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Click here to Visit Our Website                                                                 August 2019  

A photo of Alex Deas, our behavioral health specialist

A Farewell From Alex Deas 

Dear Snohomish County Child Care Providers and Colleagues,
I am writing this farewell note to announce that I will be moving out of Washington State; primarily to be closer to my family. It has been an honor working with you all to increase the well-being of young children in our community.

To my team: Micha, Bonnie, Katy, and our supervisor, Jeff. You all have been a dream to work with and I’ve learned so much from each of you. I respect your expertise, your competence, and your good will. Snohomish County is lucky to have you.
Thank you all for your support during my time on the Child Care Health Team.
Wishing everyone all the best,
*Alex’s last day at the Health District was July 12th, 2019. Snohomish Health District hopes to re-hire for this position soon--please stay tuned! 

Now... Conveniently Located on our Website: Individual Care Plans and Health Policy Templates

A number of Individual Care Plan templates have been posted on the CCHOP website to help manage the care of children with special health needs. The templates have been developed by experts specializing in caring for children in child care and early learning including the American Academy of Pediatrics and Early Childhood Education Linkage System (ECELS). The care plans are intended to be completed by a child's health care provider and address caring for children with allergies, food intolerances, asthma and other special needs.

We have also posted Health Policy templates for child care center directors and family home child care providers. Please download, complete, and return as an attachment to Our team will review it and schedule an onsite visit at no cost.

All of these templates are free to download and copy for distribution when needed.

Please contact our CCHOP team if you have questions or need further clarification about individual care plans and health policies., 425-252-5415

Adult receiving an immunzation

MMR Vaccine Exemption Law

Washington State has passed new laws that impact MMR vaccination exemption in child cares and schools. Personal and philosophical exemptions will no longer be permitted for the MMR vaccine. Medical and religious exemptions are permitted. Additionally, child care staff and volunteers must document proof of immunity or a medical exemption from a health care provider. The new law went into effect July 28, 2019. You can learn more at the Department of Health's MMR Vaccine Exemption Law FAQ page. The Department of Health has developed sample letters that child care providers can use to notify staff or parents of the new requirements. 

Free vaccination for child care providers is currently available! Learn more from this news release from the Department of Health

We are also featuring our newly revised Immunizations course, which has been updated to reflect the new immunization laws. Find out more under Featured Courses, at the end of the newsletter. 

CACFP Mealpattern

The new Food and Nutrition Rules
 (WAC 110-300-0180)

Make sure to link to the DCYF Alignment Awareness and Education Campaign learning  opportunities  and take Module 23 Eating and Brushing – What’s Healthy for Kids for an in depth overview of the new eating and brushing WAC 110-300-0180. This well done, informative training includes an explanation of the Child and Adult Care Food Program (CACFP) guidelines for feeding children in child care and early learning. These guidelines will replace previous rules about meal planning and foods to serve children in licensed child care. It also includes an overview about how to interpret and implement the new brushing rules. In addition, the DCYF WAC 100-300 FAQs link provides questions and answers for all categories of the new WACs including Food and Nutrition. 

Highlights about the Meals and Foods :
The CACFP Meal Pattern is very similar to the previous one used for planning child care meals. There are a few major differences in nutrient standards and the food groups.

Examples of Food Group Changes:

  • Fruits and Vegetables are now 2 separate food groups. This means that a fruit and a vegetable count as 2 components for snack.
  • A food from the protein food group may be served instead of a grain for breakfast up to 3 times/week.
  • Menus must be dated. Although this does not specify how often to change menus, it is highly recommended to continue developing at least a 2 week cycle menu to prevent serving foods too often and to ensure ample variety.
Examples of Nutrient Changes:
  • Labeling Vitamin A and C foods is no longer required on the menu. Serving a wide range of colorful fruits and vegetables ensures children meet nutrient needs. 
  • The sugar content limits are less than 7 grams per serving for cereal and less than 24 grams per 6 oz serving of yogurt.
  • A whole grain food must be included on the menu once a day.
Toothbrushing in Child Care

Also included in WAC 110-300-0180 is a new rule regarding toothbrushing. Children will be given an opportunity to participate in tooth brushing activities once a day. These activities must be safe, sanitary and educational.

Contact the Nutritionist...

Need help using CACFP guidelines for menu planning, identifying whole grain foods, finding sugar content on cereal and yogurt labels, establishing tooth brushing protocol?
Contact: Katy Levenhagen
(425) 252- 5407

Drink Water for Thirst

The American Academy of Pediatrics reports that on average, children drink a bathtub of sugary drinks every year and not near enough water. The Center for Disease Control surveys show that young children do not drink enough water with average intakes around 2 cups a day.  The Dietary Reference Intake water intake requirements for children over 4 years old are 7 cups  per day and the amount increases with age. Children should be offered water as the go-to beverage in between meals and snacks. When milk is served at meals, the CACFP suggests to offer small amounts of water when requested. Fruits and vegetables are between 60 - 90% water and another good way to increase water intake at mealtime. Because children get thirsty quickly, take pitchers of water or water bottles outdoors especially when the weather is warm, or when children are engaged in moderate to vigorous activity. See more ideas on how to serve water throughout the day in child care. Provide Health Beverages, Healthy Kids, Healthy Futures

Child Care Health & Safety Classes Logo
Click here for instructions on how to use our online learning portal.
Image of people using online learning portal.
Click here to go to the online learning website.

This Month's Featured Classes

Immunizations photo

Immunizations:Protecting Child Care Providers and Children 

Have questions about the new MMR exemption law? Are you ready for fall immunization tracking? Have you been concerned about the recent measles outbreak? Check out our newly updated class covering updated topics on immunizations, now available on our online learning management system. Earn 2 STARS credits and keep yourself updated on the latest in child care immunizations. 

Meal Planning class logo

Menu Planning using the CACFP Guidelines

The foods children eat provide them with nutrients needed for growth, health, and energy.  Serving balanced meals takes thought, planning, and creativity.  You are the “meal manager”. If you do not already follow the Child and Adult Care Food Program (CACFP) guidelines for menu planning, this training will serve as an introduction to the new Food and Nutrition Rules for feeding children in child care and early learning (WAC 110-300-0180). This is a 2 STARS credit training. 

Contact Information

Snohomish Health District, 3020 Rucker Ave., Ste. 104, Everett, WA  98201

Program Phone:  425.252.5415


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The Child Care Health Outreach Program staff are available to consult with you on these and other health, safety, and nutrition topics by phone, by email, or at your child care. 

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