Sources for This Edition
The ﬁth edition of Model Child Care Health Policies (MCCHP) is a tool to foster adoption and implementation of best
practices for health and safety in group care settings for young children. These settings include early care and education
as well as before- and ater-school child care programs. It is the product of broad and ongoing input from key leaders
representing multiple organizations and agencies over many years. In 1991, the Pennsylvania Chapter of the American
Academy of Pediatrics (PA AAP) reviewed policies submitted by more than 100 child care programs (centers and
family child care homes) as part of a study conducted by the Early Childhood Education Linkage System (ECELS),
a program of the PA AAP. From these, ECELS selected the best practice policies for speciﬁc topics and edited, merged,
and published these as the ﬁrst edition of MCCHP. In 1992, ECELS reviewed and contributed to recommendations
for written health policies in the ﬁrst edition of the widely used reference Caring for Our Children: National Health and
Safety Performance Standards: Guidelines for Out-of-Home Child Care Programs. This national reference was authored
by the American Public Health Association and American Academy of Pediatrics and funded by a grant from the
Maternal and Child Health Bureau of the Health Resources and Services Administration, US Department of Health
and Human Services.
The Early Childhood Education Linkage System prepared subsequent editions, including this ﬁth edition, of MCCHP
by drawing on comments and suggestions from users as well as standards in the then-current editions of Caring for
Our Children. The third edition of Caring for Our Children, retitled Caring for Our Children: National Health and Safety
Performance Standards: Guidelines for Early Care and Education Programs, was published in 2011 and served as the
source for standards in the preparation of this edition of MCCHP.1 In the rest of this text, the third edition of Caring
for Our Children is referred to as CFOC3.
Reviews and adaptations prepared by technical experts, child care health consultants (CCHCs), early education and
child care directors, and other users have been particularly helpful in the revision process. While the ﬁth edition of
MCCHP draws on the foundation of the fourth edition, most of the text has been rewritten. Attributing individual
concepts, items, and phrases within the text would reduce the readability of this edition. Instead, this update of
MCCHP acknowledges the following contributions made by some reviewers of their model policies:
• Arizona (2006; sent by Kathleen M. Ford, RN, BC, child care health consultation systems coordinator,
Nurse Manager Child Care Nurse Consultation, Pima County Public Health Nursing, Pima County Health
Department, Tucson, AZ; www.pimahealth.org/pubhealthnursing/documents/CCHCmanual_WEBFULL.pdf).
• California (2005 and ongoing updates by Abbey Alkon, RN, PNP, PhD, professor, University of California,
San Francisco School of Nursing; director, California Childcare Health Program, and Bobbie Rose, RN, PHN,
San Francisco, CA; www.ucsfchildcarehealth.org).
• Indiana (2006; sent by Patricia S. Cole, MPH, past program coordinator, Indiana Child Care Health Consultant
Program; www.in.gov/fssa/carefinder/2750.htm; currently senior director, Indiana Accreditation Project, Indiana
Association for the Education of Young Children, Inc, Indianapolis).
• The National Training Institute for Child Care Health Consultants at the University of North Carolina, Chapel
Hill (2013; materials on policy development and individual topics accessed in password-protected CCHC trainer
tool kits; http://nti.unc.edu).
• Seattle-King County, Washington (2006–2009; recommended by Danette S. Glassy, MD, FAAP, cochair of the
Steering Committee for CFOC3; www.kingcounty.gov/healthservices/health/child/childcare/modelhealth.aspx).
• Significant individual contributions to this edition were made by the reviewers listed in the front matter of
Many of the policies in this ﬁth edition of MCCHP paraphrase the wording in one or more CFOC3 standards; this
is indicated by a superscript reference to the standard, eg, CFOC3 Std. 126.96.36.199. In a few places, the standard is directly quoted;