Care Victoria – Child Safety Guidelines 4.8Stoves, ovens and electrical appliances Based on Australian Standards AS/NZ 3350, every stove or oven, including microwave ovens, should be securely fixed in position. Every stove, oven, cooking appliance, boiler, jug, kettle, iron or similar electrical appliance should be: (a) Stored out of reach of young children (b) Made inoperable for young children, or (c) Made inaccessible by an appropriate barrier if it is within reach of children. 4.9 Sun exposure Young children’s skin is thin, extremely sensitive and can burn easily. The more sun exposure during childhood, the greater the risk of skin cancer in later life. Safety actions include: (a) Provide trees, verandas, securely anchored umbrellas, gazebos, or other structures to shade outdoor play areas. Use this shade to shelter the child’s pram or stroller (b) Cover as much of a child’s skin as possible with loose-fitting clothing, and provide a hat to protect the child’s face, neck and ears (c) Apply broad -spectrum 30+ sunscreen at least 20 minutes before going outdoors. Reapply every two hours (d) Place play equipment in an area that is shaded and easily accessible, away from the driveway, pool or other hazards, and that can be visually supervised at all times (e) Plan the day’s activities to minimise exposure to the sun between 10am and 3pm (EST, Daylight saving, 11am to 4pm). These precautions may not be necessary during winter (May to September) when the UV index typically drops below 3, and it is considered safe by the Cancer Council to engage in outdoor play at other times. Family Day Care Victoria – Child Safety Guidelines 31 Part 5: Lacerations, Cuts and Crushing Children can be injured playing with sharp items and falling on unsecured or jagged objects. Once a baby starts crawling, everything within reach will be of interest and will present a possible danger. 5.1Glass Safety actions include: (a) Ensure that glass in doors and windows that are less than 750mm above floor level and have a minimum dimension of 900mm square: • Have safety glass fitted that complies with AS 1288, or • Are guarded to prevent a young child or toy striking or falling against the glass. (b) Ensure other types of glass, such as laminated glass and organiccoated glass, comply with AS/NZS 2208–1996 (c) Change to safety glass where necessary and practical. If changing glass is not an option, consider the following: • Protect with a guard, barrier rails or recessed sills •Place brightly coloured stickers at adult and child height on any large glass panel or sliding door to increase visibility • Ensure glass areas are well lit at all times • Apply an organic-coated plastic safety and security film. 5.2 Sharp, pointed and jagged objects Safety actions include: (a) Store knives, scissors and sharp kitchen utensils securely, and keep out of reach of children (b) Ensure other sharp, pointed or jagged objects, or materials that could be broken and produce sharp, pointed or jagged parts, are not accessible to children. These materials include bottles, wire, plants and building materials (c) Place corner protectors on furniture such as tables or benches that have corners less than 900mm above floor level. 5.3 Tools, machinery and appliances It is recommended that all power tools, electrical appliances, exercise machines, cooling units (e.g. fans), petrol or fuel-driven machines, mechanical devices, tools or implements be: (a) Made inaccessible for young children (b) Stored out of reach of young children (c) Made inoperable for young children. 32 Family Day Care Victoria – Child Safety Guidelines 5.4 Furniture Children love to climb and explore heights, especially furniture. This can cause the furniture item to fall and injure the child, sometimes fatally. Many children are admitted to hospital each year with this type of injury. Safety actions include: (a) Always discourage children from climbing on furniture (b) Move unstable furniture from areas where children play (c) Remember that a child may use a chest of drawers or shelves as a ladder (d) Secure all tall furniture to a wall using angle braces or anchors (e) Put locking devices on drawers to prevent children opening them and using them as steps (f) Never place tempting items such as toys on top of furniture or on high shelves. This encourages children to climb up (g) Avoid using tablecloths as children can pull the cloth and what is on top onto them (h) Do not place large televisions on small or unstable surfaces as they can easily over-balance and tip over on a child. Doors and windows 5.5 Windows Awning (top-hinged) or casement (side-hinged) windows should not open out over a path or play area. This creates a potential opportunity for young children to come into contact with the window edge whilst engaged in physical activity. Upper sash of double hung windows could open fully for good ventilation and escape of hot air Visible symbols at adult eye level Midrail at child height A chain of specified length which, when attached, secures opening to maximum recommended width of 100mm Laminated glass below midrail level Temporarily restricted to 100mm maximum opening Awning sash opening Temporarily restricted to 100mm maximum opening 100mm max Sliding sash Heavy duty insect screen removable from inside Temporarily restricted to 100mm maximum opening Family Day Care Victoria – Child Safety Guidelines 33 Part 6: Entrapments, Strangulation and Suffocation 6.1Furniture gaps Gaps in furniture, doors, stairs, cots, bunk beds, etc, that are large enough for a child to fall through, but small enough that the child’s head cannot pass through, may lead to head entrapment and strangulation. Similarly, small gaps may lead to finger entrapment and amputation (particularly door jambs). Children under three years are most at risk of finger jam injuries. Safety actions include: (a) Ensure all gaps are smaller than 89mm or larger than 230mm to prevent head entrapment (b) Ensure all gaps are smaller than 8mm or larger than 25mm to prevent finger entrapment (c) Modify doors by: • Installing catches or self-closing springs on front and back of doors to keep them open • Installing special door strips to guard the hinge side of doors, or • Using chocks, wedges or catches to keep doors from slamming shut. Sufficient barriers should be put in place to stop children gaining access to any areas underneath floors or buildings. 6.2 Blind and curtain cords Blind and curtain cords pose an injury or strangulation risk for young children, particularly those under the age of three. Safety actions include: (a) Ensure the length of any blind or curtain cord is minimised by securing them at least 1.5m above the floor, and using cord tensioning devices or cleats to attach them to the wall well out of reach of children (b) Place nursery furniture such as cots and change tables well away from windows to prevent children being able to reach and pull on the cord (c) Ensure any other cord commonly found in the house (e.g. rope, clothes line, part of furniture/toy/play equipment, and electrical cords) that could lead to entrapment of the head, neck, limb, fingers or clothing of a young child is placed out of reach. 