This child is a good example of why we used to have separate fees by age grouping. Parents of infants paid a higher rate than those of toddlers/preschoolers. While some used ages, I used skills as my rationale for moving to the lower fee because I do take some special needs kids into my daycare. In this case the child is not walking/feeding self finger foods/using a cup so would still be on the infant rate regardless of how old she was. The extra fee for extra work balances out. I stopped the fee categories when we went to the one year mat leave as it seemed weird to have a child in care for 3 months at one rate and then change rates - just raised my rates to the infant rate and all paid that when they started on and it just never goes down now.
Not so much worried about covering myself on this one as much as I would want a copy of the treatment plan from the doctor for the child's file detailing when and what she is to eat and what is ok, not ok, care of the tube, what to do if it is dislodged etc. All of that should be on file. Parents will have been sent home with info in writing so you should ask for a copy too.

































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