Child Care Services

Carol McLay, DrPH, BSN, RN, CIC, FAPIC Infection Prevention Consultant

Chapel Hill, NC

October 2, 2014
February 14, 2021


An increasing number of children worldwide attend child day care, especially infants and toddlers. Compared with children cared for in their own homes, children in child care centers develop infectious diseases more frequently. These diseases can spread quickly among the children in the child care setting and to child care staff members, family members, and the community, and they may affect the healthcare delivery system. Adherence to appropriate hand hygiene practices and immunization recommendations are the most important factors for reducing disease transmission in child care settings. Although every state regulates out-of-home child care, enforcement is directed toward nonresidential child care centers rather than residential family child care homes. This chapter summarizes the epidemiology of infections observed in child day care, prevention and control measures, and regulations relevant to out-of-home child care. It provides resources for infection prevention professionals who may be called on to provide consultation.