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Child Care Health Consultant Competency 13: Nutrition and Physical Activity

CCHCs support programs in ensuring access to nutritious food and mealtime practices and environments
that are safe and developmentally appropriate for children. A CCHC also:

  • Demonstrates understanding of nutritional needs and safe feeding practices for healthy growth and
    development in infants and children
  • Helps programs with development and implementation of written nutrition plans and procedures to meet
    programmatic needs
  • Observes programs for implementation of food safety and sanitation practices, including food selection,
    storage, preparation, meal service, and clean up
  • Helps programs encourage and support breastfeeding for young children in their care and ensure safe
    handling and storage of breast milk
  • Works with programs to maintain a safe and developmentally appropriate physical and emotional
    environment at mealtimes that does not use food to bribe, reward, or punish
  • Collaborates with programs, caregivers, and health care providers to develop individualized feeding
    plans and dietary modifications for children with special health care needs, food allergies, or other health
  • Connects programs, as appropriate, to community agencies, the state’s Child and Adult Care Food Program
    (CACFP), nutritionists, or registered dietitians to provide nutrition services and consultation
  • Helps programs identify resources to address families’ nutritional needs including food security and provide
    breastfeeding support

CCHCs  work together with programs to ensure staff are able to provide infants with sufficient opportunities
for physical activity throughout the day, and toddlers, preschool, and school-aged children have opportunities for
moderate to vigorous physical activity. . A CCHC also:

  • Helps programs understand how physical activity contributes to maintenance of healthy weight and
    development of gross motor, social and emotional, and cognitive skills
  • Collaborates with programs to develop written policies for the promotion of active indoor and outdoor
    physical activity
  • Works with programs to identify and remove potential barriers to indoor and outdoor physical activity (for
    example, by ensuring children and staff have appropriate clothing and shoes)
  • Helps programs integrate developmentally appropriate physical activity into children’s daily routine,
    including outdoor play and indoor structured and free active play, and tummy time for infants
  • Ensures staff receive training opportunities to learn about age-appropriate gross motor activities and games
    that promote children’s physical activity and limit screen time and other digital media

Find a CCHC in your community.

Featured Initiatives and Resources:

The NC NC BFCCD recognizes licensed child care facilities that promote, protect, and support breastfeeding. BFCCD awards one gold-starred building block for each of the five breastfeeding-friendly child care standards.
The Natural Learning Initiative promotes the importance of the natural environment in the daily experience of all children, through environmental design, action research, education, and dissemination of information.

Go NAP SACC The Nutrition and Physical Activity Self-Assessment for Child Care, or NAP SACC program, works with early care and education programs to set preschool children on a lifelong path to healthy eating and activity.

Be Active Kids is a program of the Blue Cross and Blue Shield of NC Foundation. This health program for children ages birth to five is available to adults working in child care centers, child care homes, and schools across North Carolina.

CACFP ensures that eligible children who attend qualifying child care facilities receive nutritious meals. To accomplish this, CACFP provides reimbursement to qualified caregivers for meals and snacks served.

Shape NC promotes healthy eating and active learning through play for children from birth to age five by assisting communities across the state in healthy endeavors. Shape uses a comprehensive and integrated approach to improve early childhood practices to inspire a lifetime of healthy behaviors.

Additional resources:

  • Centers for Disease Control and Prevention
    The CDC’s Division of Nutrition, Physical Activity and Obesity (DNPAO) takes a public health approach to address the role of nutrition and physical activity in improving the public’s health and preventing and controlling obesity and chronic diseases.
  • Eat Smart, Move More North Carolina
    A statewide initiative that promotes increased opportunities for physical activity and healthy eating through policy and environmental change.
  • Farm to Preschool Network (NC)
    The Network connects, educates, develops and shares resources between community and state partners, farmers, early childhood educators and families to spark the local foods movement in early childhood education environments.
  • Food and Nutrition Information Center
    FNIC at the National Agricultural Library (NAL) provides a directory to credible, accurate, and practical resources for consumers, nutrition and health professionals, educators and government personnel.
  • Head Start Nutrition
    Resources for early care and education programs that promote healthy nutrition, from the Head Start, Early Childhood Learning and Knowledge Center (ECLKC), Early Childhood Health and Wellness.
  • Healthy Kids, Healthy Future
    Healthy Kids, Healthy Future encourages and supports child care and early education providers to make positive changes in their programs in order to work toward a healthier future for children.
  • Healthy Meals Resource System 
    The Healthy Meals Resource System, as USDA’s Training and Technical Assistance Component, assists state and local school food service and child care programs in meeting the Dietary Guidelines for Americans. Training materials available for child care programs.
  • Infant Nutrition and Feeding Guide
    This handbook for staff who provide nutrition education and counseling to the parents and caregivers of at-risk infants who participate in the WIC Program
  • North Carolina Nutrition Services Branch 
    The Nutrition Services Branch promotes sound nutrition habits among infants, children and women in their child-bearing years. Branch staff work with county, state and private agencies to improve health status.
    Gateway to reliable information on nutrition, healthy eating, physical activity, and food safety for consumers, educators and health professionals

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