6.3 Suffocation Safety actions include: (a) Ensure all plastic bags are stored out of reach of children and, where possible tie a knot in them to prevent a child from placing them over their head 34 Family Day Care Victoria – Child Safety Guidelines (b) Store containers that could become lodged over a child’s head out of reach of children (c) Ensure that, where children have access to cushions and pillows in the play environment, they are adequately supervised at all times (d) Store any bean bags in an area out of reach of children. Part 7: Poisoning Each year in Victoria, the Poisons Information Centre receives thousands of calls from concerned parents and carers. Poisonings often happen quickly, when adults are distracted or not in the room. Many products and materials that are used and kept in the home are poisonous to children. Poisonings may be avoided by storing potential poisons, such as medication, household cleaners, garden products, petroleum products, alcohol and other similar substances out of reach of young children. Poisons should be stored out of reach of children in a lockable cupboard fitted with a child-resistant latch. More than 80 per cent of poisonings occur when a product or medicine is not in its usual storage location. On these occasions, the product may have been used and left on a bench-top or bedside table, or may have been purchased and is being transported from the shop to home. 7.1Poisonous substances Safety actions include: (a) Use only poisonous substances that have child resistant closures where possible Ensure all child resistant closures are engaged when they are not being used (b) Store poisonous substances in their original containers (c) Return poisonous substances to their safe place immediately after use (d) Ensure poisonous substances are stored and used in conditions as indicated on the product label (e) Do not use poisonous substances in the presence of children (f) Display a permanent notice near the telephone detailing the Poisons Information telephone number (13 11 26) and other relevant emergency contacts in case of a poisoning (g) Call 000 in case of poisoning or suspected poisoning, and take the poison container to the phone (h) Ensure that a child with suspected poisoning is in constant contact with an adult. Family Day Care Victoria – Child Safety Guidelines 35 7.2Household chemicals Dishwasher detergent and powders are highly caustic. The residue left in the dispenser after the dishwasher has been through its cycle is enough to cause permanent damage if ingested by a young child. Safety actions include: (a) Keep the dishwasher door securely closed (b) Fill the appliance only when it is about to used (c) Keep all cleaning products stored in a child resistant cupboard (d) Empty the dishwasher only when there are no young children present. 7.3Medications Paracetamol is responsible for the majority of poisonings in children. This is due to adults unintentionally overdosing children, and children having easy access to paracetamol. Many people carry paracetamol and other prescription drugs in their bag or purse, and because it is not considered to be a dangerous poison, leave it in areas accessible to children. These products are also often not fitted with child resistant closures, that makes it easy for a child to access relatively large and thus harmful doses. Be aware that ‘child resistant’ does not mean ‘child proof’. Eucalyptus oil and other ‘natural’ substances can also be harmful to children, even in relatively small dosages. Chest rubs and vaporiser fluids are not recommended for use in FDC services. They contain camphor and eucalyptus oil, which are poisonous and can harm children if ingested. Safety actions include: (a) Ensure that all paracetamol, prescription and non-prescription medications, chest rubs, essential oils etc. are stored out of reach and are inaccessible to children at all times (b) Stock only medications that have child resistant closures where possible. (c) Ensure all child resistant closures are engaged when they are not being used (d) Ensure all refrigerated medications are out of reach of a young child, and that the fridge is fitted with a child resistant latch (e) Administer medication as prescribed or as per instructions on the original packaging, and keep an appropriate record. The parent of guardian must approve any medications to be administered (f) Administer medications to children in a well-lit room in order to give the correct dosage 36 Family Day Care Victoria – Child Safety Guidelines (g) Always adhere to the minimum time frames in between dosages as prescribed, as many medications have a cumulative affect and will remain in a child’s system. 7.4Poisonous plants and trees It is recommended that carers and coordinators research the plants existing in gardens, as well as new plants, to ensure a safe and hazard free outdoor play environment. If unsure, carers should consult their local garden nursery, or the Poisons Information Centre. This is particularly an issue for toddlers (0 to 3 years) who are still at the mouthing stage of development. Safety actions include: (a) Check children’s play area and check that plant species are safe (b) Remove or make inaccessible to young children plants that produce berries, nuts or pods that can pose a choking hazard. 7.5 Alcohol Safety actions include: (a) Store alcohol and alcoholic beverages in their original containers (b) Keep all alcohol and alcoholic beverages stored in a child resistant cupboard inaccessible to children. Part 8: Road Safety Road trauma is the major cause of death and injury for Victorian children (VISU, 2007). This is largely due to children not wearing seat belts, or wearing inappropriate or incorrectly fitted restraints or seat belts. About 70 per cent of young children injured on the roads each year are passengers in vehicles. (VicRoads) 8.1 Vehicle safety Every person responsible for transporting children in a motor vehicle must hold a current and appropriate drivers’ licence. Other safety actions include: (a) Ensure all motor vehicles used for transporting children in the course of FDC services are registered, roadworthy and appropriately insured (b) Ensure all vehicles are fitted with Australian Standard approved child restraints that are: • Sufficient in number • Appropriate to the age and size of all children to be carried. (c) Avoid two-door vehicles. These are not recommended for transporting children in FDC services Family Day Care Victoria – Child Safety Guidelines 37 (d) Seat children in the back seat of cars, especially if the car is fitted with passenger airbags (e) Have safety bolts checked by an accredited fitting organisation (f) Do not use second hand restraints (g) Restrain each child with an appropriate harness or seat belt when in the car (h) Think about the access children have to car doors and windows whilst the vehicle is moving. Where possible, engage safety door and window locks, and only allow the driver to control them (i) Secure all motor vehicles, including cars, motorbikes, tractors and ride-on mowers so that children cannot access these unsupervised under any circumstances. Children are less likely to receive a serious head injury when seated in the rear of a vehicle. PLEASE NOTE: From November 2009 new rules will apply for the use of child restraints and booster seats in vehicles. Refer to VicRoads at http://www.vicroads. vic.gov.au for updated advice. Child restraints should be appropriate to the age and size of the child. 8.2Driveway safety Child driveway incidents are increasing each year in Australia, with most cases being caused by a parent, relative or friend. Small children can be impossible to see from inside a car, especially if they are immediately 38 Family Day Care Victoria – Child Safety Guidelines behind it. The rear vision in most cars has a blind spot for as much as three metres behind the car, which can easily obscure a child. Even if a car has parking sensors or a video camera fitted, the driver may not notice a small child until it is too late. Small children move surprisingly quickly. Fences, gates and external doors should restrict access to dangerous areas such as driveways and roadways. Safety actions include: (a) Provide appropriate supervision at all times (b) Do not allow children to use driveways as a play area (c) Make access to the driveway from the house difficult for a child, possibly using security doors, fencing or gates (d) Ensure that all children are either holding the hand of an adult, are securely in the vehicle with you, or are securely separated from the driveway or road when moving a vehicle (e) Always walk around the vehicle and check the area before moving it, even if you think children are secured indoors. 8.3 Pedestrian safety Pedestrian injuries can be severe but like all unintentional injuries, they are avoidable. Precautions are particularly pertinent in the FDC setting as carers can have several children in their care at any time. An appropriate safety action is that FDC services assist carers to establish policies relating to pedestrian safety within their community setting. 8.4High temperatures in vehicles The temperature inside a parked car during the Australian summer increases rapidly, and can be as much as 20 to 30 degrees hotter than the outside temperature. The smaller the child is, the quicker they can dehydrate or die in such a closed, stifling environment. Safety actions include: (a) Lock every motor vehicle parked on the property when not in use and store the keys in a secure location out of reach of young children (b) Do not leave children unattended in a motor vehicle at any time (c) Provide children with plenty of cool fluids, preferably water, during car trips (d) Plan car journeys for the cooler hours of the day (e) Cool the car down as much as possible before putting children in the car (f) Park undercover or in the shade where possible to reduce the amount of the direct sunlight hitting the car (g) Use a visor or sunshade on passenger windows to filter the sun’s rays. Family Day Care Victoria – Child Safety Guidelines 39 Part 9: Toy Safety 9.1Toys and games Toys should comply with AS/NZ ISO 8142 where applicable. Carers must consider the safety and age-appropriateness of all toys. Safety actions include: (a) Choose toys or play equipment that do not have sharp edges, sharp points or hooks, splintery surfaces, heavy moving parts, or parts that crush, or which are capable of launching projectiles. Store any such toys out of reach of young children (b) Ensure that items used for toy storage do not have lids that could crush or entrap a child’s hand or fingers (c) Ensure that toys or other play equipment do not contain toxic material (d) Adhere to age appropriate warning labels on toy packaging (e) Avoid the use of baby walkers, jolly jumpers and inside swings. 9.2 Small wheels (e.g. ride ons, tricycles, bikes) Bikes are not recommended for young children in the FDC setting. If older children do use bikes, tricycles, skateboards or another wheeled device, it is recommended that carers: (a) Ensure children always wear a helmet that complies with AS 2063 (b) Restrict children to safe play areas away from slopes, stairs, roads and changes in level (c) Ensure tricycles are the right size for young children (d) Encourage children to wear wrist guards and knee guards where possible. 9.3 Motorised toys Motorised toys with wheels are not recommended for use by any children in the FDC setting. These include, but are not limited to: (a) Motorised scooters (b) Wheeled All Terrain Vehicles (ATVs) (c) Mini motor bikes. 40 Family Day Care Victoria – Child Safety Guidelines Part 10: Pets and Other Animals 10.1Domestic pets Pets are not recommended to be kept in FDC services. However if an individual provider has a pet, then risk minimisation strategies must be implemented to reduce contact with the pet in order to avoid a child being bitten or injured. Younger children are most at risk of being bitten by animals as they are unable to understand animal behaviour, and are likely to aggravate or intimidate animals. These injuries typically occur to the face of the child. Many dog bites sustained by children are by the family dog or a dog known to them. Safety actions include: (a) Make dogs inaccessible to children in care, and keep them in a separate area from children, whether inside or out (b) Maintain protected runs, and ensure they separate the family pet and the children (c) Ensure fencing restricts penetration by small fingers. 10.2 Farm animals Young children should not be able to get close to farm animals or other potentially dangerous animals, unless under the strict supervision of the carer. At FDC services located on farms or during FDC excursions to farms, the carer should directly supervise all children at all times. Part 11: Choking, Inhalation or Ingestion of Foreign Bodies Anything smaller than 30mm in diameter is a potential choking hazard for young children. Recommended safety actions include: (a) Store any objects that are less than 30mm in diameter out of reach of young children (b) Store any object that could possibly smother or suffocate (e.g. plastic bags, pillows, cushions) out of reach of young children (c) Avoid all hard items, including small food items, for young children (e.g. small beads, peanuts) (d) Be wary of toys that contain magnets, small removal parts or parts that may break off and cause significant damage if ingested. Family Day Care Victoria – Child Safety Guidelines 41 Safety actions for when young children are eating include: (a) Always supervise young children while they are eating (b) Make sure that young children sit quietly while they are eating (c) Do not force young children to eat (d) Do not give foods that can break off into hard pieces (e) Avoid raw carrot and celery sticks, and apple pieces—grate, cook or mash these foods (f) Cut sausages, frankfurts and other meats into small pieces, and remove their skins (g) Do not provide popcorn, nuts, hard lollies, corn chips or other similar foods (h) Avoid soft foods such as marshmallows or soft bread covered in peanut butter that can mould to the shape of a young child’s windpipe and easily lead to choking. Part 12: Electrocution Electrical currents are a significant cause of death and injury in Victoria. Particularly at risk are children playing with electrical equipment, and very young children placing items such as pins into live electrical sockets or appliances. It is strongly recommended that all homes be fitted with electrical safety switches that comply with AS/NZS 3350. These safety switches can only be installed by a registered electrician. They are installed in the home power switchboard, and turn electricity off when an electrical surge or fault develops in wiring or appliances. Safety actions include: (a) Ensure household wiring, plugs, cords and appliances are in good order and comply with the relevant standards (b) Do not use electrical appliances in wet areas such as the bathroom. If electric heaters are needed, only use those mounted in the ceiling, high on the wall or under the floor (c) Ensure electrical equipment is effectively guarded or shielded and cannot be reached or operated by young children (d) Ensure children do not play with electrical wiring or electrical items (e) Perform basic maintenance such as changing bulbs with the power off and preferably when children are not in attendance (f) Use electrical plug-in covers or similar devices to prevent young children poking things into power points (g) Unplug items not in use and store them away. 42 Family Day Care Victoria – Child Safety Guidelines Part 13: Guns and Weapons Ensure guns and weapons are not kept on the premises of any FDC service. At farm-based FDC homes where the need for weapons and guns may be justified, it is essential that the weapon owner provides their gun licence. Safety actions include: (a) Lock away guns and ammunition when the FDC service is operating (e.g. in the shed away from main FDC area) (b) Store guns and ammunition separately (c) Keep locked cabinets and cupboards for guns and ammunition strictly out of reach of children. ‘There are few incidents that can be identified as a firearms accident. In almost every case at least one principle of the NATIONAL FIREARMS SAFETY CODE will have been breached.’ National Firearms Safety Code The National Firearms Safety Code is produced by the Commonwealth Attorney-General’s Department, Canberra. Family Day Care Victoria – Child Safety Guidelines 43 Section 4: Checking the Family Day Care Home for Safety The Home Safety Checklist The Checklist is for both Family Day Care Coordination Units and carers to use. The Family Day Care Coordination Unit and the carer should use the checklist as part of the annual safety audit. The checklist may be used more frequently depending on the individual carer’s needs and the outcome of visits by the Family Day Care service. Carers are encouraged to use the checklist as a more regular selfassessment tool. The Home Safety Checklist is divided into the following three sections: (a) Indoor Safety (b) Vehicle Safety (c) Outdoor Safety The checklist is very comprehensive, but if you identify any additional safety items, you can include them in the space provided at the end of the relevant section. To complete the checklist, you need to: (a) Go through the checklist page by page to check the safety issues in each room or area. (b) Fill out the checklist summary. This page is attached to the back of the checklist, and allows you to compile a handy summary of the safety issues you have identified that need action. 44 Family Day Care Victoria – Child Safety Guidelines Indoor Safety Safety Management Item no. Safety issue Potential injury Safety issue managed? 1 Is there a telephone or another Delay in way of communicating that can be assistance used at all times? Yes No 2 Is there a list of emergency telephone numbers displayed? Delay in assistance Yes No 3 Is an evacuation plan displayed? Burns Yes No Details of action needed Multiple injuries 4 Is there evidence that emergency procedures are practised? Burns Are smoke detectors in good working order? Burns 6 Can the number of the house be clearly seen from the street? Delay in assistance Yes No 7 Is the first aid well stocked and easy for the carer to reach? Delay in treatment Yes No 8 Is the first aid kit out of reach of children? Poisoning Yes No 9 Does the carer have a current first aid certificate? Delay in treatment Yes No 10 Does the carer have an auto injection device, and is the carer trained to use an auto injection device? Delay in treatment Yes No 11 Does the carer carry a list of children’s emergency contact numbers when out of the house? Delay in assistance or communication Yes No 12 Are all guns stored separately from ammunition? Multiple injuries Yes No N/A 13 Are all guns and ammunition stored out of reach of children? Multiple injuries Yes No N/A 14 Are matches, oil burners, incense and lighters kept out of reach of young children? Burns 5 Yes No Multiple injuries Yes No Multiple injuries Yes No Poisoning External Emergencies Is there an emergency plan in place Do carers understand what to do in an emergency Family Day Care Victoria – Child Safety Guidelines 45 Entrance Item no. Safety issue Potential injury Safety issue managed? 15 Is the front door locked? Multiple injuries Yes No 16 Are the front door keys near the door, but out of reach of children? Multiple injuries Yes No 17 Is the entrance free from obstructions? Falls Yes No 18 Do all unused power points that children can reach have safety plugs? Electrocution 19 Are all glass doors and floor to ceiling windows: Laceration Yes No N/A Yes No N/A Multiple injuries Yes No • made of safety glass • laminated, or • made with safety film? 20 Are all glass doors and floor to ceiling windows marked with stickers at adult and child’s eye level? Laceration 21 Are items that could fall onto children, securely locked, fixed, or guarded? Multiple injuries Other safety issues/Comments 46 Family Day Care Victoria – Child Safety Guidelines Yes No Details of action needed Kitchen Room is out of reach of children via barrier: locked door/fence/gate/other (specify) Item no. Safety issue Potential injury Safety issue managed? 22 Does the room have a door or gates fitted with child-resistant catches for times when it is not being used? Multiple injuries Yes No N/A 23 Are the cook top and appliances (toaster, electric kettle etc.) out of reach of children? Burns Are the stove, oven and microwave securely fixed in position? Burns 25 Are all sharp objects (knives, glass containers etc.) out of reach of children? Cuts Yes No 26 Are all cleaning products stored in their original containers? Poisoning Yes No 27 Are all cleaning products stored in a locked cupboard out of reach of children? Poisoning Yes No 28 Are the hot water tap and the sink out of reach, or unable to be opened by children? Scalds Yes No 29 Does the floor have a non-slip surface? Falls Yes No 30 Are plastic bags etc. out of reach of young children? Suffocation Yes No 31 Are all curtain and blind cords out of reach of children? Strangulation Yes No 32 Are all electrical cords and leads kept out of reach of children? Electrocution Yes No Are matches, oil burners, incense and lighters kept out of reach of young children? Burns Is the dishwasher door closed and unable to be opened by a young child? Poisoning Are tablecloths kept out of use when children are in care, or are they fitted securely to the table? Multiple injuries 24 33 34 35 Details of action needed Yes No Electrocution Yes No Crushing Strangulation Yes No Poisoning Yes No N/A Multiple injuries Yes No Family Day Care Victoria – Child Safety Guidelines 47 Kitchen (cont) Room is out of reach of children via barrier: locked door/fence/gate/other (specify) Item no. Safety issue Potential injury Safety issue managed? 36 Is there a fire blanket or fire Burns extinguisher in easy reach of the carer, but out of reach of children? Yes No 37 Are all alcoholic drinks safely stored in original containers and kept out of reach of children? Poisoning Yes No 38 Do all unused power points that children can reach have safety plugs? Electrocution Yes No 39 Are all glass doors and floor to ceiling windows made of safety glass, laminated, or made with safety film? Laceration Yes No N/A 40 Are all glass doors and floor to ceiling windows marked with stickers at adult and child’s eye level? Laceration Yes No N/A Other safety issues/Comments 48 Family Day Care Victoria – Child Safety Guidelines Details of action needed Bathroom Room is out of reach of children via barrier: locked door fence/gate/other (specify) Safety issue managed? Item no. Safety issue Potential injury 41 Are electrical appliances unplugged, and cords kept out of reach of young children? Electrocution Yes No 42 Do all unused power points that children can reach have safety plugs? Electrocution Yes No 43 Are hot water taps for the basin and bath out of reach, or unable to be opened by young children? Scalding Yes No 44 Are bath and sink plugs stored out Drowning of reach of young children? Yes No 45 Are medicines, poisons and toilet deodorising blocks stored in a locked cupboard out of reach of children? Poisoning Yes No 46 Are medicines and poisons stored in their original containers and clearly labelled? Poisoning Yes No 47 Are razors, scissors and other sharp objects stored out of reach of children? Cuts Yes No 48 Does the room have a door or gates fitted with child-resistant catches for times when it is not being used? Drowning Yes No 49 Are doors with locking devices able to be opened from the outside at all times? Delay in medical attention Yes No 50 Are all mats on slippery surfaces secure? Falls Yes No 51 Are all curtain and blind cords out of reach of children? Strangulation Yes No 52 Are all electrical cords and leads kept out of reach of children? Electrocution Yes No Details of action needed Electrocution Scalding Strangulation Other safety issues/Comments Family Day Care Victoria – Child Safety Guidelines 49 Laundry Room is out of reach of children via barrier: locked door/fence/gate/other (specify) Item no. Safety issue Potential injury Safety issue managed? 