Childcare Information Sheet: Assessment Workbook 4 Details

This assignment comprises three childcare information sheets, each detailing a different child's personal information, health concerns, eating habits, sleeping patterns, and behavioral characteristics. The sheets cover Emily, a child with peanut allergies and specific dietary needs; Emma, who ...Read More

Childcare Information Sheet
Certificate III in Early Childhood Education
Assessment Workbook 4
Reminder: You are required to complete this form for three children of
varying ages. The forms are numbered for your convenience.
To protect the privacy of all concerned, you are not required to provide
the complete names of children and their parents.
CHILD 1 of 3
A. Personal Information
Parent’s Name: Monica
Child’s Name: Emily Age: 1
B. Health Concerns
1.
Does your child have any known health concerns? Yes | No
If yes, please describe:
2.
Does your child take any medications on a regular basis? Yes | No
If yes, list the medication(s), dosage, and how often taken:
3.
Does your child have any hearing or vision problems? Yes | No
If yes, please describe:
4.
Does your child have any known allergies? Yes | No
If yes, please list the allergy and how it is dealt with:
Peanut. It is best avoided.
5. List any communicable diseases your child has had:
Roseola
6.
Does your child suffer from any of the following on a regular basis?
(check all that apply)
Nosebleeds | Headaches | Sore throats | Stomach aches |
Runny nose | Seasonal allergies | Others:
7.
Does your child have an intellectual ability? Yes | No
If yes, please rate the level of disability:
Mild| Moderate Severe
8. Is your child toilet-trained? Yes | No
If not, what assistance is required?
No Assistance Needed | Needs Assistance | Incontinent | Uses
TEMPLATES BY:

Childcare Information Sheet
Certificate III in Early Childhood Education
Assessment Workbook 4
Diapers/Nappies
9.
Does your child have mobility problems? Yes | No
If yes, indicate how this is handled:
Walks with Difficulty | Requires Walker/Stroller | Requires
Wheelchair
C. Eating Habits
1
.
Does your child have a special diet? Yes | No
If yes, please provide diet information:
Diet which does not include peanuts and generally given vegetable blends.
2
.
Are there any foods that should not be served to your child? Yes | No
If yes, please list the food and the reason:
Citrus fruits and large chunks of meat.
3
.
For infants, how is your child fed? (you may check more than one)
bottle | sippy cup | high chair | booster seat | others:
4
.
List your child’s favourite foods:
Carrots and sweet potato
5
.
List your child’s least favourite foods:
Eggs and avocado.
7
.
Is your child allowed snacks? Yes | No
If yes, what?
D. Sleeping Habits
1
.
Does your child have a regular bedtime schedule? Yes | No
If yes, please describe bedtime schedule:
After breakfast, 1 hour. After lunch, 3 hours. After dinner, 6-7 hours.
2
.
What time does your child usually wake up in the morning?
8 AM.
3
.
What time does your child usually go to bed at night?
9 PM
4
.
Does your child take naps? Yes | No
If yes, when and how long does your child usually nap?
6-7 hours.
TEMPLATES BY:

Childcare Information Sheet
Certificate III in Early Childhood Education
Assessment Workbook 4
5
.
Does your child have any problems getting to sleep or staying asleep?
Yes | No
If yes, please explain:
E. Behaviour:
1
.
Does your child have behavioural problems? Yes | No
If yes, what are they and how do you resolve them?
Gets cranky if naps not taken. Quickly feed her and get her to sleep.
2
.
How do you reward or discipline your child?
By giving her carrots or sweet potatoes.
3
.
Child’s Favourite Activities:
To play peek-a-boo with the soup bowl.
4
.
Favorite Toys/Playthings:
The utensils from fake kitchen cabinet.
5
.
Favorite Games/Songs:
Favourite song – twinkle twinkle little star
6
.
What quiets your child?
Lullaby
7
.
What excites your child?
Me returning from my office.
8
.
Familiar Names (Family, Friends, Pets) That Comforts Your Child:
Appa and umma. Meaning father and mother.
Please elaborate or comment on any other special instructions or
suggestions about your child:
CHILD 2 of 3
A. Personal Information
Parent’s Name: (First name only): Chandler
Child’s Name: (First name only): Emma Age: 3
B. Health Concerns
TEMPLATES BY:

Childcare Information Sheet
Certificate III in Early Childhood Education
Assessment Workbook 4
1.
Does your child have any known health concerns? Yes | No
If yes, please describe:
2.
Does your child take any medications on a regular basis? Yes | No
If yes, list the medication(s), dosage, and how often taken:
3.
Does your child have any hearing or vision problems? Yes | No
If yes, please describe:
She has vision issues for which she is advised to wear spectacles.
4.
Does your child have any known allergies? Yes | No
If yes, please list the allergy and how it is dealt with:
5. List any communicable diseases your child has had:
Chicken pox.
6.
Does your child suffer from any of the following on a regular basis?
(check all that apply)
Nosebleeds | Headaches | Sore throats | Stomach aches |
Runny nose | Seasonal allergies | Others:
7.
Does your child have an intellectual ability? Yes | No
If yes, please rate the level of disability:
Mild| Moderate Severe
8.
Is your child toilet-trained? Yes | No
If not, what assistance is required?
No Assistance Needed | Needs Assistance | Incontinent | Uses
Diapers/Nappies
9.
Does your child have mobility problems? Yes | No
If yes, indicate how this is handled:
Walks with Difficulty | Requires Walker/Stroller | Requires
Wheelchair
C. Eating Habits
1
.
Does your child have a special diet? Yes | No
If yes, please provide diet information:
2 Are there any foods that should not be served to your child? Yes | No
TEMPLATES BY:

