Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Maternal and Child Health Journal
Published in: Maternal and Child Health Journal 3/2012

01-04-2012 | Brief Reports

Assessing Indiana’s Health and Safety in Early Care and Education Programs: Identifying Areas for Improvement

Authors: Abbey Alkon, Patricia S. Cole

Published in: Maternal and Child Health Journal | Issue 3/2012

Login to get access

Abstract

The objective of this study is to describe the key National Health and Safety Standards (NHS) met in early care and education (ECE) programs in Indiana and to establish reliability for the Indiana Health and Safety Checklist. The Indiana Health and Safety Checklist, modified from the California Childcare Health Program’s Health and Safety Checklist, includes 87 items and 11 subscales. It was completed in 2 h by trained child care health consultants in 82 ECE programs to assess the number of key NHS met. The 82 ECE programs met the majority of NHS items. Thirteen items were not met in more than 50% of the programs. The items with the lowest compliance were emergency food supplies, children’s hand washing, special health care plans, cleaning and sanitizing counters, and impact surfaces under playground equipment. The Indiana Health and Safety Checklist had moderate internal reliability for 6 of the 9 subscales analyzed. ECE programs strive to provide high quality care and the programs met the majority of NHS on the checklist. The Checklist is a reliable instrument that helped identify health and safety gaps and thus, identified the targeted interventions for child care health consultation.
Literature
1.
American Academy of Pediatrics, American Public Health Association, and National Resource Center for Health and Safety in Child Care, Caring for Our Children. (2002). National health and safety performance standards: Guidelines for out-of-home child care programs (2nd ed.,). Elk Grove Village, IL: American Academy of Pediatrics.
2.
Addis, D. G., et al. (1994). The compliance of licensed US child care centers with National Health and Safety Performance Standards. American Journal of Public Health, 84(7), 1161–1164.CrossRef
3.
Copeland, K. A., et al. (2006). Compliance with American Academy of Pediatrics and American Public Health Association illness exclusion guidelines for child care centers in Maryland: Who follows them and when? Pediatrics, 118(5), 1369–1380.CrossRef
4.
Alkon, A., et al. (2008). Assessing health and safety in early care and education programs: Development of the CCHP Health and Safety Checklist. Journal of Pediatric Health Care, 22(6), 368–377.PubMedCrossRef
5.
Kotch, J. B., et al. (2007). Hand-washing and diapering equipment reduces disease among children in out-of-home child care centers. Pediatrics, 120, e29–e36.PubMedCrossRef
6.
Alkon, A., et al. (2009). Child care health consultation improves health and safety policies and practices. Academic Pediatrics, 9(5), 366–370.PubMedCrossRef
7.
Olympia, R., et al. (2010). Compliance of child care centers in Pennsylvania with National Health and Safety Performance Standards for emergency and disaster preparedness. Pediatric Emergency Care, 26(4), 239–247.PubMedCrossRef
8.
United States Department of Health, Human Services. (1996). Healthy Child Care America blueprint for action. Washington D.C.: DHHS’s Child Care Bureau and Maternal and Child Health Bureau.
9.
United States Department of Labor. (2006). Employment characteristics of family survey, 2005. Washington D.C.: Bureau of Labor Statistics.
10.
Iruka, I., & Carver, P. (2006). Initial results from the 2005 NHES Early Childhood Program Participation Survey (NCES 2006-075). In U.S. Department of Education (Ed.). Washington, DC: National Center for Education Statistics.
11.
National Association of Child Care Resource and Referral Agencies. (2006). Parents’ perceptions of child care in the United States. In NACCRR’s National Parent Poll. Arlington, VA: NACCRRA.
12.
Young, K. T., Marsland, K. W., & Zigler, E. (1997). The regulatory status of center-based infant and toddler child care. American Journal of Orthopsychiatry, 67(4), 535–544.PubMedCrossRef
