Professional Documents
Culture Documents
Sarah Fatongia
1615-F 10th Avenue Honolulu, HI 96816
808-953-0961 luhaupua@gmail.com
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.
Have you made special arrangements for your child’s care during illness?
Check (√) any of the following illnesses the child has had:
□Other:_________________________________________________________
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)
Family
Names of brothers & sisters Age
_________________________________ _________________
_________________________________ _________________
_________________________________ _________________
Food
Is your child bottle-fed? □ Yes □ No
If yes: What is your child’s bottle feeding schedule? ______________________
_______________________________________________________________
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? ________________
Diapering
Describe your child’s diapering routine (include double diapering, liners, creams,
powders etc.) ____________________________________________________
_______________________________________________________________
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)____________________________________________
Please provide any other information relating to your child that would be helpful
in understanding and caring for your child: _____________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
__________________________________
Parent/Guardian Signature
__________________________________
Child Care Provider Signature
NOTE:
• For Drop In Daily and Weekend Rates, parents with multiple
children, please add $10 for each additional child.
• Rates are subject to change.
in excursions such as, but not limited to, walks in the neighborhood,
I also give permission to Sarah Fatongia of Teddy Bear Day Care for
parent to leave a car seat for their child to use during transportation.