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Caring for Our Children: National Health and Safety  
        Performance Standards cover


Caring for Our Children

National Health and Safety Performance Standards
Guidelines for Early Care and Education Programs

3rd Edition

Caring for Our Children, 3rd Edition (CFOC3) is a collection of 686 national standards that represent the best evidence, expertise, and experience in the country on quality health and safety practices and policies that should be followed in today's early care and education settings.


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PLEASE NOTE: The standards contained in these versions are not updated as often as the the standards contained in the online content. The online standards are the most up to date.

AttentionAttentionImportant Information About New Bleach Concentration

Effective 3/1/2013

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Major Change in Caring for Our Children, 3rd Edition (CFOC3):

Additions and Significant Changes

Suggested Citation for Caring for Our Children:

American Academy of Pediatrics, American Public Health Association, National Resource Center for Health and Safety in Child Care and Early Education. 2011. Caring for our children: National health and safety performance standards; Guidelines for early care and education programs. 3rd edition. Elk Grove Village, IL: American Academy of Pediatrics; Washington, DC: American Public Health Association. Also available at

Print copies are available from two organizations for $55

American Public Health Association
Publications & Advertising
Phone: 888-320-2742
Fax: 888-361-2742

American Academy of Pediatrics
Phone: 888-227-1770
Fax: 847-228-1281