Child Care Centres

Child Care Centres include centres that have five or more children. Infection control at these organizations are essential to protect against the spreading of bacteria and viruses.

Diapering and Potty Use Fact Sheet

Sensory Play and Crafts in Daycare Centres Fact Sheet

Infection control practices

Infection control practices should include:

  • Monitor for signs and symptoms of the disease.
  • Report and manage outbreaks appropriately.
  • Implementation of diapering/toileting policies which include sanitizing surfaces and hand hygiene.
  • Cleaning and disinfection of toys, surfaces, bedding and linens.
  • Ensure a safe environment, safe activities, safe toys for children.
  • Supervise any animal interaction.
  • Promote proper personal hygiene and hand washing of child care workers and children.

Handwashing - the best infection control practice

In order to prevent the spread of bacteria, viruses or parasites from person to person, hands of child care workers should be washed between direct child contacts.

open file HowtoWashYourHands.pdfChildren should be reminded to wash their hands before eating and after using the toilet.

Parents and visitors should take the same precautions to protect themselves, their relatives and friends.

All staff and visitors should wash hands or use hand sanitizer before entering and exiting the facility.

Handwashing Fact Sheet

Handwashing Sign

Milo and the Invisible World of Germs

Seasonal Viral Infections Common in Schools

Other Precautions

  • Children and staff need to be immunized for certain routine immunization. Influenza vaccine is recommended yearly. See the Immunization & Vaccine Preventable Diseases page for details.
  • Food should be carefully handled and monitored in all child care facilities to prevent any possible food borne illness. Parents sometimes bring food or treats to children. This may result in food borne illness if the food is stored improperly before being eaten. If you want to bring food for your own child, it is best to give it to staff so they can refrigerate it until served.
  • Outbreaks should be managed well. In the event of an outbreak of infectious illness (fever, diarrhea, vomiting, etc.) there should be some changes in the routine to try to stop the spread. These may include:
    • Restriction on children and staff
    • Restriction on social activities
    • Temporary shifting of rooms to isolate ill or exposed children from the others

Forms / Resources

Healthy and Safe Eating in Child Care Centres

Management of Animals in Child Care Centres

Pre-Employment Health Form for Employees, Providers, and Volunteers in Child Care Centres

Managing Infections and Exclusion Guidelines for Child Care Providers and Schools

Advancing Environmental Health in Child Care Settings

Gastrointestinal Outbreaks: Information for Parents Fact Sheet

Head Lice, What you Need to Know

For tips on how you and your children can enjoy animal exhibits without getting sick, check the Safety at Animal Exhibits fact sheet.

TB Screening Requirements for Child Care Providers/Employees

Update March 2017

All new employees/providers are required to complete a tuberculosis (TB) screening questionnaire included on the Pre-Employment Health Form for Employees, Providers, and Volunteers in Child Care Centres prior to starting employment.

If you answer "yes" to any of the questions in the TB screening questionnaire, you also need to complete a TB skin test.

It is required that the following groups of employees/providers of child care centres be screened for tuberculosis with a one-step tuberculin skin test in Waterloo Region:

  • Persons born in certain areas and who have arrived in Canada within the previous five years. These areas include:
    • Asia (including Middle Eastern countries)
    • Africa
    • Central and South America
    • Eastern Europe
  • Persons who have spent more than three months in the above listed areas within the past five years
  • Persons with high-risk medical conditions which include: kidney disease, diabetes, cancer, HIV/AIDS, silicosis, or conditions which require drugs that suppress the immune system
  • Persons who know they have been exposed to someone with active tuberculosis disease in the past

Importance of infection control in child care centres

The children in a child care centre are more likely to pick up infections because they have:

  • limited immunity
  • limited personal hygiene
  • a lot of personal contact

What if my child is sick?

Children and staff should not attend the centre when they have diarrhea and when they have certain infectious diseases. Check Managing Infections and Exclusion Guidelines for Child Care Providers and Schools for the exclusion guidelines for common childhood infections.

Children should not be placed in any other child care setting but should remain at home until they get better. If in doubt, check with the centre administrator.

Gastrointestinal Outbreaks: Information for Parents Fact Sheet

Germs brought in with a child or staff can sometimes start an outbreak of illness that can affect everyone.