You are here
Health and Safety Resource Page
The Child Care and Development Fund (CCDF) final rule outlines regulations for implementing the Child Care and Development Block Grant (CCDBG) Act of 2014 and administering the CCDF program, including provisions to protect the health and safety of children in care. The final rule strengthens health and safety requirements for programs receiving CCDF funds.
All American Indian and Alaska Native (AI/AN) CCDF grantees, regardless of allocation size, are required to meet the health and safety requirements in the CCDF final rule, which include the following:
- Designing, implementing, and enforcing requirements related to a specified list of health and safety topics
- Health and safety training
- Specific group size limits and ratios
- Compliance with child abuse reporting requirements
These requirements are considered the necessary foundation for ensuring the health and safety of children in child care settings.
This resource page provides resources from the National Center on Tribal Early Childhood Development related to protecting the health and safety of children in care.
Health and Safety Requirements
- (presentation slides)
- (presentation slides)
Health and Safety Standards
- (presentation slides)
- (presentation resource)
- (training resources)
Monitoring and Enforcement Systems
- (guide, tools, and videos)
- (presentation slides)
- (presentation slides)
Policies and Procedures for Health and Safety
- (presentation slides)
Emergency Preparedness and Disaster Response and Recovery
- (annotated resource list)
- (web page)
- (presentation slides)
- (training resources)
- (presentation slides)
Additional Tools and Resources
- (handout)American Rescue Plan (ARP) Act Clarifications Document
- (annotated resource list)
- (annotated resource list)
- (annotated resource list)
- (annotated resource list )
- (annotated resource list)
- (presentation slides)
More from the Child Care Technical Assistance Website
The Office of Child Care's Child Care Technical Assistance website provides training, resources, and materials to stakeholders at the state, tribal, regional, and local levels to support high-quality services for children and families. The following Office of Child Care's National Centers have a variety of resources to support the implementation of health and safety requirements:
- National Center on Health, Behavioral Health, and Safety (NCHBHS): The NCHBHS Center provides resources and technical assistance focused on developing comprehensive, coordinated health and wellness services within early childhood settings.
- National Center on Early Childhood Quality Assurance (ECQA Center): The ECQA Center provides resources and technical assistance to help grantees assure quality in all early care and education settings for children from birth to school age. The ECQA Center has resources to support the advancement of strong health and safety standards.
- National Center on Early Childhood Development, Teaching and Learning (DTL Center): The DTL Center provides resources and technical assistance regarding the implementation of evidence-based practices that are culturally and linguistically responsive, lead to positive child outcomes across early childhood programs, and support strong professional development systems. The DTL Center has resources that can help support training and professional development efforts regarding health and safety.
- National Center on Child Care Subsidy Innovation and Accountability (NCSIA): NCSIA provides resources and technical assistance focused on developing child care subsidy systems that are child-focused, family-friendly, and fair to providers. NCSIA has resources to support the implementation of background check requirements.
The National Center on Tribal Early Childhood Development can help you navigate the many resources available through the Office of Child Care's Technical Assistance website.

