Teddy Bear Day Care

Sarah Fatongia
1615-F 10th Avenue Honolulu, HI 96816
808-953-0961 luhaupua@gmail.com

Parent Policy Handbook

1. RELEASE OF YOUR CHILD
To ensure the safety of your child, only you or the person’s listed on the registration from will be allowed to
pick up your child. Please be on time picking up your child each day. Phone me if you will be late for any
reason.
2. HEALTH
a) Sick Children
The health department requires children stay at home if they are sick. Though I am not yet licensed, I will
follow these guidelines. If you are not sure your child is well enough to attend child care call and talk with
me. Children must be fever free for 24-48 hours before returning to my care. Your child may come with a
slight runny nose but it must be clear and not green/yellow. If your child gets sick while I am watching
them, you will need to pick up your child. I am responsible for the health of multiple children so I will follow
the health department regulations when it comes to sickness.
b) Medication
If your child is on antibiotics and he/she continues to be contagious for 24 hours after the first dose of
medication, he/she can not return to childcare until this time period has passed. I am not able to give a
child medication unless I have signed permission from the parent. (available upon request)
c) Medical Emergencies
I make every effort to keep your children safe through supervision and childproofing. Minor injuries will
receive first aid, and if an emergency injury or illness occurs, you will be contacted immediately. If I am
unable contact you, I will call someone you have given me permission to call, in case of emergency.
3. PAYMENTS AND FEES
All payments must be received on the 1st of each month. When the first falls on a weekend or a holiday,
fees are due on the Friday before. If fees are not paid I will not watch your Child. There are no refunds in
fees for absences due to a child's illness or any other reason. There will be a $25.00 charge for all checks
returned N.S.F. plus any additional charges incurred to myself and/or by the bank. Parents who have two
or more N.S.F. checks will be required to pay by cash or money order. We do not pro-rate days in a
month. For drop-in fees, please refer to the “Rates” page in this packet.
4. TOYS
I provide a wide variety of playthings. I ask that no toys be brought to daycare from home. Often times,
children have a hard time sharing the toys they bring from home. However, a special blanket OR stuffed
animal/doll to be used during nap time is welcomed.
5. SUPPLIES
Parents are responsible for supplying: Bottles, Formula, Baby Food, Diapers & Wipes, A full change of
clothing, A small blanket to nap on, if wanted, a small pillow for napping, and any other supplies your child
may need.
6. MEALS & SNACKS
Due to the varying ages of children at Teddy Bear Day Care and specific diets for each of them, you are
required to provide for your child, any meals that will fall during care hours.
Age appropriate snacks will be provided by Teddy Bear Day Care for your child daily. However, if your
child is on a specific diet, you have the choice to provide their snacks as well, if you feel it is necessary.
7. OPEN DOOR POLICY
While your child is in my care, you can always be assured that the door is open to you. Please feel free to
drop in and check on your child, however, keep in mind that a child adjusting to a new surrounding will
want to leave with you if you pop in for a visit. If the phone goes unanswered please do not become
alarmed, I am busy with the children (changing a diaper, bottle feeding, etc). Please leave me a message
and I will call you as soon as I am able.
8. PROVIDER HOLIDAYS & VACATION
We are closed on all State and Federal Holidays, with pay. I will be taking three weeks of paid vacation
per year (not all at the same time, of course). I will provide ample notice of the dates.

