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As we have progressed through the year and have began looking at end of the year items, I have realized that we still have a few things that I need to update everyone on. These are things that were probably done a certain way in the past but I want to make sure that we are all working on the same page.

We have made excellent progress this year, I think, and have worked hard to get things more in sync with each other. I appreciate all of the help you have provided to me in regards to items that needed to be addressed. Problems can not be addressed if management is never told about it, so thank you again for your cooperation. I hope that this enthusiasm to make our program better continues as we grow.


This seems so obvious and some of you may be doing it, but we need a system of following up on referrals. My suggestion is when a child receives a referral, that 30 - 45 days after the date of the referral or when parents are notified, we do a follow-up contact with the parent/guardian.

We should document this in the Parent Contact sheet. For example, John Smith failed his vision screening and Mary sent home a notification to mom on the 45th day. Around day 90 or so, Mary should call mom and see what she has done regarding the referral and offer help if needed. Mary would document all of these actions on the Parent Contact Sheet, then, one time only, she would indicate on the Health and Safety contact sheet, "For information regarding referral follow-up, refer to Parent Contact Sheet in section 6" (or whichever one it is).

I tried to include this on the Medical Screen Summary, but there isn't enough room. I hope this is clear for everyone. If not, just let me know and I'll try to explain it better.

Screening and Absences

I just want everyone to be clear on this. Absences do not count as attempts for screenings unless there are multiple absences and every effort to obtain the screening has been attempted.

BMIs should never be entered into Child Plus as an absence, doing so skews the report that I print for our records. If a child is absent for a BMI measurement then you must simply do it the next day they are at the center.


It is getting close to the end of the year and we are only lacking just a few screenings. This is a huge improvement and I thank all of you for working so hard to accomplish this. I ask that you spend the rest of this month trying to obtain those few screenings that we may be lacking and then in April we will discuss, individually, requesting that refusals be signed.

If you have any questions about this, please let me know.