All areas of the preschool classroom need to be made accessible to the child using a wheelchair. This includes play areas, toilet, tables and playground. It is important to ensure there is enough space between areas for easy movement. Additionally, it is important to make sure walkways stay uncluttered. It is appropriate to train the other children in the class to keep the classroom space clear for a wheelchair by picking up after themselves.
If a child is using a manual wheelchair, it is important that staff use the wheel locks as needed to keep the wheelchair from moving. This is to ensure the wheelchair doesn't bump into anyone or roll away from the group or activity. It is appropriate to train the child using the wheelchair and other children in the class how to use wheel locks if possible. Adult supervision is always necessary, however, regardless of the child's independence in these skills.
If the child is using a motorized wheelchair, be sure to keep the speed set to "slow," so the child is able to maneuver around the classroom or playground environments without causing injury or harm to herself or other children. It is appropriate to train children how to motor slowly around the room. Regardless of the skill level of the child or her level of independence, her movement should be monitored by adults because accidents can happen.
Staff needs to be trained by the parent or therapist on how to transfer children from their wheelchairs to floor or table activities. Some children have been trained to transfer themselves, and it is appropriate to allow them to do so, with supervision. Be sure the wheels are locked during transfers to prevent injury to staff or child. All transfers should be done under strict adult supervision.
If a child is being transported to a preschool program by a van or bus, it is appropriate that the van or bus driver and teacher be thoroughly trained on how to use and secure the wheelchair lift. In addition, there should be competency-based training on how to secure the wheelchair in place during transit. It is also necessary for the driver to be trained on the basic functions of the wheelchair itself.