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Stepping Stones Cover
Stepping Stones to Using
Caring for Our Children, 2nd Edition


Stepping Stones to Using Caring For Our Children, 2nd Edition contains 233 standards selected as a subset of the 659 national health and safety performance standards in Caring For Our Children: National Health and Safety Performance Standard: Guidelines for Out- of-Home Child Care Programs, 2nd Edition (CFOC). This subset includes the standards that have the greatest impact on disease, disability and death (morbidity and mortality) in out-of-home child care. To keep the document size manageable, Stepping Stones, 2nd Edition contains only the unaltered text of the selected standards without the rationale, comments or references. Please consult the hard copy or the Internet version of Caring for Our Children, 2nd Edition (CFOC) for the rationale, comments, references, cross-referenced standards and full set of appendices. Chapters include the following topic areas: Staffing; Program: Activities for Healthy Development; Health Protection and Health Promotion; Nutrition and Food Service; Facilities, Supplies, Equipment and Transportation; Infectious Diseases; Children who are Eligible for Services Under IDEA; and Administration. Standards in this book have application to three types of out-of-home child care settings: Small Family Child Care Homes, Large Family Child Care Homes and Centers.

  • MAJOR CHANGES IN HEALTH PRACTICES SINCE THE RELEASE OF CFOC, 2nd ED.

  • ORDERING INFORMATION FOR PAPERBACK PRINTED COPIES OF Stepping Stones, 2nd ED.


  • Stepping Stones, 2nd Ed. (HTML Version)

  • Stepping Stones, 2nd Ed. (Full PDF: 2.2 Mb)

  • NEW SPANISH VERSION: Guía de Pasos Principales

  • Checklist for comparing state regulations or child care programs with Stepping Stones to Using Caring for our Children, 2nd Ed.. (PDF)

  • Tips to Using Stepping Stones Checklist

  • How to purchase a print copy of Stepping Stones, 2nd Ed.

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