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National Resource Center for Health and Safety in Child Care


ACKNOWLEDGMENTS

The National Resource Center for Health and Safety in Child Care would like to acknowledge the outstanding contributions of all persons and organizations involved in the revision of Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Out-of-Home Child Care Programs. Second Edition. The collaboration of the American Academy of Pediatrics, the American Public Health Association, and the Maternal and Child Health Bureau provided a wide scope of technical expertise from their constituents in the creation of this project. The subject-specific Technical Panels as listed provided the majority of the content and resources. Over 100 organizations were asked to review and validate the accuracy of the content and contribute additional expertise where applicable. The individuals representing these organizations are listed in "Additional Contributors". This broad collaboration and review from the best minds in the field has led to a more comprehensive and useful tool.
In a project of such scope, many individuals provide valuable input to the end product. We would like to acknowledge those individuals whose names may have been omitted.

Steering Committee

Susan S. Aronson, MD, FAAP
Co-Chair, American Academy of Pediatrics, PA

Albert Chang, MD, MPH, FAAP
Co-Chair, American Public Health Association, CA

Phyllis E. Stubbs-Wynn, MD, MPH
Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, DC

Marilyn J. Krajicek, EdD, RN, FAAN
Director, National Resource Center for Health and Safety in Child Care, CO

Barbara U. Hamilton, MA
Assistant Director, National Resource Center for Health and Safety in Child Care, CO

Technical Panel
Chairs and Members

Children With Special Needs
Herbert J. Cohen, MD, FAAP, Chair,
Bronx, NY
Rebecca Fewell, PhD, Miami, FL
Ruth Kaminer, MD, FAAP, Bronx, NY
Lillian Kornhaber, RPT, Bronx, NY
Peggy Pizzo, MEd, Boston, MA
Anne Riley, RN, Iowa City, IA
Sarah Schoen, MA, OT, Bronx, NY
Nancy Tarshis, MA, CCC/SP, Bronx, NY

Environmental Quality
Steven B. Eng, MPH, RPHI, Chair,
BC, Canada
Robert E. Brewster, RS, MPA, Wheaton, IL
Lowest Jefferson, Olympia, WA
Shannan Lile, RS, Arlington, TX
Lori Saltzman, Bethesda, MD
Richard K. Snaman, REHS/RS, Arlington, VA
Elizabeth Zanowiak, Washington, DC

General Health
Selma Deitch, MD, MPH, FAAP, Chair,
Manchester, NH
Joan H. Ascheim, MSN, Concord, NH
Karen Donoghue, RN, Manchester, NH
Steven Grandgeorge, MD, FAAP, Bedford, NH
Richard Nordgren, MD, Lebanon, NH
Carole Treen, Manchester, NH
Mary Jane Wallner, Concord, NH

Health and Safety Organization and Administration
Patricia Schloesser, MD, Chair, Topeka, KS
Chris Ross-Baze, MSW, Topeka, KS
Ed Ehlinger, MD, Minneapolis, MN
Karen E. Kroh, BA, Harrisburg, PA
Shirley Norris, MA, Topeka, KS
Peggy Scally, RN, Lawrence, KS
Maureen Whitman, MN, Portland, OR

Health Concerns Related to Social
Environment and Child Development
Albert J. Solnit, MD, FAAP, Chair,
New Haven, CT
Jean Adnopoz, MPH, New Haven, CT
Angela Crowley, PhD, APRN, CS, PNP
New Haven, CT
Cynthia Farrar, New Haven, CT
Lola Nash, MA, New Haven, CT
June Sale, Los Angeles, CA
Kathryn Young, PhD, Riverside, CT

Infectious Diseases
Larry Pickering, MD, FAAP, Chair,
Atlanta, GA
Ralph L. Cordell, PhD, Atlanta, GA
Leigh G. Donowitz, MD, FAAP, Charlottesville, VA
Fred Henderson, MD, Chapel Hill, NC
Pauline D. Koch, MS, Wilmington, DE
Dennis L. Murray, MD, FAAP, Augusta, GA
Robert F. Pass, MD, FAAP, Birmingham, AL
James M. Poole, MD, FAAP, Raleigh, NC

Injury Prevention
Albert Chang, MD, MPH, FAAP, Chair,
San Diego, CA
Abbey Alkon, RN, MPH, PhD, Berkeley, CA
Letty Lie, RN, MPH, Minneapolis, MN
Cheryl Neverman, MS, Washington, DC
Joyce Rezin, RN, MS, PNP, San Diego, CA
Ellen R. Schmidt, MS, OTR, Washington, DC

Nutrition
Catherine Cowell, PhD, Chair, New York, NY
Maryrose J. Baiano, MS, DD, Dobbs Ferry, NY
Donna Blum, MS, RD, Alexandria, VA
Robin Brocato, MHS, Washington, DC
Annie Carr, MS, RD, Atlanta, GA
Ofelia Dirige, PhD, RD, San Diego, CA
Darby Eliades Graves, MPH, RD, Albany, OR
Janet Guidry, MPH, RD, New Orleans, LA
Brenda Lisa, MS, RD, Alexandria, VA
Mildred Monroe, MS, RD, LD, Atlanta, GA
Suzanne Rigby, MS, RD, Alexandria, VA
Susan Schlosser, MS, RD, Chappaqua, NY
Ruth Shrock, MS, RD, Columbus, OH
Denise Sofka, MPH, RD, Rockville, MD
Frances Vines, MS, RD, Dallas, TX

Prevention and Management of Child Abuse
David Chadwick, MD, FAAP, Co-Chair,
San Diego, CA,
Carole Jenny, MD, FAAP, Co-Chair,
Providence, RI
Deborah E. Lowen, MD, FAAP, Stratford, NJ
Patti K. Rosquist, MD, FAAP, Denver, CO
Charles J. Schubert, MD, FAAP, Cincinnati, OH
Sara E. Schuh, MD, FAAP, Charleston, SC
John R. Stirling, Jr., MD, FAAP, Vancouver, WA
Susan Reichert, MD, FAAP, Bend, OR

Staff Health
Iris Graville, RN, MN, Chair, Lopez Island, WA
Judy Calder, RN, BSN, Berkley, CA
Julianne Crevatin, MPH, Seattle, WA
Susan Eckelt, CDA, Tulsa, OK
Rene Gratz, PhD, Milwaukee, WA
Jan Gross, RN, BSN, Greenbank, WA
Karen Liberanti, RN, BSN, Tempe, AZ
Lynn Manfredi/Petitt, BS, Atlanta, GA
Daria Miller, Sunnyside, WA
Lynn White, BA, Conyers, GA


Lead Organizations Review Groups

American Academy of Pediatrics
Laura Aird, MS, Elk Grove Village, IL
Scott Allen, Chicago, IL
Sophie J. Balk, MD, FAAP, Bronx, NY
Dana M. Brazdziunas, MD, FAAP, Maywood, IL
Eileen Casey, MS, Elk Grove Village, IL
Peter A. Gorski, MD, MPA, FAAP, Boston, MA
Lawrence M. Gartner, MD, FAAP,
Valley Center, CA
Peter Michael Miller, MD, MPH, FAAP,
San Anselmo, CA
Jody R. Murph, MD, MS, FAAP, Iowa City, IA
Sheryl Nelson, MS, Elk Grove Village, IL
S. Donald Palmer, MD, FAAP, Sylacauga, AL
James M. Poole, MD, FAAP, Raleigh, NC
Judy Romano, MD, FAAP, Wheeling, WV
Jay Selcow, MD, FAAP, West Hartford, CT
Alicia Siston, MS, MPH, Elk Grove Village, IL
Howard R. Spivak, MD, FAAP, Boston, MA
Burton Willis, MD, FAAP, Fountain Valley, CA
American Public Health
Association

Jonathan B. Kotch, MD, MPH, FAAP,
Chapel Hill, NC
Ellen T. Meyer, Washington, DC
Larry R. Olsen, DrPH, MPH, SHES, Towson, MD
Mary B. Tierney, MD, Washington, DC
Billie Weiss, MPH, Los Angeles, CA


U.S. Department of Health and Human Services
Child Care Bureau
Moniquin Huggins, Washington, DC

