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Special Needs Pre-Service Plan Template

Time Allocation for Care:

Care Plan:

Eating:
Sleeping:
Diapering/Toileting:
Outdoor Play:
Circle Time:

Training for Staff:

Equipment:

Use:
Care:
Repair:

Child’s Condition:

Observations:
Difficulties:

Emergencies Plan:

Staff Needs:

Child Group Needs:

Health Care Communication Means: