Sleep Plan

The Parent/Guardian and Educator must collaborate and submit this Sleep Plan (for each child under 12 months) relevant to the individual child, in regard to age, development stages, needs, and cultural practices (if any). The Sleep Plan will detail the method of recording and regularity of physical checks.

A copy will be emailed to the Service and filed. A copy will also be emailed to the Parent/Guardian and Educator to be filed in the Childcare Administration Binder.

Parent/Guardian(Required)

First Name Last Name

Email(Required)

Educator(Required)

First Name Last Name

Email(Required)

Submitted By(Required)

Child's Name(Required)

Method of Recording Physical Checks:(Required)

Method 1 - Manual Recording

Method 2 - Digitally Record

Method 3 - Combination of Manual and Digital Recording

Description of NORMAL sleep patterns for this child(Required)

This information will assist Educators to determine whether the child is at risk or requiring extra observation

Regularity of Physical Checks during NORMAL Patterns of Sleep:(Required)

Description of both ABNORMAL sleep patterns for this child(Required)

This information will assist Educators to determine whether the child is at risk or requiring extra observation

Regularity of Physical Checks during ABNORMAL patterns of sleep:(Required)

The typical sleep and rest area usually:

- Has adequate ventilation, lighting and a stable temperature

- Is free of bumpers, positioners, incline devices, pillows, toys, and soft toys

- Is in good repair, free of hazards, and is age appropriate

Potential hazards in sleep and rest areas(Required)

Identify any hazards within the sleep and rest area or on the child that must be checked and managed before each sleep or rest period, e.g. loose bedding or objects, cords or blinds, pets or other people accessing the area, room temperature or ventilation, clothing or jewellery, and the safety and condition of sleep equipment. The Educator must ensure identified hazards are removed or appropriately managed before the child is placed to sleep or rest.

Potential risks requiring periodic review or adjustment(Required)

Identify anything that may require future adjustment as the child develops or circumstances change, e.g. condition and replacement of dummies, lowering the cot mattress as mobility develops, transitioning from swaddles or wraps, or adjusting sleepwear as temperatures change. The Educator must monitor these risks and raise or action adjustments as needed.

Family values, cultural considerations or individual needs of this child(Required)

Which do not align with best practice (as outlined by Red Nose Australia’s leading authority on Safe Sleep) These practices must be assessed by the Educator prior to each rest period

When will the next review be?(Required)

By submitting this form, you confirm that the above plan accurately reflects your agreed upon recording method for the child, along with any other special sleeping circumstances.

Sleep Plan

SAFE SLEEP INFORMATION

METHODS OF SLEEP RECORDING

1. MANUAL RECORDING

2. COMBINATION OF MANUAL AND DIGITAL RECORDING

3. DIGITALLY RECORD

The typical sleep and rest area usually:

By submitting this form, you confirm that the above plan accurately reflects your agreed upon recording method for the child, along with any other special sleeping circumstances.

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