{"title":"[topic] ECE guidelines","description":"","products":[{"product_id":"cleaning-and-sanitising-guidelines-he2943","title":"Cleaning and sanitising guidelines - HE2943","description":"\u003ch2\u003eGuidelines for Early Childhood Education (ECE) services\u003c\/h2\u003e\n\u003cp\u003e\u003cimg\u003eHealth New Zealand | Te Whatu Ora works with ECE services to ensure safe environments and good health practices to support the health and wellbeing of children. Maintaining good hygiene and cleaning standards is essential to prevent the spread of illness and the occurrence of disease outbreaks.\u003c\/p\u003e\n\u003cp\u003eThese guidelines set out best practice cleaning and sanitising processes, including:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eHow to clean and sanitise\u003c\/li\u003e\n\u003cli\u003eUsing sodium hypochlorite to sanitise\u003c\/li\u003e\n\u003cli\u003eCleaning advice for different areas or items\u003c\/li\u003e\n\u003cli\u003eCleaning faeces and vomit\u003c\/li\u003e\n\u003cli\u003eResponding to a disease outbreak\u003c\/li\u003e\n\u003cli\u003eUsing cleaning schedules\u003c\/li\u003e\n\u003cli\u003eCleaning tips\u003c\/li\u003e\n\u003cli\u003eCleaning schedule template.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eHow to clean and sanitise\u003c\/h3\u003e\n\u003cp\u003eA two-part process is required.\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eCleaning\u003c\/strong\u003e \u003cbr\u003eCleaning is the removal of visible debris using detergent and water and is an important first step in removing micro-organisms (germs) from the environment. This step should be done prior to sanitising. \u003cbr\u003eIf surfaces are not clean, accumulated dirt and organic matter can protect germs and may make further sanitising processes ineffective. Germs also cannot multiply on clean, dry surfaces.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSanitising (sometimes called disinfecting)\u003c\/strong\u003e \u003cbr\u003eSanitising is the inactivation of germs left on surfaces using heat or chemicals (such as bleach). \u003cbr\u003eIn order to kill the germs the bleach solution needs to be left on a clean surface for 10-30 minutes and be of sufficient strength or concentration. \u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch4\u003eProcess to clean and sanitise: \u003c\/h4\u003e\n\u003col\u003e\n\u003cli\u003e\n\u003cstrong\u003ePre clean\u003c\/strong\u003e \u003cbr\u003eRemove dirt and debris by sweeping, scraping, wiping or rinsing with water.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eClean\u003c\/strong\u003e \u003cbr\u003eUse warm water and detergent. Soak if necessary. \u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRinse\u003c\/strong\u003e \u003cbr\u003eRinse off detergent and any remaining dirt.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSanitise\u003c\/strong\u003e \u003cbr\u003eSanitise to reduce germs to safe levels:\n\u003col\u003e\n\u003cli\u003eDilute bleach with water to make a 0.1% sodium hypochlorite solution\u003c\/li\u003e\n\u003cli\u003eSaturate the area to be disinfected with the bleach solution\u003c\/li\u003e\n\u003cli\u003eLeave the solution on the area for at least 10 minutes and preferably 30 minutes.\u003c\/li\u003e\n\u003c\/ol\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRinse\u003cbr\u003e\u003c\/strong\u003eWash off the bleach solution thoroughly with water, so that children and staff are not exposed to any residual (use a hose if outdoors). \u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDry\u003c\/strong\u003e \u003cbr\u003eAir dry or use a designated single-use cloth (used for this purpose only) or disposable paper towels. \u003c\/li\u003e\n\u003c\/ol\u003e\n\u003ch3\u003eUsing sodium hypochlorite to sanitise\u003c\/h3\u003e\n\u003ch4\u003eWhy we recommend using a sodium hypochlorite (diluted bleach) solution to sanitise\u003c\/h4\u003e\n\u003cp\u003eIllness and outbreaks in ECE services are caused by a range of microorganisms (germs) such as giardia and cryptosporidium (protozoa), salmonella (bacteria) and norovirus-like viruses. Many of these germs (especially protozoal cysts and viruses) are resistant to most sanitisers but can be killed by diluted bleach solutions when used correctly.\u003c\/p\u003e\n\u003cp\u003eWe also recommend bleach solutions as they are cost effective. We recommend only sanitisers containing sodium hypochlorite are used at your ECE service.\u003c\/p\u003e\n\u003ch4\u003eMaking up a sodium hypochlorite (diluted bleach) solution\u003c\/h4\u003e\n\u003cul\u003e\n\u003cli\u003eMake a fresh diluted bleach solution for each strength (0.1% and 0.5%) every day. Keep it out of direct sunlight. Bleach solutions lose strength over time and in UV light making it ineffective in killing germs.\u003c\/li\u003e\n\u003cli\u003eUse plain, unscented, household bleach. Bleach from the supermarket is sold in different strengths of sodium hypochlorite (usually 2% to 5%). This is written on the label. Check the bleach is not past its use by date.\u003c\/li\u003e\n\u003cli\u003eClean the container daily before making up the solution. Make up the bleach solution in a spray bottle, using a measuring cup to measure the correct quantity of bleach and water, according to the instructions in the table below.\u003c\/li\u003e\n\u003cli\u003eLabel the spray bottle as bleach and with the strength (0.1% or 0.5%). Include the date and store out of children’s reach and direct sunlight.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch4\u003eSodium hypochlorite (diluted bleach) solution strengths and their use\u003c\/h4\u003e\n\u003ch5\u003e0.1% sodium hypochlorite\u003c\/h5\u003e\n\u003cp\u003e\u003cstrong\u003eShould be used for nappy change areas and areas that children contact a lot \u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eThis solution should be used on nappy change areas and frequently touched surfaces. After each nappy change, sanitise and then wash off with water to avoid skin irritation. Identify high-risk areas where children play and clean these more often, focusing on surfaces at child height like chair backs and tabletops.\u003c\/p\u003e\n\u003ch5\u003e0.5% sodium hypochlorite\u003c\/h5\u003e\n\u003cp\u003eShould be used for general sanitation of the bathroom and toilet surfaces. At the end of each day this concentration should be used on all nappy changing surfaces.\u003c\/p\u003e\n\u003ch3\u003eHow to make a 0.1% and 0.5% sodium hypochlorite (diluted bleach) solution for disinfection\u003c\/h3\u003e\n\u003ch4\u003e0.1% sodium hypochlorite solution\u003c\/h4\u003e\n\u003ctable class=\"MsoTableGrid\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\" style=\"border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-yfti-tbllook: 1184; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003ctbody\u003e\n\u003ctr style=\"mso-yfti-irow: 0; mso-yfti-firstrow: yes;\"\u003e\n\u003ctd width=\"291\" colspan=\"2\" valign=\"top\" style=\"width: 218.05pt; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" align=\"center\" style=\"margin-bottom: 0cm; text-align: center; line-height: normal;\"\u003eStrength of bleach\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"104\" valign=\"top\" style=\"width: 77.95pt; border: solid windowtext 1.0pt; border-left: none; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003eQuantity of bleach\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"98\" valign=\"top\" style=\"width: 73.65pt; border: solid windowtext 1.0pt; border-left: none; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003eQuantity of water\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 92.45pt; border: solid windowtext 1.0pt; border-left: none; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003eTotal volume of diluted solution\u003c\/p\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr style=\"mso-yfti-irow: 1;\"\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 92.4pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e% hypochlorite\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"168\" valign=\"top\" style=\"width: 125.65pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003eg\/100 ml hypochlorite\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"104\" valign=\"top\" style=\"width: 77.95pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e \u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"98\" valign=\"top\" style=\"width: 73.65pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e \u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 92.45pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e \u003c\/p\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr style=\"mso-yfti-irow: 2;\"\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 92.4pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e0.5 %\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"168\" valign=\"top\" style=\"width: 125.65pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e0.5 g\/100 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"104\" valign=\"top\" style=\"width: 77.95pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e100 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"98\" valign=\"top\" style=\"width: 73.65pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e400 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 92.45pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e500 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr style=\"mso-yfti-irow: 3;\"\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 92.4pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e2 %\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"168\" valign=\"top\" style=\"width: 125.65pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e2 g\/100 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"104\" valign=\"top\" style=\"width: 77.95pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e25 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"98\" valign=\"top\" style=\"width: 73.65pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e475 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 92.45pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e500 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr style=\"mso-yfti-irow: 4;\"\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 92.4pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e3 %\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"168\" valign=\"top\" style=\"width: 125.65pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e3 g\/100 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"104\" valign=\"top\" style=\"width: 77.95pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e10 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"98\" valign=\"top\" style=\"width: 73.65pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e290 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 92.45pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e300 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr style=\"mso-yfti-irow: 5;\"\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 92.4pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e4 %\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"168\" valign=\"top\" style=\"width: 125.65pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e4 g\/100 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"104\" valign=\"top\" style=\"width: 77.95pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e10 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"98\" valign=\"top\" style=\"width: 73.65pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e390 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 92.45pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e400 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr style=\"mso-yfti-irow: 6; mso-yfti-lastrow: yes;\"\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 92.4pt; border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e5 %\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"168\" valign=\"top\" style=\"width: 125.65pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e5 g\/100 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"104\" valign=\"top\" style=\"width: 77.95pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e10 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"98\" valign=\"top\" style=\"width: 73.65pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e490 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 92.45pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e500 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003cp\u003eTo increase the amount of solution made, double (or triple) the amount of bleach and water added.\u003c\/p\u003e\n\u003ch4\u003e0.5% sodium hypochlorite solution\u003c\/h4\u003e\n\u003ctable class=\"MsoTableGrid\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\" style=\"border-collapse: collapse; border: none; width: 100%; height: 229.188px;\"\u003e\n\u003ctbody\u003e\n\u003ctr style=\"height: 76px;\"\u003e\n\u003ctd width=\"291\" colspan=\"2\" valign=\"top\" style=\"width: 45.4383%; border: 1pt solid windowtext; padding: 0cm 5.4pt; height: 76px;\"\u003e\n\u003cp class=\"MsoNormal\" align=\"center\" style=\"margin-bottom: 0cm; text-align: center; line-height: normal;\"\u003eStrength of bleach\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"104\" valign=\"top\" style=\"width: 18.4258%; border-top: 1pt solid windowtext; border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-image: initial; border-left: none; padding: 0cm 5.4pt; height: 76px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003eQuantity of bleach\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"98\" valign=\"top\" style=\"width: 18.4258%; border-top: 1pt solid windowtext; border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-image: initial; border-left: none; padding: 0cm 5.4pt; height: 76px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003eQuantity of water\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 17.7102%; border-top: 1pt solid windowtext; border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-image: initial; border-left: none; padding: 0cm 5.4pt; height: 76px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003eTotal volume of diluted solution\u003c\/p\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr style=\"height: 38px;\"\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 43.6526%; border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-left: 1pt solid windowtext; border-image: initial; border-top: none; padding: 0cm 5.4pt; height: 38px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e% hypochlorite\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"168\" valign=\"top\" style=\"width: 1.78571%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 38px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003eg\/100 ml hypochlorite\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"104\" valign=\"top\" style=\"width: 18.4258%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 38px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e \u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"98\" valign=\"top\" style=\"width: 18.4258%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 38px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e \u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 17.7102%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 38px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e \u003c\/p\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr style=\"height: 39.1875px;\"\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 43.6526%; border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-left: 1pt solid windowtext; border-image: initial; border-top: none; padding: 0cm 5.4pt; height: 39.1875px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e0.5 %\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"168\" valign=\"top\" style=\"width: 1.78571%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 39.1875px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e0.5 g\/100 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"104\" valign=\"top\" style=\"width: 18.4258%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 39.1875px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003eUse undiluted\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"98\" valign=\"top\" style=\"width: 18.4258%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 39.1875px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003eNil\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 17.7102%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 39.1875px;\"\u003eUse undiluted\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr style=\"height: 19px;\"\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 43.6526%; border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-left: 1pt solid windowtext; border-image: initial; border-top: none; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e2 %\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"168\" valign=\"top\" style=\"width: 1.78571%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e2 g\/100 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"104\" valign=\"top\" style=\"width: 18.4258%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e100 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"98\" valign=\"top\" style=\"width: 18.4258%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e300 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 17.7102%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e400 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr style=\"height: 19px;\"\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 