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Staffing -- Program activities for healthy development -- Health promotion and protection -- Nutrition and food service -- Facilities, supplies, equipment, and environmental health -- Play areas/playgrounds and transportation -- Infectious diseases -- Children with special health care needs and disabilities -- Administration -- Licensing and community action.

The fourth edition contains guidelines on the development and evaluation of the health and safety of children in early care and education settings. This guide features 10 chapters of more than 650 standards and dozens of appendixes with valuable supplemental information, forms, and tools.