Caring for Our Children

National Health and Safety Performance Standards

Guidelines for Early Care and Education Programs

Caring for Our Children, (CFOC) is a collection of national standards that represent the best practices, based on evidence, expertise, and experience, for quality health and safety policies and practices for today's early care and education settings.

CFOC Online Standards Database

(Most up-to-date source)

Search the CFOC Online Standards Database by health and safety topic, search term, chapter, or standard number.

Suggested Citation for CFOC Standards Online Database:
American Academy of Pediatrics, American Public Health Association, National Resource Center for Health and Safety in Child Care and Early Education. CFOC Standards Online Database. Aurora, CO; National Resource Center for Health and Safety in Child Care and Early Education; 2020. [URL of Standard/Chapter]. Accessed [date].

See CFOC Table of Contents

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Standard included in Stepping Stones (SS)

Most recent revision date

Frequently asked questions regarding the selected standard

Updates to CFOC Standards 


COVID-19 Modifications to CFOC Standards

Standard 1.1.1.1 Ratios for Small Family Child Care Homes (Last Updated Sept. 21, 2021)

Standard 1.1.1.2 Ratios for Large Family Child Care Homes (Last Updated Sept. 21, 2021)

Standard 1.1.1.3 Ratios for Facilities Serving Children with Special Health Care Needs and Disabilities (Last Updated Sept. 21, 2021)

Standard 1.6.0.1 Child Care Health Consultants (Last Updated May 21, 2021)

Standard 1.6.0.3 Infant and Early Childhood Mental Health Consultants (Last Updated May 21, 2021)

Standard 1.7.0.2 Daily Staff Health Check (Last Updated July 13, 2021)

Standard 2.3.1.2 Parent/Guardian Visits (Last Updated Sept. 20, 2021)

Standard 3.1.5.1 Routine Oral Hygiene Activities (Last Updated Sept. 20, 2021)

Standard 3.1.5.2 Toothbrushes and Toothpaste (Last Updated Sept. 20, 2021)

Standard 3.2.2.1: Situations that Require Hand Hygiene (Last Updated Sept. 20, 2021)

Standard 3.6.1.2 Staff Exclusion for Illness (Last Updated July 13, 2021)

Standard 3.6.1.3 Thermometers for Taking Human Temperatures (Last Updated May 21, 2021)

Standard 4.3.1.8 Techniques for Bottle Feeding (Last Updated July 13, 2021)

Standard 4.5.0.4 Socialization During Meals (Last Updated Sept. 20, 2021)

Standard 5.2.1.1: Ensuring Access to Fresh Air Indoors (Last Updated Sept. 22, 2021)

Standard 5.2.1.3: Heating and Ventilation Equipment Inspection and Maintenance (Last Updated Sept. 22, 2021)

Standard 5.4.5.1: Sleeping Equipment and Supplies (Last Updated Sept. 20, 2021)

Standard 5.5.0.1: Storage and Labeling of Personal Articles (Last Updated Sept. 20, 2021)

Standard 6.5.2.1 Drop-Off and Pick-Up (Last Updated May 21, 2021)

Standard 6.5.2.3 Child Behavior During Transportation (Last Updated July 13, 2021)

Chapter 7.1 Introduction: How Infections Spread (Last Updated May 21, 2021)

Complete Standard Revisions

Standard 5.1.1.2 Inspection of Buildings

Standard 5.1.1.6 Structurally Sound Facility

Standard 5.2.9.13 Testing for and Remediating Lead Hazards

 

 



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