Maternal and Child Health Bureau
Phyllis Stubbs-Wynn, MD, MPH, Rockville, MD
Yolanda Baker, Rockville, MD
Stephanie Bryn, MPH, Rockville, MD
David E. Heppel, MD, FAAP, Rockville, MD
Merle G. McPherson, MD, MPH, Rockville, MD
Kerry Nesseler, RN, MS, Rockville, MD
Mary Overpeck, DrPH, Rockville, MD
John Rossetti, DDS, MPH, Rockville, MD


National Resource Center for Health and Safety in Child Care* Project Team

Marilyn Krajicek, EdD, RN, FAAN - Director
Jennifer Beezley, RN, BA - Co-editor,
Former Research Assistant
Jeff Calderone, MBA - Former Research Assistant
Shannon Collins, RN, BSN, MSCIS - Health Consultant
Susan Epstein, - Editor
Jeryl Feeley, ND, RN - Former Research Assistant
William Freud, MBA - Assistant Vice Chancellor -
Information Systems, University of Colorado Health
Sciences Center
Barbara Hamilton, MA - Assistant Director
Rachel Haynes, ND, CPNP, MSN - Research Assistant
David Merten, BS - Research Assistant
Ruth Neil, PhD, RN - Former Project Coordinator
Patricia Petch, BSc - Former Research Assistant
Elisabeth Rosenberg, BS - Program Assistant
Virginia Torrey, BA - Program Specialist
Joy Wu, PhD - Fellow

* Based at the University of Colorado Health Sciences Center School of Nursing.

Additional Contributors

Duane Alexander, MD, FAAP
National Institute of Child Health and Human Development, MD

Sandra Anseth, RN
North Dakota State Department of Health, ND

Sheri Azer, MA
Wheelock College Institute for Leadership and Career Initiative, MA

Stan Bienick, BSW
Cherokee Center for Family Services, NC

Heidi Bishop, BS
United States Department of Agriculture, VA

Donna Blum-Kemelor, MS, RD, LD
United States Department of Agriculture, VA

Jo Ann Bolick, MA, CPNP, APN
Arkansas Department of Health, AR

John A. Bogert, DDS
American Academy of Pediatric Dentistry, IL

J. Patrick Byrne
National Association for Regulatory
Administration, NJ

Elaine Carr
Community & Family Health Services, AZ

Gloria V. Chen, RN, MBA
Georgia Division of Public Health, Office of Infant and Child Health, GA

Judy Collins, MS
National Association for Regulatory
Administration, OK

Susan M. Conrath, PhD, MPH
Environmental Protection Agency, DC

Ralph Cordell, PhD
Centers For Disease Control and Prevention, GA

Ron Coté, PE
National Fire Protection Association, MA

Jane Cotler, RN, MS, CSN
Colorado Department of Public Health and
Environment, CO
Jane Coury, MSN, RN
Formerly with Maternal and Child Health Bureau, PHS/Health Resources and Services Administration, MD

Angela Crowley, PhD, APRN, CS, PNP
National Association of Pediatric Nurse Practitioners, CT

Steve Davis, MD
Kentucky Department of Public Health, KY

Butch DeFillippo, MA Rec Admin, CPSI, CPRP
PlaySafe, LLC Recreational Consulting &
Services, NM

Katherine Duchen-Smith, RN, MS, CPNP
National Association of Pediatric Nurse Practitioners, CO

Susan Eckelt, CDA
National Association for Family Child Care, OK

Lynn T. Elliott, RN, MS
Florida Department of Health, FL

Maria Gil De Lamadrid, JD
Child Care Law Center, CA

Melinda Green
National Black Child Development Institute, DC

Scott Groginsky
National Conference of State Legislatures, CO

Peggy Haack
Center for the Child Care Workforce, DC

Bruce Hershfield
Child Welfare League of America, DC

Dawn Higley, RN, MS, CPNP
Formerly with Utah Department of Health, UT

Kay Hollestelle
The Children's Foundation, DC

Gail Johnson, RN, MS
Formerly with National Association for Sick Child Day Care, VA

Pauline D. Koch, MS
National Association for Regulatory Administration, DE

Phil Koshkin
Office of Licensing Child Care Administration, MD

Jonathan B. Kotch, MD, MPH, FAAP
National Training Institute for Child Care Health Consultants, NC

Karen E. Kroh, BA
National Association for Regulatory Administration, PA

Christopher A. Kus, MD, MPH, FAAP
New York State Department of Health, NY

Marlene Lee, BSN, RN
Maternal and Child Health Branch, Hawaii Department of Health, HI

