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.
(Most up-to-date source)
Search the CFOC Online Standards Database by health and safety topic, search term, chapter, or standard number.
COVID-19 modifications to CFOC standards are based on current evidence and guidelines. Some COVID-19 modifications may not be adequate for individual programs based on local community transmission levels. COVID-19 modifications are meant to supplement local, tribal, and/or territorial requirements for decreasing transmission and exposure to COVID-19. Programs are encouraged to check with their local public health departments for additional guidance.
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].
Standard included in Stepping Stones (SS)
Most recent revision date
Frequently asked questions regarding the selected standard
*NEW! Updates to CFOC Appendices!*
Standard 188.8.131.52 Child Care Health Consultants (Last Updated May 21, 2021)
Standard 184.108.40.206 Infant and Early Childhood Mental Health Consultants (Last Updated October 10, 2022)
Standard 220.127.116.11 Daily Staff Health Check (Last Updated October 10, 2022)
Standard 18.104.22.168 Parent/Guardian Visits (Last Updated October 10, 2022)
Standard 22.214.171.124: Conduct of Daily Health Check (Last Updated October 10, 2022)
Standard 126.96.36.199 Routine Oral Hygiene Activities (Last Updated Sept. 20, 2021)
Standard 188.8.131.52 Toothbrushes and Toothpaste (Last Updated Sept. 20, 2021)
Standard 184.108.40.206: Inclusion/Exclusion/Dismissal of Children (Last Updated October 10, 2022)
Standard 220.127.116.11 Staff Exclusion for Illness (Last Updated August 10, 2022)
Standard 18.104.22.168 Socialization During Meals (Last Updated October 10, 2022)
Standard 22.214.171.124: Ensuring Access to Fresh Air Indoors (Last Updated August 10, 2022)
Standard 126.96.36.199: Heating and Ventilation Equipment Inspection and Maintenance (Last Updated August 10,2022)
Standard 188.8.131.52: Storage and Labeling of Personal Articles (Last Updated Sept. 20, 2021)
Standard 184.108.40.206 Drop-Off and Pick-Up (Last Updated October 10, 2022)
Standard 220.127.116.11 Child Behavior During Transportation (Last Updated October 10, 2022)
Chapter 7.1 Introduction: How Infections Spread (Last Updated October 10, 2022)
Complete Standard Revisions
January 31, 2023
January 3, 2023
December 20, 2022
September 27, 2022
September 13, 2022
July 05, 2022
March 22, 2022
February 25, 2022
February 4, 2022
April 27, 2021
Other NRC Resources
Related External Resources
Get CFOC 4 (Last updated June 2019)
Download Free PDF Version of CFOC4
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