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Status of Beverages Served to Young Children in Child Care After Implementation of California Policy, 2012–2016
Since 2012, licensed California child care centers and homes, per state policy, are required to serve only unflavored low-fat or nonfat milk to children aged 2 years or older, no more than one serving of 100% juice daily, and no beverages with added sweeteners, and they are required to ensure that drinking water is readily accessible throughout the day. We evaluated adherence to the policy after 4 years in comparison to the adherence evaluation conducted shortly after the policy went into effect.
Licensed California child care sites were randomly selected in 2012 and 2016 and surveyed about beverage practices and provisions to children aged 1-5 years. We used logistic regression to analyze between-year differences for all sites combined and within-year differences by site type and participation in the federal Child and Adult Care Food Program (CACFP) in self-reported policy adherence and beverage provisions.
Respondents in 2016 (n = 680), compared with those in 2012 (n = 435), were more adherent to California's 2010 Healthy Beverages in Child Care Act overall (45.1% vs 27.2%, P < .001) and with individual provisions for milk (65.0% vs 41.4%, P < .001), 100% juice (91.2% vs 81.5%, P < .001), and sugar-sweetened beverages (97.4% vs 93.4%, P = .006). In 2016, centers compared with homes (48.5% vs 28.0%, P = .001) and CACFP sites compared with non-CACFP sites (51.6% vs 27.9%, P < .001) were more adherent to AB2084 overall.
Beverage policy adherence in California child care has improved since 2012 and is higher in CACFP sites and centers. Additional policy promotion and implementation support is encouraged for non-CACFP sites and homes. Other states should consider adopting such policies.
Journal Article
Childcare markets : can they deliver an equitable service?
This text brings together recent policy relevant research from seven nations operating childcare markets, allowing comparisons between privatisation and marketisation processes of early childcare education and care services.
Book
Nutrition Provided to Infants in Licensed Childcare Centers and Homes: A Descriptive Study
BackgroundInfant nutrition can influence development, eating behaviors and obesity risk. Nearly half of infants in the U.S. are in non-parental care where they consume much of their daily nutrition. Because little is known about the quality of infant nutrition in childcare, the study objective was to characterize the foods and beverages provided to infants in childcare in California.MethodsFrom a randomly selected sample of 2,400 licensed childcare in California, 736 responded to a 2016 survey; a subset of 297 cared for infants. Differences in 26 foods and 7 beverages provided between centers and homes, and by CACFP participation, were assessed using logistic regression models adjusted for CACFP participation and whether the site was a center or home, respectively.ResultsSeveral differences between centers and homes were identified. One the day prior to the survey, more centers than homes ever provided cow’s milk (25.1% vs 13.0%, p = 0.02) and whole grains (76.7% vs 62.9%, p = 0.03), and fewer centers than homes provided frozen treats (1.4% vs 10.3%, p = 0.003). When comparing difference by CACFP participation, fewer CACFP than non-CACFP sites usually provided breastmilk (32.6% vs 54.2%, p = 0.0004) and ever provided cow’s milk (14.2% vs 37.1%, p < 0.0001). On the day prior to the survey, more CACFP than non-CACFP provided vegetables (91.0% vs 80.8%, p = 0.02), fruit (centers only) (97.2% vs 80.8%, p = 0.0003), and infant cereals (86.0% vs 61.2%, p < 0.0001). Fewer CACFP than non-CACFP provided sweetened yogurt (14.8% vs 36.7%, p < 0.0001).Conclusions for PracticeChildcare centers and CACFP participants tended to serve nutritious foods more than childcare homes and non-CACFP participants, respectively. Additional education and policies for childcare providers on appropriate foods and beverages for infants is recommended.
Journal Article
A band of babies
When Benny arrives at day care, where the babies are bored, he finds the instruments and soon they are off on a musical journey to the store for a snack.
Book
Managing Infectious Diseases in Child Care and Schools
This guide provides child care directors, teachers, and caregivers with essential information on infectious diseases in group care settings. It includes a robust section of more than 55 quick reference fact sheets on common infectious diseases and symptoms. Additionally, it includes forms that can be photocopied and used with families. As always, the reference is easy to use, providing clear, authoritative information on infectious diseases.
eBook
ECERS-E : the four curricular subscales extension to the early childhood environment rating scale (ECERS-R)
Using the ECERS-E along with the ECERS-R gives users a more complete picture of what a high quality early childhood education program can look like.
Book
Scoping Review and Bibliometric Analyses on Trends and Design of Adult Daycare Centers
With the rapid aging of populations worldwide, the role of daycare centers in supporting older adults’ well-being has gained unprecedented attention. Despite the growing body of research in this area, systematic reviews focusing on high-quality literature remain scarce. This study aims to address this gap by providing an in-depth analysis of the existing literature on adult daycare centers. This study bridges this gap by conducting a 33-year bibliometric analysis of 853 publications from the Web of Science database (1990-2023), using VOSviewer, CiteSpace, and Biblioshiny. Through the analysis of countries and authors, it was found that research in this field is predominantly concentrated in regions such as North America, Asia, and Europe. Keyword analysis revealed 3 main research themes in the field of adult daycare centers: “physical and mental diseases,” “rehabilitative care,” and “social support.” There is a lack of comprehensive and systematic evaluation frameworks in the research on the architectural design and facilities of adult daycare centers. Meanwhile, the study highlights 3 key aspects for improving the design and facilities of adult daycare centers: (1) addressing the physical and psychological needs of the older adults, (2) enhancing rehabilitative care facilities, and (3) focusing on the needs of caregivers. This study not only maps research trends but also provides actionable directions for policymakers and practitioners to create more inclusive and effective older adult daycare support systems in response to the aging population.
Journal Article
Analysis of Different Perspectives of Community-Based Long-Term Day-Care Centers
This study involved the secondary data analysis of empirical results obtained from the 2023–2024 on-site evaluation of 26 community-based long-term day-care centers (referred to as day-care centers) in Taiwan to determine the status of performance. Although the on-site evaluation results used in this study were all qualified (an evaluation score ≥70 points), a score range of 73.625–96.625 points were widely observed. The evaluation was carried out from the following perspectives: management effectiveness, professional care quality, safe environment, and the protection of individual rights. The results showed that management effectiveness was positively correlated with professional care quality, safe environment, and the protection of individual rights (r = 0.498~0.596); professional care quality was moderately correlated with safe environment and the protection of individual rights (r = 0.482~0.495); and safe environment and the protection of individual rights had the lowest correlation (r = 0.296). A paired-samples t-test showed that the average difference between each pair (institutional self-evaluation and evaluation committee score) in the consensus benchmark was significant. These findings suggest that the overall service quality and management efficiency of day-care centers can be improved by strengthening internal self-assessment training, improving consensus benchmark definitions, and upgrading management processes so that the evaluation results reflect the actual implementation status.
Journal Article