43.6526%; border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-left: 1pt solid windowtext; border-image: initial; border-top: none; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e3 %\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"168\" valign=\"top\" style=\"width: 1.78571%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e3 g\/100 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"104\" valign=\"top\" style=\"width: 18.4258%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e50 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"98\" valign=\"top\" style=\"width: 18.4258%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e250 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 17.7102%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e300 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr style=\"height: 19px;\"\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 43.6526%; border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-left: 1pt solid windowtext; border-image: initial; border-top: none; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e4 %\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"168\" valign=\"top\" style=\"width: 1.78571%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e4 g\/100 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"104\" valign=\"top\" style=\"width: 18.4258%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e50 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"98\" valign=\"top\" style=\"width: 18.4258%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e350 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 17.7102%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e400 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr style=\"height: 19px;\"\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 43.6526%; border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-left: 1pt solid windowtext; border-image: initial; border-top: none; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e5 %\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"168\" valign=\"top\" style=\"width: 1.78571%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e5 g\/100 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"104\" valign=\"top\" style=\"width: 18.4258%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e50 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"98\" valign=\"top\" style=\"width: 18.4258%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e450 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd width=\"123\" valign=\"top\" style=\"width: 17.7102%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 19px;\"\u003e\n\u003cp class=\"MsoNormal\" style=\"margin-bottom: 0cm; line-height: normal;\"\u003e500 ml\u003c\/p\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003cp\u003eTo increase the amount of solution made, double (or triple) the amount of bleach and water added.\u003c\/p\u003e\n\u003ch4\u003eSafety tips\u003c\/h4\u003e\n\u003cul\u003e\n\u003cli\u003eAlways follow the manufacturer’s instructions on the product.\u003c\/li\u003e\n\u003cli\u003eAlways use chemicals in a well-ventilated area.\u003c\/li\u003e\n\u003cli\u003eAlways wear gloves when handling cleaning materials, especially undiluted chemicals. A face mask and long sleeves will also help protect against irritation.\u003c\/li\u003e\n\u003cli\u003eAlways label bottles of diluted chemical solutions with the name, strength and date.\u003c\/li\u003e\n\u003cli\u003eNever mix cleaning chemicals together as they react and produce toxic gases.\u003c\/li\u003e\n\u003cli\u003eNever store chemicals or cleaning solutions in unmarked containers.\u003c\/li\u003e\n\u003cli\u003eEnsure bleach\/diluted bleach is kept out of the reach (cannot be accessed) from children.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch4\u003eAlternatives\u003c\/h4\u003e\n\u003cp\u003eIf you wish to use an alternative sanitiser, you must have scientific evidence (from the supplier) of the effectiveness of the product against a very wide range of micro-organisms including bacteria, viruses and protozoal cysts. Contact a Health Protection Officer in your region to discuss.\u003c\/p\u003e\n\u003ch3\u003eCleaning advice for different areas or items\u003c\/h3\u003e\n\u003ch4\u003eNappy changing areas\u003c\/h4\u003e\n\u003cp\u003eClean and sanitise nappy changing areas with a 0.1% hypochlorite solution after every nappy change and with a 0.5% hypochlorite solution at the end of every day.\u003c\/p\u003e\n\u003cp\u003eNappy changing areas must be smooth, impervious and washable, and in good condition.\u003c\/p\u003e\n\u003cp\u003ePlace disposable towels or single-use cloths under the child during nappy changing to reduce the contamination of the changing pad. \u003c\/p\u003e\n\u003ch3\u003eFood preparation areas\u003c\/h3\u003e\n\u003cp\u003eSanitise surfaces before and after food preparation. Only use food grade disinfectants on surfaces used for preparation and serving of food items.\u003c\/p\u003e\n\u003cp\u003eThe \u003ca href=\"https:\/\/www.mpi.govt.nz\/food-business\/running-a-food-business\/national-programmes\/early-childhood-educators-and-kohanga-reo\" title=\"MPI National Programme 2\" target=\"_blank\"\u003eMinistry for Primary Industries National Programme 2\u003c\/a\u003e requires all food preparation and handling areas and equipment to be listed in a cleaning schedule, and surfaces must be cleaned using a food grade sanitiser (Food Regulations 2015). Food grade sanitisers are generally different to cleaning products used elsewhere in your ECE service.\u003c\/p\u003e\n\u003ch4\u003eSinks, toilets and other hard bathroom surfaces\u003c\/h4\u003e\n\u003cp\u003eWash and sanitise bathroom surfaces such as tap handles, wash hand basins, toilet flush handles, toilet seats and bowls, nappy bins, paper towel and soap dispensers at least once a day or more often if visibly soiled. \u003c\/p\u003e\n\u003ch4\u003eFloors\u003c\/h4\u003e\n\u003cp\u003eClean and sanitise daily or more often if required. \u003c\/p\u003e\n\u003ch4\u003eCots and stretchers \u003c\/h4\u003e\n\u003cp\u003eWipe down cots with diluted bleach (0.1% hypochlorite solution) daily where children hold or bite. Wipe down stretcher beds and cot mattresses at least weekly or if there has been a spill. \u003c\/p\u003e\n\u003ch4\u003eCarpets and soft furnishings\u003c\/h4\u003e\n\u003cp\u003eIf soiled, clean affected area with hot soapy water, then steam clean. \u003c\/p\u003e\n\u003ch4\u003eToys, dress up clothes, comforters\u003c\/h4\u003e\n\u003cp\u003eAt the end of each day, clean toys and materials that children handle or put in their mouth. Use hot soapy water and disinfectant or put in the washing machine or dishwasher depending on the toy.\u003c\/p\u003e\n\u003cp\u003eAfter a toy has been mouthed it should be removed and placed in a designated container for cleaning and sanitising.\u003c\/p\u003e\n\u003cp\u003eSend all comforters (dummies, sleep toys, blankets) home to be washed. Dressup clothes must be laundered weekly or whenever soiled.\u003c\/p\u003e\n\u003cp\u003eRotate toys on a roster so there are always clean toys available to use. This is especially important for under two-year-olds. \u003c\/p\u003e\n\u003ch4\u003eSand and sand pits\u003c\/h4\u003e\n\u003cp\u003eSandpits can be contaminated by animal droppings, vomit or human faeces and made unsafe by hazardous items such as broken glass.\u003c\/p\u003e\n\u003cp\u003eTo prevent sandpits being contaminated or made unsafe the following advice is recommended.\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eProtect with a tight-fitting cover to prevent animals from entering.\u003c\/li\u003e\n\u003cli\u003eRake at least daily (and preferably before and after each use) to ensure hazards such as glass or animals droppings are removed.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eSand cannot be sanitised. Discard sand and replace it if it is unsafe or contaminated. Throw sand away using your usual waste disposal procedures. \u003c\/p\u003e\n\u003ch3\u003eLinen\u003c\/h3\u003e\n\u003cp\u003eLaunder linen between use by different children or at least weekly if used by one child. Use a 60°C hot wash.\u003c\/p\u003e\n\u003cp\u003eDry outdoors on the washing line if possible. If not possible use a tumble drier. \u003c\/p\u003e\n\u003ch4\u003eActivities\u003c\/h4\u003e\n\u003cp\u003eClean and sanitise outdoor play equipment regularly. Some artificial grass surfaces can be disinfected with bleach (check with the supplier).\u003c\/p\u003e\n\u003cp\u003eChange playdough daily.