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March 2025  

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Image of pertussis poster with child crying - Is it a cold or whooping cough?

COntinue to Watch for Pertussis

A higher than average number of cases of pertussis, or whooping cough, are continuing to occur in Snohomish County. Pertussis begins with cold-like symptoms, such as a runny nose, sore throat, and mild cough.  Within 1-2 weeks, the cough becomes more severe, and leads to coughing fits, difficulty in getting one’s breath, mucus production, vomiting following coughing, and sometimes a “whooping” sound while struggling to inhale after coughing. Pertussis is most dangerous in infants less than 6 months of age, and serious complications can occur. You can download posters for your child care from our website (poster, poster) and get more information from our fact sheet.

Pertussis is a notifiable condition. This means that if a child in your care is diagnosed by a health care provider with pertussis, or whooping cough, you must report this to the health department and your licensor. In Snohomish County, you can report by calling the Child Care Health Outreach Program at 425-252-5415 or the Communicable Disease Surveillance and Response Program at 425-339-3503. The health department will provide you with a letter to share with families that includes how long to watch for symptoms.

Picture of a toddler

Tricky Times with Toddlers

Often toddlers get a bad rap. In their effort to gain independence, seek control and exert their power they end up saying “no” a lot. At this point, you may be able to distract a child and help them to begin to cooperate, or they may stomp their feet, get red in the face, cry, and even head bang. While tantrums are a normal part of child development, for child care providers, it can be aggravating and inconvenient because you are tending to multiple children and trying to keep to a routine. If one child melts down, it can throw the whole routine off and disrupt the whole classroom.  

Many toddlers are coping with big feelings and do not know what to do with their emotions. It is difficult for them to deal with conflicting feelings and they often do not cope very well. For example, they may feel love and affection for you, their child care provider, but simultaneously feel angry at you because you won’t let them play at the sensory table at that moment. 

There are many other factors that contribute to tantrums. We know that children are more likely to lose control when they are tired, hungry, uncomfortable, or upset. We also know that tantrums often happen when a child is denied something that he/she wants. As many of us are aware, children also get frustrated when they do not have the language skills to express their feelings. This can be a developmental delay, or simply the child’s age and development. Transition times are particularly hard if the child is being asked to stop an activity he/she loves, like playing outside, and starting an activity he/she is not as excited about, like lunch. Similarly pick up time can instigate a tantrum because they have been having so much fun at child care and do not want to get in their car seat and leave. 

Undoubtedly, you have many strategies to help toddlers and older children who are losing control. Sometimes touch can be helpful. Sometimes ignoring the tantrum until the child barely begins to regain some control. At that point, you praise the changed behavior, help them settle down and resume the activity the others are participating in. The main thing to remember is that it is impossible to reason with a child who is having a rage episode. They cannot hear you or process what you are saying. The key moment to intervene is the moment they begin to calm down. It is important to show forgiveness to the child and help them integrate back into the group as soon as possible. Forgiveness is extremely important, because the way you see the child, is the way the child sees herself. If you can be a mirror that reflects how wonderful, beautiful, and amazing she is, she will feel loved and respected and accepted just the way she is. She then can learn to love, respect, and accept herself as well. None of us act put together all of the time, but that is what makes us human. 

Picture of hands holding a heart

Supporting Children and families in Times of Uncertainty

Resources for Child care Providers on Talking About Deportation

As child care providers, you play a pivotal role in supporting the emotional well-being of children, especially those who may be facing the uncertainty and fear surrounding deportation. It’s crucial to approach these conversations with care, empathy, and understanding. Talking to children about deportation can be difficult, but with the right resources, you can guide them through these tough discussions while ensuring they feel safe and heard.

Below are a few valuable resources to help you talk to children who may be worried about deportation. The resources can also be shared with families if needed.

  1. Deportation and Separation: What Children Need to Know – This guide offers tips for caregivers and providers on how to approach conversations with children in a way that is age-appropriate and reassuring. Read more here. Español.
  2. Guiding Caregivers: How to Talk to a Child About Deportation or Separation – This fact sheet from the National Child Traumatic Stress Network (NCTSN) provides concrete strategies and suggestions for talking to children about these tough topics while maintaining their emotional safety. Explore the guide.
  3. Family Forever: An Activity Book for Latino Children or Caregivers – This activity book offers interactive ways to help Latino children understand and express their feelings around family separation and deportation. It can be a helpful tool for engaging children in a supportive and meaningful way. Access the activity book.

By utilizing these resources, you can help foster a sense of security and emotional resilience in children, while offering reassurance during times of uncertainty. Remember, open, honest conversations, paired with support and love, are key to helping children cope with difficult situations.

Drawing of a house with an onsite septic system

Is your child care on a septic system?

If your child care has an onsite septic system, learning more about your system can help you protect the children in your care and possibly save you from having to make expensive repairs. We have a new class specifically designed for Snohomish County child cares who have an onsite septic system. This class is worth 2 free STARS credits and can be taken online whenever it is convenient for you. You can sign up on our Child Care Class website. Please note that this course is only available for child care providers who have an onsite septic system. If you do not have one, you will not be able to complete the course assignment and will not receive credit.

We also encourage Snohomish County child cares on septic systems to sign up for the Septic Scoop Newsletter. You can do so by visiting www.snohd.org/notifyme. You can find previous editions of the newsletter here.

