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Oregon is striving to build a childhood care and education (CCE) system that supports high quality using national standards and best practices, including those for health, safety and nutrition.  Here you will find state and national standards and system level work to improve health and safety for infants and children in CCE settings.

On this page:

Oregon’s Partnering State Agencies


Healthy Children are Ready to Learn. U.S. Department of Health and Human Services, Administration for Children and Families, Office of Head Start, by the National Center on Health.

Oregon Child  Care Administrative Rules
See OARs related to child care.

Oregon Quality Rating and Improvement System
Program to raise the quality and consistency of child care and learning programs in Oregon

Oregon Registry
Pathways for Professional Recognition in Childhood Care and Education is a statewide program that records and recognizes the professional development growth and achievement of childhood care and education providers.

Oregon's Early Childhood Health and Mental Health Consultation System Planning
Documents posted here describe a vision for health and mental health technical assistance and recommended steps for developing a statewide infrastructure and services. 

Promoting Healthy Weight and Development

Policy Brief: Promoting Social, Emotional and Behavioral Outcomes of Young Children Served Under IDEA (pdf)
Why are social, emotional and behavioral outcomes an essential priority?

Policy Brief Integrating Early Childhood Mental Health Consultation with the Pyramid Model (pdf)
This policy brief provides an overview of ECMHC, how it can support the implementation of the Pyramid Model and the policy issues that arise when administrators seek to integrate these two approaches at the state and local levels.

Surgeon General's Vision for A Healthy and Fit Nation 2010

Beyond Health Care: New Directions to a Healthier America - Executive Summary (pdf)
Recommendations From the Robert Wood Johnson Foundation Commission to Build a Healthier America

Mental Health: A Report of the Surgeon General
Ch 2 Fundamentals of MH and Mental Illness

Screening for Social Emotional Concerns: Considerations in the Selection of Instruments (pdf)

Center for Law and Social Policy, Starting Off Right: Promoting Child Development from Birth in State Early Care and Education Initiatives

National Center for Children in Poverty, Promoting Effective Early Leaning: What Every Policymaker and Educator Should Know

National Economic Development and Saw Center, Early Care and Education: Realizing a Collective Vision (pdf)


Child Care Health Consultants Applicable Standards
from Caring For Our Children National Health and National Health and Safety Performance Standards

Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Early Care and Education Programs, 3rd Edition
Best practices and standards to be downloaded from the web or ordered as a handbook

Americans with Disabilities Act (pdf)
Information for child care providers

Oregon’s child care immunization law and rules

Seat installation information or Oregon child restraint laws
Child Safety Seat Resource Center, 1-877-793-2608

Rules for Child Care Centers - Oregon Administrative Rules, Division 300

  • Certified Child Care Centers: 414-300-0215
  • Infant and Toddler Furniture Equipment, 414-300-0300
  • Infant and Toddler Program Activities, (6).

Let’s Move Child Care!
Website of the Let’s Move! Initiative for early care & education


Right From the Start
A child care assessment to examine child care practices, policies, attitudes and beliefs of child care providers on four key areas; Nutrition, physical activity, support for breastfeeding, and screen time.

Child Care Quality Indicators: Data on seven quality indicators collected from Oregon child care facilities are reported and compared to community averages, and national standards. Link to Quality Performance Reports

Oregon Kids: Healthy and Safe, Results of a Formative Evaluation, November 2013 (pdf)

Final Evaluation Report of the Oregon Child Care Health Consultation Program, 2008 - 2010 (pdf)

Ensuring Health and Safety in Connecticut’s Early Care and Education Programs: Analysis of Department of Public Health Child Care Licensing Specialists’ Report of Unannounced Inspections (pdf)

Nutrition and Physical Activity Randomized Control Trial in Child Care Centers Improves Knowledge, Policies, and Children's Body Mass Index

Achieving a State of Healthy Weight: 2013 Update (pdf)
This report summarizes an assessment of obesity prevention content in states' child care licensing regulations for child care centers, large or group family child care homes, and small family child care homes. Produced by the National Resource Center for Health and Safety in Child Care and Early Education.

Health and Safety Needs in Early Care and Education Programs

Early Childhood Mental Health Consultation: An Evaluation Toolkit (pdf)

What Can CCDF Learn from the Research on Children's Health and Safety in Child Care? Banghart, P., Kreader, L.J. (March 2012)

Margaret Blood, Business Leaders as Legislative Advocates for Children: A Case Study from Boston (pdf)


Alkon, A., Sokal-Gutierrez, K., and Wolff, M. (2002). Child care health consultation improves health knowledge and compliance. Pediatric Nursing. 28(1), 61–65.

American Academy of Pediatrics Committee on Early Childhood Adoption and Dependent Care. (2005). Quality early education and child care from birth to kindergarten. Pediatrics, 115,187–191.

Gaines, S.K., Wold, J.L., Spencer, L., and Leary, J.M. (2005). Assessing the need for child care health consultants. Public Health Nursing, 22(1): 8–16.

Kotch, J. (2002). The quality enhancement project for infants and toddlers: Executive summary. Chapel Hill, NC: University of North Carolina at Chapel Hill.

Peisner-Feinberg, E.S., et al. (1999). The children of the cost, quality, and outcomes study go to school: Executive summary. Chapel Hill, N.C.: University of California at Chapel Hill, Frank Porter Graham Child Development Center.

Ramler, M., Nakatsukasa-Ono, W., Loe, C., and Harris, K. (2006). The influence of child care health consultants in promoting children’s health and well-being: A report on selected resources. Newton, MA: The Healthy Child Care Consultant Network Support Center.

Shonkoff, J.P., & Phillips, D.A. (Eds.) (2000). From neurons to neighborhoods: The science of early childhood development. Washington, D.C.: National Academy Press.

Walders, N., McQuaid, E., and Dickstein, S. (2004). Asthma knowledge, awareness, and training among Head Start and Early Head Start staff. Journal of School Health. 74(1), 32–34.