Childcare Information Sheet
Certificate III in Early Childhood Education
Assessment Workbook 4
. If yes, please list the food and the reason:
Meat, as he dislikes eating it.
3
.
For infants, how is your child fed? (you may check more than one)
bottle | sippy cup | high chair | booster seat | others: dining
table
4
.
List your child’s favourite foods:
Broccoli, mashed potatoes, cheese and milk.
5
.
List your child’s least favourite foods:
Avocado and meat.
7
.
Is your child allowed snacks? Yes | No
If yes, what?
Broccoli chips, dried blueberries and grapes.
D. Sleeping Habits
1
.
Does your child have a regular bedtime schedule? Yes | No
If yes, please describe bedtime schedule:
2
.
What time does your child usually wake up in the morning?
9 am.
3
.
What time does your child usually go to bed at night?
11 pm.
4
.
Does your child take naps? Yes | No
If yes, when and how long does your child usually nap?
9 hours.
5
.
Does your child have any problems getting to sleep or staying asleep?
Yes | No
If yes, please explain:
She usually requires a cup of milk before sleeping for which she gets
cranky and cries.
E. Behaviour:
1
.
Does your child have behavioural problems? Yes | No
If yes, what are they and how do you resolve them?
She gets cranky and cries inconsistently if not given her milk on time.
2 How do you reward or discipline your child?
TEMPLATES BY:

Childcare Information Sheet
Certificate III in Early Childhood Education
Assessment Workbook 4
. Her mother, Monica, gives her the milk while I read to her a story book.
3
.
Child’s Favourite Activities:
To colour the books.
4
.
Favorite Toys/Playthings:
Colour pencils.
5
.
Favorite Games/Songs:
Let it go – Frozen
6
.
What quiets your child?
Food.
7
.
What excites your child?
Animated movies.
8
.
Familiar Names (Family, Friends, Pets) That Comforts Your Child:
Haimani and Haibaji. Meaning grandpa and grandma as she stayed with
them during her first 3 months.
Please elaborate or comment on any other special instructions or
suggestions about your child:
CHILD 3 of 3
A. Personal Information
Parent’s Name: Ross
Child’s Name: Ben Age: 5
B. Health Concerns
1.
Does your child have any known health concerns? Yes | No
If yes, please describe:
2.
Does your child take any medications on a regular basis? Yes | No
If yes, list the medication(s), dosage, and how often taken:
3.
Does your child have any hearing or vision problems? Yes | No
If yes, please describe:
4. Does your child have any known allergies? Yes | No
TEMPLATES BY:

Childcare Information Sheet
Certificate III in Early Childhood Education
Assessment Workbook 4
If yes, please list the allergy and how it is dealt with:
Kiwis, treated with anti-histamine medication.
5. List any communicable diseases your child has had:
Chicken pox.
6.
Does your child suffer from any of the following on a regular basis?
(check all that apply)
Nosebleeds | Headaches | Sore throats | Stomach aches |
Runny nose | Seasonal allergies | Others:
7.
Does your child have an intellectual ability? Yes | No
If yes, please rate the level of disability:
Mild| Moderate Severe
8.
Is your child toilet-trained? Yes | No
If not, what assistance is required?
No Assistance Needed | Needs Assistance | Incontinent | Uses
Diapers/Nappies
9.
Does your child have mobility problems? Yes | No
If yes, indicate how this is handled:
Walks with Difficulty | Requires Walker/Stroller | Requires
Wheelchair
C. Eating Habits
1
.
Does your child have a special diet? Yes | No
If yes, please provide diet information:
2
.
Are there any foods that should not be served to your child? Yes | No
If yes, please list the food and the reason:
3
.
For infants, how is your child fed? (you may check more than one)
bottle | sippy cup | high chair | booster seat | others: dining
table
4
.
List your child’s favourite foods:
Apples, banana, meat, potato, cheese, chocolate and papaya.
5
.
List your child’s least favourite foods:
Pumpkin, bitter gourd, guava, beans, and peas
7 Is your child allowed snacks? Yes | No
TEMPLATES BY:

Childcare Information Sheet
Certificate III in Early Childhood Education
Assessment Workbook 4
. If yes, what?
Krispies, potato chips, pretzels and cornflakes.
D. Sleeping Habits
1
.
Does your child have a regular bedtime schedule? Yes | No
If yes, please describe bedtime schedule:
2
.
What time does your child usually wake up in the morning?
7 am.
3
.
What time does your child usually go to bed at night?
9 pm.
4
.
Does your child take naps? Yes | No
If yes, when and how long does your child usually nap?
5
.
Does your child have any problems getting to sleep or staying asleep?
Yes | No
If yes, please explain:
E. Behaviour:
1
.
Does your child have behavioural problems? Yes | No
If yes, what are they and how do you resolve them?
2
.
How do you reward or discipline your child?
By giving the favourite toys to play with.
3
.
Child’s Favourite Activities:
Go karting.
4
.
Favorite Toys/Playthings:
Toy Cars.
5
.
Favorite Games/Songs:
Eye of the tiger - Rocky
6
.
What quiets your child?
Assignments from school.
7 What excites your child?
TEMPLATES BY:

Childcare Information Sheet
Certificate III in Early Childhood Education
Assessment Workbook 4
. Go karting.
8
.
Familiar Names (Family, Friends, Pets) That Comforts Your Child:
Daddy.
Please elaborate or comment on any other special instructions or
suggestions about your child:
TEMPLATES BY: