The attached ECELS Health and Safety Checklist includes references. It was updated December 2011 as Version 1.4. This tool guides the user to the appropriate national health and safety standard(s) and other related references for each item. Each item is cross-referenced with corresponding topics from: Caring for Our Children:  National Health and Safety Performance Standards, 3rd Edition, 2011 (CFOC) , the Environmental Rating Scales (ITERS-R, Infant/Toddler Environment Rating Scale - Revised Edition; ECERS-R, Early Childhood Environment Rating Scale - Revised Edition); and the Pennsylvania Child Care Facility Licensing Regulations. Reviewed and reaffirmed 6/2018.

Many indoor and outdoor activities help children’s brains and bodies grow.  They can provide large and small muscle physical activity children need.  Activities can help children make friends, be creative and control their actions. Also, activities can enable children to use information they’ve learned before to learn new things, focus and think through ideas before acting on them. These processes are called the “executive functions" of the brain. The Center on the Developing Child at Harvard University  compares executive functions to air traffic control at a busy airport. The link to the Center on the Developing Child  is http://developingchild.harvard.edu/index.php?cID=520.

  • Influenza Vaccine for 2015-2016
  • Screen Time, Child Development and Nutrition
  • Organic Food – Is It Healthier?
  • Background Music and Noise Interferes with Language Learning?
  • Oral Health Screening Added to Routine Well-Child Visit Schedule
  • National Center on Health—Materials All Early Educators Can Use
  • Increasing Physical Activity in Afterschool Programs
  • Three Newly Revised and a List of All ECELS Self-Learning Modules
  • Eating Together - Mealtime Matters

This form guides collaborative problem-solving involving those who are affected, those with authority, and those with expertise. The form encourages documentation of who is involved, the tasks planned, who is responsible, and checkpoints for follow-up. The attachments include a blank copy of the form and a sample of the completed form to address the problem of a 2 year old child who is biting other children.

This workshop enables the user to learn how to assess health and safety practices in programs for infants and toddlers in conjunction with use of the ITERS assessment tool. Discuss feeding, diapering, sleeping, fostering early brain development, managing illness and more. Use the assessment to make improvements in the program. 

Children are more at risk than adults to the effects of lead because their brains are still growing. Lead exposure can cause problems with the brain. This may lead to learning difficulties and behavior problems. There is no safe level of lead exposure for children. Sources of lead can include old paint, contaminated dust and soil, and water in lead pipes. The most important step is to prevent lead exposure before it occurs.
Children are especially at risk of lead exposure if they:
• live in the inner city or in poverty
• live in a home built before 1978
• have poor nutrition

Early care and education programs can help prevent and reduce lead exposure in the following ways:

The American Academy of Pediatrics released an updated literacy toolkit in the fall of 2014. It will help families, other caregivers and pediatricians foster literacy for young children. The toolkit has brief tip sheets and handouts. You can download and use them as PDF documents. The AAP urges pediatric professionals to use these. They are good tools for early education and child care professionals too.

For Families:   Helping Your Child Learn to Read   Sharing Books With Your Baby Up to 11 Months   Sharing Books With Your 1-Year Old   Sharing Books With Your 2-Year Old   Sharing Books With Your Preschooler   Sharing Books With Your School-Age Child   The Secret to a Smarter Baby   Why It Is Never Too Early to Read With Your Baby

For Professionals:   What Every Pediatric Professional Can Do To Promote Early Literacy and Early Learning   Evidence Supporting Early Literacy and Early Learning   Finding the Right Book For Every Child   Selecting Books for Your Program

For the tip sheets and handouts, go to www.aap.org/literacy

The PA Chapter of the American Academy of Pediatrics and the American Academy of Pediatrics published the 5th edition of Model Child Care Health Policies in October 2013. Significantly revised and updated, the new edition is a practical tool for adoption and implementation of best practices for health and safety in group care settings for young children. This edition replaces the previously published version and updates of individual policies that were posted on the ECELS website. ECELS encourages early education and child care professionals to adapt the model policies as site-specific documents that fit their programs. Two formats are available: one replicates the hard copy publication. The other format, posted 12-12-2014, has form fields that allow users to insert their site-specific details directly into the PDF document.

The National Child Traumatic Stress Network seks to improve the quality of care and access to services for traumatized children, their families and communities in the U.S. This website is for parents, caregivers, educators and other professionals. To do their work, the NCTSN collaborates with health, mental health, education, law enforcement, child welfare, juvenile justice and military family service systems. Pertinent information for families and early education and child care providers includes information and suggested activities for families and educators to help children cope when they have experieced a traumatic event. 9/02/12

The National Center on Health offers visually attractive, simply stated resources for infant, toddler and preschool care. Anyone can down-load the electronic copies from the Internet. Head Start programs can order hard copy from the National Center at This email address is being protected from spambots. You need JavaScript enabled to view it.. These materials have excellent content for teachers/caregivers to use in their programs and to share with families:

Growing Healthy Flipcharts http://eclkc.ohs.acf.hhs.gov/hslc/tta-system/health/healthy-active-living/HAL_Resources/NCHEnglishFlipChartF011514_7-7final508.pdf

Take a look at the National Center’s Health Tips (Fact Sheets) for Families* (and teachers): Download an individual one page fact sheets when you need a handout on one of the topics or download the complete series in English [PDF, 1.2MB] and Spanish (español) [PDF, 309KB]* The following topic are available as handouts:

Active Play includes tips to help infants, toddlers and preschoolers develop positive active play behaviors.

Health Literacy provides information about how to understand and use health information that doctors and other health professionals give.

Healthy Breathing provides information about eliminating first-hand, second-hand and third-hand exposure to tobacco smoke.

Healthy Eating offers easy tips to help infants, toddlers and preschool-age children learn healthy eating.

Mental Health provides information about how to help infants, toddlers and preschoolers develop positive mental health behaviors.

Oral Health offers tips to promote oral health in infancy through preschool age.

Safety and Injury Prevention: Tips for Families (2 pages) provides easy tips families can use to ensure their children's health and safety at home, outside, in the water, and in a car or truck.

Dealing with Stress is a 4 page guide with simply stated, clear tips to help cope with stress in a healthy way.

*http://eclkc.ohs.acf.hhs.gov/hslc/tta-system/health/health-literacy-family-engagement/family-education/tipsheetfamily.htm