53 Are all cleaning products stored in Poisoning a locked cupboard out of reach of children? Yes No 54 Are cleaning products stored in their original containers? Poisoning Yes No 55 Are all buckets (including nappy buckets) stored out of reach of children? Drowning Yes No 56 Are all sink plugs stored out of reach of children? Drowning Yes No 57 Does the room have a door or gates fitted with child-resistant catches for times when it is not being used? Drowning Yes No 58 Is the room easy for adults to enter? Drowning Yes No 59 Are all objects smaller than a 50-cent piece out of reach of children? Choking Yes No 60 Are all plastic bags etc. out of reach of children? Suffocation Yes No 61 Do all unused power points that children can reach have safety plugs? Electrocution Yes No 62 Is the dryer or front-loading washing machine out of reach of children? Multiple injuries Yes No 63 Are the ironing board and iron securely stored in a stable position? Multiple injuries Yes No 64 Are doors with locking devices able to be opened from the outside at all times? Delay in medical attention Yes No 65 Are hot water taps out of reach, or unable to be opened by young children? Burns Yes No 66 Are all curtain and blind cords out of reach of children? Strangulation Yes No 67 Are all electrical cords and leads kept out of reach of children? Electrocution Yes No Other safety issues/Comments 50 Family Day Care Victoria – Child Safety Guidelines Poisoning Strangulation Details of action needed Living areas Room is out of reach of children via barrier: locked door/fence/gate/other (specify) Safety issue managed? Item no. Safety issue Potential injury 68 Are all sharp edges on tables and benches padded? Laceration Yes No 69 Are furniture and furnishings in good condition that creates no safety problems? Falls Yes No 70 Are glass doors marked with stickers at adult and child’s eye level? Laceration Yes No N/A 71 Do lower level windows have safety glass, shatter-resistant film or a guard? Laceration Yes No N/A 72 Are tablecloths kept out of use when children are in care, or are they fitted securely to the table? Multiple injuries Yes No 73 Is all furniture that a child could climb and fall 1.5 metres from removed, securely fixed or guarded? Falls Yes No 74 Are all curtain and blind cords out of reach of children? Strangulation Yes No 75 Are all electrical cords and leads kept out of reach of children? Electrocution Yes No 76 Do all unused power points that children can reach have safety plugs? Electrocution 77 Do all open fires and stoves have guards that keep them out of reach of children? Burns Yes No N/A 78 Are portable kerosene heaters out Burns of reach, or unable to be operated by children? Yes No N/A 79 Is the outside surface of the space Burns heater cool when it is operating? Yes No N/A 80 Do all pieces of furniture Laceration containing glass have safety glass or shatter-resistant film, or are they guarded? Yes No N/A 81 Is the room free of heavy pieces of furniture that could fall onto a child? Crushing Yes No 82 Are all objects smaller than a 50-cent piece out of reach of children? Choking Yes No Details of action needed Strangulation Yes No Family Day Care Victoria – Child Safety Guidelines 51 Living areas (cont) Room is out of reach of children via barrier: locked door/fence/gate/other (specify) Item no. Safety issue Potential injury Safety issue managed? 83 Are internal rises of more than 3 steps out of reach of children? Falls Yes No N/A 84 Are matches, fragrant oil burners, incense and lighters kept out of reach of young children? Burns Yes No 85 Are fans and free-standing air conditioners secure and stable? Multiple injuries Yes No N/A 86 Are beanbags stored in an area out of reach of children? Suffocation Yes No N/A 87 Are any objects that could trap a child’s head, legs or arms removed or out of reach of children? Entrapment Yes No Other safety issues/Comments 52 Family Day Care Victoria – Child Safety Guidelines Poisoning Details of action needed Bedroom 1 (Master) Room is out of reach of children via barrier: locked door/fence/gate/other (specify) Safety issue managed? Item no. Safety issue Potential injury 88 Is all furniture that a child could climb and fall 1.5 metres from removed, securely fixed or guarded? Falls 89 Are all windows or other openings Falls more than 1.5 metres above the ground fixed so they cannot be opened more than 100 mm? 90 Do all unused power points that children can reach have safety plugs? Electrocution 91 Do the cots comply with the Australian Standard AS/NZS 2172:2003? Multiple injuries Yes No N/A 92 Are change tables located away from overhanging blind and curtain cords? Strangulation Yes No N/A 93 Do the cots conform to the safe sleeping environment as outlined by ‘SIDS and Kids’? Suffocation Yes No N/A 94 Are all bumpers, pillows and mobiles removed from cots? Suffocation Yes No N/A 95 Are toiletries, medication, sleeping pills, perfume, jewellery, sharps and plastic bags all out of reach of children? Choking Details of action needed Yes No Yes No N/A Yes No Yes No Cuts Poisoning Suffocation 96 Are matches, fragrant oil burners, incense and lighters kept out of reach of young children? Burns Yes No 97 Are all objects smaller than a 50-cent piece out of reach of children? Choking Yes No 98 Are all curtain and blind cords out of reach of children? Strangulation Yes No 99 Are all electrical cords and leads kept out of reach of children? Electrocution Yes No Poisoning Strangulation Other safety issues/Comments Family Day Care Victoria – Child Safety Guidelines 53 Ensuite Room is out of reach of children via barrier: locked door/fence/gate/other (specify) Safety issue managed? Item no. Safety issue Potential injury 100 Are electrical appliances unplugged, and cords kept out of reach of young children? Electrocution Yes No 101 Do all unused power points that children can reach have safety plugs? Electrocution Yes No 102 Are hot water taps to the basin and bath out of reach or unable to be opened by young children? Scalding Yes No 103 Are bath and sink plugs stored out of reach of young children? Drowning Yes No 104 Are medicines, poisons and toilet deodorising blocks stored in a locked cupboard out of reach of children? Poisoning Yes No 105 Are medicines and poisons stored in their original containers and clearly labelled? Poisoning Yes No 106 Are razors, scissors and other sharp objects stored out of reach of children? Cuts Yes No 107 Does the room have a door or gates fitted with child-resistant catches? Drowning Yes No 108 Are doors with locking devices able to be opened from the outside at all times? Delay in medical treatment Yes No 109 Are all mats on slippery surfaces secure? Falls Yes No 110 Are all curtain and blind cords out of reach of children? Strangulation Yes No 111 Are all electrical cords and leads