\u003c\/p\u003e\n\u003cp\u003eEmpty, clean, sanitise and dry water tables after use. Fill water tables with water that is safe to drink immediately before use. \u003c\/p\u003e\n\u003ch3\u003eCleaning faeces and vomit\u003c\/h3\u003e\n\u003cp\u003eIf a vomiting or faecal accident occurs, immediately close the area off from children and clean it. It is recommended that you have a spill kit made up and ready to go. A spill kit contains all the items required to clean a child and protect staff. It should be held in a location that is easy to access and regularly checked to ensure items are replaced and not expired. \u003c\/p\u003e\n\u003ch4\u003eKey items to have in your spill kit\u003c\/h4\u003e\n\u003cp\u003eProtective equipment\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eDisposable gloves\u003c\/li\u003e\n\u003cli\u003eDisposable aprons\u003c\/li\u003e\n\u003cli\u003eN95 Masks \u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eCleaning equipment \u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eBucket\u003c\/li\u003e\n\u003cli\u003eDetergent and bleach\u003c\/li\u003e\n\u003cli\u003ePaper towels\u003c\/li\u003e\n\u003cli\u003eSpray bottle\u003c\/li\u003e\n\u003cli\u003ePlastic bags\u003c\/li\u003e\n\u003cli\u003eHand sanitiser\u003c\/li\u003e\n\u003cli\u003eCleaning equipment\u003c\/li\u003e\n\u003cli\u003eSteam cleaner \u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEquipment to clean child \u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eSingle-use towels\u003c\/li\u003e\n\u003cli\u003eWet wipes \u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch4\u003eWhen a faecal accident has occurred\u003c\/h4\u003e\n\u003cul\u003e\n\u003cli\u003eClean all surrounding surfaces with hot water and detergent, then saturate with a 0.1% bleach solution. Leave the bleach on surfaces for at least 30 minutes, then rinse with a cloth saturated in cold water and allow to dry or wipe dry.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch4\u003eWhere vomiting has occurred\u003c\/h4\u003e\n\u003cul\u003e\n\u003cli\u003eRemove everyone from the room for at least one hour afterwards. This is because norovirus can be breathed in after someone has been sick. Any uncovered food in the same area as someone who vomited must be thrown away.\u003c\/li\u003e\n\u003cli\u003eScrape linen soiled with faeces, blood or other body fluids to remove excess material, soak in appropriate sanitising solution and washed separately in a hot water wash.\u003c\/li\u003e\n\u003cli\u003eOpen all windows and doors to ventilate the area.\u003c\/li\u003e\n\u003cli\u003eClean all surrounding surfaces with hot water and detergent, then saturate with a 0.1% bleach solution. Leave the bleach on surfaces for at least 30 minutes, then rinse with a cloth saturated in cold water and allow to dry or wipe dry.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch4\u003eWhen cleaning vomit or faeces\u003c\/h4\u003e\n\u003cul\u003e\n\u003cli\u003eWear personal protective equipment (PPE) such as disposable gloves and apron. A particulate respirator (N95) mask should be worn if cleaning up vomit. It is important that PPE is put on and removed correctly to prevent cross contamination – see the images in this guide.\u003c\/li\u003e\n\u003cli\u003ePlace PPE in a sealed bag for disposal after use.\u003c\/li\u003e\n\u003cli\u003eUse disposable brushes, mops and cloths and discard after use.\u003c\/li\u003e\n\u003cli\u003eRemove any soiled clothing and place in a leakproof, sealed bag for laundering at home. Advise whānau\/parents\/ caregivers of the need to treat soiled clothing carefully and to soak in an approved sanitiser such as Napisan diluted as per manufacturer’s instructions, before laundering them separately using a hot water wash.\u003c\/li\u003e\n\u003cli\u003eOpen windows and doors if possible.\u003c\/li\u003e\n\u003cli\u003eIf vomit or faecal matter has occurred on carpet or soft furnishings, some disinfectants may not be effective or appropriate on this surface (e.g. bleach solutions may damage or discolour the carpet). The contaminated area should be cleaned with detergent and hot water and then an appropriate disinfectant can be applied or the area steam cleaned (ideally using commercial cleaning equipment).\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003ePutting on PPE\u003c\/h3\u003e\n\u003cp\u003eWash hands well first, then put on PPE in the following order:\u003c\/p\u003e\n\u003col\u003e\n\u003cli\u003e[Apron] Fully cover your torso from neck to knees. Fasten ties behind neck and waist. \u003c\/li\u003e\n\u003cli\u003e[Face mask] Loop bands over ears or tie\/pull behind head. Pinch metal band over nose. Adjust so fit is snug. \u003c\/li\u003e\n\u003cli\u003e[Gloves] Pull on gloves. Extend to cover wrists and cuffs of sleeves.\u003c\/li\u003e\n\u003c\/ol\u003e\n\u003ch3\u003eTaking off PPE \u003c\/h3\u003e\n\u003cp\u003eRemove your PPE in the following order. After removing, place everything in a plastic bag, seal and dispose into rubbish bin. Wash and dry hands thoroughly.\u003c\/p\u003e\n\u003col\u003e\n\u003cli\u003e[Gloves] Pinch cuff of one glove with opposite hand and peel off, turning it inside out as you go. Hold removed glove in one hand. Remove the next glove by slipping finger of bare hand inside cuff of glove and pulling off, turning it inside out as you go over the other glove.\u003c\/li\u003e\n\u003cli\u003e[Apron] Rip neck and waist ties. Hold away from body and clothing and roll inside out into a bundle.\u003c\/li\u003e\n\u003cli\u003e[Face mask] Grasp ties and pull over head\/ears or untie head ties. Avoid touching the front of the mask as it is contaminated.\u003c\/li\u003e\n\u003c\/ol\u003e\n\u003cp\u003e Wash your hands after removing all PPE. \u003c\/p\u003e\n\u003ch3\u003eResponding to a disease outbreak\u003c\/h3\u003e\n\u003cp\u003eIncreased cleaning and sanitising will be required during a disease outbreak. A commercial deep clean of your premises may be required. \u003c\/p\u003e\n\u003cp\u003eThe following activities should be stopped during an outbreak.\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003ePaddling pools. Empty and sanitise using a diluted bleach solution.\u003c\/li\u003e\n\u003cli\u003ePlaydough, clay, painting and water play.\u003c\/li\u003e\n\u003cli\u003eBaking or food preparation with children.\u003c\/li\u003e\n\u003cli\u003ePlaying with soft toys, as they cannot be easily sanitised.\u003c\/li\u003e\n\u003cli\u003ePlaying in sand pits.\u003c\/li\u003e\n\u003cli\u003eComforters should not be brought to your ECE service during times of illness.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eUsing cleaning schedules \u003c\/h3\u003e\n\u003cp\u003eCleaning schedules help ensure cleaning and sanitising is done as and when required. They should be used for your ECE service even if you use a contracted cleaning company. When developing a cleaning schedule, walk through your ECE service and list the areas and items that are to be cleaned and sanitised.\u003c\/p\u003e\n\u003cp\u003eA good cleaning schedule clearly identifies:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eWho\u003c\/strong\u003e is in charge of each area (initial the schedule when the task is completed)\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eWhat\u003c\/strong\u003e areas\/equipment\/utensils\/ surfaces should be cleaned\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eWhat\u003c\/strong\u003e method of cleaning and sanitising is required and what products (both cleaning and sanitising agents) to use\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eWhen\u003c\/strong\u003e and how often the job should be carried out. Using cleaning schedules\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eCleaning tips\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003eUse fresh clean cloths each day and put in the washing machine at the end of cleaning.\u003c\/li\u003e\n\u003cli\u003eUse different coloured cloths to clean each area such as toilets, sinks, food areas and play areas.\u003c\/li\u003e\n\u003cli\u003eSoak cleaning cloths in sanitiser after use, followed by a hot water laundry wash, then dry.\u003c\/li\u003e\n\u003cli\u003eClean food areas before play areas. Clean bathroom areas last.\u003c\/li\u003e\n\u003cli\u003eWash mops when cleaning is complete. Pour boiling water over mops and dry (preferably in the sun).\u003c\/li\u003e\n\u003cli\u003eUse different mops in the toilet area and in the kitchen\/activity areas.\u003c\/li\u003e\n\u003cli\u003eNever leave mops soaking in water or disinfectant.\u003c\/li\u003e\n\u003cli\u003eWash hands after cleaning.\u003c\/li\u003e\n\u003cli\u003eKeep a logbook for communicating requests to cleaners if they are working after hours.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eSuggested cleaning schedule template\u003c\/h3\u003e\n\u003cp\u003eColumn labels:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eItems and areas to be cleaned\u003c\/li\u003e\n\u003cli\u003eFrequency of cleaning\n\u003cul\u003e\n\u003cli\u003eAfter use\u003c\/li\u003e\n\u003cli\u003eDaily\u003c\/li\u003e\n\u003cli\u003eWeekly\u003c\/li\u003e\n\u003cli\u003eMonthly\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003ePrecautions (e.g. use PPE, use wet floor sign) \u003c\/li\u003e\n\u003cli\u003eMethod of cleaning (including dilution of any chemicals) \u003c\/li\u003e\n\u003cli\u003eRecording of cleaning (sheet signed by person responsible) \n\u003cul\u003e\n\u003cli\u003eMon\u003c\/li\u003e\n\u003cli\u003eTues\u003c\/li\u003e\n\u003cli\u003eWed\u003c\/li\u003e\n\u003cli\u003eThur\u003c\/li\u003e\n\u003cli\u003eFri\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch4\u003eExample of cleaning schedule\u003c\/h4\u003e\n\u003cul\u003e\n\u003cli\u003eFood equipment:\n\u003cul\u003e\n\u003cli\u003eFrequency of cleaning: after use\u003c\/li\u003e\n\u003cli\u003ePrecautions: none\u003c\/li\u003e\n\u003cli\u003eMethod of cleaning: scrape and rinse to remove food, wash in dishwasher, put away\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003eFood preparation areas:\n\u003cul\u003e\n\u003cli\u003eFrequency of cleaning: after use, daily\u003c\/li\u003e\n\u003cli\u003ePrecautions: none\u003c\/li\u003e\n\u003cli\u003eMethod of cleaning: Use green cloth + hot soapy water + sanitiser\u003cbr\u003eClean at start and end of ach day and immediately after use\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003eDining tables:\n\u003cul\u003e\n\u003cli\u003eFrequency of cleaning: after use, daily\u003c\/li\u003e\n\u003cli\u003eMethod of cleaning: Use green cloth + hot soapy water + sanitiser\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003eTea towels and cloths:\n\u003cul\u003e\n\u003cli\u003eFrequency of cleaning: daily\u003c\/li\u003e\n\u003cli\u003ePrecautions: none\u003c\/li\u003e\n\u003cli\u003eMethod of cleaning: Put on hot wash, dry in dryer\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003eHighchairs\n\u003cul\u003e\n\u003cli\u003eFrequency of cleaning: after use\u003c\/li\u003e\n\u003cli\u003ePrecautions: none\u003c\/li\u003e\n\u003cli\u003eMethod of cleaning: Use green cloth + hot soapy water + sanitiser\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003eRubbish bin\n\u003cul\u003e\n\u003cli\u003eFrequency of cleaning: weekly\u003c\/li\u003e\n\u003cli\u003ePrecautions: none\u003c\/li\u003e\n\u003cli\u003eMethod of cleaning: Use orange cloth + hot soapy water + sanitiser\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003eFloors\n\u003cul\u003e\n\u003cli\u003eFrequency of cleaning: daily\u003c\/li\u003e\n\u003cli\u003ePrecautions: Use wet floor sign\u003c\/li\u003e\n\u003cli\u003eMethod of cleaning: Use green mop + hot soapy water + floor cleaner\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003eMicrowave\n\u003cul\u003e\n\u003cli\u003eFrequency of cleaning: monthly\u003c\/li\u003e\n\u003cli\u003ePrecautions: none\u003c\/li\u003e\n\u003cli\u003eMethod of cleaning: Use green cloth + hot soapy water\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003eOven\n\u003cul\u003e\n\u003cli\u003eFrequency of cleaning: monthly\u003c\/li\u003e\n\u003cli\u003ePrecautions: wear gloves\u003c\/li\u003e\n\u003cli\u003eMethod of cleaning: use green cloth + oven cleaner\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003eRefrigerator\n\u003cul\u003e\n\u003cli\u003eFrequency of cleaning: monthly\u003c\/li\u003e\n\u003cli\u003ePrecautions: none\u003c\/li\u003e\n\u003cli\u003eMethod of cleaning: use green cloth + hot soapy water\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003eWalls\n\u003cul\u003e\n\u003cli\u003eFrequency of cleaning: 3 monthly\u003c\/li\u003e\n\u003cli\u003ePrecautions: none\u003c\/li\u003e\n\u003cli\u003eMethod of cleaning: use yellow cloth + hot soapy water \u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003cli\u003eCeiling \n\u003cul\u003e\n\u003cli\u003eFrequency of cleaning: yearly\u003c\/li\u003e\n\u003cli\u003ePrecautions: none\u003c\/li\u003e\n\u003cli\u003eMethod of cleaning: use vacuum to remove dust then clean with hot soapy water\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cul\u003e\u003c\/ul\u003e","brand":"HealthEd","offers":[{"title":"Default Title","offer_id":46857758638308,"sku":"HE2943","price":0.0,"currency_code":"NZD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0102\/6916\/3582\/files\/HE2943.png?v=1773017014"},{"product_id":"illness-guidelines-for-early-childhood-education-ece-services-he2945","title":"Illness guidelines - for Early Childhood Education (ECE) services - HE2945","description":"\u003ch2\u003eEffective 20th April 2026\u003c\/h2\u003e\n\u003cp\u003eHealth New Zealand | Te Whatu Ora work with ECE services to ensure safe environments and good health practices to support the health and wellbeing of children. These guidelines provide ECE services with key information on how to design your illness policy to prevent the spread of illness within your ECE. An illness policy template is also included.\u003c\/p\u003e\n\u003ch3\u003eEssential elements\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003eRegulation 46(1)(b) of the Education (Early Childhood Services) Regulations 2008 requires all licensed early learning services to take all reasonable precautions to prevent the spread of infection among children enrolled in the service.\u003c\/li\u003e\n\u003cli\u003eRegulation 57 of the Education (Early Childhood Services) Regulation requires an ECE to exclude a staff member or child engaged in the service from encountering other children, where there are reasonable grounds to believe the staff member or child has an infectious or contagious disease or condition.\u003c\/li\u003e\n\u003cli\u003eFor centre-based early learning services, criterion HS120 of the licensing criteria requires all practicable steps to be taken to ensure that children do not come into contact with any person (adult or child) on the premises who is suffering from a disease or condition likely to be passed onto children and likely to have a detrimental effect on them. There are specific actions to be taken for different diseases. These are set out in Schedule 1: Infectious diseases of the licensing criteria.\u003c\/li\u003e\n\u003cli\u003eIf a child or staff member is unwell, they should not be attending the ECE. If they become unwell while at the ECE, isolate them immediately and arrange for them to go home as soon as possible.\u003c\/li\u003e\n\u003cli\u003eIf children or staff have been vomiting and\/ or had diarrhoea they should not return to the ECE until 48 hours after all symptoms have stopped. Essential elements\u003c\/li\u003e\n\u003cli\u003eWhile an ill child is waiting for parents to collect them, make them comfortable and keep them isolated (away) from other children. A staff member must remain with them at all times.\u003c\/li\u003e\n\u003cli\u003eAnyone who has had diarrhoea should not go in a swimming or paddling pool for at least two weeks after the last episode of diarrhoea.\u003c\/li\u003e\n\u003cli\u003eIf a child or staff member becomes unwell while at the centre, follow the advice in the \u003ca rel=\"noopener\" title=\"Wash Down Guidelines\" href=\"https:\/\/healthed.govt.nz\/products\/wash-down-guidelines-for-early-childhood-education-ece-services-he2944\" target=\"_blank\"\u003eWash Down Guidelines\u003c\/a\u003e and the \u003ca rel=\"noopener\" href=\"https:\/\/healthed.govt.nz\/products\/cleaning-and-sanitising-guidelines-he2943\" target=\"_blank\"\u003eCleaning and Sanitising Guidelines. \u003c\/a\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eIsolation area\u003c\/h3\u003e\n\u003cp\u003eAn isolation area is a well-ventilated, warm, quiet area where sick babies and children can be cared for away from other children, food preparation areas and sleeping areas while they wait for their parent\/guardian to collect them.\u003c\/p\u003e\n\u003cp\u003eIt is important to isolate a sick child quickly. Urgency is required when a child has a significant fever and rash.\u003c\/p\u003e\n\u003cp\u003eAn isolation area should contain:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eFurniture suitable for children to lie on and that is fitted with waterproof coverings.\u003c\/li\u003e\n\u003cli\u003eClean bedding.\u003c\/li\u003e\n\u003cli\u003eBucket with lid for vomit or contaminated material.\u003c\/li\u003e\n\u003cli\u003eSpill kit – For guidance on what to include in a spill kit, refer to the \u003ca rel=\"noopener\" href=\"https:\/\/healthed.govt.nz\/products\/cleaning-and-sanitising-guidelines-he2943\" target=\"_blank\"\u003eCleaning and Sanitising Guidelines.\u003c\/a\u003e\n\u003cp\u003e \u003c\/p\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eRegular advice reminders to parents\u003c\/h3\u003e\n\u003cp\u003eWe recommend the following messages are included in enrolment information and brought to parents’ attention regularly through newsletters, notice boards, etc:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eParents should keep their child home when they are sick.\u003c\/li\u003e\n\u003cli\u003eParents are expected to collect their child without delay if they become suddenly unwell.