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The following text is from an archived Red Book® edition and may not reflect current recommendations or information. To view the current edition, click here.
Section 2. Recommendations for Care of Children in Special Circumstances
CHILDREN IN OUT-OF-HOME CHILD CARE 1
Infants and young children who are cared for in group settings have an increased rate of certain infectious diseases and an increased risk of acquiring antimicrobial-resistant organisms. Prevention and control of infection in out-of-home child care settings is influenced by several factors, including the following: (1) caregivers’ practice of personal hygiene and immunization status; (2) environmental sanitation; (3) food handling procedures; (4) ages and immunization statuses of children; (5) the ratio of children to caregivers; (6) the physical space and quality of the facilities; and (7) frequency of use of antimicrobial agents in children in child care. Adequately addressing problems of infection control in child care settings requires collaborative efforts of public health officials, licensing agencies, child care providers, physicians, nurses, parents, employers, and other members of the community.
Child care programs should require that all children and staff members receive age-appropriate immunizations and routine health care. In addition, these programs have the opportunity to provide young, inexperienced parents with day-to-day instruction in child development, hygiene, appropriate nutrition, and management of minor illnesses.
Classification of Care ServiceManagement and Prevention of Illness
Recommendations for Inclusion or Exclusion
Infectious Diseases—Epidemiology and Control
General Practices
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Classification of Care Service
Child care services commonly are classified by the type of setting, number of children in care, and ages and health statuses of the children. Small family child care homes provide care and education for up to 6 children at a time, including any preschool children of the care provider, in a residence that usually is the home of the care provider. Large family child care homes provide care and education for between 7 and 12 children at a time,
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