state local efforts to level the early care education ece
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State & Local Efforts to Level the Early Care & Education (ECE) Playing Field Presented by: Linda L. Cowling, MPH, RD July 17, 2019 California Department of Public Health Funding Acknowledgement California Department of Public Health


  1. State & Local Efforts to Level the Early Care & Education (ECE) Playing Field Presented by: Linda L. Cowling, MPH, RD July 17, 2019 California Department of Public Health

  2. Funding Acknowledgement California Department of Public Health

  3. California Department of Public Health

  4. The Interconnected Web of Health California Department of Public Health

  5. The Facts • 457,000 California children receive care in ECE settings. • Half of the population aged 2 and older consumes sugary drinks on any given day. • 75% of caregivers of children aged 2‐5 reported that child had eaten fast food in the past week. California Department of Public Health

  6. Cost of Day Care Source: Kidsdata.org. A program of Lucile Packard Foundation for Children’s Health California Department of Public Health

  7. CDPH’s Comprehensive Approach • Outcomes: • Inputs: – New PSEs that – Social Marketing facilitate: – Evidence‐based • Improvements in Interventions – Healthy Eating – Partnerships – Physical Activity (PA) – Policy, Systems, and – Food Security – Obesity Prevention Environmental (PSE) Change Supports – Reduction of Nutrition Related Chronic Diseases California Department of Public Health

  8. CDPH’s Comprehensive Approach FFY 18: • 23 Counties – 82 ECE Sites; 135 Reached/Site • Policy, System and Environmental (PSE) Changes Impacted 11,063 • Direct Education Reached 24,212 • 319 PSE Changed in ECE Settings California Department of Public Health

  9. FFY 2018 PSE changes in ECE (n=89) % of sites by type of change made wellness policies structured PA PA facilities gardens unstructured PA meal quality feeding practices non‐meal food quality procurement water food distribution food program access other nutr marketing 0% 10% 20% 30% 40% 50% California Department of Public Health

  10. Local ECE Highlights Since 2015 • 24 trainings reaching more than 800 educators, child care advocates, and providers • 41,000+ children, parents, teachers and providers received nutrition education • 100+ sites adopted changes to improve meal/snack quality and implemented wellness policies • 200+ ECE sites have painted playgrounds California Department of Public Health

  11. State Resources to Support Local Efforts • Physical Activity (PA) & Nutrition Policy Templates • PA Toolkit for Preschool‐Aged Children • Painting Preschool Playgrounds for Movement • Potter the Otter Healthy Food & Beverage Resources California Department of Public Health

  12. Physical Activity and Nutrition Templates & Policies California Department of Public Health

  13. Customizable Policy Templates • Physical Activity • Nutrition – Infants – Staff Role – Toddlers – Nutrition Education for Children – Preschoolers – Nutrition Guidelines – Safety – Safety – Parent Education – Parent Education – Staff Training – Staff Training – Field Trips – Celebrations California Department of Public Health

  14. What’s Inside? • Steps for Developing Physical Activity (PA) & Nutrition Policies • Assessment Tools • Resources – Meal Patterns – Considerations for Special Dietary Needs—Food Allergies – PA Guidelines California Department of Public Health

  15. Physical Activity Toolkit for Preschool‐Aged Children California Department of Public Health

  16. What’s Inside? California Department of Public Health

  17. Painting Preschool Playgrounds for Movement California Department of Public Health

  18. What’s Inside? California Department of Public Health

  19. Potter the Otter Healthy Food & Beverage Resources www.PottertheOtter.com First 5 Santa Clara County California Department of Public Health

  20. What’s Inside? California Department of Public Health

  21. What’s Next? • 5 Year CDC State Physical Activity and Nutrition (SPAN) Grant – Working with: • 5 selected organizations • Local and State Resource and Referral Agencies • State‐wide ECE systems to implement healthy nutrition and PA standards California Department of Public Health

  22. Thank You Linda L. Cowling, MPH, RD Linda.Cowling@cdph.ca.gov 916‐445‐2973 California Department of Public Health

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