Linda Likins
National Association Child Care Resource and
Referral Agencies, Inc, PA

Marjorie J. Long, Esq., CO

Doris Luckenbill, RN, CSN
National Association of School Nurses, Inc, ME

Deborah Markenson, MS, RD
Missouri Department of Health, Nutrition & Child Care Programs, MO

Paul F. Marmen, MEd, EMT
Oklahoma Emergency Medical Services for Children, OK

Virginia Marx, AS
National Association of Pediatric Nurse
Practitioners, NJ

Tameron Mitchell, RD, MPH
California Department of Health Services, Primary Care and Family Health Division, CA

Gwen Morgan, MS
Wheelock College Institute for Leadership and Career Initiative, MA

Jim O'Brien, PhD
Head Start Bureau, DC

Kathleen Eaton Paterson, RN, MPH
Formerly with Vermont Department of Health, VT

Susan Ponemon
United States Department of Agriculture, VA
Paul S. Rusinko
Maternal and Child Health Bureau, MD

William A. Rutala, PhD
University of North Carolina, NC

Mary Schucker, CPNP, MSN, RN, CRNP
National Association of Pediatric Nurse
Practitioners, PA

Phyllis Sherard, MPA
Wyoming Department of Health, WY

Wendelin Slusser, MD, FAAP, CA

Linda Smith
Formerly with United States Department of Defense, VA

Karen Sokal-Gutierrez, MD, MPH, FAAP, CA

Patricia M. Spahr, MA
National Association for the Education of Young Children, DC

Steven B. Steinhoff
Association of Food and Drug Officials, PA

Linda Stern
Child Care Division, Oregon Department of Employment, OR

Carolynne Stevens, MA
National Association for Regulatory Administration, VA

Sandy Sullivan
Formerly with The Clorox Company, DC

Jeanette S. Tanos, RN, MHR
Guam Department of Public Health and Social
Services, Guam

