Child Care

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Child care settings play a fundamental role in supporting the development of healthy children. Over half of all children between the ages of zero and five spend significant time in non-parental child care, positioning this setting to have a profound and long-lasting impact on a child’s health, learning, and long-term success. There are important opportunities to take meaningful action to decrease rates of chronic disease and obesity and support the growth of healthy children. The results can contribute to building a community where children and families can thrive.


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50 State Review - Child Care

50 State Review – Healthy Eating, Active Play, Screen Time Best Practices

This interactive map compares scientifically-based best practices with states’ child care licensing regulations on healthy eating, active play and screen time limits. Click through the child care settings and best practices to see states change colors based on whether they meet best practices. This analysis does not address implementation, or how regulations account for the priorities of providers and children from socially disadvantaged and marginalized groups.

50 State Review - Child Care Licensing

Child Care Licensing Laws and State-Specific Resources

Each state regulates the child care setting differently, depending on the type of child care facility and provider. The Public Health Law Center has developed a 50-state analysis of child care licensing laws, including state statutes and licensing regulations. We have compiled and highlighted the laws in each state for easy review by advocates and policy makers.

Child on tricycle

Healthy Child Care Local Authority

Regulatory standards play a critical role in establishing norms and important baseline protections for the health and safety of children receiving non-parental care.  Recent studies found that state regulations generally do not provide adequate nutrition or physical activity standards. Local governments represent untapped potential for improving child care nutrition and physical activity standards where states have failed to do so.

External Resources:

Older resources can be found in our Child Care resource archive.