A recent study in Pediatrics, “Infant Deaths in Sitting Devices,” reviewed the safety of infant sitting devices. The study found over 300 sleep-related infant deaths from 2004-2014 happened in car seats, strollers, bouncers, swings, and other infant seats. Most sleep-related infant deaths in sitting devices occurred in car seats.

Incorrect use of car seats led to most infant deaths in this type of device. Sleep-related infant deaths in sitting devices were more likely to happen when an infant was supervised by a caregiver or child care provider.
Car seats are safe and effective for infant travel. Always remove an infant from a car seat after traveling. It is OK if an infant falls asleep in a car seat while traveling. Transfer sleeping infants from a car seat to a safe sleep environment, such as a crib. If an infant is in a sitting device and falls asleep, move the child to a crib.
Avoid using sitting devices as a substitute for a crib, basinet, or pack and play. Sleeping in a seated position can restrict breathing and may lower blood oxygen levels in infants. Injuries and death have occurred when devices fall from a surface or when straps have entrapped body parts.

Immunization is a key component of early childhood development and health. Remember – early childhood and school readiness begin with good health! It is important for early childhood education staff to make immunization a priority. Foster an environment of health with:
• Immunization tracking
• Staff education and adult vaccination as needed
• Parent education
Early childhood education (ECE) programs are prone to disease outbreaks. 

Did you know…
ECELS has valuable tools to help you meet the new STARS Standard LM.2.5 Program uses Caring for Our Children to establish policies and practices regarding care plans for children with special needs, asthma, medical needs, food allergies, and medication administration. 

1. Use Model Child Care Health Policies, 5th Ed. form-field version to adapt a policy for your program.  See Section 10-Health Plan, items E, F, and Appendix X - Medication Administration Packet.  Model Child Care Health Policies, 5th Ed. is consistent with Caring for Our Children, 3rd Ed. online (CFOC3).
2. Use the ECELS Care Plan for Children with Special Needs and Process to Enroll documents.  
3. Use the ECELS Self-Learning Module, Children with Medical and Developmental Special Needs, Inclusive Practices to educate staff about caring for children with special needs,  using care plans and making adaptations. (2 hours credit)

If you have questions about these tools, please send an email with your contact information to This email address is being protected from spambots. You need JavaScript enabled to view it.

Sign-up on this website to receive E-Mail Alerts from ECELS about news or key new postings on this website. Please click on the orange button on the home page to access this function. In addition, child care health consultants have an opportunity to request access to a password-protected site where ECELS is posting lesson plans for qualified instructors. To access this function, select the role "Health Professional, Child Care Health Consultant, Child Care Health Advocate" at the bottom left of the home page, and then click on the button "Health Consultant Registration" for the log-in request. Updated 4/8/14.