Caring For Our Children, Fourth Edition
Programs:
Resource Type:
General, Operating Procedure
Published:
07/19
The PDF version of Caring for Our Children, Fourth Edition has been provided for your convenience; however, the most up-to-date standards are available online in the CFOC searchable database. Please visit https://nrckids.org/CFOC.
Following health and safety best practices is an important way to provide quality early care and education for young children. The American Academy of Pediatrics (AAP), the American Public Health Association (APHA), and the National Resource Center for Health and Safety in Child Care and Early Education (NRC) have released the Fourth Edition of Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs. These national standards represent the best evidence, expertise, and experience in the country on quality health and safety practices and policies that should be followed in today's early care and education settings.
Table of Contents
- Acknowledgments
- Introduction
- History of Caring for Our Children Standard Language Changes Since the 3rd Edition (Through July 2018)
- Chapter 1: Staffing
- Chapter 2: Program Activities for Healthy Development
- Chapter 3: Health Promotion and Protection
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Chapter 4: Nutrition and Food Service
- 4.1 Introduction
- 4.2 General Requirements
- 4.3 Requirements for Special Groups or Ages of Children
- 4.4 Staffing
- 4.5 Meal Service, Seating, and Supervision
- 4.6 Food Brought From Home
- 4.7 Nutrition Learning Experiences for Children and Nutrition Education for Parents/Guardians
- 4.8 Kitchen and Equipment
- 4.9 Food Safety
- 4.10 Meals from Outside Vendors or Central Kitchens
- Chapter 5: Facilities, Supplies, Equipment, and Environmental Health
- Chapter 6: Play Areas/Playgrounds and Transportation
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Chapter 7: Infectious Diseases
- 7.1 How Infections Spread
- 7.2 Immunizations
- 7.3 Respiratory Tract Infections
- 7.4 Enteric (Diarrheal) Infections and Hepatitis A Virus (HAV)
- 7.5 Skin and Mucous Membrane Infections
- 7.6 Bloodborne Infections
- 7.7 Herpes Viruses
- 7.8 Interaction with State or Local Health Departments
- 7.9 Note to Reader on Judicious Use of Antibiotics
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Chapter 8: Children with Special Health Care Needs and Disabilities
- 8.1 Guiding Principles for This Chapter and Introduction
- 8.2 Inclusion of Children with Special Needs in the Child Care Setting
- 8.3 Process Prior to Enrolling at a Facility
- 8.4 Developing a Service Plan for a Child with a Disability or a Child with Special Health Care Needs
- 8.5 Coordination and Documentation
- 8.6 Periodic Reevaluation
- 8.7 Assessment of Facilities for Children with Special Needs
- 8.8 Additional Standards for Providers Caring for Children with Special Health Care Needs
- Chapter 9: Administration
- Chapter 10: Licensing and Community Action
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Appendixes
- Appendix A: Signs and Symptoms Chart
- Appendix B: Major Occupational Health Hazards
- Appendix C: Nutrition Specialist, Registered Dietitian, Licensed Nutritionist, Consultant, and Food Service Staff Qualifications
- Appendix D: Gloving
- Appendix E: Child Care Staff Health Assessment
- Appendix F: Enrollment/Attendance/Symptom Record
- Appendix G: Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger
- Appendix H: Recommended Immunization Schedule for Adults Aged 19 Years or Older
- Appendix I: Recommendations for Preventive Pediatric Health Care
- Appendix J: Selecting an Appropriate Sanitizer or Disinfectant
- Appendix K: Routine Schedule for Cleaning, Sanitizing, and Disinfecting
- Appendix L: Cleaning Up Body Fluids
- Appendix M: Recognizing Child Abuse and Neglect: Signs and Symptoms
- Appendix N: Protective Factors Regarding Child Abuse and Neglect
- Appendix O: Care Plan for Children With Special Health Needs
- Appendix P: Situations that Require Medical Attention Right Away
- Appendix Q: Getting Started with MyPlate
- Appendix R: Choose MyPlate: 10 Tips to a Great Plate
- Appendix S: Physical Activity: How Much Is Needed?
- Appendix T: Helping Children in Foster Care Make Successful Transitions Into Child Care
- Appendix U: Recommended Safe Minimum Internal Cooking Temperatures
- Appendix V: Food Storage Chart
- Appendix W: Sample Food Service Cleaning Schedule
- Appendix X: Adaptive Equipment for Children with Special Health Care Needs
- Appendix Y: Even Plants Can Be Poisonous
- Appendix Z: Depth Required for Shock-Absorbing Surfacing Materials for Use Under Play Equipment
- Appendix AA: Medication Administration Packet
- Appendix BB: Emergency Information Form for Children With Special Needs
- Appendix CC: Incident Report Form
- Appendix DD: Child Injury Report Form for Indoor and Outdoor Injuries
- Appendix EE: America?s Playgrounds Safety Report Card
- Appendix FF: Child Health Assessment
- Appendix GG: Licensing and Public Regulation of Early Childhood Programs
- Appendix HH: Use Zones and Clearance Dimensions for Single- and Multi-Axis Swings
- Appendix II: Bike and Multi-sport Helmets: Quick-Fit Check
- Appendix JJ: Our Child Care Center Supports Breastfeeding
- Appendix KK: Authorization for Emergency Medical/Dental Care
- Acronyms/Abbreviations
- Glossary
- Index