Information banner lead poisoning prevention

Click on the above image for more information about Childhood Lead Poisoning

You can prevent Lead Poisoning

Lead is a common, naturally occurring heavy metal that has been used for hundreds of years but is toxic to our bodies. If even a small amount of lead gets into our body, it can cause damage and health problems that can’t be reversed. All people can be affected by lead, but children 6 years or younger are more vulnerable because their developing brains and bodies absorb lead more easily than older children or adults. 

The good news is that lead poisoning can be prevented! There are simple things that you can do to prevent lead poisoning: 

  • Wash hands: Before eating, sleeping (including naptime), and after playing outside.
  • Housekeeping: Use a HEPA filter vacuum and empty it outside. Damp mop and dust with a damp paper towel. Do not wear shoes inside (have indoor slippers instead) or have a high quality walk-off mat at the entrance. 
  • Around your child care: Make sure paint isn’t chipping in the building, on walls, and windowsills especially if it was built before 1978. Also make sure that paint is not chipping on toys or on older painted furniture. Make sure to use lead-certified contractors to remodel safely. Avoid jewelry, older painted toys, or vintage and aluminum cookware. Do not allow children to play with or put jewelry in their mouth. Watch for toy or product recalls. 
  • Around your yard or playground: If you live in an area where the ground may be contaminated with lead, cover bare soil. Don’t let kids play in bare soil around older homes or buildings. Garden in raised beds if your child care is located where soil may be contaminated with lead. 
  • Water safety: Flush tap water until it runs cold. Use cold water only for making baby formula, cooking, and drinking. 
  • Hobby and occupational safety: Remind families to take steps at home by removing work clothes, gear, and shoes outside of living spaces and washing separately from other laundry. Shower before interacting with children. 
  • Food: Serve children healthy foods that have calcium, iron, and vitamin C. Avoid imported spices and avoid purchasing spices from international markets. 

To learn more, watch the online video series, Protect Your Children’s Future from Lead Poisoning, on the Snohomish County Health Department YouTube channel. 

For more information, visit: Lead and Health | Snohomish County Health Department, WA 

QR Code for Lead Poisoning Prevention Video Series Website
Arrows pointing to QR codes on either side - left for video on lead and right for lead website
QR code for Snohomish County Health Department Lead information website
COVID germ

COVID-19 Information and Resources

Remember to report all cases of COVID that occur at your child care via our website.

Take a look at our Snohomish County Health Department webpage for COVID-19 resources for schools and child care. Choose the “Child Care (staff)” tab.

Guidance and assistance are available from the staff of the Child Care Health Outreach Program at the email address and phone number listed below:

Email:  childcarehealth@co.snohomish.wa.us

Phone: 425-252-5415

CPSC Logo

Product Recalls

It is important to periodically check your child care products for items that have been recalled by the Consumer Product Safety Commission (CPSC). This is required by your licensing regulations WAC 110-300-0150-1(h) and 110-300-0295-2(h).

CPSC has Recall Roundup video series that describes various recalled products. You can do a search for child products on their main website at www.cpsc.gov/recalls. Below are a few recently recalled products. Click on the photo for more information.

Recalled child pounding toy

Recalled for magnet ingestion hazard

Sipper cup shaped like a bowling pin

Recalled for lead poisoning hazard

Infant toy set with lamb and cow

Recalled for choking hazard

Child Care Health & Safety Classes Logo
instructions for learning portal
LMS
learning portal

We appreciate your patience as we continue to update our courses to enhance your learning experience. Classes are being offered AT NO COST at this time. 

For questions about our online classes, contact our team at ChildCareHealth@co.snohomish.wa.us or via phone at 425.252.5415.

This Month's Featured Classes

Drawing of a house with a septic system in the yard

Septic Care Class for Home Child Cares in Snohomish County

This course is specifically designed for Snohomish County child cares with a septic system. If you do not have an onsite septic system you will not be able to complete the assignment and receive credit for this course.

Child cares with septic systems are responsible for protecting the health and safety of children in their care from potential risks. Learning how to best care for your system will help create a safe child care environment. This self-paced course will cover topics including how your system works, how to find your septic system records, best practices for care and maintenance, signs of a failing septic system, how to find septic contractors and what to expect, and financial assistance options for septic systems.

Register Here

Child with lots of toys

Injury Prevention: Toy Safety

In addition to providing children with fun and enjoyment, toys help them develop skills, test their abilities, engage their imagination, and learn. Unfortunately, many children are injured every day from toys that are supposed to be fun. This course will focus on preventing injuries from toys in child care settings.

Register Here

Child chipping paint off a window frame

Childhood Lead Poisoning Prevention


Lead remains a problem in Washington State and Snohomish County. This course is designed to educate child care providers and staff on how to keep children and families safe from the harmful effects of lead. Did you know there is no safe level of lead? In this course you will learn where lead was historically used, where it is currently still found, and simple steps you can take to protect children and families from the effects of lead poisoning.

Register Here

Contact Information

Snohomish County Health Department
3020 Rucker Ave., Ste. 202, Everett, WA  98201

                                                                                     
Email: ChildCareHealth@co.snohomish.wa.us

Program Phone:  425.252.5415

Website:  http://www.snohd.org/childcare

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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 facility. 

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Snohomish County Health Department
3020 Rucker Ave., Everett, Washington

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