\u003c\/li\u003e\n\u003cli\u003eIf children have been vomiting and\/or had diarrhoea they should not attend the ECE until 48 hours after all symptoms have stopped.\u003c\/li\u003e\n\u003cli\u003eChildren should not attend the ECE if advised not to by a healthcare provider or public health service.\u003c\/li\u003e\n\u003cli\u003eThe ECE encourages parents to get their child vaccinated according to the current \u003ca rel=\"noopener\" href=\"https:\/\/immune.org.nz\/factsheets\/national-immunisation-schedule\" target=\"_blank\"\u003eNZ Immunisation Schedule. \u003c\/a\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eStaff\u003c\/h3\u003e\n\u003cp\u003eStaff are encouraged to be vaccinated and know their vaccination status. \u003c\/p\u003e\n\u003ch3\u003eDeveloping an illness procedure \u003c\/h3\u003e\n\u003cp\u003eFor centre-based early learning services, criterion HS121 requires ECE to have a documented procedure outlining the service’s response to illness.\u003c\/p\u003e\n\u003cp\u003eIn developing an illness procedure, ECEs should consult with caregivers and staff around the development of the policy or if policies are already in place, discuss with caregivers about the rationale and objectives of the policy and seek their directives on how they want their child to be managed in those circumstances. An example of an what to include in your illness procedure is shown on the following page.\u003c\/p\u003e\n\u003ch3\u003eHealth education resources \u003c\/h3\u003e\n\u003cp\u003eThere is a wide range of health education resources that ECE services may find useful. To view and order the current resources refer to \u003ca rel=\"noopener\" title=\"HealthEd resources\" href=\"https:\/\/healthed.govt.nz\/\" target=\"_blank\"\u003eHealthEd\u003c\/a\u003e\u003c\/p\u003e\n\u003ch3\u003eExample illness procedure template\u003c\/h3\u003e\n\u003cp style=\"padding-left: 40px;\"\u003eAt [insert name of ECE] the health and wellbeing of our children, families and whānau is essential. We aim to provide children with an environment where:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli style=\"list-style-type: none;\"\u003e\n\u003cul\u003e\n\u003cli\u003eTheir health is promoted.\u003c\/li\u003e\n\u003cli\u003eTheir emotional well-being is nurtured.\u003c\/li\u003e\n\u003cli\u003eThey are kept safe from harm.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp style=\"padding-left: 40px;\"\u003eThe objective of the illness policy is to work together to make sure that our practices and decisions regarding illness are reasonable and fair. During the time your child is with us there may be occasions when they will be affected by illness. This may mean that your child will be unable to attend. Time away will allow your child to recover and will also protect the health of the other children, families and staff. We do understand that this often places parents\/whānau under extra pressure.\u003c\/p\u003e\n\u003cp style=\"padding-left: 40px;\"\u003eWe are guided in our decisions regarding illness by:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli style=\"list-style-type: none;\"\u003e\n\u003cul\u003e\n\u003cli\u003eLicensing Criteria for Early Childhood Education and Care Centres 2008 Regulations which require us to have a policy to take appropriate action when a child is unwell (Health and safety: Child health and wellbeing HS118 through to HS124).\u003c\/li\u003e\n\u003cli\u003eRecommendations from the Health New Zealand | Te Whatu Ora, National Public Health Service (NPHS).\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch4 style=\"padding-left: 40px;\"\u003eCommunication and consultation\u003c\/h4\u003e\n\u003cp style=\"padding-left: 40px;\"\u003eWe invite you to discuss any concerns you may have about your child’s health and wellbeing with us at any time. If you are worried that your child may be unwell, please share this information with us when you arrive on site. This means that we can be vigilant and alert to any changes in behaviour or signs of illness, and can respond to your child’s needs promptly. If we have any concerns about your child’s health and wellbeing while they are in our care, we will discuss this with you as soon as possible.\u003c\/p\u003e\n\u003cp style=\"padding-left: 40px;\"\u003e\u003cem\u003eParents and teachers share the responsibility for creating a healthy centre environment, which will protect and nurture children. \u003c\/em\u003e\u003c\/p\u003e\n\u003cp style=\"padding-left: 40px;\"\u003eOur Centre will collaborate with the National Public Health Service to seek expert advice as needed.\u003c\/p\u003e\n\u003ch4 style=\"padding-left: 40px;\"\u003eStaff responsibilities\u003c\/h4\u003e\n\u003cul\u003e\n\u003cli style=\"list-style-type: none;\"\u003e\n\u003cul\u003e\n\u003cli\u003eContact parents if there are concerns about a child’s health.\u003c\/li\u003e\n\u003cli\u003eAdminister first aid as required.*\u003c\/li\u003e\n\u003cli\u003eCare for child in the isolation area until collected.\u003c\/li\u003e\n\u003cli\u003eEnsure children are comfortable and emotionally supported.\u003c\/li\u003e\n\u003cli\u003eIf concerned that a child may be unwell, staff will keep a record of the child’s day detailing any changes in behaviour, symptoms, temperature recordings, food \u0026amp; drink consumption, and any authorised medication given.\u003c\/li\u003e\n\u003cli\u003eProvide authorised medication, documenting time, dosage, and time of administration as per the centre-based early learning services, criterion HS28.\u003c\/li\u003e\n\u003cli\u003eSeek medical help if a child becomes more ill.\u003c\/li\u003e\n\u003cli\u003eRecommend the parents consult their healthcare provider if appropriate.\u003c\/li\u003e\n\u003cli\u003eKeep up to date with current health guidelines.\u003c\/li\u003e\n\u003cli\u003eParent and caregivers may need to be told if a child attending the ECE develops an infectious illness. The ECE will provide information around the illness with support from the National Public Health Service (NPHS).\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp style=\"padding-left: 40px;\"\u003e\u003cspan style=\"font-size: 0.875rem;\"\u003e*Please note that Pamol\/Paracetamol is not kept on these premises for general use. This medication can only be given if it has been signed for by a parent, and has been prescribed for the child for a specific illness, for a specified period of time and contains the date.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch4 style=\"padding-left: 40px;\"\u003eParent\/whānau responsibilities\u003c\/h4\u003e\n\u003cul\u003e\n\u003cli style=\"list-style-type: none;\"\u003e\n\u003cul\u003e\n\u003cli\u003eProvide up to date emergency contact numbers.\u003c\/li\u003e\n\u003cli\u003eDiscuss concerns about children’s health with teachers.\u003c\/li\u003e\n\u003cli\u003eLet teachers know if you have given medicine to your child during the night or prior to arriving.\u003c\/li\u003e\n\u003cli\u003eProvide written authority for any medication required while the child is at the centre. Provide the name of the medicine, the dose and the time the medication is to be given.\u003c\/li\u003e\n\u003cli\u003eCollect children ASAP (within one hour) if unwell at ECE.\u003c\/li\u003e\n\u003cli\u003eAllow your child time to recover before returning to the ECE.\u003c\/li\u003e\n\u003cli\u003eIf children experience vomiting or diarrhoea (three or more loose stools in one day) they should not attend the centre until at least 48 hours after all symptoms have stopped.\u003c\/li\u003e\n\u003cli\u003eIf you are worried about your child’s health, seek advice from your healthcare provider.\u003c\/li\u003e\n\u003cli\u003eRegulation 57 of the Education (Early Childhood Services) Regulation requires an ECE to exclude a child engaged in the service from encountering other children, where there are reasonable grounds to believe a child has an infectious or contagious disease or condition. \u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch4 style=\"padding-left: 40px;\"\u003eResolution of conflict\u003c\/h4\u003e\n\u003cp style=\"padding-left: 40px;\"\u003eIf there is disagreement regarding the need for a child to stay away due to illnesses, our Centre will follow the advice of the National Public Health Service. This may differ from advice given by your healthcare provider. Your healthcare provider can discuss with NPHS and parents are also welcome to discuss with the NPHS directly.\u003c\/p\u003e\n\u003cp style=\"padding-left: 40px;\"\u003e\u003cstrong\u003eParents should be advised that if there is disagreement to always follow the advice of the healthcare provider for diagnosis and treatment. \u003c\/strong\u003e\u003c\/p\u003e\n\u003ch4 style=\"padding-left: 40px;\"\u003eInduction and ongoing training\u003c\/h4\u003e\n\u003cp style=\"padding-left: 40px;\"\u003e[Include information around induction training and frequency of ongoing training.]