9. COMMUNICATION
Communication is very important to me. I feel that we are a team raising your child. If we can work together
then your child can feel secure in knowing they have two families who love them very much. Teddy Bear
Day Care will log or record daily in a composition book, about their child’s day. Some typical things that you
may find would be daily activities, behavior, feedings/meals, diaper changes and naps/quiet time.
10. TERMINATION
The first two weeks of childcare are to be an adjustment period. It is my responsibility to let the parent
know if the child seems unhappy or the arrangement is unsatisfactory for any other reason. It is the
parent’s responsibility to let me know the same. The parent or myself can terminate the contract anytime
during the adjustment period in writing on or before the 14th day after care starts.
One months written notice (on or before the first of the month, for the following month) is required by the
parent to myself for termination of Teddy Bear Day Care services. Fees will still be due if the parent
withdraws the child before notice is given, or at any given time during the notice. I will provide the parents
with one months written notice if I am no longer able to care for your child.
I will terminate our child care arrangements immediately for any of the following reasons:
• Failure to comply with the policies set forth in this book.
• Destructive or hurtful behavior of child that persists even with parent cooperation in stopping the behavior.
• Non-Payment of childcare fees or late and/or recurring late payment of fees.
• Failure to show up for 5 days in a row without any communication.
• If parents knowingly bring their child ill.
11. NAP/QUIET TIME
All children will be required to lie down for a nap/quiet time each day. I will not force your child to sleep but
they must lie down quietly.
12. PRO-RATING
Teddy Bear Day Care does not pro-rate monthly rates under any conditions. Sorry.
13. HOURS OF OPERATION
Monday-Friday 7:00am – 5:00pm Hours may be extended earlier or later for a minimal charge.

We (the parents) hereby acknowledge that We (the Parents) are aware of the conditions stated in the
Teddy Bear Day Care Parent Policy Handbook, and agree to abide by the above signed policies and
requirements for Child Care Services.

Parent/Guardian Signature:_____________________ Date: _______________

Parent/Guardian Signature:_____________________ Date: _______________

Child Care Provider Signature: __________________ Date: _______________

Teddy Bear Day Care

Registration Form
Name of Child: ___________________________________________________
Birth date: _____/_____/_____ Sex: Male ____ Female ____

Full Name of Mother: ______________________________________________

Mother’s Address: ________________________________________________

Home Phone: _____________________ Cell Phone:_____________________

Mother’s Employer (include name, address, phone number & extension):

Mother’s Hours of Employment: ______________________________________

Full Name of Father: _______________________________________________

Father’s Address: _________________________________________________

Home Phone: ____________________ Cell Phone:______________________

Father’s Employer (include name, address, phone number & extension):

Father’s Hours of Employment: ______________________________________

Time of Child Drop-Off: ____________ Time of Child Pick-Up: _____________

Have you made special arrangements for your child’s care during illness?

( ) Yes ( ) No Please specify: ______________________________________

Person(s) to contact in case of emergency:

1. Name: ____________________________ Relationship to child:___________

Home Phone: ___________________ Work Phone:______________________

2. Name: ____________________________ Relationship to child:___________

Home Phone: ___________________ Work Phone:______________________

Person(s) Authorized to pick up child:

Name: ___________________________ Phone: ___________________

Name: ___________________________ Phone: ___________________

Name: ___________________________ Phone: ___________________

Child’s Health Information

Insurance Provider: ________________________ ID#:____________________

Child’s Doctor: ________________________________ Phone: _____________

Does child have any known health problems? Yes ( ) No ( )

(If yes, please attach documentation)

Check (√) any of the following illnesses the child has had:

□Asthma □Earaches □Mumps □Whooping Cough

□Bronchitis □Eczema □Pneumonia □Polio □Chicken Pox

□Frequent Colds □Croup □Convulsions □Measles

□Influenza □Rheumatic Fever □Diphtheria □Tonsillitis

□Other:_________________________________________________________

Are your Child’s immunizations up to date? Yes ( ) No ( )

If no please explain: _______________________________________________
_______________________________________________________________

Note: Please attach a copy of immunization record.

Does you child have any known allergies? Yes ( ) No ( )
If yes, what are they and what are your child’s reactions: __________________
_______________________________________________________________

Does your child take any medication on a regular basis?

Yes ( ) No ( ) If yes, please list the name of the medication(s) and the
medical condition for which it is taken:

Note: I am NOT able to administer any medication to your child without a

signed Medication Authorization Form.
Please ask me for one when needed.

Do you have any concerns about your child’s development?

