Health Services - Source of Ongoing Health Care

All children need a Primary Care Provider to provide on-going health care. If your child does not have a source of ongoing healthcare, we will assist you in accessing a source of care. We can provide a list of doctors and obtain information about Medicaid services.

A current physical examination from a licensed physician must be in accordance to the Texas Health Steps Medical Periodicity Schedule within 90 days of entering the program. Preschool, physical examinations (well child check-ups) performed within one year prior to the date of school entry are acceptable for enrollment purposes. Medicaid insurance covers one physical exam per year.

A physical exam should cover the following services:

Health history

Height and weight

Blood pressure


Vision and hearing screening 

Laboratory tests including a lead screening, hematocrit and/or hemoglobin.

If your child had a lead screening at 12 and 24 months, please provide a copy of the latest lead results.

If your child did not have a lead screening done at 12 or 24 months, it should be done between 36 and 72 months (3-6 years old). Ask your doctor to send the results to PCI Head Start. The child only needs to have one lead screen performed, not one every year. For Infants and Toddlers Entering Early Head Start: At the time of enrollment for infants and toddlers, a physical examination including a lead screening is required that is dated closest to the current age of the child in accordance with the well child schedule.

Your child may also need documentation of a TB screening done at age 12 months.

Current Dental Examination from licensed Dentist – Good oral health for infants, toddlers and pre-school children serves as a precursor to adult oral health and is essential for a child’s behavioral, speech, language and overall growth and development. Head Start requires that all children must have a dental home and receive a dental examination performed by a dentist within 90 days of entry into the program. The program will assist any parent in identifying a dental home or a local dentist that serves children and will assist in any identified dental follow-up and treatment needs.The ongoing accessibility to dental care should occur preferably every six months or a minimum annually from the date of the first examination. If a child is not up to date, the program will assist parents in making necessary arrangements to keep children up to date. A Head Start dental form should be completed by the dentist and returned to the program to verify services / treatment received.

Daily Health Observations

A daily health check of each child is made upon arrival in the presence of the parent or caregiver. To prevent the spread of infection, communication between teachers and parents about the child’s health status is vital to identify any specific signs or symptoms of illness.

Children with any symptoms of illness will not be allowed to remain in the center:

Temperature over 100 degrees

An unexplained rash

Vomiting (in the past 24 hours)

Diarrhea (in the past 24 hours)

Thick, green drainage from the nose

Discharge from the eyes

Lice or nits

A contagious disease (ex. Chicken pox)

Health/Emergency Information

During the enrollment process, parents must complete and sign a “Pick-up Authorization & Emergency Contact/Information” form. This form is kept in the classroom and is accessible for the teacher in case of any emergency.

Note: Emergency Contact Information should always be up-to-date in order for notification to be made should children become ill.

Accident Reports

Despite all efforts to promote safety and injury prevention, should a child be involved in an accident or receive an injury, it is important to communicate this to parents both verbally and in writing. An Incident/Illness report form will be completed and a copy given to the parent.

Medication Administration

Whenever possible, arrangements should be made with the family and the child's physician to schedule administration of medication during times when the child is most likely to be under parental supervision. When medication must be administered in the classroom, a "Special Consent for Administration of Medication" form must be completed prior to administration of any medication in the center. All medication will be stored in a locked cabinet unless other orders are prescribed by the physician. Medication must be in the original container with a current date and directions for use from the physician.

Tooth Brushing:

Each classroom will have a supervised tooth brushing activity twice a day that models and teaches good dental hygiene.Toothbrushes are labeled with your child’s full name to prevent any cross contamination.

Health Services - Because PCI believes that children must be healthy and at their best in order to learn, our program pays particular attention to the health of our children and families. PCI's multi-disciplinary team of private and community professionals utilizes a unique approach to providing quality health services. Understanding that access to affordable health care is a major problem for many families and children in our community, PCI's Health Services staff work diligently to help families establish a medical home where they will have access to quality health care at all times. Health Services include:

  • Physical and dental exams
  • Vision and hearing screenings
  • Behavioral screenings
  • Nutrition and growth assessments
  • Referrals, follow-up and/or treatment provided for health issues identified through exams and screenings. Health and safety education provided by Health Specialists to staff, parents and children.
  • Immunizations tracked and referrals provided when needed