1.17: Infant and Toddler/ Guardian Daily Report
- Page ID
- 40952
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\(\newcommand{\avec}{\mathbf a}\) \(\newcommand{\bvec}{\mathbf b}\) \(\newcommand{\cvec}{\mathbf c}\) \(\newcommand{\dvec}{\mathbf d}\) \(\newcommand{\dtil}{\widetilde{\mathbf d}}\) \(\newcommand{\evec}{\mathbf e}\) \(\newcommand{\fvec}{\mathbf f}\) \(\newcommand{\nvec}{\mathbf n}\) \(\newcommand{\pvec}{\mathbf p}\) \(\newcommand{\qvec}{\mathbf q}\) \(\newcommand{\svec}{\mathbf s}\) \(\newcommand{\tvec}{\mathbf t}\) \(\newcommand{\uvec}{\mathbf u}\) \(\newcommand{\vvec}{\mathbf v}\) \(\newcommand{\wvec}{\mathbf w}\) \(\newcommand{\xvec}{\mathbf x}\) \(\newcommand{\yvec}{\mathbf y}\) \(\newcommand{\zvec}{\mathbf z}\) \(\newcommand{\rvec}{\mathbf r}\) \(\newcommand{\mvec}{\mathbf m}\) \(\newcommand{\zerovec}{\mathbf 0}\) \(\newcommand{\onevec}{\mathbf 1}\) \(\newcommand{\real}{\mathbb R}\) \(\newcommand{\twovec}[2]{\left[\begin{array}{r}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\ctwovec}[2]{\left[\begin{array}{c}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\threevec}[3]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\cthreevec}[3]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\fourvec}[4]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\cfourvec}[4]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\fivevec}[5]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\cfivevec}[5]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\mattwo}[4]{\left[\begin{array}{rr}#1 \amp #2 \\ #3 \amp #4 \\ \end{array}\right]}\) \(\newcommand{\laspan}[1]{\text{Span}\{#1\}}\) \(\newcommand{\bcal}{\cal B}\) \(\newcommand{\ccal}{\cal C}\) \(\newcommand{\scal}{\cal S}\) \(\newcommand{\wcal}{\cal W}\) \(\newcommand{\ecal}{\cal E}\) \(\newcommand{\coords}[2]{\left\{#1\right\}_{#2}}\) \(\newcommand{\gray}[1]{\color{gray}{#1}}\) \(\newcommand{\lgray}[1]{\color{lightgray}{#1}}\) \(\newcommand{\rank}{\operatorname{rank}}\) \(\newcommand{\row}{\text{Row}}\) \(\newcommand{\col}{\text{Col}}\) \(\renewcommand{\row}{\text{Row}}\) \(\newcommand{\nul}{\text{Nul}}\) \(\newcommand{\var}{\text{Var}}\) \(\newcommand{\corr}{\text{corr}}\) \(\newcommand{\len}[1]{\left|#1\right|}\) \(\newcommand{\bbar}{\overline{\bvec}}\) \(\newcommand{\bhat}{\widehat{\bvec}}\) \(\newcommand{\bperp}{\bvec^\perp}\) \(\newcommand{\xhat}{\widehat{\xvec}}\) \(\newcommand{\vhat}{\widehat{\vvec}}\) \(\newcommand{\uhat}{\widehat{\uvec}}\) \(\newcommand{\what}{\widehat{\wvec}}\) \(\newcommand{\Sighat}{\widehat{\Sigma}}\) \(\newcommand{\lt}{<}\) \(\newcommand{\gt}{>}\) \(\newcommand{\amp}{&}\) \(\definecolor{fillinmathshade}{gray}{0.9}\)Infant/Toddler Daily Report Form & Parent's Daily Report Form
To be completed by the childcare provider/teacher and parent/guardian.
Child's Information
Child's Name:
Date:
Teacher/Provider:
Section 1: Guardian's Daily Report (Completed by Guardian)
Health Observations
My child has experienced the following (check all that apply):
☐Runny Nose ☐Cough ☐Sneezing ☐Wheezing ☐Sore Throat ☐Earache ☐Rash ☐Stomachache ☐Vomiting ☐Diarrhea ☐Behavior Change ☐Scratch ☐Bruise
☐ Other:
Disposition
Mood/Disposition Today:
☐Happy ☐Calm ☐Tired ☐Fussy ☐Irritable
☐Other:
Appetite
Appetite Today:
☐Ate Well ☐Average Appetite ☐Picky Eating ☐Poor Appetite
Last Meal/Feeding (list time and foods):
Time:
Foods:
Rest Time
Rest/Sleep:
☐Slept Well ☐Restless ☐Did Not Sleep
Duration:
Parent/Guardian Signature: Date:
Section 2: Infant/Toddler Daily Report (Completed by Childcare Provider/Teacher)
Disposition
Mood/Disposition Today:
☐Happy ☐Calm ☐Playful ☐Tired ☐Fussy
☐Other:
Appetite
Breakfast:
☐Ate Well ☐Somewhat Ate ☐Did Not Eat ☐N/A
Notes:
Lunch:
☐Ate Well ☐Somewhat Ate ☐Did Not Eat ☐N/A
Notes:
Snack:
☐ Ate Well ☐Somewhat Ate ☐Did Not Eat ☐N/A
Notes:
Rest Time
Naptime:
☐Slept Well ☐Short Nap ☐Did Not Sleep
Duration:
Notes:
Activities & Enjoyment
I Enjoyed:
☐Story Time ☐Playing ☐Outside ☐Music and Movement ☐Art/Crafts ☐Sensory Play
☐ Other:
Notes:
Needs & Supplies
I Need:
☐Change of Clothes ☐Diapers ☐Wipes
☐Other Supplies:
Notes:
Childcare Provider/Teacher Signature: Date: