The compliance of licensed U.S. child care centers with national health and safety performance standards

1995 ◽  
Vol 26 (4) ◽  
pp. 258
Keyword(s):  
Child Care ◽  
National Health ◽  
Health And Safety ◽  
Performance Standards ◽  
Safety Performance ◽  
Child Care Centers

Caring for Our Children, National Health and Safety Performance Standards

2019 ◽  
Author(s):  
Keyword(s):  
National Health ◽  
Health And Safety ◽  
Performance Standards ◽  
Safety Performance ◽  
Early Care And Education ◽  
Early Care ◽  
Fourth Edition

The fourth edition contains guidelines on the development and evaluation of the health and safety of children in early care and education settings. https://shop.aap.org/caring-for-our-children-national-health-and-safety-performance-standards-4th-edition-paperback/

A Review of State Regulations to Promote Physical Activity and Safety on Playgrounds in Child Care Centers and Family Child Care Homes

2010 ◽  
Vol 7 (s1) ◽  
pp. S108-S119 ◽  
Author(s):  
Angie L.I. Cradock ◽  
Emily M. O'Donnell ◽  
Sara E. Benjamin ◽  
Elizabeth Walker ◽  
Meghan Slining
Keyword(s):  
Physical Activity ◽  
Child Care ◽  
National Health ◽  
Health And Safety ◽  
Outdoor Play ◽  
Family Child Care ◽  
Care Homes ◽  
State Regulations ◽  
Activity Promotion ◽  
Family Child Care Homes

Background:As interventions increasingly emphasize early child care settings, it is necessary to understand the state regulatory context that provides guidelines for outdoor physical activity and safety and sets standards for child care environments.Methods:Researchers reviewed regulations for child care facilities for 50 states, the District of Columbia and the Virgin Islands. We compared state regulations with national standards for 17 physical activity- and safety-related items for outdoor playground settings outlined in Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Out-of-Home Child Care Programs (CFOC). State regulations were coded as fully, partially or not addressing the CFOC standard and state-level summary scores were calculated.Results:On average, state regulations fully addressed one-third of 17 CFOC standards in regulations for centers (34%) and family child care homes (27%). Data suggest insufficient attention to outdoor play area proximity and size, equipment height, surfacing, and inspections.Conclusions:Considerable variation exists among state regulations related to physical activity promotion and injury prevention within outdoor play areas. Many states' regulations do not comply with published national health and safety standards. Enhancing regulations is one component of a policy approach to promoting safe, physically active child care settings.

The Science Behind the American Public Health Association/American Academy of Pediatrics National Health and Safety Guidelines for Child-Care Programs

PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 1101-1104
Author(s):  
Susan S. Aronson
Keyword(s):  
Public Health ◽  
Child Care ◽  
American Academy ◽  
National Health ◽  
Health And Safety ◽  
Cost Of Care ◽  
Care Providers ◽  
American Public Health Association ◽  
American Academy Of Pediatrics ◽  
Health Association

THE DEVELOPMENT OF THE APHA/AAP STANDARDS In 1992, the American Public Health Association (APHA) and the American Academy of Pediatrics (AAP) published the long-awaited Caring for Our Children—National Health and Safety Performance Standards: Guidelines for Out-of-Home Child Care Programs.1 This publication was the product of a 4-year effort involving many experts in child health and safety and day-care providers. The standards document provides a national consensus on approaches to reducing diseases and injury and promoting prevention among children and providers in group-care settings. Consumer protection initiatives are needed because market-place forces are inadequate to ensure a health environment for children in child care. Over the past two decades, a growing number of investigators have documented the increased occurrence of infectious diseases2-4 and injuries,5-7 and missed opportunities for health protection and promotion in child care.8 Despite the tendency to focus on reports of negative health outcomes, children and families thrive in early childhood programs that provide safe, nurturing care and developmentally appropriate education. Day-to-day excellence in child care depends on committed, well-educated care givers who work in a child-friendly and staff-friendly environment. In the US, good child care is limited. Few parents can afford the full cost of care. Most lack the knowledge, skills, or objectivity to critically evaluate the care they choose for their children. Convenience, availability, and affordability motivate parents when they choose child care. Parents are pressured to meet occupational expectations, and tend to overlook significant risks in their children's child-care arrangements. Even parents who are pediatricians (who are expected to be well-versed in child development, health, and safety) ignore hazards and poor quality when rating convenient and available child-care arrangements (Aronson S, unpublished data).

Child Care for Children With Special Needs

PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 1055-1059
Author(s):  
Herbert J. Cohen
Keyword(s):  
Child Care ◽  
Early Intervention ◽  
Special Needs ◽  
Children With Disabilities ◽  
Health And Safety ◽  
Performance Standards ◽  
Children With Special Needs ◽  
Motor Impairments ◽  
Early Intervention Services ◽  
Social Risks

During the 1990s, requirements for child care for children with special needs will increase substantially. Parents of children with special needs face particular challenges in finding suitable child care for their children. A major factor influencing future directions in child care for children with special needs is PL 99-457, the Early Intervention Amendments to the Education for All Handicapped Children Act.1 The component for 0- to 3-year-olds is Part H of the Individuals with Disabilities Education Act (IDEA).2 Almost all states have indicated their intent to provide early intervention services for children with disabilities and developmental delays. As each state moves toward implementation of its plan for 0- to 3-year-olds, federal fiscal incentives to expand such services will grow. The IDEA encourages integrated or inclusionary services for children with disabilities, as does the Americans with Disabilities Act (ADA).3 As a result of this stream of legislation, there will be growing pressure to serve children with special needs in generic child-care settings. Less certain is whether children with identifiable biological or social risks will have a similar entitlement under Part H, because only 10 states have, thus far, included an "at risk" group in their legislative mandate for early intervention. WHO ARE CHILDREN WITH SPECIAL NEEDS AND HOW MANY ARE THERE? The Technical Panel on Children with Special Needs of the American Public Health Association's and American Academy of Pediatrics' (APHA/AAP) National Health and Safety Performance Standards: Guidelines for Out-of-Home Child Care Programs4 defined the population with special needs as those children with developmental disabilities, mental retardation, emotional disturbance, and chronic illness, as well as those with sensory or motor impairments.

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