Health and safety for child care facilities

Niagara Region Public Health’s Child Care Manual outlines the requirements that must be met within child care facilities to ensure that facilities and the individuals who use them stay safe and healthy.

Public Health as a support

Public Health can offer your staff support and guidance on:

  • Preventing the spread of germs
  • Managing illness
  • Common communicable diseases
  • Cleaning and disinfecting toys and the environment
  • Infection prevention and control policy development and review
  • Outbreak management
  • Hand hygiene and cough etiquette
  • Food safety
  • Routine immunizations and vaccine hesitancy

Preventing and managing illness in our child care environment is a shared responsibility, and teamwork is the foundation that makes it work. By communicating clearly, following consistent health practices, and supporting one another in daily routines, we create a safer, healthier space for every child. This chapter outlines how child care centre staff, families, and Public Health collaborate to reduce the spread of illness, respond effectively when symptoms arise, and maintain a culture of care that protects the well being of our entire community.

In this chapter:

  • Preventing and managing illness
  • Managing exposure to blood and bodily fluids (from sharps or bites)
  • Reportable Diseases of Public Health Significance
  • Non-reportable illnesses

Chapter 1: Managing Illness (PDF)

Additional resources:

Children and staff at your child care centre will experience some infectious diseases no matter how careful you are. It’s important that your staff can identify a potential outbreak, report and manage outbreaks. Staff should be aware of what their responsibilities are in an outbreak.

In this chapter:

  • Awareness and identification
  • Roles and responsibilities
  • Gastroenteritis outbreak
  • Enteric outbreak kit
  • Respiratory outbreak
  • Non-reportable outbreaks

Chapter 2: Outbreaks (PDF)

Additional resources:

By handling food safely, you can prevent or reduce the burden of food-borne illness in your child care centre. Child care centres and their catering facilities are required to comply with the requirements of Ontario Regulation 493/17: Food Premises and receive routine food safety inspections.

In this chapter:

  • Training
  • Hand hygiene
  • Dishwashing methods
  • Storing food
  • Catering services
  • Water disruptions

Chapter 3: Food Safety (PDF)

Additional resources:

Injuries are the leading cause of death and disability among children in Canada. It’s important to know what strategies you can put in place at your centre to prevent injuries.

In this chapter:

  • Child development and injuries
  • Common causes of injuries
  • Car and booster seat safety
  • Cycling and helmet safety
  • Playground safety
  • Pedestrian safety
  • Product safety
  • Contact information

Chapter 4: Child Safety and Injury Prevention (PDF)

Additional resources

Parachute Canada
1-647-776-5100 or 1-888-537-7777

Niagara Region Public Health Parent Talk Line
905-688-8248 ext. 7555

Health Canada Consumer Product Safety Bureau
1-866-225-0709

Canadian Red Cross
905-680-4099

Family and Children’s Services Niagara
905-937-7731 or 1-888-937-7731

By keeping your child care centre clean, you help prevent and control the spread of infectious diseases. Integrate cleaning and disinfecting into your ongoing operating practices and provide ongoing training for your staff.

In this chapter:

  • Cleaning
  • Disinfecting
  • Cleaning and disinfecting toys
  • Sensory play
  • Routine cleaning and disinfecting schedule
  • Changing a diaper
  • Potty chairs
  • Laundry
  • Enhanced program for outbreaks

Chapter 5: Cleaning and Disinfection (PDF)

Additional resources:

Children love to explore through play. Creating a safe and healthy indoor and outdoor environment facilitates play areas conducive to learning while minimizing health risks.

In this chapter:

  • Animals at child care centres
  • Gardening at child care centres
  • Tobacco, Vapour and Smoke

Chapter 6: Safe Environments (PDF)

Additional topics:

As children move their bodies throughout the day, they find it to be a source of joy, self-expression, creativity and learning. This makes the early years a key time to promote life-long active habits.

In this chapter:

  • 2024 ParticipACTION Report Card on Physical Activity for Children and Youth
  • Physical activity guidelines for children
  • Sedentary behaviour guidelines for children
  • Sleep behaviour guidelines for children

Additional Resources:

Canadian Child Care Federation

Moving and Growing

Moving and Growing is a series designed to help children and adults develop lifelong habits of physical activity. Each illustrated booklet outlines the benefits of physical activity, how to choose appropriate activities, how to encourage physical activity and what children's developmental skills are by age group.

You can purchase a copy of Moving and Growing by filling out an order form from the Canadian Child Care Federation.

Toronto Public Health

Toronto Public Health’s website provides physical activity resources on how to get active at home, at work, in community, child care or school. You can download or call Toronto Public Health at 416-338-7600 to order these resources.

Moving on the Spot

Get kids moving and have fun… any time and any place. Moving on the Spot is a poster of a collection of ready-made stretch and movement activities that need little space and no special equipment. These activities can be done "on the spot" in just five to 10 minutes.

Outdoors: The Ultimate Playground

A physical activity resource for child care providers, educators and parents of children 6 to 12 years of age. It provides games that encourages children to be physically active throughout the year.

Ontario Physical and Health Education Association (OPHEA)

Aims to support healthy, active living in schools and communities through quality programs and services, partnerships and advocacy. They provide a diverse set of resources and education tools to help foster healthy, active living in all children and youth. Resources are geared towards elementary and secondary aged children.

Active for Life

A Canadian not-for-profit created to help parents give their children the right start in life through the development of physical literacy. They feature tools, like the printable Recipe for an Active Year, to promote the different ways of staying active all year long.

ActivePlay.ca

Resource website created by Active for Life and provides resources for child care centres on active play including educational posters, videos and a monthly newsletter.

Canadian Sport for Life

Physical literacy is developing fundamental movement skills, leading to fundamental sport skills in various decision-making situations in a variety of environments. This resource is an introduction to physical literacy.

Ontario Active School Travel

Formerly Active and Safe Routes to School, Ontario Active School Travel is a program of Green Communities Canada that aims to promote daily active travel as the main mode of transportation for students to and from schools. Promoting active school travel is a strategy take up by many schools across Canada to combat the declining levels of physical activity among children and youth. Active school travel can account up to 30 per cent of the daily recommended physical activity.

Children grow and develop quickly. They need good nutrition to support healthy growth and development. In addition to providing nourishment, mealtimes provide a social time for children and caregivers to talk and learn from each other. These early experiences with eating can have a lasting impact on children’s future eating habits and attitudes about food.

In this chapter:

  • Requirements in the Act
  • Feeding infants in your care
  • Supporting breastfeeding
  • Menu planning and supportive nutrition environments
  • Canada's Food Guide

Additional resources:

The Ontario Dietitians in Public Health have created child care nutrition resources to support child care providers in planning and preparing healthy food for children (one year of age and older) in their care.

They reflect current best practices for creating supportive nutrition environments in child care settings and will help child care providers meet the food and drink requirements set out in section 42 of the CCEYA O. Reg. 137/15. They include:

Nutrition in Child Care Settings eLearning course

Free, interactive two-hour online course designed to empower child care professionals offering practical, and helpful evidence-informed strategies to plan nutritious, appealing and developmentally appropriate menus and implement responsive feeding practices and role modelling to support children’s hunger and fullness cues

Child Care Menu Planning Practical Guide

Includes information for child care providers on menu planning, food and beverages that should be served, appropriate portion sizes for different age groups, sample menus and templates as well as strategies to create a supportive nutrition environment.

Menu Revision Tool for Child Care Settings

Helps child care cooks, chefs and providers improve their menus to align the food and drink requirements in section 42 the CCEYA O. Reg. 137/15 and the Child Care Menu Planning Practical Guide.

Have a question?

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