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The following forms and templates are available in pdf file format for viewing. Many of the templates are also available in Microsoft Word file format, to allow providers to modify the documents for their own use.
Advise Letter: Chickenpox
English (pdf) (MS Word)
Spanish (pdf) (MS Word)
Source: Prevention of Infectious Disease.
Advise Letter: Herpes
English (pdf) (MS Word)
Spanish (pdf) (MS Word)
Source: Prevention of Infectious Disease.
Advise Letter: Impetigo
English (pdf) (MS Word)
Spanish (pdf) (MS Word)
Source: Prevention of Infectious Disease.
Advise Letter: Measles (pdf) (MS Word)
Source: Prevention of Infectious Disease.
Advise Letter: Pertussis (Whooping Cough) (pdf) (MS Word)
Source: Prevention of Infectious Disease.
Advise Letter: Pink Eye (pdf) (MS Word)
Source: Prevention of Infectious Disease.
Advise Letter: Ringworm
English (pdf) (MS Word)
Spanish (pdf) (MS Word)
Source: Prevention of Infectious Disease.
Advise Letter: Roseola (pdf) (MS Word)
Source: Prevention of Infectious Disease.
Advise Letter: Shingles (pdf) (MS Word)
Source: Prevention of Infectious Disease.
Advise Letter: Streptococcal Infection (pdf) (MS Word)
Source: Prevention of Infectious Disease.
Sample Policy: Asthma
English (pdf) (MS Word)
Spanish (pdf) (MS Word)
Source: Caring for Our Children.
Sample Policy: SIDS Policy for Child Care Centers
English (pdf)
Spanish (pdf)
Source: American Academy of Pediatrics.
Sample Policy: Toothbrushing
English (pdf) (MS Word)
Spanish (pdf) (MS Word)
Source: Caring for Our Children.
Sample Policy: Using, Storing, and Replacing Toothbrushes
English (pdf) (MS Word)
Spanish (pdf) (MS Word)
Source: Caring for Our Children.
Sample Form: Toothbrushing Permission Slip
English (pdf) (MS Word)
Spanish (pdf) (MS Word)
Source: Sonoma County Department of Health Services.
Designed to assist child care providers with a variety of health and safety issues.
Source: California Department of Social Services.
California School Immunization Record
Downloadable version of the blue school immunizations form.
Ten Steps to Breastfeeding Friendly Child Care Centers (pdf)
Source: Wisconsin Department of Health Services.
Selecting a Child Care Provider For your Baby (English) (Spanish) (pdf)
Source: Sonoma County Department of Health Services, FIMR Program.
School Readiness Indicators (pdf)
Source: Next Step, Kindergarten, Public School Transition.
Bedtime
Source: Family Communications, Inc.
Early Warning Signs That Your Child or a Child in Your Care May Need Help (pdf)
Source: California Dept of Education, California Child Care Health Program.
What if You Don't Immunize Your Child? (pdf)
Source: Immunization Action Coalition.
The following information is provided as a resource for child care providers in the community.
The Center for Weight and Health (CWH)
Research and resources on obesity and physical activity.
National Association for Sport & Physical Education
Includes physical activity guidelines for birth to age 5.
Nutrition for Kids
Includes resources for teaching nutrition to children.
Fit Source
Physical activity and nutrition resources.
MyPyramid.gov
Nutrition guidelines for children age 6 to 11.
Physical Activity Guides
Fitness fun guides developed by the Sonoma County Family Nutrition Task Force.
Environmental Nutrition and Activity Community Strategies
Strategies to improve nutrition and physical activity in child care.
Childhood Obesity
Tips from Kaiser Permanente to help kids reach and stay at a healthy weight.
California Health and Safety Code, Title 22
Online California Code of Regulations, Title 22, Division 12
Source: California Department of Social Services.
General Requirements and Definitions, Licensing (pdf)
Title 22, Div 12, Chap 1, Art 1-2
Application Procedures (pdf)
Title 22, Div 12, Chap 1, Art 3
Enforcement Provisions, Administrative Actions (pdf)
Title 22, Div 12, Chap 1, Art 4-5, Child Care Centers
Continuing Requirements (pdf)
Title 22, Div 12, Chap 1, Art 6, Child Care Centers
Continuing Requirements (pdf)
Title 22, Div 12, Chap 1, Art 6 (Cont.) - Child Care Centers
Physical Environment (pdf)
Title 22, Div 12, Chap 1, Art 7 - Child Care Centers
Infant Care Centers, School-age Day Care Centers (pdf)
Title 22, Div 12, Chap 1, Subchapter 2 - Subchap 3, Child Care Centers
Child Care Centers for Mildly Ill Children (pdf)
Title 22, Div 12, Chap 1, Subchap 4 - Child Care Centers
Family Child Care Homes (pdf)
Title 22, Div 12, Chap 3
Family Child Care Homes in Spanish (pdf)
Title 22, Div 12, Chap 3
Community Child Care Council of Sonoma County (4Cs)
For resources and referrals call: (707) 544-3077.
Sonoma County Child Care Association
For resources and referrals call: (707) 544-3077.
River to Coast Children's Services
For resources and referrals in west Sonoma County call: (707) 869-3613; From the Sonoma Coast: (800) 994-3613.
Sonoma County Child Care Planning Council: (707) 524-2792
Advocacy, advice and planning for quality, accessible and affordable child care services in Sonoma County
California Child Care Health Program 1-800-333-3212
Source: University of California San Francisco School of Nursing. Provides a wealth of resources which you may download free or order for a small charge. Materials are designed to be distributed and used in a variety of settings by both professionals and families to achieve healthy and safe practices in child care settings.
California Poison Control Action Line: 1-800-222-1222
Statewide provider of immediate, free and expert treatment advice and assistance over the telephone in case of exposure to poisonous, hazardous or toxic substances.
Healthy Kids Sonoma County: (800) 427-8982
For resources and referrals call: To help Sonoma County children access medical and dental insurance at low or no cost.
National Resource Center for Health and Safety in Child Care and Early Education
Includes advice to help improve the quality and safety of your program.
Maternal Child Health Information and Referral: (800) 427-8982
Referrals for family planning, pregnancy care, child health care, and WIC.
Disease Control and Prevention: (707) 565-4567
Includes links to immunization information and communicable disease resources.
Child Health and Disability Prevention Program (CHDP): (707) 565-4460 or 800-427-8982
Offers complete health exams (including vision and hearing tests) free of charge to income-eligible to children under age 21.
Childhood Lead Poisoning Prevention Program: (707) 565-6547
Information on home inspection, testing your environment for lead, suggestions for reducing lead in your environment, and where to get your child tested for lead.
For more information, please contact:
Maternal, Child, Adolescent Health
625 5th Street
Santa Rosa, CA 95404
Phone: (707) 565-4552
Toll Free: (800) 427-8982
www.sonoma-county.org/mcah