kept out of reach of children? Electrocution Yes No Other safety issues/Comments 54 Family Day Care Victoria – Child Safety Guidelines Electrocution Scalding Strangulation Details of action needed Bedroom 2 Room is out of reach of children via barrier: locked door/fence/gate/other (specify) Safety issue managed? Item no. Safety issue Potential injury 112 Is all furniture that a child could climb and fall 1.5 metres from removed, securely fixed or guarded? Falls 113 Are all windows or other openings Falls more than 1.5 metres above the ground fixed so they cannot be opened more than 100 mm? 114 Do all unused power points that children can reach have safety plugs? Electrocution 115 Do the cots comply with the Australian Standard AS/NZS 2172:2003? Multiple injuries Yes No N/A 116 Are change tables located away from overhanging blind and curtain cords? Strangulation Yes No N/A 117 Do the cots conform to the safe sleeping environment as outlined by ‘SIDS and Kids’? Suffocation Yes No N/A 118 Are all bumpers, pillows and mobiles removed from cots? Suffocation Yes No N/A 119 Are toiletries, medication, sleeping pills, perfume, jewellery, sharps and plastic bags all out of reach of young children? Choking Cuts Poisoning Suffocation Yes No 120 Are matches, fragrant oil burners, incense and lighters kept out of reach of young children? Burns Poisoning Yes No 121 Are all objects smaller than a 50-cent piece out of reach of children? Choking Yes No 122 Are all curtain and blind cords out of reach of children? Strangulation Yes No 123 Are all electrical cords and leads kept out of reach of children? Electrocution Strangulation Yes No 124 Is the top bunk out of reach of children e.g. has the ladder been removed, or is the bunk guarded? Falls Details of action needed Yes No Yes No N/A Yes No Yes No N/A Other safety issues/Comments Family Day Care Victoria – Child Safety Guidelines 55 Bedroom 3 Room is out of reach of children via barrier: locked door/fence/gate/other (specify) Safety issue managed? Item no. Safety issue Potential injury 125 Is all furniture that a child could climb¸ and fall 1.5 metres from removed, securely fixed or guarded? Falls 126 Are all windows or other openings Falls more than 1.5 metres above the ground fixed so they cannot be opened more than 100 mm? 127 Do all unused power points that children can reach have safety plugs? Electrocution 128 Do the cots comply with the Australian Standard AS/NZS 2172:2003? Multiple injuries Yes No N/A 129 Are change tables located away from overhanging blind and curtain cords? Strangulation Yes No N/A 130 Do the cots conform to the safe sleeping environment as outlined by ‘SIDS and Kids’? Suffocation Yes No N/A 131 Are all bumpers, pillows and mobiles removed from cots? Suffocation Yes No N/A 132 Are toiletries, medication, sleeping pills, perfume, jewellery, sharps and plastic bags all out of reach of young children? Choking Cuts Poisoning Suffocation Yes No 133 Are matches, fragrant oil burners, incense and lighters kept out of reach of young children? Burns Poisoning Yes No 134 Are all objects smaller than a 50-cent piece out of reach of children? Choking Yes No 135 Are all curtain and blind cords out of reach of children? Strangulation Yes No 136 Are all electrical cords and leads kept out of reach of children? Electrocution Strangulation Yes No 137 Is the top bunk out of reach of children e.g. has the ladder been removed, or is the bunk guarded? Falls Other safety issues/Comments 56 Family Day Care Victoria – Child Safety Guidelines Yes No Yes No N/A Yes No Yes No N/A Details of action needed Bedroom 4/Study Room is out of reach of children via barrier: locked door/fence/gate/other (specify) Safety issue managed? Item no. Safety issue Potential injury 138 Is all furniture that a child could climb and fall 1.5 metres from removed, securely fixed or guarded? Falls 139 Are all windows or other openings Falls more than 1.5 metres above the ground fixed so they cannot be opened more than 100 mm? 140 Do all unused power points that children can reach have safety plugs? Electrocution 141 Do the cots comply with the Australian Standard AS/NZS 2172:2003? Multiple injuries Yes No N/A 142 Are change tables located away from overhanging blind and curtain cords? Strangulation Yes No N/A 143 Does the cot conform to the safe sleeping environment as outlined by ‘SIDS and Kids’? Suffocation Yes No N/A 144 Are all bumpers, pillows and mobiles removed from cots? Suffocation Yes No N/A 145 Are toiletries, medication, sleeping pills, perfume, jewellery, sharps and plastic bags all out of reach of young children? Choking Cuts Poisoning Suffocation Yes No 146 Are matches, fragrant oil burners, incense and lighters kept out of reach of young children? Burns Poisoning Yes No 147 Are all objects smaller than a 50-cent piece out of reach of children? Choking Yes No 148 Are all curtain and blind cords out of reach of children? Strangulation Yes No 149 Are all electrical cords and leads kept out of reach of children? Electrocution Strangulation Yes No 150 Is the top bunk out of reach of children e.g. has the ladder been removed, or is the bunk guarded? Falls Yes No 151 Are computers out of reach of Electrocution children unless an adult is directly supervising children? Details of action needed Yes No Yes No N/A Yes No Yes No N/A Other safety issues/Comments Family Day Care Victoria – Child Safety Guidelines 57 Toys, equipment and resources Safety issue managed? Item no. Safety issue Potential injury 152 Are all toys and objects smaller than a 50-cent piece removed? Choking 153 Are all toys with sharp edges removed? Laceration Yes No 154 Are all toys that can shoot out harmful parts or pieces removed? Laceration Yes No 155 Are all toys with parts that could trap a child’s head, neck, hair, fingers, toes, arms or legs removed? Entrapment Yes No 156 Are all toys that contain toxic materials removed? Poisoning Yes No 157 Are toys kept in a box that a child cannot get trapped in? Entrapment 158 Are toy box lids secure? Entrapment 159 Are Family Day Care toys kept where young children can reach them without climbing? Falls 160 Are items filled with polystyrene Suffocation balls (beanbag filling) out of reach of children? Yes No N/A 161 Do all prams conform to the Australian Standard AS/NZS 2008:2000? Yes No N/A 162 Are all highchairs fitted with fully- Falls functioning, 5-point harnesses? Other safety issues/Comments 58 Family Day Care Victoria – Child Safety Guidelines Yes No Suffocation Yes No N/A Suffocation Multiple injuries Yes No N/A Yes No Yes No N/A Details of action needed Building features Item no. Safety issue Potential injury Safety issue managed? 163 Are all steps more than 300 mm high guarded by a wall, balustrade or gate? Falls Yes No N/A 164 Are all balconies and above ground verandas fitted with adequate balustrades? Falls Yes No N/A 165 Do balustrades have no more than Falls 100 mm between vertical rails? Yes No N/A 166 Do balustrades have a top and bottom horizontal rail, but no other horizontal rails that a child could climb? Falls Yes No N/A 167 Do all stairs, ramps, hallways and corridors that are more than 1 metre above floor level have balustrades? Falls Yes No N/A 168 Are balustrades at least 865 mm above the front edge of stair treads? Falls Yes No N/A 169 Are all windows or other openings Falls more than 1.5 metres above the ground fixed so they cannot be opened more than 100 mm? Yes No N/A 170 Are all windows above play areas unable to be opened out? Laceration Yes No N/A 171 Are all roof areas out of reach of children? Falls Yes No N/A 172 Are all flights of stairs out of reach Falls of children? Yes No N/A 173 Is the outdoor play area securely fenced? Multiple injuries Yes No N/A 174 Are all gates secured with a latch that is out of reach of children? Multiple injuries Yes No N/A Details of action needed Other safety issues/Comments Family Day Care Victoria – Child Safety Guidelines 59 Vehicle Safety (Carer to fill out; Coordination Unit to check) Make: Model: Registration Number: Driver’s Licence Number: Year of manufacture: Expiry Date: Licensed to carry ________ passengers Item no. Safety issue Potential injury Safety issue managed? 