Angela A. Crowley and Sangchoon Jeon are with Yale University School of Nursing, Yale University, New Haven, CT. Marjorie S. Rosenthal is with the Department of Pediatrics, Yale University School of Medicine, and the Robert Wood Johnson Clinical Scholars Program, New Haven.
Am J Public Health. 2013 Oct;103(10):e52-8. doi: 10.2105/AJPH.2013.301298. Epub 2013 Aug 15.
We assessed the prevalence of regulatory noncompliance of licensed child care centers and identified factors associated with improved compliance.
We analyzed 676 routine, unannounced reports of child care centers collected by the Connecticut Department of Public Health licensing specialists over a 2-year time period, included characteristics of centers, and created categories of regulations.
The sample included 41% of licensed child care centers. Of the 13 categories of regulations in the analyses, 7 categories (outdoor safety, indoor safety, indoor health, child and staff documentation, emergency preparedness, infant-toddler indoor health, and infant-toddler indoor safety) had regulations with center noncompliance greater than 10%. Playground hazard-free was the regulation with the highest frequency (48.4%) of noncompliance. Compliance with the regulation for 20 hours of continuing education per year for child care providers was the characteristic most frequently associated with regulations compliance.
Efforts to support continuing education of child care providers are essential to improve and sustain healthy and safe early-care and education programs. Analyses of state child care licensing inspection reports provide valuable data and findings for strategic planning efforts.
我们评估了持照儿童保育中心监管不合规的普遍程度，并确定了与合规性提高相关的因素。
我们分析了康涅狄格州公共卫生部许可专家在两年时间内收集的 676 份例行、非通知的儿童保育中心报告，包括中心的特征，并创建了法规类别。
样本包括 41%的持照儿童保育中心。在分析的 13 类法规中，有 7 类（户外安全、室内安全、室内健康、儿童和员工文件、应急准备、婴幼儿室内健康和婴幼儿室内安全）的法规存在违规行为，违规率超过 10%。游乐场无危险是违规频率最高的规定（48.4%）。儿童保育提供者每年接受 20 小时继续教育的规定是与法规合规性最常相关的特征。
支持儿童保育提供者继续教育的努力对于改善和维持健康安全的早期保育和教育计划至关重要。对州儿童保育许可检查报告的分析为战略规划工作提供了有价值的数据和发现。