Yes ( ) No ( ) If yes, please comment:
_______________________________________________________________

Please comment on any other medical information/or special needs the child
care provider should be aware of: ____________________________________

I authorize the child care provider/staff to obtain the following services for this
child if necessary: Public Health Nurse, Physician and/or Ambulance in the
event of an emergency. (Ambulance fees and/or Health Care costs are the
responsibility of the parent/guardian)

__________________________ ____________________________________
(Date) (Signature of parent/guardian)

__________________________ ____________________________________
(Signature of child care provider) (Signature of parent/guardian)

Teddy Bear Day Care Child

Enrollment Form
Child’s Name: ____________________________________________________

Does your child have a nickname? □ Yes □ No

If yes, what is it:___________________________________________________

Family
Names of brothers & sisters Age
_________________________________ _________________
_________________________________ _________________
_________________________________ _________________

Names of others living in the home Relationship to child

_________________________________ _________________
_________________________________ _________________

What language is spoken in your home: _______________________________

Does your child have pets? □ Yes □ No

If yes, what are they? ______________________________________________

Food
Is your child bottle-fed? □ Yes □ No
If yes: What is your child’s bottle feeding schedule? ______________________
_______________________________________________________________

What position does your child like to be in while being burped?

_______________________________________________________________

Has your child been introduced to solids? □ Yes □ No

If yes, what type? □ baby food □ table food

Does your child have any food sensitivities? □ Yes □ No

If yes, please identify: ______________________________________________

What foods does your child like/dislike? ________________________________

_______________________________________________________________

Sleep
Describe your child’s sleep routine (include naps & lengths of naps):
_______________________________________________________________
_______________________________________________________________
Does your child usually cry when going to sleep? □ Yes □ No
If yes, for how long? ________________

Where does your child normally sleep? ________________________________

Diapering
Describe your child’s diapering routine (include double diapering, liners, creams,
powders etc.) ____________________________________________________
_______________________________________________________________

Is your child prone to diaper rash? □ Yes □ No Treatment:________________

_______________________________________________________________

Social/Emotional Development
Describe your child’s temperament: (i.e. colic, likes to cuddle) ______________

What signs does your child give of being hungry, tired or over stimulated? (i.e.
pulls at ears, rubs eyes)____________________________________________

Does your child separate easily from you? □ Yes □ No

Please comment: _________________________________________________

Is your child afraid of anything? □ Yes □ No

Please comment: _________________________________________________

Does your child have a favorite toy, blanket or soother? □ Yes □ No

Please identify: ___________________________________________________

What activities does your child enjoy? _________________________________

_______________________________________________________________

Please provide any other information relating to your child that would be helpful
in understanding and caring for your child: _____________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

Date: __/__ /__ __________________________________

 D M Y Parent/Guardian Signature

__________________________________
Parent/Guardian Signature

__________________________________
Child Care Provider Signature

Teddy Bear Day Care Rates

Full Time (5 days a week) - $650 per month/per child
Part Time (3 days a week) - $450 per month/ per child

Drop In Day Rate (up to 8 hours)- $45 for 1 child

Drop In Half-Day Rate (up to 4 hours) - $30 for 1 child

Weekend Day Rate (up to 8 hours) - $50 for 1 child

Weekend Half-Day Rate (up to 4 hours) - $40 for 1 child

NOTE:
• For Drop In Daily and Weekend Rates, parents with multiple
children, please add $10 for each additional child.
• Rates are subject to change.

Teddy Bear Day Care

Excursion & Transportation Consent
I hereby give permission to Sarah Fatongia of Teddy Bear Day Care
 for my child, __________________________________ to participate

in excursions such as, but not limited to, walks in the neighborhood,

walks to the playground, parks and libraries.

I also give permission to Sarah Fatongia of Teddy Bear Day Care for

my child, _____________________________________to participate

in excursions involving private transportation to locations such as

libraries, parks, playgrounds, the zoo, and other various locations

with child related activities. For excursions involving private

transportation by Sarah Fatongia of Teddy Bear Day Care, the parent

will be made aware of the excursion in advance to allow for the

parent to leave a car seat for their child to use during transportation.

Parent/Guardian Signature:_____________________ Date: _______

Parent/Guardian Signature:_____________________ Date: _______