175 Is the motor vehicle locked and unable to be entered by children? Multiple injuries Yes No 176 Is the motor vehicle registered? Multiple injuries Yes No 177 Is the inside of the car free of dangerous objects? Multiple injuries Yes No 178 Do all child restraints have an Australian Standard AS/NZS 1754:2004 sticker? Multiple injuries Yes No 179 Are there enough child restraints for all children? Multiple injuries Yes No 180 Are all the child restraints suitable Multiple injuries for the age and size of the children? Yes No 181 Are restraints fitted in accordance with Australian Standards instructions? Multiple injuries Yes No 182 Are all child restraints in good condition? Multiple injuries Yes No 183 Is the cigarette lighter out of reach, or unable to be operated by children? Burns Yes No 184 Is a first aid kit kept in the car at all times? Delay in treatment Yes No 185 Is the first aid well stocked? Delay in treatment Yes No 186 Is the first aid kit out of reach of children? Poisoning Yes No 187 Does the vehicle have more than 2 doors? Delay in exiting the vehicle Yes No 60 Family Day Care Victoria – Child Safety Guidelines Details of action needed Outdoor Safety Pools, spas, ponds and other water features Item no. Safety issue Potential injury Safety issue managed? 188 Do the pool and spa have appropriate fences or barriers? Drowning Yes No N/A 189 Is the fence higher than 1.2 metres, with no horizontal bars that a child can stand on? Drowning Yes No N/A 190 Does the fence or door have a fully functional child-resistant, self-latching gate or lock? Drowning Yes No N/A 191 Are the pool and spa unable to be reached directly from the house? Drowning Yes No N/A 192 Is the spa securely covered? Drowning Yes No N/A 193 Are all objects that could help a child to climb into the pool or spa removed? Drowning Yes No N/A 194 Is there a permanent, fixed notice displayed that shows how to resuscitate a child? Drowning Yes No N/A 195 Are the pool and spa filters out of reach of children? Multiple injuries Yes No N/A 196 Are there barriers or adequate fencing around ponds, creeks, rivers and dams? Drowning Yes No N/A 197 Are all holes, wells, trenches and excavations adequately fenced or covered? Drowning Yes No N/A 198 Are gully traps completely covered or fenced off? Drowning Yes No N/A 199 Are drains appropriately covered? Drowning Entrapment Yes No N/A 200 Is the fishpond appropriately covered? Drowning Yes No N/A 201 Are all buckets, bowls, drums and any other water containers adequately covered or locked away? Drowning Yes No 202 Are wading pools and buckets empty of water when they are not being used? Drowning Yes No N/A Details of action needed Other safety issues/Comments Family Day Care Victoria – Child Safety Guidelines 61 Garden shed Item no. Safety issue Potential injury Safety issue managed? 203 Are the garden shed and garage unable to be entered by children? Multiple injuries Yes No N/A 204 Are all poisonous materials out of reach of children? Poisoning Yes No N/A 205 Are all power tools out of reach or unable to be operated by children? Multiple injuries Yes No N/A 206 Are all motorised toys (e.g. scooters) out of reach of children? Multiple injuries Yes No N/A 207 Are all bikes out of reach of children unless an adult is directly supervising? Multiple injuries Yes No N/A 208 Do the garden shed windows have safety glass or barriers? Multiple injuries Yes No N/A Other safety issues/Comments 62 Family Day Care Victoria – Child Safety Guidelines Details of action needed Plants and trees Item no. Safety issue Potential injury Safety issue managed? 209 Are trees and shrubs from which a child could fall more than 1.5 metres out of reach of children? Falls Yes No N/A 210 Are all sharp branches that stick out removed or out of reach of children? Laceration Yes No N/A 211 Are all poisonous plants removed? Poisoning Yes No N/A 212 Are ladders out of reach of children? Falls Yes No 213 Are the outdoor areas securely fenced? Multiple injuries Yes No 214 Are the fences built or guarded so that a child cannot climb over or crawl under them? Entrapment Yes No Multiple injuries 215 Are fences and walls that a child Falls could climb and fall more than 1.5 metres out of reach or guarded from children? 216 Are all fences and walls secure and stable? Crushing Are all areas from which a child could fall over 1.5 metres out of reach of children? Falls 217 Details of action needed Yes No N/A Yes No Falls Yes No N/A Other safety issues/Comments Family Day Care Victoria – Child Safety Guidelines 63 Outdoor / backyard play equipment Item no. Safety issue Potential injury Safety issue managed? 218 Are all surfaces from which a child Falls could fall over 1.5 metres out of reach of children? Yes No N/A 219 Is the equipment free of sharp or hard parts, or parts that stick out? Cuts Yes No N/A 220 Is the surface of the equipment smooth, with no splinters? Cuts Yes No N/A 221 Is the equipment free of moving parts that could strike a child with force? Crushing Yes No N/A 222 Is play equipment that could trap a child’s head, legs, arms, fingers or toes removed? Entrapment Yes No N/A 223 Is the cubby house clean and safe for children to enter and exit? Falls Yes No N/A 224 Is the trampoline out of reach of Multiple injuries children unless an adult is directly supervising? Yes No N/A 225 Does the trampoline have protective padding covering the frame and the springs? Multiple injuries Yes No N/A 226 Is the swing set or other equipment secure and in good condition? Multiple injuries Yes No N/A 227 Is there enough under surfacing under equipment to cushion children if they fall? Falls Yes No N/A Other safety issues/Comments 64 Family Day Care Victoria – Child Safety Guidelines Details of action needed Barbecues and incinerators Item no. Safety issue Potential injury Safety issue managed? 228 Are all barbecues out of reach of children? Burns Yes No N/A 229 Are incinerators out of reach or unable to be operated by children? Burns Yes No N/A Details of action needed Other safety issues/Comments Clotheslines Item no. Safety issue Potential injury Safety issue managed? 230 Is the clothesline out of reach of young children? Entrapment Yes No N/A Is the clothesline in good condition with no loose ropes or wires? Choking 231 Details of action needed Falls Yes No N/A Strangulation Other safety issues/Comments Family Day Care Victoria – Child Safety Guidelines 65 Pets and other animals Item no. Safety issue Potential injury Safety issue managed? 