Barbara Thompson, MS
United States Department of Defense, VA

Donna Thompson, PhD
National Program for Playground Safety, IA

Joan Turetsky
United States Department of Agriculture, VA

Elaine Tyrrell, MS
U.S. Consumer Product Safety Commission, MD

Lynn White, BA
National Child Care Association, GA

Karen Williams, PhD
University of Wyoming, WY

Judith Wright
Nevada State Health Division, NV

Susan Zamecnik, MEd
National Association for Regulatory Administration, VT

Robin Zelno
Formerly with American Society for Testing and Materials, PA


This edition of Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Out-of Home Child Care Programs was based on the first edition. For this reason the contributors of the second edition would like to acknowledge those involved in the creation of the first edition and their location at the time of publishing. They are: Olivia Alegre-Ipanag, MD, MPH; Madeline Appell, MA, New York, NY; Arthur L. Banks, RS, Washington, DC; Glenda Bean, AR; David Beard, MSW, Austin, TX; G. Scott Biebink, MD, Minneapolis, MN; Judy Blanding, MSN, San Jose, CA; Helen Blank, BS, Washington, DC; Janice Boase, RN, Seattle, WA; Joyce Borgmeyer, IA; Elizabeth Brannon, MS, RD, Rockville, MD; Janet Braunstein, RN, MPH, Halifax, NS; Seido Baba Brodbeck, MPH; Albert H. Brunswasser, MPH, MBA, Pittsburgh, PA; Mojdeh Bruss, MPH, RD, Albuquerque, NM; Susan Campbell, MPH; Bria Chakofsky, RN, Seattle, WA; Barbara Chernofsky, La Mesa, CA; Norris Class, MS, Topeka, KS; Brenda Coakley, MA, Washington, DC; Steven Cochi, MD, Atlanta, GA; Judy Coughlan, RN, Auburn, NY; Martha Daley, Denver, CO; Dee Cuney, MEd, Napa, CA; Sheila Dobbin, MSW, Boston, MA; Barry Fidel, MSW, Olympia, WA; David Finkelhor, PhD, Durham, NH; Leslie Fisher, MPH, Albany, NY; Patricia Fosarelli, MD, Baltimore, MD; Judith Garrard, PhD, Minneapolis, MN; Emily H. Gates, MD, Jacksonville, FL; Helene Gayle, MD, MPH, Atlanta, GA; Andrea Gielen, MPH, Baltimore, MD; Benjamin Gitterman, MD, CO; David Goff, PE, MS, Hamden, CT; Stacey Graville, RN, MN, Bellingham, WA; Elmer Green, DDS, MPH, Albany, NY; Steven Hadler, MD, Atlanta, GA; Meredith Harris-Copp, EdD, Boston, MA; Terry S. Hatch, MD, Champaign-Urbana, IL; Debra Hawks Peabody, MPH; Maxine Hayes, MD, Olympia, WA; Deborah Jackson; Nancy Ellen Jones, PNP, DrPH, New York, NY; Karen Juola, Topeka, KS; Dennis O. Juranek, DVM, MSc, Atlanta, GA; Brearley B. Karsch, MS, RD, Philadelphia, PA; Kay Kent, RN, Lawrence, KS; George Kupfer, MS, Ann Arbor, MI; Edgar O. Ledbetter, MD, Elk Grove Village, IL; Dr. Darryl Leong, IA; Robert Lettelier, NH; Kee MacFarlane, MSW, Los Angeles, CA; Kathleen Malloy, MD, MPH, Martinez, CA; Pamela Mangu, MA, Washington, DC; Valerie Marr, OK; Mary Ann Mateo, Pine Hills, NM; Jack L. Mayer, MD, New York, NY; Marcia K. McDonnell, MN, CANP, Atlanta, GA; Erick W. Mood, MPH, New Haven, CT; Bliss Moore, MPH, RS, Olympia, WA; Randolph S. Moore, MA; Linda Morgan, MD, Lynn, MA; Geraldine Norris, RN, MS, Washington, DC; Mary Ann O'Connor, MA, Hanover, NH; Michael Osterholm, PhD, Minneapolis, MN; Karen Patjens, BA, Tacoma, WA; Georges Peter, MD, Providence, RI; Margaret Phillips, EdD, RD, Rockville, MD; Patricia M. Pierce, PhD, Gainesville, FL; Ann Prendergast, MPH, RD, Rockville, MD; Chris Pressey-Murray, Hanover, NH; Sally Provence, MD, New Haven, CT; Linda Randolph, MD, PHP, Albany, NY; Thomas A. Reardon, RS, Pasadena, CA; Sally Reid, Esq, Dedham, MA; Cheri Robertson, Temecula, CA; Martha Rodgers, MD, Atlanta, GA; Cris Ros-Dukler, TX; Carol W. Runyan, PhD, Chapel Hill, NC; Susan Russell, MS, Chapel Hill, NC; Hector Sanchez, MSW, Washington, DC; Marion N. Scarborough, MPH, RD, Jacksonville, FL; Lawrence Schonberger, MD, MPH, Atlanta, GA; Ellen Schroth, RS, Washington, DC; Ethel Seiderman, MA, Fairfax, CA; Robert Shane, PhD, Wynnewood, PA; Cecil Sheps, MD, MPH, Chapel Hill, NC; Sam Sheps, MD, Vancouver, BC, Canada; Sallye Skipper Blake, EdS, Montgomery, AL; Patricia St. Clair, RN, ScD, Seattle, WA; Jeanne Stellman, PhD, Brooklyn, NY; George Sterne, MD, New Orleans, LA; Siubhan Stevens, San Jose, CA; Carol S. Stevenson, JD, San Franscico, CA; Jack Thompson, Seattle, WA; Jon Tillingheist, OK; Rosemary Totten, BA, CDA, Tacoma, WA; Elaine Trate, Burke, VA; Key Vaughn, RS, Austin, TX; Cynthia Vlasich, RN, Washington, DC; Patricia Wagner, EdD, Brooklyn, NY; Helen Wallace, MD, MPH, San Diego, CA; Aileen Whitfill, Arlington, VA; Mark Widome, MD, MPH, Hershey, PA; Patricia Wise, RN, MEd, Holyoke, MA; Harry Wright, Jr, MD, MPH, Los Angeles, CA; Clotilde Zayas, MA, New York, NY.

Caring for Our Children, 2nd ed.
Copyright 2002.
National Resource Center for Health and Safety in Child Care
1-800-598-KIDS(5437)
info@nrckids.org
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