Peninsula Family Service GUIDELINES AND EXPECTATIONS OF A PENINSULA FAMILY SERVICE CHILD DEVELOPMENT VOLUNTEER All volunteers participating in Peninsula Family Service's Volunteer Program with any Child Development Center must review and agree to the following Core Values, Guidelines and Expectations. Core Values Standards of ethical behavior in early childhood care and education are based on commitment to the following core values that are deeply rooted in the history of the field of early childhood care and education. We have made a commitment to: • Appreciate childhood as a unique and valuable stage ofthe human life cycle • Base our work on knowledge of how children develop and learn • Appreciate and support the bond between the child and family • Recognize that children are best understood and supported in the context offamily, culture, community, and society • Respect the dignity, worth, and uniqueness of each individual (child, family member, and colleague) • Respect diversity in children, families, and colleagues • Recognize that children and adults achieve their full potential in the context of relationships that are based on trust and respect Guidelines and Expectations • Be on time and reliable • Refrain from using foul or inappropriate language or behavior • Turn your cell phone OFF while you are completing your volunteer assignment • Dress appropriately for your assignment - no tight or constrictive or revealing clothing; no open toed shoes. If you are unsure of what is appropriate, please ask! • Personal belongings like backpacks, purses need to be locked in the break room • Notify the teacher in the classroom when you will be leaving the classroom Child Development Volunteer Guidelines and Expectations Page 1 HAN DWASHII\lG The second component of Universal Precautions is hand washing. Hand washing is one ofthe most important defenses against the spread of infectious disease. Children}s hands and adulfs hands should always be washed with soap and running water following contact with blood or other potentially infectious body secretions as described above even if gloves have been used for the task. Remember that hand washing is the most effective way to reduce the spread of disease. Method of hand washing: Use soap. Liquid is best and warm running water. Rub hands together vigorously for at least 30 seconds. Remember all surfaces including thumbs} wrists} back of hands} between fingers and around and under nails. Rinse hands well, letting water drain from wrist to fingers - don't turn off faucet. Dry hands with paper towel, then use the same towel to turn off faucet. Discard towel. Remember, the use of bar soap is discouraged as bacteria can grow on the bar and in the soap dish. Products such as moistened toweletts and antiseptic hand cleaners do not replace the need for hand washing. Antiseptic hand cleaners are effective alternatives if running water is not available, e.g. field trips. ALWAYS WASH HANDS Remember - The time to always wash hands are: When you arrive at the child care center Before and after giving medications Before beginning care/first aid Before and after using the bathroom In-between delivery of care/first aid Before handling clean equipment After handling dirty equipment Before and after eating Before handling food Before leaving the building PERSONAL HYGIENE Personal hygiene as well as eating or drinking should not take place where there is a possibility of exposure. There should be no eating, drinking, smoking, applying make-up, handling contact lenses, etc. in areas in which first aid is provided. M Child Development Volunteer Guidelines and Expectations Page 3 • Engage with children • Maintain professional relationships with other volunteers and program managers by: o Relay suggestions for improvements to the volunteer program manager o Deal with frustration appropriately o Work as a teammate with other participants and staff o Complete any paperwork in a timely fashion • Always strive for quality by: o Being organized and well informed of your responsibilities and ask any questions o Greet all volunteers and staff and introduce yourself as a volunteer o Keep lines of communication open with all members of your team As a Volunteer working with children you may come into contact with body fluids. The following are the professional guidelines Peninsula Family Service follows regarding basic universal precautions: UNIVERSAL PRECAUTIONS - COMPONENTS The principles of infection control remain constant} whether HIV} HBV< HCV or other infectious agents are the cause for concern. The components of Universal Precautions include: 1. Personal protective equipment} e.g. wearing gloves} gowns} eye protection and other protective gear. 2. Hand washing. 