\u003c\/p\u003e\n\u003ch4 style=\"padding-left: 40px;\"\u003eMonitoring, evaluation and review\u003c\/h4\u003e\n\u003cp style=\"padding-left: 40px;\"\u003e[State when the policy will be reviewed and who will be responsible for this.] \u003c\/p\u003e","brand":"HealthEd","offers":[{"title":"Default Title","offer_id":46857773908196,"sku":"HE2945","price":0.0,"currency_code":"NZD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0102\/6916\/3582\/files\/HE2945.png?v=1774301465"},{"product_id":"wash-down-guidelines-for-early-childhood-education-ece-services-he2944","title":"Wash down guidelines for Early Childhood Education (ECE) services - HE2944","description":"","brand":"HealthEd","offers":[{"title":"Default Title","offer_id":46857781313764,"sku":"HE2944","price":0.0,"currency_code":"NZD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0102\/6916\/3582\/files\/WashdownguidelinesforECEs.png?v=1760904998"},{"product_id":"health-assessment-guidelines-for-early-childhood-education-ece-services","title":"Health assessments - Guidelines for Early Childhood Education (ECE) services - HE8153","description":"\u003ch2\u003eEffective 20th April 2026\u003c\/h2\u003e\n\u003cp\u003eHealth New Zealand | Te Whatu Ora works with ECE services to ensure safe environments and good health practices to support the health and wellbeing of children. An important part of this is carrying out health assessments on services. These guidelines let ECE services know about the assessment process and what to expect.\u003c\/p\u003e\n\u003ch3\u003eWhat is a health assessment?\u003c\/h3\u003e\n\u003cp\u003eWe carry out health assessments as part of licensing or relicensing of ECE services, or if a concern has been raised by the Ministry of Education.\u003c\/p\u003e\n\u003cp\u003eHealth assessments are based on requirements under the relevant licensing criteria and are completed in accordance with the Education (Early Childhood Services) Regulations 2008. An assessment is required before the Ministry of Education will issue a license to operate.\u003c\/p\u003e\n\u003cp\u003eThe main aspects we will look at during a health assessment are:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eIllness policies and methods of controlling the spread of diseases.\u003c\/li\u003e\n\u003cli\u003eNappy changing procedures and bathroom hygiene.\u003c\/li\u003e\n\u003cli\u003eGeneral cleaning schedules and upkeep of the service.\u003c\/li\u003e\n\u003cli\u003eAdequacy of ventilation.\u003c\/li\u003e\n\u003cli\u003eEnsuring safe noise levels.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eEstablishing a new ECE service\u003c\/h3\u003e\n\u003cp\u003eWhen establishing a new ECE service, contact the \u003ca rel=\"noopener\" title=\"NPHS in your region\" href=\"https:\/\/www.tewhatuora.govt.nz\/#nphs-health-regions-contact-details\" target=\"_blank\"\u003eNational Public Health Service (NPHS) in your region.\u003c\/a\u003e They will schedule a time for your assessment visit and request any documentation required (e.g. health procedures). They can also review any procedures if necessary to provide health advice regarding the design of the ECE service. \u003c\/p\u003e\n\u003cp\u003eIt is important that your ECE service is ready so we can carry out an assessment. At the time of the assessment, it is expected that the service will be as it is on the opening day.\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eAll building work and renovations must be completed\u003c\/strong\u003e e.g. a Code Compliance Certificate has been issued, and a current Building Warrant of Fitness has been issued for premises that require a compliance schedule under the Building Act.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAll equipment must be operating\u003c\/strong\u003e e.g. water temperatures have been tempered, fridges are operating etc.\u003c\/li\u003e\n\u003cli\u003e\u003cstrong\u003eFixtures, fittings and furniture must be in place. \u003c\/strong\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003ePreparing for a health assessment\u003c\/h3\u003e\n\u003cp\u003eBefore the assessment visit, we recommend you read all the information we send you so you can address health and hygiene in the design and management of your ECE service. A copy of the assessment form will be provided to you before the visit. We recommended you do a pre check before the visit to ensure everything is in place.\u003c\/p\u003e\n\u003cp\u003eWe aim to work with you to undertake the assessment at a date and time suitable (providing the premises are ready to be assessed). If your ECE service is not ready for the visit, please let us know so a new date can be scheduled.\u003c\/p\u003e\n\u003cp\u003eTo arrange a visit, reschedule a visit or for further information, please contact the \u003ca rel=\"noopener\" title=\"NPHS in your region\" href=\"https:\/\/www.tewhatuora.govt.nz\/#nphs-health-regions-contact-details\" target=\"_blank\"\u003eNPHS in your region.\u003c\/a\u003e\u003c\/p\u003e\n\u003ch3\u003eDuring the health assessment visit\u003c\/h3\u003e\n\u003cp\u003eWe will carry out a health assessment of the premises. We recommend that someone with detailed knowledge of the ECE service and its operations (e.g. manager or supervisor) is available to assist us during the assessment.\u003c\/p\u003e\n\u003cp\u003eAt the end of the visit, we will give a verbal summary of the outcomes. A written report will be sent to you and a copy to the Ministry of Education within seven working days following the assessment.\u003c\/p\u003e\n\u003cp\u003eThe Ministry of Education will consider the information within the report and determine what (if any) actions must be undertaken by your ECE service before granting a license.\u003c\/p\u003e\n\u003ch3\u003eHealth and hygiene documents\u003c\/h3\u003e\n\u003ch4\u003ePolicies and procedures\u003c\/h4\u003e\n\u003cp\u003eECE services will have a range of polices dealing with health and hygiene issues. We recommended policies contain two parts. The first part being a policy statement, which is a short statement that gives a reason for the need for the policy. The second part contains the practices or procedures that will occur at the ECE service to ensure the policy is met.\u003c\/p\u003e\n\u003cp\u003eWe will need to review the following documents as part of the health assessment:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eWash down procedure.\u003c\/li\u003e\n\u003cli\u003eNappy changing procedure.\u003c\/li\u003e\n\u003cli\u003eProcedure outlining how your service will respond to injury, illness and incidents.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eThe following procedures are recommended to have as good practice and not required under the licensing criteria. We are happy to review them and provide feedback:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eLaundry procedure.\u003c\/li\u003e\n\u003cli\u003eAnimal procedure.\u003c\/li\u003e\n\u003cli\u003eBlood and body fluid exposure procedure.\u003c\/li\u003e\n\u003cli\u003eSun safe procedure.\u003c\/li\u003e\n\u003cli\u003eSmoke and vape free procedure.\u003c\/li\u003e\n\u003cli\u003eCleaning procedure and cleaning schedule.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003ePlease supply copies of these documents prior to the health assessment.\u003c\/p\u003e\n\u003ch4\u003eImmunisation records\u003c\/h4\u003e\n\u003cp\u003eOn 8 January 2026, the Health (Immunisation) Regulations 1995 were revoked. These regulations required ECE services to maintain onsite immunisation registers by requesting immunisation certificates from parents\/ guardians of children born from 1 January 1995. These are no longer required as the Aotearoa Immunisation Register (AIR) has replaced this function. Free immunisation resources are available at \u003ca href=\"https:\/\/healthed.govt.nz\/collections\/all\/topic-vaccinations-and-immunisations\"\u003eAll – Tagged \"Vaccinations and immunisations\"– HealthEd\u003c\/a\u003e\u003c\/p\u003e\n\u003ch4\u003eAcoustic report\u003c\/h4\u003e\n\u003cp\u003eTo support children’s wellbeing and communication, you must take all practicable steps to ensure that noise levels do not unduly interfere with normal speech or cause distress or harm. If your service has used an acoustic specialist, please supply copies of the acoustic report. If concerns are raised during the health assessment, you may be asked to obtain a report.