232 Are pets such as cats and dogs, Multiple injuries and farm animals out of reach of children unless an adult is directly supervising? Yes No N/A 233 Are dangerous pets such as snakes and spiders completely out of reach of children? Multiple injuries Yes No N/A 234 Are fish bowls and tanks out of reach of children? Drowning Yes No N/A 235 Are there suitable barriers in place to make sure that no wild animals can enter the property? Multiple injuries Yes No N/A 236 Is all cat litter and animal food out of reach of children? Poisoning Yes No N/A Other safety issues/Comments 66 Family Day Care Victoria – Child Safety Guidelines Laceration Details of action needed Home Safety Checklist – Summary Safety checked by: (name) (Carer or FDC Coordination Unit member?) (date) Summary of Safety Issues Item no. Safety issue Date action completed Details of action needed 1 2 3 4 5 6 7 8 9 10 11 12 Carer’s name Address Telephone (Home) Postcode (Mobile) Family Day Care Victoria – Child Safety Guidelines 67 Definitions and Acronyms Some specific terms used consistently throughout these guidelines are defined as follows: Barrier Mechanisms used to prevent child access including fences and safety gates Carer A person approved by the Family Day Care service to provide care or education to children primarily in the person’s residence or at a Family Day Care venue Child or children Inclusive of children and young people up to the age of 18 years irrespective of age thresholds that might apply in Family Day Care Child-resistant Device or object that is difficult for a young child to operate Entrapment The capacity to trap part or all of a child’s body, hair or clothing Fall height The distance a child or object can fall between surfaces Fall zone The surface area that could be hit by a child falling Flues Ventilation shaft in chimney Hazard An object or situation that presents an injury risk Laminated Film Safety glass covering applied to render glass shatter-resistant Organic Film A safety film, which can be applied to glass surfaces Out of reach Any place 1.5 metres or more above floor level that a young child cannot reach, or, a container or cupboard that has a child-resistant catch, lock or enclosure Risk Any situation, object or behaviour that presents a probability of injury Supervision Continuous, direct observation of a child by an adult Under surfacing A material designed to absorb the impact of a fall that is installed within a fall zone in high-risk areas Specific acronyms used consistently throughout these guidelines are defined as follows: AS/NZS C CAPFA CU DHS DEECD FDC FDC Vic Inc. FaHCSIA VISU 68 Family Day Care Victoria – Child Safety Guidelines Australia/New Zealand Standard Carer Child Accident Prevention Foundation of Australia Coordination Unit Department of Human Services Victoria Department of Education and Early Childhood Development Family Day Care Family Day Care Victoria Department of Families, Housing, Community Services and Indigenous Affairs Victorian Injury Surveillance Unit Resources The following resources are useful for FDC coordinators and carers who need further information about treating hazards in and around the home. All published resources are available on the relevant organisation’s website. Please check with the organisation for any updates, local variations or additional requirements. Family Day Care Specific Guidelines National Standards for Family Day Care 1998, Family Day Care Australia. Child Care Service Handbook 2007 – 2008 for all approved child care services, Department of Families, Housing, Community Services and Indigenous Affairs. Safety Publications A Simple Guide to Child Restraints: How You Can Protect Your Child, Department of Infrastructure, Transport, Regional Development and Local Government. Child Minder’s Pocket Guide to Fire Safety, Metropolitan Fire and Emergency Services Board (MFB). Choosing and Using Restraints, VicRoads. Home Fire Safety, Metropolitan Fire and Emergency Services Board. Everyone can be a life saver, Factsheet No.2: Supervision, Royal Life Saving Society Australia. Kidsafe Playspace Resource Kit, Kidsafe Victoria. Living Safely With Dogs (CDRom), Department of Primary Industries Victoria Outdoor play guide for Victorian children’s services, Department of Education and Early Childhood Development. Product Safety: Safe products for your baby, Consumer Affairs Victoria. Road Safety Guide for Family Day Carers, VicRoads. SafeKIDSnow and farm safety, Kidsafe Victoria. SafeKIDSnow and the family car, Kidsafe Victoria. SafeKIDSnow and the family home, Kidsafe Victoria. Safer Homes for Children: Design and Construction Guidelines, Kidsafe NSW, Kidsafe Australia. Shade for everyone: a guide for shade development, Sunsmart, Cancer Council of Victoria. Starting Out Safely Kit: Early Childhood Traffic Safety Education Resource, VicRoads. Family Day Care Victoria – Child Safety Guidelines 69 Relevant Standards Various Australian standards are referred to throughout these guidelines. Contact Standards Australia for these and other standards that relate to child safety. Kidsafe Victoria is another useful site to check for the latest updates on child safety standards. Children’s Services Legislation Children’s Services Act 1996 and Children’s Services Regulations 2009, State of Victoria http://legislation.vic.gov.au Relevant Organisations Organisation Web address Archicentre http://www.archicentre.com.au Australian Building Codes Board http://www.abcb.gov.au Australian Competition & Consumer Commission http://www.accc.gov.au Australian Government Attorney-General’s Department http://www.ag.gov.au Australian Red Cross http://www.redcross.org.au Consumer Affairs Victoria http://www.consumer.vic.gov.au Country Fire Authority http://cfa.vic.gov.au Department of Education and Early Childhood Development http://www.education.vic.gov.au Department of Education, Employment and Workplace Relations http://www.deewr.gov.au Department of Family, Housing, Community Services and Indigenous Affairs (FaHCSIA) http://www.fahcsia.gov.au http://www.infrastructure.gov.au Department of Infrastructure, Transport, Regional Development and Local Government 70 Family Day Care Victoria – Child Safety Guidelines Department of Primary Industries http://www.dpi.vic.gov.au Family Day Care Australia http://www.familydaycareaustralia. com.au Family Day Care Victoria Inc. http://www.familydaycare.org.au Kidsafe Australia http://www.kidsafe.com.au Kidsafe Victoria http://www.kidsafevic.com.au Metropolitan Fire and Emergency http://www.mfb.vic.gov.au Services Board (MFB) Monash University Accident and http://www.monash.edu.au/muarc/visu Research Centre (VISU) National Childcare Accreditation http://www.ncac.gov.au Council Inc. Poisons Information Centre, Austin Hospital http://www.austin.org.au/poisons Royal Children’s Hospital (provides Fact Sheets) http://www.rch.org.au/kidsinfo/ factsheets.cfm Royal Life Saving Society Australia http://www.royallifesaving.com.au SIDS and Kids http://www.sidsandkids.org Standards Australia http://standards.org.au St John Ambulance Australia http://www.sjaa.com.au SunSmart http://sunsmart.com.au Therapeutic Goods Administration http://www.tga.gov.au VicRoads http://www.vicroads.gov.au Family Day Care Victoria – Child Safety Guidelines 71 References Addiss, DG, Sacks, JJ, Kresnow, MJ, O’Neil, J & Ryan, GW 1994, ‘The compliance of licensed US child care centres with national health and safety standards’, Am J Public Health, July, vol. 83, no. 7, pp. 1161 – 1164. 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Opportunities for healthier children. JAMA 268(13): 1720 – 6. Ulione, MS & Dooling, M 1997, ‘Preschool injuries in child care centres: nursing strategies for prevention’, Pediatric Health Care, 11(3):111 – 6. VISU 2007, ‘Preventing unintentional injury in Victorian children aged 0 – 14 years: a call to action’, Hazard, 65: 1 – 36. VISU 2008, Child injury related to inflatable ‘bouncy/jumping castles, Victorian Injury Surveillance Unit, Monash University, Melbourne. Family Day Care Victoria – Child Safety Guidelines 77 Notes 78 Family Day Care Victoria – Child Safety Guidelines Family Day Care Victoria Child Safety Guidelines 2009 Child Safety Guidelines 2009 Family Day Care Victoria Child Safety Guidelines 2009