3. Decontamination} e.g. appropriate cleaning methods to decontaminate surfaces} objects} etc. 4. Waste disposal} e.g. liquid or non-liquid form} double bagging and labeling. TREAT ALL HUMAN BLOOD AND POTENTIALLY INFECTIOUS BODY FLUIDS AS CONTAGIOUS 1. Treat all human blood and potentially infectious body fluids as if they are known to contain blood borne pathogens. These infectious body fluids are: a. b. c. d. e. blood vaginal secretions semen any body fluids that you can}t identify fluid that has visible blood present 2. Precaution should be taken when handling stool} urine} nasal secretions and vomit. Child Development Volunteer Guidelines and Expectations Page 2 VOLUNTEER WAIVER, RELEASE, AND INDEMNITY AGREEIVIENT Between Peninsula Family Service and (hereinafter lithe volunteer") This document sets forth the responsibilities and understandings of the volunteer and of Peninsula Family Service regarding volunteer's participation in volunteer programs partially or wholly coordinated by Peninsula Family Service. The volunteer and Peninsula Family Service agree as follows: 1. The volunteer performs the service of the volunteer's own free will, without promise, expectation, or receipt of remuneration. The volunteer is not an employee or agent of Peninsula Family Service for any purpose and the volunteer's services are not controlled nor mandated by Peninsula Family . Service. 2. If the volunteer is under the age of 18, the volunteer may only participate in volunteer service with the express written consent of the volunteer's parent or guardian. 3. The volunteer understands and agrees that it is possible that the volunteer may be injured or otherwise harmed during volunteer service due to accidents, acts of nature, the volunteer's negligent or intentional acts, or the negligent or intentional acts of others; that while Peninsula Family Service has taken some steps to reduce the chances of injuries or harm to the volunteer, that Peninsula Family Service has no control over most risks, and, thus, cannot and does not guarantee nor take any responsibility for the safety of the volunteer or the volunteer's property while the volunteer is engaged in volunteer service; and that the volunteer must take full responsibility for himself or herself and assume the risk of harm or damage while serving by taking all necessary and reasonable precautions and acting in a manner that will help protect himself or herself and his or her property. 4. The volunteer agrees to waive and release Peninsula Family Service from any and all potential claims for injury, illness, damage, or death which the volunteer may have against Peninsula Family Service that might arise out of the volunteer's service and to hold Peninsula Family Service harmless there from. 5. The volunteer agrees and understands that injuries or losses to others, such as co-workers or the person(s) being helped, may occur as a result of the volunteer's negligent or intentional acts during volunteer service, and that to avoid such harm, the volunteer must exercise care and act responsibly in serving others. 6. If any injury or loss to another does occur due to the volunteer's intentional actions or due to volunteer's negligent actions arising outside of the scope of the volunteer's activities, the volunteer must accept the liability for and repair, or make reparations for, the harm done. 7. Peninsula Family Service is not providing the volunteer with insurance coverage for any injuries, conditions, or losses to the volunteer arising out of volunteer activities, except that Peninsula Family Service does provide liability insurance coverage on all Peninsula Family Service vehicles used during service projects. 8. The volunteer must maintain his or her own primary medical insurance and the volunteer's own automobile liability insurance when driving a non~Peninsula Family Service vehicle to cover potential medical and other costs related to the volunteer service; and the volunteer is also encourages to maintain property and life insurance coverage while serving as a volunteer. 9. All costs for injury or loss above the coverage provided by the volunteer's insurance are the volunteer's personal responsibility. 10. In projects where the volunteer will be transporting others in a non~Peninsula Family Service owned vehicle, the volunteer may be required to provide proof of automobile insurance in order to participate. 11. Since volunteers are not Peninsula Family Service employees, Peninsula Family Service does not provide worker's compensation coverage for injuries or illnesses to the volunteer arising out of volunteer activities. 