fss-mini-rag-github/childcare-compliance-research/cdc_health_safety_guidelines.md
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CDC Childcare Health and Safety Guidelines

Infection Control and Prevention

Handwashing Requirements

  • Frequency: Before and after each diaper change, before food preparation, after using restroom
  • Duration: Minimum 20 seconds with soap and warm water
  • Hand sanitizer: Acceptable when soap/water unavailable, must be 60%+ alcohol-based
  • Child supervision: Adults must supervise all handwashing for children under 6

Diaper Changing Procedures

  1. Preparation: Gather supplies, wash hands, put on disposable gloves
  2. Cleaning: Remove soiled diaper, clean child thoroughly from front to back
  3. Disposal: Place soiled diaper in sealed container, dispose of gloves
  4. Sanitization: Clean and disinfect changing surface with bleach solution
  5. Final step: Both adult and child wash hands thoroughly

Illness Management

  • Exclusion criteria:
    • Fever of 101°F or higher
    • Vomiting (2+ episodes in 24 hours)
    • Diarrhea (3+ loose stools)
    • Persistent cough with fever
    • Unusual behavior suggesting illness

Environmental Safety

Indoor Air Quality

  • Ventilation: Minimum 15 cubic feet per minute of outdoor air per person
  • Humidity levels: Maintain 30-50% relative humidity
  • Temperature: Keep between 68-75°F
  • Chemical storage: All cleaning supplies locked away from children
  • Lead testing: Annual testing in buildings built before 1978

Playground Safety Standards

  • Surface materials: Impact-absorbing surfaces required under equipment
    • Sand, wood chips, or rubber mats minimum 12 inches deep
    • Proper drainage to prevent standing water
  • Equipment inspection: Daily visual checks, monthly detailed inspections
  • Age-appropriate zones: Separate areas for different age groups
  • Fall zones: Clear space extending 6 feet around all equipment

Water Safety Requirements

  • Pool safety: 4-foot minimum fence height with self-latching gates
  • Supervision ratios: 1 adult per 6 children for water activities
  • Safety equipment: Life preservers and reaching poles readily available
  • Water testing: Daily chemical balance testing for pools

Emergency Preparedness

Emergency Action Plans

Required plans for:

  • Fire evacuation (monthly drills required)
  • Severe weather response
  • Medical emergencies
  • Lost child procedures
  • Intruder/lockdown situations

First Aid Requirements

  • Certified staff: At least one CPR/First Aid certified staff member present always
  • First aid supplies: Fully stocked kit accessible in each classroom
  • Emergency contacts: Current emergency contacts for all children
  • Medical information: Allergies, medications, special needs documented

Transportation Safety

  • Vehicle requirements: Commercial insurance, annual safety inspections
  • Child restraints: Age-appropriate car seats/restraints for all children
  • Driver qualifications: Commercial driver's license, background check, annual training
  • Supervision: Adult supervisor in addition to driver for groups of 7+ children

Nutrition and Food Safety

Food Handling Standards

  • Staff certification: Food handler's permit required for kitchen staff
  • Temperature control: Hot foods kept at 140°F+, cold foods at 40°F or below
  • Storage requirements: Proper refrigeration, labeled containers with dates
  • Cleaning schedule: Daily sanitization of all food preparation surfaces

Allergy Management

  • Documentation: Written action plans for children with food allergies
  • Staff training: All staff trained to recognize allergic reactions
  • Emergency medication: EpiPens accessible and staff trained in administration
  • Meal modifications: Safe alternatives provided for allergic children