\u003c\/p\u003e\n\u003ch3\u003eHealth education resources\u003c\/h3\u003e\n\u003cp\u003eThere is a wide range of health education resources that ECE services may find useful. To view and order the current resources refer to \u003ca href=\"https:\/\/healthed.govt.nz\/\"\u003eHealthEd\u003c\/a\u003e\u003c\/p\u003e","brand":"HealthEd","offers":[{"title":"Default Title","offer_id":46858265526500,"sku":"HE8153","price":0.0,"currency_code":"NZD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0102\/6916\/3582\/files\/HE8153.png?v=1774301667"},{"product_id":"oranga-hotoke-kura-kohungahunga-kohanga-kura-he1366-mri","title":"Oranga Hōtoke - Kura Kōhungahunga | Kōhanga | Kura - HE1366-MRI","description":"\u003ch2\u003eKia ora tonu i ngā wā o te makariri\u003c\/h2\u003e\n\u003cp\u003eI ngā wā o te makariki, ka nui ake te tūpono o te pāngia o te iwi e ngā mate, pēnei i te maremare, te rewharewha, me ētahi atu mate arahau, pēnei i te mare tekekō. Nā tērā, ka kaha atu te tūpono o te urunga mai o ēnei mate ki te kāinga, te wāhi mahi, te kura kōhungahunga, te kōhanga, te kura rānei.\u003c\/p\u003e\n\u003cp\u003eWhakamahia ngā kōrero me ngā tohutohu e whai nei hei whakarite i a koe. Tukua atu ēnei mōhiohio ki ngā kaimahi, ngā whānau, me ngā hapori mā te īmēra, te pae pāhopori, ngā papa pānui rānei.\u003c\/p\u003e\n\u003ch3\u003eHe kōrero mā ngā kaimahi me ngā whānau\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003eMe wero te hunga e mahi ana, e noho ana rānei i te taha o ngā tamariki ki te rongoā ārai rewharewha hei ārai atu i te pokenga ōna, me ngā tamariki, i te kaha o te tūpono o te pāngia o ngā tamariki e te rewharewha, o te horapa haere hoki o te mate rā.\u003c\/li\u003e\n\u003cli\u003eHe utukore te rongoā ārai mare tekekō ki ngā wāhine e hapū ana, ngā tamariki katoa kāore anō kia 18 ngā tau, me ngā pakeke kei waenga i te 45 me te 65 ngā tau. Mēnā kāore koe e āhei ana ki te rongoā ārai mare tekekō utukore, ka taea te hoko.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eAukatia te horapa o te mate i tō wāhi mahi\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003eMe noho ngā tamariki me ngā kaimahi e māuiui ana ki te kāinga.\u003c\/li\u003e\n\u003cli\u003eMe whakamōhio ngā whānau i te take e tamō ana ā rātou tamariki.\u003c\/li\u003e\n\u003cli\u003eKia rite tonu te horoi i ngā papa ka pāngia nuitia, pēnei i ngā pōrori kūaha, ngā pae mō ngā kai, me ngā wharepaku.\u003c\/li\u003e\n\u003cli\u003eKi te pai te rerenga o te hau, ka iti ake te huringa o ngā huaketo arahau i ngā wāhi i rō whare e huihui ai, e noho tahi ai te tangata.\u003c\/li\u003e\n\u003cli\u003eKia kaha te horoi ringa, te uwhi i te mare me te tihe, te mau maruhā hoki mēnā e kōpipiri ana ngā tāngata ki rō whare.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eNgā rongoā hei ārai atu i ngā mate\u003c\/h3\u003e\n\u003cp\u003eMā te whakanui i te tukunga awhikiri e tiakina ai ō tātou hapori i ngā mate i tēnei hōtoke.\u003c\/p\u003e\n\u003cp\u003eTirohia mēnā rā kua whai awhikiri koe ki \u003ca href=\"https:\/\/www.healthnz.govt.nz\/health-topics\/immunisations\"\u003eImmunisations\u003c\/a\u003e E pai ana mēnā kua mahue tētahi tukunga awhikiri i a koe. He utukore ki ngā tamariki te whai i te nuinga o ngā tukunga awhikiri i mahue, ka taea hoki e ngā pakeke te nuinga te whai. Kōrero ki tō rata kia pai ai te whakariterite.\u003c\/p\u003e\n\u003cp\u003eKa pai hoki tāu hanga i tētahi hōtaka whaiaro mō te tuku awhikiri mā tō tamaiti ki \u003ca href=\"https:\/\/www.healthnz.govt.nz\/health-topics\/immunisations\/national-immunisation-schedule\"\u003eNational Immunisation Schedule\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eRewharewha:\u003c\/strong\u003e E wātea ana te rongoā ārai rewharewha i te 1 o Āperira, i ia tau. He utukore ki ngā mea e hapū ana, e pakeke ake ana i te 65 tau, me ērā ka kaha tūpono pāngia e te mate. Tirohia mēnā e wātea ana ki a koe i: \u003ca href=\"https:\/\/www.healthnz.govt.nz\/health-topics\/immunisations\/vaccines-aotearoa\/flu-vaccine\"\u003eFlu (influenza) vaccine\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eMare tekekō:\u003c\/strong\u003e Ko te mate tekekō, he mate arahau ka kaha te rere, ka tino kino rawa atu hoki ki ngā pēpi kāore anō kia whai awhikiri. Ko te whai awhikiri i te hapūtanga te ara pai katoa hei tiaki i te pēpi, kia tīmata rā anō tā te pēpi whai awhikiri i te ekenga ōna ki te 6 wiki te pakeke. Kua urutā mai ki Aotearoa te mare tekekō i tēnei wā, nō reira e tika ana kia werohia koe ki te rongoā āraimate.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eKarawaka:\u003c\/strong\u003e Kua tino kaha te tūpono o te urutā o te karawaka ki Aotearoa i te tokoiti o te hunga e whai awhikiri ana, i te nui hoki o te horapa o te karawaka i tāwāhi. Ki te kore koe e mōhio mēnā kua whai awhikiri koe, he utukore tā te nuinga whai, me whakapā noa koe ki tō kaiwhakarato hauora. He nui hoki ngā kēmihi e tuku awhikiri ana.\u003c\/p\u003e\n\u003cp\u003eHe kōrero anō kei: \u003ca href=\"https:\/\/www.healthnz.govt.nz\/health-topics\/immunisations\"\u003eImmunisations\u003c\/a\u003e\u003c\/p\u003e\n\u003ch4\u003eRewharewha\u003c\/h4\u003e\n\u003cp\u003eMe whai te katoa kua pakeke ake i te 6 marama i te rongoā ārai rewharewha i ia tau.\u003c\/p\u003e\n\u003ch4\u003eMate kiriuhi uakakā\u003c\/h4\u003e\n\u003cp\u003eKa tukua te rongoā āraimate kiriuhi uakakā i te ekenga o te tamaiti ki te 3, te 5, me te 12 marama. He utukore hoki ki ngā tamariki kāore anō kia 5 tau te pakeke.\u003c\/p\u003e\n\u003ch4\u003eKarawaka\u003c\/h4\u003e\n\u003cp\u003eMe whai ngā tamariki katoa i ngā tukunga e rua o te MMR i te ekenga ki te 12 me te 15 marama. Ina kāore koe e mōhio mēnā kua werohia ō tamariki, me pātai noa tō rata.\u003c\/p\u003e\n\u003ch4\u003eMare tekekō\u003c\/h4\u003e\n\u003cp\u003eMe wero ngā pēpi me ngā tamariki ki te rongoā ārai mare tekekō i te ekenga ki te 6 wiki, te 3, me te 5 marama. Ka tukua te āraimate turuki i te ekenga ki te 4, me te 11 tau te pakeke.\u003c\/p\u003e\n\u003ch3\u003eKo te ārai i te weranga whare\u003c\/h3\u003e\n\u003cp\u003eKa kaha te tūpono o te weranga whare i te hōtoke. I ngā tau 10 kua hori, kei te takawā o te 54 ōrau te rahinga ake o ngā weranga whare i waenga i ngā marama o Mei me Hūrae, i ērā atu marama o te tau.\u003c\/p\u003e\n\u003cp\u003eKo te take o te nuinga o ēnei weranga whare, ko ngā pūwhakamahana e whakamahia nuitia ana i te hōtoke, arā, ka tata rawa te pūwhakamahana ki ngā mea ka tahuna noatia (pēnei i ngā kaka e whakamaroketia ana), me ngā paraikete hiko ka hē noa iho nei.\u003c\/p\u003e\n\u003cp\u003eWaihoki, neke atu i te 50 ōrau o ngā matenga i ngā weranga whare i taea te papare, he tāngata kua pakeke ake i te 65 tau. Nō reira, anei he tohutohu māmā hei whai i te hōtoke hei tiaki i a koutou ko te whānau.\u003c\/p\u003e\n\u003cp\u003eHei whakamaharatanga:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eWhāia te ture kia “kotahi mīta i te hīta”, arā, kia kotahi mīta te matara atu o ngā mea katoa i hīta, me ērā atu pūwhakamahana.\u003c\/li\u003e\n\u003cli\u003eTirohia te mahana i mua i te moe, arā, tirohia te tika o te haere o te paraikete hiko i mua i te whakamahinga.\u003c\/li\u003e\n\u003cli\u003eTirohia te tumere i mua i te tahu ahi, arā, whakapaingia te tumere i mua i te tahunga tuatahitanga o te ahi i te hōtoke.\u003c\/li\u003e\n\u003cli\u003eWhakawetohia ngā pungarehu ka whiu atu ai, arā, me toutou ki te wai i tētahi pākete maitai.\u003c\/li\u003e\n\u003cli\u003eWhakapaingia te pūrere whakamaroke kaka, arā, me tango ngā huru kaka i mua i ia whakamahinga.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eE tika ana hoki kia whai pūoho auahi ia rūma moe, ia nohomanga, me ia kauhanganui. Mā tērā koe e whakaohiti wawe kia pai ai te puta i te whare.\u003c\/p\u003e\n\u003ch3\u003eMō te toro whare haumanu i muri i ngā hāora mahi, whare haumanu ohotata rānei\u003c\/h3\u003e\n\u003cp\u003eIna mate koe ki te whai āwhina ohotata, ā, kāore tō rata i te wātea, kāore rānei ō rata, mā ngā After Hours Medical Centres me ngā Urgent Care Clinics koe e āwhina. Ehara i te mea me whai tāpuinga, engari ka mate pea koe ki te tatari. I te nuinga o te wā, he utukore ngā ratonga ki ngā tamariki kāore anō kia 14 te pakeke. He iti ngā utu o te nuinga ki te hunga whai kāri ratonga hauora. Ka kitea ngā wāhi o ngā whare, me ngā utu i te paetukutuku o \u003ca href=\"https:\/\/www.healthpoint.co.nz\/gps-accident-urgent-medical-care\/accident-urgent-medical-care-ae\/\"\u003eAccident \u0026amp; Urgent Medical Care (A\u0026amp;E) • Healthpoint\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eMe he ohotata, waea ki 111.\u003c\/strong\u003e\u003c\/p\u003e\n\u003ch3\u003eHe āwhina anō?\u003c\/h3\u003e\n\u003cp\u003eHe utukore te waea ki Healthline, i te ao, i te pō, \u003ca href=\"tel:0800611116\" title=\"0800 611 116\" aria-describedby=\"a11y-new-window-external-message\" rel=\"noopener\" target=\"_blank\"\u003e0800 611 116\u003c\/a\u003e\u003c\/p\u003e\n\u003cp\u003eKōrero ki tō rata arowhānui, tō mātanga taka rongoā, tō kaiwhakarato hauora Māori, tō whare hauora Moana-nui-a-Kiwa rānei. \u003c\/p\u003e","brand":"HealthEd","offers":[{"title":"Default Title","offer_id":49101436092644,"sku":"HE1366-MRI","price":0.0,"currency_code":"NZD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0102\/6916\/3582\/files\/1366-MRI.png?v=1780895453"}],"url":"https:\/\/healthed.govt.nz\/collections\/topic-ece-guidelines.oembed","provider":"HealthEd","version":"1.0","type":"link"}