12. Peninsula Family Service will provide you with a legal defense, upon your request, in response to any claim or action brought against you, arising out of your volunteer service in a program that Peninsula Family Service helps coordinate, where you were acting in good faith and reasonably believed you were acting within the scope of the volunteer activity, and the act in question was not an intentional or knowing act constituting illegal, willful, or wanton misconduct. However, Peninsula Family Service will not defend you in any case where the injury resulted from your operations of a non~Peninsula Family Service motor vehicle, vessel, aircraft, or other vehicle for which a pilot or operator's license is required or where the suite is brought by an authorized governmental officer to enforce a federal, state, or local law. 13. In legal actions in which Peninsula Family Service provides your defense, Peninsula Family Service will pay for reasonable attorney fees, judgments, settlements, or other expenses directly related to your defense only up to the limits presently stated in the appropriate State statutes, one time only per volunteer. Peninsula Family Service will control the defense and you must reasonably cooperate and comply with Peninsula Family Service decisions and procedures. By signing below, the parties confirm that they have read, understand, and consent to the terms of this waiver agreement. Printed Name Peninsula Family Service Representative Signature H:/Current Forms~Procedures/FormsfVolunteer Liability Waiver Printed Name f1 Volunteer Confidentiality Agreement Peninsula Family Service I, agree that I will maintain the confidentiality of each person and situation I may come in contact with while visiting the Peninsula Family Service. I further agree that I will obtain consent from Center/ Site Directors and/or assigned project supervisors prior to any direct client contact, interviews and/or observations of any services. Signed: _ _ _ _ _ _ _ _ _ _ _ __ Date: _ _ _ _ _ _ _ _ _ _ _ _ __ Witness: _ _ _ _ _ _ _~_ _ _ __ Date: _ _ _ _ _ _ _ _ _ _ _ _ __ n Peninsula Fam ily Service Volunteer Media Release This is to authorize Peninsula Family Service volunteers to use their likeness for Public Relations and Fund Raising purposes. I understand that Peninsula Family Service is a charitable organization, which depends upon public financial support to operate its facilities. I also understand that Peninsula Family Service engages in public relations and fundraising programs designed to make the public aware of the organizations needs. I wish to help Peninsula Family Service in its public relations and fund raising programs, and I consent to photographs, slides, television, videotape and audiotape being taken of (name, please printJ _______________ for public relations and fund raising purposes. I also understand that Peninsula Family Service is not responsible if these "likenesses" (as in passing on or downloading a "likeness") are distributed by other people. Family Service hasno way to prevent this from happening. I have been given an opportunity to ask questions about this authorization, and either I had no questions or they have been answered to my satisfaction. I expect no payment or anything else valuable for signing this authorization. Also, this authorization as to any use of photographs, slides, teleVision, videotape and/or audiotape will expressly release from liability to me the person obtaining the "likeness", Peninsula Family Service, its Board of Directors and Staff. Peninsula Family Service Volunteer Signature Date Parent Signature, if under 18 Date ·11 Peninsula Family Service Volunteer Registration Form NAI"lE:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ADDRESS: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ CITY: - - - - - - - - - - - - - STATE: ------- ZIP: ----------- PHONE:__________________________________________ EMAIL: ___________________________ BIRTHDATE: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ EMERGENCY CONTACT: (Name, Phone, Relation) NAME:_______________________________________________ PHONE: _____________ Relation: _______- - - - 1. How did you hear about Peninsula Family Service?: 2. Why are you interested in volunteering with Peninsula Family Service?: 3. What volunteer opportunity are you interested in? (if interested in multiple, prioritize using 1, 2, 3 •••) lj Reading to children/helping in classroom LJl Organizing and cleaning classroom LJl Helping in kitchen LJl LJl Art projects with children Music play 4. Please indicate the skills and experience you would bring to your volunteer role: LJl Experience working with Children EO Music/singing experience /5JAble to playa musical instrument, if so what instrument?- - - - - - - - - Page 10f2 OJ Experience with art projects OJ Languages Spoken _______ OJ Sports Skills ___________ OJOther_____________ Peninsula Family Service Volunteer Information Form 2015 5. Please indicate the period of time you are available to volunteer as well as available shifts/times during the day (ie. 9:00am-1:00pm or 3:00pm-5:30pm) I am available to volunteer from _ _ _ _ _ _ _ _ _ to (Month, Day, Year) (Month, Day, Year) Monday Tuesday Wednesday Thursday Friday Morning Afternoon Volunteer Signature Date Parent or Guardian Signature Date For office Use: Start Date: _ _ _ _ _ _ _ _ _ _ _ Location: Program or Site Supervisor: Cc: HR, Development Information Page 2 of2 Peninsula Family Service Volunteer Information Form 2015
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