13.
Pickering, L. K., & Morrow, A. L. (1996). Child day care and communicable diseases. In W. E. Nelson, et al. (Eds.), Nelson textbook of pediatrics (pp. 1028–1030). Philadelphia: W.B. Saunders Company.
14.
Holmes, S. J., Morrow, A. L., & Pickering, L. K. (1996). Child-care practices: Effects of social change on the epidemiology of infectious diseases and antibiotic resistance. Epidemiologic Reviews, 18(1), 10–28.PubMed
15.
NICHD Early Child Care Research Network. (2001). Child care and common communicable illnesses. Archives of Pediatric and Adolescent Medicine, 155, 481–488.
16.
Alkon, A., et al. (2010). Health and safety needs in early care and education programs: What do directors, child health records, and National Standards tell us? Public Health Nursing, 27(1), 3–16.PubMedCrossRef
17.
18.
Alkon, A., et al. (2008). Child care health consultation programs in California: Models, services, and facilitators. Public Health Nursing, 25(2), 126–139.PubMedCrossRef
19.
Moon, R., Kotch, L., & Aird, L. (2006). State child care regulations regarding infant sleep environment since the Healthy Child Care America—Back to Sleep Campaign. Pediatrics, 118(1), 73–83.PubMedCrossRef
20.
California Department of Social Services. (2004). Manual of policies and procedures community care licensing division. California Department of Social Services.
21.
State of Connecticut, et al. (2005). Statutes and regulations for licensing child day care centers and group day care homes 2005. Connecticut: Hartford.
22.
Howes, C., Smith, E., & Galinsky, E. (1995). The Florida child care quality improvement study. New York: Families and Work Institute.
23.
Galinsky, E. (2006). The economic benefits of high-quality early childhood programs: What makes the difference? Committee for Economic Development, Family and Work Institute.
24.
Vandell, D., & Bolfe, B. (2002). Child care quality: Does it matter, does it need to be improved?. Madison, WI: University of Wisconsin, Madison.
25.
Crowley, A. A. (2000). Child care health consultation: The Connecticut experience. Maternal and Child Health Journal, 4(1), 67–75.PubMedCrossRef
26.
Gupta, R. S., et al. (2005). Opportunities for health promotion education in child care. Pediatrics, 116(4), e499–e505.PubMedCrossRef
27.
Lucarelli, P. (2002). Raising the bar for health and safety in child care. Pediatric Nursing, 28(3), 239–241, 291.
28.
Gaines, S. K., et al. (2005). Assessing the need for child care health consultants. Public Health Nursing, 22(1), 8–16.PubMedCrossRef
29.
Cianciolo, S., Trueblood-Noll, R., & Allingham, P. (2004). Health consultation in early childhood settings. Young Children, 59, 56–61.
30.
Taveras, E., et al. (2006). Planning for health promotion in low-income preschool child care settings: Focus groups of parents and child care providers. Ambulatory Pediatrics, 6(6), 342–346.PubMedCrossRef
Metadata
Title
Assessing Indiana’s Health and Safety in Early Care and Education Programs: Identifying Areas for Improvement
Authors
Abbey Alkon
Patricia S. Cole
Publication date
01-04-2012
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 3/2012
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-011-0788-7

Other articles of this Issue 3/2012

Maternal and Child Health Journal 3/2012 Go to the issue

OriginalPaper

Cesarean Delivery on Maternal Request: A Western North Carolina Perspective

OriginalPaper

A Population Study of 5 to 15 Year Olds: Full Time Maternal Employment not Associated with High BMI. The Importance of Screen-Based Activity, Reading for Pleasure and Sleep Duration in Children’s BMI

OriginalPaper

Preschool Enrollment is Associated with Lower Odds of Childhood Obesity Among WIC Participants in LA County

OriginalPaper

Obesity and Postpartum Depression: Does Prenatal Care Utilization Make a Difference?

OriginalPaper

Incidence of Severe Adverse Neonatal Outcomes: Use of a Composite Indicator in a Population Cohort

OriginalPaper

The Black and White of Infant Back Sleeping and Infant Bed Sharing in Florida, 2004–2005